Discover and read the best of Twitter Threads about #Çad
Most recents (24)
Kriptolar olmasaydı dünya piyasalarını asla takip etmezdim veya etmiyordum diyenler çoğunlukta mı ?
Sizi dünyayı takip etmeye iten neden sebep kripto piyasaları mı ?
Kriptoysa RT değilse like koyar mısınız ?
Sizi dünyayı takip etmeye iten neden sebep kripto piyasaları mı ?
Kriptoysa RT değilse like koyar mısınız ?
Bu soruyu niçin sordum ?
Benim için piyasa kriptodan ibaret değildir.
Fakat; öyle bir psikoloji oluşturdular ki sabah ilk kriptolara bakıyorum. Diğer yerleri beynimde ikinci
plana attıran gizli bir psikoloji oluştu.
Benim için piyasa kriptodan ibaret değildir.
Fakat; öyle bir psikoloji oluşturdular ki sabah ilk kriptolara bakıyorum. Diğer yerleri beynimde ikinci
plana attıran gizli bir psikoloji oluştu.
1) Welcome to a new #accredited #tweetorial in our series of educational programs on #hypertrophic #cardiomyopathy #HCM. Previous programs, still available for 🆓CE/#CME, are at cardiometabolic-ce.com/category/hcm/.
Now you can earn another 0.75hr credit by following this 🧵!
Now you can earn another 0.75hr credit by following this 🧵!
2) Our expert author is JA Linderbaum MS, ARNP, FACC, FPCNA @jlinderbaum, Associate Professor of Medicine, @MayoClinic, CV #NursePractitioner, Assoc. Medical Editor #AskMayoExpert.
#FOAMed #MedEd @MedTweetorials #CardioTwitter @transformingHC @TNPJ_Journal #cardiology
#FOAMed #MedEd @MedTweetorials #CardioTwitter @transformingHC @TNPJ_Journal #cardiology
3) This program is supported by an unrestricted educational grant from Bristol Myers-Squibb. Statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/. Credit for #physicians #nursepractitioners #physicianassociates #nurses #pharmacists from @academiccme.
Teaming up again with the great @VerwerftJan to share our experience with #echoCPET in #HFpEF. This hot-of-the-press paper @ESC_Journals demonstrates myriad of opportunities for diagnosis & treatment, far beyond #SGLT2i only. Tweetorial below!
@SarahStroobant2 @HerbotsLieven
@SarahStroobant2 @HerbotsLieven
We have recently described our set-up for a dedicated #dyspnoeaclinic in detail @JACCJournals
In #HFpEF, early & correct diagnosis are important, #phenotyping is everything. There are a lot of mechanisms for dyspnoea involved
In #HFpEF, early & correct diagnosis are important, #phenotyping is everything. There are a lot of mechanisms for dyspnoea involved
Current @ESC_Journals paper goes one step further: "In patients with confirmed HFpEF or probability >90% according to well-validated HFpEF scores (both are complimentary in our view), why #echoCPET within a dedicated #dyspnoea clinic? What is the impact of findings?"
#Pakistan is going thru a complex #macro situation. At its heart is one symptom: the #CAD. Because the CAD has been perennial, this long-standing symptom translated into large foreign liabilities. Short 🧵👇
1/ For the fellows and #ACCEarlyCareer!
It’s a coronary thrombus! When to consider thrombectomy? What do you do? Let’s walk through this…#Tweetorial
#Cardiotwitter #Cardiology #STEMI
It’s a coronary thrombus! When to consider thrombectomy? What do you do? Let’s walk through this…#Tweetorial
#Cardiotwitter #Cardiology #STEMI
2/ Middle age patient with hx of CAD and PCI to LAD presents with significant SOB and elevated Hs-Trop. No chest pain. No ECG changes. Echo with inferior hypokinesis.
Here’s the diagnostic with a JR4.
Notice the filling defect in the RCA. This is thrombus. How do we know?
Here’s the diagnostic with a JR4.
Notice the filling defect in the RCA. This is thrombus. How do we know?
3/ Keys of #thrombus on angiogram
🔑 contrast staining
🔑 Lack of calcium on non con image
🔑 ovoid filling defect (complete lumen)
#Cardiotwitter #STEMI #TIMI
🔑 contrast staining
🔑 Lack of calcium on non con image
🔑 ovoid filling defect (complete lumen)
#Cardiotwitter #STEMI #TIMI
Follow this #CardioTwitter #Thread
to get an overview of ALL
🚨#ESCcongress #HotLineSessions🚨
Including:
➡️14 #OnePager #CongressCards
➡️Links to on-demand stream
➡️Jorunal weblinks
➡️Hashtag of the author/presenter
PART 2 ⬇️
to get an overview of ALL
🚨#ESCcongress #HotLineSessions🚨
Including:
➡️14 #OnePager #CongressCards
➡️Links to on-demand stream
➡️Jorunal weblinks
➡️Hashtag of the author/presenter
PART 2 ⬇️
6.1/ #eBRAVE-AF - Smartphone-based #AF screening.
📕🔗: nature.com/articles/s4159…
On-demand ESC 📺: bit.ly/3Qc6SYp
#ESCcongress
📕🔗: nature.com/articles/s4159…
On-demand ESC 📺: bit.ly/3Qc6SYp
#ESCcongress
What factors to look for to understand which direction are #interestrates headed:
1. Total Credit in the system
2. Which gets divided into External and Internal
3. External focuses on #CAD
4. Internal: Private & Govt
5. Private - #CreditOfftake
6. Govt - #FiscalDeficit
1. Total Credit in the system
2. Which gets divided into External and Internal
3. External focuses on #CAD
4. Internal: Private & Govt
5. Private - #CreditOfftake
6. Govt - #FiscalDeficit
3. External :
#CAD (Current Account Deficit - difference between country's #Imports & #Exports) goes up, #imports become expensive, rupee depreciates, bringing in imported #inflation
- interest rate tend to go up
#CAD (Current Account Deficit - difference between country's #Imports & #Exports) goes up, #imports become expensive, rupee depreciates, bringing in imported #inflation
- interest rate tend to go up
4. Internal Credit
5. #PrivateSector - #Creditofftake goes up interest rates rise
6. Govt - #FiscalDeficit goes up interest rates rise
5. #PrivateSector - #Creditofftake goes up interest rates rise
6. Govt - #FiscalDeficit goes up interest rates rise
Higher #import duties to tackle the #BOP problem is the wrong advice. It won't deliver on the intended objective. Why? 🧵👇 brecorder.com/news/40168085/…
Check out Top 10🔑points from the 🆕ACC/@American_Heart/@HFSA Guideline for the Management of #HeartFailure #CardioTwitter #ClinicalGuidelines #ACC22
🧵Key Points👇
🧵Key Points👇
1⃣ Guideline-directed medical therapy for #HeartFailure w/ reduced ejection fraction #HFrEF now incorporates four medication classes that include #SGLT2i. #ClinicalGuidelines
2⃣ #SGLT2i have a Class of Recommendation 2a in #HFmrEF. Weaker recommendations (COR 2b) are made for ARNi, ACEi, ARB, MRA & beta blockers in this population. #ClinicalGuidelines
1) Welcome to @cardiomet_CE's new series on #lipid management! This is a 10-#tweetorial program, all #accredited, that will cover it all. Our first expert author is Paul Thompson MD @PaulDThompsonMD, esteemed #cardiologist from @hartfordhosp @UConn Med & now @MGHHeartHealth !
2) This #tweetorial, accredited for #CME/CE and intended for #physicians #physicianassociates #nurses #nursepractitioners #pharmacists is supported by an educational grant from Esperion Therapeutics. See faculty disclosures at cardiometabolic-ce.com/disclosures/.
3) @PaulDThompsonMD took on education re mechanisms & use of ezetimibe & bempedoic acid. He proposes a case: 45 ♂️ w/history of inferior wall #MI treated with primary angioplasty.
1) Welcome to an #accredited #tweetorial on a unique emerging (in Ph3 now) option for specifically reversing the #antiplatelet effects of #ticagrelor: it's #bentracimab. Expert faculty is antithrombotic agent reversal guru @md_pollack of @UMMCnews, working to create #AHealthierMS
2) This program is intended for #healthcare professionals and is supported by an educational grant from PhaseBio Pharmaceuticals. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/, and prior programs are available for 🆓CE/#CME credit at cardiometabolic-ce.com.
3) It is an unfortunate fact of life that one cannot prescribe #anticoagulant or #antiplatelet (together, #antithrombotic) therapy without increasing a patient's #bleedingrisk. That is why it should be an individualized risk:benefit decision, ideally . . .
1️⃣ Variability in #CAD testing for pts with new-onset heart failure #HF
Prevalence of CAD is 50-60% in HF.
Only 35% of pts underwent CAD testing (21% coronary angiogram) during the 90 days before and after initial HF diagnosis, and 9% underwent revasc.
jacc.org/doi/10.1016/j.…
Prevalence of CAD is 50-60% in HF.
Only 35% of pts underwent CAD testing (21% coronary angiogram) during the 90 days before and after initial HF diagnosis, and 9% underwent revasc.
jacc.org/doi/10.1016/j.…
2️⃣ Pts who underwent CAD testing were more likely to be younger, male, and have systolic dysfunction.
Significant social disparities: CAD testing was used less in women and Black pts.
Significant social disparities: CAD testing was used less in women and Black pts.
3️⃣ Pts managed by a cardiologist were more likely to undergo CAD testing, compared with those managed by a PCP (57% vs. 16%; aOR 5.12). However, great variations across cardiologists, as well as across US regions.
Top Tech in Biotech names.
Looking at top 3 companies using #AI, #ML, #Automation, #DeepLearning and #CAD in biotech drug discovery.
Looking at top 3 companies using #AI, #ML, #Automation, #DeepLearning and #CAD in biotech drug discovery.
This is one space where I have a very hard time picking a favorite out of my top 3 of $SDGR, $RXRX and $EXAI. Each of these companies is using technology in a very powerful way to drive drug discovery.
It can take many years and over $1 billion in cost to developing a drug as 90% of new science fails to reach commercial. That is due to most of biotech being trial and error. By using technology, we can lower the cost and improve the chances of success.
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Interventional #cardiologist, #researcher, & #SoMe education leader @DLBHATTMD will be talking all about #aspirin, its role in #cardiovascular wellness & prevention, and new approaches to . . .
. . . formulation and dosing. Don't miss it--FOLLOW US NOW! @cpcannon @AnnMarieNavar @DrM_ODonoghue @DrMarthaGulati @practicalcardio @GuyattGH @DrMauricioCohen @SVRaoMD @ASPCardio @PlateletDoc @stephanamayer @CMichaelGibson @JJheart_doc @DrSheilaSahni @mmamas1973 @Drroxmehran
1) Welcome to an #accredited #tweetorial on the foundational role of #aspirin in #cardiovascular care. There are new approaches to #aspirin formulation & dosing. This program is accredited for 0.50h CE/#CME. I am @DLBHATTMD. #FOAMed #cardiotwitter #medtwitter
#WeekendLecture
#GeneticsAndStroke
#Genetics is involved in several #stroke related conditions, such as small vessel disease #SVD, aneurysms, dissections, cavernomas, and intracranial #hemorrhages
Check this 🧵!
Prepared by @J_Rosales_MD
Edited by @interneurona
#GeneticsAndStroke
#Genetics is involved in several #stroke related conditions, such as small vessel disease #SVD, aneurysms, dissections, cavernomas, and intracranial #hemorrhages
Check this 🧵!
Prepared by @J_Rosales_MD
Edited by @interneurona
#Weekendlecture
#Genetic & #SVD
🧬🧠
✅1,5% of cerebral #SVD are #monogenic disorders
✅AR, AD or X-linked
☝🏼Absence of family history doesn't rule out diagnosis because of
👉de novo mutation
👉reduced expression or
👉incomplete penetrance
✅ahajournals.org/doi/10.1161/ST…
#Genetic & #SVD
🧬🧠
✅1,5% of cerebral #SVD are #monogenic disorders
✅AR, AD or X-linked
☝🏼Absence of family history doesn't rule out diagnosis because of
👉de novo mutation
👉reduced expression or
👉incomplete penetrance
✅ahajournals.org/doi/10.1161/ST…
#Weekendlecture
#Genetic & #SVD
When to #suspect?🕵️♀️
✅early onset stroke without vascular RFs
✅systemic features and neuroimaging of an specific monogenic disorder
✅consanguinity
✅negative work up for other causes of SVD
👉ahajournals.org/doi/10.1161/ST…
#Genetic & #SVD
When to #suspect?🕵️♀️
✅early onset stroke without vascular RFs
✅systemic features and neuroimaging of an specific monogenic disorder
✅consanguinity
✅negative work up for other causes of SVD
👉ahajournals.org/doi/10.1161/ST…
#idweek2021 @IDSAInfo Implications of #COVID19 in African-American & Latinx communities by Dr Hewlett Jr #idtwitter #medEd
#idweek2021 @IDSAInfo #disparities
Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #pregnancy #obgyntwitter
Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #pregnancy #obgyntwitter
#idweek2021 @IDSAInfo #disparities Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #diabetes #obesity #race #FrontlineWorkers vascular disease
#WeekendLecture
#CarotidArteryDisease #CAD
#CAD causes ~ 10-20% of #strokes
Atherosclerosis occurs most frequently at carotid #bifurcation, an area of low vessel-wall shear stress and oscillatory/turbulent blood flow
Welcome to this mini review!
#CarotidArteryDisease #CAD
#CAD causes ~ 10-20% of #strokes
Atherosclerosis occurs most frequently at carotid #bifurcation, an area of low vessel-wall shear stress and oscillatory/turbulent blood flow
Welcome to this mini review!
#WeekendLecture
#CAD
Endothelial dysfunction
⬇️
Inflammatory response to Lp retention in arterial wall
⬇️
Accelerated accumulation of Lp in subendothelial matrix
⬇️
Macrophages
⬇️
VSCM migrate/proliferate to fibroblast-like cells👉 production of EC matrix
atm.amegroups.com/article/view/7…
#CAD
Endothelial dysfunction
⬇️
Inflammatory response to Lp retention in arterial wall
⬇️
Accelerated accumulation of Lp in subendothelial matrix
⬇️
Macrophages
⬇️
VSCM migrate/proliferate to fibroblast-like cells👉 production of EC matrix
atm.amegroups.com/article/view/7…
#WeekendLecture
#CAD
Stroke Mechanisms
✅#artery_to_artery embolization: retinal (amaurosis fugax) or cerebral circulation
✅#thrombosis in situ
✅#Flow reduction in high grade stenosis: #watershed infarcts, repetitive and brief TIAs (ie limb shaking)
nejm.org/doi/full/10.10…
#CAD
Stroke Mechanisms
✅#artery_to_artery embolization: retinal (amaurosis fugax) or cerebral circulation
✅#thrombosis in situ
✅#Flow reduction in high grade stenosis: #watershed infarcts, repetitive and brief TIAs (ie limb shaking)
nejm.org/doi/full/10.10…
Obstructive CAD is just one etiology of ischemia. If no obstructive disease, consider coronary microvascular dysfunction #CMD. So what is best imaging modality for CMD? @VTaqMD #SCCT2021
Women are not smaller men! #Atherosclerosis genesis, progression & sequelae different in women. Plaque erosion causing ACS more common in women. Women have unique #SDOH, are undertreated with #cvPrev therapies & #GDMT, leads to worsening outcomes in women. @lesleejshaw #SCCT2021
Women’s CVD risk can be underestimated. Female specific risk enhancers help. #CAC if risk uncertain. Women have lower #CAC prevalence than men but prevalence increases after menopause. CAC when present confers greater risk of incident CVD in women than men. @lesleejshaw #SCCT2021
Prevalence of non-obstructive #CAD is higher in women but is prognostic of risk. @lesleejshaw #SCCT2021
#CMGsays: Join here tomorrow for the launch of a new accredited tweetorial on optimal management of diabetic and other high-risk patients with stable CAD, particularly those with previous PCI, to reduce the risk of MI or stroke. Expert faculty is the incomparable @CMichaelGibson
Earn 0.5 CE/CME credits: #physicians, #nurses, #pharmacists! #medtwitter @academiccme #CardioTwitter @MedTweetorials @CardioNerds @SABOURETCardio @DLBHATTMD @gabrielsteg @DrMauricioCohen @cpcannon @DocSavageTJU @djc795 @DFCapodanno @SnayCardsPharmD @beaverspharmd
And you’ll learn how these data should impact your practice:
Rural Broadband project, #BharatNet,rolled out by @narendramodi govt,to be implemented via PPP model,will ensure,every inhabited village in 16 States will have Optical Fibre Connectivity,with overall cost at 19041 Cr
3.61 lakh villages will get broadband,OTT&Multi media Services
3.61 lakh villages will get broadband,OTT&Multi media Services
On economic front,good news is,for FY21,India saw Current Account Surplus (CAS) of 0.9% of GDP,versus Current Account Deficit (CAD) of 0.9% in FY20
Under inept #Congress,#CAD rose to 6.8% in 2013 but it has been less than 2% in last 7yrs,under @narendramodi govt,which bodes well
Under inept #Congress,#CAD rose to 6.8% in 2013 but it has been less than 2% in last 7yrs,under @narendramodi govt,which bodes well
Just look at the kind of transformative work being done by @narendramodi &his team
PM Matsya Sampada Yojana to boost #Pisciculture,with a Rs 20000 Cr corpus &subsidy in the range of 40%-60%,is a huge boost to agri&allied services sector
#Modinomics #PMModi #ModiHaiTohMumkinHai
PM Matsya Sampada Yojana to boost #Pisciculture,with a Rs 20000 Cr corpus &subsidy in the range of 40%-60%,is a huge boost to agri&allied services sector
#Modinomics #PMModi #ModiHaiTohMumkinHai
Join here tomorrow for the launch of a new accredited tweetorial on DAPT in patients with stable CAD+diabetes who have not (yet!) had an MI or stroke! Earn 0.5 CE/CME credits: physicians, nurses, pharmacists! Expert faculty @gabrielsteg. #medtwitter @academiccme #CardioTwitter
1) Welcome to a #tweetorial on #DAPT in patients with stable CAD+#diabetes who have not had an MI or stroke. Accredited for 0.5h by @academiccme: #physicians, #nurses, #pharmacists! I am @gabrielsteg . . .
. . . This educational activity is intended for healthcare providers and is supported by grants from Abbott, AstraZeneca, Bayer, Chiesi, and NovoNordisk.
İsyancılarla çıkan çatışmada ölen Çad lideri İdris Deby…
11 Nisan’da yapılan seçimlere göre oyların % 80’ini alarak 6. kez Cumhurbaşkanı seçilmişti. Kuzey #Afrika ve Sahel bölgesindeki radikal örgütlere karşı mücadelenin sembol ismi haline gelmişti.
11 Nisan’da yapılan seçimlere göre oyların % 80’ini alarak 6. kez Cumhurbaşkanı seçilmişti. Kuzey #Afrika ve Sahel bölgesindeki radikal örgütlere karşı mücadelenin sembol ismi haline gelmişti.
NY Times'a göre bölgenin en donanımlı askeri birliklerini oluşturdu. İnsan hakları ve muhaliflere yönelik baskılara rağmen ABD ve Fransa ile çok iyi ilişkilere sahipti. Belki de 31 yıllık iktidarının en büyük sebeplerinden biri de buydu. Güçlü ve mücadeleciydi.
İrili ufaklı o kadar fazla isyanı bastırdı ki Çad medyası bile tam çetelesini tutamamıştı.
Geçtiğimiz ay ülkesindeki etnik ve dini çatışmalara bir yenisi daha eklenmişti. Nisan ayındaki seçimlerden sonra ülkenin farklı bölgelerinde Araplar ile Dagallar arasında çatışma çıktı.
Geçtiğimiz ay ülkesindeki etnik ve dini çatışmalara bir yenisi daha eklenmişti. Nisan ayındaki seçimlerden sonra ülkenin farklı bölgelerinde Araplar ile Dagallar arasında çatışma çıktı.
What factors are considered by banks when assessing credit risk to customers?
Credit Risk Management is part of IRA - Integrated Risk Assessment that is carried out by banks to measure transaction and obligor default risks.
Credit Risk Management is part of IRA - Integrated Risk Assessment that is carried out by banks to measure transaction and obligor default risks.
The credit risk assessment goes through stages =>
Front Office (RMs at the branches and/or Head Office prepare the credit application/ Clp for further processing).
Front Office (RMs at the branches and/or Head Office prepare the credit application/ Clp for further processing).
Middle Office (Financial Risk Management Analysis for checking the Basel Pillar 1/2 Compliance Requirements, to check the BRMC - Board Risk Management Approved and Assigned Risk Appetite Limits etc.)
