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@st0_ic

Infamous Chalupa. DFIR DJ. PharmD CSCS. All opinions my own.

USA Katılım Ekim 2020
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ᗷᖇᗩᗪY 🌮
ᗷᖇᗩᗪY 🌮@st0_ic·
I initially made this account because I was writing a book on how to stay calm and maintain harmony while dealing with difficult situations in #pharmacy. Then my calm and harmony were destroyed. Daily. For months. I’m a stoic not a sadist.
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sudox
sudox@kmcnam1·
lol
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scythe
scythe@DoomsdayGoth·
Ignore my smeared lipstick pls I felt cute ok
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sudox
sudox@kmcnam1·
Printing myself a case for my Hak5 Pager. Used glow-in-the-dark filament for the name in front. Still waiting for the hinges to print
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scythe
scythe@DoomsdayGoth·
I deleted my tweet about the threat intelligence dashboard I made because some people were being mean to me and that just made me not want to share any projects I do. I don’t deserve people being mean to me and I won’t tolerate it.
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ᗷᖇᗩᗪY 🌮
It’s been a rough day for my psyche y’all. My dog is fine, just posting for picture tax. Send me pics of your furry friends?
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TracketPacer
TracketPacer@TracketPacer·
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Bryan Johnson
Bryan Johnson@bryan_johnson·
🚨Kate officially diagnosed with endometriosis > done without surgery > across three modalities: imaging, blood, and AI > all non-invasive > in 42 days For context, average time to diagnosis is 6.6 years. And, we found 2 other diagnoses at the same time. Over the past 6 weeks, we’ve sprinted to confirm or deny Kate’s suspected endometriosis. Endo is notoriously challenging to diagnose. It’s one of the most gnarly diseases and affects 15% of women. Men, to get you on the same page, having endo is akin to an alien growing in your guts and balls, self replicating, and glueing everything together. Causing you constant pain and discomfort. We got to work. > got an MRI > got a transvaginal ultrasound > both results came back negative At this point, Kate’s patient journey had followed the archetype precisely. Most women don’t get diagnosed for 7-10 years. For Kate, it’s been 7 years. And, like most women, her imaging came back clear even though now we know that she has endo. This is why diagnosis has traditionally happened via surgery. There has been no other way than to open her up and look inside. We wanted to avoid surgery so we went back to the drawing board. We searched the world over. On our second go, we did: > endo-specific ultrasound > an endo blood test > AI MRI > saliva test This was successful. We were able to confirm her endo via ultrasound, blood test, and MRI. Confirmed simultaneously by three unique modalities, as far as we know, a world-first approach. The extensive measurement allowed us to find additional things. Her ultrasound showed: > endometriosis > PMOS (formerly PCOS) (needs confirmation) > adenomyosis 30-40% of women have at least one of these conditions. That’s intimidating especially when the path to diagnosis is fraught with so many challenges. Phase I was getting a diagnosis. Phase II is curing endometriosis. We’ve already started working. If you’re a female with suspected endo, here’s what you can do to accelerate your diagnosis. — 1. Endo-Specific Ultrasound You want an endo-specific ultrasound. As we saw with Kate, a standard pelvic/transvaginal ultrasound failed to identify her endo. You want the ultrasound to be performed by a physician or sonographer specifically trained. They follow a special protocol to hunt for endometriosis by mapping the ovaries and uterus, and testing whether organs can slide freely, or are tethered by endometriosis lesions. It’s best timed just after ovulation, when a small amount of peritoneal fluid aids visualization. It can detect superficial endometriosis, lesions, and adenomyosis that general imaging misses. We went to Dr. Kacey Hamilton at Cedar Sinai. 2. AI MRI / MatricesAI Radiologists miss lesions in up to 60% of cases. We worked with @MatricesAI which leverages AI and a unique dataset to detect endometriosis lesions on pelvic MRI. This model is still new, its first pilot study with 200 participants began in April this year. Here is how you can work with them: They’re opening their diagnosis program at the Geneviève Institute to give early access to their AI model in a clinical trial. They will take you through a state-of-the-art clinical intake questionnaire. Help you advocate for your symptoms with your gynecologist, based on your intake or connect you to a new center where their AI is being piloted and the clinical trial conducted. 3. Blood test / HerResolve Kate had two small tubes of blood drawn for a test built by @Heranovalifesci. The test measures seven biological markers (three microRNAs, three proteins, and one hormone) and uses an AI model to help detect endo. It was highly accurate in its validation study at confirming endo and caught most cases that ultrasound and MRI had missed. Their technology has been validated in a peer reviewed study (298 women, 11 sites across US/Europe/Hong Kong, published in the Journal of Minimally Invasive Gynecology): specificity 97.5%, sensitivity 80%, with strong diagnostic performance (94.4%), demonstrating it was highly effective at distinguishing women with endometriosis from those without the disease. A positive result is a strong signal, since only 2.5% of women without endometriosis test positive, though final confirmation is still clinical. A negative is less conclusive, because the test misses about 20% of true cases. The test identified 61.5% of histologically confirmed cases that transvaginal ultrasound and/or MRI missed. # We did one more saliva based test and will report back on that when results are returned.
Bryan Johnson@bryan_johnson

Examining Kate’s 1% She has suspected endometriosis. This affects at least 1 in 10 women, likely more. Here she’s getting an ultrasound. Historically you needed surgery just to diagnose it (incisions are made in the abdomen). We're doing a non-invasive route. Typically women live with endometriosis for 7-10 years before being diagnosed. It’s the leading reason women aged 30 to 34 get hysterectomies (permanent surgery to entirely remove the uterus). This condition is where endometrial-like tissue starts growing outside the uterus, in ovaries, bowel, bladder, even the diaphragm. This tissue inflames, scars, and glues organs together. Our first step is to find out if @_katetolo has it. Initial measurements we’re doing: + trans vaginal ultrasound + pelvic MRI w and w/o contrast + hormonal labs All during the early part of her cycle to get the clearest picture. During her ultrasound, a slim probe, about the width of two fingers, 10-12 inches long (although only a small portion is inserted) is covered with a protective sheath and lubricant and gently inserted into the vagina (patient has to empty their bladder first). This creates real-time images of the uterus, ovaries, and surrounding pelvic structures. While inserted, the probe is turned 90 degrees to evaluate all the various structures, angles and views. There is no radiation exposure. The technician is looking for scarring, ovarian cysts, adhesions, and for organs that are fused together with tissue. This ultrasound can confirm endometriosis but it cannot rule it out. What endo does to the body: + 90% report pelvic pain + 50% report severe fatigue + 26% report infertility. However many sources cite 30 to 50 percent. + 50% experience pain during sex. + Many have pain with ovulation, bowel movements, and urination + Severe bloating called “endo belly” where the abdomen visibly distends There are a handful of theories about why endometriosis develops but the honest answer is no one is quite sure. We’ll keep you posted on her results.

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Blue Team Village
Blue Team Village@BlueTeamVillage·
A huge thank you to Detection Engineering Weekly for supporting us as a Gold Sponsor at #DEFCON34! 💙 Their dedication to advancing detection engineering and sharing knowledge helps defenders stay sharp and informed. Visit their website: detectionengineering.net
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alt_bier
alt_bier@alt_bier·
One down thirty or so to go. Plus I need to work on firmware beyond this test code, the hamburger image doesn't exactly fit with the badge theme lol But Im much closer to being ready for @defcon than I was last week and have hope it might come together. #badgelife
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sudox
sudox@kmcnam1·
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rekdt
rekdt@rekdt·
If you’ve followed me for a bit, you likely know I previously do be MCing shenanigans at the @sec_defcon during @defcon And if you enjoy my shenanigans, I am delighted to inform you they’ve invited me back for ALL 3 DAYS of Cold Calls & it’s going to be wildly entertaining :)
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5pider
5pider@C5pider·
hello?
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Steve S.
Steve S.@0xTriboulet·
@X @nikitabier @elonmusk I am once again asking you to review your policies and procedures around offensive security research.
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gabsmashh
gabsmashh@gabsmashh·
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Lina
Lina@d0rkph0enix·
New hairs day!! If you want to find me at DEFCON, you can’t say I didn’t make it easy to spot me in a crowd 🤷🏻‍♀️🌈
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ᗷᖇᗩᗪY 🌮
ᗷᖇᗩᗪY 🌮@st0_ic·
Tinkering with @Grok to make a DJ avatar. "Make me a DJ but make the image just vomit out 80's cyber punk style." Nailed it.
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