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Welcome to the 7th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS and its uses
I hope you found yesterday's post about #VEXUS useful
Today we're going to discuss bowel PoCUS
If you find the post useful, please like & retweet
It's a month-long marathon of daily tweetorials about #POCUS and its uses
I hope you found yesterday's post about #VEXUS useful
Today we're going to discuss bowel PoCUS
If you find the post useful, please like & retweet
🌟Let's start with a case
Its Friday night and ED is heaving with patients
A 60 year old coming with abdominal pain
Hx of previous bowel resection for cancer
Pain started 3 hours ago
Opened their bowels this morning
Examination reveals distended abdomen with generalised tenderness
Its Friday night and ED is heaving with patients
A 60 year old coming with abdominal pain
Hx of previous bowel resection for cancer
Pain started 3 hours ago
Opened their bowels this morning
Examination reveals distended abdomen with generalised tenderness
⭐️This is where abdominal PoCUS comes in
It can give us info about the liver, GB, kidneys, Aorta and yes also about stomach and bowel
Although pt will get a CT later on but it can aid in early diagnosis & initiation of Mx allowing cognitive offloading in a busy ED
It can give us info about the liver, GB, kidneys, Aorta and yes also about stomach and bowel
Although pt will get a CT later on but it can aid in early diagnosis & initiation of Mx allowing cognitive offloading in a busy ED
Good morning,
I'm reading the RBI December bulletin, which has basically the best analysis on India. What's interesting is that while India recorded record high growth (+8.2%YoY), nominal GDP slowed massively to 8.7%. If we look at the recent high frequency indicators, they are not good. GST revenue is slowing sharply, electricity demand is negative, and petro consumption also very soft.
What that means is that we got rather weak nominal outcome of growth irrespective of strong real GDP growth. And that matters because it impacts government revenue, earnings and of course income.
The INR has been fretting this reality as export sags and thus exporters are not in a hurry to sell USD. Meanwhile, foreign investors are looking at the expected depreciation of INR vs USD while other FX appreciates and that means that while real yield in India is attractive, its return in EUR for example was negative last year for European investors.
So what's next?
I'm reading the RBI December bulletin, which has basically the best analysis on India. What's interesting is that while India recorded record high growth (+8.2%YoY), nominal GDP slowed massively to 8.7%. If we look at the recent high frequency indicators, they are not good. GST revenue is slowing sharply, electricity demand is negative, and petro consumption also very soft.
What that means is that we got rather weak nominal outcome of growth irrespective of strong real GDP growth. And that matters because it impacts government revenue, earnings and of course income.
The INR has been fretting this reality as export sags and thus exporters are not in a hurry to sell USD. Meanwhile, foreign investors are looking at the expected depreciation of INR vs USD while other FX appreciates and that means that while real yield in India is attractive, its return in EUR for example was negative last year for European investors.
So what's next?
Btw, if you want to see some positive demand indicator, you will find it in autos/two wheelers. GST reduction has boosted auto sales. But that is not all.
If you zoom out, India auto sales are one of the few bright spots in Asia for auto sales (China also high but given lower prices, profits sag).
If you zoom out, India auto sales are one of the few bright spots in Asia for auto sales (China also high but given lower prices, profits sag).
Indian employment overall is weak (high informality) but the trend is positive. The one indicator I find interesting is this MGNREGA work demand, which falls sharply, which should be read as positive because it's basically a rural program that gives out meager pay for random rural projects.
Overall, what's key here is that consumption of autos is up (suggesting that some people are better off and buying more autos) and people are not desperate enough to want rural random payout by the government so India is clearly growing.
But on an aggregate nominal basis, the GST revenue is most telling because it means that weak GST means government will need to increase FINANCING volume, which means more borrowing, and so this growth of auto consumption has costs to the government.
Finally, while weak electricity and petro demand is blamed on earlier onset on winter, I reckon industrial production may be slowing...
Overall, what's key here is that consumption of autos is up (suggesting that some people are better off and buying more autos) and people are not desperate enough to want rural random payout by the government so India is clearly growing.
But on an aggregate nominal basis, the GST revenue is most telling because it means that weak GST means government will need to increase FINANCING volume, which means more borrowing, and so this growth of auto consumption has costs to the government.
Finally, while weak electricity and petro demand is blamed on earlier onset on winter, I reckon industrial production may be slowing...
Democrats have switched their tune on Maduro and Venezuela, while President Trump is the one taking action.
🤔
🤔
EARMARKS: CURRENCY OF CORRUPTION
In case you aren’t aware, here are some egregious examples of what Congress is attempting to pass in Approps:
THREAD 🧵 🧵
In case you aren’t aware, here are some egregious examples of what Congress is attempting to pass in Approps:
THREAD 🧵 🧵
$1,031,000 grant to Eastie Farm, Inc. in Ayanna Pressley's district for a Climate Corps Fellowship in the CJS earmarks, a group that proclaims "climate justice" and equitable local food systems.
$260,000 grant to Nonviolence Institute requested by Senator Reed in Rhode Island for Nonviolence Intervention Services in the CJS earmarks, which proclaim a root cause of violence is “racism”
🇻🇪🛢️⚡️Le principali compagnie petrolifere non hanno alcuna fretta di tornare in Venezuela.
Trump & Co hanno fatto un buco nell'acqua colossale.
1/13
Trump & Co hanno fatto un buco nell'acqua colossale.
1/13
2/ L'incertezza, la debolezza delle istituzioni, i sequestri di beni disposti in passato, le infrastrutture fatiscenti e i bassi prezzi del petrolio rendono poco attraenti i grandi investimenti.
boereport.com/2026/01/04/no-…
boereport.com/2026/01/04/no-…
3/ Come osservano i dirigenti del settore, riprendere la produzione richiederà decine, forse centinaia, di miliardi di dollari, soprattutto considerando che il petrolio venezuelano è pesante e costoso da raffinare.
worldoil.com/news/2026/1/6/…
worldoil.com/news/2026/1/6/…
DNA is more deeply rooted than identity.
Thread🔻
Thread🔻
DNA (innate/subconscious tendencies) runs much deeper and forms the core of the club, manager, and players. It can ultimately be reduced to one fundamental check: proactive vs risk-averse.
Identity (conscious choices) is layered on top of the DNA, shaping how the team expresses itself on the pitch, while still remaining aligned to the club’s innate DNA: transitional vs possession based, minimal passes to last line vs slow circulation, 1v1s vs overloads, dynamic vs static.
Managers strategies to enact the club identity fall next on this structure: how are transitions, minimal passes to last line, dynamism, promoting 1v1s coached and showcased.
Identity (conscious choices) is layered on top of the DNA, shaping how the team expresses itself on the pitch, while still remaining aligned to the club’s innate DNA: transitional vs possession based, minimal passes to last line vs slow circulation, 1v1s vs overloads, dynamic vs static.
Managers strategies to enact the club identity fall next on this structure: how are transitions, minimal passes to last line, dynamism, promoting 1v1s coached and showcased.
A manager can hold a risk averse DNA while operating within either a transitional or possession-based identity (holding players back to maintain rest def). Likewise, a manager can be proactive while still favouring possession-based approaches (3rd man runs/1-2s/rotations).
United DNA will always be proactive and plays on the psychology of the opponent. Therefore, the selected manager must have ways of remaining proactive and aligned to the clubs core DNA (established), whilst understanding the game is suited to heavy transitions (modern day - due to increased athleticism - more on this later).
Game states require adaptability and movement on the proactive—risk-averse scale. But clashes at the DNA level, will express in many ways where match going fans, changing rooms, and media, will reject ideas way before the results do.
Therefore, DNA (innate) and identity (choice) are not the same thing, until they merge and form instincts. More commonly known as football principles.
United DNA will always be proactive and plays on the psychology of the opponent. Therefore, the selected manager must have ways of remaining proactive and aligned to the clubs core DNA (established), whilst understanding the game is suited to heavy transitions (modern day - due to increased athleticism - more on this later).
Game states require adaptability and movement on the proactive—risk-averse scale. But clashes at the DNA level, will express in many ways where match going fans, changing rooms, and media, will reject ideas way before the results do.
Therefore, DNA (innate) and identity (choice) are not the same thing, until they merge and form instincts. More commonly known as football principles.
🚨 BREAKING: Minnesota’s Legislative Auditor just dropped a BOMBSHELL.
Tim Walz’s DHS fabricated records, had zero internal controls, and employees ignored oversight on more than $400 MILLION in grants.
The fraud and corruption continues.
Tim Walz’s DHS fabricated records, had zero internal controls, and employees ignored oversight on more than $400 MILLION in grants.
The fraud and corruption continues.
- Background
- Grant Expenditures and Agreements
- Areas Tested
- Results
- Grant Expenditures and Agreements
- Areas Tested
- Results
- Single Source Grants
- Grant Permissions
- Grant Monitoring: Progress Reporting
- Grant Monitoring: Visits
- Grant Permissions
- Grant Monitoring: Progress Reporting
- Grant Monitoring: Visits
🚨 OpenAI spent $100M training GPT-4.
Then ran it in 2-bit precision for inference.
They're charging you for 16-bit compute while serving 2-bit models.
This paper exposes the entire scam and why every AI lab is hiding their real inference costs:
Then ran it in 2-bit precision for inference.
They're charging you for 16-bit compute while serving 2-bit models.
This paper exposes the entire scam and why every AI lab is hiding their real inference costs:
Here's how the scam works:
Training: FP16/BF16 precision, $100M+ on thousands of GPUs
Inference: INT4/INT2 quantized models, 10-15x cheaper per token
They amortize training costs over billions of API calls while secretly running ultra-cheap quantized inference.
You're subsidizing their 1,400% margins.
Training: FP16/BF16 precision, $100M+ on thousands of GPUs
Inference: INT4/INT2 quantized models, 10-15x cheaper per token
They amortize training costs over billions of API calls while secretly running ultra-cheap quantized inference.
You're subsidizing their 1,400% margins.
The evidence is hiding in plain sight:
Research papers show 2-bit models maintain 95%+ accuracy.
GPU utilization metrics don't match claimed precision.
Latency numbers are impossible at 16-bit speeds.
They're not lying about capabilities. They're lying about costs.
Research papers show 2-bit models maintain 95%+ accuracy.
GPU utilization metrics don't match claimed precision.
Latency numbers are impossible at 16-bit speeds.
They're not lying about capabilities. They're lying about costs.
#1 A Venezuela tem as maiores reservas de petróleo do planeta? Até hoje eu pensei que sim, mas a resposta não é essa. Ou não é bem assim. Os venezuelanos estão assentados sobre um oceano de petróleo. Mas “ter reserva” não é sinônimo de conseguir produzir.
#2 No caso venezuelano, grande parte desse volume é de óleo extrapesado, mais caro para extrair e dependente de “upgrade” para ser comercializável. Nem quando a Venezuela estava nadando em dinheiro e o preço do barril estava nas alturas foi possível ampliar a produção.
#3 Há uma verdade inconveniente sobre a indústria petroleira venezuelana. O seu auge foi em 1970. Mesmo assim, o volume explorado por eles foi de pouco mais que um terço do que os Estados Unidos produziam. A vantagem era que a Venezuela consumia pouco e podia exportar.
The entire first season of The Boondocks
A Thread 🧵
A Thread 🧵
Episode 1 - The Garden Party
Episode 2 - The Trial of R. Kelly
Ein kleiner (und ungeordneter) 🧵 zu Julian Adrat, hauptberuflicher Nichtsversteher hier auf Ex-Twitter und AfD-Funktionär aus Berlin.
Ich bin ehrlich - ich habe den zuerst für einen Bot gehalten aber er ist real.
Ich bin ehrlich - ich habe den zuerst für einen Bot gehalten aber er ist real.
Julian erwähnt die AfD in seiner Bio ("Radiomoderator") seltsamerweise mit keinem Wort, aber inhaltlich ist er der perfekte Parteisoldat. Entsprechend wurde er mit einem Posten (zweiter stellv. Vorsitzender) bei der kommunalen AfD Berlin Mitte belohnt.
Er hat mehrere Buch geschrieben deren Inhaltsbeschreibung jeden aufrrrrechten Deutschen eher an einen linksgrünversifften Genderstudenten-Autor (mit Problempony) denken lässt
People have been asking: How did the somalians know how to game the system? Who helped them?
Here are the NGOs proudly boasting how they helped defraud the taxpayer. First, Child Care Wayfinder.
"Wayfinder navigators are available to company through the licensing process"
Here are the NGOs proudly boasting how they helped defraud the taxpayer. First, Child Care Wayfinder.
"Wayfinder navigators are available to company through the licensing process"
Immediately after launching Child Care Wayfinder launched:
358 contracts
84 new programs
1,061 new child care slots.
How many of these were fraudulent, they proudly serve the Somali community which is responsible for 90% of the fraud claims.
358 contracts
84 new programs
1,061 new child care slots.
How many of these were fraudulent, they proudly serve the Somali community which is responsible for 90% of the fraud claims.
They walk people through the entire process to recieve government grants to open their fraudulent daycare centers.
Exactly how much fraud did Wayfinder facilitate. But it doesn't stop there.
Exactly how much fraud did Wayfinder facilitate. But it doesn't stop there.
The 20mm Vulcan gun has been a staple cannon for American Military Aircraft for around 60 years. It fires approximately 6k rounds a minute. Meaning that every ten seconds it is sending one thousand of these blue tipped rounds downrange. My point you may ask? 1/7 #battletech
This is the Scorpion Light Tank.
You see that small gun on the hull? That's a 20mm Gatling gun. It uses the same projectile and fires just as many. On the tabletop of Battletech, this gun does 1 point of damage a turn, which is 10 seconds in game time. 2/7
You see that small gun on the hull? That's a 20mm Gatling gun. It uses the same projectile and fires just as many. On the tabletop of Battletech, this gun does 1 point of damage a turn, which is 10 seconds in game time. 2/7
So every 10 seconds that gun is throwing out a storm of lead and doing just enough damage to scrape off 1/16th a ton of Standard Armor for the setting. Every half ton of MG ammo is 50 such bursts. And it gets worse. See, this MG is so common nearly anyone can make it. 3/7
1/🚨"We brought specific, verifiable data--Golden Tiger brought only vague & unsubstantiated counter-claims."
-- Statement from @SeaLightFound Director @GordianKnotRay in response to Golden Tiger Shipping Agencies, Inc. (GTSAI)'s letter disputing our report, "The Hydra of Manila Bay."
Full response follows in thread below: [🧵1/10]
-- Statement from @SeaLightFound Director @GordianKnotRay in response to Golden Tiger Shipping Agencies, Inc. (GTSAI)'s letter disputing our report, "The Hydra of Manila Bay."
Full response follows in thread below: [🧵1/10]
2/GTSAI's letter claims that SeaLight's report is "unsupported by technical or factual evidence." THIS IS DEMONSTRABLY FALSE. Our report, which is public (), provides specific ship tracks, MMSIs, timestamps, coordinates & IMO records. [🧵2/10]sealight.live/posts/the-hydr…
3/By contrast, GTSAI's letter contains NO specific technical or factual evidence--only vague references to unpublished documents that can be validated by "authorized" agencies ... but not the Philippine public, apparently? [🧵3/10]
I've watched thousands of videos from the Jan. 6 riot as part of NPR's reporting and archive project on that day.
Here are some of the lesser known videos that have really stuck with me.
🧵
Here are some of the lesser known videos that have really stuck with me.
🧵
As rioters violently overwhelmed the west front of the U.S. Capitol, one recorded himself yelling, "you better run cops!"
There's a persistent myth that the cops "let people in."
In fact, there's extensive evidence that rioters knew they were breaking the law.
Here's one of the rioters making a call, thinking that she might need to be bailed out of jail.
In fact, there's extensive evidence that rioters knew they were breaking the law.
Here's one of the rioters making a call, thinking that she might need to be bailed out of jail.
The January 6 President
January 6 was not the end of a crisis—it was the moment America chose to postpone accountability. Five years later, the cost of that delay is no longer theoretical. It is political reality, and it is still unfolding.
🧵1/6: January 6, 2021 now belongs to a short list of American dates whose meaning no longer requires explanation. December 7, 1941. September 11, 2001. These were moments when the country learned—suddenly and irrevocably—that what it assumed to be permanent was not. January 6 belongs among them.
…eintellectualistofficial.substack.com/p/the-january-…
January 6 was not the end of a crisis—it was the moment America chose to postpone accountability. Five years later, the cost of that delay is no longer theoretical. It is political reality, and it is still unfolding.
🧵1/6: January 6, 2021 now belongs to a short list of American dates whose meaning no longer requires explanation. December 7, 1941. September 11, 2001. These were moments when the country learned—suddenly and irrevocably—that what it assumed to be permanent was not. January 6 belongs among them.
…eintellectualistofficial.substack.com/p/the-january-…
2/6: It was the day a sitting president, having lost an election and failed in court, turned against the constitutional order itself. Five years later, the most unsettling fact is not that it happened. It is that the man who caused it was never decisively stopped—and must now be understood by what he tried to destroy.
President Donald J. Trump lost the 2020 election. That fact has never been in serious dispute. He and his allies challenged the result repeatedly, across states and jurisdictions. Those challenges failed—often quickly, often unanimously, and often for lack of evidence. Judges appointed by Republicans and Democrats rejected the claims. State officials certified the results. The legal system functioned as designed.
…eintellectualistofficial.substack.com/p/the-january-…
President Donald J. Trump lost the 2020 election. That fact has never been in serious dispute. He and his allies challenged the result repeatedly, across states and jurisdictions. Those challenges failed—often quickly, often unanimously, and often for lack of evidence. Judges appointed by Republicans and Democrats rejected the claims. State officials certified the results. The legal system functioned as designed.
…eintellectualistofficial.substack.com/p/the-january-…
3/6: What followed was not confusion. It was escalation.
As the courts closed their doors, the effort shifted away from law and toward pressure. Trump publicly and privately demanded that state officials “find” votes, refuse certifications, or intervene in processes the Constitution had deliberately insulated from partisan control. The claim of a stolen election ceased to function as a legal argument and became something else entirely: a mobilizing myth.
By the time January 6 arrived, the extraordinary had already been normalized. Supporters were told that democracy itself was being taken from them, that every legitimate avenue had been exhausted, and that only direct action remained. The crowd that gathered in Washington did not believe it was attacking the system. It believed it was rescuing it.
That belief did not emerge on its own. It was cultivated, reinforced, and rewarded.
January 6 was not a protest that spun out of control.
It was not a misunderstanding that escalated too far.
It was the logical endpoint of a campaign that had failed in the courts and turned, deliberately, toward extralegal force. When the mob breached the Capitol, it was acting on a premise it had been taught to accept: that elections need not be honored, that courts could be dismissed, and that force could substitute for consent.
The damage was not abstract. More than 140 law-enforcement officers were injured. Some suffered traumatic brain injuries, broken bones, and psychological harm that will last for decades. People died. The peaceful transfer of power—so routine it had once seemed unremarkable—was physically attacked in its own chamber.
Yet the most consequential events of January 6 unfolded after the violence ended.
…eintellectualistofficial.substack.com/p/the-january-…
As the courts closed their doors, the effort shifted away from law and toward pressure. Trump publicly and privately demanded that state officials “find” votes, refuse certifications, or intervene in processes the Constitution had deliberately insulated from partisan control. The claim of a stolen election ceased to function as a legal argument and became something else entirely: a mobilizing myth.
By the time January 6 arrived, the extraordinary had already been normalized. Supporters were told that democracy itself was being taken from them, that every legitimate avenue had been exhausted, and that only direct action remained. The crowd that gathered in Washington did not believe it was attacking the system. It believed it was rescuing it.
That belief did not emerge on its own. It was cultivated, reinforced, and rewarded.
January 6 was not a protest that spun out of control.
It was not a misunderstanding that escalated too far.
It was the logical endpoint of a campaign that had failed in the courts and turned, deliberately, toward extralegal force. When the mob breached the Capitol, it was acting on a premise it had been taught to accept: that elections need not be honored, that courts could be dismissed, and that force could substitute for consent.
The damage was not abstract. More than 140 law-enforcement officers were injured. Some suffered traumatic brain injuries, broken bones, and psychological harm that will last for decades. People died. The peaceful transfer of power—so routine it had once seemed unremarkable—was physically attacked in its own chamber.
Yet the most consequential events of January 6 unfolded after the violence ended.
…eintellectualistofficial.substack.com/p/the-january-…
Pasó desapercibida la cena de Elon Musk con Trump y como ha difundido en su plataforma X vídeos hechos con IA con millones de visitas para ayudar a Trump en su ataque a Venezuela. Os pongo varios ejemplos en este hilo. ¿Por qué esto es impune?
Análisis👉
Análisis👉
Es curioso como Trump publicó esta imagen en sus redes sociales la noche del secuestro de Maduro, con una pantalla gigante detrás donde solo había pestañas abiertas de X y el ministro de guerra delante de una PC. Twitter es una de sus principales armas de guerra.
Este fue uno de los vídeos retuiteados por Elon Musk el mismo día del bombardeo de EEUU en Venezuela y el secuestro de Maduro. Video hecho por IA de personas jóvenes y ancianas en Venezuela emocionadas por lo hecho por EEUU. +5M visualizaciones y +115K❤
1 HILO VENEZUELA Y LA NUEVA USA IMPERIAL
Todo el mundo está aplaudiendo a Estados Unidos, se creen ese cuento de los USA diciendo que "son todopoderosos" y se lo creen ya sean pro Trump o anti-Trump solo hay que leer los comentarios pero la pregunta es ¿lo son? Veamos...
Todo el mundo está aplaudiendo a Estados Unidos, se creen ese cuento de los USA diciendo que "son todopoderosos" y se lo creen ya sean pro Trump o anti-Trump solo hay que leer los comentarios pero la pregunta es ¿lo son? Veamos...
2 El resumen: Envian a sus fuerzas especiales secuestran al presidente humillan a una nación ( oposición pro estadounidense incluida) se molestan en destruir el monumento a Chavez
Todo muy en plan RACISTA: “somos muy chulos y vosotros venezolanos sois una puta mierda”
Todo muy en plan RACISTA: “somos muy chulos y vosotros venezolanos sois una puta mierda”
3 antes del 3 de enero 2026 ¿podían haberlo hecho?
Si pero ¿Por que no lo lo hicieron ?
Porque Es una ESTUPIDEZ Trump podria haber comprado a Maduro ( en vez de a Delcy ) y quedarse con todo. Pero no, prefirió insultar a esa RAZA INFERIOR que son los HISPANOS
Si pero ¿Por que no lo lo hicieron ?
Porque Es una ESTUPIDEZ Trump podria haber comprado a Maduro ( en vez de a Delcy ) y quedarse con todo. Pero no, prefirió insultar a esa RAZA INFERIOR que son los HISPANOS
En la Roma de 1502, un hombre vestido con viejas sedas firmó un papel en una taberna. No está vendiendo una casa, tampoco un caballo, estaba vendiendo el Imperio Romano de Oriente, subastándolo, para pagar sus deudas de juego. Era Andreas Paleólogo. Tira del hilo 🧵👇🏽👇🏽👇🏽
Para entender esta locura, hay que ir a 1453, año en que Constantinopla cae ante los turcos. El último emperador, Constantino XI, muere luchando y su hermano Tomás huye a Italia con sus hijos. Uno de ellos es Andreas, que crece en el exilio como último heredero legítimo.
Andreas se instaló en Roma bajo la protección del Papa. Se hacía llamar "Basileus" (Emperador) y exigía que le trataran como tal, pero había un problema: no tenía ni un soldado, ni una moneda, ni un metro de tierra, solo tenía un apellido y mucha arrogancia.
🧵 The violent, mysterious death of Hitler’s most infamous SS commander.
On the night of 14 July 1976, a former Nazi war criminal was burned alive in his home in rural France.
His name still sparks rage decades later.
This is how Joachim Peiper died 👇
On the night of 14 July 1976, a former Nazi war criminal was burned alive in his home in rural France.
His name still sparks rage decades later.
This is how Joachim Peiper died 👇
1/ Joachim Peiper was once one of Hitler’s favored Waffen-SS officers.
Charismatic, ruthless, and fiercely loyal, he rose quickly during WWII—earning decorations for “bravery” while leaving a trail of dead civilians and POWs behind him.
Charismatic, ruthless, and fiercely loyal, he rose quickly during WWII—earning decorations for “bravery” while leaving a trail of dead civilians and POWs behind him.
2/ Peiper became notorious during the Battle of the Bulge in December 1944.
His unit was responsible for the Malmedy Massacre, where 84 unarmed American POWs were executed in cold blood.
The killings shocked even hardened Allied troops.
His unit was responsible for the Malmedy Massacre, where 84 unarmed American POWs were executed in cold blood.
The killings shocked even hardened Allied troops.
Welcome to the 6th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS and its uses.
I hope you found our posts useful.
Today we're going to discuss Venous Excess Ultrasound (VExUS).
If you find the post useful, please like & retweet.
It's a month-long marathon of daily tweetorials about #POCUS and its uses.
I hope you found our posts useful.
Today we're going to discuss Venous Excess Ultrasound (VExUS).
If you find the post useful, please like & retweet.
The other side of coin - Fluid excess
•Fluid overload is associated with pooled mortality especially after Day 3 of ICU stay (adjusted relative risk [aRR]– 8.83)
•In patients with acute kidney failure and in surgical patients, fluid overload was associated with mortality (aRR AKI 1.99, aRR post-surgery 6.17)
•The risk of mortality increased by a factor of 1.19 (95% CI, 1.11–1.28) per liter increase in positive fluid balance.
doi.org/10.1097/CCM.00…
•Fluid overload is associated with pooled mortality especially after Day 3 of ICU stay (adjusted relative risk [aRR]– 8.83)
•In patients with acute kidney failure and in surgical patients, fluid overload was associated with mortality (aRR AKI 1.99, aRR post-surgery 6.17)
•The risk of mortality increased by a factor of 1.19 (95% CI, 1.11–1.28) per liter increase in positive fluid balance.
doi.org/10.1097/CCM.00…
Do we have better terms? Yes
1.Fluid accumulation
•A pathologic state of overhydration/volume overload, associated with clinical impact which may vary by age, comorbidity, and phase of illness
•It may occur with concomitant intravascular hypovolemia, normovolemia, and hypervolemia.
•It may or may not be associated with clinical or imaging signs of edema.
2.Fluid accumulation syndrome
•Any degree of fluid accumulation or fluid overload with a negative impact on end-organ function, which may or may not be associated with global increased permeability syndrome.
3.Fluid Creep
•The unintentional and unmeasured fluid volumes administered in the process of delivering medication and nutrition through enteral and parenteral routes is called Fluid Creep.
link.springer.com/book/10.1007/9…
1.Fluid accumulation
•A pathologic state of overhydration/volume overload, associated with clinical impact which may vary by age, comorbidity, and phase of illness
•It may occur with concomitant intravascular hypovolemia, normovolemia, and hypervolemia.
•It may or may not be associated with clinical or imaging signs of edema.
2.Fluid accumulation syndrome
•Any degree of fluid accumulation or fluid overload with a negative impact on end-organ function, which may or may not be associated with global increased permeability syndrome.
3.Fluid Creep
•The unintentional and unmeasured fluid volumes administered in the process of delivering medication and nutrition through enteral and parenteral routes is called Fluid Creep.
link.springer.com/book/10.1007/9…
In July 1990 the RAF Red Arrows visited the Soviet Union, providing displays in Leningrad and Kyiv. The trip report by the senior British Officer, Air Vice Marshal Pilkington is a fascinating insight to a time of hope, optimism and worry as the Cold War ended.
PSL Thread/
PSL Thread/
The visit was arranged initially to allow the Soviets to display in the UK, but became a solo effort. The hope to display over Moscow was cancelled for "technical reasons", so the itinerary was Leningrad and Kyiv, with a stop in Budapest on the way back.
A total of 12 aircraft flew there - a C130, 10 Hawks and an HS125, usually used by the RAF for navigation training, was used instead to lead the formation due to its comms and ability to embark Soviet assistants, the Air Attaché and the press.
Publicaron ranking con 100 "mejores colegios" en PAES 2026
98% de estudiantes en ese listado va a colegios part. pagados
Nos lleva a pensar - ERRÓNEAMENTE - que pocos estudiantes de liceos públicos obtienen buenos puntajes
Explico por qué ese ranking puede ser engañoso 🧵
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98% de estudiantes en ese listado va a colegios part. pagados
Nos lleva a pensar - ERRÓNEAMENTE - que pocos estudiantes de liceos públicos obtienen buenos puntajes
Explico por qué ese ranking puede ser engañoso 🧵
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Hay casi 180 mil estudiantes egresados de Educación Media en 2025 con puntajes válidos en la PAES 2026
Así se distribuye su promedio en las pruebas obligatorias de competencia lectora y matemática
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Así se distribuye su promedio en las pruebas obligatorias de competencia lectora y matemática
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Tradicional "Ranking de 100 mejores colegios" destaca establecimientos que concentran estudiantes con buenos puntajes
Muchos privados seleccionan a los mejores al ingreso, tienen mejores condiciones y más recursos
No sorprende que tengan los mejores "promedios"
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Muchos privados seleccionan a los mejores al ingreso, tienen mejores condiciones y más recursos
No sorprende que tengan los mejores "promedios"
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Gemini 3 es más fuerte de lo que pensaba..
13 prompts de Nano Banana para viajar en el tiempo
1. « Crea una imagen en 31.7785° N, 35.2296° E, el 3 de abril del año 33, a las 15:00 horas. »
13 prompts de Nano Banana para viajar en el tiempo
1. « Crea una imagen en 31.7785° N, 35.2296° E, el 3 de abril del año 33, a las 15:00 horas. »
2. Crea una imagen en 48.8584° N, 2.2945° E, el 17 de septiembre del año 1895, a las 18:30 horas.
3. Crea una imagen en 40.6892° N, 74.0445° W, el 12 de junio del año 1923, a las 10:15 horas.
Jean-Marie Le Pen est mort il y a un an. L’anticommunisme a été central tout le long de son parcours. D’Alger à Paris, JMLP était certain d’affronter les avatars du bolchévisme : militants syndicaux, de gauche, anticoloniaux…🧶Retour sur 75 ans de haine du rouge (Partie 1)⬇️1/20
J’ai écrit un article pour les @CahiersHistoire sur cette dimension décisive mais méconnue de sa vie. C’est capital pour saisir l’histoire de l’extrême droite française. La 1ère partie couvre ses débuts jusqu’à la création du FN (1972). J’en ferai deux suites si ce fil circule.🔁
@CahiersHistoire Le Pen se politise à @actionfrancaise en montant à Paris et se dédie à virer de l'@UNEF les syndicalistes étudiants de gauche :« Quand je suis arrivé au Quartier latin, toutes les corpos étaient entre les mains des communistes. La corpo de droit a été la première à s’en libérer».
