Selection

Initial Assessment: Transthoracic echocardiography (TTE) is recommended at diagnosis to assess aortic valve anatomy, valve function, and thoracic aortic diameters. CT or MRI is reasonable for comprehensive anatomic assessment. [1]

Surveillance Imaging: The choice depends on aneurysm location: [2]

Aortic root/proximal ascending aorta: TTE can be used if measurements correlate well with CT/MRI

Mid-ascending, arch, or descending thoracic aorta: CT or MRI is recommended

MRI is preferred for long-term surveillance to avoid cumulative radiation exposure from serial CT scans [1][3]

Surveillance Intervals

Size-Based Recommendations: [2-4]

<4.0 cm: Every 2-3 years if stable

4.0-4.4 cm: Every 2 years

4.5-4.9 cm: Annually

5.0-5.4 cm: Every 6-12 months (consider optimization for repair)

≥5.5 cm: Surgical evaluation indicated

Initial surveillance: Obtain follow-up imaging at 6-12 months after diagnosis to establish the growth rate. If stable, adjust interval based on size. [1]

Growth rate considerations: Descending thoracic aneurysms grow faster than ascending aneurysms (mean 2.76 mm/year vs 1 mm/year overall). Growth accelerates exponentially above 4.5 cm diameter. [3-4]

for - progress traps - why it happens - culture evolves much faster that genes

13:00 Steven Kotler has an interest in exponential technologies and has written a book on it called The Future is Faster than You Think

for - wicked problems - synthentic opiods coming to EU faster due to successful Taliban war on poppy industry

summary - the new synthetic opiod "Nitazene" is being manufactured in China and replaces the banned fentanyl. It is 300x stronger than heroin. - Due to the Taliban's successful war on drugs that has stamped out 95% of the poppy production, EU drug addicts are turning to the far more deadly nitazine

from - youtube - BBC - Inside the Taliban's war on Drugs - https://hyp.is/hKPiKBYbEe-2ZCPwUTz0Lg/docdrop.org/video/W-gMRFEZOGY/

Zusammenfassender Artikel über Studien zu Klimafolgen in der Antarktis und zu dafür relevanten Ereignissen. 2023 sind Entwicklungen sichtbar geworden, die erst für wesentlich später in diesem Jahrhundert erwartet worden waren. Der enorme und möglicherweise dauerhafte Verlust an Merreis ist dafür genauso relevant wie die zunehmende Instabilität des westantarktischen und möglicherweise inzwischen auch des ostantarktischen Eisschilds. https://www.theguardian.com/world/2023/dec/31/red-alert-in-antarctica-the-year-rapid-dramatic-change-hit-climate-scientists-like-a-punch-in-the-guts

Die Antarktis erwärmt sich deutlich schneller als in den bisherigen Klimamodellen angenommen - die Westantarktis doppelt so schnell wie der globale Durchschnitt. Das könnte die Erhöhung des Meeresspiegels erheblich beschleunigen. Eine Untersuchung von Eisbohrkernen belegt das bisher nur vermutete Phänomen der Menschen gemachten "arktischen Verstärkung" in der Südhemisphäre.

Studie: https://www.nature.com/articles/s41558-023-01795-1

https://www.theguardian.com/world/2023/sep/08/antarctica-warming-much-faster-than-models-predicted-in-deeply-concerning-sign-for-sea-levels

// oftentimes once we have a proper e2e test around logging in
// there is NO more reason to actually use our UI to log in users
// doing so wastes a huge amount of time, as our entire page has to load
// all associated resources have to load, we have to wait to fill the
// form and for the form submission and redirection process

// Not recommended: log into the application like a user // by typing into the form and clicking Submit // While this works, it is slow and exercises the login form // and NOT the feature you are trying to test.

Poop could be the key to tracking COVID-19 outbreaks. (n.d.). Popular Science. Retrieved May 5, 2020, from https://www.popsci.com/story/health/poop-sewage-covid-19-coronavirus/

My daughter will be brought up to understand her true value. That’s a promise. As for all the little girls to be born around the world, the creation of these ads is an effort to show how imagination can change the conversation around their lives.