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คลิปเตือนใจที่ไม่อยากให้เกิดขึ้นซ้ำ… เด็กชายวัย 8 ขวบจมน้ำอย่างเงียบ ๆ ในสระว่ายน้ำสาธารณะที่เต็มไปด้วยผู้คนในมณฑลหูหนาน ประเทศจีน แต่กลับไม่มีใครสังเกตเห็นในทันที การจมน้ำมักเกิดขึ้นรวดเร็วและเงียบกว่าที่คิด ไม่มีเสียงร้องขอความช่วยเหลืออย่างที่หลายคนเข้าใจ ผู้ปกครองจึงควรสอนทักษะว่ายน้ำและการเอาตัวรอดให้ลูกหลานตั้งแต่เนิ่น ๆ โดยเฉพาะก่อนเข้าสู่ฤดูร้อน #เตือนภัย #ความปลอดภัยทางน้ำ #อย่ามองข้าม A cautionary tale we don't want to see repeated… An 8-year-old boy silently drowned in a crowded public swimming pool in Hunan Province, China, yet no one noticed immediately. Drowning often happens more quickly and silently than expected. There are no cries for help as many mistakenly believe. Therefore, parents should teach their children swimming skills and survival techniques from an early age, especially before summer. #Warning #WaterSafety #DontOverlook

R here

347,662 views • 3 months ago

It’s Time to Shift Mindsets: Every Active Shooter Is a Potential Suicide Bomber Be wary of black puffer coats as they’re one of the easiest garments to conceal bombs inside, and Al-Qaeda has shown that repeatedly, including in their December 2023 video teasing their upcoming homeland plot. At least 10% of the attackers in the homeland plot are expected to be suicide bombers. That means you can’t treat an active shooter as “just” an active shooter anymore. You must assume he’s also a suicide bomber because that’s exactly how they designed it. Here are some basic SOPs for civilians and venue staff when a shooter may also be a suicide bomber: (1) Distance is survival: If a bomber is still mobile, the blast radius is the threat. Move away and create as much distance as possible: 30–50 feet minimum, 100+ if available. (2) Don’t rush to “help” the downed attacker: If the attacker drops, do not approach. Many vests use dead-man switches, pressure triggers, delayed chemical binaries, or can be remotely detonated by an overwatch. (3) Also, in the same vein, don’t dogpile an attacker: limit engagement to 1–3 responders to reduce the risk of additional casualties. Focus on controlling the attacker’s hands. The most critical element in any close-quarters fight is using firm, targeted restraint techniques to prevent detonation or access to a weapon. (4) Avoid chokepoints: Stairwells, elevators, and bottlenecks become kill zones in a blast. Keep moving toward open space and hard structure. (5) Expect secondary devices: Al-Qaeda doctrine routinely includes follow-on blasts. Treat abandoned bags, jackets, or dropped items as potential IEDs. (6) Clothing–behavior mismatch matters: Watch for heavy coats indoors or in warm climates, and for uneven weight distribution inside of clothing. Also, watch for attempts to evade placing items on belt scanners. (7) Choose hard cover, not concealment: Concrete, pillars, and engine blocks save lives. Drywall and furniture do not. (8) Communicate the right words: When calling 911, say: “Active shooter, possible suicide vest.” It triggers an immediate tactical shift in response. Law enforcement around the country has been preparing for this scenario, give them a leg up with concise reporting. (9) Control the flow. Push crowds away from the attacker, not toward him. Prevent panic surges toward gunfire as suicide bombers seek density. (10) After evacuation, don’t cluster. Most mass-casualty terrorist attacks anticipate crowds gathering outside. Move far and disperse; attackers often plan waves, and clustering makes you a target for a secondary strike. (11) Bombs may contain caustic chemicals. Stay clear of the area until a full HAZMAT assessment is completed. If you feel weak, dizzy, or unwell, seek medical evaluation immediately.

Sarah Adams

75,670 views • 7 months ago

George Tolis: TAVR, Broken Training, and What's Really Wrong With Cardiac Surgery. Dr. George Tolis, section chief of coronary and general cardiac surgery at Brigham and Women's Hospital, joins Drs. Koka and DiGiorgio for a wide-ranging conversation on the state of cardiac surgery. He makes the case that TAVR — while genuinely transformative for the right patient — is being systematically applied too broadly, driven by industry incentive and the erosion of meaningful surgical consent. He discusses his collaboration with John Ioannidis that found no statistically significant mortality benefit for any new cardiac surgery technique introduced over the past 35 years, the paper's rejection by every major surgical journal, and what he paid out of pocket to make it open access. The conversation moves to the collapse of surgical training — fragmented pathways, work hour restrictions that leave residents unprepared for attending life, an academic promotion system that ignores teaching, and a culture that routes incompetent trainees around rather than out — and closes with a brief on Vasily Kolesov, the Soviet surgeon from Leningrad who performed the world's first documented coronary bypass years before Favaloro, and whose work was buried by the Cold War. Chapter Markers 00:00 Introduction 01:02 Air-cooled VWs, concert piano, and how Dr. Tolis got here 02:40 TAVR: genuine breakthrough or being abused? 08:02 Finding the TAVR threshold — and why informed consent is the real problem 11:46 Collaborating with John Ioannidis: no mortality benefit for 35 years of new techniques 20:02 Why the major surgical journals wouldn't touch the paper 21:52 Minimally invasive surgery: minimal access vs. minimally invasive 26:24 When do CABG survival curves diverge — and what does it mean? 30:05 Surgeons signing off on TAVRs in young patients 33:51 Health system economics and the heart team dynamic 37:50 How to actually pick a good surgeon (ask the scrub nurses) 40:36 Cardiac surgery training: the three pathways problem 44:04 Work hour restrictions and the residency simulation gap 51:16 General surgery is like MTV — they don't operate anymore 53:21 A resident who finished training without ever applying a cross-clamp 56:34 How to evaluate if a program actually trains 59:27 Academic promotion has nothing to do with teaching 01:01:33 Dr. Tolis's resident outcomes database and three papers nobody cared about 01:05:32 The training timeline: finishing at 49, no runway left 01:07:08 One-size-fits-all RRC rules for cardiac surgery and psychiatry 01:09:16 Cardiac surgery as a disposition, not a therapy 01:12:24 When ECMO becomes the final common path 01:13:38 How you become nationally recognized without being a good surgeon 01:17:16 Vasily Kolesov: the Soviet surgeon who did the first bypass Co-Host Handles Anish Koka, MD and Anthony DiGiorgio, DO, MHA Show Handle The Doctor’s Lounge Podcast Subscribe Links Spotify: Apple Podcasts: YouTube:

The Doctor’s Lounge Podcast

67,227 views • 2 months ago

I completed 34 spays and neuters today—before noon. I’m posting every spay and neuter I perform until Texas A&M University stops killing animals for student training. Every veterinary student should graduate having performed at least 50 spays and neuters. Instead, some students are still being trained through terminal labs—killing healthy animals to practice a handful of procedures. Through public records requests, we reviewed Texas A&M protocols that request permission to kill: • 240 dogs • 43 goats • 48 birds Additional protocols include: • Up to 10 horses per year killed for equine surgery training • Turtles pithed—a procedure involving destruction of the brain—for physiology demonstrations that teach no clinical skills and have readily available non-lethal alternatives These animals are not suffering from conditions requiring euthanasia. High-volume spay/neuter, shelter partnerships, and modern teaching tools exist. I did not perform these labs in veterinary school—and I am not a less capable veterinarian because of it. If you are a Texas A&M student or alum and want to share your experience—or challenge this—reach out: [email protected] --- Among the records we obtained from Texas A&M University were the following protocols: · Creation of embalmed cadavers and teaching aids: In this protocol, 240 dogs, 43 goats, and 48 birds are purchased and killed to teach anatomy to veterinary students, graduate students, and undergraduates. These animals are not suffering from conditions necessitating medical euthanasia. · Equine euthanasia for cadaver surgery training: In this protocol, up to 10 horses are killed each year to train veterinary residents. While some horses are donated for euthanasia due to chronic, irreversible illnesses, some are also sourced from internal protocols. · Properties of cardiac muscle (teaching laboratory exercise for VTPP 423 & VTPP 910): Two turtles a year are chemically pithed and used in live demonstrations to demonstrate “electrical and mechanical events of the turtle heart” to veterinary students (additional turtles are also killed to perform this demonstration to undergraduates). Turtles are purchased from a vendor. This demonstration lacks educational merit as it does not teach any clinical skills, nor is there any justifiable reason to perform this demonstration when there are many other ways to teach the principles illustrated using teaching methods that do not involve the killing of healthy animals. · VMID 935-301, Surgery 1: In this protocol, 162 goats and/or sheep are purchased and then used in terminal teaching exercises to teach veterinary students surgical techniques. The instructors justify the protocol by stating that hemostasis techniques cannot be learned in simulators, models, or cadavers, although research has shown that these are effective methods of teaching hemostasis. This is also not a justification for doing terminal surgeries – most other schools successfully teach students castration and ovariohysterectomy as survival surgeries on shelter animals without requiring terminal surgeries as practice. · Reptile and Amphibian Teaching Labs: This protocol is for teaching vet students handling, and procedures on frogs and/or toads. Up to 20 animals are killed per year at the end of the lab. The animals are acquired through vendors, pet stores, or internal protocols. Some may be adopted instead of euthanized, but it is unclear how many survive. The animals used are otherwise healthy. · ACVIM Large Animal Internal Medicine Bootcamp (every two years): This protocol requires up to two horses to be killed and their cadavers used for teaching residents advanced medical procedures. This event appears to take place every two years, although it is unclear if it is still ongoing. The horses are sourced from the university herd and do not appear to be slated for medical euthanasia. Several protocols use mostly donated animals, and we encourage you to expand your donation program, particularly for cadavers. · Animal use for teaching through the Educational Memorial Program: Donated animals are used to create cadavers that are then used in teaching veterinary students, graduate and undergraduate students. The number and species of cadavers depends on availability. · Student Chapter of AAEP: In this protocol, 8 horse cadavers were used for teaching veterinary students from around the country. Procedures taught include laparoscopy, abdominal explore, laceration repair, necropsy, and emergency/critical care. It is unclear if this protocol recurs or if it was a one-time event. Most of the horses were donated for medical reasons, but some were sourced from the university herds, and it is unclear if they were slated for medical euthanasia. · Student Chapters of the American Association of Bovine Practitioners, Small Ruminant Practitioners, and Swine Practitioners skills teaching wetlab: Four terminally ill calves were donated for this lab teaching vet students euthanasia and necropsy skills. It is unclear if this event occurs on a regular basis. #vetmed #vetstudent #vetschool #veterinarian #spayandneuter #vettwitter

Crystal Heath DVM

22,630 views • 7 months ago

I've built a multiplayer survival game for the browser in 30 days and I didnt write a single line of code 🤯 So I'd like to write my notes about it once the deadline is done now. The last 20% of a project is indeed the hardest part of it all. In the last 2 days i've been working on the final version of Hollowlands for @levelsio's 2026 #vibejam I worked a lot! I fixed a lot of bugs, tested a lot playing with my wife. Fixed more bugs... But now, thank God, I have the final result! The game looks good, yes. I've spent half of the jam just tweaking every single detail of the procedural world generation. And It was worth it! The game still runs well on most devices and still has less than 20MB in size. Which is pretty impressive to me. The process of building was very straighforward: 1. I used Three.js + React to create the game. Before I started I created a huge document defining every rule i'd like the codebase to be implemented upon. It had clean code rules, archtecture decisions, ECS principles (good for games), and so on. This helped a lot constrain the AI to maintain the code maintainable and separated into clear domains (systems). This document was made partially by me given my previous experience building web games (I've made a lot of mistakes in the past and made sure they will not repeat again) and partially AI suggesting best practices. 2. For every feature I prompted the AI, I was very specific on details that I'd like implemented. If I knew what I was doing, I was more specific on the "how" I wanted to be done. If I didnt know what was doing I first asked the AI to brainstorm possibilities with me, based on industry standards, pros and cons, and so on. Then I would decide what path to go. 3. Every single feature I used Leva for tweaking the values. So for example, the size of the trees, colors, distance between objects, animation speed, etc. Everything I have a slider that I can adjust. 4. To make the game look good I used Tripo to create the models. To be honest it's not 100% perfect. If you check the character in game you can notice a few issues here and there (the arms lol), but I believe that it will keep getting better over time. 1 Year ago I tried and it wasnt even close to what it's now. Then I used a few post-processing + shaders + particles techniques to bring the "wow" factor. 5. I did only 1 feature at a time. And every change it was a commit with a clear message of what was done. This helped the AI fetch previous commit to understand what changed and know exactly what happened in the past. If I opened multiple terminals at once and blasted prompts the code and commit history would be a mess in a few days. And for every change the AI did, I asked it to do a Code Review of everything that was changed and look for violations on the document I wrote in the beggining defining the codebase guidelines. I realized that I pretty much applied software engineer principles using AI: Code, review and merge, code, review and merge... 6. On the last week I implemented the multiplayer using Colyseus ⚔️ which was pretty nice. I used AI to fetch the whole documentation and create a skill.md file that helped a lot. The creator of the framework Endel also did a extensive research on how real multiplayer games are implemented. It's open source and it was a gold mine for the AI to come up with the implementation for my game. You can ask him the link :) And that was it I think. I'm extremely tired now. The last 2 days was insane. The game's final version is not what I had in mind in the beginning of the jam. I had to cut a lot of cool features. But given the 30 days deadline I think it was a huge success. Hands down my best game ever made. Now I'll take a few days to rest and come back with more updates on the game. Maybe it can become a big deal in the future with more updates. Who knows. And in the event I win first place in this game jam, I'll use the money to fund my own game studio + cover the expenses of my child that is going to be born in September :) Cheers guys! If you have any question, feel free to reach out. I'll answer every non-bot comment in here haha Note: The link to play is in my profile

André → andreelias.dev

17,950 views • 2 months ago

🚨 The legendary Joe McMoneagle, the CIA’s Remote Viewer No. 1, played a pivotal role in the highly classified Stargate program, where he used remote viewing to penetrate the world’s deepest intelligence secrets. His sessions pinpointed undetectable nuclear submarines, exposed covert Soviet weapons programs, and provided life-saving intelligence during high-stakes missions in Vietnam and Europe, earning him the Legion of Merit. McMoneagle also describes out-of-body experiences and remote viewing sessions that revealed unusual structures on Mars—specifically pyramidal formations and fortress-like ruins. He claims to possess JPL negatives that match his descriptions and believes further analysis is needed. These findings come amid growing evidence that Mars once had rivers, a magnetosphere, and even fossilized bacteria—an idea that gained traction after NASA’s ALH 84001 meteorite discovery, President Clinton’s 1996 announcement, and analyses from plasma physicist John Brandenburg suggesting Mars may have suffered a nuclear catastrophe. From double-blind experiments demonstrating psi perception as a quantifiable skill to the precise methods behind remote viewing accuracy, McMoneagle challenges the limits of human perception. This episode explores the mechanics of consciousness, the future of intelligence gathering, and the controversial possibility that Mars may hold evidence of past civilization. Key Revelations: 1. Military-Grade Remote Viewing: Over 200 verified remote viewing sessions provided crucial intelligence from the late 1970s through the early 1980s. His work in identifying hidden Soviet submarine construction sites and military facilities led to major breakthroughs in U.S. defense strategy. In 1979, his session revealed an unknown Soviet sub with slanted missile tubes, later confirmed by satellite imagery. This intelligence helped shape U.S. naval countermeasures during the Cold War. 2. Unusual Structures on Mars: McMoneagle was tasked by the Department of Defense to remote view Mars at “1 million B.C.” He described massive pyramidal structures, collapsed fortifications, and signs of a lost civilization. He later obtained JPL negatives that he claims validate some of his descriptions. Recently, satellite imagery of a square anomaly on Mars—discussed by Elon Musk and mainstream scientists—has reignited interest in artificial-looking structures. If McMoneagle’s JPL negatives can be formally analyzed, they could contribute to the growing case that Mars’ past is more complex than officially acknowledged. 3. The Case for Life on Mars: McMoneagle’s claims align with a growing body of scientific evidence suggesting Mars may have supported life: • The 1996 ALH 84001 meteorite contained possible fossilized bacteria, prompting President Clinton’s public statement about potential Martian life. • Mars’ atmosphere contains Xenon-129 and Argon-40, which plasma physicist John Brandenburg argues are signatures of nuclear cataclysm—potential evidence of a large-scale ancient war. • Haim Eshed, former Israeli space security chief, has stated that human contact with extraterrestrials is ongoing and that the U.S. has knowledge of non-human presence on Mars. 4. Evolutionary Roots of Psychic Insight: McMoneagle believes remote viewing is an evolutionary ability that was once crucial for human survival. Before spoken language, early humans relied on telepathic perception to track predators, coordinate hunts, and sense threats—just as animals do today. Over time, this innate skill atrophied, but it remains latent within the human mind. 5. Refined Stargate Protocols: From 1972 to 1979, McMoneagle helped refine strict double-blind protocols for remote viewing. These included blind targeting, left-brain monitoring techniques, and strict data analysis procedures to separate real perceptions from imagination. These methods proved essential for achieving military-grade accuracy in intelligence gathering. 6. Double-Blind Validation & Telepathy: One of the most startling studies involved a Soviet experiment testing remote influence on biological targets. • Mice were divided into control and test groups through a randomized selection process. • Remote viewers were instructed to increase anxiety in the target mice. • Post-mortem chemical analysis confirmed heightened stress markers exclusively in the targeted group. McMoneagle also explores the mechanics of psi perception, emphasizing that knowing is a “sense” unto itself. This aligns with findings from The Telepathy Tapes, a hit podcast exploring cases of nonverbal communication in highly intuitive individuals, including autistic children with extraordinary clairvoyance. 7. Integration with Modern Technology: McMoneagle’s open-source remote viewing methodologies are now being integrated with artificial intelligence and pattern recognition software. Since the early 2000s, tests have explored whether AI-enhanced psi data analysis could detect non-human signatures hidden in vast data sets. 8. High-Stakes Intelligence Operations: Remote viewing played a role in critical military intelligence operations beyond Soviet submarine detection. • His sessions identified hidden crash sites at classified locations such as Fort Meade and Dugway Proving Grounds. • He tracked covert Soviet weapons facilities in real-time, allowing for rapid intelligence action when traditional surveillance failed. • The MX Missile Program was scrapped after McMoneagle and his team proved they could remotely locate mobile nuclear warheads—saving the U.S. over $100 billion. 9. The Power of Intent: Remote viewing accuracy hinges on disciplined intent and mental precision. • McMoneagle trains viewers to suppress ego and detach from analytical overlay, a process he refined through thousands of sessions. • In military applications, those who followed these strict focus protocols demonstrated significantly higher accuracy rates. 10. Future Contact with Aliens: McMoneagle believes remote viewing could be humanity’s first tool for non-physical contact with extraterrestrial intelligence. • He suggests that advanced civilizations may already be observing human development and that psi-based intelligence collection could be used to detect and interact with them. • While skeptics demand a “smoking gun,” he maintains that his Mars sessions are one more compelling data point in a much larger puzzle. The ultimate question: Can remote viewing be the key to unlocking interstellar diplomacy?

Jesse Michels

263,672 views • 1 year ago