Lake Worlds is up next. Incineroar, Whimsicott, Rillaboom, Konfi, Tyranitar and Lapras. Where's that weakness policy? Probably on the Lapras, I would imagine. Yeah, it's more centric Lapras team. So maybe Sash, Teter here, I would say. Speed control from the Whimmy. So the trick room really going to benefit us a lot. We kind of have to be careful with Primarina if we are bringing it of course because of the Rillaboom. My opponent's side-time might be worth us bringing something like Togekiss here and then our own Rillaboom, would that be, would that work? Our own Rillaboom. I mean, it leaves us a little short against, I mean Tarakian is incredible here for like a late game but we definitely need protection against the opposing Rillaboom. And maybe Togekiss is the Pokemon to do that. Yeah, I'm going to lock him with these four and we'll go from there. And Bebham currently updating my in-game character to a glasses and both Sunshield. Nice dude, you've got to do, you've got to make sure that it looks exactly like you do. And new clothing items are pretty dope. I've not actually looked at those because you get like a little pass card when you get the Isle of Olma update. So there's like a bunch more clothing that you can actually put your character in. As you can tell, my character is still in his dojo outfit because I'm really bad at getting around to doing this sort of things but I will check that out for sure. Tune in, I've been bit by a Hornet before and it was awful like five days. It's right behind my ear. Dude, that sounds awful. Man, that actually sounds super brutal. Yeah, that's not going to lie that. That sounds awful. Hornets are horrible as well. Like I kind of had an inkling it was a wasp but it never like it never swelled up like a wasp thing. So I don't know if it was or not. I mean we can get the trick room up pretty easily here. We can fake out. I mean it's just about what they kind of bring in to combat a trick room. Maybe their own Incineroar. And I imagine the lapper is probably going to add speed. They'll go for the Aurora Ville here and they're probably going to help in hand though. That's the big issue but I need to... I don't know. I don't know. Probably better off snarling to be honest. Really the more I think about it. The last gun pat. How are you doing? Step your style up. I know. I know man. Okay we're going to see the protect there so yeah more more reason to go for that snarl. And because we're setting the trick room up I shouldn't really be worried about them tailwinding here. So the guys are coming out which isn't great but Incineroar with the assault vest does manage to actually take that. Now the issue is going to be here is how fast is this lapper. You would imagine because it's a tailwind lapper. It's going to be pretty speedy. So Aaron's Incineroar should still underspeed it. It's a shame we haven't got the pot in shot but we do have access to U-turn. So we can go for that U-turn out onto the Wimmy. Get Incineroar out of Homsway and just go for an ice beam into the Wimmy as well. Double up there. We may see a help in hand from the Whimsacot come out this turn but I think if you had help in hand you go for it the previous turn. That's bad. That's bad. Okay that's not so great but let's see p2 can tank some stuff here. Minus two defense in the rain. I don't know if we're going to be able to take it. If you're cheating there I was so mad minding my own business. That's how they get you man.  Okay so what are we going to bring in? We've not really got the trick room mons here have we? Um okay I think we'll bring in Togekiss because I think Tarakin's way more important for us than anything else. Hopefully it doesn't all backfire. Have I actually not put Prexel? I haven't even put the music on for the stream tonight. So sorry guys. Okay that's the Aurora veil. Um then it's going to proc the weakness policy for sure. While p2 hanging on just by the skin of its teeth. Um what did p2 get? A boost in special attack. It's kind of important that we keep p2 around to be honest and I think what we'll do is actually we could reverse the trick room here or we could just recover. I think reverse in the trick room and we will just protect. We're going to take plus two or probably I think they leave the p2 alone. Honestly they may attack it with a confi and they do. Okay I don't mean that still it's not the end of the world. This is becoming more and more like a car crash as we go on. But at least they haven't proc the weakness policy yet. Our only option is Incinero. Okay so they've not got their max anymore. The rain is up. So we can fake out the Lapras which is is going to help us. But we're going to need Kiss to actually put in some work here I think. I don't think the draining kiss will get Incinero. Okay so we get the fake out. Just good to stop that thing. Drain and kiss. Like I say we're solvers so this shouldn't do yeah that's not doing anything. We need crits. We need crits. Come on Kiss this is why you're in the team. There's one. Now do we snarl? Do we U-turn? I think we snarl and then I think we're going to have to manage with Togokis Terakian. Which I think we can probably do. Okay if there's a help in hand come out. Hopefully it's into Togokis. I think it is. It will be. I don't think you help in hand into Incinero at this point. And the rain stops. So that's good for us for the thunder. And then they're now relying on Blizzard to do all of their work. So we could potentially max Airstream Comfy and then go for another snarl. And that kind of nullifies the weakness policy if they do proc it. And then Incinero should get the jump onto Lapras here. So this is a way for us to do it. So Comfy if they go for the weakness policy boost now. They are going to proc the plus two. Which you put them in the plus one. The snarl put them back down to normal. They have to go for Blizzard I think. But we should get the snarl off before the Lapras actually attacks. So Tuth, Phantom how are you doing? I hope you're well mate. And Predator. But the team should be on screen in the Picolitics kind of add-on extension. So hopefully that's working for you if you want to see the team that we're playing tonight. Okay so they do go for the weakness policy. They should take that. Wow okay that Aurora Veil. We desperately desperately needed a crit there. Like that's really okay. The one time that we need it. And we don't get it. But we do get the snarl. So that takes the Lapras back down to I don't think go for Floral Healing there. So they're Hydro Pumping. Okay this means that we get Tracking on to the field. Which is ideal. Okay okay it all comes down to Tracking. The Aurora Veil does wear off now. So that's perfect. Now we can. Because I think a close combat will get Lapras. Another Airstream is going to get the Comfy. And depending on what my opponent has in the back we may be able to kind of close this one out. Very very. I mean we could Rock Slide as well. But I think they Drain and Kiss. That's the thing like we could just Airstream and Rock Slide. Probably better off going for the close combat I think. Yeah with heart. I think we get the Lapras of the close combat. Okay we're throwing Lapras. I'm going to keep it for later on. Really boom coming in. Okay off we just doubled there. Picolidix Extension. So Picolidix actually created a Twitch extension for us. So it should be on the screen for you guys to kind of click around and see some Pokemon. Stuff like that. Right now. Hopefully it's there. I mean our big job here is to get rid of the Rillaboom. I think if we can get rid of the Rillaboom our life becomes a lot easier. And to be honest with the grassy terrain it's not the worst thing in the world. Because it might give us a quick crack here potentially. We've got the close combat which is really nice damage. Really nice damage there. Roger M11. Thank you so much for the follow on for joining us tonight. Oh it's going to be close. I don't think we are going to be able to. But we can airstream into the Rillaboom the next turn. What comes in for my opponent. We have to protect Teraki and we can't risk the grassy glide here. And we just have to airstream into Rillaboom. Like if you if you oh no this my opponent can't switch out. I was going to say if you're smart you switch out the Rillaboom but this is literally my opponent's last two Pokemon. So I think we're going to be fine. As bad and bleak as it looked at one point I think we might be able to eke this one out. So the trick room kind of worked. Overall in the end. Oh yeah that's very true guys because the the the extension doesn't work on mobile apps just yet. So I think it's something that they're probably working on. But right now you have to be on a PCT's extension which is a little bit annoying. But if you stick around until the end I will get a poker fist for you guys. Of this team so you can use straight away on showdown or whatever you want. Or take just the sets and things like that. And there'll be a rental code for this team as well at the end of the stream. So hopefully stick around for that. There's a blizzard. It's gonna hit. No we dodge it like a ninja. Okay yeah we're gonna be fine now. We just dazzle close combat. That's the gonna deal with the Lapras pretty handily. So yeah we're good. All right tracking. Kim in clutch at the end. Bebham you're the best. You're the best. You're the best. As always. So yeah and that is a good game to Waffles. Please do manage to overcome that. Lapras isn't the easiest match up for this team. But when is Lapras? Super easy at the best of times with Comfy anyway. So yeah good game to my opponent and nice wind press to kick off on this streak tonight. It's not Waffles. Waffles was the last person wasn't it? It's Blake world. Sorry Blake worlds. We've got Waffles on the brain. We've got Rillaboom. We've got Incineroar Chansey. Chansey to end on. Are you kidding? Are you kidding me? Come on. Dracozalt indeedy and Snorlax. This just looks horrible. Like literally horrible. But we do have Tarak in. It does well against Snorlax Chansey and Tarak here. So we just need to deal with the Rillaboom. Dracozalt indeedy. Okay let's go Incineroar. Let's go Toa Kis. They've got a trick room. Okay so that's I think we got this and this and we bench Primarina P2. P2 is being so good for us all evening. But I am going to bench it now. I think we just need power here. Dracozalt. Yeah he's there. Oh look at that guys. Trainer card. That is magnificent. That is probably one of the best trainer cards I've seen. The rainbows. What was that like Honeycomb Island in the background? Oh you say that Johnny. I think I think it might be. Okay so we've got indeedy and Snorlax at first. They're gonna try and get the belly drum up for sure. They're gonna definitely try and do this belly drum stuff.  And then what we need to do is prioritize taking down that indeedy the next turn. And maybe try and get Tarak in onto the field once indeedy's gone and use Tarak in to its full potential to get rid of everything horrible like Snorlax and Chansey. Okay so we overwrite this psychic rain which is helpful. I don't think the Snorlax Max is here. No it does. Okay I mean okay I'll take that because minus one it's not going to belly drum. I don't have a clue what it's going to be doing. Probably Max Quaking or something I don't know. I'm going to say help in hand potentially from indeedy. Big help. I'll just protect just to protect there. Just being super safe. What we're going to see the Snorlax do if it gets faked out and just brushes us off Steel Spikes. Okay that's that I mean it definitely could be worse. Okay what we do what we do what we do what we do is we switch Incineroar out now into hmm could be an object. No I don't want to bring Tarak in in front of there. We go for you turn into indeedy and then we bring Incineroar back onto the field cycle at Intimidate and we just keep trying to do this. Rapunjan Man thank you so much for the following for joining us tonight. I hope you enjoy the stream with us dude. It's a big cup Johnny. It's the biggest cup in the world. It's like a bucket really but thanks for the hydrate mate. I'm getting a little worried about these stream points. I saw someone mentioned karaoke earlier. So the more the streams go on where people aren't cashing these in I appreciate the the odd one where it's but we're getting the hydrate ones but we're not seeing any big big ones cashing which is worrying because there's some like big ones at the top there that could be slightly embarrassing for sure. Tyler how are you doing mate I hope you're well my friend. We're going to see the expanded force from the indeedy into Incineroar. Not really doing too much and then another steel spike. Boosting that the fence on the Snorlax which does make it a lot more difficult to take down for sure. As long as we're kind of keeping what we need to try and do is get rid of this indeedy. That's the that's the big thing yeah. It might be worth just dazzling here. It's gonna protect that. It's gonna protect for sure. I think we get rid of the boom in and we'll go for it. We'll go for a new turn out onto the Snorlax. It's not like Snorlax is going to protect. Okay Muffy's only got 2k. Johnny's got 34,000. Wow okay that's scary. I need to up like the price of everything. Johnny's going to totally stitch me up and Sean I would like to see a team with the Rangory with Symbolus. Yeah there's some cool stuff you can do there for sure. Okay so I'm going to see another Steel Spike be into yeah really boom this time. Okay and that's the last of their max turns. The worry now is that they they can belly drum now and they've got the defences to kind of help them out a bunch which is not ideal and that indeedy is in no position to. Well I mean we can take the indeedy down. We can definitely take the indeedy down. We can definitely knock off the Snorlax. I think that's probably a good idea and then if the indeedy does pull it away then that's fine. I mean just dazzle. Okay help in hand. What are you going for? Help in hand you've got no attack. You're going for heavy slam potentially. Ah it's a salt vest okay that makes sense. Oh dear that's why we've got this defense boosts. I'm with the assault vest here. Help in hand belly drum just to get even more might put you on there plus 12 plus 12 attack when you help in hand boost and belly drum if you didn't know that already. Okay I think we have to oh man we've got like all all all the this is really bad. It's really really bad. We've got all the fighting week Pokemon. I think in Senorail we'll go down to body press as well. I don't think I knock off like we need to get rid of the indeedy like like pronto. I think I'm going to make a rash decision and go for a starfall and a knockoff into the indeedy to try and remove it from the field and then hope that we can create this Snorlax and get rid of it that way. That feels like the only way I'm going to be able to do it. Okay it's going to help in hand again. Hopefully it goes after the Rillaboom. The Rillaboom's gone after this which is just fine. It's long as we get rid of this indeed which I'm thinking we probably will. Although I don't know if we will actually. Now we should get it even though it's already progged it's item. Oh my god we don't even get it. It's bad. Okay I think I've got to bring into tracking. Rock slide. Rock slide. And and air stream. Snorlax is obnoxious. Horrible Snorlax. Yeah we rock slide. We stream Snorlax. Hope for a crit. Hope for a flinch. Hope for all that good stuff. And then everything will be fine. There's the follow me. So that's all right. Tracking and just hit your rock slides. Good dog. Good dog. Okay now we need to flinch the Snorlax. We need to crit it. We're not asking for much. Come on. Togekiss. That's a crit I think. I think that's a crit. Is that a crit? It wasn't a crit. I don't even flinch. We get neither. Okay not ideal. Not the end of the world. Oh my god. I hear the Snorlax so much right now. And then Chansey comes in. What can we do? We can't do anything. We have to chase this Snorlax down. I don't know if we can beat the Chansey though. We don't have to rack in. Do we take this opportunity to just go... If we crit Snorlax, okay? If we crit Snorlax we'll be fine. We just need to crit the Snorlax and then we can get the close combat into Chansey. I think I can't afford not to close combat Chansey. Please track in crit. Oh it's so close as well. Oh my god.   Oh man look at that.  Now we lose track in and I think we lose all hope. We've got Incin. Hope is not lost. With Incin we can we can do anything with the cat. Oh they still got one Pokemon left after this. Well we can dazzle and we can fake out for sure. I mean that's definitely like a play. Is that only play? Definitely depends on what their last Pokemon is. That was a crit on Chansey. Did you see how much damage that did? Oh my god. Boom. Okay I mean it could be worse. Chansey is probably... Flebbit. Boom. Slash. Chansey. I don't think we'll have a problem taking boom down. I think we'll have issues with Chansey though. Okay aggressive glides. We need to flinch the Chansey. That's a thing. We're not critting it so like okay the Flebbit gets rid of the Inc. Okay that's a crit. Okay we can't complain. We can't complain. If we flinch this is amazing. Flinch the Chansey. Get him on. Okay if we keep flinching it it's gonna we're gonna be able to do this. This game looks like it's frozen though. What's going on? Like literally I'm not doing. Dude. Get the salt out. That's a rubbish way to end the stream.  Let's have one more. Get the salt out. Come on why are you quit at that point? I mean you're playing Chansey with ally switch. You're not allowed to be salty about anything. There is no salt allowed there. Okay we got Aaron up next. 1918. Aaron playing a team of Venusol, Rillaboom, Toko, Ryperia, Dusclops and the Urshifu. Pretty solid team. You got the very solid Sun call with the Ryperia again in the Urshifu. So we played this earlier on this team but I don't know how we did. I think we did all right. We've got to manage the Sun haven't we? Okay so we definitely want to lead Incineroar. Just to kind of stop Venusol. Ah that's what we did earlier. We maxed the Incineroar. We're not going to do that again. We may do that again but I think we'll go with Tokus as well. I kind of want to bring Primarina. Primarina has a really tough time against Venusol, Rillaboom but actually do we just bring P2? P2 definitely for sure and then maybe Rillaboom. But Rillaboom again has a really tough time but against like Ryperia it's not bad. The Urshifu is probably, I don't know, okay let's go boom. Actually yeah let's go Rillaboom. Yeah let's go Rillaboom. Okay good luck Aaron have fun and this is going to be the last one friends of the night but it has been a pleasure as always. Hopefully we can end on a win. I didn't want to end on that chance again. Gonna end on a rage quit. Okay we've seen Ryperia and Dustklops come up for my opponent which makes it very very tricky because um I mean yeah this is pretty awful for us. This is like definitely though the one lead where we're like I didn't really consider that them leading that. Definitely you turn out in the Dustklops and we'll switch to P2. Like you can mitigate the the weakness policy boost that they're gonna definitely try and get and we should get a special attack boost which is ideal for us because P2 is not going to be too bad against the Ryperia in all honesty um solid rock doesn't help for sure. Honestly a legendary way to end the stream but I'll take one extra cool. We'll do one extra and just as a I'm doing it more for you guys. I feel bad like ending like that and we can't end with such negativity and salt. Okay so we're just seeing the rocks like come out from the Ryperia which is fine and we do have the grass glide which is like definitely something they've got to like be like worried about for sure. Because we can grassy glide and actually just max and go but are we going to see Alex which I don't know if we are I don't know if we'll see them even max here you know. I feel like I pulled the trigger a little bit too early but I mean what are they gonna like what can they bring in it's like Torcal could come in that slot for sure right Torcal comes in but we do get a max hail storm so we overwrite the sun which is good for us right. The only issue is if they ally switch which is that like that's really bad and like what's dustclops doing here you've got to question that so maybe they do ally switch but then they don't get their weakness policy. Okay well we're not doing anything with p2 because we've run out of time but we'll see.  Yeah I was expecting the weakness policy proc but again like I'm kind of one switch away from just resetting the weakness policy boost to be honest and they're probably keeping their max for later on I think they're going to keep their max full um it's just grassy glide and ice beam the right period again yeah okay we're going to get it okay fine fine I think they're keeping their max for the Venusol uh and all honesty they pulled us this turn okay okay perfect perfect and we're going to like Torcal coming in now I think they like they need to stall the trick room out of their own now but you can maybe capitalize on a little bit the Torcal coming in yeah we definitely switched to Incineroar here um I'm like super tempted to honestly like honestly go hillstorm into dust globs but I feel like it's kind of wasting it almost as well a little bit but maybe better doing it the next turn and recovering here um okay let's switch into Incineroar and then just recover off I think we'll just recover just eruption damage then at least the next time we got fake out pressure onto that Torcal okay with the trick room ending now like this next turn it feels like probably a good maybe a good time to get your Venusol onto the field um I don't know whether even max and p2 is going to be the right thing to do in this match anyway oh honestly um I think we'd definitely fake out Torcal max hillstorm yeah because we've probably two shut dust globs with this perfect there we go we got it okay okay we are plus one yeah we're going to take down the Venusol here unless we see the Torcal no the Torcal's not maxing okay there we go get that bread boys get that bread Johnny I'm going to sleep like a baby tonight think about that are you talking about the chancey still the duck pulling through okay this is probably the best performance of the duck tonight we've got the call right so that's good hell which is ideal we take away the sun uh yeah we're in a fantastic position just to nuke on the dust globs the next thing I I'm gonna just shout it so there's going to be more allies switching on against coming out 100 rich quit incoming get that salt ready maybe maybe maybe not though maybe not let's see it's frustrating as well like I may play this team again on Wednesday even though I've said Magnuson it's just I feel like we're getting a bit more of a flow with it now than we were a little bit earlier on although I still think there's probably parts of the team that we need to change because I think with Magnuson becoming a little bit more popular it really gives this team a lot of issues um okay let us go for a flibblitz and a uh should we just max lightning into the dust globs in case we see a cheeky yawn come out from that cocoa pan there's the game okay so I think we'll go with Magnuson on Wednesday I think it seems like a good thing to play the minute check and there you go friends there's a rental team thanks for coming out guys I'm gonna throw it over to James now have a great resty evening hopefully see you all 8 p.m Wednesday and yeah just take care of yourselves behind each other and I'll see you all for the next one enjoy the team if you try it out as well hope you have a lot of fun with it thanks so much for coming guys see you later jump over let's raid James and like see how many we can get in come on come


Everybody forced here ripping 2021 flawless collegiate football hobby one box number 35 left side serial numbers We'll do the random right now, and then we'll just get right to the box. Good. Look This is our last case of this product as well. These last two boxes here Three and four seven times name is seven times one two three four five six and seven Bobby D down to Jacob P and seven times on the numbers One two three four five six seven 19 down to 16 burger cheese burger cheese burger cheese something something There you go Bobby D 19 Ruben Y 9 Braden K 14 Richard W 2 Matthew M 20 she J with 13 Thomas W 12 Q Ling 25 Paul a 18 Ramirez for Matthew I 17 Tyler S8 Shane W 11 Braden K 5 Matthew M 10 John M 21 Adam M 7 Matthew M 15 Matthew I 23 Scott H 24 Scott F 3 Tyler Z 6 David V 1 and Thomas J 22 Jacob P 16. Let's get started get these posted Get your link. I'll call it the hits as we go along as well as far as who's who's There's a card number 12 out of whatever then that's your card That's how it works Everything's numbered to 25 or less And he comes out numbered 12 out of 15 12 out of 20 12 out of 25 does your call word? Yeah, 25 is a high signal My flawless is perfect for stuff like this. You can do like NT and stuff like this as well, but That's 99 99 spots You could do it like left side digits over NT We were right side right side. Yeah, left digit right side. I'm trying to say do that a zero through nine. Oh I see you're saying so like one you would have 11 21 31 41 Yeah, I see you've done that with flawless. I think before as well So it's like 10 spots of flow. Oh, I didn't pull that one off. What am I doing here? I think it's not your first day My first day guys, give me a break break easy on me Rachel only hired me because I was wearing a Patriots jersey Not only that is a Tom Brady Patriots jersey. All right, here we go First up is a Devon Lloyd rookie patch card seven of ten seven spot Adam M Devon Lloyd Good defender for the Jags Dual rookie patch cave on tip-a-doh 14 of 20 14 spot Braden K Braden with the the Duksters. He's there Rookie auto Cameron Thomas eight of 20 eight spot Tyler S. There he is net Brooklyn Nets legend Cameron Thomas I was gonna ask earlier how Kenzie was pulling Cam Thomas is by I guess I know she doesn't personals Next up is a Roger McCreary auto rookie two of 25 two-spot Richard W Roger McCreary Rookie patch out on the Kobe Dean 21 of 25 21 spot is John M. Yeah, playing in Super Bowl Nice cave on tip-a-doh 24 of 25 in the RPA Scott H with the The shoulder print there for the for the Duksters the RPA tip-a-doh 24 spot Scott H Dual patch auto to a tongue of my loa 12 of 20 Thomas W 12 spot yogi There you go, man. Nice to a Rookie Emerald two of five Jalen Tolbert two spot Richard W another rookie Emerald after this Diamond guarantee and it is Breeze Hall three of five three spots Scott F Breeze the Beast last hit of the box of the break is a sapphire Jim rookie auto Aiden Hutchinson six of 15 Tyler Z six spot Hutchinson blue sapphire color match with college and pro I guess really Yeah There you go, that'll do it. Thanks again. We got another one of those coming up just a minute here


Hi, everyone. This is Dr. Aviya Grawal from Maharashtra Institute of Medical Sciences and Research, Milana Ambala. And I'll be presenting a paper on a very rare topic, that is vein of gallin aneurysmal malformations, which seeks to be an insight for the neuro interventional radiologist to undo the gallin nod for surgeons. Coming to the abstract of the people, vein of gallin malformations are a very rare and unique entity, which forms the congenital malformations of the cerebral vasculature. They are due to the arterial venous fistulous connections of mishap and arteries in brain, with a persistent embryonic precursor of the vein of gallin, which is called the median present catholic vein of Marcosky, instead of connecting with the capillates. So we'll be reporting two cases today. The first case is that of a middle-aged man with intractable occipital headache. And the second case demonstrates the antinatal diagnosis of vein of gallin malformations in association with ventricular megalia and cardium megalia in routine antinatal scan at 30 weeks of the station in a twin pregnancy. Considering the rarity of these lesions, there are very few studies that have been able to adequately diagnose VOGM. So this makes the study very essential, radically essential for continuing developments in the diagnostic aspects of diagnosing and managing these lesions. Ultrason is the primary screening modality for vein of gallin malformations, followed by MRI, which is the diagnosis of choice. Coming to the introduction, vein of gallin malformations are a very rare arterial venous fistulous, which constitute less than 1% of all cerebral vasculomal formations. And they represent only 30% of the symptomatic vasculomal formations in the pediatric age. These lesions can be characterized by the presence of arterial venous shunts, keeping menopause and catholic vein patent, causing high flow pressure-related aneurysmal dilatation in the midline, forming a large venous pouch just behind the third ventricle. Steen heel in 1895 made the first reference to the gallelic malformation referring it to as varix aneurysm. Though these lesions are very uncommon, they are of special interest to the interventional neural radiologist, because endovascular therapy has alone itself to be proved as an effective and the only safe therapeutic modality. These lesions have been termed as the gaudier not for cerebral vascular surgery because of the major problems being faced during the surgery, which are as follows. These malformations are very deep-seated and have high flow shunt across them, which makes it very difficult during the surgery. They have got poor myelination of the brain pattern. Their tendency to tear easily on retraction and the ventricular shunting may worsen the cerebral venous hypertension. The case one is that of a 35-year-old man who presented with intractable occipital headache for the last five months. The patient was being evaluated for headache when his vitals were within normal limits and all the lab investigations were also normal. The patient during physical examination showed a GCS of 15 by 15 with optimal ophthalmological examination and there was no significant history of any seizure or loss of consciousness or ENTP, vomiting or any other. So, the cause tended to be a query, but then he went to CEMR brain with MRA scan, which revealed a well-subscribed T2A-hypo intense oval midline lesion, which measured approximately 30 into 25 into 23 MF, just dorsal to the third ventricle, as shown in Figure 1. In continuity with dilated straight sinuses and the dilated bilateral transverse sinuses that's resistive of vein of gallen aneurysmal malformation. This malformation also caused mass effect on membrane causing compression of aqueduct resulting in aqueductal stenosis and thus upstream hydrocephalus. This is CEMR T2 weighted and T1 weighted post contrast image showing aneurysmal dilatation of the midline median present catholic vein just behind the third ventricle which was resistive of the vein of gallen on axial sections. Figure 2 suggests the flare and the T2 T1 weighted post contrast images of median present catholic vein on societal sections showing their drainage into the straight sinuses and the tortula of hair of ally with aqueductal compression on midbrain and result in upstream hydrocephalus. Figure 3 is an MRI scan which shows multiple arterial feeders from bilateral posterior cerebral arteries and the basilar arteries attaching to the aneurysmal arterial venous aneurysm without any intervening needle status the capillaries. So as these malformations are direct connection between the arteries and veins there can be multiple arterial feeders which originated from bilateral PCAs and basilar arteries in this case and they were drained by right internal cerebral vein and the right basal vein of lozental with evidence of multiple dilated venous channels from inferior societal sinuses and superficial cortical veins as shown in Figure 4. Due to the high rate of morbidity and risk ratio associated with vein of gallen malformations the patient and his family members chose to continue on supportive treatment and observation. This is another image which shows a midline dorsal venous pouch of vein of gallen malformation just dorsal to the third ventricle showing a flow void on MRI scan on societal T2 weighted image with multiple arterial feeders and dilated venous channels and sinuses at specifically two different distinct levels. There was another case where a twin pregnant twin pregnancy woman presented for antenatal scan at 30 weeks of gestation. She was 28 year old and in fetus B we could evaluate these things. There was a tubular dilated anechoic structure draining blood from the dilated falsine sinus into the transverse sinus. The image B shows the pulsatile and the turbulent flow on color Doppler which was characteristic and consistent with vein of gallen malformation. So on transumptominal scan of fetus B, neurosynographically it was revealed that a tubular dilated anechoic structure was forcing from the spenium of the corpus callus towards the cisterna magnum showing a pulsatile and turbulent blood flow draining the dilated falsine sinuses and the tubular filofilla into the dilated transverse sinuses which was suggestive and consistent with vein of gallen anniversal malformation with mild cerebral ventricle omega as the association. Cross section of the fetal B chest showed slightly enlarged area of fetal heart in relation to the area of chest which was suggestive of mild cardiomegaly. These findings of cerebral venous hypertension and cardiomegaly were consistent with vein of gallen for which counseling and neurosurgical concentration of the parents was done. Coming to the discussion of the paper, development of the talent catholic chloride plexus is accompanied by simultaneous differentiation of the transit venous structure which brings these chloride plexuses and has been designated as median present catholic vein or the primitive internal cerebral vein. By the 11th week there's formation of paired internal cerebral veins which annexes or drains the venous drainage of these chloride plexuses. Formation of these internal cerebral veins results in regression of the median present catholic vein which was the primitive structure except for its most cordal part which joins the internal cerebral veins to form the vein of gallen. There's a flowchart which we have drafted explaining the pathophysiology of the vein of gallen malformations. So what happens is normally the developing internal cerebral veins, they annex the drainage of the fetal chloride plexuses and the median present catholic vein progresses. However, after birth there is high pressure from the arteries communicating with the venous system directly in case of these malformations as the capillaries are lacking. After birth there is exclusion of the low resistance of the placental circulation as well. There is a resultant abrupt increase of flow across these malformations resulting in vein of gallen malformation or the patent median present catholic vein. So this abrupt increase in the flow across this arterial venous malformation is can be can be due to three main reasons, being restriction of the venous drainage or there is or there being a decreased diastolic pressure in the aorta or a compensatory increase in cardiac output to maintain the perfusion. So restriction of venous drainage could be due to poorly developed venous drainage system or the secondary venous stenosis, venous occlusion or a high flow of emission. This all results in a cerebral venous hypertension. This system of creating a hypertension at the cerebral venous level causes the main neurological effects. So we'll be classifying the pathophysiology into the neurological effects and the cardiological effects. So cerebral venous hypertension causes the neurological events which mean cerebral edema, hydrocephalus, microcephaly, hypoxia, headaches, seizures, intracranial bleed and subarachnoid harm, which is focal neurological deficit and many more. There can also be a progressive cerebral parankimal damage from the venous hypertension or hypoxia which may lead to mental retardation, cognitive impairment and delayed milestones or failure to threats. There can also be a collateral drainage into cavernous sinuses as a compensation which can lead to increased flow in facial veins and derogatory venous plexuses forming their prominence and epistaxies or proctosis. If there is a decreased diastolic pressure in the aorta or if there is a compensatory increase in cardiac output to maintain the perfusion, we'll have the features of cardiac menstrual stations which mean pulmonary hypertension, high output cardiac failure and cardiometalline. There can also be reduced subendocardial or coronary flow leading to myocardial dishingion and if there is excessive flow across the pulmonary circulation it would lead to pulmonary hypertension. There will also be increased venous return in compensation to the increased cardiac output which may lead to motioning of blood from right to left side especially across the patent ductus arteriosus and the patent foramatove leading to cyanosis. So these were the pathophysiological features and their clinical manifestations. Principal feeders of the malformation are those that supply the telakorida and the quadrigeminal plate. These include the anterior or the present catholic group which consists of anterior cerebral anterior choroidal middle cerebral and posterior lateral choroidal arteries and the posterior or the mesent catholic group which consists of posterior medial choroidal posterior thalamoperforating quadrigeminal and superior cerebellar arteries. There can be abnormal flow through the fistulas which retards the normal involution of the embryonic vein that is the medial person catholic vein and prohibits the development of the vein of gallus. This non-reguration of medial person catholic vein which drains the shunt lacks a fibrous solid elastic wall and it lies free in the subarachromatic space therefore ballooning out to a larger size especially dorsal to the vertebral. So coming to the modalities for screening and diagnosing and diagnosis of vein of gallium malformations ultrasound it aids in the identification of vein of gallium especially in third trimester and which being a modality of choice and the only modality to screen in antinatal phenates and it helps in differentiation from other non-vascular space occupying lesions along with assessing the status of the fetal cardiovascular system or neurological system. It demonstrates a sonalus and venous sac as a mass located posterior to third ventricle with pulsatile flow and differentiates it from other midline cystic lesions as it was in the in this paper as well. On axial brain CT there can be features of cerebral parenchymal damage in the form of a few cerebral atrophy peri ventricular white matter I put in cities and dilated ventricular system. They can also be well defied multi-lobby littered intensity enhancing lesions within the system of vellum interposable. MRI is the modality of choice for these malformations demonstrating the location precise location of this fistula and the presence of the midas maybe the arterial as well as the venous and the relationship between different pathological components. MR angiography is used as a non-invasive tool and it is an alternative to diagnostic angiographic studies. However, angiography remains the gold standard for the diagnosis of vein of gallium malformations especially in evaluating small feeders subline the fistula as well as the dynamic aspects of the venous drainage of the normal vein and of this arterial venous shunt. These malformations can also be associated with other syndromes especially like turner syndrome, blue rubber syndrome, supineuronumeridine digits, hypospadias and some cardiac manifestations like transposition of great vessels or eartic stenosis and right side area of the clutch. This image shows the ideal treatment which is being followed nowadays for the vein of gallium malformations which involves the embolization and the endovascular therapy especially by neurointerventional radiologists. So a micro catheter is inserted and advanced up to the embolization site where glue and other embolizing agents are injected into the vessels causing the regression. However, aggressive medical management is needed in most cases mostly to postpone the intervention till up to 5 to 6 months of age when the intervention becomes easier and safer. In cases of congestive cardiac failure in a new unit whose refractory to medical treatment, emergency embolization is the need of indication. In units not presenting with cardiac failure, the aim would be to prevent the consequences of cerebral venous hypertension and thus promote normal cerebral development. Arterial venous fistulas can also be occluded on the arterial side using embolic agents such as coils, cyanocrylates and attachable balloons. They can also be dealt with embolization of the venous sac as in case of transvenous and trans-tortular coil embolization which are used to achieve low reduction across the malformations and it is the technique of choice in patients with multiple fistulas. It results in retrograde from bosses obliterating the fistulas and thus the malformations. This is an image post intervention showing how the treatment was performed and the prognosis of the patient wherein the normal brain circulation was bestowed after embolization and it led to reduction in the size of the malformation gradually over time. So concluding the paper, these entities, vein of gallant malformations, have a very varied and life-threatening clinical presentations with a characteristic distinctive complex angioarchitecture which is very essential for their early diagnosis especially for a caring physician who could understand the embryological and the pathophysiological aspects and manage these lesions appropriately. Both in prenatal and neonatal period or at the time of definitive intervention managing these lesions is of course challenging. Thus in near future and even at current scenario the role of imaging especially as a neuro interventional radiologist it is very essential in making these lesions potentially curable and helping the patients to have a better prognosis and low mobility. Thank you.


Chaplain of the Marine Corps, Rear Admiral Margaret Kibben, visited with female engagement team Marines at Camp Leatherneck, September 23rd. Kibben, the first female chaplain of the Marine Corps, spoke to the 2nd Marine Expeditionary Force Marines about how their work strengthens the bonds between coalition forces and the Afghan people. I feel very strongly about what the mission of that team is. It's a different element of military engagement, you know, it's one thing to be able to come in and to secure a town, but it's quite another to relate to the Afghans. Reporting from Camp Leatherneck, I'm Petty Officer Matt Snoggrass.


Hello, in this part I would like to work with queues, so it will be the basic example how to create a simple queue with a single receiver and a single sender. We will start from stm32 cube IDE, so I've got some ready workspace in front of me, I will start a new project, so I go to file new stm32 project. Just to remind you, in this training we are working with stm32 l476rg microcontroller which is soldered on Nucleo l476rg board. So I selected this one, click next, my project name would be to underscore queues underscore basic, then I would click just finish. Okay, finally we've got pinout of our microcontroller. Just to save the time you can reuse any of exercises from the front section. What we will do within this one, what we will need. First, within system core and sys, I would select debug as trace as a chronos sw, just to have swd plus single wire output, which is used to communicate some simple commands from tasks and interrupts within our code. Then I need to change the time-based source used by Harlibrary from default SysTik to, for example, timer six. It is due to the fact that SysTik is used already by the operating system. Then within this we will do not need any other hardware resources, we keep the clock configuration on default settings, so MSI for megahertz without any PLL. So we can go to middle worse and here we select freer toys and within this we select interface, so API inversion two, so CMS is V2 and within its configuration we'll keep at the moment default settings and the default includes and let's go to tasks and queues. There is already some default task defined over here, so I would rename it to our new task which would be sender one. I can do it by double click on its name. Priority normal will keep the same stack size 256, just to be sure that it would be enough memory for our operations and then the entry function would be start sender one. Then okay and let's add one more task, so go again to tasks and queues, I click add and this time it would be receiver. Priority again normal stack size 256 and the name of the function start receiver. Okay, next point would be to create a queue, so I click on within this queue area on add. Let's change this default name into queue one, number of components within the queue we will define to 8, limited to 8 and item size we will use 8 bit values without sign, so unsigned in 8. So in our queue we are planning to have maximum 8 components of 8 bit each. I create okay so now I can see two tasks and one queue as operating system components, so that's it for the configuration of our system. I can generate the code using for example this device configuration tool button, so it will take some time. We should be expecting to change the perspective to cc++, if not I can just manually switch to main.cfile. Within main.cfile I can see within the private variables part initialization, the declaration of OS components, so both tasks sender1 and receiver and queue. As you can see there is as well the definition of attributes of each component and within those attributes usually we are defining only the names within tasks as well priority and stack size. The rest of the attributes also the pointers to the memory structures are generated and filled automatically during the creation of those components. If we go below within main function we can see the hardware initialization of the complete system, so how it needs system clock config, our peripherals, so where we need we used on the GPIOs. Then there is initialization of kernel, so usually it is the hip initialization especially in hip4 and hip5 models. After this there is a creation of OS components which we define to the MEX part, so we create a queue and then both tasks. Then there is a kernel start and while one loop where we should never let's say reach this line. Let's go to our task entry functions, so our first function is a code for the sender, so it is called start sender1. Within this function we will add some local variable, so it will be 8 bit x initialized to 0 and then within let's say the endless loop we will first send some sign of life using some universal function, it is called task action. You can define within any action, so we can send data over UR, send data over ITM interface. In this particular example as in others within this training we will use ITM data send, as within STM32 cube IDE it is possible to put single wire output on data console, it is quite efficient way to have some additional debug interface. And as you remember within tube MEX part we have selected as well as SWO as an active pin within our debug interface. Okay we'll come back to this task action a bit later on. Let's focus now on let's say the implementation of our sender task code. So sign of life it is the first one, first line, the second line it will be sending some data into the queue, so as message control space put, then we've got only one queue, so I select this one, then there is a message pointer, so in our case it will be this x variable, its address, then priority. We are not using this so I put 0 and the timeout, so how much time I would like to try to send data over into the queue I would put 200 milliseconds. After this I would increase my variable just to be sure that the code is executed properly, so it should send the data from 0 to 9 and then from 0 again. After these those operations I would like to send my task, my sender task into blood state for one second. So it will be the implementation of sender and then let's implement our receiver task function body, so it is just below. So here we will define as well some local variable, it will be as well 8 bit without any sign and it will be some data taken from the queue. I would define it as 0 at the beginning, then I would start as well from sign of life, task action and it will be big R. After this I would try to get some data from the queue, last message and then again we've got queue handle and we need to define let's say our variable where we would like to store the data from the queue, then the priority we are not using this and the timeout so how long we'll wait for the data I would put 2 seconds. After this I will display what I just received, so it will be data plus 48. As I would send to the queue only digits from 0 to 9 I add this 48 to have the ASCII codes of the digits. We will not use any delay for this task, so it should try to get the data from the queue and of course in case of missing information in the queue it will be in a blocked state for maximum 2 seconds waiting for the data, so it would be the result. Now it is a time to define our task action function so I would use for this user code begin for, so this is only the skeleton and now we will fill the data inside. Okay, so let's come back to our task action just to be in line with our materials. I want to use exactly the same namings and moving our code would use 2 instructions, so it will be itm send char, so instrumentation trace macrosel send char, so single character, then I would send this one character and then just to start new message in newline I would use the sign of newline, that's it. Just to be compliant of C I put the declaration on top in the user code private function prototypes part and I will try to de-build the code using the hammer. My board is already connected, okay, so I start a debug session, I will just check whether everything is enabled, so I need serial wire viewer, my clock is 4 megahertz not 16, so I need to change it and I press apply and okay. I will reconnect my part. Okay, let's start our debug session, so I click on this back icon, okay, now I need to run my SWV itm data console. For those of you who started with this part already, you can find it within this quick access by SWV and then this data console is this itm data data console. Okay, we need to configure it first, so to enable this pin0 port0 as we are using single wire for the trace, before running the application I need to start tracing, so I press start trace and then I start my application. I can see something is coming, I will pause it, suspend the application, data execution and what I can see. I can see that the beginning was a receiver and then it was stopped because it was waiting for data from the queue. Then sender was selected by this scheduler, this is why I can see this big S over here and then sender sends this zero, the first character, first digit into the queue and it went to block state for one second. After this receiver has been selected by the scheduler, this is why I can see first zero and then receiver. It is due to the fact that if we come back to this, to our content we have a look on the receiver, so our receiver executed first this line, then it was blocked on this waiting for data and once sender sends this data to the queue, it has been unblocked and it was possible for this receiver to execute this line, this is why we can see as a third line this zero. After this, as we do not see any delay here, there is a second iteration of this loop, this is why we can see the SF4 element, the R receiver. Then receiver is waiting for next data in the queue, this is why it is in blocked state, so in the meantime scheduler is selecting the sender, so sender appears here, this is his, it's let's say sign of life and after this, again we can see first the digit, so this is one and then R, which is over here and story continues. So this is how it is behaving and now we will try to make this application a bit robust because we would like to be sure whether it was possible for us to get any data from the queue. Please have a look that within this function this OS message queue get, we are specifying the timeout given in milliseconds and this function can go, so it can pass with success of getting data from the queue, in this case we can see something within this variable RES, but it can return with error message, error message which can be for example timeout. So it would mean that it was not possible to get any data from the queue within this specified 2000 milliseconds timeout. And in our next step we will check what was the reason of passing into the line 266, so for the moment I would terminate the debug session and I would come back to code processing. Within this part we will have a closer look on this return value of OS message queue get, as I told you in the theoretical part it is OS status underscore T, very popular type within CMC's OS API and it is quite important to have a look on this return value especially if we are waiting for some OS components like queues, semaphores or mutexes. So in this case we will check whether this OS message queue get function returns correctly with a status zero, so OS okay, or it returns due to some issues for example with too short timeout, which is 2000 milliseconds in this case. So I would like to check this error state, this error state in our materials is defined within this local variable, but I would like to monitor this within my debugger, this is why it would be better to put it in as a global, so I go to this user code begin private variables part, this is my error state and it should be OS status underscore T type. Okay, so we've got this, I will build a code, start in debug session and I will try to add this error state to live variables. Here on the right side I can see the tab live expressions, I can add my error state over here, error underscore state and enter. At the moment we can see OS okay, OS okay means zero as you remember from our theoretical part, if I would use as well this SWV ITM data console I would start it and run, I can see this is still OS okay, so it seems it is working correctly. So let's do an experiment and within our experiment I would decrease this timeout to 200 milliseconds and rebuild the code, start in debug session okay, I would put this console live variables and let's start tracing and run application, oh you see it is executing from time to time as OS error timeout and we can we can see that receiver okay that what we can see on the screen, I pause it for a moment, you can see that we can see some the same values in the row, it is due to the fact that if we do not receive anything anything new within this REC value we'll have the same like previous iteration of this loop. So this is why we can see few times in a row, 9s, 8s etc. But what is important is this status as we observed we can see OS okay or OS timeout. OS timeout is a negative value which means that this timeout was too short to successfully get any data from the queue. This is why it is important to check really what is the return value of this function to be sure that we have something new from the queue or and we are not working on some let's say previous content. Okay the solution here could be as well to put OS wait forever and in this case we will wait for the data in the queue till we will have them. So it will be no other option to come back from this blocked state say from that the only only way to come back from this blocked state in this case would be to get any data in the queue. But in case we would like to use some timeouts it is good to check the return value of the of the function which is given by this OS message queue get. So this is that's all for this basic exercise concerning queues. In the next exercises we will focus on two topics the first one would be two senders and one receiver and next one would be how to handle more complex data using queues. So thank you for your attention.