Discover and read the best of Twitter Threads about #TEE
Most recents (12)
0/ I have covered many privacy-focused projects in one way or the other since I've started my Twitter journey 🥷✨
a thread of threads featuring $ALEO, $MANTA, $MINA, $AZTEC, $DUSK, $ZEC, $RAIL, $SCRT & $ROSE
(0/13) 🧵👇
a thread of threads featuring $ALEO, $MANTA, $MINA, $AZTEC, $DUSK, $ZEC, $RAIL, $SCRT & $ROSE
(0/13) 🧵👇
2/ so, let's have a look at the projects that enable privacy on public blockchains. Many of them rely on #zk technology, so it might be worth revisiting the below thread 👇
MAPSE in #IntensiveCare (with examples)🧵#FOAMcc #FOAMed #MedTwitter #Hemodynamic #POCUS #EchoFirst #CriticalCare
Take homes:
1⃣ Redefining "the hyperdynamic heart" with #MAPSE
2⃣ MAPSE is better than EF in the #ICU
3⃣ Linking MAPSE with supply/demand-ischemia
1/n
Take homes:
1⃣ Redefining "the hyperdynamic heart" with #MAPSE
2⃣ MAPSE is better than EF in the #ICU
3⃣ Linking MAPSE with supply/demand-ischemia
1/n
1⃣ Can MAPSE redefine "the hyperdynamic heart?
The term "hyperdynamic LV" - EF > 55% - is misleading. It has no relation to a hyperdyanmic circulation; SV/CO. Someone bleeding to death has a hyperdynamic heart, but the circulation is life-threatening hypodynamic.
2/n
The term "hyperdynamic LV" - EF > 55% - is misleading. It has no relation to a hyperdyanmic circulation; SV/CO. Someone bleeding to death has a hyperdynamic heart, but the circulation is life-threatening hypodynamic.
2/n
MAPSE is cardiac motion, and defining the hyperDYNAMIC heart as good cardiac motion makes perfect sense. Recent geometrical analysis of cardiac pumping shows that MAPSE is the main determinant of SV. Fig from @mugander: tinyurl.com/mxbfmcyk
Why?
3/n
Why?
3/n
A case of low ScvO2 (60%), high PvaCO2 (8.2 mmHg), fluid intolerance (CVP 11) and fluid responsiveness (PPV 17). What's the physiology and what to do?
#FOAMcc #Hemodynamics #ThePeoplesVentricle #FOAMed #Fluidtolerance #Cardiotwitter #CriticalCare
#FOAMcc #Hemodynamics #ThePeoplesVentricle #FOAMed #Fluidtolerance #Cardiotwitter #CriticalCare
Post-cardiac surgery. MAP 70, HR 95, low dose pressor. High CVP (11 mmHg) with pathologic waveform of x < y-descent. PPV > 17 despite low Vt (< 6 mL/kg). Normal blood gasses, normal lactate.
love nic cage! Such a cool #tee
@threadreaderapp unroll
0/ Mega thread on why I think #privacy will be an increasingly important topic in the #crypto space and why I’m really bullish on some projects & their tech!🔒
$SCRT $MANTA $PHA $DUSK $XHV $MINA
Privacy (0/20) 🧵👇
$SCRT $MANTA $PHA $DUSK $XHV $MINA
Privacy (0/20) 🧵👇
1/ With blockchain & #crypto, a large part of the attraction of the technology is its promise of decentralization, fairness and transparency. However, with transparency comes a lack of privacy
2/ While transactions and messages on the blockchain can be pseudonymous, true privacy is much harder to achieve. Few people want their private details broadcast in a public (even though encrypted) way, whether it is their financial transactions or health records
最理想的隱私保護智能合約應該能夠對除了提供它的人之外的所有人隱藏輸入數據，在不透露任何狀態的情況下執行任意計算，並按照程序規範返回輸出。目前能做到隱私保護智能合約的方式有以下三種:
1. 可信執行環境 (#TEE)
可信執行環境(#TEE) 是設備主處理器上與主操作系統分離的隔離區域。它確保數據在受信任的環境中存儲、處理和保護。迄今為止最流行的 TEE 是 Intel SGX，許多的 Intel 芯片都包含這個元件。
可信執行環境(#TEE) 是設備主處理器上與主操作系統分離的隔離區域。它確保數據在受信任的環境中存儲、處理和保護。迄今為止最流行的 TEE 是 Intel SGX，許多的 Intel 芯片都包含這個元件。
#TEE 對於計算機的所有者來說就是個黑盒。計算機的所有者無權查看其中的數據，這也就保證了加密數據不會被洩漏，但計算可以安全的進行。程序的狀態完全隱藏，任何人都無法訪問。使用這種方法的項目有 @SecretNetwork ($SCRT)，@OasisLabs ($ROSE) 和 @PhalaNetwork ($PHA)。
1/24 This month’s #EHJCaseReports #tweetorial focuses on percutaneous left atrial appendage occlusion.
Is #LAAO the exact solution for preventing stroke & embolism in #AF pts who can’t tolerate #OAC?
Or, a new problem while seeking a solution?
doi.org/10.1093/ehjcr/…
#CardioEd
Is #LAAO the exact solution for preventing stroke & embolism in #AF pts who can’t tolerate #OAC?
Or, a new problem while seeking a solution?
doi.org/10.1093/ehjcr/…
#CardioEd
2/24
🎯 The rationale of #LAAO
🔸 In non-valvular #AF patients, 90% of thrombus is located in the #LAA
🔸 These thrombi embolise to the 🧠 & cause #stroke
🎯 Don't miss the ‘#EHRA_ESC #EAPCI expert consensus document on catheter-based #LAAO –an update’ doi.org/10.1093/europa…
🎯 The rationale of #LAAO
🔸 In non-valvular #AF patients, 90% of thrombus is located in the #LAA
🔸 These thrombi embolise to the 🧠 & cause #stroke
🎯 Don't miss the ‘#EHRA_ESC #EAPCI expert consensus document on catheter-based #LAAO –an update’ doi.org/10.1093/europa…
3/24
#LAA closure devices should be safe, efficent and easy to deploy.
📌 Currently available catheter-based devices for #LAAO have different principles.
A- Plug ➡️ Watchman
B- Pacifier ➡️ Amplatzer Amulet
C- Ligation ➡️ Lariat
doi.org/10.1093/europa…
#LAA closure devices should be safe, efficent and easy to deploy.
📌 Currently available catheter-based devices for #LAAO have different principles.
A- Plug ➡️ Watchman
B- Pacifier ➡️ Amplatzer Amulet
C- Ligation ➡️ Lariat
doi.org/10.1093/europa…
🎯 Tips&Tricks for #LAA Closure
✅ #TEE + #CT to define morphology
✅ Know the devices available
✅ Know the indications: Patients w/contraindications to OACs
🟣 #EuroPCR @PCRonline @gamzebaburguler @veyselozgurbar1 @mehmetburakozen @CanbolatIP @umityasarsinan1 @serhandr
✅ #TEE + #CT to define morphology
✅ Know the devices available
✅ Know the indications: Patients w/contraindications to OACs
🟣 #EuroPCR @PCRonline @gamzebaburguler @veyselozgurbar1 @mehmetburakozen @CanbolatIP @umityasarsinan1 @serhandr
#whyCT #yesCT
🎯 device size
🎯 IAS puncture side
🎯 fluoroscopic angle while deploying the device
#EuroPCR @PCRonline
🎯 device size
🎯 IAS puncture side
🎯 fluoroscopic angle while deploying the device
#EuroPCR @PCRonline
💥 Tips&Tricks 💥
🎯 RAO Cran ➡️ Proximal #LAA
🔰Rotating RAO Cran ↩️ 👉 TEE 45
---------------------------------------
🎯 RAO Caud ➡️ Distal #LAA
🔰Rotating RAO Caud ↩️ 👉 TEE 135
#EuroPCR @PCRonline @mirvatalasnag @aayshacader @umityasarsinan1 @SsenaSert @YigitCanga2
🎯 RAO Cran ➡️ Proximal #LAA
🔰Rotating RAO Cran ↩️ 👉 TEE 45
---------------------------------------
🎯 RAO Caud ➡️ Distal #LAA
🔰Rotating RAO Caud ↩️ 👉 TEE 135
#EuroPCR @PCRonline @mirvatalasnag @aayshacader @umityasarsinan1 @SsenaSert @YigitCanga2
🗨️"Wir wollen klimafreundliches Reisen und einen sauberen Gütertransport ermöglichen. Die Vision: Keine Verbote, sondern jeder kann das passende Verkehrsmittel frei wählen. Die beste Möglichkeit gewinnt. Dieser Gedanke steckt auch in der Idee für den #TransEuropExpress #TEE 2.0."
🗨️ "Wir wollen Zugverbindungen in #Europa besser miteinander verknüpfen. Auf Basis nationaler Verbindungen kann so ein #Europatakt entstehen. Unternehmen können Hochgeschwindigkeits- und #Nachtzüge gezielt einsetzen und Bahnfahren wird auch für weite Strecken echt interessant."
🗨️„Der #TransEuropExpress 2.0 wird von allen Seiten begrüßt. Die Grundlage ist ein digitales Buchungssystem. Wir wollen, dass sich jeder frei entscheiden kann, ob er in Europa fliegen, mit dem Auto fahren oder eine Top-Bahnverbindung nutzen will." #EU2020DE
#SCCT2020: Lead & Not Just Read
Chaired by Drs. @appropriateuse & @FiRSTSCCT Chair-Elect @Nidhi_Madan9
[Thread]
Chaired by Drs. @appropriateuse & @FiRSTSCCT Chair-Elect @Nidhi_Madan9
[Thread]
@appropriateuse @FiRSTSCCT @Nidhi_Madan9 1/@RonBlankstein's advice to Trainees/Early Career:
-get good at what you do
-invest in your training
-multimodality
-work hard but maintain wellness
-read/stay updated
-research
-local champion
-communicate
-educate
-invest in techs
-dont be afraid to ask
-@Heart_SCCT community
-get good at what you do
-invest in your training
-multimodality
-work hard but maintain wellness
-read/stay updated
-research
-local champion
-communicate
-educate
-invest in techs
-dont be afraid to ask
-@Heart_SCCT community
@appropriateuse @FiRSTSCCT @Nidhi_Madan9 @RonBlankstein @Heart_SCCT 2/@ToddVillinesMD's advice in publishing in #YesCCT:
- compelling hypothesis - novelty, priority, educational, impactful
-✍️effectively - include limitations
- avoid common author pitfalls
- practice becoming a better peer-reviewer
- consider submission to @journalCCT
- compelling hypothesis - novelty, priority, educational, impactful
-✍️effectively - include limitations
- avoid common author pitfalls
- practice becoming a better peer-reviewer
- consider submission to @journalCCT
1/Tweetorial on #TMVR for #ASEchoJC 12/11 8 pm
bit.ly/2EiJQ1v
transcatheter mitral valve replacement #TMVR for failed valve & ⬆️ #STS risk
#VHD 2017 update reoperation➡️ reintervention bit.ly/2P9bX4G
🎈expandable SAPIEN S3 only @FDA bioprosthesis for implant
bit.ly/2EiJQ1v
transcatheter mitral valve replacement #TMVR for failed valve & ⬆️ #STS risk
#VHD 2017 update reoperation➡️ reintervention bit.ly/2P9bX4G
🎈expandable SAPIEN S3 only @FDA bioprosthesis for implant
2/#Transeptal developed @MayoClinicCV 48 pts
After 🇨🇦 initial experience with #transapical 2009
sick patients with ⬇️ EF #transeptal preserves EF better avoids apical purse string suture
Currently #TMVR registry
>50 % are transeptal & in house mortality 7%
After 🇨🇦 initial experience with #transapical 2009
sick patients with ⬇️ EF #transeptal preserves EF better avoids apical purse string suture
Currently #TMVR registry
>50 % are transeptal & in house mortality 7%
1/#Tweetorial #papillary #fibroelastoma for
#ASEchoJC 10/23
🐙= #PFE 1975 named #papillary #fibroelastoma by #armed #forces #institute of #pathology
#papilloma 1973
#Collagen core with elastic fibers & matrix covered by endothelium sheath
Attached by stalk
multiple fronds
#ASEchoJC 10/23
🐙= #PFE 1975 named #papillary #fibroelastoma by #armed #forces #institute of #pathology
#papilloma 1973
#Collagen core with elastic fibers & matrix covered by endothelium sheath
Attached by stalk
multiple fronds
2/ What is the incidence of #PFE 🐙 compared to #myxoma (diagnosed in same time period)?
#PFE 511 vs. #myxoma 112
#PFE incidence ~1/1000
common “benign”primary ❤️tumor #modern #EchoFirst (Most common @MayoClinicCV)
#myxoma (autopsy based prevalence)
bit.ly/2Am05Y9
#PFE 511 vs. #myxoma 112
#PFE incidence ~1/1000
common “benign”primary ❤️tumor #modern #EchoFirst (Most common @MayoClinicCV)
#myxoma (autopsy based prevalence)
bit.ly/2Am05Y9
3/How to tell if a #PFE🐙by #echofirst ?
(Vs.Atypical myxoma,SBE,
Llambl’s)
small mobile mass attached #endocardial surface frondlike extensions #independent motion stippled border
Usually on atrial surface of AV valves or either side of semilunar valves,🚫interfere valve Fxn
(Vs.Atypical myxoma,SBE,
Llambl’s)
small mobile mass attached #endocardial surface frondlike extensions #independent motion stippled border
Usually on atrial surface of AV valves or either side of semilunar valves,🚫interfere valve Fxn
