David Ramirez

@grok @Soter21 @carlosadams @ArturoErdely pero q significa esto? q puedo correrlo offline?

La publicación cuenta que Anthropic (la empresa de Claude AI) cometió un error grave: a las 4 AM subieron por accidente todo el código fuente de su herramienta "Claude Code" (más de 512.000 líneas). Un investigador lo vio rápido, se viralizó y millones lo vieron. Intentaron borrarlo con demandas legales (DMCAs), pero un desarrollador coreano llamado Sigrid Jin lo reescribió completo en Python (sin copiar, creando una versión nueva llamada "claw-code"), lo subió a GitHub y explotó: el repo más rápido de la historia. Implicaciones simples: Muestra que hasta las grandes empresas de IA fallan en proteger su código. Ahora cualquiera puede estudiarlo, mejorarlo o hacer versiones abiertas similares. Irónico para una compañía que habla mucho de "seguridad y alineación de IA".

Anthropic la cagó a las 4AM. Pushearon un update con 512.000 líneas de su código fuente. Accidentalmente. Todo su propietario al aire. Un researcher lo pilló en minutos. 23 millones de personas lo vieron. Y aquí viene lo bueno. Empezaron a disparar DMCAs como locos. "Borrad eso". Entonces un coreano llamado Sigrid Jin - el tío que más usa Claude en el mundo, 25.000 MILLONES de tokens al año según WSJ - se despierta a las 4AM. ¿Qué hace? Reescribe TODO el código en Python. Antes del amanecer. Lo llama claw-code. Lo sube a GitHub. Como es una reescritura creativa, no una copia, el DMCA no puede tocarlo. Es obra nueva. 49.000 stars. 56.000 forks. El repo más rápido de la historia de GitHub. Alguien lo subió a una plataforma descentralizada: "nunca será borrado". La empresa que iba a "alinear la IA para salvar a la humanidad" no sabe ni proteger su propio código. Fascinante.

@NoahEpstein_ GEMINI

gemini 3 just made every $15k ai consultant look like a clown google silent-dropped autonomous agents to 650 million users yesterday what consultants charge $15K and 6 weeks to "implement" now takes 4 minutes on a phone here's what actually changed: the model: → plans multi-step workflows autonomously → executes start to finish with zero hand-holding → optimized for non-experts (no CS degree needed) → already live on mobile canvas feature while "AI agencies" are charging $8k-20k for strategy decks, google just deployed real automation to more people than chatgpt's entire user base the intelligence gap is getting stupid: that consultant billing $200/hr to "set up AI workflows" → the app does it autonomously now that agency charging $15k for "custom AI implementation" → built in 4 minutes on gemini 3 mobile that bootcamp selling "learn AI automation" for $2k → obsolete before the course launched some startup just replaced their $18k/month AI consulting retainer with a free app same output. 4 minute setup. zero technical knowledge required. most businesses still think AI automation needs: - 6 month roadmaps - technical teams - consulting firms - $50k+ budgets reality: it needs a phone and 4 minutes your competition doesn't know this exists yet but they will comment "GEMINI" and i'll send you the breakdown of how to use this before everyone figures it out

Is continuous noradrenaline infusion the answer to preventing post-induction #hypotension? Does better haemodynamic stability translate to improved outcomes? This new trial explores these key issues. bjanaesthesia.org/article/S0007-…

@sheilaromero03 Por qué lo dices ?

iTiva toma todo mi dinero XD

@Const_SEMEN @DrShmuk @simtiva_app Those targets are recommended when using ketamine with other hypnotic like propofol or inhaled anesthetics

@DrShmuk @simtiva_app Which target concentrations of ketamine would you recommend for different effects? In iTIVA, @deramirezmd  suggests the following:

Low-dose ketamine infusion is an excellent component of multi-modal opioid-sparing analgesia. Kamp model uses meta-analytical technique to facilitate better plasma site targeting for TCI ketamine. This model is now introduced in SimTIVA.app ref: pubmed.ncbi.nlm.nih.gov/32997732/ In the following example, a low dose ketamine infusion regimen described in the literature (0.3mg/kg bolus followed by 0.15mg/kg/h infusion) resulted in stable CP of 100ng/ml for the first 2h. (100-200ng/ml: target range for analgesia). Alternatively, u may use CE or CP targeting in SimTIVA to guide TCI ketamine.

@DrShmuk @simtiva_app ITIVA already had this model 2 years ago, just that I misspelled, there is like Klamp, but it is Kamp

@simtiva_app It's the "Eleveld" of ketamine!😊..I suppose the only way to improve it would be to measure effect as analgesia and use nociception monitoring.

Longevity is built one good habit at a time. Here are 5 habits to start today: 🧵

@DrSleep88 @Hrznsrd iTIVA app available on play Store and Apple Store. Allows for manual TCI with be ANY volumetric infusion pump. Cost $8/ year.

Tips for TIVA: amazing what's possible these days. sedation for brain MRI needed but no compatible pumps or shielded equipment available... No problem! iTIVA app and bolus method for TCI to maintain appropriate sedation level for 60mns☺️ everybody happy

Tips for TIVA: Eleveld Excitement edition. No pump at moment with newer models, no problem! 6 years old for 2 hours...iTiva again but TCI MODE... Nice DSA on monitor as well. Titrating hypnosis to EEG feedback.

@DrShmuk eBIS simulating your case, excellent alternative to @iTIVA @deramirezmd

@ZJZAC2 HI, I am interested using your watermark technique to added to labels to verify authenticity

We present an innovative and robust watermarking technique that seamlessly embeds a URL as a watermark into an image. When the image is printed on paper and later scanned, the embedded watermark effortlessly directs users to the target webpage. 🚀🚀

Using TIVA? Use Flows of 6L In the UK flows of 6L are best for the environment and to save money. This was a nice poster / infographic presented at SIVA a few years ago. Have you started making your infographics? There's not long left!

@saraharuss Ouchy! Not happened recently but I’ve had this. I’d suggest keeping the barrel of a 5ml syringe available (I know it’s a 2ml in the vid we did but 5 mls is the one to use) x.com/sir_sr/status/…

Propofol y dexmedetomidina para cirugia de escoliosis utilizando iTIVA #TIVA

iTIVA is my day by day tool

@nolittley @DrShmuk Yes, running the pump in ml/hr is the easiest way to update the infusion rate when using iTIVA, just check the syringe have the same concentration in the app. And in the app you can check the dose in milligram per kilogram

@DrShmuk Hi @DrShmuk is the idea here that you run a mls/hr infusion and change the rate based on what the app says?

TIPS for TIVA: Don't you love technology edition! 10 Yr old, MH father. New tci models not on current pumps.No problem! Used iTiva app, eleveld models for both propofol and remi. Such fun. Great wake up. Lovely young brain. And the estimated BIS was almost there😄