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There has been a lot of 🔥discussion lately of short course radiation (SCRT) for locally advanced rectal cancer (LARC).
I❤️SCRT bc it is convenient for working patients or those who travel for 🏥care. However, the RAPIDO update gives me pause. Let’s look at the history of SCRT:
I❤️SCRT bc it is convenient for working patients or those who travel for 🏥care. However, the RAPIDO update gives me pause. Let’s look at the history of SCRT:
When I was a resident-the great Bruce Minsky taught us that SCRT was born when a surgeon said- “sure you can do preop RT if you want- but I’m taking the patient to the OR next week- so do what you can in 5 days” 🤷♀️ 25Gy was safe and feasible even in the 2D era.
The OG long course RT (LCRT) lovers had concerns. Biologically, SCRT is < radiation dose than LCRT. Would it lead to worse local control? Enter the RCTs: 3 & 4 year follow up seemed to suggest SCRT = LCRT in the standard preop setting (read: not total neoadjuvant therapy 🧨) 
Tohle je Gardasil 9, vakcína proti lidskému papilomaviru (HPV). Každý jste určitě slyšel o souvislosti HPV infekce a vzniku karcinomu děložního čípku. Ale HPV toho umí víc.
HPV se dělí do dvou tříd - low risk a high risk. Mezi low risk patří například podtyp 6 a 11, mezi high risk 16 a 18.
Low risk málokdy dospějí do fáze rakoviny (proto low risk) a manifestují se jako genitální bradavice (condylomata accuminata).
Low risk málokdy dospějí do fáze rakoviny (proto low risk) a manifestují se jako genitální bradavice (condylomata accuminata).
High risk jsou příčinou karcinomu děložního čípku až ve 100 % případů. V ČR máme parádní screeningový program, ale o tom by vám víc řekli kolegové gynekologové. Podle mě se málo mluví o tom, že je příčinou karcinomů i v jiných lokalizacích.
Lovely Bird passes through the Fig Tree in the Flemish Tasty Forest
Mooie vogel passeert door de Vijgenboom ih Vlaams Lekker Bos
Free Download on Tumia: tumia.org/en/directory/e…
Flemish Tasty Forest-harvest score 2023: x.com/nesta_red/stat…
Lekker Bos: x.com/nesta_red/stat… x.com/nesta_red/stat…
Mooie vogel passeert door de Vijgenboom ih Vlaams Lekker Bos
Free Download on Tumia: tumia.org/en/directory/e…
Flemish Tasty Forest-harvest score 2023: x.com/nesta_red/stat…
Lekker Bos: x.com/nesta_red/stat… x.com/nesta_red/stat…
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In IWTV the visuals aren’t decorative, they are part of the narrative. The flicker of flames in every frame is a living character, bleeding on screen
This is a photographic immersion into the alchemy of how its image speaks to the audience, telling a story of love and damnation;
This is a photographic immersion into the alchemy of how its image speaks to the audience, telling a story of love and damnation;
Act I — Still Life of the Undead
In the classic artistic genre, still life captures the absence of life, that of which will eternally remain static. Flowers that will never wither, fruits that won’t rot, candles untouched in their flickering;
In the classic artistic genre, still life captures the absence of life, that of which will eternally remain static. Flowers that will never wither, fruits that won’t rot, candles untouched in their flickering;
In Interview with the Vampire we can draw a parallel: Immortals imprisoned in motionless eternity. Too alive to be dead, too dead to be alive
You have no idea what just popped up on your timeline, if you’re seeing this and you:
> open it
> read it
> apply it
Then this post has changed your life forever.
I’m not overselling it, this is a masterpiece.
I hope you got the chance to see it on your timeline.
> open it
> read it
> apply it
Then this post has changed your life forever.
I’m not overselling it, this is a masterpiece.
I hope you got the chance to see it on your timeline.
This post has everything you need to make it.
It has taken me over a day to create and covers guides on attention, monetisation guides, life, investment choices, simulations on each portfolio choice from low risk to high risk, literally everything to make it.
Please support it!
It has taken me over a day to create and covers guides on attention, monetisation guides, life, investment choices, simulations on each portfolio choice from low risk to high risk, literally everything to make it.
Please support it!
Ich antworte so, weil es sonst so blöd zu schreiben ist. Bei der Pflegegradbeurteilung kommt es nicht darauf an, wie eine Krankheit heißt, sondern wie sie sich auf die Funktion auswirkt. Den Verlust der Selbstständigkeit beurteilt der Gutachter nicht aus Arztbriefen, die
hochspezialisierte Details zur Krankheit aufführen. Auch die Namen von Symptomkomplexen sind für die Beurteilung nicht relevant. Wichtig: Es wird also nicht danach beurteilt, ob eine Krankheit häufig oder selten ist, was für eine Prognose eine Krankheit hat, wie sie therapiert
wird, wie gut sie erforscht ist, was der behandelnde Kollege in der Fachsprache an krankheitsspezifischen Details schreibt. Nichts davon ist hilfreich für den Patienten, wenn es um den Pflegegrad geht.
Die Frage beim Pflegegrad ist ausschließlich, wie sehr jemand durch die
Die Frage beim Pflegegrad ist ausschließlich, wie sehr jemand durch die
DOULINGO COULDN'T TEACH ME FRENCH IN 2.5 YEARS
ChatGPT did it in just 4 weeks.
Here's the exact 9 Prompts I used:
Save this thread🔖
ChatGPT did it in just 4 weeks.
Here's the exact 9 Prompts I used:
Save this thread🔖
1. Daily Lesson Builder
Act like a French tutor. Create a 20-min daily lesson with vocabulary, grammar, and practice exercises.
Act like a French tutor. Create a 20-min daily lesson with vocabulary, grammar, and practice exercises.
2. Conversation Partner
Chat with me in French as if we’re friends at a café. Correct mistakes and explain in English when needed.
Chat with me in French as if we’re friends at a café. Correct mistakes and explain in English when needed.
1/
Um guia prático para quando você ganhar na Mega da Virada.
Recebi isso no grupo da família e achei bacana compartilhar.
Não é teoria, é só bom senso para não destruir a própria vida com dinheiro.
Um guia prático para quando você ganhar na Mega da Virada.
Recebi isso no grupo da família e achei bacana compartilhar.
Não é teoria, é só bom senso para não destruir a própria vida com dinheiro.
Antes, os devidos créditos, pois este texto não é meu. Pesquisei e vi que foi escrito e publicado por padisland em outro app. Parabéns ao autor.
2/
Regra nº 1: NÃO conte para absolutamente ninguém.
Nem família, nem cônjuge, nem melhor amigo.
Pessoas não sabem guardar segredo e você não imagina do que são capazes quando dinheiro entra em cena.
Regra nº 1: NÃO conte para absolutamente ninguém.
Nem família, nem cônjuge, nem melhor amigo.
Pessoas não sabem guardar segredo e você não imagina do que são capazes quando dinheiro entra em cena.
There is a sustained Islamist-driven global disinformation campaign portraying Israel as hostile to Christianity.
Before repeating it, it is worth examining what is really happening to Christian communities across the Middle East.
Thread ⬇️⬇️
Before repeating it, it is worth examining what is really happening to Christian communities across the Middle East.
Thread ⬇️⬇️
Let's begin in Syria. Christians in Syria used to make up about 10% of the population - today, half have been driven out. Ancient communities devastated by war and Islamism. Syria is now run by an Islamist with a Salafi-jihadist past - who promotes nation wide sharia law.
How about Iraq? In the 1950s they forced the Jews out, now it is the Christians' turn. Once home to about 1.5 million Christians, most have gone. Church bombings, ISIS genocide, intimidation, and emigration - Islamism shattered one of the world’s oldest Christian populations.
10 movies on money you should watch this weekend:
1. Margin Call
1. Margin Call
2. The Founder
3. The Wolf of Wall Street
Why do humans get stuck in Trauma while wild animals recover naturally?
In the 1970s, Dr. Peter Levine noticed something remarkable:
Wild animals face death daily yet don’t develop PTSD, depression, or anxiety.
His discovery revolutionized how we understand trauma forever:🧵
In the 1970s, Dr. Peter Levine noticed something remarkable:
Wild animals face death daily yet don’t develop PTSD, depression, or anxiety.
His discovery revolutionized how we understand trauma forever:🧵
Most people believe trauma is only a psychological issue. It’s not.
Trauma is stored in the *nervous system*
In this thread you will learn what it is and how to reverse it based on a Peter Levine's revolutionary science:
Trauma is stored in the *nervous system*
In this thread you will learn what it is and how to reverse it based on a Peter Levine's revolutionary science:
Trauma isn’t the event itself—it’s your nervous system’s response to it.
Your body gets stuck in survival mode: fight, flight, or freeze.
Symptoms include:
- Fatigue & stress
- Emotional numbness
- Anxiety & depression
- Chronic pain & body tension
Your body gets stuck in survival mode: fight, flight, or freeze.
Symptoms include:
- Fatigue & stress
- Emotional numbness
- Anxiety & depression
- Chronic pain & body tension
In 2014, Peter Thiel gave a 1-hour masterclass on how to build a monopoly from scratch.
He broke down how:
• Google became untouchable
• PayPal beat the odds
• Facebook crushed competition
Here are 11 timeless lessons from his masterclass:
1. Create value, then capture it
He broke down how:
• Google became untouchable
• PayPal beat the odds
• Facebook crushed competition
Here are 11 timeless lessons from his masterclass:
1. Create value, then capture it
A valuable business must:
• Create X dollars of value
• Capture Y% of that value
Most people assume X and Y are linked.
They’re not.
You can create enormous value and capture almost none.
You can create modest value and capture most of it.
Monopolies excel at both
• Create X dollars of value
• Capture Y% of that value
Most people assume X and Y are linked.
They’re not.
You can create enormous value and capture almost none.
You can create modest value and capture most of it.
Monopolies excel at both
2. Profits matter more than size
Airlines generate more revenue than Google.
But over 100 years, U.S. airlines have roughly zero cumulative profit.
Google makes money. Lots of it.
Value isn’t defined by size.
It’s defined by: profits + longevity.
Airlines generate more revenue than Google.
But over 100 years, U.S. airlines have roughly zero cumulative profit.
Google makes money. Lots of it.
Value isn’t defined by size.
It’s defined by: profits + longevity.
🚨IMPORTANT: 529 plans just became more powerful under the new tax bill.
If you have kids (or plan to), you need to know these changes.
Here's what's different:
If you have kids (or plan to), you need to know these changes.
Here's what's different:
529 plans are accounts that help pay for education in tax benefical way:
1. Tax free growth
2. Tax free withdrawals for education
3. Some states offer a tax deduction for contributing
The new tax bill expands many parts of it...
1. Tax free growth
2. Tax free withdrawals for education
3. Some states offer a tax deduction for contributing
The new tax bill expands many parts of it...
1. Expand K-12 Expenses
The new law is expanding the definition of "qualified higher education expense".
It will now include expenses for students attending an elementary or secondary public or private school.
Some examples...
The new law is expanding the definition of "qualified higher education expense".
It will now include expenses for students attending an elementary or secondary public or private school.
Some examples...
Lambert’s Brief (Page 14):
"Rockenhaus's arguments fail, as they are based on purported facts that were not before the district court at sentencing... And there were no facts on the record before the court that Rockenhaus actually was experiencing retaliation."
The Reality (Oct 17 Transcript, Page 14):
Defense Counsel (Plotkin): "Mr. Rockenhaus... could certainly look the other way... Well, it does now because he did blow the whistle... There may or may not be retaliation. I'm hearing there is and I wouldn't be surprised."
Defense Counsel (Plotkin): "I actually have a letter from another inmate who made a statement under oath attesting to the same allegations..."
YOU CANNOT MAKE THIS SHIT UP.
rockenhaus.com/how-detroit-au…
"Rockenhaus's arguments fail, as they are based on purported facts that were not before the district court at sentencing... And there were no facts on the record before the court that Rockenhaus actually was experiencing retaliation."
The Reality (Oct 17 Transcript, Page 14):
Defense Counsel (Plotkin): "Mr. Rockenhaus... could certainly look the other way... Well, it does now because he did blow the whistle... There may or may not be retaliation. I'm hearing there is and I wouldn't be surprised."
Defense Counsel (Plotkin): "I actually have a letter from another inmate who made a statement under oath attesting to the same allegations..."
YOU CANNOT MAKE THIS SHIT UP.
rockenhaus.com/how-detroit-au…
#appellatetwittter #bradyviolation
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It’s clear you chose the wrong side and are now on the back nine of your time still living in this country. You should probably go ahead and leave before you no longer can.
Good luck. You’re going to lose. Bookmark this post, ‘Ann Marie’. Pin it up in your cubicle. I’ll let the widow know you’re exploiting her dead husband and her social media.
Yeah, tell me about it. I always chuckle to myself ab it when you immediately come to the psychological aid of your fellow traitors whose egos were just shattered by my making them my personal fucking ragdoll.