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Excellent demonstration of the difference between a low & high take off rectal prolapse using a jacket sleeve & explaining when a Delormes won't work! Karen Telford Carolynne Vaizey Dorin Ziyaie Shahab Siddiqi Andy Williams Julie Cornish ⏩

15,303 Aufrufe • vor 3 Jahren •via X (Twitter)

3 Kommentare

Profilbild von ACPGBI-Education&Training
ACPGBI-Education&Trainingvor 3 Jahren

@TelfordKaren999 @shahabsiddiqi @jules_cornish Link to ACC2023 programme and registration: Do you know the difference between a low and a high take off rectal prolapse?

Profilbild von Imran Raza
Imran Razavor 3 Jahren

@TelfordKaren999 @shahabsiddiqi @jules_cornish This is the genius of Andy Williams. Had the privilege to learn from him as one of his fellows.

Profilbild von Michael Thornton
Michael Thorntonvor 3 Jahren

@TelfordKaren999 @shahabsiddiqi @jules_cornish ☝️If you want to see more of this type of quality education, join this years #ACC2023 @ACPGBI_EduTrain @ACPGBI Great value and it’s not too late to sign up.

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There is a morning in Texas when the sky stacks clouds like it means something and the pasture goes so green it almost doesn’t look real. The sun is already working. Ranch Santa Elena outside Madisonville delivered that morning. Steve Williams RegenBeef was already out with the bulls. Steve is the Genetics lead at [email protected], and if you have not heard his name yet, you will. He is the kind of man who does not announce himself. He shows up, he assesses, he works. That is the proof of work that earns a place in this movement, and Steve has earned his. The bulls at Ranch Santa Elena are not waiting. They are ready. Anyone who has spent time around cattle knows the difference between an animal that is settled and an animal that is prepared. These bulls are prepared. A short time from now, they make the trip to El Salvador, and when they arrive, they begin the work of building a foundation herd for a country that has chosen to take its food sovereignty seriously. That is not a small thing. Foundation herd genetics are a generational decision. Get them right and the country is building on solid ground for decades. Steve Williams understands this. He is standing in a pasture in Madisonville, Texas, looking at the animals that will carry that responsibility, and he is pleased with what he sees. So are we. The El Salvador partnership was built on peer respect and shared purpose. The Ministry of Agriculture came to the table as a sovereign nation serious about its food infrastructure. We came as a movement serious about ours. What is being loaded onto a trailer in a few weeks is not charity and it is not commerce. It is collaboration between people who understand that the integrity of a food system starts with the animal, and the animal starts with the genetics. Steve Williams knows that. Ranch Santa Elena knows that. The Beef Initiative has always known that. This is what is being built to carry forward. Introductions like this one. Proof of work in the field, not just on a screen. A genetics program that begins in Texas and lands in Central America with the weight of shared conviction behind it. Watch for Steve. Watch for these bulls. The foundation is being laid. We are Texas Slim™ Óscar Domínguez Satoshi

Texas Slim™

12,397 Aufrufe • vor 5 Monaten

🚨New science DEBATE released on HIGH CARB vs KETO: What the new Tim Noakes vs Louise Burke debate actually shows 👇 American Journal of Clinical Nutrition just released it big debate between two of the biggest names in exercise performance asking one loaded question: does a low-carbohydrate diet impair endurance performance? On one side is Louise Burke, one of the most influential sports nutrition researchers in the world. Her argument: yes, low carb can impair performance? She is not saying every athlete must eat high-carb all the time. She is saying performance depends on the event, intensity, environment, training status, sex, and the athlete in front of you. Her biggest physiological point is fuel economy. Near an athlete’s oxidative ceiling (i.e., elite race pace), she argues that carbohydrate produces more usable energy per liter of oxygen than fat. So even if keto adaptation dramatically raises fat oxidation, that does not automatically mean better speed or power. Now I am skeptical of this point, since we have conducted Randomized Controlled Trails in both runners and ironman competitors and showed that athletes at 86% of their VO2max can utilize fat as the predominant fuel while on a very low carb diet and STILL maintain performance. On the other side, Tim Noakes argues: low carb does not necessarily impair performance when athletes are adapted long enough. He points out that many “keto hurts performance” studies are short, often under four weeks, and that several randomized trials lasting four to six weeks report similar performance between high-carb and low-carb groups. He also reframes fatigue. Instead of saying muscle glycogen is always the main limiter, he argues that during prolonged exercise, maintaining blood glucose, the small glucose pool is the most important. In our trial, 10 grams of carbohydrate per hour improved prolonged cycling performance after both diets. Noakes and Burke also did something really special: they developed a CONSENSUS article where they explored key points of AGREEMENT and DISAGREEMENT for future research. This is the coolest part and in my opinion was one of the verty unique aspect of these three studies My take is this: It is not "team high carb" versus "team keto." The weight of the evidence demonstrates that 1) BOTH high and low carb diets can work, and that 2) Carbohydrates during prolonged exercise are valuable...but 3) How this is applied depends on the individual athlete. What's your take?

Andrew Koutnik, Ph.D.

15,181 Aufrufe • vor 5 Monaten

Brad Gerstner: Companies Will Pay 5x More for the Best AI, No Evidence of Pricing Pressure from Open Source Brad Gerstner: “Jason, you talked about summarizing a document, it may take 20,000 cheap tokens to do. Of course, shoot that to a lagging model or an open source model. But if you're talking about replacing a software engineer for two hours, that may take two million expensive tokens, and the consequence of using something that's 95% as good is really high. Because you have a long-running task, and if the task breaks early, or it breaks in the middle, or it breaks at the end, there's a huge cost to that.” @jason: “You still burn the tokens, right? And back to this analogy I was using, you're pulling the slot machine, and you lose.” Brad: “And (you lose) the time and the compute. So if an AI agent is replacing a $200 an hour consultant, right? Take that as an example. So three consulting firms, they're competing. They need the smartest consultant. They're charging $200 an hour. The difference between spending $3 on a cheap model or $15 on an expensive model to replace a $200/hour consultant, it's just irrelevant. That inference cost difference is irrelevant if you're getting something that's bulletproof for $15, and so I think that's what we're seeing play out. The best evidence for all of this is just revenue growth. I'm talking about, what is Anthropic's revenue growth compared to OpenAI, compared to the open source models? Millions of independent actors are choosing every single day. The open source companies are growing, right? But they're growing selling something that is really, really cheap. And there's room in every single market for premium products, for mid-tier products, and for commodity products, and I think we see a lot of this token growth, people are speculating that the intelligence gap between that commodity stuff and the frontier stuff is going to collapse to the point that people won't pay for the frontier stuff. There is no evidence of that on the field today.”

The All-In Podcast

52,580 Aufrufe • vor 2 Monaten

RHP Matt Scott (Stanford Baseball) is one of the premier college arms in this year's Draft. After a solid Freshman season that was split between the bullpen and the rotation, Scott this year anchored the Stanford rotation and collected a career-high 103 strikeouts against 36 walks across 80 innings. Earned a Team USA invite for the second straight summer. Scott has an XL, workhorse frame at 6-foot-7 and 247-pounds with plenty of strength and physicality throughout. Quiet, "checkpoint-like" delivery. Small side step towards 1B side, gathers himself and breaks into the rest of his operation. Attacks from a high-three quarter slot. Low effort, does a nice job of staying connected and in-sync for someone of his stature. FB sits in the 93-96 range, but will routinely touch 97/98. Tons of carry through the zone, averaged 22.5" of IVB last year. At its best when located in the top-1/2 of the zone, which is also where it generates most of its whiffs. Just needs to stay out of the middle. Threw it 62% of the time and generated a pretty impressive miss rate of 26%, though I think it can become even more effective if he's able to hone in on his command of it. 55 pitch right now, eventual 60 if some of the low hanging fruit is cleaned up. Supplements his FB with a mid-to-upper-80s gyro SL. I actually think Scott's feel for the SL is on par, if not better, than his feel for the heater. Effective against both right and lefthanded hitters. True, hard gyro look against LHH. Will flash more two-plane tilt against RHH with some sharpness to it. Another 55 pitch that last year had a 40% miss rate. Scott needs to up the usage on his split-change. Threw it just 6% of the time last year and I think it's his best secondary pitch. Legit weapon against LHH. Averaged nearly 12 MPH off his FB and he does an excellent job of killing spin on it; averaged 866 RPMs last season. Essentially falls off a table as it approaches the plate. Serious tumbling life with a bit of arm side fade. 48% miss across a limited sample in '24, I'd give it a 60. Command and control are both average, if not a tick above. Little-to-no reliever risk. Really like the body and stuff. Projects to be one of the first few college arms off the board this July and is a potential first-rounder.

Peter Flaherty III

23,661 Aufrufe • vor 1 Jahr

6 Things I’ve Changed My Mind On! 1BCAA Supplementation: My PhD research involved BCAAs. I used supplemental BCAAs for 15 years. My 1st supplement company sold a product with BCAA. I stopped recommending them because of evidence & my current company @outworknutritionofficial does not have a BCAA product because the evidence demonstrates it is not as anabolic as a comparable amount of BCAA from intact protein sources like Whey Protein (Marquez KN 2022) 2Fasted Cardio: I used to do & promote fasted cardio because it caused more fat oxidation during exercise, but fat oxidation is not the same thing as fat loss & the research showed NO DIFFERENCE in FAT LOSS when performing fed vs. fasted cardio (Hacket D & Hagstrom AD 2017) 3High intensity vs. low intensity cardio: I 1st recommended LI cardio then flipped to recommending HI cardio & finally settled on the fact there was no difference in fat loss when total work was equated between groups (PMID: 37927356) 4Meal Frequency: I used to eat 8 meals per day, a meal every 2 hours. The idea was to ‘stoke the metabolic furnace’ to cause more fat loss but this is not supported by research where calories are equated between low & high meal frequencies. One is not superior to the other (PMID: 19943985). 5LDL Cholesterol: When I got to graduate school I was convinced that it was the HDL:LDL ratio that mattered, not LDL itself. Then over time the long term research in humans very clearly demonstrated a linear increase in risk for lifetime exposure to LDL cholesterol (PMID: 23083789) 6Sugar/Fructose: When I got to school I was convinced that sugar, in particular fructose/high fructose corn syrup (HFCS) was uniquely fattening outside of the calories it contained. But the research very clearly does not support that. When fructose/HFCS/sugar is exchanged for other carbohydrates & calories are equated, there are no differences in fat loss or gain between diets (PMIDs: 22351714, 24642950, 9094871, & 31711109) Be open minded but not so open minded that your brain falls out From: The Dr. Layne Norton Podcast (coming soon)

Layne Norton, PhD

44,655 Aufrufe • vor 1 Jahr

CSS Tip! 🤯 You can create a CSS-only version of this balance slider using a scroll animation on the underlying input[type=range] 🚀 ::-webkit-slider-thumb { view-timeline: --thumb inline; } Scroll animation driven by the slider thumb animates a number between the "min" and "max" of the range 😅 @​property --value { inherits: true; initial-value: 0; syntax: ' '; } @​keyframes sync { to { --value: 100; }} Tie that up to the contain animation-range ⚡️ .control { animation: sync both linear reverse; animation-timeline: --thumb; animation-range: contain; } Hoist the view timeline so all the parts of the control can use it! .control { timeline-scope: --thumb; } Use that value in a counter which is used for the labels. Create a low and a high for each side 😇 .control__label { counter-reset: low var(--value) high calc(100 - var(--value)); } .control__label::before { content: "COFFEE " counter(low) "%"; } .control__label::after { content: counter(high) "% MILK"; } That's the magic of updating the label values ✨ For the big track, it's a fake track. You can make use of the same --value property and do some calc() to work out the width of each part. .control__track::before { width: calc(var(--value) * 1% - 0.5rem); background: var(--coffee); border-radius: 4px; transition: width 0.1s; } The width leaves a little gap for the indicator piece 🤙 The color calculation for --coffee isn't too wild but again you can use the same --value .control__track { --coffee: hsl(24 74% calc( 24% + (30% * ((100 - var(--value, 0)) / 100)) / 1 ) / 0.4); } Now for the last piece. Making the track change height. You could set up another custom property and animate its value using the --thumb timeline too 🔥 @​property --shift { initial-value: 0; inherits: true; syntax: ' '; } @​keyframes shift { 0%, 31%, 61%, 100% { --shift: 0; } 32%, 60% { --shift: 1; } } Then use that --shift to update the translation of the label and height of the track 🤓 .label { transform: translateY(calc(var(--shift) * 50%)); transition: transform var(--speed) var(--timing); } Cool part here is that you can use the control to work out the @​keyframes percentages 😅 Oh. And the timing for that little bounce? Use the linear() function 😎 :root { --timing: linear( 0, 0.5007 7.21%, 0.7803 12.29%, 0.8883 14.93%, 0.9724 17.63%, 1.0343 20.44%, 1.0754 23.44%, 1.0898 25.22%, 1.0984 27.11%, 1.1014 29.15%, 1.0989 31.4%, 1.0854 35.23%, 1.0196 48.86%, 1.0043 54.06%, 0.9956 59.6%, 0.9925 68.11%, 1 ); } Should probably do a video on this one. Lots of little custom property tricks for sure! 💯 It's not too far off the range slider with the tooltip that came up previously As always, any questions, let me know! Also, this one only works in Chrome currently ✅🥲 This one's a bit rocket science ha 🚀 CodePen.IO link below! 👇

jhey ʕ•ᴥ•ʔ

377,871 Aufrufe • vor 2 Jahren

Darlings. I am not dying. I am, however, taking the long way around a body that has developed opinions. Last week’s setback was not a rumor and it was not subtle. You already know the shape of it. I am still here. I am taking it easy because “easy” is presently the difference between a heart that is merely furious and a heart that starts auditioning for tragedy. The pain is consistent. I am beginning to treat it the way one treats weather in a climate that does not negotiate: it will be here until the tissue finishes its argument with itself. I am not romanticizing it. I am simply refusing to let it write the entire sentence. I still have the IV. Dilaudid when the pain decides to be operatic. Steroids as needed because when I get ambitious my heart swells like it has something to prove and the rest of me is not in the mood to host a demonstration. Takotsubo. Broken-heart syndrome, if you prefer the greeting-card name for a very un-greeting-card event. The left ventricle balloons into the silhouette of a Japanese octopus trap...tako-tsubo...because a catecholamine surge can stun heart muscle so thoroughly it forgets its job without ever needing a blocked artery to do it. The muscle is not “being dramatic.” The muscle is stunned, edematous, and occasionally so swollen it behaves like a soaked sponge trying to pump blood. That is the swelling. That is why I do not get to be heroic on a Tuesday. And then there are the two tears. Not metaphor. Not poetry I am using to make you cry on purpose. Two actual tears in the architecture of a heart that already looked like it had been used as a stress experiment. Rare. Ugly. The sort of complication textbooks mention in the same breath as “mechanical catastrophe” and then politely change the subject. I am living in the chapter they do not put on the brochure. It is rough as fuck. I will get there because I refuse the alternative. Refusal is not optimism. Refusal is policy. Julie is staying indefinitely. That is not a soft announcement. That is logistics. I need her here, very much, in the unglamorous hours when a heart nurse is not a personality trait but a skill set. And yes....talk about lucking out that your best friend is a cardiac nurse. Seriously. Amazing. The universe rarely hands you someone who can read an EKG, manage an IV, and still tell you to sit the hell down with the same mouth. I did not earn that luck. I am using it anyway. I love you. I miss you in the particular way one misses a life that has been temporarily confiscated. I will be back when I am able....not when I am bored of resting, not when pride gets loud, when the organ in question stops treating exertion like an insult. Until then: Send me patience. Send me the filthy jokes. Send me the understanding that a stunned heart with two tears in it is not a metaphor you get to finish for me. I am Grey. I am still lethal. I am just lethal from a recumbent position for the moment. Hold the fucking line until Daddy has healed up. I love you all. Very much. Also don't take offense if I'm not answering my Dms. I speak to two people and Julie right now. I'll get to them when I'm up to it. Just know I see you checking on me and I love and appreciate you so very much. G.

LHGrey™️

68,026 Aufrufe • vor 1 Monat

Remind me another time and I will tear to pieces this response by Andy Street regarding the expansion of Islam into civic spaces. For now, I want to know what the former Mayor of the West Midlands did to help protect little White girls from gang rape by Pakistani men? We now know that police intelligence identified rape gang patterns in Birmingham similar to the Rotherham scandal. Given the evidence now on record, including West Midlands Police problem profiles and High Court interventions, what did the mayoral office know about the Pakistani Rape Gangs in Birmingham, and what action was taken? Care to comment Andy Street? Sir now isn't it? _________ I’m Raja Miah MBE. For seven years, I led a campaign that exposed how senior Labour politicians helped protect Pakistani rape gangs. The people of my town helped force the national inquiry. You won’t see me on the BBC. You won’t read my work in the legacy press. That’s not an accident. I take this to a place from where there is no coming back. Children were sold for votes. I document everything in my newsletter. It’s 100% free to read. If this work matters to you, if you believe it must continue, I need your backing. My work is free. No paywalls. No gatekeeping. No exclusions. Because the truth shouldn’t belong only to those who can afford it. If you can afford to do so, supporting me costs as little as 75p a week (£30 a year). Sign up here; 👉 If you can’t commit to a regular subscription, a one-off contribution genuinely helps keep this alive. You can support me using one of these links; 👉 👉 We’re up against a machine, politicians, police, officials, and media, working together to shrink, sanitise, and bury the truth. This work survives because of you. If you’ve ever shared my posts, learned something, or felt less alone reading them, stand with me. I need your help. Raja 🙏

Raja Miah

31,201 Aufrufe • vor 6 Monaten