Can't be blank

WEEE-O,Wee-o.

[eSIMuse @esimuse]

想要一个美国号码怎么办？
Saily 现在有真实 +1 美国实体号，月租只要 0.99 美元
不用买任何通话或短信套餐，就能无限免费收验证码
注册 Telegram、美区 PayPal、券商、2FA 都稳，随时可取消
目前保号成本最低的美国号之一

[OōEli.eth @ooeli_eth]

记住，

买美国Ultra mobile紫卡、德国O2卡，全球各地的esim卡，

上京东，都有。

而拼夕夕、咸鱼没有…

[CardiovascularCorner @TrackYourHeart]

This clinical sign is raccoon eyes (also called the raccoon sign or panda sign).

Read more:
Raccoon eyes refers to unilateral or bilateral progressive periorbital ecchymosis with edema, occurring without direct ocular trauma. The bruising results from blood tracking into the loose periorbital tissues, rather than injury to the eye itself.

It is most commonly associated with fractures of the anterior cranial fossa. Importantly, this sign is delayed, typically appearing 1–3 days after head injury, not immediately. When bilateral, it is highly predictive of an anterior skull base fracture.

A classic feature is sparing of the tarsal plate. Further spread of blood beyond the periorbital region is limited because the orbital septum inserts into the tarsal plate, acting as an anatomical barrier.

[Can't be blank @ephemera333]

發動機有最佳工況，人也有，倘若精神在緊張和不適中消耗，有什麼狀態和效率可言？能做成什麼事？但凡需要認真、思考、鑽研的事，不舒展開是不行的。而且緊繃的狀態，更容易被捲進慾望和享樂的漩渦中(報復性享樂/懶惰)。精神能量是有限的，經不起浪費消耗。該去回魂時就要去。

[Can't be blank @ephemera333]

勤儉節約和走出舒適圈很容易誤導人。
導致人貧窮的是(懶惰和鋪張浪費)，非()命題是‘動起來和不浪費’，而不是忙起來和摳門，要有價值、明智地使用自己的資源，不被慾望和宣傳綑綁，並為自己的抉擇負責。

[Can't be blank @ephemera333]

https://t.co/nJppjRtP2y

[Can't be blank @ephemera333]

但世上本沒有啥頂級的心態，只有最適合的心態。身無長物有時確實需要冒險精神，手握產業的要珍惜自己、保護產業。但重點是，應具有深厚的積澱、卓越的眼光、果敢的判斷，不然看不清機遇背後的風險及風險背後的機遇，總做出昏瞶的抉擇，徒耗資源；已有的產業也會得而復失。

[Can't be blank @ephemera333]

笨鳥先飛、富貴險中求、做事快快快都是底層人的心態，越是底層越信這個。因為自身資源和底蘊不夠，自我效能感較低，沒啥可守護的，沒啥可珍惜的，而且往往從事的都是性價比較低的工作，忙得抬不起頭思考反思，而在道聽途說中，總能聽到奮力一搏躍升的故事。

[MEDCRUX @medcrux]

Vitamin B12 Deficiency

1. A positive Babinski sign in an adult is an upper motor neuron (UMN) sign and may be seen in vitamin B12 deficiency due to involvement of the corticospinal tracts.

2. Vitamin B12 deficiency causes subacute combined degeneration (SACD), affecting the posterior (dorsal) columns and lateral corticospinal tracts of the spinal cord.

3. Patients typically present with paresthesia, numbness, gait instability, loss of vibration and position sense, spasticity, hyperreflexia, and an extensor plantar (Babinski) response.

4. Posterior column involvement leads to sensory ataxia and a positive Romberg sign, while corticospinal tract damage produces UMN features.

5. Common causes include pernicious anemia, strict vegan diet, malabsorption (Crohn's disease, ileal resection), chronic alcoholism, and prolonged metformin or proton pump inhibitor use.

6. Diagnosis is supported by low serum vitamin B12, with elevated methylmalonic acid and homocysteine levels. MRI may show posterior column hyperintensity in advanced disease.

7. Early treatment with vitamin B12 replacement (usually intramuscular hydroxocobalamin or cyanocobalamin) can reverse neurological deficits, but delayed treatment may result in permanent spinal cord damage.

[Philosophy Of Physics @PhilosophyOfPhy]

In 1821, Thomas Johann Seebeck connected two dissimilar conductors and kept their junctions at different temperatures. A nearby compass needle deflected. Seebeck initially interpreted the phenomenon as “thermomagnetism,” but the needle was responding to the magnetic field produced by a thermoelectric current.

The temperature difference drives charge carriers from the hotter region toward the colder region, producing an electrical potential difference. For a small temperature range, it is commonly written as:

V = α(Thot − Tcold)

Here, α is the effective Seebeck coefficient of the material pair. More generally, because the coefficient changes with temperature, the voltage is obtained by integrating the difference between the two materials’ Seebeck coefficients across the temperature range.

This principle became the foundation of the thermocouple, one of the most widely used temperature sensors in science and industry. The same effect also allows thermoelectric generators to convert otherwise wasted heat directly into electrical power without turbines or other moving parts.

Today, Seebeck’s nineteenth-century observation helps measure temperatures inside engines and furnaces, recover waste heat from machines, power remote sensors and supply electricity to spacecraft. NASA’s radioisotope thermoelectric generators use thermocouples to convert heat from radioactive decay into the steady electrical power required for long-duration missions in deep space.

[Christine Brunet, APRN, FNP-BC @Christi58074529]

A. Fluoxetine.
SSRIs (such as fluoxetine) are the preferred first-line antidepressants for OCD. They have robust evidence of efficacy for reducing obsessions and compulsions, are FDA-approved for this indication (fluoxetine is approved for adults and children ≥7 years), and are generally better tolerated than alternatives.

Clomipramine (a tricyclic antidepressant with potent serotonin reuptake inhibition) is also effective and FDA-approved for OCD. Head-to-head trials and reviews generally show comparable efficacy to SSRIs, and some older meta-analyses suggested it might be slightly superior in certain measures. However, it is not preferred as first-line therapy because of its less favorable side-effect profile (anticholinergic effects, sedation, weight gain, cardiac conduction risks, and higher overdose lethality). Guidelines and expert sources (e.g., International OCD Foundation, Medscape) reserve it for cases that fail or do not tolerate SSRIs, or when a patient has previously responded well to it.

The other options are incorrect:
Haloperidol is a typical antipsychotic. It is sometimes used as augmentation (especially in tic-related or refractory OCD) but is not an antidepressant and is not preferred monotherapy.

Diazepam is a benzodiazepine used for acute anxiety or sedation; it has no established role as primary treatment for the core symptoms of OCD and is not an antidepressant.

In clinical practice, an adequate trial of an SSRI (often at higher doses and for longer duration than in depression—e.g., 8–12 weeks) is standard initial pharmacotherapy, frequently combined with cognitive-behavioral therapy involving exposure and response prevention.
https://t.co/i66IgSleU1

[MEDCRUX @medcrux]

B. Clomipramine

1. Clomipramine, a tricyclic antidepressant (TCA), is highly effective in obsessive-compulsive disorder (OCD) because it strongly inhibits serotonin reuptake.

2. Although SSRIs (fluoxetine, fluvoxamine, sertraline, paroxetine, escitalopram) are now considered first-line due to their better safety profile, clomipramine remains the classic drug associated with OCD and is a common exam answer.

3. OCD is characterized by obsessions (intrusive, unwanted thoughts) and compulsions (repetitive behaviors performed to reduce anxiety).

4. Patients with OCD usually require higher antidepressant doses and a longer duration of treatment (8–12 weeks) before significant improvement is seen.

5. Cognitive Behavioral Therapy (CBT), especially Exposure and Response Prevention (ERP), is an essential part of treatment and is often combined with medication.

6. Haloperidol is not a primary treatment for OCD but may be used as an augmentation agent in resistant cases, especially when tics are present. Diazepam has no role in treating OCD.

7. Remember: OCD = SSRIs first-line in clinical practice, but Clomipramine is the classic high-yield antidepressant for OCD.

[Catholic Quotes @CatholicQuote12]

"By his wounds you have been healed."

1 Peter 2:24

[𝕐o̴g̴ @Yoda4ever]

A little groundhog is trying to stop its parents from arguing..🐾😊

[Massimo @Rainmaker1973]

This video perfectly explains the real difference between Coca-Cola and Coca-Cola Zero

[Christian Tweets @JesusSavesUs777]

Amen!

[Fitness & Health @movie_cliplog]

You can complete workout with the help of chair.

[Catholic Quotes @CatholicQuote12]

“Do not become discouraged if you fall; get up quickly and continue walking toward God.”-

Saint Padre Pio

[nervemed @nervemed]

Types of Gall Stones