Discover and read the best of Twitter Threads about #PTS

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1/ #Tweetorial Part 2- Now its time to talk about….

CHRONIC

C-L-O-T

#VTE #DVT #Thrombectomy #Lytics #Cardiotwitter #IRAD #Medthread #Clot @CardioBot @RadialFirstBot @BotPci @EPeeps_Bot @TAVRBot @MedTweetorials @UjjwalRastogiMD @Umair2017 @Umair2017 @VenuVadlamudiMD

2/ How much time does it take for #ChronicClot to START to form?

#Fellowstwitter #fellows #fellowtwitter #medtwitter #Clottwitter #VTE @MedTweetorials @CardioBot #Tweetorial #Meded @GAEscobarMD @ekgpdx @HeartOTXHeartMD @EM_RESUS @Pooh_Velagapudi @Vascupedia_com @Dr_Bowser

3/ Clot is in a constant state of evolution. #Fibrin—> #Collagen.

Unfortunately many patients present in the subacute or late phase of #clot development which hinders many of our treatment approaches.

7️⃣days- 20% collagen

1️⃣5️⃣ days- 50% collagen

2️⃣1️⃣days- 80% (!!) collagen

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1/ Welcome to the first part of a #Tweetorial series on #VenousDisease.

🩸To begin how about we talk about the main player in the game- C.L.O.T. (and why you should care about it)

#Cardiotwitter #Irad #fellows #fellowtwitter #medthread #clot #medtwitter #clottwitter

2/ But first a question- Is there a difference between arterial and venous clot??

#Clot #cardiology #DVT #irad #VenousDisease #medthread #tweetorial #fellows @HadyLichaaMD @VladLakhter @agtruesdell @AntoniousAttall @TheNarulaSeries @t_intheleadcoat @ShariqShamimMD

3/ All clots ARE NOT born equally! There is a difference!

Society of Interventional Radiology

@SIRspecialists

Kicking off multidisciplinary Research Consensus Panel (RCP) to finally investigate the ❓: what is the optimal medical therapy (OMT) following venous recan? Follow #VenousRCP throughout the day to learn more and contribute! #SIRFoundation @SIRRFS @SIR_ECS @JVIRmedia

🔴 Pathophysiology of venous thromboembolism #VTE
🟠Venous recanalization & stenting
🟡The mystery of medical therapy following recanalization
🟢Patency & outcome measures
🔵Economics & cost-effectiveness of treatment
🟣Future directions
#VenousRCP

🔴 ✅#VTE affects ~100 of every 100,000 people yearly in the US
✅Incidence of VTE ⬆️⬆️ exponentially with age, especially after 40
✅#Endovascular recan is a common tx; post-tx algorithms vary widely
✅More #epidemiology info @CircAHA bit.ly/37IptZh
@Pertconsortium

It concerns me the physicians in Canada who deal with #Endometriosis that have affiliations with pharma. Is anyone speaking out about this? Or is this just a situation where everyone turns a blind eye? Or is it the belief that somehow they...have no bias?

Do they think #Pts are ignorant to this bias? That we should all just pretend it’s not there?

Please read if you haven’t already:

“Clinical guidelines, which recommend treatments and can expand disease definitions, are often produced by professional associations and written by people with financial ties to interested companies” bmj.com/content/367/bm…

連休ほぼ全部潰して，SBI証券の例の一件を調べてみた。興味ある人だけどうぞ。

また，誤りあればご指摘いただければ嬉しいです。

質問はできる限り答えたいですが，当方では無理なこともあるかもしれません。《続

#SBI証券 #SOR #PTS #ジャパンネクストPTS #HFT

承前》15日(金)までSBI証券がやってたのはこういうこと。
Ａ．顧客からの注文を，東証と，ジャパンネクストPTS(以下JN-PTS)にSOR(スマート・オーダー・ルーティング)
Ｂ．(日経報道によれば)非約定分は100-300ミリ秒だけJN-PTSの板にさらす＝TIF(タイム・イン・フォース)《続

承前》Ａは東証・PTS・SOR が選べるようだが，デフォルトでは SOR。
ＢのTIFは100-300ミリ秒のいずれかに設定されていたようだが，不明(SBI証券は日経の取材に答えず。
さらに，ＢのTIFは18日(月)に撤回し，０ミリ秒にしたとのこと。《続
#SBI証券 #SOR #PTS #ジャパンネクストPTS #HFT

@Charles_Lister

BREAKING - reports of a (US?) helicopter-borne raid on a convoy of Huras al-Din (#AlQaeda in #Syria) leaders traveling near Barisha in #Idlib.

Locals say as many as 6 choppers involved - gave chase to convoy, 2 landed & assaulted vehicles. Possibly took bodies or evidence away.

#pt: Barisha is ~3-4km from the #Turkey border. It's in long-time #AlQaeda territory, spanning between Al-Dana-Sarmada-Salqin.

As I recall, a helicopter-borne raid on AQ in NW #Syria has never happened - this would suggest a very high-level target.

#pt: In more recent years, the Turkistan Islamic Party (#TIP) has probably been the most significant authority in the Barisha region (stretching NE to Jisr al-Shughour).

Unverified reports have claimed 1 #TIP fatality, in what looks like a series of successive clashes. #Idlib

@Charles_Lister

Using an #America-centric lens to criticize #Turkey for making national security judgements based on a #Turkey-centric lens is analytically dubious.

Whether we like it or not, #Turkey has fought a 40-year #PKK insurgency & sees the #PKK as its No.1 national security threat.

https://twitter.com/ForeignPolicy/status/1185356141565530113

#pt: And FWIW, using Aldar Khalil as the sole source to claim that the #PYD-#PKK relationship is solely defined by "intellectual lineage" & 'sympathy with one another's political goals' is analytically disingenuous.

Perhaps instead read the #PYD itself:

https://twitter.com/Charles_Lister/status/1006226766833291264

#pt: If the #PYD's very own website (deleted - but archived - after teaming up with the U.S. military in 2014) wasn't enough, take the public assessments of U.S. government's dedicated National CounterTerrorism Center (part of the Intelligence Community):

https://twitter.com/Charles_Lister/status/701451967692845056

@Charles_Lister

That “1000” is, roughly, the entire US presence in #Syria.

What does “northern #Syria” mean? Are they being drawn down to Deir ez Zour? Are we seeing an Arab-focused last chance strategy in slow formation?

https://twitter.com/facethenation/status/1183355409362554880

The U.S. withdrawal from #Syria is underway, as directed overnight by #Trump & supported by @DeptofDefense.

As I wrote a few days ago, opening the doors to #Turkey put the writing on the wall.

- "Making America Great Again” has never sounded so vapid."

mei.edu/blog/trump-pav…

@DeptofDefense HUGE developments in north #Syria, as the #SDF agrees a de facto surrender deal w. the #Assad regime, in return for a #Russia-backed #SAA move to block #Turkey's advances.

Looks like #Manbij, #Kobani, #Qamishli & possibly #Raqqa are all included in this agreement.

#SAA moving.

@Charles_Lister

I've made my thoughts clear on how *bad* #Trump's decisions have been for #Syria policy (& the #SDF).

But let's just get something straight:

- The U.S. knowingly decided to ally with a designated terrorist organization (the #PYD/#YPG) in 2014 to fight #ISIS in #Kobani & beyond.

#pt: The State Dept, NCTC & CIA all viewed the #PYD as the #PKK's #Syria affiliate in 2013 -- that's in public documents.

That label was [quietly] removed in 2014.

In #Turkey - a #NATO state, whether we like it or not - the #PKK is viewed as *the* existential security threat.

#pt: #Turkey was complicit in terrible #Syria border control & ties to #Nusra. No doubt.

But put that aside for minute:

Imagine if a foreign state brought #ISIS to #Mexico & armed it to fight cartels, while assuring #Washington: "don't worry, they're only interested in Mexico."

@Charles_Lister

Amid the ongoing conflict in NW #Syria, Hayat Tahrir al-Sham (#HTS) continues to evolve in intriguing ways - into a more politically mature & intelligent jihadist movement.

It's current leadership clearly seeks to position itself somewhere between #MuslimBrotherhood & #AlQaeda.

There's now little question that #HTS no longer represents #AlQaeda.

It's clearly still an extremist movement, but signs continue to add up indicating that it's developing into something qualitatively different than the Jabhat al-Nusra of 2014-15 - a "Shami #Taliban," perhaps.

Most recently in the public space, #HTS issued a statement acknowledging its willingness to abide by an externally-negotiated (by #Turkey, #Iran & #Russia) ceasefire.

That was a first.

Its never happened before in #Syria & it's not a move any #AlQaeda affiliate would ever take.

@Charles_Lister

NEW - @WSJ confirms the @CIA & @DeptofDefense have a new "secret" missile - the R9X, or "flying Ginsu" - which kills a selected target with 6 blades, but no explosive payload.

-- "To the targeted person, it's as if a speeding anvil fell from the sky."

wsj.com/articles/secre…

@WSJ @CIA @DeptofDefense #pt: The R9X, or "flying Ginsu," is said to have been used only twice, globally.

One of those times was on Feb 26, 2017, when it killed al-Qaeda deputy leader Abu Al-Khayr al-Masri in #Idlib, #Syria.

See the image I tweeted from the scene, that day:

https://twitter.com/Charles_Lister/status/835942701665304576

@WSJ @CIA @DeptofDefense #pts: The #R9X quite clearly causes no damage to the surrounding area, massively minimizing the risk to civilians.

Look at the targeted vehicle itself - the body of the Kia is entirely intact, save for the penetrated interior, right through the roof:

https://twitter.com/Charles_Lister/status/835937245483909121

@Charles_Lister

The scale of the #SriLanka attacks is hard to fathom - 290 dead & 500+ wounded.

Target choice, scope, coordination & device success rate makes an international nexus here *highly* likely.

Both #ISIS & #AQIS have reported links w. Sri Lanka/ns, but no evidence yet links to this.

#pt: #SriLanka authorities have pinned initial blame on indigenous Islamist movement @ntjinfo, but I'd be amazed if they - or any similar local organization - had the capacity to conduct such a complex series of mass-casualty attacks.

The bomb-maker alone appears very adept.

@ntjinfo #pt: As @RobertPostings has revealed, one of the allegedly-identified #SriLanka suicide bombers, "Zahran Hashim," was an overt #ISIS supporter (as of late-2017), with a social media following of 4,000+.

#SriLanka has also acknowledged ~40 citizens joined #ISIS in #Syria/#Iraq.

@Charles_Lister

Reports tonight suggest #ISIS has captured the town of al-Kawm (north of al-Sukhna, in #Syria's #Badiya) from the #Assad regime.

A number of #ISIS operations have been reported around Kobajeb, al-Shula & NE of al-Sukhna in recent weeks.

#pt: Amid #ISIS's reported capture of al-Kawm today, #ISIS has also been linked to at least 2 major assaults on pro-#Assad positions outside al-Sukhna in the last 3 days - some say totaling 30+ pro-regime fatalities.

#Syria

#pt: Reports coming from pro-#Assad sources say "2 battalions" of the #SAA's 18th Reserve were besieged by #ISIS in al-Kawm several days ago.

Only today was the siege lifted amid a counter-attack by Liwa al-Quds.

Global Entrepreneurship

@entreprenenture

Hello, everyone!

We're going to kickstart our weekly #GlobalEChats discussion thread. This week, we'll talk about #fitness #personal #trainer as #entrepreneurs and how #tech can change everything!

Ready? Let's go!

https://twitter.com/entreprenenture/status/1049977869542146049

Let's first start with two possibilities in the future.

1. We no longer need humans as #PT personal trainers at the #gym or #field. All will be replaced by #tech and smart applications! 😲

2. Human PTs will still be demanded but will utilise #tech to improve their coaching!

Do you think #1 is truly possible? It seems a bit far-fetched, no?

Meet @ollinfit! Ollinfit is a set of three wearable sensors and smartphone app that work together as your personal trainer. Say what???

Using Ollinfit, you'll be able to workout without needing human coaching!

@Charles_Lister

Here, a @UKLabour MP praises a notorious conspiracist who says meeting Bashar al-#Assad was her "proudest" moment.

She's justified incendiary weapons & barrel bombs on civilian targets; suggested 9/11 was a false flag; Zionists rule #France & the #CharlieHebdo attack was fake.

https://twitter.com/DerbyChrisW/status/1031240096882802688

@UKLabour Extraordinary.

@UU_University invited notorious conspiracist Vanessa Beeley to lecture on “War Reporting.”

Her claims were so outlandish, the students walked out & boycotted the course, calling it “a propaganda camp.”

news.postimees.ee/4511277/top-un…

(PS - Look at the pictured slide)

@UKLabour @UU_University #pt: Among Beeley’s claims at @UU_University:

- @hrw is run by a secret “Jewish organization called the #Washington elite.”

- #Russia only promotes international peace

- #Syria’s opposition "tear pregnant women in half, betw'n cats”

- All media (e.g. @guardian) are govt tools

@Charles_Lister

He’s traded with #ISIS; acquired land expropriated from displaced civilians; and become super rich out of #Syria’s conflict & destruction.

- Meet #Assad’s latest moneyman & likely route around international sanctions - Samer Foz.

wsj.com/articles/out-o…

Make no mistake, Samer Foz is an asset of #Assad's regime; empowered & facilitated by current & ‘retired’ security officials to get around tight foreign sanctions.

Foz has bankrolled militias in #Latakia & he stands accused of ordering the assassination of a rival in #Turkey.

#pts: Samer Foz also - allegedly - runs a quiet PR effort, both in the #EU & the U.S., which plays up one line over & over:

- 'Sanctions only hit innocent civilians & create terrorism… International investment is the key to saving #Syria, recreating jobs & bring back refugees.’

@Charles_Lister

Fascinating, in-depth reporting by @AP on the #Saudi-#UAE coalition’s complex dealing with #AQAP in #Yemen.

- Key thought: this is the challenge #AQAP (& Nusra/#HTS in #Syria) poses, by embedding into & reflecting broader local dynamics.

apnews.com/f38788a561d74c…

@AP #pt: Just like #HTS in #Syria, #AQAP in #Yemen is not a wholly contiguous organization of committed global jihadis - it's strengthened itself by embracing local drivers & structures.

=> That provides opportunities for counter-actors, but they require [some] engagement to do so.

@AP #pts: Another parallel to #Syria is seen in how the extent of localism embraced by #AQAP may in fact have weakened its long-term durability; by leaving large swathes of fighters vulnerable to cooptation by adversaries/rivals.

For more, see @Dr_E_Kendall:

https://twitter.com/Charles_Lister/status/1022917882383159296

@Charles_Lister

Robert Fisk’s latest “EXCLUSIVE” reveals just how little he knows about #Syria's opposition, its foreign relations & support networks.

Gloss over inaccuracies & he’s “revealed” what we've known for yrs - #Saudi backed the multilateral MOC, arming #FSA.
independent.co.uk/voices/syria-w…

#pt: #Saudi was a principle backer of the MOC; a multilateral structure created to centrally coordinate armed support to [extensively] pre-vetted #FSA groups in northern #Syria.

120mm M75 mortars were one of many systems provided through MOC channels - inc. to units in #Aleppo.

#pt: The purchase of arms from E. European states by countries backing #MOC (& #MOM in the south) has been extensively documented - it’s not a secret.

+ #Fisk’s portrayal of #Aleppo in late-2016 is insanely inaccurate - #ISIS had *0* presence & #Nusra was about 1% of fighters.

@Charles_Lister

#Iran-backed #Houthi attacks on x2 @Saudi_Aramco oil tankers in the Bab el-Mendeb is a really big deal.

All Aramco oil shipments have been temporarily suspended

arabnews.com/node/1345626/s…

@Saudi_Aramco Notably, yesterday’s #Houthi attacks on oil tankers come a week after the #Houthis claimed to have attacked a @Saudi_Aramco oil refinery in #Riyadh with a drone.

reuters.com/article/us-yem…

@Saudi_Aramco #pts: #Iran makes no secret of its threats to attack #Saudi oil & shipping, just as it's repeatedly threatened to attack US assets in the region, as Qassem Someimani did earlier:

- “We're ready to confront you; You'll start the war but we'll end it."

washingtonpost.com/world/middle_e…

@Charles_Lister

It’s extraordinary just how much BS gets created in people’s minds.

I never once expressed “support” for #Turkey’s #Afrin operation.

- Did I say it was inevitable? Yes.
- Did I observe it & comment on its advance vis-a-vis broader #Syria dynamics (i.e. my job)? Yes.

https://twitter.com/MinhajAkreyi/status/1005149855092600833

My critique has always been about the imbalance/s created in northern #Syria by U.S. counter-#ISIS policy.

The #YPG was/is the #PKK - all U.S. officials admit that in private. That didn’t necessarily have to preclude working with them, but ignoring it caused big, big problems.

#pt: As an analyst of terrorist groups, I did see a certain irony & short-sightedness in the words of one top, serving U.S. official, “allying with a terrorist group (#PKK) to fight another terrorist group (#ISIS).”

It’s got nothing to do with any position on #Kurds, whatsoever.

@Charles_Lister

BIG NEWS overnight

- #Israel struck x12 military targets across #Syria (4+ directly controlled by #Iran).

- #Syria dispatched drone to #Golan (from T4 AB); downed by #Israel.

- In subsequent “ambush,” one Israeli F-16 was shot down by Syrian air defenses; landed in Galilee.

#pt: After that wave of escalator incidents, #Israel has launched a second mass wave of airstrikes in #Damascus - 6+ allegedly located near #Assad’s presidential palace.

*All* #Syria Army & pro-regime facilities have reportedly been placed on red alert.

#pts: It’s no secret that #Israel has been increasingly exasperated at #Iran’s growing capabilities & infrastructure in #Syria - escalation in strikes makes sense.

BUT an F-16 shoot-down raises big questions. Some reports say S-125 was responsible (missile wreckage in picture).