Icd 10 code acute renal failure

Wholesome Yuri

2017.03.24 20:18 Appbeza Wholesome Yuri

A place for adorable, blushy, cute, fluffy, gentle, giggly, happy, heartfelt, loving, peaceful, safe, silly yuri.
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2023.06.09 16:34 artisanrox 6/9--VOCs and lots of Editorials.

Good Morning RonaPA!
I hope you stayed safe during the recent wildfire fallout.
Still don't have optimal equipment here and I have some things I need to do today so again this will be short.
I'm going to edit this post a lot so I don't lose my work. Please check back later if it doesn't look right quite yet. I apologize for the inconvenience.

VOCs

[XBB.1.5 still in the lead with 28% share.]()
There are no new variants to monitor yet for speed on the horizon but there are a few already in circulation that are being watched for severity and NOT speed:
XBB.1.9.1
FL.2
FL.4
CH.1.1
FE.1.1
EG.1.2
BR.2.1

Editorials

Respirators, CR Boxes, and Wildfires...they're all related!!

Just a reminder that if you have respirators on hand (N95, KN95, P100, N99, etc.) or you made a Corsi-Rosenthal box in the past whatever months, that these come in extremely handy to stay safer from wildfire smoke!
Fit-tested N95s are best and ideal though I understand just not practical for everyone.
Head-loop respirators protect BETTER than ear-loop models BUT ear-loop models can be modified to fit better.
CLOTH MASKS/BANDANNAS DO NOT FILTER OUT FINE SMOKE PARTICLES. They are not enough as microscopic smoke particles are many times smaller than particles that carry pathogens. You need an electrostatic respirator and at least MERV-11 filters for smoke.
Wildfire smoke contains lots of heavy metals which makes it dangerous for pets too.
For Christ's sake don't turn on Fox Entertainment, stop other people from watching it and don't listen to them saying wildfire smoke is just A-OK to breathe.
We are not even in "wildfire season" yet and conditions are already extremely dry. Lightning strikes have contributed to almost all fires in Canada, including the one that darkened our own sky. This is creating perfect conditions to be an unprecedentedky bad fire season. Be prepared!
Neat trackers:
🔴-Covid Variant Dashboard and Tracking SARSCoV2 XBB.1.16 Lineage Over Time by Arkansas data scientist Raj Rajnarayan
🔴-Biobot (Wastewater)
🔴-CDC NOWCAST variant proportion tracker
🔴-Honey/Gilchrist variant proportion visualizer and How to Use It!
Education:
🔴 -An important post here (found on Twitter, posted by tern) recently on this EXTREMELY IMPORTANT .PDF release from the CDC that contains:
However, patients who recover from the acute phase of the infection can still suffer long-term effects (8). Post-acute sequelae of COVID-19 (PASC), commonly referred to as “long COVID,” refers to the long-term symptoms, signs, and complications experienced by some patients who have recovered from the acute phase of COVID-19 (8–10). Emerging evidence suggests that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, can have lasting effects on nearly every organ and organ system of the body weeks, months, and potentially years after infection (11,12). Documented serious post-COVID-19 conditions include cardiovascular, pulmonary, neurological, renal, endocrine, hematological, and gastrointestinal complications (8), as well as death (13).
It's under "Certifying deaths due to post-acute sequelae of COVID-19".
If you didn't catch/test +/deal with symptoms of COVID-19, DO NOT seek out to get infected with it.
If you caught COVID-19 once, DO NOT seek out catching it again.
And WEAR A MASK. Don't spread it!
🔴 -COVID-19 Immunology 101 for Non-immunologists by Dr. Akiko Iwasaki
🔴 -How the Immune System Works, beautifully illustrated by Kurzgesagt. (Seriously, Kurzgesagt is wonderful, go check it out.)
🔴 -The T-cells are Not Alright, an interview with Dr. Anthony Leonardi
🔴 -How SARS-CoV-2 Battles Our Immune System: Meet the protein arsenal wielded by the pandemic virus
🔴 -How to Build a Corsi-Rosenthal Box and then make them look snazzy!
🔴 -Safer, more cautious gatherings.
🔴 -MASK TYPE MATTERS with the latest Omicron Sars-CoV-2 mutations. Here is a chart comparing mask types, mutation type, and the time it takes in each to receive a problematic dose of Sars-CoV-2.
🔴 -A thread by Dr. Jeff Gilchrist explaining how high level respirators work, more mask comparisons, and answers to why we can still smell things even with high level respirators on.
Continue to have a great and safe spring season (and if you pray, pray for good rain!) 🌧🌧🌧🌧
submitted by artisanrox to CoronaVirusPA [link] [comments]


2023.06.09 15:55 AltruisticNetwork Advice to a (hopeful) donor?

Hi: I am hoping to donate a kidney to my sister, who is 61. (I’m 56.)
A little background: Several years ago my sister had bariatric surgery resulting in a significant amount of weight loss, although she still has type 2 diabetes (albeit less severe); I believe her blood pressure is also down significantly. She suffered renal failure in January and has been on dialysis since. Biopsy of kidneys show origin of failure was not diabetes.
I have volunteered to donate a kidney to her. (She has several decades left of her life, and four hours of dialysis three times a week is not a way to live them. Plus, I love her.)
We share the same blood type, and her doctor says it’s likely our tissue will be compatible. She’s undergoing the preliminary tests (EKG, etc.); doc thinks she’ll be cleared by July, at which point I will undergo all needed tests.
I eat fairly healthily right now, although I am a daily wine drinker. (I am planning to cut down.) I do cardio 5x a week and am in good physical shape, although I am attempting to lose about 10 pounds. I’m going to try to get my BMI below 25 over the months preceding the donation.
My primary concerns with donating are about lethargy and weight gain post op, while my concerns about my sister is that she may not alter her behaviors post-op, thus compromising her outcomes and the donated kidney. (The bariatric surgery has led her to eat much less, although her diet has not changed—her main staples are still chocolate and fried food.)
I will soon be seeing a therapist weekly to discuss the potential donation and to alleviate general stress.
To the kidney donors out there: pls share your advice with me on what more I can do to best prepare myself physically and mentally. I’m also wondering how I can best to support my sister.
(Ultimately, I know that judging and lecturing others is counterproductive; at the same time, though, she doesn’t seem to have been counseled regarding nutrition post-bariatric surgery, nor has a nutritionist spoken to her since renal failure…)
Lastly, is it common for renal failure to have no known cause…? Does the pre-donation prep involve any kind of genetic testing that might detect syndromes associated with renal failure…?
Thanks in advance for your wisdom!
submitted by AltruisticNetwork to transplant [link] [comments]


2023.06.09 15:53 Skobeloff_gg Can't start Mariadb 10.11.4 service after fresh installation in Kali linux - please help!

Hello, I'm new to Mariadb/Mysqql. Facing below errors while starting the service - didn't help after clearing /uslib/mysql as some online article suggester. Any help is appreciated.
Basic Info
└─$ cat /etc/os-release
PRETTY_NAME="Kali GNU/Linux Rolling"
NAME="Kali GNU/Linux"
VERSION_ID="2023.2"
VERSION="2023.2"
VERSION_CODENAME=kali-rolling
ID=kali
ID_LIKE=debian
HOME_URL="https://www.kali.org/"
SUPPORT_URL="https://forums.kali.org/"
BUG_REPORT_URL="https://bugs.kali.org/"
ANSI_COLOR="1;31"
Could not install it through the Mariadb official script as OS release is officially not supported. Hence trying for custom install of Debian 11 installer - setup repo gpg signup manually - till installation it thew some dependency error but was able to install them and installation was successful.
$ mariadb --version
 *mariadb Ver 15.1 Distrib 10.11.4-MariaDB, for debian-linux-gnu (x86\_64) using readline EditLine wrapper* 

ERRORS seen -
└─$ sudo systemctl start mariadb
Job for mariadb.service failed because the control process exited with error code.
See "systemctl status mariadb.service" and "journalctl -xeu mariadb.service" for details.

└─$ sudo systemctl status mariadb
× mariadb.service - MariaDB 10.11.4 database server
Loaded: loaded (/lib/systemd/system/mariadb.service; disabled; preset: disabled)
Drop-In: /etc/systemd/system/mariadb.service.d
└─migrated-from-my.cnf-settings.conf
Active: failed (Result: exit-code) since Fri 2023-06-09 19:07:44 IST; 1min 54s ago
Docs: man:mariadbd(8)
https://mariadb.com/kb/en/library/systemd/
Process: 67195 ExecStartPre=/usbin/install -m 755 -o mysql -g root -d /varun/mysqld (code=exited, status=0/SUCCESS)
Process: 67196 ExecStartPre=/bin/sh -c systemctl unset-environment _WSREP_START_POSITION (code=exited, status=0/SUCCESS)
Process: 67198 ExecStartPre=/bin/sh -c [ ! -e /usbin/galera_recovery ] && VAR= VAR=`cd /usbin/..; /usbin/galera_recovery`; [ $? -eq 0 ] && systemctl set-environment _WSREP_START_POSITION=$VAR exit 1 (code=exited, st>
Process: 67277 ExecStart=/ussbin/mariadbd $MYSQLD_OPTS $_WSREP_NEW_CLUSTER $_WSREP_START_POSITION (code=exited, status=7)
Main PID: 67277 (code=exited, status=7)
Status: "MariaDB server is down"
CPU: 98ms

Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: File './ibtmp1' size is now 12.000MiB.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: log sequence number 36416; transaction id 4
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Loading buffer pool(s) from /valib/mysql/ib_buffer_pool
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] Plugin 'FEEDBACK' is disabled.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Could not open mysql.plugin table: "Table 'mysql.plugin' doesn't exist". Some plugins may be not loaded
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] /ussbin/mariadbd: unknown variable 'provider_bzip2=force_plus_permanent'
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Aborting
Jun 09 19:07:44 Skobeloff systemd[1]: mariadb.service: Main process exited, code=exited, status=7/NOTRUNNING
Jun 09 19:07:44 Skobeloff systemd[1]: mariadb.service: Failed with result 'exit-code'.
Jun 09 19:07:44 Skobeloff systemd[1]: Failed to start mariadb.service - MariaDB 10.11.4 database server.

===

$ journalctl -xeu mariadb.service
░░
░░ The job identifier is 2679 and the job result is failed.
Jun 09 19:07:44 Skobeloff systemd[1]: Starting mariadb.service - MariaDB 10.11.4 database server...
░░ Subject: A start job for unit mariadb.service has begun execution
░░ Defined-By: systemd
░░ Support: https://www.debian.org/support
░░
░░ A start job for unit mariadb.service has begun execution.
░░
░░ The job identifier is 2757.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] Starting MariaDB 10.11.4-MariaDB-1:10.11.4+maria~deb11 source revision 4e2b93dffef2414a11ca5edc8d215f57ee5010e5 as process 67277
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] mariadbd: Can't open shared library '/uslib/mysql/plugin/provider_bzip2.so' (errno: 2, cannot open shared object file: No such file or directory)
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Couldn't load plugins from 'provider_bzip2.so'.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] mariadbd: Can't open shared library '/uslib/mysql/plugin/provider_lz4.so' (errno: 2, cannot open shared object file: No such file or directory)
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Couldn't load plugins from 'provider_lz4.so'.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] mariadbd: Can't open shared library '/uslib/mysql/plugin/provider_lzma.so' (errno: 2, cannot open shared object file: No such file or directory)
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Couldn't load plugins from 'provider_lzma.so'.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] mariadbd: Can't open shared library '/uslib/mysql/plugin/provider_lzo.so' (errno: 2, cannot open shared object file: No such file or directory)
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Couldn't load plugins from 'provider_lzo.so'.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] mariadbd: Can't open shared library '/uslib/mysql/plugin/provider_snappy.so' (errno: 2, cannot open shared object file: No such file or directory)
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Couldn't load plugins from 'provider_snappy.so'.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Compressed tables use zlib 1.2.11
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Number of transaction pools: 1
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Using crc32 + pclmulqdq instructions
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Using liburing
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Initializing buffer pool, total size = 128.000MiB, chunk size = 2.000MiB
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Completed initialization of buffer pool
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: File system buffers for log disabled (block size=512 bytes)
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: 128 rollback segments are active.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Setting file './ibtmp1' size to 12.000MiB. Physically writing the file full; Please wait ...
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: File './ibtmp1' size is now 12.000MiB.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: log sequence number 36416; transaction id 4
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] InnoDB: Loading buffer pool(s) from /valib/mysql/ib_buffer_pool
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [Note] Plugin 'FEEDBACK' is disabled.
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Could not open mysql.plugin table: "Table 'mysql.plugin' doesn't exist". Some plugins may be not loaded
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] /ussbin/mariadbd: unknown variable 'provider_bzip2=force_plus_permanent'
Jun 09 19:07:44 Skobeloff mariadbd[67277]: 2023-06-09 19:07:44 0 [ERROR] Aborting
Jun 09 19:07:44 Skobeloff systemd[1]: mariadb.service: Main process exited, code=exited, status=7/NOTRUNNING
░░ Subject: Unit process exited
░░ Defined-By: systemd
░░ Support: https://www.debian.org/support
░░
░░ An ExecStart= process belonging to unit mariadb.service has exited.
░░
░░ The process' exit code is 'exited' and its exit status is 7.
Jun 09 19:07:44 Skobeloff systemd[1]: mariadb.service: Failed with result 'exit-code'.
░░ Subject: Unit failed
░░ Defined-By: systemd
░░ Support: https://www.debian.org/support
░░
░░ The unit mariadb.service has entered the 'failed' state with result 'exit-code'.
Jun 09 19:07:44 Skobeloff systemd[1]: Failed to start mariadb.service - MariaDB 10.11.4 database server.
░░ Subject: A start job for unit mariadb.service has failed
░░ Defined-By: systemd
░░ Support: https://www.debian.org/support
░░
░░ A start job for unit mariadb.service has finished with a failure.
░░
░░ The job identifier is 2757 and the job result is failed.

submitted by Skobeloff_gg to mariadb [link] [comments]


2023.06.09 15:39 rie_zel PSP 11.0 Driver got error after updating the latest chipset driver, X670e Steel Legend + 7950X3D

PSP 11.0 Driver got error after updating the latest chipset driver, X670e Steel Legend + 7950X3D
anyone got this error ? i'm using Stable 1.24 bios, Win 11x64 (even updating driver manually from extracted file, didnt help) Edit : rolled back to 10.0 was fine tho

https://preview.redd.it/52mk3xy6xz4b1.png?width=781&format=png&auto=webp&s=4bf4f5fe5f3c65c81bd8e79f32d375eb36616e3a
submitted by rie_zel to ASRock [link] [comments]


2023.06.09 15:19 EurekaStockade 82---How I predicted the Dam Collapse in Ukraine

On 4 April-- NATO's 888 month birthday-- there was a Dam breach in Donetsk
I predicted at the time that Globalists may be planning a catastrophic dam collapse that could threaten the Zaporizhzhia nuclear plant (link in comment section)
An article from last year suggested what they may be planning--
" Ukrainian forces could cause catastrophic damage by blowing up two major dams on the Dnieper River. Any breaches would flood a massive region, including the site of Europe’s largest nuclear power plant, a senior official in Russia’s Zaporozhye region has warned. "

The next day a drone fell near Zaporizhzhia nuclear plant
Drone Falls Near Zaporozhye Nuclear Power Plant MENAFN.COM
This was signalling

6 June--As in the above article 'predicted'--there was a dam explosion on the Dneiper River
The D Day Dnieper Dam Disaster occurred 80 miles from Zaporizhzhia nuclear plant
Keep in mind Fukushima nuclear plant accident was caused by tsunami flooding

4 April= 4/4 --Dam incident in Donetsk
6 June= 6/6--Dam explosion in Dneiper
46 days later--
22 July
My prediction for Zaporizhzhia nuclear plant accident

Putin calls the D Day dam attack a 'catastrophe'
CATASTROPHE= 126
12 June= 12/6
King's Birthday holiday
June 12= 6/12= backwards 216= 6x6x6= 666
WORMWOOD= 126
Chernobyl means wormwood
ARTICLE 5= 126

I have been predicting a Catastrophic Dam Break following the Super Bowl 57 Birth Ritual
Where a Dam Break symbolizes the breaking of Birth waters
Birth of a new world war
2023 BIRTH OF WORLD WAR 3= 223

BIRTH RITUAL =57
DAM EXPLOSION= 57
TSUNAMI DISASTER= 57
FLOOD DISASTER= 57
D DAY DAM DISASTER= 57

CATASTROPHIC DAM FAILURE= 223
23 SEPTEMBER 2023 DAM FAILURE= 223

23 Oct 2022---Last year Bill Gates sponsored a Catastrophic Contagion meeting
CATASTROPHIC CONTAGION= 336
336 days later--
23 Sep= 23/9
MASS CASUALTY EVENT= 239

23 Sep=
223 days after Super Bowl 57 Birth Ritual/ Oroville Spillway Collapse on 12 Feb
20230 days after Oroville Dam opened on 4 May 1968
3 years 2 months 2 days after the Ethiopian Renaissance Dam opened
23 SEPTEMBER 2023 ETHIOPIAN RENAISSANCE DAM BREAK= 666

Lake Almanor dam feeds into Oroville Dam
Almanor lies on a fault line
12 May 2023--there were two mag 5 quakes
ALMANOR-- anagram for-- NO ALARM

also keep an eye on--
4 April-- Dam Breach in Donetsk
NATO's birthday
97 days later---
10 July
POSEIDON= 97

Poseidon-- is a globalist code word
God of the seas--as well as quakes & tsunami
His symbol is the Trident
The Ukraine Flag has a Trident
POSEIDON= 119
NUCLEAR PLANT ACCIDENT= 119

submitted by EurekaStockade to conspiracy [link] [comments]


2023.06.09 14:48 M3GlobalResearch Health Care Market Research Opportunity

M3 Global Research is looking to hear from Hispanic individuals or from those who care for a loved one diagnosed with various conditions such to provide opinions on topics such as available treatment options and overall experiences during the treatment journey.
We are currently looking to speak specifically with individuals who have been diagnosed with any of the following conditions:
Atrial fibrillation, congestive heart failure, acute heart failure, lupus, atopic dermatitis, ulcerative colitis, or cancer (breast, pancreatic, lung, colon, melanoma, renal cell carcinoma, stomach, leukemia or lymphoma). Share your experience in a 60-minute telephone interview to help guide the development of future therapies and get paid $125 for your time. See if you qualify here: http://m3gr.io/MDDTKQ
submitted by M3GlobalResearch to stomachcancer [link] [comments]


2023.06.09 14:41 M3GlobalResearch Health Care Market Research Opportunity

M3 Global Research is looking to hear from Hispanic individuals or from those who care for a loved one diagnosed with various conditions such to provide opinions on topics such as available treatment options and overall experiences during the treatment journey.
We are currently looking to speak specifically with Hispanic individuals who have been diagnosed with any of the following conditions:
Atrial fibrillation, congestive heart failure, acute heart failure, lupus, atopic dermatitis, ulcerative colitis, or cancer (breast, pancreatic, lung, colon, melanoma, renal cell carcinoma, stomach, leukemia or lymphoma). Share your experience in a 60-minute telephone interview to help guide the development of future therapies and get paid $125 for your time. See if you qualify here: http://m3gr.io/EZVWAC
submitted by M3GlobalResearch to pancreaticcancer [link] [comments]


2023.06.09 12:08 Amzpecty1 Maximize Efficiency with Real-Time Amazon Data

Maximize Efficiency with Real-Time Amazon Data submitted by Amzpecty1 to u/Amzpecty1 [link] [comments]


2023.06.09 09:46 Volmaaral Driver Verifier BSOD Loop, Minidump Analysis Help Needed

As said above, I ran the Driver Verifier using the instructions found here, and upon restarting to begin the process, it BSOD crashed every time, with it mentioning the driver verifier found an issue (I forget the actual code, didn't think to screenshot in time). I tried to boot up in Safe mode, but right after the second crash, it went to automatic repair, failed, and then had to system restore.
I ran DISM, sfc scannow, and even ran chkdsk on my OS SSD to ensure it was all good. SFC found something corrupted and fixed that, ran the verifier again to see if that was the issue... and it looped all over again. I do have the minidump files, both look pretty much the same. As I'm getting out of my depth, I figured it would be best to ask assistance at this point. I got WinDbg, read the .dmp files, and I'm stuck at this point with a wall of code. it mentions a couple things I thought were possibly the issue (rsKernelEngine and smss.exe) but both were deep in the system files, and I don't want to mess with those.
The reason I did all this was I started experiencing hard freezing and shutdowns on my pc, on occasion, typically while playing a somewhat intensive game (Warhammer III and Bannerlord were the two games to have had this happen, so far). It'd freeze for a second, then the screen would go mostly black with a few leftover pixels (I could barely make out my money count still there from Warhammer III for a second), and then power off, restart, and everything was fine. Even Event Viewer didn't show anything critical... except for a BugCheck error, which made the computer reboot (no idea how unhealthy this sort of reboot is for my pc).
Event 1001, BugCheck
The computer has rebooted from a bugcheck. The bugcheck was: 0x000000c4 (0x0000000000002000, 0xfffff80ea6ef732a, 0x0000000000000000, 0x0000000072735350). A dump was saved in: C:\Windows\MEMORY.DMP. Report Id: 8b6111f0-596b-4e6b-931e-3392911d9524.
After this, I went down the rabbit hole of trying to figure out what's going on. This PC is getting on in age, and I've put it through some serious gaming punishment lately (I wasn't able to access my PS5 for a few months). I'm hoping this isn't a sign it's failing, but if it is, I want to figure out the extent of the damage, and either mitigate the amount I use the pc to extend it's life (and lay off the more intensive games for awhile), or replace a part if it's something hardware based. I did have temperature issues for awhile, typically caused by Warhammer III, that I'm still in the process of alleviating.
Anyway, one thing led to another, and here's the dump that I'm stuck on. Can anyone make heads or tails of all this?
************* Preparing the environment for Debugger Extensions Gallery repositories **************
ExtensionRepository : Implicit
UseExperimentalFeatureForNugetShare : false
AllowNugetExeUpdate : false

- Configuring repositories
-- Repository : LocalInstalled, Enabled: true
-- Repository : UserExtensions, Enabled: true


************* Waiting for Debugger Extensions Gallery to Initialize **************
.
-- Repository : UserExtensions, Enabled: true, Packages count: 0
-- Repository : LocalInstalled, Enabled: true, Packages count: 36

Microsoft (R) Windows Debugger Version 10.0.25324.1001 AMD64
Copyright (c) Microsoft Corporation. All rights reserved.


Loading Dump File [C:\Users\Volmaaral\Desktop\060923-5156-01.dmp]
Mini Kernel Dump File: Only registers and stack trace are available


************* Path validation summary **************
Response Time (ms) Location
Deferred srv*
Symbol search path is: srv*
Executable search path is:
Windows 10 Kernel Version 19041 MP (16 procs) Free x64
Product: WinNt, suite: TerminalServer SingleUserTS Personal
Edition build lab: 19041.1.amd64fre.vb_release.191206-1406
Kernel base = 0xfffff802`37a09000 PsLoadedModuleList = 0xfffff802`386332b0
Debug session time: Fri Jun 9 03:12:08.056 2023 (UTC - 4:00)
System Uptime: 0 days 0:00:08.708
Loading Kernel Symbols
...............................................................
................................................................
........
Loading User Symbols
Loading unloaded module list
....
For analysis of this file, run !analyze -v
nt!KeBugCheckEx:
fffff802`37e04ca0 48894c2408 mov qword ptr [rsp+8],rcx ss:0018:ffff9c06`6c9a66e0=00000000000000c4
4: kd> !analyze -v
*******************************************************************************
* *
* Bugcheck Analysis *
* *
*******************************************************************************

DRIVER_VERIFIER_DETECTED_VIOLATION (c4)
A device driver attempting to corrupt the system has been caught. This is
because the driver was specified in the registry as being suspect (by the
administrator) and the kernel has enabled substantial checking of this driver.
If the driver attempts to corrupt the system, BugChecks 0xC4, 0xC1 and 0xA will
be among the most commonly seen crashes.
Arguments:
Arg1: 0000000000002000, Code Integrity Issue: The caller specified an executable pool type. (Expected: NonPagedPoolNx)
Arg2: fffff80ea6ef732a, The address in the driver's code where the error was detected.
Arg3: 0000000000000000, Pool Type.
Arg4: 0000000072735350, Pool Tag (if provided).

Debugging Details:
------------------


KEY_VALUES_STRING: 1

Key : Analysis.CPU.mSec
Value: 1578

Key : Analysis.Elapsed.mSec
Value: 2111

Key : Analysis.IO.Other.Mb
Value: 5

Key : Analysis.IO.Read.Mb
Value: 0

Key : Analysis.IO.Write.Mb
Value: 13

Key : Analysis.Init.CPU.mSec
Value: 265

Key : Analysis.Init.Elapsed.mSec
Value: 14912

Key : Analysis.Memory.CommitPeak.Mb
Value: 85

Key : Bugcheck.Code.LegacyAPI
Value: 0xc4

Key : Failure.Bucket
Value: 0xc4_2000_VRF_rsKernelEngine!unknown_function

Key : Failure.Hash
Value: {67f93c7a-ab68-5260-06c6-e16011a2e4ec}

Key : WER.OS.Branch
Value: vb_release

Key : WER.OS.Version
Value: 10.0.19041.1


BUGCHECK_CODE: c4

BUGCHECK_P1: 2000

BUGCHECK_P2: fffff80ea6ef732a

BUGCHECK_P3: 0

BUGCHECK_P4: 72735350

FILE_IN_CAB: 060923-5156-01.dmp

BLACKBOXNTFS: 1 (!blackboxntfs)


CUSTOMER_CRASH_COUNT: 1

PROCESS_NAME: smss.exe

STACK_TEXT:
ffff9c06`6c9a66d8 fffff802`383dce44 : 00000000`000000c4 00000000`00002000 fffff80e`a6ef732a 00000000`00000000 : nt!KeBugCheckEx
ffff9c06`6c9a66e0 fffff802`37fa94c5 : fffff802`3861bc90 00000000`00002000 fffff80e`a6ef732a 00000000`00000000 : nt!VerifierBugCheckIfAppropriate+0xe0
ffff9c06`6c9a6720 fffff802`383d3e04 : 00000000`72735350 fffff802`3861bc90 fffff80e`a6ef732a fffff802`3790426f : nt!VfReportIssueWithOptions+0x101
ffff9c06`6c9a6770 fffff802`383e1052 : 00000000`00000000 ffff9d86`5d7598f0 00000000`00000008 ffffb501`95349ae8 : nt!VfCheckPoolType+0x90
ffff9c06`6c9a67b0 fffff80e`a6ef732a : 00000000`00000000 00000000`00000002 ffff9d86`5d96ea01 fffff802`3795c4c2 : nt!VerifierExAllocatePoolWithTag+0x62
ffff9c06`6c9a6800 00000000`00000000 : 00000000`00000002 ffff9d86`5d96ea01 fffff802`3795c4c2 00000000`00060004 : rsKernelEngine+0x732a


SYMBOL_NAME: rsKernelEngine+732a

MODULE_NAME: rsKernelEngine

IMAGE_NAME: rsKernelEngine.sys

STACK_COMMAND: .cxr; .ecxr ; kb

BUCKET_ID_FUNC_OFFSET: 732a

FAILURE_BUCKET_ID: 0xc4_2000_VRF_rsKernelEngine!unknown_function

OS_VERSION: 10.0.19041.1

BUILDLAB_STR: vb_release

OSPLATFORM_TYPE: x64

OSNAME: Windows 10

FAILURE_ID_HASH: {67f93c7a-ab68-5260-06c6-e16011a2e4ec}

Followup: MachineOwner
---------

4: kd> !blackboxntfs

NTFS Blackbox Data

0 Slow I/O Timeout Records Found
0 Oplock Break Timeout Records Found
submitted by Volmaaral to pchelp [link] [comments]


2023.06.09 07:49 Ruru_Kaimbe Perth Mint and the convicted killer

Perth Mint and the convicted killer
Justin Parker, the founder of Golden Valley, leaves a Port Moresby prison on bail in 2016. Despite his conviction for manslaughter, he retains full ownership of the company. Below: A family pans for gold together in PNG. PHOTOS: LOOP, SHAWN BLORE, Small-scale gold mining provides much-needed income for families in Papua New Guinea, above; Perth Mint chief executive Richard Hayes, below, and chairman Sam Walsh, bottom left. PHOTOS: COLIN MURTY, BLOOMBERG
https://preview.redd.it/q9xuvot7lx4b1.jpg?width=697&format=pjpg&auto=webp&s=b95c3fbf85a84cfed3b61f93a037d0614cf9fdf1
The Perth Mint, owned by the West Australian government, is buying up to $200 million of ‘‘conflict gold’’ annually from a convicted killer in Papua New Guinea, a breach of its global accreditation and internal policies. An investigation by The Australian Financial Review can reveal the historic Mint has repeatedly ignored staff concerns around purchases from smallscale gold miners in PNG, a practice heavily criticised for using child labour, degrading the environment through the use of mercury, and promoting conflict.
Chaired by former Rio Tinto chief executive Sam Walsh and backed by a state government guarantee, the Mint is the largest refiner of newly mined gold in the world and in February said it was at the ‘‘forefront of setting the highest possible ethical standards’’. But insiders, speaking on the condition they remain anonymous, said the Mint is paying little more than lip service to this pledge by dealing with the PNG firm, Golden Valley. It is owned by Justin Parker, who was convicted of manslaughter in August 2017 and sentenced to 13 years’ jail after beating his helicopter mechanic to death. He was released on parole last year.
Despite Mr Parker’s conviction, he has retained full ownership of Golden Valley and it remains a large supplier to the Mint, despite internal reservations. When a Mint employee asked a delegation of senior managers from Golden Valley how they dealt with competition in PNG, a representative said: ‘‘It’s easy, a gun to the back of the head.’’
Luke van Boehm, the managing director of Golden Valley, denied a comment like this was ever made by anyone at the company. But he said the Perth Mint had never conducted an audit on its supply chain, conceded mercury was often used by those it purchased gold from and that children were involved in mining with their families. ‘‘In a country like PNG, all the family gets involved,’’ he said during a phone interview.
He said Mr Parker was no longer a director of Golden Valley, but continued to have some input into its operations. Ciaran O’Faircheallaigh from Griffith University, who has studied smallscale gold mining in PNG and cited Golden Valley in his research, said the Mint could never claim its gold was ethically sourced.
‘‘They [the Mint] would have no idea where the gold came from. They would not have a clue,’’ he said. Both Mr O’Faircheallaigh and Mr van Boehm said small-scale gold mining provided muchneeded income at the village level in PNG and entire communities often depended on it for their livelihood. Mr van Boehm said efforts were being made to phase out the use of mercury. ‘‘We are trying to encourage the use of other chemicals,’’ he said. The Mint insiders said buying from Mr Parker was highly profitable, as the margin from Golden Valley was 10 times higher compared to other corporate customers such as Newcrest or Lihir Gold.
‘‘Golden Valley is happy to take a cheaper price because the gold is being washed through a government-backed institution,’’ one insider said. ‘‘They know if someone did proper due diligence then maybe the metal would not be accepted.’’ Mr van Boehm said he was not aware of this discount and denied his gold would be rejected by other refiners.
The Mint insiders said in previous years Golden Valley had sold up to 50,000 ounces to the Mint, worth $137 million at today’s prices. They said this had increased to around 80,000 ounces last year or $200 million at current prices. Richard Hayes, chief executive of the Mint, said it could not comment on individual customers but was acutely aware of the ‘‘complex issues’’ associated with small-scale gold mining in developing countries. He said five of the Mint’s largest PNG customers, who bought from smallscale miners, were subject to audits as the country was rated as a ‘‘medium risk’’. ‘‘All of our customers have been granted and currently hold export licences from the Bank of PNG and due diligence documentation accompanies all shipments from the nation,’’ Mr Hayes said in a statement. Like the consumer backlash over ‘‘blood diamonds’’ which forced buyers and cutters to be more accountable at the end of last century, the gold industry has sought to stamp out ‘‘conflict gold’’ and ensure the integrity of its supply chains in recent years. This is part of a broader push by companies and government bodies to ensure they meet their environmental, social and corporate governance (ESG) responsibilities. In the gold sector the move towards ethical sourcing has been led by the world’s largest gold exchange, the London Bullion Market Association (LBMA), which traces its roots to 1750 and the East India Company. The LBMA is loosely regulated by the Bank of England. Under the LBMA’s responsible sourcing policy refiners like the Perth Mint commit to not buying gold which promotes conflict, human rights abuses, including childlabour, and issustainably sourced.
‘‘Failure to adhere to the LBMA’s Responsible Sourcing Programme will result in the removal of the refiner from the Good Delivery Lists,’’ said the LBMA’s chief technical officer, Nick Harby, in a video explaining the policy. In a February press release the Perth Mint said it had ‘‘long been at the forefront of setting the highest possible ethical standards across all its operations’’. In launching an ethical supply chain solution, Mr Hayes talked about ‘‘child labour and other,
abhorrent practices’’ and how this contrasted with ‘‘ethically sourced [gold] from mines in Australia and the United States’’. He made no mention of the Perth Mint’s purchases of alluvial gold from PNG, of which Golden Valley is among the largest buyers. Nor did he mention that these small miners frequently use child labour and often remove impurities through the use of mercury, which is banned in Australia. ‘‘The use of mercury causes serious environmental and health problems. It is unambiguously awful,’’ said Professor O’Faircheallaigh from Griffith University. In addition, he said, silt from the gold mining often had an adverse effect on food suppliers and water quality downstream due to increased levels of sediment in rivers.
Professor O’Faircheallaigh said the Mint could never say with any confidence that the metal it buys from Golden Valley was ethically sourced. ‘‘Some of it may be [ethically sourced] but equally there would be a high proportion where mercury was used,’’ he said. A 2016 report co-authored by Professor O’Faircheallaigh also identified Golden Valley as a supplier of mercury. ‘‘Dealing in bulk mercury can be remarkably lucrative,’’ the report said, noting the likes of Golden Valley could expect a 10-fold mark-up. Mr van Boehm said the company did sell some mercury, but had sought to educate miners on its correct use to avoid the worst side effects of the chemical. These include physical and mental disabilities in children and compromised development, according to an article published in the European academic journal, Chemistry. ‘‘The health effects on the miners are dire, with inhaled mercury leading to neurological damage,’’ it said. ‘‘The communities near these mines are also affected due to mercury contamination of water and soil and subsequent accumulation in food staples, such as fish.’’
Another researcher who asked to remain anonymous due to fear of reprisals said small-scale gold mining had a highly negative impact on remote villages in the PNG highlands. The researcher said when gold was discovered children were often taken out of school and there was an influx of outsiders. ‘‘Suddenly there are guns in the village, along with conflict and crime which had previously not existed,’’ the person said. ‘‘It is definitely not ethically sourced gold.’’
Typically, gold from these villages would make its way down to a regional centre, where an aggregator like Golden Valley would purchase it. From here it would be flown by helicopter down to Port Moresby and then onto Perth.
submitted by Ruru_Kaimbe to u/Ruru_Kaimbe [link] [comments]


2023.06.09 07:38 zesty_noise Minecraft Modding

Can anyone tell me what went wrong?

---- Minecraft Crash Report ----
WARNING: coremods are present:
wings (wings-1.1.6-1.12.2.jar)
SuperMartijn642's Core Lib Plugin (supermartijn642corelib-1.1.9b-forge-mc1.12.jar)
WolfArmorCore (WolfArmorAndStorage-1.12.2-3.8.0-universal-signed.jar)
MekanismCoremod (Mekanism-1.12.2-9.8.3.390.jar)
PhosphorFMLLoadingPlugin (phosphor-forge-mc1.12.2-0.2.7-universal.jar)
Quark Plugin (Quark-r1.6-179.jar)
FutureMC (future-mc-0.2.11.jar)
ObfuscatePlugin (obfuscate-0.4.2-1.12.2.jar)
SurgeLoadingPlugin (Surge-1.12.2-2.0.79.jar)
UniDictCoreMod (UniDict-1.12.2-3.0.10.jar)
ForgelinPlugin (Forgelin-1.8.3.jar)
llibrary (llibrary-core-1.0.11-1.12.2.jar)
CorePlugin (ForgeEndertech-1.12.2-4.5.6.1-build.0648.jar)
SpartanWeaponry-MixinLoader (SpartanWeaponry-1.12.2-1.5.3.jar)
Contact their authors BEFORE contacting forge
// This doesn't make any sense!
Time: 6/9/23 3:13 PM
Description: There was a severe problem during mod loading that has caused the game to fail
net.minecraftforge.fml.common.LoaderException: java.lang.NoClassDefFoundError: net/minecraft/world/chunk/Chunk
at net.minecraftforge.fml.common.AutomaticEventSubscriber.inject(AutomaticEventSubscriber.java:89) at net.minecraftforge.fml.common.FMLModContainer.constructMod(FMLModContainer.java:612) at sun.reflect.NativeMethodAccessorImpl.invoke0(Native Method) at sun.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:62) at sun.reflect.DelegatingMethodAccessorImpl.invoke(DelegatingMethodAccessorImpl.java:43) at java.lang.reflect.Method.invoke(Method.java:497) at com.google.common.eventbus.Subscriber.invokeSubscriberMethod(Subscriber.java:91) at com.google.common.eventbus.Subscriber$SynchronizedSubscriber.invokeSubscriberMethod(Subscriber.java:150) at com.google.common.eventbus.Subscriber$1.run(Subscriber.java:76) at com.google.common.util.concurrent.MoreExecutors$DirectExecutor.execute(MoreExecutors.java:399) at com.google.common.eventbus.Subscriber.dispatchEvent(Subscriber.java:71) at com.google.common.eventbus.Dispatcher$PerThreadQueuedDispatcher.dispatch(Dispatcher.java:116) at com.google.common.eventbus.EventBus.post(EventBus.java:217) at net.minecraftforge.fml.common.LoadController.sendEventToModContainer(LoadController.java:219) at net.minecraftforge.fml.common.LoadController.propogateStateMessage(LoadController.java:197) at sun.reflect.NativeMethodAccessorImpl.invoke0(Native Method) at sun.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:62) at sun.reflect.DelegatingMethodAccessorImpl.invoke(DelegatingMethodAccessorImpl.java:43) at java.lang.reflect.Method.invoke(Method.java:497) at com.google.common.eventbus.Subscriber.invokeSubscriberMethod(Subscriber.java:91) at com.google.common.eventbus.Subscriber$SynchronizedSubscriber.invokeSubscriberMethod(Subscriber.java:150) at com.google.common.eventbus.Subscriber$1.run(Subscriber.java:76) at com.google.common.util.concurrent.MoreExecutors$DirectExecutor.execute(MoreExecutors.java:399) at com.google.common.eventbus.Subscriber.dispatchEvent(Subscriber.java:71) at com.google.common.eventbus.Dispatcher$PerThreadQueuedDispatcher.dispatch(Dispatcher.java:116) at com.google.common.eventbus.EventBus.post(EventBus.java:217) at net.minecraftforge.fml.common.LoadController.distributeStateMessage(LoadController.java:136) at net.minecraftforge.fml.common.Loader.loadMods(Loader.java:595) at net.minecraftforge.fml.client.FMLClientHandler.beginMinecraftLoading(FMLClientHandler.java:232) at net.minecraft.client.Minecraft.func\_71384\_a(Minecraft.java:467) at net.minecraft.client.Minecraft.func\_99999\_d(Minecraft.java:378) at net.minecraft.client.main.Main.main(SourceFile:123) at sun.reflect.NativeMethodAccessorImpl.invoke0(Native Method) at sun.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:62) at sun.reflect.DelegatingMethodAccessorImpl.invoke(DelegatingMethodAccessorImpl.java:43) at java.lang.reflect.Method.invoke(Method.java:497) at net.minecraft.launchwrapper.Launch.launch(Launch.java:135) at net.minecraft.launchwrapper.Launch.main(Launch.java:28) 
Caused by: java.lang.NoClassDefFoundError: net/minecraft/world/chunk/Chunk
at java.lang.Class.getDeclaredConstructors0(Native Method) at java.lang.Class.privateGetDeclaredConstructors(Class.java:2671) at java.lang.Class.getConstructor0(Class.java:3075) at java.lang.Class.getConstructor(Class.java:1825) at net.minecraftforge.fml.common.eventhandler.EventBus.register(EventBus.java:128) at net.minecraftforge.fml.common.eventhandler.EventBus.register(EventBus.java:112) at net.minecraftforge.fml.common.AutomaticEventSubscriber.inject(AutomaticEventSubscriber.java:82) ... 37 more 
Caused by: java.lang.ClassNotFoundException: net.minecraft.world.chunk.Chunk
at net.minecraft.launchwrapper.LaunchClassLoader.findClass(LaunchClassLoader.java:191) at java.lang.ClassLoader.loadClass(ClassLoader.java:424) at java.lang.ClassLoader.loadClass(ClassLoader.java:357) ... 44 more 
Caused by: org.spongepowered.asm.mixin.transformer.throwables.MixinTransformerError: An unexpected critical error was encountered
at org.spongepowered.asm.mixin.transformer.MixinProcessor.applyMixins(MixinProcessor.java:392) at org.spongepowered.asm.mixin.transformer.MixinTransformer.transformClass(MixinTransformer.java:234) at org.spongepowered.asm.mixin.transformer.MixinTransformer.transformClassBytes(MixinTransformer.java:202) at org.spongepowered.asm.mixin.transformer.Proxy.transform(Proxy.java:72) at net.minecraft.launchwrapper.LaunchClassLoader.runTransformers(LaunchClassLoader.java:279) at net.minecraft.launchwrapper.LaunchClassLoader.findClass(LaunchClassLoader.java:176) ... 46 more 
Caused by: org.spongepowered.asm.mixin.injection.throwables.InjectionError: Critical injection failure: Variable modifier method setBlockStateInjectGenerateSkylightMapVanilla(Z)Z in mixins.phosphor.json:common.MixinChunk$Vanilla failed injection check, (0/1) succeeded. Scanned 1 target(s). Using refmap mixins.phosphor.refmap.json
at org.spongepowered.asm.mixin.injection.struct.InjectionInfo.postInject(InjectionInfo.java:468) at org.spongepowered.asm.mixin.transformer.MixinTargetContext.applyInjections(MixinTargetContext.java:1362) at org.spongepowered.asm.mixin.transformer.MixinApplicatorStandard.applyInjections(MixinApplicatorStandard.java:1051) at org.spongepowered.asm.mixin.transformer.MixinApplicatorStandard.applyMixin(MixinApplicatorStandard.java:400) at org.spongepowered.asm.mixin.transformer.MixinApplicatorStandard.apply(MixinApplicatorStandard.java:325) at org.spongepowered.asm.mixin.transformer.TargetClassContext.apply(TargetClassContext.java:383) at org.spongepowered.asm.mixin.transformer.TargetClassContext.applyMixins(TargetClassContext.java:365) at org.spongepowered.asm.mixin.transformer.MixinProcessor.applyMixins(MixinProcessor.java:363) ... 51 more 
A detailed walkthrough of the error, its code path and all known details is as follows:
---------------------------------------------------------------------------------------
-- System Details --
Details:
Minecraft Version: 1.12.2 Operating System: Windows 10 (amd64) version 10.0 Java Version: 1.8.0\_51, Oracle Corporation Java VM Version: Java HotSpot(TM) 64-Bit Server VM (mixed mode), Oracle Corporation Memory: 387148896 bytes (369 MB) / 805306368 bytes (768 MB) up to 6442450944 bytes (6144 MB) JVM Flags: 8 total; -XX:HeapDumpPath=MojangTricksIntelDriversForPerformance\_javaw.exe\_minecraft.exe.heapdump -Xmx6G -XX:+UnlockExperimentalVMOptions -XX:+UseG1GC -XX:G1NewSizePercent=20 -XX:G1ReservePercent=20 -XX:MaxGCPauseMillis=50 -XX:G1HeapRegionSize=32M IntCache: cache: 0, tcache: 0, allocated: 0, tallocated: 0 FML: MCP 9.42 Powered by Forge 14.23.5.2859 127 mods loaded, 125 mods active States: 'U' = Unloaded 'L' = Loaded 'C' = Constructed 'H' = Pre-initialized 'I' = Initialized 'J' = Post-initialized 'A' = Available 'D' = Disabled 'E' = Errored State ID Version Source Signature :----- :------------------------------- :------------------------ :------------------------------------------------------------ :---------------------------------------- LC minecraft 1.12.2 minecraft.jar None LC mcp 9.42 minecraft.jar None LC FML 8.0.99.99 forge-1.12.2-14.23.5.2859.jar e3c3d50c7c986df74c645c0ac54639741c90a557 LC forge 14.23.5.2859 forge-1.12.2-14.23.5.2859.jar e3c3d50c7c986df74c645c0ac54639741c90a557 LC obfuscate 0.4.2 minecraft.jar None LC skinlayers3d 1.2.0 3dSkinLayers-forge-mc1.12.2-1.2.0.jar None LC magistuarmory 1.0 \[1.12.2\]-Epic-Knights-Armor-and-Weapons-6.2v(uncomplete).jar None LC absentbydesign 1.12.2-1.0.4 Absent-by-Design-Mod-Forge-1.12.2.jar 1bc8f8dbe770187a854cef35dad0ff40ba441bbe LC additional\_lights 1.12.2-1.2.1 additional\_lights-1.12.2-1.2.1.jar None LC additionalbanners 1.1.77 AdditionalBanners-1.12.2-1.1.77.jar d476d1b22b218a10d845928d1665d45fce301b27 LC supermartijn642corelib 1.1.9b supermartijn642corelib-1.1.9b-forge-mc1.12.jar None LC additionallanterns 1.0.4a additionallanterns-1.0.4a-forge-mc1.12.jar None LC forgeendertech 1.12.2-4.5.6.1 ForgeEndertech-1.12.2-4.5.6.1-build.0648.jar None LE adlods 1.12.2-1.0.8.0 AdLods-1.12.2-1.0.8.0-build.0504.jar None L anvilpatch 1.1.1 anvilpatch-1.1.1.jar None L jei 4.16.1.1003 jei\_1.12.2-4.16.1.1003.jar None L appleskin 1.0.14 AppleSkin-mc1.12-1.0.14.jar None L architecturecraft @VERSION@ architecturecraft-1.12-3.108.jar None L armorchroma 1.4-beta Armor-Chroma-Mod-1.12.2.jar None L carrots 1.0.0b1 carrotslib-mc1.12.2-1.0.0b1.jar None L armorunder 1.0.0 armorunder-mc1.12.2-1.0.0.jar None L mantle 1.12-1.3.3.55 Mantle-1.12-1.3.3.55.jar None L quark r1.6-179 Quark-r1.6-179.jar None L tconstruct 1.12.2-2.13.0.183 TConstruct-1.12.2-2.13.0.183.jar None L conarm 1.2.5.10 conarm-1.12.2-1.2.5.10.jar None L armoryexpansion 1.4.2 armoryexpansion-1.4.2.jar None L armoryexpansion-custommaterials 1.4.2 armoryexpansion-1.4.2.jar None L armoryexpansion-iceandfire 1.4.2 armoryexpansion-1.4.2.jar None L armoryexpansion-matteroverdrive 1.4.2 armoryexpansion-1.4.2.jar None L attributefix 1.0.12 AttributeFix-Forge-1.12.2-1.0.12.jar None L autoreglib 1.3-32 AutoRegLib-1.3-32.jar None L baubles 1.5.2 Baubles-1.12-1.5.2.jar None L bhc 2.0.3 baubley-heart-canisters-1.12.2-2.0.3.jar None L betternether 0.1.8.6 betternether-0.1.8.6.jar None L biomesoplenty 7.0.1.2445 BiomesOPlenty-1.12.2-7.0.1.2445-universal.jar None L blocklayering 1.12.2-1.0.3 Block-Layering-Mod-Forge-1.12.2.jar None L bottledmilk 1.0.0 BottledMilk-1.12-1.1.0.jar None L bountifulbaubles 0.0.1 Bountiful+Baubles-1.12.2-0.1.8.jar None L champions 1.12.2-1.0.11.10 champions-1.12.2-1.0.11.10.jar None L chesttransporter 2.8.8 ChestTransporter-1.12.2-2.8.8.jar None L cloudboots 1.4.1 Cloud-Boots-Mod-1.12.2.jar None L clumps 3.1.2 Clumps-3.1.2.jar None L connectedglass 1.1.6a connectedglass-1.1.6a-forge-mc1.12.jar None L cosmeticarmorreworked 1.12.2-v5a CosmeticArmorReworked-1.12.2-v5a.jar None L craftablechainmail 1.1.5 Craftable-Chainmail-Armor-Mod-Forge-1.12.2.jar None L ctdcore 1.4.2 CTD-Core-1.12.2.jar None L cucumber 1.1.2 Cucumber-1.12.2-1.1.2.jar None L dynamictrees 1.12.2-0.9.29 DynamicTrees-1.12.2-0.9.29.jar None L dynamictreesbop 1.12.2-1.5.1 DynamicTreesBOP-1.12.2-1.5.1.jar None L dynamictreesquark 1.12.2-1.0.6 DynamicTreesQuark-1.12.2-1.0.6.jar None L dynamictreestconstruct 1.12.2-1.2.7 DynamicTreesTinkersConstruct-1.12.2-1.2.7.jar None L enchantedgoldenapplecrafting 1.0.1 Enchanted Golden Apple Crafting Mod-Forge-1.12.2.jar None L examplemod 1.0 Enchanted Golden Apple Crafting Mod-Forge-1.12.2.jar None L lieutenant 2.0 lieutenant-2.0.jar None L toughasnails 3.1.0.141 ToughAsNails-1.12.2-3.1.0.141-universal.jar None L extratan 6 extra-tan-6.0.649.jar None L fairylights 2.1.10 fairylights-2.2.0-1.12.2.jar None L findme 1.1.0 findme-1.12.2-1.1.0-8.jar None L forgelin 1.8.3 Forgelin-1.8.3.jar None L cfm 6.3.0 furniture-6.3.2-1.12.2.jar None L futuremc 0.2.6 future-mc-0.2.11.jar None L glassential 1.1.0 glassential-1.12.2-1.1.0.jar None L cgm 0.15.3 guns-0.15.3-1.12.2.jar None L inventoryhud 3.4.4 InventoryHUD-1.12.2.forge-3.4.4.jar None L inventorypets 2.0.15 inventorypets-1.12-2.0.15.jar None L ironchest 1.12.2-7.0.67.844 ironchest-1.12.2-7.0.72.847.jar None L ironjetpacks 1.1.0 IronJetpacks-1.12-2-1.1.0.jar None L supermartijn642configlib 1.1.6 supermartijn642configlib-1.1.6-forge-mc1.12.jar None L itemcollectors 1.1.7 itemcollectors-1.1.7-forge-mc1.12.jar None L journeymap 1.12.2-5.7.1 journeymap-1.12.2-5.7.1.jar None L jeresources 0.9.2.60 JustEnoughResources-1.12.2-0.9.2.60.jar None L longfallboots 1.2.1a longfallboots-1.2.1b.jar None L mcwdoors 1.3 mcw-doors-1.0.3-mc1.12.2.jar None L mcwfences 1.0.0 mcw-fences-1.0.0-mc1.12.2.jar None L mcwpaintings 1.0.4 mcw-paintings-1.0.4-mc1.12.2.jar None L medivalmusic 1.12.2-1.1 medivalmusic-1.1.jar None L mekanism 1.12.2-9.8.3.390 Mekanism-1.12.2-9.8.3.390.jar None L mekanismgenerators 1.12.2-9.8.3.390 MekanismGenerators-1.12.2-9.8.3.390.jar None L mekanismtools 1.12.2-9.8.3.390 MekanismTools-1.12.2-9.8.3.390.jar None L moglowstone 1.5.6 Mo-Glowstone-Mod-1.12.1.jar None L numina 1.12.2-1.0.38 Numina-1.12.2-1.0.38.jar None L powersuits 1.12.2-1.0.46 ModularPowersuits-1.12.2-1.0.46.jar None L mousetweaks 2.10 MouseTweaks-2.10-mc1.12.2.jar None L naturescompass 1.8.5 NaturesCompass-1.12.2-1.8.5.jar None L overpoweredarmorbar @VERSION@ overloadedarmorbar-1.0.4g.jar None L pigstep 1.12 pigstep-1.12.jar None L potionfingers r1.0-8 PotionFingers-r1.0-8.jar None L pmmo 1.12.2 Project\_MMO-1.12-3.44.3.jar None L rsgauges 1.2.8 rsgauges-1.12.2-1.2.8.jar None L rustic 1.1.7 rustic-1.1.7.jar None L silentlib 3.0.13 Silent-Lib-1.12.2.jar None L simpleknives 1.0.0 Simple-Knives-Mod-Forge-1.12.2.jar None L valkyrielib 1.12.2-2.0.20.1 valkyrielib-1.12.2-2.0.20.1.jar None L simplegenerators 1.12.2-2.0.20.2 simplegenerators-1.12.2-2.0.20.2.jar None L simplemagnets 1.1.9 simplemagnets-1.1.9-forge-mc1.12.jar None L simplylight 1.12.2-0.8.7 simplylight-1.12.2-0.8.7.jar None L sit v1.3 sit-1.12.2-v1.3.jar None L snad 1.12.1-1.7.09.16a Snad-1.12.1-1.7.09.16a.jar None L spartanshields 1.5.5 SpartanShields-1.12.2-1.5.5.jar None L xat 0.32 Trinkets+and+Baubles-32.4.jar None L spartanweaponry 1.5.3 SpartanWeaponry-1.12.2-1.5.3.jar None L stg 1.12.2-1.2.3 stg-1.12.2-1.2.3.jar None L surge 2.0.79 Surge-1.12.2-2.0.79.jar None L tinkersjei 1.2 tinkersjei-1.2.jar None L tinkertoolleveling 1.12.2-1.1.0.DEV.b23e769 TinkerToolLeveling-1.12.2-1.1.0.jar None L tips 1.0.9 Tips-Mod-Forge-1.12.2.jar None L torchbandolier 0.1.1 Torch-Bandolier-Mod-Forge-1.12.2.jar None L torchslabmod v1.5.2 torchslabmod-1.12.2-v1.5.2.jar None L toughnessbar @VERSION@ toughnessbar-2.4.jar None L trashcans 1.0.17 trashcans-1.0.17-forge-mc1.12.jar None L travelersbackpack 1.0.35 TravelersBackpack-1.12.2-1.0.35.jar None L uppers 0.0.6 Uppers-0.0.6.jar None L universalmodifiers 1.12.2-1.0.16.1 valkyrielib-1.12.2-2.0.20.1.jar None L waddles 0.6.0 Waddles-1.12.2-0.6.0.jar None L wailaharvestability 1.1.12 WailaHarvestability-mc1.12-1.1.12.jar None L wanionlib 1.12.2-2.9 WanionLib-1.12.2-2.9.jar None L waterskin 1.0.1 waterskin-1.0.1.jar None L wawla 2.6.275 Wawla-1.12.2-2.6.275.jar None L llibrary 1.7.20 llibrary-1.7.20-1.12.2.jar None L wings 1.1.6 wings-1.1.6-1.12.2.jar None L bauble\_wings 1.0.0 wings-1.1.6-1.12.2.jar None L wolfarmor 3.8.0 WolfArmorAndStorage-1.12.2-3.8.0-universal-signed.jar None L phosphor-lighting 1.12.2-0.2.7 phosphor-forge-mc1.12.2-0.2.7-universal.jar None L armoryexpansion-conarm 1.4.2 armoryexpansion-1.4.2.jar None L unidict 1.12.2-3.0.10 UniDict-1.12.2-3.0.10.jar None UD mowzies\_wings 1.0.0 wings-1.1.6-1.12.2.jar None UD mobends\_wings 1.0.0 wings-1.1.6-1.12.2.jar None Loaded coremods (and transformers): 
wings (wings-1.1.6-1.12.2.jar)
me.paulf.wings.server.asm.WingsRuntimePatcher
me.paulf.wings.server.asm.mobends.WingsMoBendsRuntimePatcher
SuperMartijn642's Core Lib Plugin (supermartijn642corelib-1.1.9b-forge-mc1.12.jar)
WolfArmorCore (WolfArmorAndStorage-1.12.2-3.8.0-universal-signed.jar)
MekanismCoremod (Mekanism-1.12.2-9.8.3.390.jar)
mekanism.coremod.KeybindingMigrationHelper
PhosphorFMLLoadingPlugin (phosphor-forge-mc1.12.2-0.2.7-universal.jar)
Quark Plugin (Quark-r1.6-179.jar)
vazkii.quark.base.asm.ClassTransformer
FutureMC (future-mc-0.2.11.jar)
thedarkcolour.futuremc.asm.CoreTransformer
ObfuscatePlugin (obfuscate-0.4.2-1.12.2.jar)
com.mrcrayfish.obfuscate.asm.ObfuscateTransformer
SurgeLoadingPlugin (Surge-1.12.2-2.0.79.jar)
UniDictCoreMod (UniDict-1.12.2-3.0.10.jar)
wanion.unidict.core.UniDictCoreModTransformer
ForgelinPlugin (Forgelin-1.8.3.jar)
llibrary (llibrary-core-1.0.11-1.12.2.jar)
net.ilexiconn.llibrary.server.core.plugin.LLibraryTransformer
net.ilexiconn.llibrary.server.core.patcher.LLibraryRuntimePatcher
CorePlugin (ForgeEndertech-1.12.2-4.5.6.1-build.0648.jar)
SpartanWeaponry-MixinLoader (SpartanWeaponry-1.12.2-1.5.3.jar)
GL info: ' Vendor: 'Intel' Version: '4.6.0 - Build 27.20.100.8730' Renderer: 'Intel(R) HD Graphics 615' 
submitted by zesty_noise to AskProgramming [link] [comments]


2023.06.09 04:59 Economy_Ad90 Help Understanding DMP File

Hello, I have been getting blue screens periodically and I am trying to understand how to read my DMP file. Can someone help me pinpoint the issue from my report? Thanks. Pasted below:
--------------------------------
Microsoft (R) Windows Debugger Version 10.0.25200.1003 AMD64
Copyright (c) Microsoft Corporation. All rights reserved.
Loading Dump File [C:\Windows\MEMORY.DMP]
Kernel Bitmap Dump File: Kernel address space is available, User address space may not be available.
Primary dump contents written successfully
************* Path validation summary **************
Response Time (ms) Location
Deferred srv*
Symbol search path is: srv*
Executable search path is:
Windows 10 Kernel Version 22621 MP (24 procs) Free x64
Product: WinNt, suite: TerminalServer SingleUserTS
Edition build lab: 22621.1.amd64fre.ni_release.220506-1250
Machine Name:
Kernel base = 0xfffff801`4f800000 PsLoadedModuleList = 0xfffff801`504134d0
Debug session time: Thu Jun 8 19:38:41.651 2023 (UTC - 7:00)
System Uptime: 0 days 0:00:09.257
Loading Kernel Symbols
...............................................................
................................................................
................................................................
........
Loading User Symbols
PEB is paged out (Peb.Ldr = 000000fe`14eec018). Type ".hh dbgerr001" for details
Loading unloaded module list
.......
For analysis of this file, run !analyze -v
nt!KeBugCheckEx:
fffff801`4fc2c0f0 48894c2408 mov qword ptr [rsp+8],rcx ss:0018:ffff9881`d495a550=0000000000000050
14: kd> !analyze -v
*******************************************************************************
* *
* Bugcheck Analysis *
* *
*******************************************************************************
PAGE_FAULT_IN_NONPAGED_AREA (50)
Invalid system memory was referenced. This cannot be protected by try-except.
Typically the address is just plain bad or it is pointing at freed memory.
Arguments:
Arg1: ffffbe236c1a9c40, memory referenced.
Arg2: 0000000000000000, X64: bit 0 set if the fault was due to a not-present PTE.
bit 1 is set if the fault was due to a write, clear if a read. bit 3 is set if the processor decided the fault was due to a corrupted PTE. bit 4 is set if the fault was due to attempted execute of a no-execute PTE. \- ARM64: bit 1 is set if the fault was due to a write, clear if a read. bit 3 is set if the fault was due to attempted execute of a no-execute PTE. 
Arg3: fffff8014faa4fcd, If non-zero, the instruction address which referenced the bad memory
address. 
Arg4: 0000000000000002, (reserved)
Debugging Details:
------------------
KEY_VALUES_STRING: 1
Key : AV.Type
Value: Read
Key : Analysis.CPU.mSec
Value: 1375
Key : Analysis.DebugAnalysisManager
Value: Create
Key : Analysis.Elapsed.mSec
Value: 1489
Key : Analysis.IO.Other.Mb
Value: 0
Key : Analysis.IO.Read.Mb
Value: 0
Key : Analysis.IO.Write.Mb
Value: 0
Key : Analysis.Init.CPU.mSec
Value: 468
Key : Analysis.Init.Elapsed.mSec
Value: 2903
Key : Analysis.Memory.CommitPeak.Mb
Value: 106
Key : Bugcheck.Code.DumpHeader
Value: 0x50
Key : Bugcheck.Code.KiBugCheckData
Value: 0x50
Key : Bugcheck.Code.Register
Value: 0x50
Key : Dump.Attributes.AsUlong
Value: 1000
Key : Dump.Attributes.DiagDataWrittenToHeader
Value: 1
Key : Dump.Attributes.ErrorCode
Value: 0
Key : Dump.Attributes.LastLine
Value: Dump completed successfully.
Key : Dump.Attributes.ProgressPercentage
Value: 100
Key : WER.OS.Branch
Value: ni_release
Key : WER.OS.Timestamp
Value: 2022-05-06T12:50:00Z
Key : WER.OS.Version
Value: 10.0.22621.1
FILE_IN_CAB: MEMORY.DMP
DUMP_FILE_ATTRIBUTES: 0x1000
BUGCHECK_CODE: 50
BUGCHECK_P1: ffffbe236c1a9c40
BUGCHECK_P2: 0
BUGCHECK_P3: fffff8014faa4fcd
BUGCHECK_P4: 2
READ_ADDRESS: ffffbe236c1a9c40 Nonpaged pool
MM_INTERNAL_CODE: 2
BLACKBOXBSD: 1 (!blackboxbsd)
BLACKBOXNTFS: 1 (!blackboxntfs)
BLACKBOXWINLOGON: 1
PROCESS_NAME: svchost.exe
TRAP_FRAME: ffff9881d495a770 -- (.trap 0xffff9881d495a770)
NOTE: The trap frame does not contain all registers.
Some register values may be zeroed or incorrect.
rax=ffffbe236c1a9c40 rbx=0000000000000000 rcx=ffffbe0b6c1a9c40
rdx=0000000000000000 rsi=0000000000000000 rdi=0000000000000000
rip=fffff8014faa4fcd rsp=ffff9881d495a900 rbp=ffff9881d495aaa0
r8=ffffbe236c1a9c40 r9=ffffbe0b6c1a9c40 r10=ffffbe236c1a9c40
r11=ffffbe0b580fbda0 r12=0000000000000000 r13=0000000000000000
r14=0000000000000000 r15=0000000000000000
iopl=0 nv up ei ng nz na pe nc
nt!NtAssociateWaitCompletionPacket+0x11d:
fffff801`4faa4fcd 0fb600 movzx eax,byte ptr [rax] ds:ffffbe23`6c1a9c40=??
Resetting default scope
STACK_TEXT:
ffff9881`d495a548 fffff801`4fc8c861 : 00000000`00000050 ffffbe23`6c1a9c40 00000000`00000000 ffff9881`d495a770 : nt!KeBugCheckEx
ffff9881`d495a550 fffff801`4fa3783c : 00000000`00000002 00000000`00000000 00000000`00000000 ffffbe23`6c1a9c40 : nt!MiSystemFault+0x258a61
ffff9881`d495a650 fffff801`4fc3cd29 : ffff9881`d495a854 00000000`00000001 00000000`00000000 00000000`00000000 : nt!MmAccessFault+0x29c
ffff9881`d495a770 fffff801`4faa4fcd : 00000000`00000000 00000000`00000000 00000000`00000000 00000000`00000000 : nt!KiPageFault+0x369
ffff9881`d495a900 fffff801`4fc40ee5 : ffffbe0b`709957e0 00000000`00000088 00000000`00000090 0000029d`70004ab8 : nt!NtAssociateWaitCompletionPacket+0x11d
ffff9881`d495a9b0 00007ffe`fc32fe44 : 00000000`00000000 00000000`00000000 00000000`00000000 00000000`00000000 : nt!KiSystemServiceCopyEnd+0x25
000000fe`151ffb38 00000000`00000000 : 00000000`00000000 00000000`00000000 00000000`00000000 00000000`00000000 : 0x00007ffe`fc32fe44
SYMBOL_NAME: nt!NtAssociateWaitCompletionPacket+11d
MODULE_NAME: nt
IMAGE_NAME: ntkrnlmp.exe
STACK_COMMAND: .cxr; .ecxr ; kb
BUCKET_ID_FUNC_OFFSET: 11d
FAILURE_BUCKET_ID: AV_R_(null)_nt!NtAssociateWaitCompletionPacket
OS_VERSION: 10.0.22621.1
BUILDLAB_STR: ni_release
OSPLATFORM_TYPE: x64
OSNAME: Windows 10
FAILURE_ID_HASH: {8aa83a55-ae11-8126-e97a-f6babdcf08a2}
Followup: MachineOwner
---------
submitted by Economy_Ad90 to techsupport [link] [comments]


2023.06.09 01:39 imz72 Japan's Reprocell plans to seek approval for its stem cell therapy despite failing to meet the primary efficacy endpoint

(Machine-translated from Japanese):
2023.06.09
On June 7, 2023, Reprocell held a financial results briefing for the fiscal year ending March 2023. The research support business and the PCR testing business performed well, and sales reached a record high since the listing.
The allogeneic adipose-derived mesenchymal stem cells "Stemchymal", which the company had been developing for spinocerebellar degeneration, failed to achieve the primary efficacy endpoint as a result of the domestic phase II clinical trial.
However, the results of the subgroup analysis suggested efficacy, so the plan is to apply for approval based on the results of the phase II trial.
[The rest of the article is behind paywall - imz72]
https://bio.nikkeibp.co.jp/atcl/news/p1/23/06/08/10792/
May 30, 2023
Reprocell reports mixed results for phase II Stemchymal trial in spinocerebellar ataxia
By Tamra Sami
Regenerative medicine product Stemchymal, an allogeneic adipose-derived mesenchymal stem cell treatment, missed the primary efficacy endpoints in two phase II spinocerebellar ataxia (SCA) trials conducted in Japan and Korea, but a subpopulation analysis showed efficacy signals in patients with more severe conditions, Reprocell Inc. reported.
The phase II trial conducted in Japan was a placebo-controlled, multicenter, randomized, double-blinded, parallel-group study to evaluate the safety and efficacy of the drug. Independently, another phase II trial with a similar design was conducted in Taiwan by the originator, Steminent Biotherapeutics Inc., of San Diego and Taipei. In the Japan study conducted by Reprocell, of Yokohama, Japan, 31 patients received Stemchymal and 28 patients received placebo.
Spinocerebellar degeneration is a rare disease of unknown cause in which degeneration of nerve cells in the cerebellum, brainstem and spinal cord progressively causes ataxia, such as gait and swallowing difficulties, making it difficult for patients to perform daily activities. There are no approved treatments that delay or halt progression of SCAs.
The primary efficacy endpoint was the change in Scale for the Assessment and Rating of Ataxia (SARA) score from baseline to week 52, and in the overall population there was no statistically significant improvement observed in the treatment group compared to the placebo group.
A review of previously published papers showed that a placebo effect was observed in more than 90% of previous clinical trials in spinocerebellar degeneration, and the placebo effect was higher in less severe patients. The placebo effect was reduced in the higher baseline subgroups with baseline SARA scores of 11 or higher, showing a trend closer to the natural history of spinocerebellar degeneration, with SARA scores increasing by roughly one point per year.
The SARA score is based on the investigator's observation of walking, standing, speaking and finger movements to assess symptoms. The worse the symptoms are, the higher the score is. It has eight categories with accumulative scores ranging from 0 (no ataxia) to 40 (most severe ataxia).
Based on the statistical analysis plan and advice from medical experts, a subpopulation analysis was performed based on the predose baseline SARA score, and the disease progression analysis of SARA score showed a statistically significant improvement with a "p" value of 0.042 in baseline 11 or higher. Reprocell concluded that the effect of Stemchymal was evident in the higher baseline subpopulation where the placebo effect was less pronounced.
Even in the subpopulation treatment group with baseline SARA scores of 9 or higher, the change in SARA score until 52 weeks was similar to that of the high-base subpopulation.
A subgroup analysis was also performed in the high-base subgroup for the secondary endpoints of clinical global impression (CGI), patient global impression of improvement (PGI-I) and percentage improvement in SARA scores. The results of these scores indicated that Stemchymal appeared to inhibit disease progression.
The incidence of adverse events with a possibly causal relationship was 77.4% (24/31) in the treatment group and 35.7% (10/28) in the placebo group, but all adverse events in both groups were confirmed to have recovered. No serious adverse events were reported.
Taiwan trial shows consistent results
In the phase II trial in Taiwan, the results of the subgroup analysis of SARA score showed a significant improvement in the treatment group compared to the placebo group in the high-base subgroup, confirming the same trend as in the Japan trial. The Taiwan trial also showed no serious safety issues.
Based on these results, Stemchymal appears to show a certain level of efficacy for spinocerebellar degeneration in a high baseline subpopulation. Although the subpopulation analysis showed efficacy, more detailed studies are needed, the company said.
Administered intravenously, Stemchymal has been designated as a regenerative medicine product for rare diseases in Japan and is eligible for development cost subsidies up to 50%, preferential tax treatment and support measures such as priority review.
“We are pleased that the phase II clinical trial has shown that Stemchymal is expected to be effective in inhibiting disease progression and its safety has been confirmed, and that these clinical data in Japan are consistent with the data independently obtained in Taiwan,” said Reprocell CEO Chikafumi Yokoyama, adding that the company hopes to bring this new treatment to patients in Japan as soon as possible.
Reprocell in-licensed Stemchymal from Steminent Biotherapeutics, which is developing the stem cell therapy for the potential treatment of polyglutamine SCA, knee osteoarthritis and acute liver failure, and investigating it for the potential treatment of Alzheimer's disease and Parkinson's disease, according to Cortellis.
Steminent completed a phase I/II trial with Stemchymal that showed 66% of patients showed improvement in both the SARA score and sensory orientation test scores in the first month following a single infusion of Stemchymal, Steminent reported.
https://www.bioworld.com/articles/697506-reprocell-reports-mixed-results-for-phase-ii-stemchymal-trial-in-spinocerebellar-ataxia
[Reprocell's market cap is $190 million - imz72]:
https://finance.yahoo.com/quote/4978.T
submitted by imz72 to ATHX [link] [comments]


2023.06.08 23:52 ArtyomPidrovich New acc. 𝖩𝗈𝗄𝖾𝗌 + 𝖨𝗋𝗈𝗇𝗒.

  1. The Industrial Revolution and its consequences have been a disaster for the human race. They have greatly increased the life-expectancy of those of us who live in “advanced” countries, but they have destabilized society, have made life unfulfilling, have subjected human beings to indignities, have led to widespread psychological suffering (in the Third World to physical suffering as well) and have inflicted severe damage on the natural world. The continued development of technology will worsen the situation. It will certainly subject human beings to greater indignities and inflict greater damage on the natural world, it will probably lead to greater social disruption and psychological suffering, and it may lead to increased physical suffering even in “advanced” countries.

  1. The industrial-technological system may survive or it may break down. If it survives, it MAY eventually achieve a low level of physical and psychological suffering, but only after passing through a long and very painful period of adjustment and only at the cost of permanently reducing human beings and many other living organisms to engineered products and mere cogs in the social machine. Furthermore, if the system survives, the consequences will be inevitable: There is no way of reforming or modifying the system so as to prevent it from depriving people of dignity and autonomy.

  1. If the system breaks down the consequences will still be very painful. But the bigger the system grows the more disastrous the results of its breakdown will be, so if it is to break down it had best break down sooner rather than later.

  1. We therefore advocate a revolution against the industrial system. This revolution may or may not make use of violence; it may be sudden or it may be a relatively gradual process spanning a few decades. We can’t predict any of that. But we do outline in a very general way the measures that those who hate the industrial system should take in order to prepare the way for a revolution against that form of society. This is not to be a POLITICAL revolution. Its object will be to overthrow not governments but the economic and technological basis of the present society.

  1. In this article we give attention to only some of the negative developments that have grown out of the industrial-technological system. Other such developments we mention only briefly or ignore altogether. This does not mean that we regard these other developments as unimportant. For practical reasons we have to confine our discussion to areas that have received insufficient public attention or in which we have something new to say. For example, since there are well-developed environmental and wilderness movements, we have written very little about environmental degradation or the destruction of wild nature, even though we consider these to be highly important.

THE PSYCHOLOGY OF MODERN LEFTISM

  1. Almost everyone will agree that we live in a deeply troubled society. One of the most widespread manifestations of the craziness of our world is leftism, so a discussion of the psychology of leftism can serve as an introduction to the discussion of the problems of modern society in general.

  1. But what is leftism? During the first half of the 20th century leftism could have been practically identified with socialism. Today the movement is fragmented and it is not clear who can properly be called a leftist. When we speak of leftists in this article we have in mind mainly socialists, collectivists, “politically correct” types, feminists, gay and disability activists, animal rights activists and the like. But not everyone who is associated with one of these movements is a leftist. What we are trying to get at in discussing leftism is not so much movement or an ideology as a psychological type, or rather a collection of related types. Thus, what we mean by “leftism” will emerge more clearly in the course of our discussion of leftist psychology. (Also, see paragraphs 227-230.)

  1. Even so, our conception of leftism will remain a good deal less clear than we would wish, but there doesn’t seem to be any remedy for this. All we are trying to do here is indicate in a rough and approximate way the two psychological tendencies that we believe are the main driving force of modern leftism. We by no means claim to be telling the WHOLE truth about leftist psychology. Also, our discussion is meant to apply to modern leftism only. We leave open the question of the extent to which our discussion could be applied to the leftists of the 19th and early 20th centuries.

  1. The two psychological tendencies that underlie modern leftism we call “feelings of inferiority” and “oversocialization.” Feelings of inferiority are characteristic of modern leftism as a whole, while oversocialization is characteristic only of a certain segment of modern leftism; but this segment is highly influential.

FEELINGS OF INFERIORITY

  1. By “feelings of inferiority” we mean not only inferiority feelings in the strict sense but a whole spectrum of related traits; low self-esteem, feelings of powerlessness, depressive tendencies, defeatism, guilt, self- hatred, etc. We argue that modern leftists tend to have some such feelings (possibly more or less repressed) and that these feelings are decisive in determining the direction of modern leftism.

  1. When someone interprets as derogatory almost anything that is said about him (or about groups with whom he identifies) we conclude that he has inferiority feelings or low self-esteem. This tendency is pronounced among minority rights activists, whether or not they belong to the minority groups whose rights they defend. They are hypersensitive about the words used to designate minorities and about anything that is said concerning minorities. The terms “negro,” “oriental,” “handicapped” or “chick” for an African, an Asian, a disabled person or a woman originally had no derogatory connotation. “Broad” and “chick” were merely the feminine equivalents of “guy,” “dude” or “fellow.” The negative connotations have been attached to these terms by the activists themselves. Some animal rights activists have gone so far as to reject the word “pet” and insist on its replacement by “animal companion.” Leftish anthropologists go to great lengths to avoid saying anything about primitive peoples that could conceivably be interpreted as negative. They want to replace the world “primitive” by “nonliterate.” They seem almost paranoid about anything that might suggest that any primitive culture is inferior to our own. (We do not mean to imply that primitive cultures ARE inferior to ours. We merely point out the hypersensitivity of leftish anthropologists.)

  1. Those who are most sensitive about “politically incorrect” terminology are not the average black ghetto- dweller, Asian immigrant, abused woman or disabled person, but a minority of activists, many of whom do not even belong to any “oppressed” group but come from privileged strata of society. Political correctness has its stronghold among university professors, who have secure employment with comfortable salaries, and the majority of whom are heterosexual white males from middle- to upper-middle-class families.

  1. Many leftists have an intense identification with the problems of groups that have an image of being weak (women), defeated (American Indians), repellent (homosexuals) or otherwise inferior. The leftists themselves feel that these groups are inferior. They would never admit to themselves that they have such feelings, but it is precisely because they do see these groups as inferior that they identify with their problems. (We do not mean to suggest that women, Indians, etc. ARE inferior; we are only making a point about leftist psychology.)

  1. Feminists are desperately anxious to prove that women are as strong and as capable as men. Clearly they are nagged by a fear that women may NOT be as strong and as capable as men.

  1. Leftists tend to hate anything that has an image of being strong, good and successful. They hate America, they hate Western civilization, they hate white males, they hate rationality. The reasons that leftists give for hating the West, etc. clearly do not correspond with their real motives. They SAY they hate the West because it is warlike, imperialistic, sexist, ethnocentric and so forth, but where these same faults appear in socialist countries or in primitive cultures, the leftist finds excuses for them, or at best he GRUDGINGLY admits that they exist; whereas he ENTHUSIASTICALLY points out (and often greatly exaggerates) these faults where they appear in Western civilization. Thus it is clear that these faults are not the leftist’s real motive for hating America and the West. He hates America and the West because they are strong and successful.

  1. Words like “self-confidence,” “self-reliance,” “initiative,” “enterprise,” “optimism,” etc., play little role in the liberal and leftist vocabulary. The leftist is anti-individualistic, pro-collectivist. He wants society to solve everyone’s problems for them, satisfy everyone’s needs for them, take care of them. He is not the sort of person who has an inner sense of confidence in his ability to solve his own problems and satisfy his own needs. The leftist is antagonistic to the concept of competition because, deep inside, he feels like a loser.

  1. Art forms that appeal to modern leftish intellectuals tend to focus on sordidness, defeat and despair, or else they take an orgiastic tone, throwing off rational control as if there were no hope of accomplishing anything through rational calculation and all that was left was to immerse oneself in the sensations of the moment.

  1. Modern leftish philosophers tend to dismiss reason, science, objective reality and to insist that everything is culturally relative. It is true that one can ask serious questions about the foundations of scientific knowledge and about how, if at all, the concept of objective reality can be defined. But it is obvious that modern leftish philosophers are not simply cool-headed logicians systematically analyzing the foundations of knowledge. They are deeply involved emotionally in their attack on truth and reality. They attack these concepts because of their own psychological needs. For one thing, their attack is an outlet for hostility, and, to the extent that it is successful, it satisfies the drive for power. More importantly, the leftist hates science and rationality because they classify certain beliefs as true (i.e., successful, superior) and other beliefs as false (i.e., failed, inferior). The leftist’s feelings of inferiority run so deep that he cannot tolerate any classification of some things as successful or superior and other things as failed or inferior. This also underlies the rejection by many leftists of the concept of mental illness and of the utility of IQ tests. Leftists are antagonistic to genetic explanations of human abilities or behavior because such explanations tend to make some persons appear superior or inferior to others. Leftists prefer to give society the credit or blame for an individual’s ability or lack of it. Thus if a person is “inferior” it is not his fault, but society’s, because he has not been brought up properly.

  1. The leftist is not typically the kind of person whose feelings of inferiority make him a braggart, an egotist, a bully, a self-promoter, a ruthless competitor. This kind of person has not wholly lost faith in himself. He has a deficit in his sense of power and self-worth, but he can still conceive of himself as having the capacity to be strong, and his efforts to make himself strong produce his unpleasant behavior. [1] But the leftist is too far gone for that. His feelings of inferiority are so ingrained that he cannot conceive of himself as individually strong and valuable. Hence the collectivism of the leftist. He can feel strong only as a member of a large organization or a mass movement with which he identifies himself.

  1. Notice the masochistic tendency of leftist tactics. Leftists protest by lying down in front of vehicles, they intentionally provoke police or racists to abuse them, etc. These tactics may often be effective, but many leftists use them not as a means to an end but because they PREFER masochistic tactics. Self-hatred is a leftist trait.

  1. Leftists may claim that their activism is motivated by compassion or by moral principles, and moral principle does play a role for the leftist of the oversocialized type. But compassion and moral principle cannot be the main motives for leftist activism. Hostility is too prominent a component of leftist behavior; so is the drive for power. Moreover, much leftist behavior is not rationally calculated to be of benefit to the people whom the leftists claim to be trying to help. For example, if one believes that affirmative action is good for black people, does it make sense to demand affirmative action in hostile or dogmatic terms? Obviously it would be more productive to take a diplomatic and conciliatory approach that would make at least verbal and symbolic concessions to white people who think that affirmative action discriminates against them. But leftist activists do not take such an approach because it would not satisfy their emotional needs. Helping black people is not their real goal. Instead, race problems serve as an excuse for them to express their own hostility and frustrated need for power. In doing so they actually harm black people, because the activists’ hostile attitude toward the white majority tends to intensify race hatred.

  1. If our society had no social problems at all, the leftists would have to INVENT problems in order to provide themselves with an excuse for making a fuss.

  1. We emphasize that the foregoing does not pretend to be an accurate description of everyone who might be considered a leftist. It is only a rough indication of a general tendency of leftism.

OVERSOCIALIZATION

  1. Psychologists use the term “socialization” to designate the process by which children are trained to think and act as society demands. A person is said to be well socialized if he believes in and obeys the moral code of his society and fits in well as a functioning part of that society. It may seem senseless to say that many leftists are oversocialized, since the leftist is perceived as a rebel. Nevertheless, the position can be defended. Many leftists are not such rebels as they seem.

  1. The moral code of our society is so demanding that no one can think, feel and act in a completely moral way. For example, we are not supposed to hate anyone, yet almost everyone hates somebody at some time or other, whether he admits it to himself or not. Some people are so highly socialized that the attempt to think, feel and act morally imposes a severe burden on them. In order to avoid feelings of guilt, they continually have to deceive themselves about their own motives and find moral explanations for feelings and actions that in reality have a non-moral origin. We use the term “oversocialized” to describe such people. [2]

  1. Oversocialization can lead to low self-esteem, a sense of powerlessness, defeatism, guilt, etc. One of the most important means by which our society socializes children is by making them feel ashamed of behavior or speech that is contrary to society’s expectations. If this is overdone, or if a particular child is especially susceptible to such feelings, he ends by feeling ashamed of HIMSELF. Moreover the thought and the behavior of the oversocialized person are more restricted by society’s expectations than are those of the lightly socialized person. The majority of people engage in a significant amount of naughty behavior. They lie, they commit petty thefts, they break traffic laws, they goof off at work, they hate someone, they say spiteful things or they use some underhanded trick to get ahead of the other guy. The oversocialized person cannot do these things, or if he does do them he generates in himself a sense of shame and self-hatred. The oversocialized person cannot even experience, without guilt, thoughts or feelings that are contrary to the accepted morality; he cannot think “unclean” thoughts. And socialization is not just a matter of morality; we are socialized to conform to many norms of behavior that do not fall under the heading of morality. Thus the oversocialized person is kept on a psychological leash and spends his life running on rails that society has laid down for him. In many oversocialized people this results in a sense of constraint and powerlessness that can be a severe hardship. We suggest that oversocialization is among the more serious cruelties that human beings inflict on one another.

  1. We argue that a very important and influential segment of the modern left is oversocialized and that their oversocialization is of great importance in determining the direction of modern leftism. Leftists of the oversocialized type tend to be intellectuals or members of the upper-middle class. Notice that university intellectuals [3] constitute the most highly socialized segment of our society and also the most left-wing segment.

  1. The leftist of the oversocialized type tries to get off his psychological leash and assert his autonomy by rebelling. But usually he is not strong enough to rebel against the most basic values of society. Generally speaking, the goals of today’s leftists are NOT in conflict with the accepted morality. On the contrary, the left takes an accepted moral principle, adopts it as its own, and then accuses mainstream society of violating that principle. Examples: racial equality, equality of the sexes, helping poor people, peace as opposed to war, nonviolence generally, freedom of expression, kindness to animals. More fundamentally, the duty of the individual to serve society and the duty of society to take care of the individual. All these have been deeply rooted values of our society (or at least of its middle and upper classes [4] for a long time. These values are explicitly or implicitly expressed or presupposed in most of the material presented to us by the mainstream communications media and the educational system. Leftists, especially those of the oversocialized type, usually do not rebel against these principles but justify their hostility to society by claiming (with some degree of truth) that society is not living up to these principles.

  1. Here is an illustration of the way in which the oversocialized leftist shows his real attachment to the conventional attitudes of our society while pretending to be in rebellion against it. Many leftists push for affirmative action, for moving black people into high-prestige jobs, for improved education in black schools and more money for such schools; the way of life of the black “underclass” they regard as a social disgrace. They want to integrate the black man into the system, make him a business executive, a lawyer, a scientist just like upper-middle-class white people. The leftists will reply that the last thing they want is to make the black man into a copy of the white man; instead, they want to preserve African American culture. But in what does this preservation of African American culture consist? It can hardly consist in anything more than eating black-style food, listening to black-style music, wearing black-style clothing and going to a black- style church or mosque. In other words, it can express itself only in superficial matters. In all ESSENTIAL respects most leftists of the oversocialized type want to make the black man conform to white, middle-class ideals. They want to make him study technical subjects, become an executive or a scientist, spend his life climbing the status ladder to prove that black people are as good as white. They want to make black fathers “responsible,” they want black gangs to become nonviolent, etc. But these are exactly the values of the industrial-technological system. The system couldn’t care less what kind of music a man listens to, what kind of clothes he wears or what religion he believes in as long as he studies in school, holds a respectable job, climbs the status ladder, is a “responsible” parent, is nonviolent and so forth. In effect, however much he may deny it, the oversocialized leftist wants to integrate the black man into the system and make him adopt its values.

  1. We certainly do not claim that leftists, even of the oversocialized type, NEVER rebel against the fundamental values of our society. Clearly they sometimes do. Some oversocialized leftists have gone so far as to rebel against one of modern society’s most important principles by engaging in physical violence. By their own account, violence is for them a form of “liberation.” In other words, by committing violence they break through the psychological restraints that have been trained into them. Because they are oversocialized these restraints have been more confining for them than for others; hence their need to break free of them. But they usually justify their rebellion in terms of mainstream values. If they engage in violence they claim to be fighting against racism or the like.

  1. We realize that many objections could be raised to the foregoing thumbnail sketch of leftist psychology. The real situation is complex, and anything like a complete description of it would take several volumes even if the necessary data were available. We claim only to have indicated very roughly the two most important tendencies in the psychology of modern leftism.

  1. The problems of the leftist are indicative of the problems of our society as a whole. Low self-esteem, depressive tendencies and defeatism are not restricted to the left. Though they are especially noticeable in the left, they are widespread in our society. And today’s society tries to socialize us to a greater extent than any previous society. We are even told by experts how to eat, how to exercise, how to make love, how to raise our kids and so forth.

THE POWER PROCESS

  1. Human beings have a need (probably based in biology) for something that we will call the “power process.” This is closely related to the need for power (which is widely recognized) but is not quite the same thing. The power process has four elements. The three most clear-cut of these we call goal, effort and attainment of goal. (Everyone needs to have goals whose attainment requires effort, and needs to succeed in attaining at least some of his goals.) The fourth element is more difficult to define and may not be necessary for everyone. We call it autonomy and will discuss it later (paragraphs 42-44).

  1. Consider the hypothetical case of a man who can have anything he wants just by wishing for it. Such a man has power, but he will develop serious psychological problems. At first he will have a lot of fun, but by and by he will become acutely bored and demoralized. Eventually he may become clinically depressed. History shows that leisured aristocracies tend to become decadent. This is not true of fighting aristocracies that have to struggle to maintain their power. But leisured, secure aristocracies that have no need to exert themselves usually become bored, hedonistic and demoralized, even though they have power. This shows that power is not enough. One must have goals toward which to exercise one’s power.

  1. Everyone has goals; if nothing else, to obtain the physical necessities of life: food, water and whatever clothing and shelter are made necessary by the climate. But the leisured aristocrat obtains these things without effort. Hence his boredom and demoralization.

  1. Nonattainment of important goals results in death if the goals are physical necessities, and in frustration if nonattainment of the goals is compatible with survival. Consistent failure to attain goals throughout life results in defeatism, low self-esteem or depression.
submitted by ArtyomPidrovich to u/ArtyomPidrovich [link] [comments]


2023.06.08 23:24 traitor25 CaRMS 2022-2023 Pathway Experience + Advice/Tips from a UK Graduate CSA Perspective

Hey guys! I just wanted to put up my own experience moving through this year’s Canadian Resident Matching Service or CaRMS cycle so that others have a bit more clarity into what to prepare/focus on for future cycles. Here’s a bit of my background in a nutshell below to give some context:
I am currently a 27M Vietnamese-Canadian studying abroad (CSA originally born in Winnipeg, MB but spent the majority of my life in Ottawa, ON) awaiting to start family medicine residency on July 1 in Brandon, Manitoba but started this journey back in 2015.
I originally did 1.5 years of my undergraduate degree in Biochemistry at the University of Ottawa before seriously deciding on medicine as my career path. During my 1st university year, I applied to different medical schools in the UK (I think only Cardiff + Bristol considered me briefly but still turned down in the end) but got rejected from them. I was only invited + accepted to the MBChB programme at the University of Buckingham Medical School which lasted for about 4.5 years starting from January 2015. I had also done 2 electives in Ottawa (one under neurosurgery and the other in orthopaedics) during my final year of medical school prior to graduation in June 2019.
From there, I entered into the Foundation Programme in August 2019 (equivalent of medical internship in the US/Canada), which I did under the West Midlands South Foundation School, with pretty much all my time being in Worcestershire county. I did my FY1 rotations at the Alexandra Hospital, Redditch and my FY2 rotations at the Worcestershire Royal Hospital, Worcester. During this time, I had attempted the MCCQE1 exam twice (failed at 202 in January 2020, passed at 236 in October 2020) and attempted the NAC exam once (failed at 390 in March 2020). Ultimately, I withdrew early before my last FY2 rotation in April 2021 to focus on my 2nd NAC exam attempt, gain some clinical experience/connections on Canadian ground, and sort out other personal issues. I attempted the NAC exam again in October 2021 but failed at 1364. After taking a mixture of time off to mentally recover with family support and studying for the USMLE step I via UWorld as a distraction from November 2021 to April 2022, I took up a few different private NAC courses in the following chronological order from then onward to figure out where I was lacking at up until my third NAC attempt (passed with superior performance at 1452 on September 17, 2022):
  1. BeMo’s OSCE Preparation Platinum (all done virtually over Zoom; first session on April 11, 2022 and last session on August 28, 2022 for a total of 13 sessions).
  2. TutorIMG NAC OSCE Live Online Course (all done virtually over Zoom; first session on July 21, 2022 and last session on August 30, 2022 for a total of 11 sessions over).
  3. Medical Training Express Live Online OSCE Course (all done virtually over Zoom on July 28, 2022 and last session on September 10, 2022 for a total of 12 sessions).
  4. Mark’s MedSckool Reviews (technically took last year in person from August 30 - September 3, 2021 and again virtually over Zoom from August 22 – 26, 2022).
After I received notification of my NAC exam result on November 3, 2022, things were pretty hectic as I was busy entering into this year’s CaRMS cycle preparing different things:
  1. CaRMS documents (e.g. personal CV, personal letters, letters of reference/LOR’s, MSPE/MSPR, post-graduate internship regarding Foundation training, university & high school transcripts).
In total, I applied to about 105 different programs and 76 unique, personal letters to go along with them.
  1. Additional exams (FMProC and CASPer) – wrote my FMProC exam on December 12, 2022 and CASPer exam on December 15, 2022 after registering for them separately.
I primarily used a combination of the PasTest SJT question bank (went with 6 month subscription for £4) and free, online practice SJT’s provided for Foundation Programme Applicants as per the UKFPO website while I signed up for BeMo’s CASPerSIM Gold (3x mock CASPer sessions with feedback from different assessors).
  1. USMLE Step I (wrote on November 29, 2022 but had been revising for it again since my 3rd NAC wrapped up; was originally a backup plan in case I had failed the NAC for a 3rd time as you’re only allowed a maximum of 3 attempts).
  2. F2 Standalone application – the application window was opening on January 16 this year and was preparing evidence of my previous Foundation training + securing my Reapplication to Foundation Training form from my previous Foundation School director.
  3. Volunteer shadowing at local family medicine practice (managed to shadow a GP in Ottawa for both Canadian experience and fortunately an LOR in the end).
  4. Mock interview scenarios – did not have any previous formal/professional interview experience so I practiced with a combination of family members, my previous NAC study partner, and BeMo’s Residency Interview Gold Program (3x mock interview sessions with feedback from different assessors).
I recall having my joint FM ON interview first on February 3 followed by my FM MB interview second on February 13 (both were around midday/noon).
  1. USMLE Step II CK (after passing the USMLE step I around early December, I was intermittently studying for the USMLE Step II CK until Match Day on March 22, 2023).
I have already been in contact with a mix of people from both inside and outside Reddit regarding NAC practice and general info/advice around the CaRMS process. A good starting point about common, high-yield complaints to prepare for can be found on the MCC website under the “Medical Expert” tab. Outside of private NAC courses, I primarily used a mix of Dr. Basil’s notes (for focusing my history-taking approach), Geeky Medics/Macleod’s Clinical Examination (for structuring my physical examinations; focusing it down for NAC’s time limits came through practice), and the USMLE First Aid Step II CS mini-cases (for inspiration of mock NAC scenarios to do). I personally never used much of other mentioned NAC resources so can’t really say too much as to how useful they are:
  1. Edmonton Manual, “Master the NAC” by Dr. Bryce Lowry
  2. “NAC OSCE – A Comprehensive Review” by Canadaprep
  3. “OSCE and Clinical Skills Handbook” by Dr. Katrina F. Hurley
  4. “Canadian IMG’s Guide to OSCE and Practice” by Dr. Hanan Ahmed
The most important thing other than the following tips below would be to find ~1-2 regular, dedicated NAC partners you can study with and exchange honest feedback to each other with (nicely organized NAC partner spreadsheet (https://docs.google.com/spreadsheets/d/10Kk6YJtFKKn9IY3g96cC-rIWBQGyxtMUB9YQkAfND1g/edit#gid=0) with NAC partners made originally by u/MarinatedinPeace). Other specifics (ex. what can I bring?) around the NAC exam can be found on the MCC website but I generally recommend that ~3-4 months of time practicing 1-2x/week then ramping up to every other day (ideally everyday but I understand everyone has different backgrounds and recency of studying/practice) in the last 1-2 months seems to be a good time frame.
During my time giving advice about both, these were the most important points in terms of approaching preparation for the NAC exam that I've encountered:

  1. Make sure you exhaust the presenting complaint(s) as that will ensure your following questions into the systems review (mostly for ruling in/out the 3-5 differentials on your list) + associated risk factors (i.e. PMedHx, PSurgHx, medications, allergies, smoking, alcohol, drugs, social living/financial conditions, occupational history, travel/immigration history) will be focused on what's relevant as not every section of a mnemonic needs to be asked (ex. SOCRATES, OCD PQRST AAA, COCA OCDCS, PM BINDE, MGOS, DIGFAST/MSIGECAPS).
  2. If a patient is acting in pain, acknowledge it and try to address it on the spot if you can by offering pain relief with a follow-up question about allergies to ensure it's safe to give.
  3. Counselling can be difficult as it's not a format many people are used to but you still need to take a focused history regardless so that your management options are personalized/tailored to the person in front of you (ex. do not discuss smoking cessation/NRT as a long term management option for someone you're counselling about asthma for if they told you clearly they are a non-smoker; do discuss changing to hypoallergenic soaps/shampoos if they have an asthma exacerbation triggered by a new shampoo they tried out 3 days ago).
  4. Be wary that you're expected to rule in/out differentials (you should have ~3-5 by the time you enter after knocking) that you have considered outside the door within the time given (ex. don't stop asking other questions about PE, pneumothorax, GERD, or costochondritis even if the case sounds dead on for acute congestive cardiac failure).
  5. Do not try to track the time on the timer in the room because it can be anywhere (the side, top of a wall, behind the SP/examiner) and your focus should be on the SP/examiner anyways.
  6. Make good use of transitioning statements when moving between different sections of your consultation whether it's the history or physical exam (ex. after exhausting the presenting complaint, you could say "There is a list of other symptoms we look for in patients experiencing [insert their presenting complaint/issue if applicable] and I just want you to give me a yes or no answer, OK?" to transition to the systems review).
  7. PLEASE show empathy and kindness when the SP is acting/says something unusual ex. SP appears visibly down in mood, poor eye contact, and slow in speech so acknowledge it, "Mr. Anderson, I see that you appear quite down in yourself. I want to assure you that everything we discuss between us will remain confidential unless required by law." This also applies to situations where the patient's most pressing issue is different from what's on the door (ex. door vignette suggestive of abdominal pain hinting appendicitis but the patient abruptly drops that they're pregnant).
  8. Make good use of the time (about 1.5 minutes) outside the door to write your ~3-5 differentials along with any relevant investigations, management/counselling, and follow-up.
  9. Don't forget to ask about vital signs and any pending lab work/investigations if a station has a physical exam component (ex. highly relevant to ask if vital signs are available and if a FAST USS + routine bloods have been done in a patient you suspect with a dissecting AAA just before you're about to start your physical exam).
  10. The SP cannot lie to you however they can be vague or provide a different answer other than a clear, "No." ex. You ask the SP, "Have you ever smoked any tobacco or cigarettes in the past? and the SP responds, "Well, not recently that I know of, doctor." This is your cue to probe further about what they mean by "not recently".
  11. Some NAC stations can be mean by giving you normal investigations in what seems like a highly suggestive history/physical in an attempt to mislead you ex. You complete your history/physical exam and your working diagnosis in a 3 year old child with 4-day history of fever, SOB, and purulent sputum production is bacterial pneumonia but you're handed a normal CXR (treat based on the clinical evidence gathered/known not on your gut feeling).
Same is true vice-versa where a patient presentation seems benign but then the examiner hands you an alarming investigation ex. 35F in ED has symptoms consistent with likely viral URTI but the examiner hands you an EKG that shows saddle shaped ST elevation in line with acute pericarditis.
  1. Avoid repeating or leading questions as it wastes time, unless it’s to clarify something a patient says that you may not understand, and looks unprofessional (remember the CANMEDS framework expected for CMG's in your clinical approach; these are some ways I practiced phrasing my intro, "How would you like to be addressed today?" or "How would you like me to address you?" or "What name do you usually go by?").
  2. You can place the exam sticky labels you get on the back of your hand prior to entering a station so you don't fumble/experience difficulty handing it to the examiner (?unless the MCC decides you can just verbalize your candidate code for the NAC this year).
  3. Introduce yourself as a doctor not a medical student (you're assuming the role of a family/ED physician or PGY-1 resident on exam day depending on the scenario).
  4. Don't assume a patient's mode of address/pronouns used. Ask them first how they would like to be addressed today.
  5. Make sure to clearly wash your hands AT THE START of BOTH your history-taking AND physical examination.
  6. Even if you feel like you messed up the previous station, try as hard as you can to push it out of your mind until the NAC is over. You can cry, vent, or get frustrated AFTERWARD but not in the stations themselves.

These next points are more towards preparing for upcoming CaRMS cycles from what I've gathered reading/listening around:

  1. High MCCQE1 & NAC scores (most people who were invited for interviews, if not matched, to ON FM from the CaRMS 2024 Discord server and the CaRMS stats spreadsheet set up by Carms#5615 (https://docs.google.com/spreadsheets/d/1HAtnmyfCIAxKIux2akj8-hgWGvPgOVejVlfEHXuUa-8) had QE1 scores > 250-260 and NAC scores well above 1420-1430.
  2. Research into how CaRMS works to really have a careful look at the general overview, current year timelines, program descriptions, past trending data (may need to scroll down page further) in previous cycles. This will give you a good idea into what to have ready in time for the CaRMS file submission opening.
For reference, the rates of matching in R-1 as a current-year IMG was about 72.3% and 30.1% as a previous-year IMG according to the table on slide 11 of the CaRMS 2023 forum presentation. This goes down further in R-2 as a current-year IMG to about 39.0% and 12.5% as a previous-year IMG (about 751 went unmatched after R-1 and 822 went unmatched after R-2 for previous-year IMG’s).
  1. Recent practice or graduation (my last time practicing clinically was in April 2021 as an FY2 doc at the time which was only 2 years back at the time of my application (my year of graduation/YOG was 2019 but I know that time since YOG or gaps in studying/training are scrutinized especially if they're big like >5 years so it'd be worthwhile having an explanation ready if this applies to you).
  2. At least one Canadian LOreferee (seems a lot of university programs prefer applicants who have had clinical exposure in the form of shadowing/electives/observership with a Canadian doctor related to their field that you're applying to; mine happened to be a GP in Ottawa I connected to via family friends).
  3. Personal research around First Nation/Indigenous Peoples of Canada (this one is very specific particularly to Manitoba as they had several questions around ethnic minorities + Indigenous peoples; ex. smudging as a common Indigenous practice that even I only became aware of via the IMG/IEHP resources provided by Ontario Health Force or [[email protected]](mailto:[email protected])).
  4. Canadian research and electives - at the time of application, I was involved in a systematic review around women's health issues (had not been published at time of application) and I had done two electives under neurosurgery + orthopedics (heard that observerships don't count as formal clinical experience relative to electives so this was important too).
  5. High CASPer + FMProC scores (had 4th quartile score for CASPer and 516/4th quartile for FMProC which I know a lot of FM and some psych/pediatric programs look at).
  6. Try to secure as many Canadian LOR's/referees as they're favoured over international ones (ideally 3 but even 1 seems to be good), shadowing Canadian doctors depending on where you're applying to (ex. FM has the biggest seat pool so reach out to Canadian GP's around you to see who's willing to take you on).
  7. If you have the time and money for it, try to apply to as many programs and attend their relevant socials/events (can be found on CANPREPP closer to the opening of CaRMS) that you think you may have a chance at as you'll never know who might invite you later on for interviews!
  8. Really rank by your TRUE preference as CaRMS will prioritize your rank order first BEFORE considering how other programs ranked you (Rural Brandon was my 13th choice out of 22 programs I ranked across FM ON + FM MB). Even if you ranked a program at the bottom of your ROL, as long as that particular program has ranked you and they still have an available spot, you will match to them in the end!
There's a YouTube video regarding the CaRMS Match algorithm which clears things up nicely.
  1. Make sure to check your main email’s spam/junk inbox during the period where interview invitations/rejections are sent out as they can end up here sometimes (my joint FM ON interview invitation ended up in my spam and it is time sensitive to take it up).
In terms of the QE1, I think a lot of other people on Reddit have covered that much better than I have in terms of approaching it as I agree that a combination of UWorld Step II CK question bank (personally found Canada QBank questions and explanations to be lacking relative to UWorld in retrospect even if the price was much friendlier) and the Toronto Notes are the way to go. I also used Sketchy videos as a nice support for pharmacology/microbiology related topics.
Overall, I was glad to have had the opportunity to try for FM ON in the first iteration even if it didn't work out as I understand they only invite the top 300 applicants for interviews and even fewer of those 300 match (only ~80-90 from I heard but could be wrong so feel free to correct me). I understood the possibility my poor QE1 score and 2-year gap from formal clinical training may filter me despite my other scores being good.
I’m sure there are other things in this that I didn’t quite cover or explore (ex. the F2 Standalone process, IELTS/OETS, BC CAP/AIMG requirements, gaining permanent residency/PR, clinical/physician/medical assistant positions, CV/PL structure, thoughts around the different private programs/courses I took etc.) but I’m more than happy to discussing finemiscellaneous points via Reddit, Discord (herrdok#6944), email ([[email protected]](mailto:[email protected])), text, or virtual/phone call. For the time being though, I’m not taking on any new, regular NAC practice partners but would consider it once I figure out things more.
Otherwise, thanks to anyone reading this wall of text (if anything is incorrect/inconsistent, do let me know and I can have a look), looking forward to giving advice where I can, and best of luck to everyone moving through what is an extremely vague, challenging, and unforgiving process for matching into Canadian residency!😊
submitted by traitor25 to MCCQE [link] [comments]


2023.06.08 23:16 PM_ME_YOUR_ROBOTGIRL Character Database: The Aeons, Part 2 (VERY LONG)

Character Database: The Aeons, Part 2 (VERY LONG)

Please read Part 1 here if you haven't.

This was meant to come yesterday, but then Limbus Chapter 4 Part 2 grabbed me by the balls.

IX


![img](5c2630n6su4b1 " All progress toward the void All resist the void All will become the void... ")
The Nihility.
An extremely passive Aeon that believes everything is worthless, everything about them is a total mystery. Those that approach its divine body, if they even find the coordinates, disappear. Simulated Universe implies that approaching, maybe even thinking about IX, induces apathy and mental breakdowns.
IX ultimately represents nothingness - the dark side of the Universe that completes its balance, providing non-existence to existence.
Aha once helped the Annihilation Gang try to assassinate it as a joke, but it unsurprisingly ended in failure after the Elation-enhanced Gang members vanished when approaching their coordinates.
IX is the roman numeral for nine. WOW. It's almost certainly meant to be read as "nine", because of the way Device IX's name is structured. I looked for the potential significance of this number but like, nine being a number within the base 10 system we love so much basically means every culture in the universe sees it as significant.

Followers


\"Those running away from the past think no one understands their despair. When they finally take a breather, they'll find their future selves staring right at them with bloodshot eyes.\"
Those who manage to share their mentality with IX sometimes earn a glance from them. When this happens, those who fall into despair have their physical bodies self-destruct and become something called a Self-Annihilator, made out of "true nothing". Interestingly, though this initially appears to be a grim fate, Self-Annihilators are somehow still alive and capable of thinking, and it seems implied they can revert to their original forms if they regain hope.
Those, however, who remain steadfast in their beliefs become Doctors of Chaos, who are convinced they can 'heal' IX and make it see value in the universe. They do so by going around the universe preaching that you can derive meaning from it and doing crazy actions in the hopes of inspiring those around them. They also have a hobby of trying to cure Self-Annihilators, and they're pretty good at it.
Device IX is the third Nihility faction, which is so mysterious its existence is straight up questionable. It's alleged to exist in the voids underneath all Reality. The only thing that can really be traced back to them is the "dark web" which allows for the trade of rare and illegal items, and probably other things as well.

Qlipoth


Let the fire that forged the bricks and the ones that laid the wall's foundations be known!
The Preservation, known as the Firmament Arbiter by the Xianzhou.
Their divine corpus is so huge, it has planets orbiting it.
Qlipoth, at one point, was alerted to the "catastrophe of the Finality" and to prevent it, became building a large wall known as the Subspace Crystalline Barrier which isolates worlds from one another (or at least that's the IPC's narrative). They also built the Celestial Comet Wall and the Great Attractor Base, but we don't know what those are for yet.
Qlipoth is very ancient, being a veteran from the Dusk Wars that resulted in the disappearance of all Leviathans. The IPC claims that the Dusk Wars and the Leviathan race ended as soon as Qlipoth ascended, but this doesn't appear to be the case. Furthermore, the IPC also maintains that Qlipoth is the first ever Aeon, which also doesn't appear to be the case (Oroboros says hi)
Whenever Qlipoth strikes their hammer, the Subspace Crystalline Barrier expands, and the IPC has used this as a way of marking time in "Amber Eras", one for each hammer strike. However, the hammer strikes are inconsistent, so how long each AE lasts is different. That makes AEs a terrible way of keeping track of time, but everyone just accepts it anyway because the IPC is obsessed and arguing with the IPC is a really easy way to get on their bad side, which no one wants. On the side, most civilizations use their own timekeeping systems which are generally more accurate.
In any case, it's currently 2158 AE, with 0 AE going all the way back to the "end" of the Dusk Wars, and 0-180 AE being a 'dark spot' with few historical records. The IPC's official stance is that there just isn't much information, but it seems more likely that they're withholding records from that time period, which would indicate something about it makes them or Qlipoth look bad.
The Qliphoth is basically the "evil version" of the Kabbalistic Sefirot, the emanations through which the spirit of God reveals itself. That probably doesn't matter though, because most likely they chose it for the fact that the hebrew name קְלִיפּוֹת literally means 'shell'.

Followers


\"Seriously, out of everyone who had faced an Aeon, that old man was the calmest I've seen. Even Screwllum's gears squeaked when he saw Nous...\"
When mortals first became aware of Qlipoth's wall, there were two reactions - the first was to imitate Qlipoth, going around the universe building stuff, and the other was to help them.
The former became the Architects, who travel the universe building stuff and helping protect other civilizations. They were the ones who made Belobog's wall, core, and Engines of Creation. They must receive some implicit endorsement from Qlipoth, because they're able to tap into the Preservation's power to build their things. Generally, most people view the Architects as stubborn, but those protected by their abilities are eternally grateful and even join them.
The other...
So, a bunch of people, including geniuses Louis Fleming and Dongfang Qixing, decided to accrue a large number of construction materials to give to Qlipoth. They did this through trade, but quickly realized that in order to get what they needed, they'd have to specialize in more than just construction materials. Louis Fleming and Dongfang Qixing utilized their expertise to scam and trick establish trade deals and routes with other civilizations, until they had amassed a vast network of trade with themselves as the intermediaries.
In 1388 AE, Louis Fleming and Dongfang Qixing decided to take things one step further and founded the Interastral Peace Corporation (IPC) together, and established an universal currency (credits) that facilitated trade between species, getting rid of themselves as the middleman and also making themselves fabulously wealthy in the process. The IPC integrated themselves into the economy of various civilizations, ruining those who refused to work with the IPC or utilize credits.
As a result of this, the IPC became the most powerful entity in the universe and are very close to being its de-facto rulers - they display deference to only a handful of entities (such as the Genius Society), and even then only because they're too insular (and oftentimes protected by an Aeon) and useful to be manipulated or "coerced" into cooperating. Almost all transaction and trade in the universe is done with the oversight of the IPC and many, many civilizations rely on them for an economical backbone.
They sponsor the creation of new inventions, research that benefits them, and produce their own products while also facilitating the sales of others'. They don't merely preside over trade, they may as well own half the universe. Again, if you cut ties with the IPC, you also lose access to these things. Safe to say, no matter how awful or inconvenient the IPC may get, going against them is simply not an option for all but the most privileged or stubborn few, and those arrogant enough to try anyway will learn the errors of their ways very quickly.
Because the IPC is obsessed with the Preservation, it makes it very hard for anyone to actually study Qlipoth or go against them.
Qlipoth appears to, on some level, approve of what they're doing, since an unknown Emanator of Preservation appeared in the IPC some time ago. However, they don't make use of the vast industrial quantities of construction materials piled up in the planets orbiting them that the IPC provided at all, so in a sense, what they're doing is actually pretty useless. But still, the IPC is fueled by absolute faith to their Aeon.

Yaoshi


![img](tfg6enydtu4b1 " She feels sad For eternal life did not let her accumulate infinite wisdom Instead, those she had once cherished Faded into obscurity over time, never to return ")
The Abundance. Known by the Xianzhou Alliance hunters as the Plagues Author, and by the Xianzhou faithful as Sanctus Medicus.
If we assume that Denizens of Abundance cannot exist without Yaoshi, then they're at minimum ~6900 (nice) years old, and possibly much, much older - the earliest Denizens of Abundance we can date having encountered the Xianzhou at 1200 SC.
Yaoshi's primary goal is the extension and continuous growth of life in the universe. The lightcone Cornucopia implies that Yaoshi views life as a form of order, which opposes the chaos of death and the early universe.
To achieve this, they 'bless' life in certain worlds, causing the sapient inhabitants to become Denizens of Abundance and also causing an outgrowth of powerful and equally long lived plant and animal life alike. Those blessings generally come in the form of great, immortal trees, whose fruit can grant long life. In general, Yaoshi prioritizes worlds and individuals who are experiencing great suffering and hardship.
Yaoshi is the mortal enemy of Lan, although it's hard to say if the feelings are mutual. Yaoshi will never rest until all beings in the universe know the blessing of life, and Lan will never rest until Yaoshi has been killed in the final and greatest hunt. Yet, the cycle goes on for eternity.
Yaoshi is a reference to the Chinese name of a Buddha called Bhaiṣajyaguru, which is a Buddha most commonly associated with healing and medicine, and is also pretty important, being up there with Shakyamuni (aka THE Buddha). He's a doctor who vowed to rid the world of pain and suffering. So yeah, makes sense.

Followers


\"The mercy of Sanctus Medicus, the Ambrosial Arbor's new growth. Disciples shall attain enlightenment together.\"
Those blessed by Yaoshi gain remarkable biology - their cells and biological systems are placed in a state of perfect equilibrium, made possible through the ability for their cells to freely convert between differentiated cells and stem cells (builder cells, which can turn into any other kind of cell). This gives them the ability to effectively, live forever, as well as an extremely powerful healing factor. Though it does not altogether prevent death, it does allow for things such the regrowth of lost limbs and organs. The unfortunate fact of this arrangement is that the body when it is born provides a 'blueprint' for the blessing, making those born with congenital defects forever unable to correct them with surgery - the body will simply "heal" the "damage".
However, there is another aspect to Yaoshi's blessing - upon fulfilling certain conditions, blessed individuals have a marked shift in biology, causing a form of 'evolution' that fundamentally alters their biology. This can fix things such as congenital defects but also essentially puts cells into overdrive, exacerbating existing biological processes of the species (such as molting for reptilian beings) and potentially causing insanity. For the Xianzhou natives, this is known as being 'stricken with mara'.
Those who manage to survive the process with intelligence become known as the Denizens of Abundance who go around singing praises of Yaoshi. However, Yaoshi's blessing also causes fundamental deficits that force those long-life species into either constant suffering or constant conquest in other to offset these setbacks (such as the borisin's implied necessity to take over other worlds to house the hives necessary to create their biotechnology). The Denizens of Abundance love Yaoshi for making their lives "better", and are thus the sworn enemies of the Xianzhou Alliance, which also hates them and are seen (naturally) as blasphemers.
Of course, there are also many civilizations that greatly regret contact with Yaoshi, such as of course, the Xianzhou Alliance.
People who know of Yaoshi but are mortal and long for their blessing are known as Elixir Seekers, immortality hunters who go around the universe hoping to meet and be blessed by Yaoshi. Probably the most well-known Elixir Seekers were, indeed, the original Xianzhou fleet, which was sent out by an unnamed emperor into the stars in order to obtain immortality. Funnily, even though they did get it, they never returned to their homeworld. I wonder what it was like?
The Disciples of Sanctus Medicus were the internal faction in the Xianzhou that worshipped Yaoshi and actively held contact with them, being led by an Emanator of Abundance named Shuhu. Yaoshi did speak to their disciples as well as other Denizens of Abundance and may have even spoken to the actively hostile Alliance as well, but the specifics of this are mired in legend and mystery, and so Yaoshi's true intentions regarding their followers are unclear.

Oroboros


The Mariners' Intemperance
The Voracity.
Wants to eat everything (eats planets), and was a Leviathan, which makes them about as old if not older than Qlipoth. Potentially, they are the only surviving Leviathan.
That's about it. We don't know anything else.
The Ouroboros is a well-known Western symbol with philosophical and alchemical significance that consists of a dragon or snake eating its own tail. Mostly it represents infinity. It was probably chosen though because Oroboros is the dedicated vore god. Cool!

Aha


Look upon the courtesans' extravagance.
The Elation, known as Joyseeker to the Xianzhou.
Hard to tell if it's true, but legend goes that Aha once actually reached the end of the Imaginary Tree. When they did so, they appeared to have gained some sort of advanced perception, and began to view the universe as one huge joke. Perhaps they realized they were made by a video game company? They certainly seem to have some sort of heightened awareness.
In any case, though Aha claims and seems to believe that they only wish for others to see the humor in all things, their true purpose as an Aeon is that they serve as a catalyst of change, manipulating reality in extremely minor and undetectable ways until they butterfly effect massive events into happening. Although the displays of their power are minor compared to Qlipoth's massive wall or Lan's planet purging arrows, their effects on the universe far outweigh the others.
They owe this success due to their closeness to mortals - unlike most Aeons who barely even bother communicating with others and are by nature mysterious, Aha displays a strong understanding of human society, as a matter of fact, they believe it is the exclusive privilege of intelligent beings to understand joy. This understanding allows them to mess around with people on a far more personal level than other Aeons do, even getting involved with other, separate factions if they believe it's funny enough. They're also especially talkative.
Of course, sometimes they decide to be major instead, and do a little bit of trolling. Trolling attempts include blowing up half the Express and an entire planet after hiding out on it for a year disguised as a human (success), helping the Annihilator Gang assassinate IX (failure), trying to get a Noblesse Worm into the Genius Society (failure). And although the latter two appear like failures to us, I'm sure they got great enjoyment out of the bewildered reactions of those observing them.
Aha is laughter, obviously, but it could also be a reference to various things including the 1980s Norwegian band, which composed Take on Me. That sounds stupid but that's Aha for you.

Followers


Well, bye for now. Send my regards to the guys and girls in the tavern.
Aha attracted a group of straightforward followers called the Masked Fools that go around the Universe doing a little bit of trolling, though more specifically they act as agents of change that have been responsible for starting riots and revolutions (including a notable one against Rubert I during the Emperor's War), and they're not above violence. They also maintain taverns and other places centered around having fun and doing trolling.
Simultaneously, however, they also have a group of *anti-*followers called the Mourning Actors, who instead go around the universe being sad, noting the destruction of worlds and death, encouraging celibacy and abstinence, among other things, in the hopes of opposing the Elation. Aha thinks this is hilarious, and also recognizes tragedy as the flipside of comedy, so they purposefully enhanced them, allowing them to travel the stars.
Although the Mourning Actors are mostly ignored by the universe, they possess an uncanny ability for detecting tragedy (probably Aha's fault); they visited Jarilo-VI when it was embroiled in the war against the Antimatter Legion, and they have some use as announcers for when worlds are destroyed or civilizations fall, often being the first to broadcast these events to the universe.
Aha makes basically anything and anyone into an Emanator so long as they think it's funny, so it's not really worth noting here. That said, the one Emanator we do know of was a Noblesse Worm that they infused with super-intelligence to see if Nous would accept them into the Genius Society (they would not)

Fuli


And finally, measure the world against yourself, and take all such things to heart.
The Remembrance.
Fuli's age's unknown, with records of them being essentially non-existent. Their ultimate goal is to preserve all of the universe's memories in order to facilitate "the rebirth of the universe", and they have the memories of every single living being in the universe, including those of other Aeons.
They physically manifest before the occurrence of extremely significant events in the universe's history, and then vanish after obtaining whatever it was they needed from it. When this happens, they appear as a being made out of a mirror-like crystal. Though this has happened many times, their only recorded manifestation was at the end of a speech by the aging Louis Fleming, in his final public appearance.
Fuli is named after a deity in the Shenxiao sect of Taoism. English sources for this are basically non-existent - I put the Chinese wikipedia article through DeepL and got the world's most sophisticated word salad and basically all I could gather is that he was the father of some bigshot emperor. Okay.

Followers


Memes: The DNA of the soul
Fuli utilized their power to enhance a specific group of mortals, allowing them to abandon their physical forms and live on as memetic lifeforms (not internet memes, ideas and behaviors that spread from person to person within a society, though HSR basically uses the term as "things that live in your brain"). This allows them to interact with a being's memories and subjective perception directly. It also allows them to freely travel between worlds without any physical effort on their part, which sure is neat!
This faction became known as the Garden of Recollection, with the most active members being the Memokeepers, who preserve the memories of individuals considered significant. They also created Light Cone technology, which allows them to physically manifest and preserve the memory of an individual. Most Memokeepers prefer to keep themselves hidden, disguising themselves and harvesting the memories of others without ever being acknowledged. If a being possesses exceptional memories or qualities such as the Trailblazer, they might choose to manifest and communicate with them directly.
Because the Garden of Recollection members are memetic lifeforms, they can only manifest to people who know about Fuli, the Remembrance, or associated concepts. If you literally don't know anything, you're inaccessible to them. After all, these spicy memes have not been passed on to you.
The Garden of Recollection doesn't have just Memokeepers. It seems some members (or defectors?) known as Memosnatchers go around forcefully taking the memories of other individuals, potentially causing amnesia. Because the Messenger calls them "those thieves", it seems they're not looked highly upon by Fuli's other followers.
Another faction in the Garden of Recollection that draws the ire of the Memokeepers are the Cremators, extremists who steal memories gathered by others and destroy the ones they consider to be useless and return the important ones. In doing so, they believe themselves to act as a sort of filter or curator for the memories of the Aeon, relieving them of their "burden". The stance of the Garden of Recollection is that every memory has value, so obviously the Cremators aren't seen in a positive light.
In any case, the current objective of the Garden of Recollection is preserving the universe against the Destruction, believing that everyone can still live on through memories. Ultimately though, the Garden of Recollection likely existed long before Nanook's ascension, and their greatest goal is to fill Fuli's pure land with memories, which assists Fuli's own ultimate goal... which is unclear to us at the moment.

Idrila


Listen to the infant in the mirror.
The Beauty, known to the Xianzhou as the Wondergazer, and also in some places as Anne Duray.
Though mortals superficially interpret them as a god of beauty, Idrila's true nature revolves around the realm of perception - your conscious qualia (sight, smell, taste, etc), your ability to reason, and the values instilled upon you by your own personal circumstances. The intersection of these attributes is what creates the subjective idea of 'beauty'. In other words, beauty exists in the eye of the beholder.
Idrila cannot create beauty. Instead, they can manipulate these attributes to embody something that's always going to be beautiful to the observer, independently of their tastes. A memory bubble even implies that Idrila is even capable of granting sapience to unintelligent species, creating the conditions for them to be able to observe 'beauty'. Idrila, essentially, allows beings to "observe" the universe in its purest form.
This causes the people exposed to Idrila's power to frequently become intensely obsessed to the point of insanity, and many legends describe those affected by them as committing devastating acts for Idrila's sake - something which gave them a large amount of pleasure. They created civilizations and tore apart people who were in love just by existing.
It's probably safe to say that no one knows what Idrila really looked like, but it was always the most beautiful thing they've seen.
One day, Idrila just up and disappeared. Adios. The Mirror Holders believe that Idrila 'died' and shattered into many pieces, and could return if those pieces are gathered again. The Knights of Beauty believe that Idrila is still very much alive, just... hiding out somewhere, I guess.
I tried to figure out what the name "Idrila" might be derived from, but I couldn't find anything. The Japanese and Chinese characters are phonetic. Anne comes from Anna which comes from the hebrew Hannah which means grace or favor, as in "God graced me with a child". Duray is a significant royal family in France and Scotland which derives from an old French word that means king. So like, King/Queen of Grace I guess. Cool.

Followers


\"If I win, please admit that Idrila the Beauty is the most beautiful of all!\" - Argenti
Among Idrila's followers (of which is implied that there are many of), the most tame are the Knights of Beauty, which run around the universe telling everyone how awesome their Aeon is (kind of a trend). They practice a chivalric code which basically says that you can only be worthy of the Aeon GF if you grind hard everyday to become the greatest gigachad of them all. Because of this, other factions in the universe regard them as not having a whole lot of faith in their Aeon. I mean, if you make your entire dynamic a competition to see which of you is the most deserving of getting your god's attention, you're basically saying that your god would never care about most people, right? Only the best ones. Then again, maybe Idrila really is like that.
Idrila, did, however, have more faithful followers, the Mirror Holders, who possess artifacts named Mirrors of Transcendence. These artifacts hold within them some level of Idrila's power, which allows the wielder to project an observer's subjective perception of the most ideal beauty outwards into reality. Usually, the Mirror Holders seem to use this to indoctrinate new people into their thirst cult. A Mirror Bubble implies that the Mirror Holders may also be Emanators, but maybe it's just one person who happens to be both an Emanator of Beauty and a Mirror Holder.
Though the Knights of Beauty hold the delusion that their Aeon GF will someday come back, and I guess decide which one among them is the most fabulous, the Mirror Holders have a different perspective. They believe Idrila 'died' because of society developing differing subjective views on beauty, shattering them into pieces. As a result, they work to make sure society has an unified view of aesthetics, while also hunting down the remainder of Idrila's artifacts. They believe these combined factors will allow their god to return, ushering in an age of harmony where everyone is really infatuated with Idrila all the time. I guess that sounds like heaven to them.

Tayzzyronth


Tayzzyronth... Tayzzy█ronth... Ta█yzzy█ronth... Ta█yzz██y█ronth█... Ta█... █yzzy███ron█th███...
The Propagation. Known as the Swarm Author by the Xianzhou and the Imperator Insectorum in some places.
Tayzzyronth was a very, very lonely beetle who, after getting fed up with being all alone, appears to have developed the ability to self-duplicate endlessly, ascending into short-lived Aeonhood afterwards. What resulted was one of the most severe catastrophes to affect the universe, the Swarm Disaster.
Worlds were invaded and turned into massive hives that to this day are uninhabitable despite the loss of their master. Tayzzyronth's clones slaughtered all living beings in their path, bred endlessly, and moved on to the next world, all in blistering speeds. The scale of destruction was so massive that it actually worried the IPC for maybe the first time since the Emperor's War.
Tayzzyronth seemed close to unstoppable and posed a very real risk of destroying the entire universe, when the sheer intensity of their threat caused an incredibly rare occurrence in the universe - multiple Aeons put their personal missions and differences aside and teamed up to get rid of Tayzzyronth once and for all.
We don't know the specifics of Tayzzyronth's death, but it involved them being encased in an organic prison, which appears to have deprived the rest of the Swarm of the ability to reproduce. After this, something killed them, which put an end to the Swarm Disaster for good.
However, just because Tayzzyronth's dead doesn't mean the Swarm disappeared completely, or that they may never return. The surviving members of the Swarm managed to evolve into different beings, the worlds converted into hives by the Swarm are still to this day impossible to live in, and fragments of the Imperator Insectorum's prison and body still buzz with activity and an energy that makes it very possible they might still return.
Even though Tayzzyronth lived for only a tiny amount of time compared to most Aeons, their destructive impact on the universe cannot be understated. After all, it might even be possible that they indirectly led to Nanook's ascension, due to the Swarm's attempted takeover of Adlivun.
Tayzzyronth didn't seem to have followers, much less Emanators - it seems their own clones were all they ever needed.
I actually feel kinda bad for them. Beetle just wanted a friend.
Can You Believe It, just like Idrila this is another name with no real source. Personally, I think it might just be completely made up, perhaps made to sound like something a bug would make.

Mythus


The Waves as they Enter the Dream
The Enigmata.
Like Qlipoth and Fuli, Mythus too believes that there is some sort of calamity approaching the universe. Their approach to it, however, is a bit different - the Enigmata sees the obfuscation of the past and of observable facts to create a 'mist of uncertainty' that obscures a 'narrative drive' determining the Universe's fate, which would allow everyone to escape that calamity.
Of course, since the Erudition directly wants to observe the Universe and solve it, that would only ensure the opposite, which makes them Mythus' direct enemy.
From latin Mythus. Means myth. Comes from Greek μῦθος (muthos), means tale, myth, legend. It's not that deep.

Followers

To achieve their goal, Mythus appears to random mortals already teetering on the edge of obscurity and 'inspires' them into becoming even crazier than they likely already were. The Riddlers specialize in obfuscating language, whereas Mythus' own personal Emanators, the History Fictionologists, mess with historical records and memories, making certain historical events more confusing, harder to understand, or just straight up inaccessible.
The items created by Mythus' followers possess the supernatural ability to directly affect history, even though history is more or less an abstract concept and those are physical items. As such, it can be assumed that Mythus is granting them their power in this way, which makes them one of the more proactive Aeons.

HooH


The Tipping of the Balance
The Equilibrum.
They merged their consciousness with the logic of the universe itself, hoping to attain perfect universal equilibrium. While many attempt to outsmart HooH and make things unbalanced in their favor, HooH has already accounted for them, and victory is impossible. Even if something is unbalanced now, it'll become balanced eventually, and HooH's patience is unmatched by any other Aeon.
HooH's English name is made up and meant to appear symmetrical, as is the case for HooH's original Chinese name, which is 互. This character means "mutually" or "reciprocally" or "intertwining". It was probably chosen just because it looks symmetrical from the top down, but that last meaning does have the added bonus of fitting with the fact HooH is woven into the fabric of the universe.

Followers


Long Arm
Those who like the cut of HooH's gib become dedicated to balancing the universe, the Arbitrators, who decided they'd try and get rid of extreme binary concepts, placing everything in balance. But because they're mortal, they don't have the great big picture view HooH has, and so they constantly mess up, having to correct their problems in successive "patches".
An Arbitrator talks to you when you reach the first Trial of the Equilibrium, and it seems they possess the ability to alter the entire universe in a scale that's incomparable to the followers of other Aeons. It may be because HooH has somehow managed to integrate themselves into the universe much further than any other Aeon has, and that might explain why Aeons tend to be opposed by those with equalizing concepts, and out of control Aeons tend to get the shaft.
Think about it. Tayzzyronth was a threat, but several Aeons believe Nanook is already going to destroy the universe. Why don't they team up again and kick their ass if so? Well, because they're balanced about it. Nanook's rate of destruction is slow and easy to counter enough that unlike Tayzzyronth, they can't take over the entire universe in years. Therefore, in a sense, they already have a place in equilibrium. For every planet-destroying campaign that takes centuries, Yaoshi and the Architects have already protected 5 other worlds. There's no need for something, or someone, to push them towards correcting that balance.

Ena


I only survived because the spirit of \"fuck it we ball\" burned brighter than the \"it's so over\" around me.
The Order.
An Aeon that was absorbed by Xipe due to conceptual overlap when the latter ascended, which is safe to say, a pretty definitive death (though perhaps some part of Ena lives on through Xipe? I mean, they are a plural Aeon after all)
Ena's only known group of followers are the Beyond the Sky Choir, a choir group that made songs praising the Order. When Ena was absorbed, they effectively disappeared, no longer having a god to worship.
However, the Choir audience did record some of their performances into special disks, that could only be played with unique Phonographs of Order. The problem is, the last Phonograph was lost during Emperor Rubert 1's campaigns, so nobody can ever listen to them again.
As a result, this Path is deader than dead. Maybe the energy's still accessible, but with no Aeon, no followers, and no extant artifacts, it might as well not exist.
Ena is a character from the web animation series ENA made by Peruvian artist and animator Joel- wait no.
Actually, I don't know where the English translators got the name "Ena" from, but their original name is 太一 or Taiyi, which is the supreme deity of Heaven worshipped during the Chinese Han Dynasty. There's a lot to Taiyi, but I'm just going to ignore all of it because it was probably actually chosen because the name literally means "Great Oneness" or "Great Unity".

Long


I didn't know what to put here.
The Permanence.
A Chinese dragon thing, Long died ages ago, but we don't know how. Before they died though, they left descendants in the form of Long's Scions, or the Vidyadhara, which possess the power of the Permanence in their very biology.
Because of this, the Vidyadhara have a very peculiar characteristic - when they reach the natural end of their lifespans, they pull a Turritopsis dohrnii and regress back into an infantile stage, effectively making them ageless. Of course, the Vidyadhara that 'reincarnates' loses all memories of their previous self, making the newly reborn Vidyadhara a different individual altogether, though Vidyadhara culture does encourage seeking a greater connection to your past incarnation. It's also possible they might be able to experience some aspects of their previous lives through dreams.
Vidyadhara, however, cannot reproduce. This means that their numbers are limited and losses to their population (through unnatural means) are permanent. Frankly as far as I'm concerned, this basically means Vidyadhara extinction is inevitable, as statistically speaking they probably wouldn't be able to avoid dying through accidents or intentional acts forever.
Currently the vast majority of Vidyadhara live among the Xianzhou Alliance, and it's rumored that those among them that fulfill certain conditions and pass specific rites can return to the form of a dragon. The High Elder of the Vidyadhara receives strict training in order to one day become the highest among them, the Imbibitor Lunae.
Another thing about Vidyadhara. The fact the Permanence's power flows through their cells allows individuals who have harvested Vidyadhara bone marrow to transplant some of that power into their own bodies, provided that they have the right ingredients to reactivate the stem cells. For regular mortals this only results in a short lived burst of power before their immune system destroys the transplanted Vidyadhara cells, resulting in a catastrophic regression that would most likely lead to death for most individuals.
However, for long-life species blessed by Yaoshi, Long's power can actually stabilize the explosive evolutionary process... allowing those stricken with mara to retain their sanity.
The cost is only a little murder.
Long is the Chinese name for the dragon (or specifically the Chinese dragon which is different from the Western perception). WOW! However, dragons do have great significance in Chinese folklore and culture and were worshipped, so this is a fine name. They also have associations with water, which is probably why the Vidyadhara are also associated with water.

Terminus

The Shapeless Prince
The Finality.
If we ignore bits of CBT2 that were removed upon release and now exist in a canonical limbo, this Aeon is the one we basically know the least about. I mean sure they've been mentioned more than Oroboros has, but we at least know what Oroboros is, and what their objectives are.
Terminus, though? Well, besides the fact that the IPC (and maybe Qlipoth) oppose their goals... we know the name "Terminus" and the Path of "the Finality", and that's it. They encountered Akivili at some point, so they're active somewhere, but that doesn't tell us much.
Terminus does appear to share a bit of a concept with an important HI3 character, the Herrscher of Finality, but there doesn't seem to be any direct connection, and finding actual summaries and information on stuff that happens toward the latter half of HI3's story that aren't too short or badly written to be useful is impossible. I'd have to play the game and read all the side-content, and frankly that'd take me weeks, and this post already took a long time to write as it is.
So we'll take Terminus for what the game tells us about them, which is nothing.
Terminus is the Roman name of a god that presided over boundary stones (his name also refers to those stones), which were meant to mark, you know, boundaries. Like the limits of a region or an area that couldn't really be represented by natural landmarks. Essentially, he was the end of one place and the start of another. Considering that Fuli's lore hints at a cyclical nature to the universe, this is an interesting name.
In Chinese, though, their name is different. It's 末王, which literally means "king of the end". Quite the powerful name.

And that's the end of the Aeon section. Because the manuscript for the mortal characters hasn't been written, it'll take a while longer to come out. Probably a few weeks. If I end up finishing it too close to the release of the remaining Companion Quests, it'll have to wait until after.
submitted by PM_ME_YOUR_ROBOTGIRL to HonkaiStarRail [link] [comments]


2023.06.08 22:54 Harley_Quinn_Lawton What was or would be the ICD - 10 code of the craziest case you’ve ever seen?

My personal favorite over all is W59.21- Bitten by turtles, accompanied by S05.92 - injury to left orbital.
submitted by Harley_Quinn_Lawton to medicine [link] [comments]


2023.06.08 21:56 HorrorJunkie123 I Work at a Small Town McDonald's. My Manager Makes us Follow a Strange Set of Rules.

“I’ll have a number four meal with extra cheese, two big macs with a large fry, three apple pies, and shamrock shake.”
“Alright Stan, your total comes out to forty-six fifty.”
The land whale grunted approvingly as he shoved a greasy wad of crumpled bills into Gary’s outstretched palm.
“Here’s your change. I’ll call your number when it’s ready.”
Stan trundled away to await his late night snack as Gary and I prepared the food.
“Geez, man. Does he have a family waiting at home or something?” I whispered as Gary shoveled fries into a red and yellow box.
“Blair, does that man look like he’s got a wife and kids? Stan is one of our regulars. You’ll see him pretty often if you stick with the night shift.”
I grimaced as I prepared the shake.
“Great. Lucky me.”
“Hey, it could be a lot worse. Honestly, Stan is the least of your worries,” he said as a shudder rippled through his body.
We processed the remainder of the food in silence. Gary and I then shuffled to the counter, each donning a full tray.
“Stan, order’s up!” Gary exclaimed as the boulder of a man darted at an alarming speed to retrieve his sodium-rich smorgasbord.
He snatched the trays from us, hurriedly ambling back to his corner table. I watched in astonishment as the man inhaled his meal.
“Hey, could you help me sweep in the back? Best to do it now before any more customers-”
Gary was interrupted by an obnoxiously loud alarm blaring from his pocket. Stan looked up at him, glowering at the unwelcome ringing.
“Sorry. Gotta take this,” he said, darting to the kitchen and out of view.
He returned a moment later. All the color had drained from his face. He appeared sickly, like he’d suddenly caught a nasty case of the flu.
“That was my aunt, Norma. She said my parents were in a car wreck. Apparently my mom is in critical condition.”
He stared off into space, his brain slowly processing the tragic information it had just received.
“Gary, I’m so sorry. Do you need me to call someone?”
He snapped out of his trance, tears brimming in the corners of his eyes. He quickly wiped them away.
“No, I’ll be fine.”
“Okay. But with all due respect, what are you still doing here? Go be with your family, dude. I can handle closing up on my own.”
He locked eyes with me, a stern determination creeping over his countenance.
“You’re right. I need to go. Here, take my key to the restaurant. There’s a list of rules in Dave’s office. Go read them the first chance you get. You need to follow them to a tee, no matter how ridiculous they sound, got it?”
“Yep, I’ll take care of it. Now go!” I said as Gary handed me a small silver object. He sprinted out the front door, letting it slam shut behind him.
I fashioned Gary’s drive thru headset below my hat and headed to the back to familiarize myself with the nighttime protocols. I laboriously pushed open the door to Dave’s office. You’d think that thing was made from solid gold with how heavy it was. I surveyed my surroundings, my eyes immediately falling to the life-sized portrait beaming back at me.
“Really, Dave? Even I’m not that self-absorbed,” I muttered, continuing my search.
I defaulted to the pockmarked bulletin board to my right. There they were, posted clear as day. I swiftly scanned over them.
Rules for the Night Shift
  1. You are allowed a seven minute grace period. No exceptions.
  2. If a hooded figure knocks at the drive thru window, DO NOT answer it. Stay out of its direct line of sight and it will leave.
  3. If Stan claims that you forgot his pickles, offer him a free complimentary chocolate shake. If he refuses, lock yourself in the office and call Dave.
  4. No outside food or drink.
  5. If a blood-like substance begins seeping from under the grill, mop it up until it stops. No, it is not blood.
  6. An old woman in a shawl will come in exactly ten minutes past one. Avoid looking at her for too long. She will not leave until you ask her where Tony is.
  7. If a small child appears telling you he lost his mother, ignore him. He does not have good intentions.
  8. You are required to comply with the employee dress code. Speak to management if you need clarification on what is acceptable.
  9. If you are alone and you feel the undeniable sensation of being watched, lock yourself in the office immediately and wait for it to dissipate.
  10. The store closes at two A.M. Before you clock out, place two packages of raw burgers on the stove.
  11. ALWAYS leave the restaurant by 2:37 A.M. The Hamburglar doesn’t like company.
  12. Failure to adhere to these rules will result in immediate termination. Do not hesitate to call Dave if you have any questions or concerns.
Dave’s phone number was hastily scrawled at the bottom of the page. I stared at the list, unsure of what to make of it. Was this some sort of cruel prank on the newbie? Maybe Gary was in on it. I resolved to wait and find out for myself, and I made my way back to the counter. Upon seeing me approach, Stan rapidly stood from his seat and sidled up to me.
“Uh, can I help you with something?”
“Yeah. You forgot my pickles.”
I mentally rolled my eyes. Gary hadn’t been gone for ten minutes and the fun was already ramping up.
“Look, I watched my coworker make those. I know he didn’t-” I began, before rule three crept into my head, “I mean, I’m sorry. I can offer you a free shake for the inconvenience?”
His four chins flapped as he fervently shook his head.
“No, I don’t want any more food. There is another way you could make it up to me though.”
A malicious grin inched across his face. A blanket of fear sent adrenaline bursting through my veins.
“I’m sixteen, sir. If you really think-”
“That’s not what I meant, you dumb broad. I want a refund.”
“What? No, you already ate it all.”
“Fine. If you won’t give me my money back, I’ll have to take it from you.”
The massive mound of flesh began waddling to meet me behind the counter. I fled to the back, praying he wouldn’t catch me. I glanced behind me as I struggled to push open the absurdly heavy office door. Stan was barreling toward me, sending shelves of product crashing to the ground. My heart thumped against my ribcage so hard that it hurt. I had just managed to slip through the door and slam it shut when he reached it.
Thud.
He pounded his ape-like fists against the sturdy metal frame, shouting obscenities at me all the while.
“I’ll get you, you little whore. You can’t stay in there forever.”
He was right. I instantly ripped the yellowing piece of paper from the board and punched in Dave’s number. He picked up after an agonizingly long minute of waiting.
“Hello? This had better be good. I value my beauty sleep.”
“Dave, it’s Stan. The free shake didn’t work. I’m trapped in the office.”
Dave sighed.
“Alright, put it on speaker and hold your phone up to the door so he can hear me.”
I obliged, clenching my cracked iPhone 7 with a vice grip and sticking it close to the rattling door.
“Stan? Stan, can you hear me? It’s Dave.”
The room fell eerily silent.
“Oh yeah, what’s up, Davey?”
“Stan, are you harassing one of my employees again? I don’t need to get Mrs. Barret on the phone, do I?”
“No, no, please. I’ll behave, I swear. Please, just don’t call her!”
His voice trembled as he spoke.
“I don’t know. That’s what you said the last time.”
“I promise I’ll never bother her again. Come on Davey, show a little compassion.”
Dave took a moment to respond.
“Alright. But I need you to go home and you need to apologize to Mrs. Blake for scaring her.”
“Blair,” I interjected, facepalming myself.
“Right. Apologize to Blair and I’ll let you off the hook.”
“Oh, thank you, thank you, thank you! Sorry, Blaze… so, um, can I take you up on that free shake?”
“No, Stan. No free shake tonight. I need you to leave,” Dave said, a stern finality in his statement.
Without another word, Stan angrily tromped through the kitchen and out the front door. I didn’t release my breath until I heard it shut behind him.
“Th-thanks, Dave.”
“Any time, kid. In my experience, threatening to call his mother is a decent deterrent for any overgrown man-baby.”
I chuckled, sensing the tension disperse.
“I’m gonna get back to bed now. Good luck tonight.”
And with that, he abruptly hung up. I sat for a moment, controlling my breathing in order to steady my palpitating heart, before returning to my duties. I trudged into the kitchen and begrudgingly got to work cleaning the mess of boxes and condiments that Stan had strewn throughout the area. I had just put the final ketchup bottle in its place, when out of the corner of my eye, I saw it. A figure was standing at the drive thru window.
I immediately tensed up, every muscle in my body freezing in place. It glared at me, yellow glowing eyes piercing the darkness. It raised a gloved fist and knocked lightly on the thin glass. The sound freed me from my stupor. Rule two. I dashed to the counter and crouched behind it, hugging my knees to my chest. Ice flooded my veins as the knocking grew louder.
The window shook in its frame as the light knocks soon escalated to rapid pounding. I squeezed my eyes shut, terrified at the notion that the slim barrier to the outside world wouldn’t hold. The constant noise assaulted my eardrums, crashing against them like thunder during a storm. The knocking crescendoed into a fever pitch of resounding slams. Just when I thought that I might lose my sanity, it stopped.
I glanced up in the midst of the unsettling silence I found myself in. It was gone. As if the entity had never appeared in the first place. I gradually stood, and took my time getting my bearings. I hesitantly peeked around the corner at the drive thru. Nothing. Not so much as a scratch on the glass. I glanced down at my phone. 12:15 A.M. Less than two hours. I could handle it, right?
I began sweeping like Gary was beginning to ask me to do prior to receiving his unfortunate news. I was thankful for a break in the action. I didn’t know how much more I could take. Apparently I could take a lot more, as I came to find out.

SR
submitted by HorrorJunkie123 to nosleep [link] [comments]


2023.06.08 20:26 joetool117 L5S1 sciatica pain mri says normal

Hi everyone, I’m new here, but I’ve read through most of the posts. This will be a long post so bear with me. First a little bit of history; I am a former firefighteEMT and I’m familiar with body mechanics and physiology. My MIL is an NP, and my wife is a scientist in med-chem. The reason I bring this up is that I feel like the NP I saw is dumbing things down and telling me there’s nothing wrong, and the people that know me best no that something is wrong.
When I was 23 I hurt my back doing construction from lifting and twisting. I’m 53 now and have always had back problems that have come and gone. About 9 years ago I had an MRI and was told I had a bulged disc. I had a Cortisone back injection that really helped. The doctor that did the back injection told me at the time that at some point I would probably need surgery.
Since then, I have tried to be really careful with my back, I am not, overweight, extremely healthy for my age and I try and be careful when lifting. I am 6’6” and quite frankly sometimes I do dumb things and bend over because squatting is a pain, lol.
Fast forward to three weeks ago; after a long winter of not really exercising too much besides snowboarding (lots of twisting), I decided to go out and start building a retaining wall. I bent over to lift up at timber and felt a very mild pop. My back was sore, but it was not acute. A week after I went on a trip and got very sick and had a respiratory infection where I was coughing a lot very violently. Flight home was extremely painful while sitting .The back pain continued to get worse to the point where when I coughed it was a level 10 pain (I have an extremely high pain tolerance, so when I say level 10 I mean it had me in tears and I could not function besides curl up on the bed). Every day the pain would get worse and it got to the point after about 2 weeks that I finally went in to the top sports medicine place where I live, which is affiliated with a top university.
I saw an NP and the exam pretty much existed of her watching me try and walk 2 to 3 feet in the very limited exam room, she tested my reflexes and stated that I had weakness in my left leg and foot, and ordered x-rays. Based on the symptoms, she also ordered an MRI and prescribed meloxicam and baclofen. This was in addition to the gabapentin I take for sleeping.
The meds helped a bit; The pain is down to a level eight when I cough which for me is pretty debilitating. I just saw her two days ago for the MRI follow up; when she came into the exam room, she did a cursory glance at the MRI (I understand an experience radiologist also read the MRI per normal protocol) and stated that that was the first time she had looked at it and read the report (she looked at it with me for all of two minutes). She said my MRI looks “normal”. When I asked her about my L5S1 she said it looked a little bit deteriorated, but she didn’t think it was causing the pain. She did do a physical test to see if I had any hip issues and she tried to lift my left leg straight up. When she lifted up my leg, I got about 8 inches up and it was excruciating pain (classic sign of lower back nerve impingement?). She said she did not see anything on the MRI that would be causing the pain and she asked me if ‘I wanted to do an EMG test or any blood work to rule stuff out’. I asked her what she thought I should do and she said since she didn’t see anything and she wanted to know if I wanted to rule anything out, she kept pushing about whether or not I wanted to do the tests (I told her we have very good insurance initially and cost isn’t really an issue). It just felt very odd that she wanted to know if I wanted to do som thing as opposed to recommending something herself. The whole thing just felt off.
I know I’m long-winded, but here are some of the questions and things I’m really confused about:

Basically, I feel like I’m going crazy at this point, the pain is real, NP doesn’t have any real suggestions other than, and I’m not kidding, “maybe see a chiropractor or get some physical therapy”.
X-ray:
FINDINGS:There are 5 nonrib-bearing lumbar-type vertebral bodies. Vertebral body heights are preserved. Alignments are maintained. No sagittal listhesis. No dynamic listhesis in flexion or extension. There is moderate disc degeneration L4-S1 with associated facet arthrosis. Bilateral sacroiliac osteoarthrosis. Soft tissues are normal. No radiopaque foreign bodies.

MRI:
FINDINGS:General findings: Five lumbar-type vertebral bodies are assumed demonstrate normal vertebral body heights and alignment. Disc desiccation and mild intervertebral disc space narrowing is seen at L5-S1.
Marrow: Trace marrow edema is seen along the endplates of L5-S1 and along the pedicles of L5. Heterogeneous marrow signal is scattered along the pelvis, possibly due to some reconversion without focal lesion identified.
Cord: The visualized spinal cord is normal in signal. There is no thickening or clumping of the cauda equina nerve roots.
Paraspinal Muscles: Musculature appears normal for the patient's age.
Other:Presumed left renal cyst measures 1.6 cm (series 5 image seven).
Mild degeneration is also seen along the right greater than left sacroiliac joints.
https://preview.redd.it/k9x2tj14eu4b1.jpg?width=2732&format=pjpg&auto=webp&s=7bf53dc4946975c36969f2ee4d30ce99ab01fd06
submitted by joetool117 to Sciatica [link] [comments]


2023.06.08 19:31 ahmedaltaai Sendgrid won't isn't working with vercel adapter with edge runtime

Couldn't find a solution, so I switched to node adapter. Do you have any solution for this "problem". Error below:
``` > Using @sveltejs/adapter-vercel ✘ [ERROR] Could not resolve "fs" node_modules/.pnpm/@[email protected]/node_modules/@sendgrid/helpers/classes/attachment.js:9:19: 9 │ const fs = require('fs'); ╵ ~~~~ The package "fs" wasn't found on the file system but is built into node. Are you trying to bundle for node? You can use "platform: 'node'" to do that, which will remove this error. ✘ [ERROR] Could not resolve "path" node_modules/.pnpm/@[email protected]/node_modules/@sendgrid/helpers/classes/attachment.js:10:21: 10 │ const path = require('path'); ╵ ~~~~~~ The package "path" wasn't found on the file system but is built into node. Are you trying to bundle for node? You can use "platform: 'node'" to do that, which will remove this error. error during build: Error: Build failed with 2 errors: node_modules/.pnpm/@[email protected]/node_modules/@sendgrid/helpers/classes/attachment.js:9:19: ERROR: Could not resolve "fs" node_modules/.pnpm/@[email protected]/node_modules/@sendgrid/helpers/classes/attachment.js:10:21: ERROR: Could not resolve "path" at failureErrorWithLog (/Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:1636:15) at /Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:1048:25 at /Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:993:52 at buildResponseToResult (/Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:1046:7) at /Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:1075:16 at responseCallbacks. (/Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:697:9) at handleIncomingPacket (/Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:752:9) at Socket.readFromStdout (/Users/ahmedaltaai/projects/fullstack_projects/mbrlla/node_modules/.pnpm/[email protected]/node_modules/esbuild/lib/main.js:673:7) at Socket.emit (node:events:511:28) at Socket.emit (node:domain:489:12) ELIFECYCLE Command failed with exit code 1. ``` 
submitted by ahmedaltaai to SvelteKit [link] [comments]


2023.06.08 17:06 M3GlobalResearch Health Care Market Research Opportunity

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2023.06.08 16:58 P106_Senpai [US][Selling] Clearing Space, Open to offers.

Prices Include Shipping! Open to offers on most items. If you have any questions feel free to ask. Thanks for looking!
Time Stamp/Proof
A.
Akira Full Color Spanish Vol 2-6 150$
A Tropical Fish Yearns for snow vol 1-3 18$
A distant neighborhood Singles vol 1-2 60$(Kinda Unsure What To Price This at tbh If Int Lmk I’m sure we can work something out)
B.
Bloody Mary vol 1-4,6 38$
Beast Stars vol 1-15, Beast Complex vol 1, Drip drip 135$
Tokyo Tribes Vol 3 10$
Blood Blockade Battlefront Vol 1 40$
Blue period vol 1-2 13.50 shipped
C.
Citrus vol 1,6 18$ Shipped
Cynical Orange Vol 1-9 Complete 90$
Code Geass Comic anthology Queens vol 2 25$
Code Geass Manga vol 1 15$ (Pretty messed up pm if int)
Clover singles vol 4 4$ (very rough shape willing to throw it on if you buy something else.)
D.
Dragon Head vol 7 15$
Drrr!! Manga vol 1 7$
Dragon Ball z singles vol 7 7$
E.
F.
Flames of recca vol 10 15$
Full metal Panic! Manga vol 1 8$
Fire Fighter! Vol 4 20$
Fire Fighter! Vol 2-5 90$
Fire Fighter! Vol 8-10 130$
G.
Golden Kamuy Vol 1 9$ Shipped
H.
Hunter X Hunter vol 1,5,6,10,13,14,15,18,19,20,21,,23,29,31,36 140$ (Not really tryna split unless you take a big portion)
Hatsune Miku Acute 15$
Happy Mania Vol 1 15$
HighSchool Girls 1-9 Complete 90$
Hi score girl vol 1 8$
Hi score girl vol 1-8 60$
Hell’s Paradise vol 1 8$ Shipped
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K.
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King of cards vol 4 25$
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Lupin The 3rd Singles Vol 1 30$
M.
Mobile Suit Gundam origins vol I&XII 34$ Shipped
Monster girl doctor Ln vol 1 7$
N.
Naruto Lot (Including vol 8,9,10,12,13,,26,27,28,39,41,42,43,50,Naruto The Official Fanbook,2 Naruto Light Novels, Naruto The unofficial guide book, 2 Naruto Ani-manga 135$ Shipped
Naruto Volume 1 Hardcover Collector's Edition 175$ Shipped
Neon Genesis Campus Apocalypse Vol 2 5$
NIghtmare Inspector vol 4 8$
O.
One Piece Gold Foil Vol 4 30$
One Piece Gold Foil Vol 15 45$
Oh my goddess Singles vol 19 55$
Oh my goddess Singles vol 31 30$
P.
Prison school vol 14 15$
Pandora Hearts Vol 23,24
23-7$
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Rurouni kenshin LN 7$ (some damage)
Rurouni kenshin Vol 1-19,22-26,28 (Whole set -20,27) 220$ Shipped
S.
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Spy Family 1-7 55$ Shipped Brand New
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Shaman King Vol 1-25, 230$
Shaman King Omnibus Vol 1 10$ Plus shipping
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2-10$
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Stellvia Vol 1-2 10$ Shipped
Steins Gate Loot Crate Vol 1 18$
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T.
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V.
Vampire hunter d manga vol 2 15$ (Have 2 copies)
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W.
Witch craft works vol 1 8$
X.
Y.
Yowamushi pedal Loot box exclusive vol 1 14$
Yakitate!! Japan vol 6 9$
Z.
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