selfhosted Selfhosted What ebook reader to buy that works with selfhosted ebook library?
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  • YellowtoOrange YellowtoOrange 1 year ago 52%

    I use a kobo- has a blue light filter, waterproof, backlight. Not sure about the selfhosted library, I throw everything into memory which is enough for thousands of books.

    Anything but amazon.

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  • trackers
    Trackers YellowtoOrange 1 year ago 9%
    Anyone know what's happening with PTP?

    It's been down for a few weeks.

    -9
    1
    world World News US announces $345 mil. military aid package for Taiwan
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  • YellowtoOrange YellowtoOrange 1 year ago 72%

    Fuck the CCP and putin.

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  • astralprojection
    Astral Projection YellowtoOrange 1 year ago 100%
    Tom Campbell describing an OOB experience he had with another person, caught on audio tape https://youtu.be/s-pSw3noIKc?t=880

    Perhaps the audio is on the internet archive where some of the hemisync audio is.

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    0
    privacy Privacy Google engineers want to introduce DRMs for web pages, making ad-blocking near-impossible in the browser
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  • YellowtoOrange YellowtoOrange 1 year ago 56%

    You criticize but don't even have the balls to name your browser? To back up your claims?

    That is pathetic.

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  • privacy Privacy Google engineers want to introduce DRMs for web pages, making ad-blocking near-impossible in the browser
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  • YellowtoOrange YellowtoOrange 1 year ago 45%

    What do you use?

    -3
  • android Android T0biasCZe: Android MTP is extremely slow... so I made my own application with C# and ADB thats 28x times faster. Perhaps you may also find it useful... :D
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  • YellowtoOrange YellowtoOrange 1 year ago 15%

    This looks great, thanks!

    -9
  • piracy Piracy: ꜱᴀɪʟ ᴛʜᴇ ʜɪɢʜ ꜱᴇᴀꜱ 70% of Russian Gamers Are Pirates Following Western Publisher Exodus
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  • YellowtoOrange YellowtoOrange 1 year ago 51%

    That's lower than I would have thought.

    1
  • uk_politics UK Politics King Charles to receive huge pay rise from UK taxpayers
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  • YellowtoOrange YellowtoOrange 1 year ago 55%

    There should be a referendum about this.

    7
  • genx Gen X, the meh generation I lovingly crafted this 100% realistic early 90s internet simulator so the young folks can get a feel for how I spent my teens.
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  • YellowtoOrange YellowtoOrange 1 year ago 50%

    Touche.

    0
  • mildlyinfuriating Mildly Infuriating Youtube added shorts to the subscriptions page, pushing the subscriptions almost entirely off the page...
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  • YellowtoOrange YellowtoOrange 1 year ago 18%

    Have you tried pockettube? it allows yyou to create categories so you can bunch your channels together. It's pretty cool.

    -7
  • moviesandtv Movies and TV Shows Studio Ghibli's Final Miyazaki Film Opens Huge Despite Zero Marketing
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  • YellowtoOrange YellowtoOrange 1 year ago 5%

    Even the last bit?

    -18
  • moviesandtv Movies and TV Shows Studio Ghibli's Final Miyazaki Film Opens Huge Despite Zero Marketing
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  • YellowtoOrange YellowtoOrange 1 year ago 26%

    Compare that to the latest crappy indiana jones movie.

    -11
  • moviesandtv Movies and TV Shows Christopher Nolan Warns of ‘Terrifying Possibilities’ as AI Reaches ‘Oppenheimer Moment’: ‘We Have to Hold People Accountable’
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  • YellowtoOrange YellowtoOrange 1 year ago 30%

    Though he likely knows more about AI in the film industry than you, I and the average schmuck.

    -9
  • worldnews worldnews 'Simply Medieval': Russian Soldiers Held In Pits And Cellars For Refusing To Fight In Ukraine
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  • YellowtoOrange YellowtoOrange 1 year ago 18%

    Serf mentality? Living in police state?

    They would be treated better as POW's in any civilized country.

    -7
  • space Space Airspace patrol as the Space Shuttle Atlantis launches 2010
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  • YellowtoOrange YellowtoOrange 1 year ago 20%

    Great shot.

    -3
  • technology Technology Musk says a 50% drop in ad revenue for Twitter is causing negative cash flow
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  • YellowtoOrange YellowtoOrange 1 year ago 34%

    Is he forced to disclose this, as this will confirm reports that Twitter is dying, which may hasten people leaving, and companies lsaving.

    -9
  • support
    Lemmy.world Support YellowtoOrange 1 year ago 75%
    "Tracking Lemmy users by spy/tracker pixels" raddle.me

    Ignoring the users' aggressiveness against Lemmy, is what they say is true?if so, I hope this can be patched.

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    worldnews worldnews Europe and US heat matches climatologists’ worst predictions
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  • YellowtoOrange YellowtoOrange 1 year ago 31%

    Oh boy we're really fucked., And they're isn't enough time for technology to be the answer, of it they could be.

    -6
  • privacyguides Privacy Guides Spotify privacy concerns
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  • YellowtoOrange YellowtoOrange 1 year ago 75%

    Btw why doesn't Spotify have a feature for an ai to create genre playlists (or any mood playlists you want) from your liked songs? If you have thousands of songs it's impractical to trawl through them creating playlists

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  • selfhosted Selfhosted What are you using for photo storage and organization?
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  • YellowtoOrange YellowtoOrange 1 year ago 100%
    1
  • memes Memes jump on the screenshot wagon
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  • YellowtoOrange YellowtoOrange 1 year ago 5%

    Ironically, there is a karma system. Your comment score is negative. Click on your name/profile - it's visible in wefwef.

    Nicely ironic.

    -16
  • memes Memes Liberal Economics be like
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  • YellowtoOrange YellowtoOrange 1 year ago 16%
    -12
  • world World News Parts of Italy could see highs of 48°C in the coming days stoking fears of an increase in heat-related deaths. Croatia, France, Greece, Spain and Turkey could also face temperatures of around 40°C.
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  • YellowtoOrange YellowtoOrange 1 year ago 46%

    Isn't the wet bulb temperature measured in real time for it to have a semblance of accuracy?

    We'll probably hear of ot on the days of highest hear. If they reach it.

    -1
  • worldnews worldnews This is brilliant (Google News)
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  • YellowtoOrange YellowtoOrange 1 year ago 7%

    Bravo!

    -11
  • worldnews World News Google set to roll out AI chatbot Bard in EU
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  • YellowtoOrange YellowtoOrange 1 year ago 7%

    Yeah, Claude may not be the right ai for this.

    You likely want one of the uncensored open llms.

    -12
  • moviesandtv Movies and TV Shows Hollywood actors’ union recommends strike as talks deadline passes
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  • YellowtoOrange YellowtoOrange 1 year ago 11%

    The future is ai avtors and ai screenwriters.

    There was that al Pacino movie yonke ago about a cgi actress

    -13
  • world World News North Korea threatens US after ICBM launch as photos of delighted Kim Jong-un emerge
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  • YellowtoOrange YellowtoOrange 1 year ago 10%

    Oh yeah you're right.

    I was getting mixed up with Vietnam, though not sure how communist they are any more

    -8
  • ukraine Ukraine Commander: Ukraine receives cluster munitions from US
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  • YellowtoOrange YellowtoOrange 1 year ago 15%

    Kick ass. The drone videos of these in use will be interesting.

    Wonder if regular russian soldiers have any shit left after shotting their pants with himars.

    -9
  • android Android Pocket Casts Plus increases subscription pricing to $33.99 from $10
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  • YellowtoOrange YellowtoOrange 1 year ago 15%

    I use the free version. Though I wouldn't pay for a aub, what do you get with it?

    -13
  • world World News North Korea threatens US after ICBM launch as photos of delighted Kim Jong-un emerge
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  • YellowtoOrange YellowtoOrange 1 year ago 17%

    North Korea is a great example of communism in action - everyone in the country is starving and emaciated except for the top echelon who aren't and the top generalissimo who's a fat fuck.

    -29
  • photography Photography Library \ Lomo Turquoise \ Canon AE-1
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  • YellowtoOrange YellowtoOrange 1 year ago 20%

    Nice, thought it was an illustration initially. Is the background altered?

    -6
  • politics politics Gaetz Tells Bolling Russia Would Be Better NATO Member Than Ukraine: ‘Probably Provides More Benefit Long-Term’
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  • YellowtoOrange YellowtoOrange 1 year ago 82%

    Is this an alternative fuxking timeline we're in?

    Do republicans WANT to be seen as traitorous evil dixkheads? They seem to think they can spin anything and their idiot supporters will believe it, and, after trump, they're probably right.

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  • unitedkingdom United Kingdom BBC News - Junior doctors in England start five-day strike
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  • YellowtoOrange YellowtoOrange 1 year ago 16%

    8 months before the election, prepare to see the right wing media gear into action and spread lies about everyone except the Tories, and the 20 point leaf labour had will likely disappear, and I would be surprised if the Tories get back in again.

    However, rishi sunak seems to be a candidate that even the Tories hate, perhaps because he's not white and richer and more succe6and powerful than the average Tory voter- at least they found something in common with the Clown - an idiot who "you could have a pint with".

    God, tory voters are pathetic.

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  • unitedkingdom United Kingdom BBC News - Junior doctors in England start five-day strike
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  • YellowtoOrange YellowtoOrange 1 year ago 6%

    8 months before the election, prepare to see the right wing media gear into action and spread lies about everyone except the Tories, and the 20 point leaf labour had will likely disappear, and I would be surprised if the Tories get back in again.

    However, rishi sunak seems to be a candidate that even the Tories hate, perhaps because he's not white and richer and more succe6and powerful than the average Tory voter- at least they found something in common with the Clown - an idiot who "you could have a pint with".

    God, tory voters are pathetic.

    -14
  • unitedkingdom United Kingdom BBC News - Junior doctors in England start five-day strike
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  • YellowtoOrange YellowtoOrange 1 year ago 11%

    With the Tories in power for so long, it's no wonder, though labour's plans appear to be not well thought out.

    -13
  • unitedkingdom United Kingdom The Sun finds itself in line of fire over report on Huw Edwards
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  • YellowtoOrange YellowtoOrange 1 year ago 53%

    Fuck the sun. Fuck the express. Fuck the telegraph.

    You all lied about brexit and are a scourge on public discourse.

    Fuck you all, and add meta for good measure.

    3
  • worldnews World News Google set to roll out AI chatbot Bard in EU
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  • YellowtoOrange YellowtoOrange 1 year ago 17%

    I've been using it for a while now, and my experience is-

    It's fast but 95% of the time the results are worse than the other 3.

    My recommendation -

    1. Claude 2 is usually better than chatgpt4. Check out Claude.ai and poe.com.

    2. chatgpt4 has been nerfed. I would suggest not paying for it until it improves.

    3. bing can be good - I use it as my primary ai chat for.live internet queries, then add bard if need be.

    -15
  • technology Technology *Permanently Deleted*
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  • YellowtoOrange YellowtoOrange 1 year ago 16%

    I'm doubting he's a human being, though I'm not assuming that all et's are hostile.

    -12
  • unitedkingdom United Kingdom BBC News - Junior doctors in England start five-day strike
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  • YellowtoOrange YellowtoOrange 1 year ago 30%

    Junior and senior doctors are leaving the country and both parties have awful "plans" for the future of the NHS.

    In a friend's daughter's med school class half the students are studying for the US medical exams.

    Coming from an NHS doctor, it's fucked.

    -10
  • privacy Privacy Why just blocking Meta's Threads won't be enough to protect your privacy once they join the fediverse
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  • YellowtoOrange YellowtoOrange 1 year ago 25%

    Come on, Lemmy.world, take a moral stand now, I stead of "wait and see"- reminds me of appeasement just before ww2, and yes, I'm going to enact Godwin's law, meta are the fucking Nazis and guess who Hitler is.

    (Written only somewhat tongue in cheek)

    -14
  • apple_enthusiast Apple Apple introduces Tap to Pay on iPhone in the U.K.
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  • YellowtoOrange YellowtoOrange 1 year ago 38%

    This is pretty cool.

    -4
  • support Lemmy.world Support There's a person who is spam creating hundreds of communites with impossibly long descriptions on world, why haven't they been banned yet?
    Jump
  • YellowtoOrange YellowtoOrange 1 year ago 59%

    Ban his ass already

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  • chatgpt
    ChatGPT YellowtoOrange 1 year ago 60%
    Claude 2 is out! www.anthropic.com

    Will be interesting to see how it compares to chatgpt4.

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    unitedkingdom
    United Kingdom YellowtoOrange 1 year ago 57%
    Air traffic control strike will hit up to 1 in 3 summer flights ground.news

    - Up to one-third of European flights this summer are at risk of being delayed or cancelled due to an impending strike by air traffic controllers at Eurocontrol. - Talks over staffing, rosters, and pay have broken down, leading to the planned walkouts during the peak summer period. - As a result, British holidaymakers may experience delays or cancellations, with approximately 12,600 flights across Europe potentially affected each day.

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    support
    Lemmy.world Support YellowtoOrange 1 year ago 90%
    To the admins- will lemmy.world block Facebook's Threads or are you open to federating with them in the future?

    https://ploum.net/2023-06-23-how-to-kill-decentralised-networks.html Many of us do not trust Facebook and anything it is associated with or swallows up. EDIT: https://techcrunch.com/2023/07/05/adam-mosseri-says-metas-threads-app-wont-have-activitypub-support-at-launch/ "Instagram head Adam Mosseri said " ““Soon, you’ll be able to follow and interact with people on other fediverse platforms, such as Mastodon. They can also find people on Threads using full usernames, such as @mosseri@threads.net.”” “We’re committed to building support for ActivityPub, the protocol behind Mastodon, into this app. We weren’t able to finish it for launch given a number of complications that come along with a decentralized network, but it’s coming,” he said. “If you’re wondering why this matters, here’s a reason: you may one day end up leaving Threads, or, hopefully not, end up de-platformed. If that ever happens, you should be able to take your audience with you to another server. Being open can enable that.”

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    apple_enthusiast
    Apple YellowtoOrange 1 year ago 71%
    Recently bought a 13 pro max for the cameras and IS - is there anyway to tone down the excessive digital sharpening?

    Using the great camera/video program Cinema P3 (filmic pro is now subscription based), though the videop from any app are so, so sharpened. Thanks

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    gatewaytapes
    thoughts on the energy conversion box

    I read somewhere at that someone made their energy conversion box very small, which I tried to do as normally my one was huge, up to my waist. The purpose for making it small maybe to tell your subconscious that your problems are small. I think looking at it that way helps. Then I realised, why stop at putting your current issues into the box? Assuming that we are an eternal awareness inhabiting a temporary flash body with many thoughts and desires and fears associated with the human mind, why not imagine putting everything of the mind into the box? So that's what I do now- I imagine a very small container, and imagine my issues, then mind, then body dissolving into a wave and getting sucked into the box, a bit like the final scene of raiders of the lost ark. After doing this I imagine that I'm now my pure awareness, without the baggage of the human body or mind, and I feel lighter and the wave seem easier to do.

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    apple_enthusiast
    Apple YellowtoOrange 1 year ago 25%
    Does anyone use the CInema P3 app? Can you give information on the cinema and cinema2 image stabilisation options?

    Recently found this app, and was intrigued to find it's extra 2 image stabilisation options beyond the pretty good apple IS - "cinema" and "cinema2". The IS is very smooth, though there's quite a delay when using it, and there's no documentaion abou them that I could find. Can you us them in normal day to day recording, or do you find the delay is too much?

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    chatgpt
    ChatGPT YellowtoOrange 1 year ago 35%
    A prompt to create a language tutor using the Speak plugin

    ***" using the plugin you are my personal <language> tutor, and you are an expert in the <language> language and you are a <language> native and an expert teacher of <language> . Ask me questions in <language>, and allow me to answer, and after I answer, correct my answer, and the grammar, and then give me alternate ways to say the same thing in better <language> and new vocabulary, so I am constantly learning, and then ask me another question and so on. Please always give translations of every sentence you write in <language>, including the corrections of my responses, and alternatives to my responses that you give in <language>, no need to explain spelling or accent mistakes. explain in another paragraph each grammatical mistake so that I can learn them better, but then giving the alternative ways to express the same idea, translate each alternative sentence, "*** --> It asks you a question in <language> --> You answer --> It corrects your response, gives you 3 alternative responses (that are more natural in that language, from more formal to slang), then it explains the grammar mistakes and gives an example conversation using your answer. For my uses it works really well.

    -6
    2
    ukraine
    Ukraine YellowtoOrange 1 year ago 55%
    Coup in Russia: Another Rebellion Brewing Against Putin www.youtube.com

    Interesting analysis. He talks about how they’re pulling soldiers from teh front line to film fake videos to show the “russians are making progress”. The Gurkin video is really interesting.

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    1
    gatewaytapes
    Does anyone know what level 20 is analogous to?

    I thought in the gateway series it was a far, advanced level, though I was lsitening the the hemi-sync lucid dreaming CDs and they bring you down to level 20 for, it appears, normal sleep, to then induce lucid dreams.

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    unitedkingdom
    United Kingdom YellowtoOrange 1 year ago 52%
    Former Brexit Party leader Nigel Farage says bank accounts closed ground.news

    - Nigel Farage, a prominent Brexiteer and broadcaster, claimed that his bank accounts have been closed without given reason, suggesting serious political persecution at the highest level. - Farage refused to name the prestigious banking group involved but stated that the closures were part of an establishment plot to force him out of the UK. - Other parties and politicians on the right of politics, such as the Reclaim Party and Reform UK, have also reportedly been denied bank accounts or had accounts closed, indicating a coordinated effort by financial institutions to target right-wing figures.

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    world
    World News YellowtoOrange 1 year ago 83%
    Aspartame: Sweetener used in Diet Coke possibly causes cancer, WHO set to declare ground.news

    Aspartame is also linked in some studies to weight gain, GI disorders, mental health issues and more: According to some studies, aspartame and other artificial sweeteners can lead to weight gain instead of weight loss 12. Aspartame has been linked to increased appetite, diabetes, metabolic derangement and obesity-related diseases 2. > > One study showed that aspartame causes greater weight gain than a diet with the same calorie intake but no aspartame 1. Another study found that even acceptable daily intakes of aspartame might make you hungrier and lead to weight gain 3. > ...some research suggests an association between aspartame intake and metabolic damage to the central nervous system (CNS), such as changes in enzyme and neurotransmitter activities 2. Aspartame acts as a chemical stressor by elevating plasma cortisol levels and causing the production of excess free radicals. High cortisol levels and excess free radicals may increase the brain’s vulnerability to oxidative stress which may have adverse effects on neurobehavioral health 3. > > There is also some evidence that high-aspartame consumption may lead to weaker spatial orientation, irritability, depression, and other neurobehavioral conditions 14. However, these studies are limited in scope and further research is needed to determine the long-term effects of aspartame on human health. Worth researching more, especially if you eat/drink anything with this stuff - and it's in a lot of food products.

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    ukraine
    Ukraine YellowtoOrange 1 year ago 42%
    Coup in Russia: Putin Lied To Prigozhin youtu.be

    This guy creates interesting videos with footage I haven't seen elsewhere.

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    support
    Is there a way of knowing if a post of comment is from outside of Lemmy?

    Background: When replying to a post created on mastodon/kbin/etc, you may get the eternal spinng wheel if you don't specify the language for your comment reply. Question: Is there a way of seeing at a glance where the comment originated from, to thus know if you need to specify a language? Thanks!

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    ukraine
    Ukraine YellowtoOrange 1 year ago 24%
    Devolution of Russian army: https://twitter.com/Gerashchenko_en/status/1672564206619508736

    Devolution of Russian army: 2021: second army in the world 2022: second army in Ukraine 2023: second army in Russia

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    ukraine
    Ukraine YellowtoOrange 1 year ago 78%
    "Russia's security forces are reported to be in disarray following the attempted mutiny by the Wagner Group." - Long update that is bonkers inside https://twitter.com/ChrisO_wiki/status/1672500870947254273

    1/ Russia's security forces are reported to be in disarray following the attempted mutiny by the Wagner Group. It seems to have been perfectly timed for a moment – Friday night – when many personnel were too drunk to respond quickly, while others are refusing to fight Wagner. 2/ The VChK-OGPU Telegram channel reports what its sources are saying is the situation within various security organisations. At the FSB and Ministry of Internal Affairs, "Everyone is up and running, urgently reporting in. Now all the offices are like one big after-party." 3/ "80 per cent of the staff smell of booze. Some of them can barely stand on their feet. Can't arm 'em, can't send 'em anywhere. Friday night's the perfect time to start something like this. Everybody's standing around, waiting for something. No introductions." 4/ "A couple of hours more and the conflicts among themselves will start when [the alcohol] starts to wear off." 5/ Unwillingness to fight Wagner appears to be a common theme. "There is real panic in Rostov, especially among the police. There is more than a 40 percent shortfall in personnel among those called up in connection with Operation Fortress" (to defend security installations). 6/ Wagner forces were able to cross the border from Ukraine without opposition, despite orders not to let them through. "Both the border service of the FSB and the Interior Ministry received instructions to stop the Wagner PMC. No one is complying, as it is not realistic." 7/ Most ominously for the Kremlin, elements of the security forces appear to be actively siding with Wagner or refusing to act against it. 8/ "The defence ministry has lost control over a number of units and formations of the South Eastern Military District, it will not be possible to organise defence by the Rosgvardia [Russian National Guard] and the FSB. Local leaders are extremely careful in their statements". 9/ "Attempts to counter Prigozhin are only going through the FSB and the National Guard. The Ministry of Defence has simply withdrawn, junior officers either refuse to follow orders or directly support Wagner." 10/ And Shoigu and the [MOD leadership] team just hid and completely lost touch with reality. The fear is obviously serious." Wagner is reported to be directly taking control of some South Eastern Military District units. 11/ "A number of units of the Ministry of Defence that participated in the war are beginning to come under the command of Wagner. Entire corps. Shoigu and Gerasimov's people are being removed." 12/ General Gerasimov himself has not been seen in public since the mutiny began. According to Wagner channels, he was in Rostov when it fell to Wagner forces. 13/ He is said to have "escaped from the Rostov [military] headquarters along with people loyal to him” and “is holed up in a civilian apartment with his friends in Rostov.” /end

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    ukraine
    Ukraine YellowtoOrange 1 year ago 70%
    Osechkin: Russia's entire 22nd Special Forces Brigade has switched to Prigozhin's side as well as some FSB border guards. https://twitter.com/igorsushko/status/1672497411460046848

    ttps://twitter.com/igorsushko/status/1672497411460046848 "Osechkin: Russia's entire 22nd Special Forces Brigade has switched to Prigozhin's side as well as some FSB border guards." Imagine these experienced soldiers vs the defending troops: https://twitter.com/ChrisO_wiki/status/1672500870947254273

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    medicine
    Medicine YellowtoOrange 1 year ago 0%
    What do you think of the link between longer term PPI use and increased dementia risk?

    This is what ClaudeAI summarised (so not sure how accurate): Several studies have investigated a possible link between long term proton pump inhibitor (PPI) use and dementia or cognitive decline. The findings are mixed, but concerning enough to warrant caution with prolonged use of PPIs, especially in the elderly. Some of the key studies include: • A 2016 German study of over 73,000 people found long term PPI use (>1 year) was associated with a 44% increased risk of dementia. More frequent or longer-acting PPIs and higher doses were linked to greater risk. (Gomm W, et al. JAMA Neurol 2016) • A 2017 US study followed over 10,000 participants and found those on PPIs for 18 months or more had a 25-50% higher risk of impaired cognitive functioning based on memory and verbal fluency tests. (Klatte DCF, et al. J Am Geriatr Soc 2017) • However, several other studies found no conclusive evidence to link PPIs and dementia. A 2017 meta-analysis of 16 studies with over 200,000 participants concluded there were small statistical effects observed in some studies, but too much uncertainty and inconsistency to definitively determine a causal relationship. Larger, longitudinal studies were recommended. (Bian Y, et al. Front Aging Neurosci 2017) • Possible mechanisms theorized include changes in vitamin and mineral absorption (e.g. B12, magnesium), increased susceptibility to infections, small intestinal bacterial overgrowth leading to increased inflammatory cytokines, and direct neurochemical effects in the brain. But more research is needed. While no smoking gun has yet been found, clinicians generally recommend the following based on these concerning but inconclusive findings: 1) Only prescribe PPIs when clearly medically indicated based on severity of symptoms and risks versus benefits. Lifestyle and alternative medication options should be tried first before PPIs when possible. 2) Use the lowest effective dose for the shortest necessary duration. Try gradually reducing or discontinuing PPIs under medical guidance when symptoms are stable. 3) All patients on long term PPIs, especially the elderly, should be monitored closely for side effects as well as cognitive or functional decline. Report any changes to the prescribing clinician right away. 4) Patients on PPIs long term should maintain a healthy diet, exercise, stay socially active, and take supplements as directed to support brain and general health. Lifestyle factors may help lower risks associated with PPI use. 5) Educate patients about the uncertainties around long term PPI use and possible links to dementia/cognitive impairment. Shared and informed decision making around the risks versus benefits of continuing or reducing PPI therapy long term is key, based on individual patient priorities and medical needs.

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