Podcasts about Perforation

VYS0047 | The Weird Review Of The Year 2024 - Show Notes [Caution: This episode contains an extreme weariness for bullshit that some listeners may find triggering] 2024 was a tough year, weird but tough. And looking back over it doesn't make it any better. In what amounts to a rapid and inexorable descent into madness Hine and Buckley pick apart the weird and, frankly, fucking dystopian year that was 2024. Bouncing between jaded despair and hysterical mania the Vayse boys mull over the topics that dominated 2024: UFOs, Artificial Intelligence and Elon Fucking Musk. Whilst stumbling around in the intoxicating embrace of the seemingly endless darkness they also uncover strange stories of interconnected dreams, robot dogs with flame throwers, robot faces with living skin, bowls of goo with pong skills, plots to genetically engineer super-sheep, a surprising number of goblin attacks and perhaps, maybe, possibly a giant lake dwelling cow...? Recorded 22 January 2025 Massive thanks to Keith who had to tackle the show notes for this long and difficult episode - you can follow him at: : @peakflow.bsky.social As usual, the news stories in this episode were sourced from the weird and wonderous website: https://www.unexplained-mysteries.com/ - bookmark it and check it daily. Hine's Intro How Far Have You Travelled? - Michael Owen Carroll (https://www.michaelowencarroll.com/howfar.htm) Oligarchy - Wikipedia (https://en.wikipedia.org/wiki/Oligarchy) A Wizard of Earthsea: True names - Wikipedia (https://en.wikipedia.org/wiki/A_Wizard_of_Earthsea#True_names) What Is Late-Stage Capitalism? - The Balance (https://www.thebalancemoney.com/late-stage-capitalism-definition-why-it-s-trending-4172369) Animal Farm - Wikipedia (https://en.wikipedia.org/wiki/Animal_Farm) January ‘Jellyfish' UFO MoD expert gives surprising verdict on ‘Jellyfish UFO' hovering over Iraq - Metro (https://metro.co.uk/2024/01/10/jellyfish-ufo-iraq-airbase-well-real-says-mod-expert-20095286/amp/) Jellyfish UFO Analysis by Mick West - YouTube (https://www.youtube.com/watch?v=ojotsKjshHc) "Those Are Balls" - Arrested Development - YouTube (https://www.youtube.com/watch?v=6cQ3f13Oq7c) Neuralink human brain implant Elon Musk's Neuralink implants brain chip in first human - Reuters (https://www.reuters.com/technology/neuralink-implants-brain-chip-first-human-musk-says-2024-01-29/) Brain implants: what are the ethical issues of wiring up our minds? - Unexplained Mysteries (https://www.unexplained-mysteries.com/news/374601/brain-implants-what-are-the-ethical-issues-of-wiring-up-our-minds) March 2024 - Neuralink video shows patient using brain implant to play chess on laptop - The Verge (https://www.theverge.com/2024/3/21/24107499/neuralink-human-trial-chess-video-brain-computer-interface) Stanford hypnosis booster Stanford Hypnosis Integrated with Functional Connectivity-targeted Transcranial Stimulation (SHIFT): a preregistered randomized controlled trial - Nature (https://www.nature.com/articles/s44220-023-00184-z) Stanford scientists boost hypnotizability with transcranial magnetic brain stimulation - PsyPost (https://www.psypost.org/stanford-scientists-boost-hypnotizability-with-transcranial-magnetic-brain-stimulation/) VYS0041 | Technologies of Imagination - Vayse to Face with Bel Senlle (https://www.vayse.co.uk/vys0041) Derren Brown's Most Incredible Hypnosis Tricks - YouTube (https://www.youtube.com/watch?v=lQAI1EFg2b4) February Lucid dreamers control virtual Cybertruck Two-way control of a virtual avatar from lucid dreams - REMSpace (https://remspace.net/blog/two-way-control-of-a-virtual-avatar-from-lucid-dreams/) Severance - Official Trailer - YouTube (https://www.youtube.com/watch?v=xEQP4VVuyrY) Plasma lifeforms in our skies? Scientists Suggest WWII "Foo Fighters" Were Plasma Forms - Coast to Coast (https://www.coasttocoastam.com/alternate/amp/article/scientists-suggest-wwii-foo-fighters-were-plasma-forms/) Extraterrestrial Life in the Thermosphere: Plasmas, UAP, Pre-Life, Fourth State of Matter - SCIRP (https://www.scirp.org/journal/paperinformation?paperid=131506) How to Identify a Dark Matter Lifeform - Medium (https://jay-alfred1708.medium.com/how-to-identify-a-dark-matter-lifeform-6d362fb2ba11) Origins of the Gods: Qesem Cave, Skinwalkers, and Contact with Transdimensional Intelligences by Andrew Collins & Gregory L. Little - Goodreads (https://www.goodreads.com/book/show/59040095-origins-of-the-gods) A New Science of Heaven by Robert K.G. Temple - Goodreads (https://www.goodreads.com/book/show/61776165-a-new-science-of-heaven) The Super Natural: A New Vision of the Unexplained by Whitley Strieber & Jeffrey J. Kripal - Goodreads (https://www.goodreads.com/book/show/25489537-the-super-natural) The Cryptoterrestrials by Mac Tonnies - Goodreads (https://www.goodreads.com/book/show/7714033-the-cryptoterrestrials) Non-Living Intelligence: Cracking The Code For Materials That Can Learn - Astrobiology.com (https://astrobiology.com/2024/12/non-living-intelligence-cracking-the-code-for-materials-that-can-learn.html) A brief history of ontological shock - Unhidden.org (https://www.unhidden.org/a-brief-history-of-ontological-shock/) Animism - Wikipedia (https://en.wikipedia.org/wiki/Animism) Oklahoma Thundercow Video: Mysterious "Thundercow" Becomes Local Legend in Oklahoma (https://www.coasttocoastam.com/alternate/amp/article/video-mysterious-thundercow-becomes-local-legend-in-oklahoma/) AI explains how to catch a Bigfoot Bigfoot can be caught with 'giant net' and 'Bigfoot suit' as advice issued - MSN (https://www.msn.com/en-us/news/technology/bigfoot-can-be-caught-with-giant-net-and-bigfoot-suit-as-advice-issued/ar-BB1iwvOe) Usborne's World of the Unknown: Monsters - Goodreads (https://www.goodreads.com/book/show/57653110-the-world-of-the-unknown) March ASMR - Wikipedia (https://en.wikipedia.org/wiki/ASMR) Skinwalker Ranch investigated by AARO? Did AARO Just Confirm The US Government Officially Investigated Skinwalker Ranch? - Unexplained (https://www.unexplained.ie/article/750-did-aaro-just-confirm-the-us-government-officially-investigated-skinwalker-ranch/) Diana Walsh Pasulka - Wikipedia (https://en.wikipedia.org/wiki/Diana_Walsh_Pasulka) Gary Nolan - Wikipedia (https://en.wikipedia.org/wiki/Garry_Nolan) The Handmaid's Tale by Margaret Atwood - Goodreads (https://www.goodreads.com/book/show/34454589-the-handmaid-s-tale) When goblins attack! Horror Film Come to Life: Goblins Terrorise Bulawayo Family, Children Beaten, Food Vanishes - iHarare (https://iharare.com/terrifying-goblins-haunt-bulawayo-family-leaving-children-beaten/) Otherworld podcast (https://podtail.com/podcast/otherworld/) Montana ‘Frankensheep' Montana rancher pleads guilty to ‘frankensheep' wildlife crimes - AGDaily (https://www.agdaily.com/livestock/montana-rancher-pleads-guilty-to-frankensheep-wildlife-crimes/) Ungulate - Wikipedia (https://en.wikipedia.org/wiki/Ungulate) Liger - Wikipedia (https://en.wikipedia.org/wiki/Liger) Bigfoot in Devon? Mysterious ‘Bigfoot' prints found along Torquay coast path - Devon Live (https://www.devonlive.com/news/devon-news/mysterious-bigfoot-prints-found-along-9138669) Jan 2025 - UAP recovery video shows ‘egg-shaped' object - YouTube (https://www.youtube.com/watch?v=009qMHiqsVs) April Australian Govt declares no interest in UFOs Australian Dept of Defence drops 10-page UFO dossier - The Mandarin (https://www.themandarin.com.au/243606-defence-drops-10-page-ufo-dossier/) Skinwalker Ranch - Wikipedia (https://en.wikipedia.org/wiki/Skinwalker_Ranch) Religion in Twin Peaks: Native American Beliefs - Fire Walk With Me (https://firewalkwithme.weebly.com/native-american-beliefs.html) Thermonator: Rise of the Machines Ohio company to sell a ‘flamethrower-wielding robot dog' called the Thermonator - The Guardian (https://amp.theguardian.com/technology/2024/apr/26/robot-flamethrower-dog-thermonator) May 2024 - Robot dogs armed with AI-aimed rifles undergo US Marines Special Ops evaluation - Ars Techina (https://arstechnica.com/gadgets/2024/05/robot-dogs-armed-with-ai-targeting-rifles-undergo-us-marines-special-ops-evaluation/) Are we living in a dystopia? - The Conversation (https://theconversation.com/are-we-living-in-a-dystopia-136908) Handmaid's Tale Season One trailer - YouTube (https://www.youtube.com/watch?v=dVLiDETfx1c) Fear and non-humans in Las Vegas Las Vegas ‘nonhuman, UFO' encounter ‘traumatizing,' teen says - News Nation (https://www.newsnationnow.com/banfield/las-vegas-nonhuman-ufo-encounter-traumatizing-teen-says/?utm_source=flipboard&utm_content=NewsNationNow%2Fmagazine%2FNewsNation) American Cosmic: UFOs, Religion, Technology by D.W. Pasulka - Goodreads (https://www.goodreads.com/book/show/38819245-american-cosmic) Jan 2025 - Whistleblower reveals UAP retrieval program; object caught on video | NewsNation - YouTube (https://www.youtube.com/watch?v=3dtA9w5ldHw) Morbid masqueraders ‘AI death calculator' creators issue urgent warning about frighteningly accurate tool - NY Post (https://nypost.com/2024/04/29/tech/why-you-shouldnt-use-the-scarily-accurate-ai-death-calculator/) Dirty fuel Harwich factory to make jet fuel out of faeces in world first - BBC News (https://www.bbc.com/news/uk-england-essex-68789981) Robbie Williams: He's The One Robbie Williams thinks aliens are targeting him because he's so famous and can help them - Daily Star (https://www.dailystar.co.uk/showbiz/robbie-williams-thinks-aliens-targeting-32472744) Robbie Williams - Better Man | Official Trailer (2024 Movie) - YouTube (https://www.youtube.com/watch?v=KVeH5T4wxkE) VYS0045 | This Is Not The End Times; This Is A Rescue Mission - Vayse to Face with Bob Cluness (https://www.vayse.co.uk/vys0045) The Unseen Grant Morrison - Intensive Care (Robbie Williams' album design) (https://sites.google.com/deepspacetransmissions.com/deepspacetransmissions/news/the-unseen-grant-morrison-intensive-care) May UAP Transparency Act introduced Rep. Burchett introduces UAP Transparency Act - House.gov (https://burchett.house.gov/media/press-releases/rep-burchett-introduces-uap-transparency-act) 2023 - ‘Crazy Plane Lady' Tiffany Gomas Opens Up About Viral Meltdown on Plane in Exclusive Interview - Inside Edition (https://www.insideedition.com/crazy-plane-lady-tiffany-gomas-opens-up-about-viral-meltdown-on-plane-in-exclusive-interview-84519) June 2024 - Hailey Welch (hawk tuah girl) - Wikipedia (https://en.wikipedia.org/wiki/Haliey_Welch) Vatican issues new guidelines on weird stuff Vatican tightens rules on supernatural phenomena - BBC News (https://www.bbc.com/news/articles/cekl9jd883yo) AI to blame for lack of alien contact? AI may be to blame for our failure to make contact with alien civilisations - The Conversation (https://theconversation.com/ai-may-be-to-blame-for-our-failure-to-make-contact-with-alien-civilisations-227270) Turing test passed for first time? GPT-4 has passed the Turing test, researchers claim - Live Science (https://www.livescience.com/technology/artificial-intelligence/gpt-4-has-passed-the-turing-test-researchers-claim) I'm not a doppelgänger says Lavigne Avril Lavigne responds to bizarre conspiracy theory she died 20 years ago and was replaced by body double - The Standard (https://www.standard.co.uk/showbiz/avril-lavigne-conspiracy-theory-died-2003-body-double-melissa-vandella-b1158155.html) Chinese ‘pandas' were spray-painted dogs Chinese zoo under fire after dyeing dogs black and white for 'panda' exhibit - Sky News (https://news.sky.com/story/chinese-zoo-under-fire-after-dyeing-dogs-black-and-white-for-panda-exhibit-13132032) Sept 2024 - Moo Deng - Wikipedia (https://en.wikipedia.org/wiki/Moo_Deng) E.M. phone home Elon Musk Claims "I Am an Alien" Promises To Share Proof Online - Mashable (https://in.mashable.com/tech/75886/elon-musk-claims-i-am-an-alien-promises-to-share-proof-online) More goblin attacks Police officers in Zimbabwe desert station citing goblin attacks - Cite (https://cite.org.zw/police-officers-desert-station-citing-goblin-attacks/) Bizarre footage shows alleged "goblin" running across a road in Mexico - Unexplained Mysteries (https://www.unexplained-mysteries.com/news/376967/bizarre-footage-shows-alleged-goblin-running-across-a-road-in-mexico) June 10% chance of Cryptoterrestrials existing says Harvard study UFOs May Be Evidence Of "Cryptoterrestrials" Secretly Living Among Us - IFL Science (https://www.iflscience.com/ufos-may-be-evidence-of-cryptoterrestrials-secretly-living-among-us-74568) The Cryptoterrestrials by Mac Tonnies - Goodreads (https://www.goodreads.com/book/show/7714033-the-cryptoterrestrials) Robot faces made of living skin Faces made of living skin make robots smile - BBC News (https://www.bbc.co.uk/news/articles/cedd3208veyo.amp) Perforation-type anchors inspired by skin ligament for robotic face covered with living skin - Cell.com (https://www.cell.com/cell-reports-physical-science/fulltext/S2666-3864(24)00335-7) Nevada monolith Mysterious monolith appears in Nevada desert - BBC News (https://www.bbc.co.uk/news/articles/cekk7gm97j4o) Mexican BVM statue ‘cries tears of blood' Mystery as Virgin Mary statue "cries tears of blood" as church investigates "alleged miracle" - Irish Mirror (https://www.irishmirror.ie/news/world-news/mystery-virgin-mary-statue-cries-33048396) 25-foot-tall rideable bike breaks record Record-breaking 25-foot-tall rideable bike built by two friends - Guinness World Records (https://www.guinnessworldrecords.com/news/2024/6/record-breaking-25-foot-tall-rideable-bike-built-by-two-friends-770016) July Alleged Roswell metallic specimen analysed Pentagon Publishes Report on Material From an Alleged Alien Aircraft - Gizmodo (https://gizmodo.com/pentagon-publishes-report-on-material-from-a-reported-alien-aircraft-2000469433) AARO: Supplement to Oak Ridge National Laboratory's Analysis of a Metallic Specimen, July 2024 (https://www.aaro.mil/Portals/136/PDFs/Information%20Papers/AAROs_Supplement_to_ORNLs_Analysis_of_a_Metallic_Specimen.pdf) MUFON claims to have material of ‘non-human' origin Lighter than petal alien spacecraft's debris is on Earth. UFO hunters say it has 'non-human' origin - WION (https://www.wionews.com/science/lighter-than-petal-alien-spacecrafts-debris-is-on-earth-ufo-hunters-say-it-has-non-human-origin-741978/amp) Mars may have hosted microbial life NASA's Perseverance Rover Scientists Find Intriguing Mars Rock - NASA.gov (https://www.nasa.gov/missions/mars-2020-perseverance/perseverance-rover/nasas-perseverance-rover-scientists-find-intriguing-mars-rock/) Proposed seed repository on the moon Scientists propose lunar biorepository as ‘backup' for life on Earth - The Guardian (https://www.theguardian.com/environment/article/2024/jul/31/scientists-propose-lunar-biorepository-as-backup-for-life-on-earth) South Korea develops remote mind-control device New Technology to Control the Brain Using Magnetic Fields Developed - IBS (https://www.ibs.re.kr/cop/bbs/BBSMSTR_000000000738/selectBoardArticle.do?nttId=24921) Moscow Signal - Wikipedia (https://en.wikipedia.org/wiki/Moscow_Signal) Peter Levenda - Wikipedia (https://en.wikipedia.org/wiki/Peter_Levenda) Havana Syndrome - Wikipedia (https://en.wikipedia.org/wiki/Havana_syndrome) Extreme eater dies during livestream Extreme eater, 24, dies during livestream of 10-hour food binge after her stomach ripped open - LBC (https://www.lbc.co.uk/news/extreme-eater-24-dies-during-livestream-of-10-hour-food-binge-after-her-stomach/) August Man found dead on beach surrounded by headless chickens Man found dead after performing ‘black magic ritual' on decapitated chickens - Metro (https://metro.co.uk/2024/08/05/man-dies-black-magic-ritual-involving-decapitated-chickens-21362994/amp/) Early ‘hobbit' hominins shorter than we thought Archaic human "hobbits" were even shorter than we thought, 700,000-year-old teeth and bone reveal - Live Science (https://www.livescience.com/archaeology/archaic-human-hobbits-were-even-shorter-than-we-thought-700000-year-old-teeth-and-bone-reveal) Stonehenge ‘altar stone' came from Scotland Stonehenge megalith came from Scotland, not Wales, ‘jaw-dropping' study finds - The Guardian (https://www.theguardian.com/uk-news/article/2024/aug/14/stonehenge-megalith-came-from-scotland-not-wales-jaw-dropping-study-finds) Spinal Tap: Stonehenge - YouTube (https://www.youtube.com/watch?v=qAXzzHM8zLw) Liquid water found under surface of Mars Liquid water in the Martian mid-crust - PNAS (https://www.pnas.org/doi/10.1073/pnas.2409983121) Reservoir of liquid water found deep in Martian rocks - BBC News (https://www.bbc.co.uk/news/articles/czxl849j77ko) Yet another goblin attack Bizarre video reportedly shows 'goblin' that attacked farm worker - Unexplained Mysteries (https://www.unexplained-mysteries.com/news/380629/bizarre-video-reportedly-shows-goblin-that-attacked-farm-worker) Scientists train goo to play computer game Electro-active polymer hydrogels exhibit emergent memory when embodied in a simulated game environment - Cell.com (https://www.cell.com/cell-reports-physical-science/fulltext/S2666-3864(24)00436-3#%20) Scientists Trained a Lump of Goo to Play Pong - Gizmodo (https://gizmodo.com/scientists-trained-a-lump-of-goo-to-play-pong-2000490231) September First civilian spacewalks SpaceX Makes History With First Spacewalks Ever by Private Citizens - Science Alert (https://www.sciencealert.com/spacex-makes-history-with-first-spacewalks-ever-by-private-citizens) Prince Philip fails to meet alien Prince Philip was ‘meant to meet an alien called Janus in a Chelsea flat' - Metro (https://metro.co.uk/2024/09/12/prince-philip-meant-meet-alien-called-janus-a-flat-21592325/) Flurry of activity at Loch Ness Mystery creature filmed moving across the surface of Loch Ness - Unexplained Mysteries (https://www.unexplained-mysteries.com/news/381245/mystery-creature-filmed-moving-across-the-surface-of-loch-ness) Loch Ness Monster encounter as shocked swimmer feels Nessie brush up against him - Daily Record (https://www.dailyrecord.co.uk/scotland-now/loch-ness-monster-encounter-shocked-33694393) June 2024 - Huge search for the Loch Ness Monster claims to have found "unexplainable" new evidence - The Scotsman (https://www.scotsman.com/heritage-and-retro/heritage/huge-search-for-the-loch-ness-monster-claims-to-have-found-unexplainable-new-evidence-4651757) Oct 2024 - Monstrous disturbance recorded at Loch Ness - LochNess.com (https://lochness.com/monstrous-disturbances-recorded-at-loch-ness/) Oct 2024 - Loch Ness Monster spotted in "unprecedented" video that "can't be anything else" - Edinburgh Live (https://www.edinburghlive.co.uk/news/uk-world-news/loch-ness-monster-spotted-unprecedented-30350273) First lucid dream communication Breakthrough from REMspace: First Ever Communication Between People in Dreams - Business Wire (https://www.businesswire.com/news/home/20241008878282/en/Breakthrough-from-REMspace-First-Ever-Communication-Between-People-in-Dreams#) A historic milestone: Two people communicate in dreams - Tech Explorist (https://www.techexplorist.com/historic-milestone-two-people-communicate-dreams/91175/#google_vignette) Moon affected by COVID-19 pandemic Effect of COVID-19 global lockdown on our Moon - Oxford Universty Press (https://academic.oup.com/mnrasl/article/535/1/L18/7760380?login=false) COVID-19 Pandemic Affected the Moon, Scientists Claim - Futurism (https://futurism.com/the-byte/covid-19-pandemic-moon) October Trump protected against spells say witches Witches Report Their Spells Against Trump Aren't Working: "He Has a Shield" - CBN (https://cbn.com/news/us/witches-report-their-spells-against-trump-arent-working-he-has-shield) 100 right-footed shoes stolen Mystery over why shoe thief stole 100 right-footed shoes - Metro (https://metro.co.uk/2024/10/18/mystery-thieves-steal-100-shoes-right-foot-ones-21818147/) Viral pyramid pup This Pup Is Going Viral for Climbing to the Top of an Egyptian Pyramid - Smithsonian Magazine (https://www.smithsonianmag.com/smart-news/this-pup-is-going-viral-for-climbing-to-the-top-of-an-egyptian-pyramid-180985306/) Animals get drunk more frequently than we thought Drunk animals far more common than previously thought, scientists say - The Independent (https://www.independent.co.uk/news/science/alcohol-animals-drunk-fruits-ethanol-b2638124.html) The evolutionary ecology of ethanol - Cell.com (https://www.cell.com/trends/ecology-evolution/fulltext/S0169-5347(24)00240-4) Extraterrestrial life could be thriving near Uranus Constraining Ocean and Ice Shell Thickness on Miranda from Surface Geological Structures and Stress Modeling - IOP Science (https://iopscience.iop.org/article/10.3847/PSJ/ad77d7) November Tucker Carlson ‘physically mauled' by ‘demon' Tucker Carlson claims a ‘demon' attack left him bleeding in bed - The Guardian (https://www.theguardian.com/us-news/2024/nov/01/tucker-carlson-demon-attack) 43 monkeys escape lab South Carolina Residents Told to Secure Their Homes After 43 Monkeys Escape Lab - Gizmodo (https://gizmodo.com/south-carolina-residents-told-to-secure-their-homes-after-43-monkeys-escape-lab-2000521629) AI tells student: “Please die. Please.” Google AI chatbot responds with a threatening message: "Human … Please die." - CBS News (https://www.cbsnews.com/news/google-ai-chatbot-threatening-message-human-please-die/) 690452 TikTok trend explained What does 690452 mean? The TikTok trend explained - Capital FM (https://www.capitalfm.com/internet/690452-meaning-tiktok/) How to Play the Elevator Game (and Survive the Otherworld) - WikiHow (https://www.wikihow.com/The-Elevator-Game) We're All Going to the World's Fair | Official Trailer - YouTube (https://www.youtube.com/watch?v=y0AnGfzgh_w) Alex Jones' Infowars bought by The Onion The Onion purchases Alex Jones' Infowars at bankruptcy auction - Unexplained Mysteries (https://www.unexplained-mysteries.com/news/382468/the-onion-purchases-alex-jones-infowars-at-bankruptcy-auction) Sandy Hook Elementary School shooting conspiracy theories - Wikipedia (https://en.wikipedia.org/wiki/Sandy_Hook_Elementary_School_shooting_conspiracy_theories) Drone-cember US Air Force bases in UK swarmed by drones Mystery drones swarmed US Air Force base for 17 consecutive nights - Unexplained Mysteries (https://www.unexplained-mysteries.com/news/381708/mystery-drones-swarmed-us-air-force-base-for-17-consecutive-nights) What's going on with drones spotted over air bases in the UK? - Sky News (https://news.sky.com/story/whats-going-on-with-drones-spotted-over-us-air-bases-in-uk-13261593) New Jersey drone flap FBI joins hunt for answers behind nightly drone sightings in New Jersey - NBC New York (https://www.nbcnewyork.com/new-jersey/morris-county-nightly-drone-noises/6033146/) "I don't buy it": Americans want answers on possible drone sightings - BBC News (https://www.bbc.co.uk/news/articles/cz0r9v3xekno) Live action role-playing game (LARP) - Wikipedia (https://en.wikipedia.org/wiki/Live_action_role-playing_game) Ong's Hat: Compleat - Incunabula (https://incunabula.org/1300-2/) UK sets out position on unidentified aerial phenomenon - UK Defence Journal (https://ukdefencejournal.org.uk/uk-sets-out-position-on-unidentified-aerial-phenomenon/) ‘Mirror life' microbe research poses threat to life on Earth ‘Unprecedented risk' to life on Earth: Scientists call for halt on ‘mirror life' microbe research - The Guardian (https://www.theguardian.com/science/2024/dec/12/unprecedented-risk-to-life-on-earth-scientists-call-for-halt-on-mirror-life-microbe-research) Tomb of ‘real Santa Claus' discovered Sarcophagus of ‘real Santa Claus' found at St. Nicholas Church in Turkey - Archaeology News (https://archaeologymag.com/2024/12/sarcophagus-of-santa-claus-found-in-turkey/) Buckley's closing question ….. Vayse online Website (https://www.vayse.co.uk/) Twitter (https://twitter.com/vayseesyav) Bluesky (https://bsky.app/profile/vayseesyav.bsky.social) Instagram (https://www.instagram.com/vayseesyav/) Bandcamp (Music From Vayse) (https://vayse.bandcamp.com/) Ko-Fi (https://ko-fi.com/vayse) Email: vayseinfo@gmail.com

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Bowel Perforation⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Gastrointestinal section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Commentary by Dr. Jian'an Wang.

Commentary by Dr. Samantha Saunders.

In this episode of Thinking Thoracic, Dr. Jane Yanagawa talks with Dr. Stephanie Worrell, clinical associate professor and thoracic section chief, division of cardiothoracic surgery, University of Arizona, about her expertise in esophageal perforation management. Hear how esophageal surgery can involve complications such as anastomotic leak, pain, bleeding, infection, and reflux and how surgeons can best handle them. 

Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios.  El curso tiene un formato emocionante y completamente único. Cada uno de los 100 caso consta de dos partes. La primera parte es un caso oral perfectamente ejecutado que imita la realidad. Cada caso tiene una duración de cinco a siete minutos e incluye una variedad de tácticas y estilos. Si logras alcanzar este nivel de desempeño en tu preparación, seguramente aprobarás el examen de certificación con éxito. La segunda parte introduce comentarios de alto rendimiento para cada escenario. Estos comentarios incluyen consejos y trucos para ayudarte a dominar los escenarios más desafiantes, además de una enseñanza práctica y fácil de entender que cubre los temas más confusos que enfrentamos como cirujanos generales. Estamos seguros de que encontrarás este enfoque único de doble formato como una forma altamente efectiva de prepararte para el examen. Nuestro contenido está disponible en nuestras aplicaciones para iOS y Android y en nuestro sitio web (behindtheknife.org). Por favor, consulta las notas del programa para más información. Nos encantaría escuchar tus comentarios sobre este episodio enviando un correo electrónico a hello@behindtheknife.org y apreciamos tu ayuda para difundir la palabra entre tus colegas si disfrutas del material. Si los comentarios son positivos, traduciremos todo nuestro curso al español.  presentadores de podcast: - Auri P. Garcia Gonzalez, MD PhD nació en San Juan, Puerto Rico, y se trasladó a los Estados Unidos en el 2012 para sus estudios graduados. Actualmente, es estudiante de post-grado en cirugía general en Duke University.  - Diego Schaps, MD, MPH es un residente de cirugía general en Duke y nació en Miami, en el estado de la Florida. Sus padres nacieron en El Salvador. Disclaimer: Los productos de contenido de Behind the Knife son únicamente para fines educativos. No diagnosticamos, tratamos ni ofrecemos consejos específicos para pacientes. ------ Behind the Knife is the world's leading surgical podcast and surgical education platform.  Our mission is to create innovative surgical education content that is accessible to all.  We are very excited to expand into the spanish audience and bring you 4 sample episodes of our General Surgery Oral Board Review Course which will be released over the course of the next week. Today, you'll hear a sample scenario from this comprehensive audio review course which includes 100 scenarios.  The course has an exciting and entirely unique format. Each of the 100 scenarios includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are five to seven minutes long and include a variety of tactics and styles. If you're able to achieve this level of performance in your preparation, you are sure to pass the oral exam with flying colors.    The second part introduces high yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy to understand teaching that covers the most confusing topics that we face as general surgeons. We are confident you will find this unique dual format approach a highly effective way to prepare for the test. Our content is available on our iOS and Android apps and website (behindtheknife.org).  Please check the show notes for more information. We would love to hear your feedback by emailing hello@behindtheknife.org and appreciate your help spreading the word to your colleagues if you enjoy the material.  If feedback is positive, we will translate our entire course to Spanish.   Hosts: - Auri P. Garcia Gonzalez, MD PhD was born and raised in San Juan, Puerto Rico and moved to the US in 2012 for graduate studies. At present, she is a surgical resident at Duke University. - Diego Schaps, MD, MPH is a general surgery resident at Duke and was born in Miami, Florida. His parents were born in El Salvador. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Some pathologies are true can't-miss diagnoses. Get into one such condition with EMRA*Cast host Will Smith, MD, and EM guru Matthew DeLaney, MD. In this episode you will learn a very simple and comprehensive workup for mesenteric ischemia.

Discover the cutting-edge technology behind GEODynamics' new perf gun families, EPIC Precision and EPIC Flex, in this episode of "World Oil Deep Dive." Host Jim Watkins engages with industry experts Zach Wade, Mike Surgenor, and Joey Prestenbach to discuss the design, functionality, and customer benefits of these innovative tools. Listen in to understand how GEODynamics is setting new standards in perforation technology.

Pouvant être très douloureux et responsable de complications graves, quels sont les symptômes et le traitement de l'ulcère de l'estomac et de l'intestin ? Tous les détails dans cet épisode !

Dr. Jay Calvert & Dr. Millicent Rovelo discuss Septal Perforation! -- Dr. Jay Calvert & Dr. Millicent Rovelo are Board Certified Plastic Surgeons located in Beverly Hills, California! Dr. Jay Calvert - drcalvert.com @DrJayCalvert Dr. Millicent Rovelo - roveloplasticsurgery.com @RoveloPlasticSurgery Follow the Podcast on Instagram - @BeverlyHillsPlasticSurgeryPod LISTEN HERE: Apple Podcasts - https://podcasts.apple.com/gb/podcast/the-beverly-hills-plastic-surgery-podcast-with-dr/id1481017059 Spotify - https://open.spotify.com/show/6rwIdK6oUptZV0X55Dvn76

Heute steht die iatrogene Gallenblasenverletzung im Vordergrund. Eine retrospektive Studie aus der Türkei hat sich der Frage angenommen, ob Patienten von einer prolongierten Antibiotikatherapie profitieren könnten. Primärer Endpunkt war der postoperative Wundinfekt nach elektiver laparoskopischer Choleystektomie nach iatrogener Gallenblasenverletzung. Karabulut Z, Güler Y, Doğan P, Şengül S, Çaliş H. What Should be Done for Perforation of the Gallbladder During Laparoscopic Cholecystectomy: Prophylaxis or Treatment? J Laparoendosc Adv Surg Tech A. 2021 Jan;31(1):54-60. doi: 10.1089/lap.2020.0322. Epub 2020 Jun 26. PMID: 32598243.

Jamie sits down with Prinsco Ag Application Engineer, Trey Allis, for a conversation about a recent study on pipe perforation and sock fabric. They talk through how small-scale studies might contribute to misconceptions in agricultural water management, and why talking to a contractor in your area is the best bet for farmers who have questions about which drainage products will serve your farm best."Talk to a drainage contractor. To the people you trust in your area... They have decades of experience, and they're not going to steer you wrong." - Jamie DuininckChapters & Topics: 00:00   On this episode…00:15   Welcome to Trey Allis01:25   How was harvest?02:15   The technical side of ag02:40   Socks or no socks?03:30   Michigan State Study05:00   Standard perf, narrow perf, sock…06:15   Accurate or not?07:33   Take it with a grain of sand08:27   What do I do now?10:00   Contractors know11:32   Soil type matters13:15   Narrow slot – all the rage14:15   Use some scrutiny16:30   Do it right the first time17:30   Laterals and spacing19:30   Don't spend the money22:00   What about old pipe?Related Content:FAQs From the Field: Applications, Materials & MoreSaturated Buffers: Stepping Up to the Plate… On the RoadContractor Conversations at Farmfest: Part 1 with Mike Litzau, Drainage Contractor (he knows what he's talking about!)Find us on social media! Facebook Twitter InstagramListen on these Podcast Platforms :Apple Podcasts Spotify Google Podcasts Visit our website to explore more episodes & water management education

After settling the score that she did not imagine Mazinger Z's "pectorally-endowed" opponents from the last episode, Carmina and Patch discover Fil-Am animators making waves in the US before delving into the history of the Philippine animation industry.  They also discuss celebrated original Pinoy animations across the spectrum of drama, comedy, and romance. Drop in and learn why Pinoys deserve recognition in this growing and much-loved creative space!Congratulations to Iti Mapukpukaw (The Missing) for winning three major awards at the 19th Cinemalaya Philippine Independent Film Festival: Best Supporting Actress for Dolly de Leon, NETPAC (Network for the Promotion of Asian Cinema) Award, and Best Film.Learn more: The case of the Philippines animation industry, The Philippine Film Animation Industry and Its History of Captivity, LIST: 5 Pinoy animated films and series to watch this Buwan ng Wika, Animation industry poised for transition from outsourcing to original content, Why the Time Is Ripe for Animation in Philippine Feature-Length Films, The Perforation in Philippine Animation Industry: Original Content Full Length Animated Films, 17th Animahenasyon Philippine Animation Festival – Call for Entry 2023, and Re-animating Philippine Cinema: For Filipinos by Filipinos.To support FilTrip, go to the Patreon page here and PayPal page here.Visit https://filtrip.buzzsprout.com. Drop a note at thefiltrip@gmail.com.Thanks to FilTrip's sponsor SOLEPACK. Visit thesolepack.com for more details.See https://www.buzzsprout.com/privacy for Privacy Policy.

Um sie auch während der Sommerzeit gut zu unterhalten, senden wir heute und an den nächsten beiden Donnerstagen unser Sommerspecial Komplikationsmanagement in der Endoskopie! Endoskopische Komplikationen und vor allem deren Management haben sich im letzten Jahrzehnt dramatisch gewandelt – vor allem Perforationen werden heutzutage vorwiegend endoskopisch gelöst. In den ersten beiden Teilen erzählt uns Ulrike Denzer, wie wir Perforationen in Ösophagus und Kolon managen und wie meist eine Operation vermieden werden kann. Sie berichtet über eine eigene Fallserie und über eine neue Anwendung einer etablierten Technik auch bei akuten Ösophagusperforationen. Nur in der post-ERCP-Pankreatitis hat sich nichts geändert - wirklich? Henrike Lenzen stellt eine neue Metaanalyse und eine Erfassung in Österreich über die Risiken im Alltag vor. Weiterhin reden wir über die Evidenz zur Pankreatitis-Prophylaxe mit NSAR-Zäpfchen, Hydratation und Pankreasstents.

Jamie is joined by Dr. Ehsan Ghane from Michigan State University, a professor and researcher, for a conversation about which type of pipe is best for specific types of soil. Should the pipe have narrow slots? Should it be wrapped in a sock? What is drainage intensity? Does water-main size matter? Dr. Ghane answers all of these questions and more. Don't miss this episode!Michigan State University Drainage:https://www.egr.msu.edu/bae/water/drainage/About the Guest:Dr. Ehsan Ghane teaches Biosystems and Agricultural Engineering at Michigan State University, along with performing extensive research into drainage pipe pattern and style, and how those things play into increased water quality and crop yield. He holds a Ph.D. from Ohio State University and spent time at the University of Minnesota in the department of Soil, Water and Climate.Episode Topics:00:00   Intro00:32   Today on The Water Table…01:13   Welcome to Dr. Ehsan Ghane02:07   Pipe style – all the innovations03:30   It's different in Michigan04:18   Perforation patterns and pipes05:45   Socks = speed07:50   Drainage intensity – what is it?09:29   What about a heavier soil?11:30   A soil bridge12:00   Drainage sedimentation tool13:00   More money or not?15:00   How to find the information15:20   Water quality and controlled drainage17:27   The “Main” thing20:00   Saving money could cost you later25:00   Just watch the video!28:00   Thanks for joining!Follow us on social media! Facebook Twitter Find us on Apple Podcasts Subscribe to our Spotify Listen on Google Podcasts Visit our website to explore more episodes & water management education:https://www.watertable.ag/the-podcast/ 

Quelles sont les indications de chirurgie à considérer en urgence dans les MICI ? A quel moment proposer la chirurgie dans la maladie de Crohn ? Est-ce applicable pour la rectocolite hémorragique ? Quelles sont les indications à froid dans la maladie de Crohn ? Quelles sont les indications dans la rectocolite hémorragique ? Comment présenter la chirurgie au patient pour qu'il l'accepte ? Le Pr Eddy Cotte, chirurgien viscéral et digestif - spécialité colorectal, et Chef de service de chirurgie digestive et oncologique aux Hospices Civils de Lyon, répond à vos questions.   Invité : Pr Eddy Cotte – HCL Lyon https://www.chu-lyon.fr/service-de-chirurgie-digestive-et-oncologique  Le Pr Cotte déclare ne pas avoir de lien d'intérêt en rapport avec le sujet traité.   L'équipe :
 Comité éditorial : Pr Lucine Vuitton, Pr Guillaume Bouguen, Pr Mathurin Fumery, Dr Maeva Charkaoui, Dr Mathieu Uzzan, Justine Amaro, Charlotte Mailhat, Justine Pollet Animation :  Pyramidale Communication Production : Pyramidale Communication Soutien institutionnel : Pfizer   Crédits : Pyramidale Communication, Sonacom

In this episode of BackTable ENT, Dr. Gopi Shah, Dr. Walter Kutz (UT Southwestern), and Dr. Daniel Choo (Cincinnati Children's Hospital) discuss indications and repair techniques for tympanic membrane perforation in children. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, the doctors discuss the typical patient presentation of a child with a perforated tympanic membrane (TM). Tympanostomy tubes falling out are the most common causes of this condition. Trauma and suppurative otitis media can also cause a TM perforation. The doctors emphasize the importance of taking a thorough history and asking about previous tubes, craniofacial abnormalities, the function of the contralateral ear, and recent trauma. Then, they discuss physical exam techniques to inspect the affected ear. All agree that using a standard otoscope is most useful in clinic, as the endoscope is more useful in the OR. Additionally, Dr. Choo notes that he usually streams the inspection on video monitors on the wall for kids and families to see. Not all children with TM perforations have to undergo tympanoplasty. If there is a small perforation without hearing loss, watchful waiting may be appropriate. However, Dr. Kutz adds that if there is evidence of cholesteatoma or severe hearing loss, repair may be the best option after explaining all options to the parents. The doctors then weigh the risks and benefits of immediate TM repair versus watchful waiting and assess whether size and location of perforation matter. They conclude that the functional status of the children, evident through school performance and language development, have an important contribution when choosing a treatment option as well. Next, the doctors discuss different tympanoplasty techniques, including different types of grafts (cartilage, fat, synthetic, etc.), ways to shape the grafts, and taking a microscopic versus endoscopic approach to the repair surgery. They also discuss common causes of failure and postoperative complications. Finally, they each explain their postoperative regimens and alternative rehab options if hearing does not improve enough after surgery. --- RESOURCES Cook Medical https://www.cookmedical.com/otolaryngology/

In this episode of Endo Voices we dig deep highlighting an important topic no one wants to experience iatrogenically, but which is nevertheless a well-known uncommon risk of treatment: perforations. Perforations and the implications of how practitioners tackle this scenario are paramount. We review this topic with international endodontist extraordinaire Dr. Kreena Patel from London. She aims to restore any voids in listeners' knowledge with updates on the latest perforation protocols, techniques and materials. She seamlessly weaves in the importance of leveraging technology when developing a diagnosis, as well as differentiates between a bleeding spot from perforation vs. bleeding from an accessory canal. Listen in as we cover the “file flutter” phenomenon and the most critical elements of perforation recognition and location, and how these influence prognosis. Dr. Patel also wows us with her academic and literature prowess and succinctly breaks down optimal uses, properties and setting times of various materials like tricalcium silicates and MTA.Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Haus Of Xhaos - (Nie Wieder) Arbeit ! In dieser Folge reden Xenia Ende und Rosh Zeeba über Arbeit: Entfremdete, künstlerische, als Filmemacherin, an sich selbst, an Beziehungen, in Sorge, an Utopien. Eine lauschige Stunde zwischen Alltag und Begriff, Theorie, Taktik und Tortur. Rosh Zeeba arbeitet als Filmemacher:in, Video- und Performancekünstler:in. Topics: Being of Color, intersectional feminism, traversing, glitching, educating, irritating, interlacing, rissiger roter Faden. Angry with a soft touch. Xenia Ende macht neurotrans*verse Performation. Das ist ein erfundenes Klammerwort bestehend aus Neurodiversität, Trans-Gender/Sexualität, sowie Performance und Perforation. Soft with an angry touch. @xhaos_podcast mixcloud.com/HausOfXhaos roshzeeba.com @rosh_zeeba / xeniaende.com @xenia_ende Kontakt: xende@riseup.net

On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022... The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.

Du musst kein Held sein, im Gespräch mit Peter Tauber, dem ehemaligen Generalsekretär der CDU unter der damaligen Kanzlerin Angela Merkel. Peter Tauber hatte drei Darmoperationen. Nach einer kam es zu einer Perforation des Darms. Dies sollte sein Leben verändern. In diesem Gespräch erzählt Peter Tauber sehr offen und persönlich über seine Erlebnisse. Wie sie ihn verändert haben und was macht das eigentlich mit einem, wenn die Kanzlerin zu Besuch kommt? Dieses Gespräch solltest Du auf keinen Fall verpassen, denn Du erfährst auch, wie Du Dir eine starke Resilienz aufbauen kannst. Buch Du musst kein Held sein: https://amzn.to/3Sn3Im0 Hörbuch Peter Tauber Du musst kein Held sein: https://amzn.to/3f1DKpD Homepage Peter Tauber: https://www.petertauber.de Twitter Peter Tauber: https://twitter.com/petertauber Instagram Peter Tauber: https://www.instagram.com/petertauber Facebook Peter Tauber: https://www.facebook.com/tauber.peter Mein Hörkurs „Crohnifiziere Dein Leben mit CED“: https://elopage.com/s/ichundmeincrohn/crohnifiziere-dein-leben-mit-ced-hoerkurs Feedback und Anfragen: ichundmeincrohn@gmail.com

Wir machen eine kleine Zeitreise und lassen alle bisherigen Folgen des Haus Of Xhaos Revue passieren. So gibt's einen gedanklichen Über - und anekdotischen Einblick in unser Podcasting. Wie eine Hörer*in sagte: "So verstehe ich endlich den gedanklichen Zusammenhang und freue mich die Folgen nochmal nachzuhören." Dazu gibts kleine Gedankenspiele über unsere Zeitmaschinen. Stay in the future - this too shall pass. Rosh Zeeba arbeitet als Filmemacher:in, Video- und Performancekünstler:in. Topics: Being of Color, intersectional feminism, traversing, glitching, educating, irritating, interlacing, rissiger roter Faden. Angry with a soft touch. Xenia Ende macht neurotrans*verse Performation. Das ist ein erfundenes Klammerwort bestehend aus Neurodiversität, Trans-Gender/Sexualität, sowie Performance und Perforation. Soft with an angry touch. @xhaos_podcast mixcloud.com/HausOfXhaos roshzeeba.com @rosh_zeeba / xeniaende.com @xenia_ende Kontakt: xende@riseup.net

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover esophageal rupture and perforation. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

For our most recent podcast episode, I sat down with Jessica Wolff, a mother who has endured loss and 2 very different NICU journeys. For part one of this podcast, she shares personal details on her very complicated twin pregnancy and the difficult choices they had to make along the way. She reflects back on regrets both she and her husband, Pat have experienced as well as what helped them cope through their daughter, Lily's 256-day NICU stay. Jessica explains what helped them make the decision whether or not Lily should have a tracheostomy placed and she speaks candidly about what their expectations were after Lily's tracheostomy placement, versus their reality. She offers frank advice for NICU families, especially those with similar situations who have children with feeding issues, ostomies, bronchopulmonary dysplasia or BPD, pain medication withdrawal, tracheostomies, and what going home looked like for their family with a ventilator-dependent child. You will be amazed by what this family has been through, but even more so by their strength and resiliency. Sweet Lily has touched so many lives in her short 4 years, and this is just the beginning of her story, I know she'll pull on your heart strings as well. So sit back and listen to part one of this family's story with Jessica Wolff. Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech Products: https://www.neotechproducts.com/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode37Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

Haus Of Xhaos - Intersektionalität In dieser Folge geht es um Schnittmengigkeit, Durchkreuztheit: Intersektionalität. In "Intersectionality As Critical Social Theory" beleuchtet die schwarze Feministin P.H. Collins Geschichte und Verortungen intersektionalen Denkens. Im Anschluss daran denken Xenia Ende und Rosh Zeeba über Chancen, Risiken und Nebenwirkungen von Intersektionalität in Alltag und Wissenschaft nach. Rosh Zeeba arbeitet als Filmemacher:in, Video- und Performancekünstler:in. Topics: Being of Color, intersectional feminism, traversing, glitching, educating, irritating, interlacing, rissiger roter Faden. Angry with a soft touch. Xenia Ende macht neurotransverse Performation. Das ist ein erfundenes Klammerwort bestehend aus Neurodiversität, Trans-Gender/Sexualität, sowie Performance und Perforation. Soft with an angry touch. @xhaos_podcast mixcloud.com/HausOfXhaos roshzeeba.com @rosh_zeeba / xeniaende.com @xenia_ende Kontakt: xende@riseup.net

It's 1AM and the emergency department is calling about *insert terrifying foregut problem you haven't seen since you were an intern here* and you wake up in a cold sweat to realize it was just a dream…this time. Tune in to this clinical challenge episode for some tips and tricks for managing foregut nightmares with Drs. Mike Weykamp, Nicole White, Andrew Wright, and Nick Cetrulo from the University of Washington's Minimally Invasive Surgery team.  Referenced articles and videos:  1.     Rodriguez-Garcia HA, Wright AS, Yates RB. Managing obstructive gastric volvulus: challenges and solutions. Open Access Surgery. 2017 https://www.dovepress.com/getfile.php?fileID=35414 2.     Yates RB. Giant PEH: Management Principles for Unique Clinical Circumstances. 2017 SAGES Annual Meeting. Houston, TX. 2017 https://www.youtube.com/watch?v=vq6cZL2-pho 3.     Millet I, Orliac C, Alili C, Guillon F, Taourel P. Computed tomography findings of acute gastric volvulus. Eur Radiol. 2014.  https://pubmed.ncbi.nlm.nih.gov/25278244/ 4.     Mazaheri P, Ballard DH, Neal KA, Raptis DA, Shetty AS, Raptis CA, Mellnick VM. CT of Gastric Volvulus: Interobserver Reliability, Radiologists' Accuracy, and Imaging Findings. AJR Am J Roentgenol. 2019.  https://pubmed.ncbi.nlm.nih.gov/30403524/ 5.     Barmparas G, Alhaj Saleh A, Huang R, Eaton BC, Bruns BR, Raines A, Bryant C, Crane CE, Scherer EP, Schroeppel TJ, Moskowitz E, Regner JL, Frazee R, Campion EM, Bartley M, Mortus JR, Ward J, Margulies DR, Dissanaike S. Empiric antifungals do not decrease the risk for organ space infection in patients with perforated peptic ulcer. Trauma Surg Acute Care Open. 2021. https://pubmed.ncbi.nlm.nih.gov/34079912/ 6.     Horn CB, Coleoglou Centeno AA, Rasane RK, Aldana JA, Fiore NB, Zhang Q, Torres M, Mazuski JE, Ilahi ON, Punch LJ, Bochicchio GV. Pre-Operative Anti-Fungal Therapy Does Not Improve Outcomes in Perforated Peptic Ulcers. Surg Infect (Larchmt). 2018. https://pubmed.ncbi.nlm.nih.gov/30036134/ 7.     Wee JO. Gastric Volvulus in Adults. In: UpToDate, Louie BE (Ed), UpToDate, Waltham, MA. (Accessed on May 15, 2022.) https://www.uptodate.com/contents/gastric-volvulus-in-adults Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

Commentary by Drs. Mladen Vidovich, David L. Fischman, and Roberto Bernardo

  Vidcast:  https://youtu.be/3ck2nFVl1BE   The FDA and Gortons Seafood of Gloucester are recalling Gorton's Fish Sandwiches - 100% Whole Fillets.  The fish in these sandwiches may conceal large, sharp fish bones risking lacerations and perforations of linings in the mouth, throat, gastrointestinal, or respiratory tracts.  As many as 504 packages of these fish sandwiches may be involved and were sold in New York, Vermont, Pennsylvania, Virginia, Maryland, North Carolina, and Puerto Rico. If you bought any of these fish sandwiches, contact Gorton's at 1-888-573-5982 to find out whether your package is involved and to arrange a refund.   https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/gortons-issues-voluntary-recall-small-quantity-fish-sandwich-fillets   #gortons #fishsandwich #bones #laceration #perforation #recall  

The slap heard around the world has been all anyone can talk about for the last few weeks. Oscar buzz is usually before the event, but the altercation has left many discussing the evening outcomes afterwards.  According to popular opinion a slap in the face often only leads to so-called trivial injuries, however research shows  it can also lead to massive injuries such as fractures and injuries of the eardrum. So join Dr. Niket Sonpal this week for a podcast on middle ear injury. Because as Winston Churchill said, "Never let a good crisis go to waste." - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help. We've worked with thousands of physician assistants and nurse practitioners working in Primary Care since 2013 and we're confident we can help take your career and life to the next level. If you're working in primary care, you can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/application - Learn more about who we are here: https://medgeeks.co/about-us - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates: https://www.facebook.com/groups/medgeeks

In this episode, we review the high-yield topic of Bowel Perforation from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

Thoughts of esophageal perforations keeping you up at night? Actual esophageal perforations keeping you up at night?  Drs. Brian Louie, Peter White, and Megan Lenihan discuss both the tried-and-true and the cutting-edge management of this challenging problem. Learning Objectives - Understand basic principles of management - Review differences in management based on different underlying pathology and location - Learn indications and techniques for advanced endoscopic interventions for perforations - Discuss nutrition planning  Referenced Material - Thornblade LW, Cheng AM, Wood DE et al. A Nationwide Rise in the Use of Stents for Benign Esophageal Perforation. Ann Thorac Surg 2017; 104(1):227-233. DOI: 10.1016/j.athoracsur.2017.03.069 http://dx.doi.org/10.1016/j.athoracsur.2017.03.069 - Watkins JR and Farivar AS. Endoluminal Therapies for Esophageal Perforations and Leaks. Thorac Surg Clin 2018; 28(4):541-554. DOI: 10.1016/j.thorsurg.2018.07.002 https://doi.org/10.1016/j.thorsurg.2018.07.002 Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more. 

Our oral board review course includes 92 scenarios that meticulously cover 115 SCORE core topics. Each scenario includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as general surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test. Learn more about the Oral Board Review episodes at https://behindtheknife.org/premium/ Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

In this podcast, we discuss other 3 vivas covering management of submissive PE, esophageal perforation post TOE and falciparum malaria in the overseas returned travellers.

In this episode, I share results from a test to see whether or not electrical arcs can perforate or pop a hole in CSST. This has been a point of discussion in some residential fires that had CSST fuel gas tubing installed. --- Send in a voice message: https://anchor.fm/matt-warren8/message

  Vidcast:  https://youtu.be/uROQeE32mTE   The CPSC and Zen Magnets LLC are recalling Zen Magnets and Neoballs Magnets. If several of these magnets are ingested, they may attract one another creating gastrointestinal erosion, perforations, and obstructions.  About 10 million magnets have been sold nationwide either individually or in sets.  Immediately take these magnets away from children and other vulnerable individuals.  Contact Zen Magnets LLC via your phone at 1-844-936-6245 or via email at contact@zenmagnets.com.     https://www.cpsc.gov/Recalls/2021/Zen-Magnets-and-Neoballs-Magnets-Recalled-Due-to-Ingestion-Hazard   #zenmagnets #magnets #ingestion #gastrointestinal #perforation #obstruction #recall  

In this episode we discuss a common surgical exam topic: the esophagus! Listen along as Dr. Oli tell you all about esophageal perforations and cancers: what they are, how they present, and what we can do about them. Happy Learning! Please check out our Facebook page www.facebook.com/drolimedonthego Like and subscribe and help us share the word--we appreciate it!

Everyone knows that any operation carries some danger. Advances in hospital processes have dramatically lessened the chances of danger. Unfortunately, complications are still common. When complications occur as a result of malpractice, the responsible party must be held to account for their mistake. If you believe that one of your organs was nicked or you have sustained a rupture during your operation, our attorneys can determine if you have a valid negligence lawsuit. The attorneys of Hastings Law Firm understand the distress a patient feels after suffering malpractice as we have worked with many clients who have experienced this. We work hard to obtain the highest possible compensation and ensure that the negligent parties are held liable for their actions. Our strong record of victorious outcomes reveals how dedicated we are in assisting those who have sustained harm during their operation. Hastings Law Firm, Medical Malpractice Lawyers 2200 North Loop W #118 Houston, TX 77018 346-245-5495 https://www.hastingsfirm.com

#68 - Die Oberarm-Muskel-Perforation by Sven Löllgen & Henning Becker

This episode covers approaches to the workup and management of oesophageal perforation, plus everything you need to know about corrosive and caustic ingestionsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021

A slight puncture of plastic or paper is called a perforation.

As the team comes to terms with the newly formed problem before them, they quickly take up their positions and begin the final push against the Great Fire, the Necrotic Flame, the Methuselah Pylorvo. Some of our music used in this episode was taken from Tabletop Audio at tabletopaudio.com.  Additional sound effects came from www.zapsplat.com.  Also from: Music and Sound by Syrinscape. store.syrinscape.com/what-is-syrinscape/?att Because Epic games need Epic game sounds ★ Support this podcast on Patreon ★ See acast.com/privacy for privacy and opt-out information. Want to help us navigate the plot twists that come with making an amazing podcast? Well there is no difficult terrain between you and supporting us over at https://plus.acast.com/s/ritgeekpodcast.

This episode is a raw episode for our patreon subscribers. Please note, as it is raw and uncut, there is no music tracks or sound effects. And all our flubs, sniffles, coughs, vapes, etc. have been left in for humor and who knows why else. Do enjoy it all the same! -Nick, the Sound Wizard   As the team comes to terms with the newly formed problem before them, they quickly take up their positions and begin the final push against the Great Fire, the Necrotic Flame, the Methuselah Pylorvo.★ Support this podcast on Patreon ★ See acast.com/privacy for privacy and opt-out information. Want to help us navigate the plot twists that come with making an amazing podcast? Well there is no difficult terrain between you and supporting us over at https://plus.acast.com/s/ritgeekpodcast.

My very first rapid response call ever as a rapid response nurse. This patient developed the classic signs and symptoms of peritonitis and turned the corner rather quickly toward septic shock.

Drs Tucker and Dumont discuss Acetabular subchondral and cortical perforation during labral repair with suture anchors: Influence of portal location, curved versus straight drill guides, and drill starting point

Drs Tucker and Dumont discuss Acetabular subchondral and cortical perforation during labral repair with suture anchors: Influence of portal location, curved versus straight drill guides, and drill starting point

SCORE Modules Covered: Diseases/Conditions: Esophageal Perforation (Core), Operations/Procedures - Esophageal Perforation - Repair/Resection (Advanced)

Bowel Perforations History Perforation takes time, frequently symptoms were either ignored or not noticed as can occurring in… Elderly, diabetic, or immunosuppressed patients (frequently have minimal symptoms) Pediatric patients (unable to or scared to mention symptoms) Exam Commonly have “peritoneal signs” Guarding Rebound Tenderness Rigidity Testing CT Scan X-Ray? (not your primary test, but a […]

Bowel Perforations History Perforation takes time, frequently symptoms were either ignored or not noticed as can occurring in… Elderly, diabetic, or immunosuppressed patients (frequently have minimal symptoms) Pediatric patients (unable to or scared to mention symptoms) Exam Commonly have “peritoneal signs” Guarding Rebound Tenderness Rigidity Testing CT Scan X-Ray? (not your primary test, but a […]

Esophageal perforation/rupture is a rare, but life-threatening condition that requires immediate intervention. Late identification can result in pneumothorax, pneumomediastinum, subcutaneous emphysema, Sepsis, Acute Respiratory Distress Syndrome (ARDS), and ultimately multiple organ failure (MOF) and death. Based on personal experience, Flight Paramedic and Educator Brian King joins us in a discussion regarding the various causes, signs/symptoms, and treatment based on our care environment. We also touch on controversies surrounding gastric tube insertion. See our GT podcast episode here. ------------------------------------------------  Follow us on Twitter @HLTHPodcast Follow us on Facebook @heavyliesthehelmet Visit our website at heavyliesthehelmet.com Contact us at heavyliesthehelmet@gmail.com Disclaimer: The views, information, or opinions expressed during the Heavy Lies the Helmet, LLC podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information contained in the podcast series available for listening or reading on this site. The primary purpose of this podcast series is to educate and inform. This podcast series does not constitute other professional advice or services.

In an episode recorded September 22nd 2017, Dr. Liz Powell, Dylan Thomas, and Mike Joseph get together to talk about getting back on the horse after loss, or anything else that may have taken them out of dating and playing with people for an extended period of time. Dylan almost didn't release this episode, but after an extended conversation with both Dr. Liz and Mike, they collectively decided to do it, even though talk during the episode offered few answers. They did however offer one final thought: Hope. ...also a link to Dr. Liz's dudebros joke is here.   Create an account at Swingtowns by visiting lifeontheswingset.com/swingtowns!   Do you have a sex positive project? Would you be interested in a grant? Visiting the Effing Foundation at effing.org/grants! Dylan's #AllIn for Desire... are you? Join us from November 3rd through the 10th this 2018 for Life on the Swingset's seventh trip to Desire! Visit www.ssdesire.com for more information!   Help support Life on the Swingset continue to make podcasts, and put on live panels and shows into the future! Throw us a dollar (or a few) each time we release an episode on Patreon! Your support will also get you invited to a private chat system with other Swingsetters, and give you the opportunity to join live podcast recordings.   You can support us while you buy great sex toys and products from our favorite online retailer SheVibe at lifeontheswingset.com/shevibe.   The best FREE thing you can do to support us is leave us a five-star review. Come to our review gateway, then copy and paste your review into iTunes or Stitcher! Also, follow us on Spotify!   Leave us a comment on this post or at contact@lifeontheswingset.com or leave us a voicemail at 573-55-SWING (573-557-9464).   You can now order Cooper's novel Approaching The Swingularity, his previous novel A Life Less Monogamous, or his memoir My Life on the Swingset: Adventures in Swinging & Polyamory as an ebook, paperback, or audiobook. Use promo code SWINGSET at coopersbeckett.com to save 10%.   Dylan Thomas is available for for podcast consultation and production work. If you're interested, visit www.dylanthethomas.com.   Pre-roll Music: Half an Orange - Old Friends (feat. Blonde Maze)  Intro and Outro Music: Duumu - Forward (feat. MIA) Review Music: Haywyre - Sculpted Mike Joseph's Music: Falcon Funk - Catnip Trip (Perkulat0r Remix) Dr. Liz Powell's Music: Summer Was Fun - Hold On (feat. Q'AILA)   Our 2017 THEME comes courtesy of Vlad Lucan and his track: Reverse!   Our Desire 2018 Advertisement includes music by ローマンRoman titled: Bikini, off the Paradise album. Our episode also featured the tracks: さようなら GOOD BYE and シドニーSYDNEY   These tracks are licensed under the Creative Commons Attribution 3.0 Unported (CC BY 3.0) license.   Dylan Thomas Dr. Liz Powell Mike Joseph

Lasers are machines that amplify light waves then shoot them out as narrow, intense beams. They are used everywhere today. Lasers read CDs and bar codes, guide missiles, cut through steel, precisely measure distances, entertain people and do a thousand other things. Lasers are used in several applications in urology. Most relevant to our discussion today is that we use lasers to break up kidney stones. L.A.S.E.R. is an acronym for light amplification by stimulated emission of radiation. A laser's light is different from regular light and has three properties. A laser's light is coherent, collimated, and monochromatic. The idea and concept of the laser traces itself back to Albert Einstein in 1917, but it wasn't until May 16, 1960 that the first laser was actually built and fired in a laboratory at the Hughes Aircraft Company by Dr. Theodore Maiman. Dr. Maiman, who was trained in both engineering and physics bested many other scientists working at other prestigious institutions such as IBM, Bell Laboratories, and MIT. One of his breakthroughs was the use of artificial rubies as the active medium, persisting when other scientists had given up on the ruby due to failed calculations. Another breakthrough was the use of a flash bulb to stimulate the ruby rather than continuous light. On July 7, 1960 Dr. Maiman's laser was introduced to the world at a news conference in Manhattan, New York. When introducing the laser at the press conference Dr. Maiman was prescient but also humble about his new invention. “A laser is a solution seeking a problem,” he said. In urology, the laser solution has discovered a long standing medical problem in urinary stone disease. The history of lithotomy (treatment and removal of urinary stones) dates back to antiquity. The treatment of stones, which at the time most commonly occurred in the bladder, was very dangerous, often lethal.  As such, it led to the development of the lithotomist, who opened the urinary tract and removed stones directly. Recognition of this unique set of skills earned a distinction in the Hippocratic oath, written by Hippocrates around 400 B.C. and still recited by graduating medical students: “I will not cut for the stone, but will leave this to be done by practitioners of this work…” Today, “cutting for stone,” has been replaced by minimally invasive techniques.  We have discussed the shock wave lithotripsy in episode 30 and the percutaneous nephrolithotomy in episode 34. In today's episode, I want to discuss the third in the trio of options to treat kidney stone disease that has eliminated our need to “cut for stone.”  In this episode, we are discussing ureteroscopy, taking a small scope into the ureter to remove a stone. While this is the third option we are discussing it is the most common way to treat kidney stones in our specialty today. Here is some simple urinary anatomy. The kidney filters blood to make urine. Urine drains from the kidney into a collecting system consisting of individual renal calyces draining into a common, funnel shaped renal pelvis. The renal pelvis tapers into a narrow, long, muscular tube called the ureter that peristalsis and “milks” the urine into the bladder. The bladder stores urine, fills, and empties through the urethra. If you are a man your urethra travels through the prostate and the penis. The female urethra is much shorter. When urine is concentrated the minerals in the urine will form crystals.  When the crystals layer on top of one another they will form a kidney stone. When a stone chooses to try to come out it must travel through the ureter into the bladder and out through the urethra. The ureter is the narrowest part of the urinary tract. When a stone is too large to pass through the narrow ureter it will get stuck as it tries to come out. The analogy I use is let's say you have a strawberry milkshake, the kind where they used real strawberries.  I used to love those as a kid. But if there are strawberry chunks they get stuck in the straw. Maybe with some real sucking power you can get a small chunk all the way through the straw but if the chunk is too big you just can't suck hard enough. That's like a stone that won't pass.   In episode 7 we learned how a young Lyndon Johnson, the future President, had a stone stuck in his ureter during a campaign for the U.S. Senate and how doctors at the Mayo Clinic would perform a risky “blind basket” technique that allowed him to continue his campaign and win the Senate seat. Although we continue to basket stones to remove them we now we have advanced technology to actually get into the ureter and actually see what we are doing. We call this ureteroscopy. A ureteroscope is an endoscope designed to visualize and work within the ureter. We use both semi-rigid scopes as well as flexible scopes. The rigid scopes give us access just to the lower part of the ureter. Flexible scopes allow us to access all the way back into the kidney and have active deflection on the end of the scope that will allow us to see into all of the calyces within the collecting system. Once we perform ureteroscopy if the stone is small enough we are able to extract it using baskets, thin wire instruments that trap a stone so we can pull it out. But for stones too large to just pull out we have to use form of lithotripsy to break up the stone. These day we use a holmium laser to break the stone up into fragments small enough for us to remove safely. Advances in ureteroscopy and laser technology in stone care parallels my time in urology. It was in the late 1990's and early 2000's, while I was a resident and early on in my practice that ureteroscopes could routinely access and treat stones in the kidney and the laser technology to break up the stones was readily available. In fact, when I first moved to St Paul, MN in 2000 to start my practice we did not have lasers in the hospital at all times but they were brought in on special occasions. A doctor would have to order it well ahead of time.  Now almost all of our hospitals have a laser available where we can use the technology even on the weekends or in the evenings. When I started my practice, along with other younger surgeons I began to order the laser routinely and it quickly became obvious it would be economical for the hospital to buy a laser. Because this was brand new in the hospital this was a big deal, and introducing the technology in a safe manner was paramount. Lasers can do damage to your eyes. This is not a joke. When we first brought the technology into the the hospital we had to educate physicians and staff about laser safety to make sure we all understood the potential harm of the laser. So it was that one Saturday morning my partners and I all gathered for breakfast at the hospital to learn about laser safety.  To prove our knowledge and competence in the safe use of the laser we had to use the laser to bust up something. We weren't going to be allowed to just use the laser for the first time on a patient. So, we put a bunch of eggs in a pan of water. All of my partners and I stood around the pan of eggs, wearing our laser safety goggles taking turns cracking the eggs with the laser, laughing because we were feeling a little silly but, nonetheless, checking off the laser safety box. Such was the introduction of the holmium laser into routine use in St Paul, MN. Different laser mediums (solid, liquid, or gas) emit laser light in different wavelengths. Molecules, proteins, and pigments absorb light only in a specific range of wavelengths. In the real-world application of lasers in medicine different wavelengths of various lasers do different things and may have unique applications. The wavelength determines if the laser can or should be used on the skin, eyes, kidney stones or on some other tissue. The Holmium: yttrium-aluminum-garnet laser (Ho: YAG) is a solid-state, pulsed laser that emits light with a wavelength of 2.1 microns. It can transmit energy through a flexible fiber.  Because the wavelength rapidly absorbs in water the power dissipates quickly after it is released through the fiber and can be safely fired near the ureteral wall. The laser energy is able to fragment all stones regardless of composition. Lithotripsy using the holmium laser produces small fragments, a weak shockwave, and less retro-pulsion of the stone fragments than other forms of lithotripsy. All of these factors are important when breaking up a stone stuck in the very narrow, thin-walled ureter or renal pelvis. Accurate fiber contact against a stone is the primary safety factor. A clear visual field is important. Most surgeons will have their preferred settings on the laser machines they are familiar with but in general we start with low-pulse energy and pulse rate and increase as needed. Because we are breaking up the stone while we are observing using ureteroscopy we move the laser over stone surface in a “painting” fashion, creating stress lines that fragment a stone and/or vaporize it. A “snowstorm effect” is created as the stone breaks up because of the small particles created so patience and adequate irrigation is required. Much discussion in our field has centered recently around the technique of stone removal. Historically we would break the stone into fragments, like a rock quarry, and extract the fragments using a stone “basket.” But a “dusting” technique has developed as the lasers have become more powerful and are able to fire at a very high frequency. The current data suggests that basketing rather than dusting is probably a better technique in most cases but urologists should be familiar with all ureteroscopic treatment techniques. Ureteral anatomy, width, the ability to pass an access sheath, the available laser, as well as the stone themselves will mandate one technique over another for any particular patient. As you would expect, short term recovery for this procedure can be uncomfortable. Complications for this procedure also exist. Often urologists will leave a temporary ureteral stent to prevent swelling of the ureter as a result of the procedure. Blood in the urine after the procedure is common. Infections can occur.  Perforation of the ureter or long-term damage causing a stricture can also occur but is rare. Regardless of the technique used, the ultimate goal of the procedure should be to leave the patient free of stones. Stone-free is a big deal in the urology world. Residual fragments are likely sources of future stone formation. Crystals form on top of other crystals (listen to episode 3 of this podcast for my rock candy analogy). Residual stones commonly lead to growth, passage, and need for retreatment of more stones in the future. Lastly, surgery to remove a kidney stone is not the end of the relationship with a patient. A patient having ureteroscopy needs follow-up imaging of the kidneys to determine if all of the stones have been removed, whether or not a ureteral stricture (scar) has formed and whether kidney swelling (hydronephrosis) persists after the procedure. Furthermore, as many as 50% of people who have made their first stone will make another within 10 years. If you have ever had a kidney stone there are benefits to dietary counseling, metabolic testing, surveillance imaging, and other practices to prevent and detect stones over the long-term. We have come a long way since Einstein first proposed the laser in 1917, Dr. Theodore Maiman first displayed the laser in 1960, and I was learning laser safety cracking eggs in a hospital basement in 2001. To end this episode, here is a condensed excerpt from the Obituary for Dr Theodore Maiman published in the New York Times May 11, 2007. Theodore Harold Maiman was born in Los Angeles on July 11, 1927, and grew up mainly in Denver. His father, Abraham, was an electrical engineer who worked on inventions, included improvements to the stethoscope. Abraham wanted his son to be a doctor, but Theodore came to feel he had contributed more to medicine with the laser…. Theodore was rambunctious as a boy and aspired to being a comedian, but he was also very good at math. He earned bachelor's and master's degrees in engineering physics from the University of Colorado and completed a doctorate in physics at Stanford in 1955…. He went to work for Hughes and after some military contracts fell through, worked on the predecessor to the laser, the maser, which concentrated microwaves, not light… He told his bosses he wanted to make a laser, but they were wary of discouraging reports from other laboratories and said no. They wanted him to work on computers, or “something useful,” his wife said. But he threatened to quit and build a laser in his garage. So, the Hughes executives gave him nine months, $50,000 and an assistant. The assistant was Charles Asawa, who had the idea of illuminating the ruby with a photographic flash, rather than with the movie projector lamp first used. After Dr. Maiman succeeded, a news release predicted that doctors would use lasers to focus on a single human cell. For the rest of his life, Dr. Maiman insisted on emphasizing the laser's healing possibilities… …Dr. Maiman was twice nominated for the Nobel Prize and won many other awards, including the Japan Prize and the Wolf Prize in Physics. He was inducted into the National Inventors Hall of Fame in 1984, and he published the story of his discovery of the laser in “The Laser Odyssey” (2000). Theodore Harold Maiman died May 5 in Vancouver, British Columbia. He was 79.

Ce mois ci, nous allons parler de la perforation oesophagienne.   Diagnostic rare mais mortel auquel nous devons penser si un patient se présente avec douleur thoracique, surtout après avoir moi ou fait des efforts pour vomir.     Bonne écoute!

TSRA Podcast: Thoracic - Esophageal Perforation (Kevin Graham & Mimi Ceppa) by TSRA

In this podcast, Global Spine Journal's Editor-In-Chief, Jeffrey C. Wang, MD, interviews Daniel Riew on his article, Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature.

Perforation des tympans, eczéma, bouchons de cérumen: l'utilisation régulière de cotons-tiges n'est pas sans risques pour la santé. Explications et conseils.

Perforation des tympans, eczéma, bouchons de cérumen: l'utilisation régulière de cotons-tiges n'est pas sans risques pour la santé. Explications et conseils.

After blood tests, X- rays are the most commonly requested investigation in a patient presenting as a surgical emergency. In this video podcast, Lee Creedon takes you through the indications for requesting x-rays in the acutely ill surgical patient and uses examples to illustrate common pathologies. Essential viewing for medical students and foundation doctors (interns), learning objectives are mapped to undergraduate and ISCP curricula. Once you've watched this, have a look at our other radiology podcasts at http://schoolofsurgery.podomatic.com/entry/2014-02-08T01_00_00-08_00 http://schoolofsurgery.podomatic.com/entry/2013-07-12T16_00_00-07_00 and some others you can find when you search of School of Surgery in iTunes podcast store. They're all good and they're all free! Let us know what you think of the podcast and what else you want to see on School of Surgery at https://www.facebook.com/surgeryschool

Presented by - Martin L. Blakely, MD, MS

Presented by - Martin L. Blakely, MD, MS

Jon Lund talks to Bill Speake, Consultant Colorectal Surgeon in Derby, UK, about the presentation, diagnosis and management of diverticular disease and its complications. Audio podcast mapped to undergraduate curricula and ISCP

JonLund talks to Gill Tierney, Consultant colorectal surgeon, about history, examination, investigation and treatment of large bowel obstruction. Aimed at medical students and doctors in early years of surgical training.

Dr. Fergus Shanahan discusses his manuscript, "Diagnostic Accuracy of Computed Tomography Using Lower Doses of Radiation for Patients With Crohn's Disease."

Interview with Edward H. Livingston, MD, author of Little Effect of Insurance Status or Socioeconomic Condition on Disparities in Minority Appendicitis Perforation Rates

Perforation following acute diverticulitis is a typical scenario during the first attack. Different classification systems exist to classify acute perforated diverticulitis. While the Hinchey classification, which is based on intraoperative findings, is internationally best known, the German Hansen-Stock classification which is based on CT scan is widely accepted within Germany. When surgery is necessary, sigmoid colectomy is the standard of care. An important question is whether patients should receive primary anastomosis or a Hartmann procedure subsequently. A priori there are several arguments for both procedures. Hartmann's operation is extremely safe and, therefore, represents the best option in severely ill patients and/or extensive peritonitis. However, this operation carries a high risk of stoma nonreversal, or, when reversal is attempted, a high risk in terms of morbidity and mortality. In contrast, primary anastomosis with or without loop ileostoma is a slightly more lengthy procedure as normally the splenic flexure needs to be mobilized and construction of the anastomosis may consume more time than the Hartmann operation. The big advantage of primary anastomosis, however, is that there is no need for the potentially risky stoma reversal operation. The most interesting question is when to do the Hartmann operation or primary anastomosis. Several comparative case series were published showing that primary anastomosis is feasible in many patients. However, no randomized trial is available to date. It is of note, that all non-randomized case series are biased, i.e. that patients in better condition received anastomosis and those with severe peritonitis underwent Hartmann's operation. This bias is undoubtedly likely to be present, even if not obvious, in the published papers! Our own data suggest that this decision should not be based on the extent of peritonitis but rather on patient condition and comorbidity. In conclusion, sigmoid colectomy and primary anastomosis is feasible and safe in many patients who need surgery for perforated diverticulitis, particularly when combined with loop ileostomy. Based on our own published analysis, however, we recommend performing Hartmann's operation in severely ill patients who carry substantial comorbidity, while the extent of peritonitis appears not to be of predominant importance. Copyright (C) 2012 S. Karger AG, Basel

Mon, 13 Dec 2010 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/12438/ https://edoc.ub.uni-muenchen.de/12438/1/Kerler_Gundula.pdf Kerler, Gundula ddc:610, ddc:600, Medizini

Gallbladder perforation is a rare complication of cholecystitis and cholelithiasis. The high morbidity and mortality rates associated with this condition are due to delays in diagnosis and treatment since signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis. We report on a patient who was affected by Child-Pugh A alcoholic liver cirrhosis and who developed an acute gallbladder perforation with spillage of stones into the peritoneal cavity and give a review of the current literature.

Ziel der vorliegenden Arbeit war die detaillierte Beschreibung von Anzahl, Lokalisation, Morphologie und Perforationwegen von perforierenden Labmagengeschwüren bei der Kuh. In einer vorgeschalteten retrospektiven Studie wurden die Selektionskriterien für diese Untersuchung erarbeitet. Die Mehrzahl der Patienten waren Rinder der Rasse Deutsches Fleckvieh mit einem Alter zwischen zwei und vier Jahren. Bei den sieben Kühen mit Typ III- Geschwüren (lokal begrenzte Peritonitis) und 16 Kühen mit Typ IV- Geschwüren (generalisierte Peritonitis) dieser Untersuchung lagen alle Perforationen im Korpus des Labmagens. Die Mehrzahl (n=11) der perforierenden Geschwüre vom Typ IV (generalisierte Peritonitis) lag im Pylorusregion-nahen Drittel des Korpus. Bei vier Tieren befand sich die Perforation im „mittleren Drittel“ des Korpus. Bei nur einem Tier mit Typ IV-Geschwür lag die Perforation im Psalter-nahen Drittel. Häufig lagen die Perforationen in den ventralen Labmagenbereichen. So waren bei 13 Patienten die perforierenden Geschwüre in dem Bereich der großen Kurvatur bis zum zentralen Labmagen lokalisiert. Bezüglich der Lokalisation der Geschwüre vom Typ III (lokal begrenzte Peritonitis) konnte keine Häufung innerhalb der Korpusregionen gefunden werden. Die Typ III-Geschwüre traten häufig gleichzeitig mit einer Labmagenverlagerung auf. Meist war nur ein perforierendes Geschwür pro Labmagen zu finden. In nur einem Fall waren zwei perforierende Geschwüre zu finden. Bei zwei Tieren konnte ein Geschwür mit zwei beziehungsweise vier Perforationen nachgewiesen werden. Die Morphologie der Geschwüre war meist oval bis rund mit wallartig aufgeworfenen Rändern. Die Geschwüre hatten meist eine Größe von einem bis vier Zentimeter(n). Bei allen Tieren mit Typ IV-Geschwüren erfolgte die Perforation in der Facies parietalis. Bei den Probanden mit Typ III-Geschwüren war nur einmal eine Perforation in der Facies visceralis zu finden. Hier erfolgte die Perforation also in die Bursa omentalis. Häufig konnte in der Bauchhöhle grün-sulziges Fibrin gefunden werden.

Zur Therapie der Stammveneninsuffizienz stehen seit wenigen Jahren minimal-invasive endoluminale thermische Behandlungsverfahren zur Verfügung, bei welchen die erkrankte Stammvene (V. saphena magna, V. saphena parva) durch Hitze alteriert und durch anschließende Fibrosierungsprozesse obliteriert und damit ausgeschaltet werden soll. Diese modernen thermischen Verfahren haben den Anspruch auf den „Goldstandard“ der chirurgischen Crossektomie mit Stripping der Stammvene zu verzichten. Bei diesen Methoden zur Therapie der Varikosis (Radiofrequenzobliteration - RFO, endovenöse Lasertherapie – ELT) wird die thermische Energie über spezielle endoluminale Radiofrequenzsonden (VNUS-Closure)durch Widerstandserwärmung bzw. durch monochromatisches Licht verschiedener Wellenlängen durch Absorption erzeugt. Die Folgen der thermischen Behandlung (Zellnekrose, Kollagenkontraktion, Wandverdickung, Reduktion des Lumens, Thrombusbildung, Obliteration) können klinisch bzw. duplexsonographisch evaluiert werden. Obwohl diese Verfahren zur klinischen Anwendung zugelassen sind, stehen systematische experimentelle Untersuchungen der thermischen Läsionen nach Radiofrequenz- und Lasertherapie zur Optimierung der Dosimetrie bzw. Evaluation perivaskulärer thermischer Alterationen bisher kaum zur Verfügung. Deshalb wurde hierzu von unserer Arbeitsgruppe ein standardisiertes ex-vivo Modell etabliert, wobei Rindervenen mit den klinisch üblichen Applikationssystemen behandelt und dann vergleichend standardisiert makroskopisch, histologisch und optisch-bildgebend evaluiert wurden. Als ex-vivo Modell dienten Fußamputate von frisch geschlachteten Mastbullen (18-24 Monate, 550-650 Kg, linke hintere Extremität) deren subkutane Venensegmente (V. digitalis dorsalis communis III und V. saphena lateralis) mit einer Gesamtlänge von 23-25cm und einem Durchmesser von 3,5-5,5mm mit den klinisch eingesetzten endoluminalen Therapiesonden kanülierbar sind. Die erste Versuchsreihe diente einer standardisierten makroskopischen perivaskulären und endoluminalen Beurteilung nach Anwendung beider Verfahren unter Einhaltung der vom Gerätehersteller vorgegebenen klinischen Behandlungsparameter. In einer zweiten Versuchsreihe wurden definierte Venensegmente histologisch sowie prä- und postinterventionell mit einem neuen hochauflösenden, bildgebenden optischen Verfahren (Endoluminale Optische Kohärenztomographie – eOCT) untersucht. Die makroskopische Auswertung von jeweils fünf mit RFO und ELT behandelten Rindervenen zeigte nach RFO konstant eine homogene zirkuläre Induration der Venenwand ohne transmurale Defekte, während nach ELT entsprechend der getakteten Illumination und nicht zentrierten Laserfaser stark variierende fokal betonte thermische Läsionen mit Gewebsablation, Karbonisierung bis hin zur periadventitiellen Einblutung und Perforation beobachtet wurden. Im Rahmen der zweiten Versuchsreihe wurden 50mm lange Venensegmente mit RFO und ELT behandelt und neben der makroskopischen Evaluation einer histologischen Untersuchung (HE, 40fach) zugeführt. Für jede Behandlungmethode wurden 20 axiale Schnittbilder vergleichend beurteilt. Dabei zeigte sich in der RFO Gruppe konstant eine komplette Destruktion der Intima mit einer zirkulären gleichmäßigen Alteration der Media unter Ausbildung von spangenartigen Gewebedefekten. Nach ELT wurden je nach Schnittlokalisation Gewebsalterationen mit sehr unterschiedlichem Ausmaß gesehen. Diese reichten von diskreten Gewebeablationen bis hin zu kompletten Wandperforationen. Diese qualitativen Veränderungen konnten in den OCT-Schnittbildern regelhaft reproduziert werden. Der Vergleich korrenspondierender prä- und postinterventioneller OCT Schnittbilder dokumentierte nach beiden Verfahren eine quantifizierbare, statistisch signifikante, thermisch bedingte Kollagenkontraktion bzw. Verdickung der Media. Dieser Effekt war nach RFO deutlicher ausgeprägt als nach ELT. Das hier vorgestellte ex-vivo Modell ist damit geeignet unter Standardbedingungen mit etablierten makroskopischen, histologischen und opitsch-bildgebenden Kriterien endovenöse thermische Behandlungsformen wissenschaftlich reproduzierbar zu evaluieren. Die ersten Ergebnisse deuten darauf hin, dass eine Optimierung der ELT zur Sicherstellung einer gleichmäßigeren zirkulären Energieverteilung und Vermeidung transmuraler Gewebedefekte sinnvoll erscheint.