ces Sex Differences in the Neural and Behavioral Effects of Acute High-Dose Edible Cannabis Consumption in Rats [Special Section: Cannabinoid Signaling in Human Health and Disease] By jpet.aspetjournals.org Published On :: 2024-10-18T07:04:15-07:00 The consumption of 9-tetrahydrocannabinol (THC)- or cannabis-containing edibles has increased in recent years; however, the behavioral and neural circuit effects of such consumption remain unknown, especially in the context of ingestion of higher doses resulting in cannabis intoxication. We examined the neural and behavioral effects of acute high-dose edible cannabis consumption (AHDECC). Sprague-Dawley rats (six males, seven females) were implanted with electrodes in the prefrontal cortex (PFC), dorsal hippocampus (dHipp), cingulate cortex (Cg), and nucleus accumbens (NAc). Rats were provided access to a mixture of Nutella (6 g/kg) and THC-containing cannabis oil (20 mg/kg) for 10 minutes, during which they voluntarily consumed all of the provided Nutella and THC mixture. Cannabis tetrad and neural oscillations were examined 2, 4, 8, and 24 hours after exposure. In another cohort (16 males, 15 females), we examined the effects of AHDECC on learning and prepulse inhibition and serum and brain THC and 11-hydroxy-THC concentrations. AHDECC resulted in higher brain and serum THC and 11-hydroxy-THC levels in female rats over 24 hours. AHDECC also produced: 1) Cg, dHipp, and NAc gamma power suppression, with the suppression being greater in female rats, in a time-dependent manner; 2) hypolocomotion, hypothermia, and antinociception in a time-dependent manner; and 3) learning and prepulse inhibition impairments. Additionally, most neural activity and behavior changes appear 2 hours after ingestion, suggesting that interventions around this time might be effective in reversing/reducing the effects of AHDECC. SIGNIFICANCE STATEMENT The effects of high-dose edible cannabis on behavior and neural circuitry are poorly understood. We found that the effects of acute high-dose edible cannabis consumption (AHDECC), which include decreased gamma power, hypothermia, hypolocomotion, analgesia, and learning and information processing impairments, are time and sex dependent. Moreover, these effects begin 2 hours after AHDECC and last for at least 24 hours, suggesting that treatments should target this time window in order to be effective.: Full Article
ces Efficacy and Toxicity of [177Lu]Lu-PSMA-617 for Metastatic Castration-Resistant Prostate Cancer: Results from the U.S. Expanded-Access Program and Comparisons with Phase 3 VISION Data By jnm.snmjournals.org Published On :: 2024-11-01T04:25:31-07:00 The phase 3 VISION trial demonstrated that [177Lu]Lu-PSMA-617 prolonged progression-free survival and overall survival (OS) in prostate-specific membrane antigen [PSMA]–positive metastatic castration-resistant prostate cancer (mCRPC) patients who progressed on taxane-based chemotherapy and androgen receptor–signaling inhibitors (ARSIs). The U.S. expanded-access program (EAP; NCT04825652) was opened to provide access to [177Lu]Lu-PSMA-617 for eligible patients until regulatory approval was obtained. This study aimed to evaluate the efficacy and safety profile of [177Lu]Lu-PSMA-617 within the EAP and compare the results with those from the VISION trial. Methods: Patients enrolled in the EAP at 4 institutions in the United States with available toxicity and outcome data were included. Outcome measures included OS, a prostate-specific antigen (PSA) response rate (RR) of at least 50%, and incidences of toxicity according to Common Terminology Criteria for Adverse Events version 5.0. Differences in baseline characteristics, outcome data, and toxicity between the EAP and VISION were evaluated using t testing of proportions and survival analyses. Results: In total, 117 patients with mCRPC who received [177Lu]Lu-PSMA-617 within the EAP between May 2021 and March 2022 were eligible and included in this analysis. Patients enrolled in the EAP were more heavily pretreated with ARSI (≥2 ARSI regimens: 70% vs. 46%; P < 0.001) and had worse performance status at baseline (Eastern Cooperative Oncology Group score ≥ 2: 19% vs. 7%; P < 0.001) than VISION patients. EAP and VISION patients had similar levels of grade 3 or higher anemia (18% vs. 13%; P = 0.15), thrombocytopenia (13% vs. 8%; P = 0.13), and neutropenia (3% vs. 3%; P = 0.85) and similar PSA RRs (42% vs. 46%; P = 0.50) and OS (median: 15.1 vs. 15.3 mo; P > 0.05). Conclusion: Patients with PSMA-positive mCRPC who received [177Lu]Lu-PSMA-617 within the EAP were later in their disease trajectory than VISION patients. Patients enrolled in the EAP achieved similar PSA RRs and OS and had a safety profile similar to that of the VISION trial patients. Full Article
ces Precautions to Consider in the Analysis of Prognostic and Predictive Indices By jnm.snmjournals.org Published On :: 2024-11-01T04:25:31-07:00 Understanding the differences between prognostic and predictive indices is imperative for medical research advances. We have developed a new prognostic measure that will identify the strengths, limitations, and potential applications in clinical practice. Full Article
ces Best Patient Care Practices for Administering PSMA-Targeted Radiopharmaceutical Therapy By jnm.snmjournals.org Published On :: 2024-11-01T04:25:31-07:00 Optimal patient management protocols for metastatic castration-resistant prostate cancer (mCRPC) are poorly defined and even further complexified with new therapy approvals, such as radiopharmaceuticals. The prostate-specific membrane antigen (PSMA)–targeted agent 177Lu vipivotide tetraxetan ([177Lu]Lu-PSMA-617), approved after the phase III VISION study, presents physicians with additional aspects of patient management, including specific adverse event (AE) monitoring and management, as well as radiation safety. Drawing on our experience as VISION study investigators, here we provide guidance on best practices for delivering PSMA-targeted radiopharmaceutical therapy (RPT) to patients with mCRPC. After a comprehensive review of published evidence and guidelines on RPT management in prostate cancer, we identified educational gaps in managing the radiation safety and AEs associated with [177Lu]Lu-PSMA-617. Our results showed that providing sufficient education on AEs (e.g., fatigue and dry mouth) and radiation safety principles is key to effective delivery and management of patient expectations. Patient counseling by health care professionals, across disciplines, is a cornerstone of optimal patient management during PSMA-targeted RPT. Multidisciplinary collaboration is crucial, and physicians must adhere to radiation safety protocols and counsel patients on radiation safety considerations. Treatment with [177Lu]Lu-PSMA-617 is generally well tolerated; however, additional interventions may be required, such as dosing modification, medications, or transfusions. Urinary incontinence can be challenging in the context of radiation safety. Multidisciplinary collaboration between medical oncologists and nuclear medicine teams ensures that patients are monitored and managed safely and efficiently. In clinical practice, the benefit-to-risk ratio should always be evaluated on a case-by-case basis. Full Article
ces Nitric Oxide Signaling and Regulation in the Cardiovascular System: Recent Advances [75th Anniversary Celebration Collection Special Section] By pharmrev.aspetjournals.org Published On :: 2024-10-16T07:40:25-07:00 Nitric oxide (NO) from endothelial NO synthase importantly contributes to vascular homeostasis. Reduced NO production or increased scavenging during disease conditions with oxidative stress contribute to endothelial dysfunction and NO deficiency. In addition to the classical enzymatic NO synthases (NOS) system, NO can also be generated via the nitrate-nitrite-NO pathway. Dietary and pharmacological approaches aimed at increasing NO bioactivity, especially in the cardiovascular system, have been the focus of much research since the discovery of this small gaseous signaling molecule. Despite wide appreciation of the biological role of NOS/NO signaling, questions still remain about the chemical nature of NOS-derived bioactivity. Recent studies show that NO-like bioactivity can be efficiently transduced by mobile NO-ferroheme species, which can transfer between proteins, partition into a hydrophobic phase, and directly activate the soluble guanylyl cyclase-cGMP-protein kinase G pathway without intermediacy of free NO. Moreover, interaction between red blood cells and the endothelium in the regulation of vascular NO homeostasis have gained much attention, especially in conditions with cardiometabolic disease. In this review we discuss both classical and nonclassical pathways for NO generation in the cardiovascular system and how these can be modulated for therapeutic purposes. Significance Statement After four decades of intensive research, questions persist about the transduction and control of nitric oxide (NO) synthase bioactivity. Here we discuss NO signaling in cardiovascular health and disease, highlighting new findings, such as the important role of red blood cells in cardiovascular NO homeostasis. Nonclassical signaling modes, like the nitrate-nitrite-NO pathway, and therapeutic opportunities related to the NO system are discussed. Existing and potential pharmacological treatments/strategies, as well as dietary components influencing NO generation and signaling are covered. Full Article
ces Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule [CLINICAL PRACTICE] By www.ajnr.org Published On :: 2024-11-07T15:14:12-08:00 BACKGROUND AND PURPOSE: There has been a distinction made in the 2001 Canadian C-Spine Rule regarding patients 65 and older and younger than 65 years of age as far as indications for cervical spine CT scanning. We sought to determine if there are differences in the symptoms, mechanisms of injury, fracture locations, and types that are still relevant in 2024. MATERIALS AND METHODS: The institutional review board approved this retrospective study of cervical spine CT emergency department results from 2 hospitals in our health system after reviewing 5 years of data in patients experiencing trauma. In addition to the primary variable of age (younger than 65 years and 65 years and older), we looked at injury mechanism, fracture types, sites, symptoms, and operative or medical treatments. Because the demographics of our home site is different from most towns in the United States, we provide race/ethnicity data. RESULTS: Of 21,986 cervical spine CTs, 190/9455 (2.0%) participants 65 years of age and older and 199/12,531 (1.6%) participants younger than 65 years of age had fractures (total, 389/21,986, 1.8%). There were more cases of falls from standing (106, 55.8%) and falls from a height (46, 4.2%) in those 65 years and older and this mechanism was associated with a higher risk of C1 and C2 fractures (52, 27.4%; and 78, 41.1%, respectively). Among the C1 fractures, anterior and posterior arch fractures predominated (37, 19.5%). For C2 fractures, types 2 and 3 odontoid fractures (39, 20.5%; and 12, 6.3%) were more common in the older cohort. Motor vehicle collisions were more common in the younger cohort (89, 44.7%), and they were associated with more C5–C7 fractures (47, 23.6%; 60, 30.2%; and 66, 33.2%, respectively) including the facets (49, 24.6%), spinous processes (31, 15.6%), and transverse processes (52, 26.1%). Overall, the rates of instability, surgical intervention, and asymptomatic fractures were similar in the 2 age groups. CONCLUSIONS: Cervical spine fractures appear in about 1.8% of the CT scans performed in a busy emergency department environment. Fractures in the elderly occur more commonly due to falls, are located at C1 and C2, and may involve ligamentous injuries. Younger patients incur trauma more commonly due to motor vehicle collisions, and they are more likely to affect the posterior elements, especially C5–C7. The differences in trends for fractures in the 65 years of age and older and younger than 65 years of age groups have persisted since the Canadian C-Spine Rule 1996–1998 data were collected. Full Article
ces The Ealing domestic abuse initiative: a success story By bjgp.org Published On :: 2024-10-31T16:05:26-07:00 Full Article
ces Cross-Sectional Study of Cesarean Delivery and Safety Culture by Family Medicine Presence [Annals Journal Club] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 Full Article
ces Guidance and Resources for Family Medicine Scholarship [Family Medicine Updates] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 Full Article
ces Improving Access to Disability Assessment for US Citizenship Applicants in Primary Care: An Embedded Neuropsychological Assessment Innovation [Innovations in Primary Care] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 Full Article
ces Evaluation of the Importance of Capsule Transparency in Dry Powder Inhalation Devices [Research Briefs] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 The aim of this work is to test whether the use of a transparent capsule affects the residual capsule weight after inhalation as a surrogate of the inhaled delivered dose for patients with non-reversible chronic airway disease. Researchers conducted an observational cross-sectional study with patients using a single-dose dry powder inhaler. The weight of the capsule was measured with a precision microbalance before and after inhalation. Ninety-one patients were included, of whom 63 (69.2%) used a transparent capsule. Inhalation with a transparent capsule achieved a weight decrease of 30.1% vs 8.6% for devices with an opaque capsule (P <0.001). These data reinforce the need to provide patients with mechanisms that verify the correct inhalation technique. Full Article
ces Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery [Original Research] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 PURPOSE Currently, 40% of counties in the United States do not have an obstetrician or midwife, and in rural areas the likelihood of childbirth being attended to by a family medicine (FM) physician is increasing. We sought to characterize the effect of the FM presence on unit culture and a key perinatal quality metric in Iowa hospital intrapartum units. METHODS Using a cross-sectional design, we surveyed Iowa physicians, nurses, and midwives delivering intrapartum care at hospitals participating in a quality improvement initiative to decrease the incidence of cesarean delivery. We linked respondents with their hospital characteristics and outcomes data. The primary outcome was the association between FM physician, obstetrician (OB), or both disciplines’ presence on labor and delivery and hospital low-risk, primary cesarean delivery rate. Unit culture was compared by hospital type (FM-only, OB-only, or Both). RESULTS A total of 849 clinicians from 39 hospitals completed the survey; 13 FM-only, 11 OB-only, and 15 hospitals with both. FM-only hospitals were all rural, with <1,000 annual births. Among hospitals with <1,000 annual births, births at FM-only hospitals had an adjusted 34.3% lower risk of cesarean delivery (adjusted incident rate ratio = 0.66; 95% CI, 0.52-.0.98) compared with hospitals with both. Nurses endorsed unit norms more supportive of vaginal birth and stronger safety culture at FM-only hospitals (P <.05). CONCLUSIONS Birthing hospitals staffed exclusively by FM physicians were more likely to have lower cesarean rates and stronger nursing-rated safety culture. Both access and quality of care provide strong arguments for reinforcing the pipeline of FM physicians training in intrapartum care. Full Article
ces Challenges in Receiving Care for Long COVID: A Qualitative Interview Study Among Primary Care Patients About Expectations and Experiences [Original Research] By www.annfammed.org Published On :: 2024-09-23T14:00:14-07:00 BACKGROUND For many patients with post–COVID-19 condition (long COVID), primary care is the first point of interaction with the health care system. In principle, primary care is well situated to manage long COVID. Beyond expressions of disempowerment, however, the patient’s perspective regarding the quality of long COVID care is lacking. Therefore, this study aimed to analyze the expectations and experiences of primary care patients seeking treatment for long COVID. METHODS A phenomenological approach guided this analysis. Using purposive sampling, we conducted semistructured interviews with English-speaking, adult primary care patients describing symptoms of long COVID. We deidentified and transcribed the recorded interviews. Transcripts were analyzed using inductive qualitative content analysis. RESULTS This article reports results from 19 interviews (53% female, mean age = 54 years). Patients expected their primary care practitioners (PCPs) to be knowledgeable about long COVID, attentive to their individual condition, and to engage in collaborative processes for treatment. Patients described 2 areas of experiences. First, interactions with clinicians were perceived as positive when clinicians were honest and validating, and negative when patients felt dismissed or discouraged. Second, patients described challenges navigating the fragmented US health care system when coordinating care, treatment and testing, and payment. CONCLUSION Primary care patients’ experiences seeking care for long COVID are incongruent with their expectations. Patients must overcome barriers at each level of the health care system and are frustrated by the constant challenges. PCPs and other health care professionals might increase congruence with expectations and experiences through listening, validating, and advocating for patients with long COVID. Annals Early Access article Full Article
ces [Evolutionary Biology] How Important Is Variation in Extrinsic Reproductive Isolation to the Process of Speciation? By cshperspectives.cshlp.org Published On :: 2024-11-01T06:50:52-07:00 The strength of reproductive isolation (RI) between two or more lineages during the process of speciation can vary by the ecological conditions. However, most speciation research has been limited to studying how ecologically dependent RI varies among a handful of broadly categorized environments. Very few studies consider the variability of RI and its effects on speciation at finer scales—that is, within each environment due to spatial or temporal environmental heterogeneity. Such variation in RI across time and/or space may inhibit speciation through leaky reproductive barriers or promote speciation by facilitating reinforcement. To investigate this overlooked aspect of speciation research, we conducted a literature review of existing studies of variation in RI in the field and then conducted individual-based simulations to examine how variation in hybrid fitness across time and space affects the degree of gene flow. Our simulations indicate that the presence of variation in hybrid fitness across space and time often leads to an increase in gene flow compared to scenarios where hybrid fitness remains static. This observation can be attributed to the convex relationship between the degree of gene flow and the strength of selection on hybrids. Our simulations also show that the effect of variation in RI on facilitating gene flow is most pronounced when RI, on average, is relatively low. This finding suggests that it could serve as an important mechanism to explain why the completion of speciation is often challenging. While direct empirical evidence documenting variation in extrinsic RI is limited, we contend that it is a prevalent yet underexplored phenomenon. We support this argument by proposing common scenarios in which RI is likely to exhibit variability and thus influence the process of speciation. Full Article
ces [Evolutionary Biology] How Does Selfing Affect the Pace and Process of Speciation? By cshperspectives.cshlp.org Published On :: 2024-11-01T06:50:52-07:00 Surprisingly little attention has been given to the impact of selfing on speciation, even though selfing reduces gene flow between populations and affects other key population genetics parameters. Here we review recent theoretical work and compile empirical data from crossing experiments and genomic and phylogenetic studies to assess the effect of mating systems on the speciation process. In accordance with theoretical predictions, we find that accumulation of hybrid incompatibilities seems to be accelerated in selfers, but there is so far limited empirical support for a predicted bias toward underdominant loci. Phylogenetic evidence is scarce and contradictory, including studies suggesting that selfing either promotes or hampers speciation rate. Further studies are therefore required, which in addition to measures of reproductive barrier strength and selfing rate should routinely include estimates of demographic history and genetic divergence as a proxy for divergence time. Full Article
ces Avis de deces pour octobre 2024 [Avis de décès] By www.cmaj.ca Published On :: 2024-11-11T21:05:15-08:00 Full Article
ces Stage III NSCLC treatment options: too many choices By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 Stage III nonsmall cell lung cancer (NSCLC) represents a wide range of tumour (T1 to T4) and nodal (N0 to N3) components, requiring variable management and a multidisciplinary approach. Recent advancements in minimally invasive techniques, molecular biology and novel drug discoveries have accelerated the refinement of stage III NSCLC management. The latest developments in staging include the forthcoming update of the nodal component in the 9th TNM (tumour–node–metastasis) edition, which emphasises the critical role for endobronchial ultrasonography in mediastinal staging. Recent treatment developments include the use of immunotherapy and targeted molecular therapy in both the neoadjuvant and adjuvant setting, either in combination with other modalities or used alone as consolidation. Surgical and radiotherapy advancements have further enhanced patient outcomes. These developments have significantly improved the prognosis for patients with stage III NSCLC. Fast-changing recommendations have also brought about a challenge, with clinicians facing a number of options to choose from. Therefore, a multimodal approach by a multidisciplinary team has become even more crucial in managing stage III NSCLC. Full Article
ces Iraqi, Kurdish forces in standoff, weeks after Kurdish vote for independence By www.pbs.org Published On :: Sun, 15 Oct 2017 20:33:23 +0000 Watch Video | Listen to the AudioHARI SREENIVASAN: The desire of the Kurds along Iraq’s northern border to govern themselves is receiving more resistance from Iraq’s central government. Iraqi army forces are demanding Kurdish troops withdraw from oil fields and military bases around Kirkuk, a city in the Kurdistan region that voted for independence last month. Kirkuk also has 10% of Iraq’s known oil reserves. Washington Post’s Loveday Morris is in Baghdad covering this standoff joins me now via Skype. First of all the significance of this. Why is it so important? LOVEDAY MORRIS: There’s been a longtime conflict between Baghdad and Kurdistan over these disputed territories. Most significant of which is Kirkuk because of the oil reserves. But the referendum last month has really sharpened these disputes because you have Baghdad opposing independence and so it feels like they have to restate its territorial claims these areas. So that’s why we’re seeing a lot of tension right now. HARI SREENIVASAN: And just to give people a little bit of a brief timeline – Iraqi forces control this area for a while and then in June ISIS took over the area and now it’s kind of back in Kurdish hands? LOVEDAY MORRIS: Right. So in June 2014 Iraq lost control of a lot of the areas and we have this huge collapse in the face of an ISIS offensive. Over 100,000 soldiers fled and Kurdish forces moved in some of these areas – some of them maybe took from ISIS and others just moved into into the vacuum. And so Iraqi forces have been in these areas since June 2014. And that’s their main demand that they return to the areas. HARI SREENIVASAN: What’s the likelihood that this standoff right now turns violent? Into some sort of a civil war? LOVEDAY MORRIS:: I think at this point both sides don’t want violence. Al-Abadi, the prime minister, is really trying to defuse the situation by saying there’s going to be no military attack. But at the same time there is this buildup of forces so that I think they are trying to, in a way, intimidate the Kurds to withdraw from some areas but they don’t want to see a fight per say. But in this really tense situation there can be a small spark and things can turn violent quite easily. HARI SREENIVASAN: Thank you. The post Iraqi, Kurdish forces in standoff, weeks after Kurdish vote for independence appeared first on PBS NewsHour. Full Article iraq Kurdistan middle east NewsHour Weekend
ces U.S.-backed Syrian forces recapture Raqqa from Islamic State group By www.pbs.org Published On :: Tue, 17 Oct 2017 16:57:20 +0000 Fighters of Syrian Democratic Forces celebrate after Raqqa in Syria was liberated from Islamic State militants on Oct. 17. Photo by Erik De Castro/Reuters U.S.-backed Syrian Democratic Forces announced Tuesday that they had captured the city of Raqqa from Islamic State militants. “Everything is finished in Raqqa, our forces have taken full control of Raqqa,” SDF spokesman Talal Sello told AFP. A formal declaration would be announced after operations to clear any remaining sleeper cells and to remove landmines in the city were completed, Sello added. The move is a major setback for the Islamic State which considered Raqqa the de-facto capital of its self-declared caliphate. It comes on the third anniversary of the global effort to defeat ISIS. Raqqa was the first provincial capital to fall from government control in March 2013 after it was captured by a rebel army. The army included both Syrian opposition groups and more hard line parties including al-Nusra and the Islamic State. A civilian government that was established in the city divided two months later, and less than a year later ISIS recaptured Raqqa and named the the capital of their caliphate. About 900 civilians have been killed since the the start of the five-month operation, including 570 people in coalition air raids, according to the Syrian Network for Human Rights. The Britain-based Syrian Observatory for Human Rights put the civilian death toll at 1,130 people. American journalist James Foley was beheaded in the mountains south of the city. SDF fighters pulled down the Islamic State’s black flag from the city’s National Hospital near the city’s stadium, according to a Reuters report. Special presidential envoy for the Global Coalition to Defeat ISIS Brett McGurk said in August that the U.S. would attempt to perform a “stabilization” in Raqqa — including demining, removing rubble from major pathways to allow trucks and equipment through, and “basic electricity, sewage, water, the basic essentials to allow populations to come back to their home.” It is not clear when the 300,000 civilians who have fled Raqqa since April during the operation will be able to return. The post U.S.-backed Syrian forces recapture Raqqa from Islamic State group appeared first on PBS NewsHour. Full Article islamic state group raqqa Syria
ces SNP's Stephen Flynn announces bid to become MSP in 2026 election By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 07:39:26 +0000 The SNP's Westminster leader has announced he is to contest a seat at Holyrood – and will ‘double-job’ as an MP and MSP if he wins. Full Article
ces Andy Murray announces Glasgow and Edinburgh stage shows as part of UK tour By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 13:05:45 +0000 Sir Andy Murray will swap Centre Court for the stage next summer as he embarks on a tour discussing his illustrious tennis career. Full Article
ces RPG Cast – Episode 687: “Can I Interest You in 50 Slices of Kemco RPGs?” By rpgamer.com Published On :: Sat, 05 Aug 2023 22:10:48 +0000 Kelley doesn't want to bang Gambit that bad. Chris wants foilage in games. Jason discovers a new service at the spa. And Josh tells everyone, "Go away, I'm brooding." The post RPG Cast – Episode 687: “Can I Interest You in 50 Slices of Kemco RPGs?” appeared first on RPGamer. Full Article News Podcasts RPG Cast Alterium Shift Baldur's Gate III Diablo IV Harvestella Persona 5 Strikers Tactics Ogre: Reborn The Legend of Heroes: Trails into Reverie
ces RPG Cast – Episode 726: “Princes of the Mew-niverse” By rpgamer.com Published On :: Sat, 01 Jun 2024 21:06:53 +0000 Chris realizes WoW is the new Diablo. Phil bakes a potato into two. Kelley becomes a cat in a frog suit. And we're dressing beds with old t-shirts. The post RPG Cast – Episode 726: “Princes of the Mew-niverse” appeared first on RPGamer. Full Article News Podcasts RPG Cast Diablo IV SKALD: Against the Black Priory Temtem Unicorn Overlord Vampire Survivors: Operation Guns World of Warcraft: Dragonflight
ces Valve Announces Steam Deck OLED: Limited Edition White By www.vgchartz.com Published On :: Tue, 12 Nov 2024 03:33:20 GMT Valve has announced Steam Deck OLED: Limited Edition White. The handheld is a limited edition white version of the Steam Deck OLED that will be available in limited quantities for $679. Pre-orders will open up on Steam on November 18 at 3:00 pm PT / 6:00 pm ET / 11:00 pm UK. Hello! We're excited to announce that Steam Deck OLED: Limited Edition White will be available worldwide on November 18th, 2024 at 3PM PST. This model will cost $679 USD, and will be available in all Steam Deck shipping regions.Steam Deck OLED: Limited Edition White has all the… pic.twitter.com/ACKDwB6Sl7 — Steam Deck (@OnDeck) November 11, 2024 A life-long and avid gamer, William D'Angelo was first introduced to VGChartz in 2007. After years of supporting the site, he was brought on in 2010 as a junior analyst, working his way up to lead analyst in 2012 and taking over the hardware estimates in 2017. He has expanded his involvement in the gaming community by producing content on his own YouTube channel and Twitch channel. You can contact the author on Twitter @TrunksWD.Full Article - https://www.vgchartz.com/article/463040/valve-announces-steam-deck-oled-limited-edition-white/ Full Article Analysis Charts Industry
ces Dragon Age: The Veilguard on PC is the surprise AAA tech success of 2024 By www.rockpapershotgun.com Published On :: Fri, 01 Nov 2024 17:02:04 +0000 There’s plenty that you could justifiably expect from a Bioware RPG: chats with mates, opportunities to get those mates horribly killed, surviving mates turning to the side then walking offscreen. But I don’t think anyone expected Dragon Age: The Veilguard to be, at least on a purely technical level, one of the smoothest-performing, settings-rich AAA PC releases of the year so far. Read more Full Article Strategy Single Player FSR Hardware DLSS 3 Electronic Arts Dragon Age: The Veilguard Action Adventure RPG DLSS Bioware
ces Factorio: Space Age review: a stellar expansion produces a masterful final form By www.rockpapershotgun.com Published On :: Tue, 05 Nov 2024 15:00:00 +0000 To say that Factorio: Space Age throws out the rulebook is an understatement. It'd be more fitting to say it's somehow automated the whole process: an inserter plucked out the rulebook from my brain and deposited it in hot magma, while a new rulebook was churned out in a nearby machine and plopped into my brain from the other side - only for that to be immediately plucked out and incinerated as well. With each new planet and each new phase, Space Age reinvents itself. I'm battling hyperbole here, but ah hell, I admit defeat. Factorio: Space Age is a masterpiece, the final form of perhaps the most well-crafted building game I'll ever play. Read more Full Article Strategy Indie Wube Software Simulation Multiplayer Competitive Multiplayer Cooperative PC Bird view / Isometric Single Player Factorio
ces Hori’s spiritual successor to the Steam Controller is up for preorder on Amazon today By www.rockpapershotgun.com Published On :: Tue, 05 Nov 2024 15:14:17 +0000 Hori's latest addition to its controller lineup, the "Horipad Wireless for Steam," is now available for preorder on Amazon. After already releasing in Japan at the end of October, now the gamepad is coming to the US. Read more Full Article PC
ces Offensively good-looking Sims challenger Inzoi hits early access in March 2025 By www.rockpapershotgun.com Published On :: Thu, 07 Nov 2024 17:05:24 +0000 Life simulation game Inzoi will launch on PC via Steam early access on 28th March 2025, publishers Krafton have announced. Billed as a potential Sims 4 usurper, and equipped with syrupy Unreal Engine 5 visuals, it was originally slated for launch this year. Read more Full Article Life Simulation inZOI Krafton PC
ces Roblox is limiting access to social hangouts and unrated games for children aged under 13 By www.rockpapershotgun.com Published On :: Thu, 07 Nov 2024 20:48:30 +0000 Roblox is making changes in an attempt to keep younger players safe in the online platform. Beginning later this month, children under the age of 13 will no longer be able to search, discover or play unrated experiences within Roblox, and will be unable to access social hangout experiences. Read more Full Article Roblox Corporation First person Roblox Third person Virtual Reality Simulation Multiplayer Competitive Multiplayer Cooperative RPG Action Adventure Single Player Arcade Platformer
ces Deep sea evolution simulator Ecosystem gives each creature its own synthetic DNA, and it’s out now after years in early access By www.rockpapershotgun.com Published On :: Mon, 11 Nov 2024 10:36:19 +0000 Let’s try and get you up to speed on the fascinating oddity that is simulation game Ecosystem, on the off chance that Nate's coverage of it hasn't stuck with you like an unwelcome brain parasite you’re nonetheless unwilling to get removed for fear of the lingering emptiness it might cause (he once described an eel as “a quaver with erectile dysfunction”). Broadly speaking, this game is Spore’s evolutionary-biology-degree-having cousin. It’s been in early access for about three years now, but with the latest "Crustacean" update, it’s just hit 1.0. Once again, carcinization has come for all things. Read more Full Article Strategy Indie Simulation Ecosystem Bird view / Isometric Single Player
ces Trump’s claim about predecessors, fallen troops disputed By www.pbs.org Published On :: Tue, 17 Oct 2017 12:53:14 +0000 File photo of President Donald Trump by Joshua Roberts/Reuters WASHINGTON — For U.S. presidents, meeting the families of military personnel killed in war is about as wrenching as the presidency gets. President Donald Trump’s suggestion Monday that his predecessors fell short in that duty brought a visceral reaction from those who witnessed those grieving encounters. “He’s a deranged animal,” Alyssa Mastromonaco, a former deputy chief of staff to President Barack Obama, tweeted about Trump. With an expletive, she called Trump’s statement in the Rose Garden a lie. Trump said in a news conference he had written letters to the families of four soldiers killed in an Oct. 4 ambush in Niger and planned to call them, crediting himself with taking extra steps in honoring the dead properly. “Most of them didn’t make calls,” he said of his predecessors. He said it’s possible that Obama “did sometimes” but “other presidents did not call.” The record is plain that presidents reached out to families of the dead and to the wounded, often with their presence as well as by letter and phone. The path to Walter Reed and other military hospitals, as well as to the Dover, Delaware, Air Force Base where the remains of fallen soldiers are often brought, is a familiar one to Obama, George W. Bush and others. Bush, even at the height of two wars, “wrote all the families of the fallen,” said Freddy Ford, spokesman for the ex-president. Ford said Bush also called or met “hundreds, if not thousands” of family members of the war dead. READ MORE: What Trump said about his drug czar pick, health care fixes Obama’s official photographer, Pete Souza, tweeted that he photographed Obama “meeting with hundreds of wounded soldiers, and family members of those killed in action.” Others recalled his frequent visits with Gold Star families, and travels to Walter Reed, Dover and other venues with families of the dead and with the wounded. Retired Gen. Martin E. Dempsey, the former chairman of the Joint Chiefs of Staff, confirmed these contacts, tweeting: “POTUS 43 & 44 and first ladies cared deeply, worked tirelessly for the serving, the fallen, and their families. Not politics. Sacred Trust.” Trump addressed the matter when asked why he had not spoken about the four soldiers killed in Niger. They died when militants thought to be affiliated with the Islamic State group ambushed them while they were patrolling in unarmored trucks with Nigerien troops. “I actually wrote letters individually to the soldiers we’re talking about, and they’re going to be going out either today or tomorrow,” he said, meaning he wrote to the families of the fallen soldiers. He did not explain why letters had not been sent yet, more than a week after the attack. “If you look at President Obama and other presidents, most of them didn’t make calls,” Trump said. Pressed on that statement later, he said of Obama: “I was told that he didn’t often, and a lot of presidents don’t. They write letters.” He went on: “President Obama, I think, probably did sometimes, and maybe sometimes he didn’t. I don’t know. That’s what I was told. … Some presidents didn’t do anything.” Press Secretary Sarah Huckabee Sanders said later that Trump “wasn’t criticizing predecessors, but stating a fact.” She argued that presidents didn’t always call families of those killed in battle: “Sometimes they call, sometimes they send a letter, other times they have the opportunity to meet family members in person.” She said anyone claiming a former president had called every family was “mistaken.” Bush’s commitment to writing to all military families of the dead and to reaching out by phone or meeting with many others came despite the enormity of the task. In the Iraq war alone, U.S. combat deaths were highest during his presidency, exceeding 800 each year from 2004 through 2007. The number fell to 313 in Bush’s last year in office as the insurgency faded. Bush once said he felt the appropriate way to show his respect was to meet family members in private. READ MORE: What the Bannon vs. McConnell fight means for Trump and the GOP Obama declared an end to combat operations in Iraq in August 2010 and the last U.S. troops were withdrawn in December 2011. As Obama wound down that war, he sent tens of thousands more troops into Afghanistan in 2009 and 2010, and the death count mounted. From a total of 155 Americans killed in Afghanistan in 2008, which was Bush’s last full year in office, the number jumped to 311 in 2009 and peaked the next year at 498. In all, more than 1,700 died in Afghanistan on Obama’s watch. Among other rituals honoring military families, the Obamas had a “Gold Star” Christmas tree in the White House decorated with hundreds of photos and notes from people who had lost loved ones in war. Gold Star families visited during the holidays, bringing ornaments. Trump visited Dover early in his presidency, going in February with his daughter Ivanka for the return of the remains of a U.S. Navy SEAL killed during a raid in Yemen, William “Ryan” Owens. Trump’s relations with Gold Star families have not always been smooth, dating from his belittlement of the parents of slain U.S. soldier Humayun Khan, who was Muslim. Trump was angered when the soldier’s father, Khizr Khan, was given a platform to criticize him at the Democratic National Convention. Owens’ grieving father said he didn’t want to talk with Trump at Dover. But the sailor’s widow, Carryn, attended Trump’s address to Congress and wept as he thanked her. ___ Associated Press writers Robert Burns and Jesse J. Holland contributed to this report. The post Trump’s claim about predecessors, fallen troops disputed appeared first on PBS NewsHour. Full Article Donald Trump Military Niger
ces What the new tax year means for your finances - from income to ISAs By www.express.co.uk Published On :: Wed, 20 Mar 2024 11:45:00 +0000 Benefit increases, new investment opportunities, and several tax changes are due to come into effect in April. Full Article Personal Finance
ces We keep finding water on Mars – here are all the places it might be By www.newscientist.com Published On :: Tue, 13 Aug 2024 22:44:14 +0100 Researchers recently found a possible reservoir of liquid water more than 11 kilometres below Mars's surface – the latest in a long series of potential water discoveries on the Red Planet, hinting at its temperate past Full Article
ces Former Disney Channel Star Skai Jackson Announces Pregnancy By www.vulture.com Published On :: Wed, 13 Nov 2024 03:51:39 GMT Is Jessie available to babysit again? Full Article skai jackson news celebrity pregnancy disney channel
ces PS5 Pro scalpers sell Sony's console at a loss – but one accessory is in demand By www.dailystar.co.uk Published On :: Fri, 8 Nov 2024 10:29:36 +0000 PlayStation 5 Pro is out, and with plenty of availability, scalpers are shifting the £700 console at a loss and turning their attention to a key accessory instead Full Article Gaming
ces N.L. institution says due diligence on OceanGate wasn't necessary prior to Titan implosion By www.cbc.ca Published On :: Wed, 20 Sep 2023 04:30:00 EDT The Marine Institute and OceanGate signed a partnership in early 2023, but it remains unclear if the Memorial University campus knew the ill-fated Titan submersible was unregulated, unclassed and uncertified. Full Article News/Canada/Nfld. & Labrador
ces Judge recuses himself in Arizona fake elector case after email surfaces By www.washingtontimes.com Published On :: Tue, 12 Nov 2024 20:32:12 -0500 A judge recused himself Tuesday from presiding over Arizona's fake electors case after an email surfaced in which he told fellow judges to speak out against attacks on Democratic Vice President Kamala Harris' campaign for the presidency. Full Article
ces Prada's out-of-this-world spacesuit for NASA By www.foxnews.com Published On :: Tue, 12 Nov 2024 06:00:00 -0500 Kurt “CyberGuy" Knutsson discusses how Axiom Space and luxury designer Prada are collaborating on NASA's Artemis III spacesuit design. Full Article 28ef8bbd-b563-5a6d-9117-6bd97e7a472f fnc Fox News fox-news/tech fox-news/tech/topics/innovation fox-news/science fox-news/science/air-and-space fox-news/tech article
ces Joao Mario reveals where he is already improving after just four West Ham appearances By www.sport.co.uk Published On :: Wed, 14 Feb 2018 15:15:00 +0000 The Portuguese midfielder is settling into life in east London well after his loan move. Full Article
ces Dive into Early Access with We Need to go Deeper By www.tigsource.com Published On :: Sat, 18 Feb 2017 20:09:24 +0000 As our submersible descended, the waters grew darker around us. Looming teeth, some as long as a man’s leg, skirted the edge of our floodlights. The captain was sure this area held caves filled with golden bounty, but to those creatures of the deep it was our flesh and blood that were the true prizes… […] Full Article Action Adventure Co-Op Highly Recommended Roguelikes Windows DeliInteractive
ces Hashtag Trending Mar.1- HP debacle; Humanoid robots closer to hitting our workplaces; Apple blew $10 billion on the electric car before pulling the plug By www.itbusiness.ca Published On :: Fri, 01 Mar 2024 12:47:41 +0000 If rumours are true and this one should be, I started it, we have a special edition of the Weekend show where we talk about the evolution of the role of the CIO with two incredible CIOs as the CIO Association of Canada turns 20. Don’t miss it. MUSIC UP Can HP make you love […] The post Hashtag Trending Mar.1- HP debacle; Humanoid robots closer to hitting our workplaces; Apple blew $10 billion on the electric car before pulling the plug first appeared on ITBusiness.ca. Full Article Podcasts AI Apple hashtag trending HP humanoid robots podcasts
ces Competition Bureau obtains court order to further investigation into Google’s ad practices By www.itbusiness.ca Published On :: Fri, 01 Mar 2024 20:17:35 +0000 The Competition Bureau has announced that it has expanded its investigation into Google’s online ad practices. This is the first major update to the investigation since it began in 2020, and a year later the competition watchdog obtained a court order from the Federal Courts of Appeal, requiring Google to produce records and written information […] The post Competition Bureau obtains court order to further investigation into Google’s ad practices first appeared on ITBusiness.ca. Full Article Companies Government & Public Sector Competition Bureau Google investigation Top Story
ces Hashtag Trending Mar.4- Canadian police need a search warrant to access IP address; Musk sues OpenAI; World Server Throwing Competition too violent? By www.itbusiness.ca Published On :: Mon, 04 Mar 2024 13:24:54 +0000 In Canada, your IP address has the right to remain silent. Elon Musk is suing OpenAI for not being Open. Apple faces a class action not allowing competitive access to backup services and the World Server Throwing Competition in March 2024 is accused of being too violent towards servers. All this and more on the […] The post Hashtag Trending Mar.4- Canadian police need a search warrant to access IP address; Musk sues OpenAI; World Server Throwing Competition too violent? first appeared on ITBusiness.ca. Full Article Podcasts agi Apple cloudfest Elon Musk hashtag trending Microsoft openai podcasts
ces Government of Canada announces major broadband investments in the west By www.itbusiness.ca Published On :: Wed, 06 Mar 2024 19:09:56 +0000 The government of Canada has announced significant investments to improve connectivity in British Columbia and Alberta over the past two days. That includes combined federal and provincial funding of C$112 million to bring high speed internet access to more than 22,500 households in Alta. and another $37 million for 7,500 households in B.C.. The households, […] The post Government of Canada announces major broadband investments in the west first appeared on ITBusiness.ca. Full Article Communications & Telecom Government & Public Sector Government of Canada government-of-alberta government-of-british-columbia Top Story
ces Samsung announces start of 14nm EUV DDR5 production By www.bit-tech.net Published On :: Tue, 12 Oct 2021 10:00:00 +0000 It says these components will enable "the industry's highest DRAM bit density". Full Article
ces G.Skill announces Trident Z5 DDR5-6600 32GB memory kits By www.bit-tech.net Published On :: Thu, 21 Oct 2021 10:00:00 +0000 Claims they are the world's fastest DDR5 memory kits, offer CL36-36-36-76 timings. Full Article
ces Intel Core i9-12900K claimed to be the "World's Best Gaming Processor" By www.bit-tech.net Published On :: Thu, 28 Oct 2021 10:00:00 +0000 However, the comparative Win 11 AMD tests were on an unpatched (L3 cache, CPPC2) PC. Full Article
ces Study: Cylinder Seals and Sealing Practices Stimulated Invention of Writing in Ancient South-West Asia By www.sci.news Published On :: Tue, 05 Nov 2024 19:11:00 +0000 Administrative innovations in south-west Asia during the 4th millennium BCE, including the cylinder seals that were rolled on the earliest clay tablets, laid the foundations for proto-cuneiform script. The post Study: Cylinder Seals and Sealing Practices Stimulated Invention of Writing in Ancient South-West Asia appeared first on Sci.News: Breaking Science News. Full Article Anthropology Archaeology Paleoanthropology Asia Clay tablet Cuneiform Cylinder seal Iraq Proto-cuneiform Script Seal Uruk Writing Writing system Writing tablet
ces Trump announces pick of real estate tycoon Steven Witkoff for Middle East envoy By www.foxnews.com Published On :: Tue, 12 Nov 2024 17:30:54 -0500 President-elect Trump announced that he had picked real estate investor and campaign donor Steve Witkoff to be his special envoy to the Middle East. Full Article 1d223251-fbae-522e-aea6-2799d5ec802a fnc Fox News fox-news/world/world-regions/middle-east fox-news/politics/elections/presidential/trump-transition fox-news/person/donald-trump fox-news/politics article
ces Metal pieces in bread and buns prompts recall in Canada By www.foodsafetynews.com Published On :: Tue, 05 Nov 2024 14:00:45 +0000 Wonder Brands Inc. is recalling various brands of bread and buns because of pieces of metal in the products. According to the Canadian Food Inspection Agency (CFIA), the recalled products were distributed in Newfoundland and Labrador, Ontario and Quebec, Canada. The brands listed in the recall include Country Harvest, D’Italiano,... Continue Reading Full Article Food Recalls 2024 recalls bread buns Canadian Food Inspection Agency (CFIA) Country Harvest D'Italiano Deli World Giant Value Great Value metal pieces President's Choice Wonder Wonder Brands Inc.