Aortic dissection typically presents acutely with sudden, severe tearing chest or back pain, often described as lancinating in quality. [5-6] Approximately 50% of patients with thoracic aortic aneurysm may progress to dissection without timely intervention. [5] In contrast, thoracic aortic aneurysm is usually asymptomatic and discovered incidentally during physical examination or imaging for other indications. [5]
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- Mar 2026
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accessmedicine.mhmedical.com accessmedicine.mhmedical.com
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- CT angiography is the imaging modality of choice for differentiating these conditions in the emergency setting, with very high sensitivity and specificity for acute aortic syndromes
- Recent evidence suggests that inflammatory biomarkers may aid differentiation. The neutrophil-to-lymphocyte ratio (NLR) shows high diagnostic accuracy for distinguishing dissection from controls (AUC 0.933), while the fibrinogen-to-d-dimer ratio best differentiates dissection from aneurysm (AUC 0.898, sensitivity 77%, specificity 84%). [10] D-dimer levels below 500 ng/mL make acute aortic syndrome unlikely in low-risk patients
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- Jan 2025
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www.meaningcrisis.co www.meaningcrisis.co
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What we do when we go into a sacred setting, is we play with Meta-… We have psycho-technologies - and I'll come back and give a [-] clear definition as we work that out, of a psycho-technology - but we have psycho-technologies that allow us to do this serious play with sacredness so that we are constantly being homed against horror.
for - in other words - going nto a sacred setting - is a counter force to alienation - source - Meaning crisis - episode 33 - The Spirituality of Relevance Realization - Wonder/Awe/Mystery/Sacredness - John Vervaeke
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- Nov 2024
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“There are a lot of people who mistakenly think intelligibility is the standard. ‘Oh, you knew what I was saying.’ Well, that’s not the standard. That’s a really bottom-of-the-barrel standard,” he says. “People who are concerned with English usage usually want to have their words taken seriously, either as writers or as speakers. And if you don’t use the language very well, then it hard to have people take your ideas seriously. That’s just the reality.”
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- Nov 2020
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inst-fs-pdx-prod.inscloudgate.net inst-fs-pdx-prod.inscloudgate.net
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Their approach sensitized a switch somewhere and the nursery light flicked on when they came within ten feet of it. Similarly, behind them, in the halls, lights went on and off as they left them behind, with a soft automaticity.
The background is the future, where people have higher technology, but are more distant from their children.Because a nursery can provide everything a child needs
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