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Bypass & flow reversal is a powerful strategy for treating giant aneurysms: it deals w/their unclippability; uses natural thrombosis to close the aneurysm completely; indicates some fancy & fun bypasses, like this side-to-side bypass w/ant. temporal artery (ATA-M2 MCA) + STA-MCA…

Michael T. Lawton, MD

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14,508 Aufrufe • vor 8 Monaten •via X (Twitter)

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The best surgical bypasses mimic nature’s design, like anterior & posterior communicating arteries in the circle of Willis, drawing flow on demand. Arteries that run parallel and in close proximity can be joined w/ side-to-side anastomosis to create an intracranial-to-intracranial bypass, like this A3-A3 construct…#SevenBypasses

The best surgical bypasses mimic nature’s design, like anterior & posterior communicating arteries in the circle of Willis, drawing flow on demand. Arteries that run parallel and in close proximity can be joined w/ side-to-side anastomosis to create an intracranial-to-intracranial bypass, like this A3-A3 construct…#SevenBypasses

Michael T. Lawton, MD

70,471 Aufrufe • vor 10 Tagen

The military campaign is limited. CENTCOM is going after those military targets used to threaten the strait. It won't move the Iranians to a deal but it will move oil. Rubio's State Dept has had success w/ Gulf Arab states making deals to bypass the strait. I'd build on that coalition work and close the door on Iranian negotiations for now.

The military campaign is limited. CENTCOM is going after those military targets used to threaten the strait. It won't move the Iranians to a deal but it will move oil. Rubio's State Dept has had success w/ Gulf Arab states making deals to bypass the strait. I'd build on that coalition work and close the door on Iranian negotiations for now.

Rebeccah Heinrichs

16,308 Aufrufe • vor 2 Monaten

I JUST MET DIANA ROSS... Well I've had such a fabulous weekend hanging out with DIANA ROSS as you do...🤣Thank you kindly to Ant and Dex Photography for making this amazing video. Check out their page on facebook, got some amazing work on there. Now this is the fun side of AI.

I JUST MET DIANA ROSS... Well I've had such a fabulous weekend hanging out with DIANA ROSS as you do...🤣Thank you kindly to Ant and Dex Photography for making this amazing video. Check out their page on facebook, got some amazing work on there. Now this is the fun side of AI.

Ian Phillips: Music, TV & Film Classics

12,782 Aufrufe • vor 5 Monaten

Talk about dangerous liaisons! Abnormal brain vascular connections like a dural arteriovenous fistula (dural AVF) can be dangerous! This month’s AJNR SCANtastic is here to you some durable knowledge about dural AVFs! Dural sinuses sit inside dural leaflets and arteries that feed the dura also feed the walls of sinuses, like vasa vasorum. Arteries in the walls of veins are a natural connection between veins & arteries. Whether these are open depends on pressure. Normal venous pressure is not enough to open these connections, but if venous pressure is increased from thrombosis that pushes open these normal AVFs in the wall Now if fistula flow goes w/sinus flow, effect is relatively benign because dural venous sinuses are big & can handle extra flow. But if flow gets pushed backwards into cortical veins, flow is too much for cortical veins to handle & they are more likely to bleed. Presence of cortical reflux is dividing line if a fistula will have benign course or is likely to bleed Cognard classification defines dAVFs by the type of venous drainage. But you don’t have to memorize it. Just ask yourself: Can the venous outflow handle the flow (dural sinus vs cortical vein) & does it look like it is overwhelmed (venous ectasia)? In this month’s @the_AJNR, Itskeson et al. found 1/2 of dAVF pts had cognitive impairment. While more common w/cortical reflux, even pts w/o reflux had cognitive impairment that improved w/treatment This begs the question if there is any truly “benign” dAVF. Previously indications for treatment were venous reflux or debilitating pulsatile tinnitus. Perhaps we should be screening all dAVF patients for cognitive impairment and perhaps someday cognitive function will get incorporated into treatment decisions. Now you know the pathology of dural AVFs! Hopefully it stays w/you for the duration! But this only scratches the surface. Follow AJNR & check out the article for yourself:

Talk about dangerous liaisons! Abnormal brain vascular connections like a dural arteriovenous fistula (dural AVF) can be dangerous! This month’s AJNR SCANtastic is here to you some durable knowledge about dural AVFs! Dural sinuses sit inside dural leaflets and arteries that feed the dura also feed the walls of sinuses, like vasa vasorum. Arteries in the walls of veins are a natural connection between veins & arteries. Whether these are open depends on pressure. Normal venous pressure is not enough to open these connections, but if venous pressure is increased from thrombosis that pushes open these normal AVFs in the wall Now if fistula flow goes w/sinus flow, effect is relatively benign because dural venous sinuses are big & can handle extra flow. But if flow gets pushed backwards into cortical veins, flow is too much for cortical veins to handle & they are more likely to bleed. Presence of cortical reflux is dividing line if a fistula will have benign course or is likely to bleed Cognard classification defines dAVFs by the type of venous drainage. But you don’t have to memorize it. Just ask yourself: Can the venous outflow handle the flow (dural sinus vs cortical vein) & does it look like it is overwhelmed (venous ectasia)? In this month’s @the_AJNR, Itskeson et al. found 1/2 of dAVF pts had cognitive impairment. While more common w/cortical reflux, even pts w/o reflux had cognitive impairment that improved w/treatment This begs the question if there is any truly “benign” dAVF. Previously indications for treatment were venous reflux or debilitating pulsatile tinnitus. Perhaps we should be screening all dAVF patients for cognitive impairment and perhaps someday cognitive function will get incorporated into treatment decisions. Now you know the pathology of dural AVFs! Hopefully it stays w/you for the duration! But this only scratches the surface. Follow AJNR & check out the article for yourself:

Lea Alhilali, MD

11,498 Aufrufe • vor 1 Jahr

This is what’s happening to youngsters trying to get a start in life. This young woman fulfilled her side of the deal. She sat her state exams. She got the points to go to university. She won her place through hard work. The government however decided that it is more important to house the world than to fulfil their end of the bargain for Irish people. This young woman & many many like her, are being totally abandoned by their own government. Ireland is a cruel country where the social contract is now completely broken.

This is what’s happening to youngsters trying to get a start in life. This young woman fulfilled her side of the deal. She sat her state exams. She got the points to go to university. She won her place through hard work. The government however decided that it is more important to house the world than to fulfil their end of the bargain for Irish people. This young woman & many many like her, are being totally abandoned by their own government. Ireland is a cruel country where the social contract is now completely broken.

Helen Duignan

42,099 Aufrufe • vor 1 Monat

While washing he and his girlfriend’s cars this man noticed that on the headlamps on the driver’s side in both vehicles that they were marked. Whenever his girlfriend drove the car it was marked with a “w” for woman. When she had their child with them it had a dot next to the “w” to indicate it was one child. After seeing them he found out about the when he did a little research. If this is true then it shows how elaborate and organized this is, what would you do if you saw these marks on your car?

While washing he and his girlfriend’s cars this man noticed that on the headlamps on the driver’s side in both vehicles that they were marked. Whenever his girlfriend drove the car it was marked with a “w” for woman. When she had their child with them it had a dot next to the “w” to indicate it was one child. After seeing them he found out about the when he did a little research. If this is true then it shows how elaborate and organized this is, what would you do if you saw these marks on your car?

SonnyBoy🇺🇸

2,497,861 Aufrufe • vor 5 Monaten

"you have to be able to mix it when you're, when you're playing this sport, and you know, like every team now is going short, and they're going long as well, and like Jayo [Jason Rabbitte] is just such a serious outlet for us..." Galway's Tom Monaghan reflects on the win over Cork and how much star man Jason Rabbitte added to the side as they booked their place in the All-Ireland Hurling Final. Hurling on Off The Ball w/ Applegreen

"you have to be able to mix it when you're, when you're playing this sport, and you know, like every team now is going short, and they're going long as well, and like Jayo [Jason Rabbitte] is just such a serious outlet for us..." Galway's Tom Monaghan reflects on the win over Cork and how much star man Jason Rabbitte added to the side as they booked their place in the All-Ireland Hurling Final. Hurling on Off The Ball w/ Applegreen

Off The Ball

12,259 Aufrufe • vor 2 Monaten

So Kling AI 3.0 now supports multi-shot sequences, so I was excited to test it head-to-head against Flow by Google VEO 3.1, which is known for having some of the best video lip-sync out there. Verdict 🏆: This might not even be a totally fair comparison since Kling can generate up to 15s clips while VEO tops out at 8s. That said, Kling feels like it’s capturing more emotional performance and nuance, with more natural overall mouth movement. VEO still seems stronger on strict lip-sync accuracy, while Kling characters can look like they’re slightly mumbling at times. Overall, it feels like Kling is pushing performance forward, which is a huge leap. I definitely want to run more side-by-side tests.

So Kling AI 3.0 now supports multi-shot sequences, so I was excited to test it head-to-head against Flow by Google VEO 3.1, which is known for having some of the best video lip-sync out there. Verdict 🏆: This might not even be a totally fair comparison since Kling can generate up to 15s clips while VEO tops out at 8s. That said, Kling feels like it’s capturing more emotional performance and nuance, with more natural overall mouth movement. VEO still seems stronger on strict lip-sync accuracy, while Kling characters can look like they’re slightly mumbling at times. Overall, it feels like Kling is pushing performance forward, which is a huge leap. I definitely want to run more side-by-side tests.

Curious Refuge

17,672 Aufrufe • vor 7 Monaten

This is a super fun watch! David Carr put together a behind-the-scenes vlog from the Cy-Hawk dual. So many fun moments in the locker room and David's mat-side view of the 20–14 win. If you want to feel Sunday all over again, this does it! I love that you get to see the team in their natural moments together. You can't get a better view of what these guys are like then when one of their own is behind the camera! Full vlog: Here's a short clip from his vlog:

This is a super fun watch! David Carr put together a behind-the-scenes vlog from the Cy-Hawk dual. So many fun moments in the locker room and David's mat-side view of the 20–14 win. If you want to feel Sunday all over again, this does it! I love that you get to see the team in their natural moments together. You can't get a better view of what these guys are like then when one of their own is behind the camera! Full vlog: Here's a short clip from his vlog:

Jacqueline

15,468 Aufrufe • vor 9 Monaten

Phuwin talking abt experience w his first KPOP concert (Stray Kids) #PHUWINxMintMagTH 💬| It was a completely new experience for me. Pond has always been someone who follows the Korean entertainment scene but I don’t really keep up w Korean media that much myself. So this was my first K-pop concert, and it was a brand-new experience for me too. It was a lot of fun… I think what stood out to me the most was the way the show was put together. I’m more used to listening to solo singers and musicians, so I don’t really follow groups like boy bands or girl groups. When I finally got to experience this different style of performance, I was genuinely amazed. It made me go, “woww” bc I’d never been exposed to this side of things before #MintVol35 #LOEWE #phuwintang #MintMagTH

Narawins 🇧🇷

15,853 Aufrufe • vor 1 Monat

Two friends are doing a dance for a school talent show. Some say they are mocking masculinity because real men don’t have a soft side like this. They are breaking the lines of what masculinity is, it’s okay for men to show feelings and it’s okay for men to cry. For me this shows that the only boundaries for masculinity is the ones either society or ourselves assign to it. I think their message is clear and I would vote for them if I was a judge, so they have your vote?

Two friends are doing a dance for a school talent show. Some say they are mocking masculinity because real men don’t have a soft side like this. They are breaking the lines of what masculinity is, it’s okay for men to show feelings and it’s okay for men to cry. For me this shows that the only boundaries for masculinity is the ones either society or ourselves assign to it. I think their message is clear and I would vote for them if I was a judge, so they have your vote?

SonnyBoy🇺🇸

44,407 Aufrufe • vor 5 Monaten

THIS ISN’T “FUN”…THIS IS PURE RECKLESSNESS WITH A BABY’S LIFE. HOW WOULD YOU HAVE REACTED IF THIS WAS YOUR CHILD???? Officers were called after a family reported a woman throwing their infant into a community pool, later claiming she was “just having fun.” When police arrived, she showed little concern for what had happened and refused to cooperate as officers tried to investigate. An infant. A pool. And someone treating it like a joke. Even though the family chose not to press charges, officers made the arrest after repeated attempts to gain compliance failed. Because at some point, it’s not about feelings…it’s about safety. WHO THINKS THROWING AN INFANT INTO A POOL IS “FUN”? WHY DOES IT TAKE POLICE SHOWING UP FOR SOME PEOPLE TO REALIZE THEIR ACTIONS HAVE CONSEQUENCES?

THIS ISN’T “FUN”…THIS IS PURE RECKLESSNESS WITH A BABY’S LIFE. HOW WOULD YOU HAVE REACTED IF THIS WAS YOUR CHILD???? Officers were called after a family reported a woman throwing their infant into a community pool, later claiming she was “just having fun.” When police arrived, she showed little concern for what had happened and refused to cooperate as officers tried to investigate. An infant. A pool. And someone treating it like a joke. Even though the family chose not to press charges, officers made the arrest after repeated attempts to gain compliance failed. Because at some point, it’s not about feelings…it’s about safety. WHO THINKS THROWING AN INFANT INTO A POOL IS “FUN”? WHY DOES IT TAKE POLICE SHOWING UP FOR SOME PEOPLE TO REALIZE THEIR ACTIONS HAVE CONSEQUENCES?

𝐌𝐑. 𝐖𝐇𝐈𝐓𝐄 ™

35,505 Aufrufe • vor 7 Monaten

Does epilepsy imaging cause you to seize up in fear? Everyone knows mesial temporal sclerosis (MTS)! But did you know there are different KINDS of MTS?? This month's AJNR SCANtastic shows YOU what you need to know in the latest in epilepsy imaging! Here's what to remember: Hippocampus has 4 subfields w/CA abbreviation standing for “Cornu Ammonis”: CA1: Horizontal & ascends slightly. Number 1 on its side is horizontal w/a slight acsent! CA2: Superior hippocampal dome. Number 2 has a curve at the top that looks like a dome! CA3: Hippocampal curve ends & turns toward the dentate. Number 3 makes a curve heading down! CA4: Indistinguishable from the dentate. Number 4 on its side looks like CA4 being supported by the dentate underneath! Hippocampal sclerosis or MTS has 3 subtypes: Type 1 Classic form w/neuronal loss in all subfields Remember this rhyme: In type 1, hippocampus is all done! Type 2 CA1 predominant volume loss Remember this rhyme: Type 2 loses the glue! (CA1 glues the hippocampus to the rest of the temporal lobe) Type 3 is CA4 & dentate predominant volume loss Remember this rhyme: Type 3 loses the belly! CA4 & dentate are the hippocampus belly! Next time you have an epilepsy study, hopefully you'll seize the opportunity to use this! But this only scratches the surface! Follow AJNR & read the full article:

Does epilepsy imaging cause you to seize up in fear? Everyone knows mesial temporal sclerosis (MTS)! But did you know there are different KINDS of MTS?? This month's AJNR SCANtastic shows YOU what you need to know in the latest in epilepsy imaging! Here's what to remember: Hippocampus has 4 subfields w/CA abbreviation standing for “Cornu Ammonis”: CA1: Horizontal & ascends slightly. Number 1 on its side is horizontal w/a slight acsent! CA2: Superior hippocampal dome. Number 2 has a curve at the top that looks like a dome! CA3: Hippocampal curve ends & turns toward the dentate. Number 3 makes a curve heading down! CA4: Indistinguishable from the dentate. Number 4 on its side looks like CA4 being supported by the dentate underneath! Hippocampal sclerosis or MTS has 3 subtypes: Type 1 Classic form w/neuronal loss in all subfields Remember this rhyme: In type 1, hippocampus is all done! Type 2 CA1 predominant volume loss Remember this rhyme: Type 2 loses the glue! (CA1 glues the hippocampus to the rest of the temporal lobe) Type 3 is CA4 & dentate predominant volume loss Remember this rhyme: Type 3 loses the belly! CA4 & dentate are the hippocampus belly! Next time you have an epilepsy study, hopefully you'll seize the opportunity to use this! But this only scratches the surface! Follow AJNR & read the full article:

Lea Alhilali, MD

11,949 Aufrufe • vor 2 Jahren

Was golfing w POTUS Donald J. Trump this past weekend - always so dang fun! - he is the absolute GOAT! anywho, Elon Musk came out to hang for a few holes. I almost pissed myself from laughing when he showed me his new app GROK - unhinged…He is the only one with the balls to do some crazy ass shit like this!! So dam fun and funny!!! This is me messing with it this am. Enjoy! Kid Rock #Grok #Unhinged

Was golfing w POTUS Donald J. Trump this past weekend - always so dang fun! - he is the absolute GOAT! anywho, Elon Musk came out to hang for a few holes. I almost pissed myself from laughing when he showed me his new app GROK - unhinged…He is the only one with the balls to do some crazy ass shit like this!! So dam fun and funny!!! This is me messing with it this am. Enjoy! Kid Rock #Grok #Unhinged

KidRock

21,460,283 Aufrufe • vor 1 Jahr

"Most cardiologists will not think or believe that it's possible to reverse heart disease" - Dr Aseem Malhotra Lifestyle Changes proved the mainstream medical belief system wrong, and found a stunning chronic stress connection to heart disease at the same time. Dr Aseem Malhotra found an astounding study from a Cardiologist in India who was using lifestyle changes for people that didn't consent to a heart bypass. "2 years later [they] published his data. They had repeat angiograms. And extraordinarily, and this is unheard of, and I had to go and see it to believe it. I went to India to see the patients, to see the angiograms." ◻️"The people who had adhered to the lifestyle change, there was an average reduction in their blockages of 20%" "The only independent factor that showed reversal of coronary artery disease was 40 minutes of Raja meditation a day".

"Most cardiologists will not think or believe that it's possible to reverse heart disease" - Dr Aseem Malhotra Lifestyle Changes proved the mainstream medical belief system wrong, and found a stunning chronic stress connection to heart disease at the same time. Dr Aseem Malhotra found an astounding study from a Cardiologist in India who was using lifestyle changes for people that didn't consent to a heart bypass. "2 years later [they] published his data. They had repeat angiograms. And extraordinarily, and this is unheard of, and I had to go and see it to believe it. I went to India to see the patients, to see the angiograms." ◻️"The people who had adhered to the lifestyle change, there was an average reduction in their blockages of 20%" "The only independent factor that showed reversal of coronary artery disease was 40 minutes of Raja meditation a day".

Humanspective

22,795 Aufrufe • vor 11 Monaten

Nmp talks about his time at Hasan's birthday party "I really like hanging out with Hasan bc u get to see a completely different side of life..I really just like the whole family..they're so nice" "U know what I did notice when I went on Hasan's stream..ppl were like retweeting me w Hasan..ppl in the comments were all trying to stare me down..regurgitating a lot of the lies from my court case..this is why it's hard for Hasan to make friends, bc whenever someone shows up, u just rip into them..like ur some sort of morality god"

Nmp talks about his time at Hasan's birthday party "I really like hanging out with Hasan bc u get to see a completely different side of life..I really just like the whole family..they're so nice" "U know what I did notice when I went on Hasan's stream..ppl were like retweeting me w Hasan..ppl in the comments were all trying to stare me down..regurgitating a lot of the lies from my court case..this is why it's hard for Hasan to make friends, bc whenever someone shows up, u just rip into them..like ur some sort of morality god"

yeet

135,055 Aufrufe • vor 1 Monat

Brett Meiselas: The strategy of China and Xi is that their whole thing is, we've been here for thousands of years. We'll let them destroy themselves, right? Never interrupt your enemy while they're making a mistake. We're just going to sit here, let the world fall into our lap. And I feel like you were literally seeing that this weekend with Donald Trump when you saw that side-by-side of President Xi and Donald Trump next to each other with Xi Jinping staying completely stoic, not reacting at all, and Donald Trump wincing in pain as his attempt to show American might and American strength completely backfired in his face.

Brett Meiselas: The strategy of China and Xi is that their whole thing is, we've been here for thousands of years. We'll let them destroy themselves, right? Never interrupt your enemy while they're making a mistake. We're just going to sit here, let the world fall into our lap. And I feel like you were literally seeing that this weekend with Donald Trump when you saw that side-by-side of President Xi and Donald Trump next to each other with Xi Jinping staying completely stoic, not reacting at all, and Donald Trump wincing in pain as his attempt to show American might and American strength completely backfired in his face.

MeidasClips

15,067 Aufrufe • vor 3 Tagen

Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!

Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!

Lea Alhilali, MD

19,394 Aufrufe • vor 1 Jahr