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  1. Last 7 days
    1. You are right about the hair-splitting of my French friend [Dupin]: — that is all done for effect

      The speaker suggests that Dupin’s “hair-splitting” logic is not only for solving the mystery but also for showing off his intelligence. It implies that his reasoning style is somewhat performative.

  2. Apr 2026
    1. Treatment of superficial vein reflux (see Varicose Veins, above) has been shown to decrease the recurrence rate of venous ulcers. Where there is substantial obstruction of the femoral or popliteal deep venous system, superficial varicosities supply the venous return and should not be removed.

      Failure of venous insufficiency ulcerations to heal is most often due to inconsistent use of first-line treatment methods. Ongoing control of edema is essential to prevent recurrent ulceration; the use of compression stockings following ulcer healing is critical, with recurrence rates 2–20 times higher if compression stockings are not used

      Duplex ultrasound evaluation should assess blood flow direction, venous reflux, and venous obstruction, and include examination of the deep venous system, great saphenous vein (GSV), small saphenous vein (SSV) and its thigh extension (Giacomini vein), accessory saphenous veins, and perforating veins. Venography is recommended primarily in patients with post-thrombotic disease, especially when intervention is planned, as it provides greater anatomic detail than duplex ultrasonograph The examination also identifies patterns of disease that have treatment implications. Axial reflux is defined as uninterrupted retrograde flow from groin to calf and can occur in either superficial or deep systems. [4] Junctional reflux is limited to the saphenofemoral or saphenopopliteal junction, while segmental reflux occurs in a portion of a truncal vein. [4] Understanding whether reflux originates from superficial junctions versus deep venous incompetence fundamentally changes treatment planning, as superficial disease is amenable to ablation while deep disease typically requires conservative management Management of secondary varicose veins from post-thrombotic syndrome (PTS) is fundamentally different and more challenging. Compression therapy, lifestyle modifications, and symptom management form the cornerstone of PTS treatment. [4-8] Elastic compression stockings (20-30 mm Hg), leg elevation, weight loss, and exercise constitute the primary therapeutic approach Endovascular interventions for PTS—including percutaneous transluminal venoplasty and stenting—are reserved for select patients with significant iliofemoral obstruction who have failed conservative management. [7] These procedures require careful patient selection and standardized criteria. The role of superficial venous ablation in PTS patients with concomitant superficial reflux remains controversial and should be approached cautiously, as the underlying deep venous pathology may limit benefit

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  3. Dec 2024
    1. for - Substack article - The Cosmo-Local Plan for our Next Civilization - Michel Bauwens - 2024, Dec 20 - adjacency - web 3 and Blockchain / crypto technology - communities engaged in regeneration and relocalization - tinkering at the edge - missed opportunity - cosmolocal strategy as leverage point - safe and just cross scale translation of earth system boundaries - Tipping Point Festival - Web 4 - Indyweb

      Summary adjacency between - web 3 and crypto / Blockchain technology - communities engaged in regeneration and relocalization - tinkering at the edge - missed opportunity - cosmolocal lens and framework as a leverage point for synthesis - cosmolocal projects as leverage points - cross scale translated safe and just earth system boundaries as necessary cosmolocal accounting system - meme: sync global, act local - new relationship - This article explores the untapped potential and leverage point offered by recognising a new adjacency and concomitant synthesis of - globalising Web 3 and crypto/Blockchain technology - communities engaged in regenerative and relocation interventions - The fragmentation between these areas keeps activists working in each respective one - tinkering at the edge - severely constraining their potential impact - This is a case of the whole Berlin car greater than the sun of its parts - By joining forces in a global, strategic and systemic way, each can achieve fast more through their mutual support - A cosmolocal lens offers a perspective and framework that makes joining forces make sense<br /> - Projects that recognize that the adjacency between - the globalizing technologies of web 3 and Blockchains and - interventions at the local community level - offer a significant leverage point to bottom up efforts to drive a rapid transition are themselves a leverage point - In this regard, incorporation of an equitable accounting system such as safe and just earth system boundaries that can be cross scale translated to - bioregional, - city and - community, district and ward scale - are an important cosmolocal component of a system designed for rapid transition - Global bottom up community scale events such as the Tipping Point Festival can help rapidly advocate for a cosmolocal lens, framework and strategy - At the same time, Web 4 technology that's goes beyond decentralising into people-centered can contribute another dimension to humanizing technology

      Addendum - 2024, Dec 26 - added a comment to the actual substack page - My substack comment makes commenters of the article aware that we have a public hypothes.is discussion going on in parallel. - This makes the hitherto invisible discussion visible to them

  4. Oct 2023
    1. (Joshua 4:20).

      connect this to:

      The helps whereof by this art memorative, they would prove to be as effectual, by these conceived fictions in the eye of the mind,12 as those we remember by the visible eye of the body, for example whereof say they, concerning the latter we read in the holy Scriptures of 12 stones, that were erected in the river Jordan in memory of the wonderful transpassage of the Israelites, Josh. 24.27.—The Memory Arts in Renaissance England by William E. Engel, Rory Loughnane, and Grant Williams

    2. When the people of Israel crossed the Jordan, Joshua commanded the people to set up twelve stones which were taken from the Jordan River as a memorial celebrating that defining moment in the life of Israel, the entrance of the people into the land God had promised to their ancestors (Joshua 4:20). The purpose of those memorial stones was to remind future generations of how the people “crossed the Jordan River on dry ground” (Joshua 4:22).

      Description of the arrangement? Circle? Further or suggested usage?

      Link to Genesis 28:18: https://hypothes.is/a/NF5p8Gx6Ee65Rg_J4tfaMQ

  5. Feb 2021