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Our new paper in GSE! Management education often presents itself as universal, neutral, and objective. @shbaglama, @Ozbilgin, Kurt and I develop a multilevel framework for decolonising management education. Read it here: researchgate.net/publication…
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ehe multilevel marketing flag
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Replying to @Fintech03
Adding - a) 6 month WFH to complete the Silkboard-ORR-KRPuram metro in double quick time b) covered travelators (stations to techparks; HK style) on ORR c) companies charge hefty parking fees in their premises for private vehicles d) multilevel parking lots along ORR for cabs
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What you’re not understanding it was likely more like a luxury multilevel apartment than a normal hotel suite. She is also not 10 so can easily by a razor, go to her private room and shave her head?
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Replying to @elonmusk
Curious if a massive TBM could be built, say 100m diameter, that would allow for a full multilevel city to be built underground. Could survive significant meteor impact here on earth. Tech will be needed on moon and mars to protect from solar radiation and debris impact.
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🦴πŸ”₯ π‘πˆπ 𝐅𝐑𝐀𝐂𝐓𝐔𝐑𝐄 π€ππ€π‹π†π„π’πˆπ€: πŒπ€π ππ„π…πŽπ‘π„ π˜πŽπ” ππ‹πŽπ‚πŠ #RibFractureAnalgesia #RegionalAnaesthesia #PainMedicine #AcutePain #TraumaPain #ChestWallBlocks #ESPB #SAPB #IntercostalNerves #PainGenerator #DynamicPain #OpioidSparingAnalgesia #GrayZoneInRA #GrayAreasInRA π†π‘π€π˜ π™πŽππ„π’ 𝐒𝐧 𝐑𝐀: βœ… Rib fractures are not rare injuries. βœ… They account for nearly 10% of trauma admissions & may be seen in up to 39% of blunt thoracic trauma. βœ… Real challenge is not only the fracture. βœ… It is the pain-driven respiratory compromise that follows. βœ… Before choosing a block, we must understand the anatomy. 1️⃣ 🧠 π‘πˆπ ππ€πˆπ 𝐒𝐓𝐀𝐑𝐓𝐒 π–πˆπ“π‡ πˆπππ„π‘π•π€π“πˆπŽπ ▫️ Ribs are mainly supplied by intercostal nerves, which are anterior rami of thoracic spinal nerves. ▫️ Pain also comes from periosteum, collateral branches, lateral cutaneous branches, intercostal muscles, endothoracic fascia, and exothoracic fascia. ▫️ So rib fracture pain is not one nerve, one rib, or one simple pathway. 2️⃣ 🦴 𝐅𝐑𝐀𝐂𝐓𝐔𝐑𝐄 π‹πŽπ‚π€π“πˆπŽπ πŒπ€π“π“π„π‘π’ ▫️ Posterior / posterolateral fractures may have stronger posterior chest wall and paraspinal contribution. ▫️ Lateral / anterolateral fractures commonly involve lateral cutaneous and intercostal territories. ▫️ Anteromedial fractures may require anterior intercostal or parasternal coverage. ▫️ Multilevel or bilateral fractures may need broader neuraxial or paravertebral strategies. 3️⃣ 🎯 πŒπ€π“π‚π‡ 𝐓𝐇𝐄 ππ‹πŽπ‚πŠ π“πŽ 𝐓𝐇𝐄 π“π„π‘π‘πˆπ“πŽπ‘π˜ ▫️ ESPB may be a selective option for posterior or posterolateral rib fractures. ▫️ SAPB may be more anatomically congruent for lateral and anterolateral rib fractures. ▫️ Parasternal / anterior intercostal approaches may be useful for anteromedial pain. ▫️ Thoracic paravertebral or epidural analgesia may provide broader coverage when clinically appropriate. 4️⃣ ⚠️ ππŽπ“ 𝐀𝐋𝐋 ππ‹πŽπ‚πŠπ’ 𝐀𝐑𝐄 πŒπ„π‚π‡π€ππˆπ’π“πˆπ‚π€π‹π‹π˜ π’π€πŒπ„ ▫️ ESPB is a posterior fascial plane technique. ▫️ Dorsal ramus involvement is more consistent. ▫️ Ventral ramus, paravertebral, or epidural spread may be variable. ▫️ Central convergence of pain does not mean all peripheral blocks behave equally. 5️⃣ 🫁 πŽπ”π“π‚πŽπŒπ„π’ π’π‡πŽπ”π‹πƒ 𝐁𝐄 π…π”ππ‚π“πˆπŽππ€π‹ ▫️ Deep inspiration ▫️ Effective cough ▫️ Dynamic pain during movement ▫️ Physiotherapy participation ▫️ Incentive spirometry performance ▫️ Pneumonia prevention ▫️ Delirium and functional recovery 6️⃣ πŸ’‰ π’π˜π’π“π„πŒπˆπ‚ π‹πˆπƒπŽπ‚π€πˆππ„ 𝐍𝐄𝐄𝐃𝐒 𝐀 π’π€π…π„π“π˜ 𝐋𝐄𝐍𝐒 ▫️ It is controlled systemic local anesthetic exposure. ▫️ It may modulate neuronal excitability and central sensitization. ▫️ Elderly trauma patients may have a narrower therapeutic margin. ▫️ LAST monitoring should be systematic, not casual. βœ… πŠπ„π˜ π“π€πŠπ„π€π–π€π˜π’ ▫️ Map the fracture. ▫️ Identify the neural territory. ▫️ Understand the block mechanism. ▫️ Choose the technique accordingly. 🚫 One-size-fits-all analgesia may miss the dominant pain generator. 🦴 Rib fracture analgesia is not just about blocking pain - it is about restoring breathing, coughing, mobilization, and recovery.
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Replying to @baroncoleman @UHC
Whole system is a complex multilevel scam on top of a scam, dude.
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Differential effects of physical activity interventions on gross and fine motor difficulties in children with autism spectrum disorder: Insights from a multilevel meta-analysis with moderator analyses. dlvr.it/TT4Z2F
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Peripheral blood inflammatory and metabolic biomarkers in autism spectrum disorder: A systematic review and multilevel meta-analysis. dlvr.it/TT4Yzt
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My God…. I tried to read it but my heart dropped to the floor… this is an excellent summary of the multilevel atrocities and cover ups…
I have now read the Rape Gang Inquiry Report in full. I've been following this story quite closely for something like a decade so I'm not exactly surprised by its contents, but three elements stand out to me amongst the horror. The first is that a large majority of the victims who provided testimony describe some kind of troubled or disrupted home life. Some were molested by family members before the rape gangs ever got ahold of them. Others faced physical abuse, neglect, drug addicted parents, housing instability, and so on. Their testimony often describes a kind of "screening" process where a girl's particular vulnerability was evaluated with more moderate boundary pushing before escalation to full on rape and abuse. This isn't necessarily surprising given the nefarious intentions the gangs had for these girls, but their willingness to explicitly target the absolute most vulnerable children who were already struggling sickens me. These girls, more than anyone, needed some kind of adult guidance in their lives, and this vulnerability was cynically exploited to initiate them into an even more egregious Hell. Which brings me to the second detail, which is the extreme violence these girls were subjected to. "Grooming Gang" is an unacceptable euphemism that may accurately describe common initiatory tactics employed against these girls, but which criminally downplays the behavior of their abusers once initiated. These girls were not "merely" groomed into sex. They were not "merely" raped. They were not "merely" trafficked. They were subjected to a program of overtly racialized sexual torture and humiliation designed to maximally degrade them and kill them in their souls. And this was "acceptable" because they were White and not Muslims. This detail fundamentally alters the character of these crimes. This was not horny men out of control or even cross-cultural understanding gaps around the age of consent. This was a targeted program of ritualized torture and subjugation as a means of ethnic domination. In other words, these gangs are conducting war against the White British using serial child rape and torture as a form of conquest. These are not crimes in the conventional sense. These are war crimes being conducted by one civilization against another, and they need to be treated as such. And finally, the third point (encapsulated in the excerpt below) is that every single level of the state utterly failed these girls in the most egregious and unfathomable ways imaginable. It's one thing when you have no physical evidence and are confronted with a "he said / she said" situation with respect to a rape allegation. It's another thing entirely when you have a pre-teen frequent flier at the NHS back again for her Nth sexually transmitted disease treatment, a 13 year old with broken glass shards embedded in her vagina, or a pregnant 13 year old. These are cases with obvious alarming physical evidence that no one addressed in any meaningful way. Politicians (Labour in particular) covered it up and suppressed action into investigations in order to maintain the Islamic bloc vote. Police suppressed investigations, dismissed accusations and evidence, intimidated victims into silence, arrested victims for the crimes of their abusers, dismissed proven cases of rape with impotent warning letters, and in some cases directly raped the girls themselves. Care homes disregarded obvious signs of abuse (including outright confessions), and enabled their abusers to maintain consistent access to the girls, in some cases acting more like pimps than caregivers. Social workers addressed victims' needs so incompetently they recommended victims audition for a TV show role about being a child prostitute because it was "relatable" and even attended a victim's coerced sham marriage to her abuser. NHS staff consistently failed to do anything in the face of overt medical evidence of obvious, undeniable sex crimes against these girls, treating the acute problem and sending them on their way with no protection whatsoever. And teachers, much like the social workers, routinely delivered their students into the predatory arms of their abusers as they waited outside the schools, and utterly failed to appropriately address signs or confessions of abuse. Virtually every arm of the state is directly complicit in exacerbating the abuse. Not one single institution at any level reliably offered protection or recourse to these girls. As far as I am concerned I Restore government would be entirely justified in firing every single person in the employ of the state. If they are not a documented whistleblower they are complicit and thus compromised, and none of them have any business retaining their roles or their pensions. On the contrary large numbers of state officials deserve severe penalties for criminal negligence or outright complicity in these crimes. Justice for these crimes will necessarily take place at a scale that will shock the pacified sensibilities of the over-socialized Liberal West, but nothing short of a biblical level reckoning will be sufficient to qualify as justice in this case. @RupertLowe10 is not wrong to draw comparisons to the Holocaust. It is the only appropriate frame of reference in the popular zeitgeist that articulates the actual magnitude of what was allowed to take place under successive British governments. Nor is he wrong to propose the reinstatement of the death penalty as the appropriate restitution for these crimes. The rapists and state officials who enabled this atrocity both deserve to hang. And I pray that the British public will entrust Rupert with the power to deliver justice long overdo. In any case I am deeply appreciative of his efforts to bring this to light. He is the hero Britain needs right now. Vote Restore. Deliver these girls justice.
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Replying to @SWoeten @eigenrobot
To the same scale though? I absolutely believe that there are similar crimes by non-white perpetrators that are covered up in American or any other western cities. But such wide scale multilevel government facilitation of crime? Not sure I am convinced.
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🚨 SCIENTISTS JUST ACHIEVED OPTICAL MULTISTABILITY IN A TINY MICROCAVITY A BIG STEP FOR PHOTONIC MEMORY. In a new paper published in Nature Nanotechnology, researchers demonstrated multiple stable optical states inside a compact microcavity by using near-exceptional coupling. This allows the device to β€œremember” different light intensities as distinct, stable states something normally only possible in much larger or more complex systems. Optical multistability is a key requirement for multilevel optical memory and all-optical computing. Until now, achieving it in a small enough footprint for on-chip use has been extremely difficult because optical nonlinearities are usually very weak. Why this matters: β€’ It brings us closer to practical on-chip optical memory that can store multiple bits of information per device β€’ Exceptional-point physics can dramatically enhance effective nonlinearity without needing exotic materials β€’ Compact multistable devices could enable faster, more energy-efficient photonic processors β€’ It shows how non-Hermitian physics is becoming a powerful design tool in nanophotonics The deeper implication: We’re learning to engineer light itself to behave in increasingly complex and useful ways inside tiny structures. By operating near exceptional points, researchers can coax weak optical nonlinearities into producing strong, multistable behavior. This kind of advance moves photonic computing from theory toward something that can actually be fabricated at scale on a chip. If this approach can be further optimized and integrated with existing silicon photonics, it could become a building block for future light-based memory and logic. How do you think compact optical multistability could accelerate the development of photonic computers? Follow for more frontier nanophotonics, exceptional-point physics, and optical computing.
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Then how did RSS got multilevel buildings having 5 star facilities. Why Bhagwat is taking Z security from the public money? In what purpose they are using the money collected and how much money they are collecting from India or abroad? Let RSS answer this.
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Tathagata M. retweeted
This week, the Coalition for High-Ambition Multilevel Partnerships Steering Group, met in Bonn, πŸ‡©πŸ‡ͺ, to shape #CHAMPclimate's strategic direction & launch a preview of its Implementation Roadmap. Our πŸ”‘ takeaway? It's time to shift from ambition ➑️ delivery. πŸ‘‰champ-climate.org
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Revisiting average case complexity of multilevel syllogistic: From the 1995 Courant Technical Report to Lean 4 Formalization Lars Warren Ericson arxiv.org/abs/2606.16134 [𝚌𝚜.𝙻𝙾 𝚌𝚜.𝙲𝙲]
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🚨 #CallForReading A Multilevel Machine Learning Framework for Mapping and Predicting Diffuse and Point-Source Heavy Metal Contamination in Surface Soils ✍ by Maria Silvia Binetti, Carmine Massarelli and Emanuele Barca πŸ”— Full Access to Paper: mdpi.com/2673-4834/7/1/4 #AERMOD
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... -- its proportions encode the square root of 3 (√3)... x.com/i/status/2066653133460… {multilevel prime and planetary harmonics levels of...} perception = reality...

..crop circle 7》 πŸ‘ πŸ‘ πŸ‘ First Broad Drive Nr Wilton Wiltshire 51Β°6'8"N 1Β°54'25"W β™Ύ 12 June 2024 Wilton Windmill 733 days》 p¹³⁰ -292=441》 3β˜†7; 21Β² -584=149》 p³⁡ 27.07397274139Β² -1 732》3⁢
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Replying to @KyleSeraphin
Patel stated that they stopped a terror attack just in time. So, 2 questions Kyle. 1. If imminent and all targets are not in custody, why allow the event to go forward? 2. If the people plotting were not already in DC with weapons how could they pull off this multilevel attack?
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