#sdmts

[eltristan]

@espee-southernpacifc what was this that they got from Perris to San Diego? #pacific-electric

I’m so glad their saving some of these, I road these more times than I can’t count when I was little, 2 Seimens U2 LRV Units from the San Diego Metropolitan Transit System better known as the San Diego Redcar, here at Orange Empire Railroad Museum #OERM #Seimens #U2 #Trolley #Railroad #California #MTS #SanDiegoRedCar #LightRail #Trains #Railroad #Canon #EOS #7D #DSLR #EFS18200mm #IronHorseSteamPunkCarnivale #LAredcar #PacificElectric #📷

[osakanone]

Vet

Many suspected 'Vet' had stood for Veteran, for her experience.

Or maybe Vetenarian, for her proficiency with the esoteric physiology of pilots or for having put so many down in her day, being pilot herself who had escaped EOL as a doctor's assistant.

It is a misnomer that the holy names of pilots (callsigns to outsiders) - are given for feats of daring or cool. Each instead has a deeply humbling story behind it.

In Vet's case, she had once flown a tad too close to the sun, flirting with the Senior Duty Matron Saint Joan, of the French core exchange after DACT (Dissimilar Air Combat Training):

All in the hope of scoring some French combat stim packs, having lost her own in a game of poker. It was quite a gamble!

The loss had left her moody for a week now. Worse, it screwed up the combat reward link of her machine which during DACT, not only robbing her of the training's effectiveness but all that queening and peacocking everyboy else got to do that she didn't.

Truly, there is nothing worse than being the sole sober when everybody else is high, especially with so many new faces around.

Joan had of course seen through this, but had taken pity anyway.

Vet was found strug up drugged, naked and gleaming, and kissed with bruises and bites, crucified to the head of her Ambulator, "Oy", (short for Old Yeller).

"Je petit petit pois…", "Je suis petit pois…", she repeated, occasionally broken with fits of laughter and hissing shivers of joyous ache, much to the worry of her core.

It was later found that Vet was on ten times the normal dose which had shocked the staff nurse, Joan reassuring them she'd been stabilized via a metabolic twist of CYP450, and CYP3A with pinot and grapefruit juice ( a technique she called a "Jackson Pollock" which confused everybody until they saw the state of the hangar floor).

Vet was of course, short for "Vetch": a tiny bitter edible plant.

The petname Joan had given her.

You could always tell when the SDMT had written Vet, because her bedside manner improved.

--

"Anal glands in need of expression… Progesterone oil, prostate massage, the usual", her voice sounded with all the enthusiasm of a tired service-worker to the audio-log.

"Back to me, knees apart, Pilot"

No letters today.

[nursingwriter]

Visual-Cognitive Processing Deficits in Pediatric Multiple Sclerosis Multiple Sclerosis (MS) is thought to be an autoimmune disorder which affects the central nervous system. According to the National Pediatric MS Center, in MS, myelin is lost in multiple areas, leaving scar tissue called sclerosis. When myelin or the nerve fiber is destroyed or damaged, the ability of the nerves to conduct electrical impulses to and from the brain is disrupted, and this produces the various symptoms of MS. One of these symptoms is cognitive dysfunction. According to the National Pediatric MS Center, approximately 50% of individuals with MS will develop problems with cognition. While the disorder is typically diagnosed in individuals between the ages of 20 and 30, approximately 5% of the cases diagnosed are children (National Pediatric MS Center). Additionally, the National Multiple Sclerosis Society reports that 2% to 5% of adult patients with MS report having symptoms prior to age 18. There are several challenges unique to the assessment and treatment of children with MS. First of all, because the symptoms of MS are similar to other childhood disorders, it is difficult to diagnose (National Multiple Sclerosis Society). Additionally, children may experience symptoms such as seizures and mental status changes that are not present in adults with MS (National Multiple Sclerosis Society). Finally, Smerbeck et al. (2011) report that cognitive impairments may be more significant in children than adults with MS because the central nervous system is still developing. Language impairment and verbal intelligence are particular concerns (Smerbeck, et al.). Therefore, valid and reliable assessment tools are crucial for identifying these cognitive impairments in children with MS. This paper will review a study designed to evaluate the validity of two such assessments. Purpose of Research Study According to Hubley (2010) the Brief Visuospatial Memory Test-Revised (BVMTR) is designed to measure visuospatial learning and memory in adults. The purpose of the Symbol Digit Modalities Test (SDMT) is to provide a screening tool for detecting patients, children as well as adults, who have disease, damage, or dysfunction implicating the cerebral hemispheres (Reed, 2010). The purpose of the research study conducted by Smerbeck et al. (2011) was to determine the sensitivity and validity of these instruments in assessing cognitive impairments in pediatric Multiple Sclerosis. Description of Methodology Smerbeck et al. (2011) conducted a study with 43 children who were diagnosed with MS and 45 who were healthy. The participants with MS were selected from two clinics in the U.S. Pediatric MS Network in New York. The researchers excluded participants who "evidenced poor English proficiency, premorbid developmental delay, substance abuse or dependence, vision worse than 20/70 corrected, or behavioral problems that precluded testing completion" (Smerbeck et al., 2011, p. 450). Healthy participants were recruited from the Buffalo, NY area. Researchers matched a healthy control similar in demographics such as age, sex, handedness, race, and education level of parents to a study participant with MS to compare assessment results (Smerbeck et al.). Social histories, including demographic information, medical and educational history, and family history were gathered from the parents of the participants. Participants were administered several assessments including: the vocabulary and visual problem solving subtests of the Wechsler Abbreviated Scale of Intelligence (WASI); the Expressive One Word Picture Vocabulary Test (EOWPVT), the Behavior Assessment for Children -- Second Edition, Parent Rating Scales (BASC-2, PRS) Depression subscale; the BVMTR; and the SDMT (Smerbeck, et al., 2011). Assessment results were analyzed using SPSS/PASW version 18 (Smerbeck et al.). Conclusions of Study The study found that MS patients performed "significantly worse" than the healthy participants on both the BVMTR and the SDMT (Smerbeck, et al., 2011). Smerbeck et al. report that the MS participants scored almost 1 standard deviation below control participants on the BVMTR and 0.69 of the standard deviation lower on the SDMT. According to Smerbeck et al., these results support their hypothesis that "pediatric MS patients achieve significantly lower scores than typically developing controls on tests of visual processing speed and memory" (p. 453). The researchers concluded that the BVMTR and the SDMT could be used in detecting and monitoring pediatric patients with MS. Implications of Study Smerbeck et al. (2011) explain that cognitive impairments are a significant burden for children with MS. In order for teachers and other educational professionals to provide accommodations or remediation to address these impairments, the impairments have to be identified. Smerbeck et al. suggest that due to the ease of administration and scoring as well as the ability to repeat the assessments over time due to multiple forms, the BVMTR and SDMT are effective tools for this purpose. Additionally, the instruments may be used to monitor cognitive performance over time. Ethical Issues Involved in study The American Psychological Association's (APA, 2010) Code of Ethics provides several guidelines for use in conducting research and assessment. First of all is the requirement of informed consent. According to the APA, informed consent includes an explanation of the nature and purpose of the assessment, fees, involvement of third parties, and limits of confidentiality and sufficient opportunity for the client/patient to ask questions and receive answers. The second ethical issue is releasing of test data. Researchers are required to maintain confidentiality of individual's test results unless required by law to release the results (APA). Additionally, researchers are required to take into account the purpose of the assessment as well as the various test factors, test-taking abilities, and other characteristics of the person being assessed, such as situational, personal, linguistic, and cultural differences, that might affect psychologists' judgments or reduce the accuracy of their interpretations when interpreting test results (APA). In order to alleviate these differences, the researchers in this study excluded participants who were limited English speakers, or who had other cognitive impairments that would impact their results. Your Reactions to and Critique of the Study The study was conducted with an adequate sample of diverse participants. Additionally, researchers were careful to match MS participants with demographically similar healthy participants. However, the researchers of the study provided several limitations of the study. The first limitation is the absence of an external criterion for impairment (Smerbeck, et al., 2011). One such external criterion could be academic achievement. The study would have been stronger had it provided academic achievement data for the participants to determine the impact of the cognitive impairment. The second limitation, according to Smerbeck et al., is that the results of the BVMTR may have been impacted by fine motor coordination deficits. Smerbeck et al. suggest that this limitation could be overcome in future studies by including a measure of fine motor skills. Finally, Smerbeck et al. acknowledge that impairment in the oculomotor system may have impacted the particpants' performance on the SDMT. Relevant Questions One of the questions this writer has for the researchers relates to the length of time since the diagnosis of MS of the study participants. One of the concerns and one of the suggested future uses of the assessments, identified by the researchers is the fact that it did not identify how the cognitive impairments accumulate over time (Smerbeck, et al., 2011). This leads to several questions. Are cognitive impairments impacted by the age of onset of the disorder? Are there critical periods of brain development in which the onset of MS will have more of an impact on cognitive impairment? References American Psychological Association. (2010). Ethical principles and psychologists code of conduct: 2010 amendments. Retrieved from http://www.apa.org/ethics/code/index.aspx?item=4# Hubley, A.M. (2010). Review of the Brief Visuospatial Memory Test-Revised. Mental Measurements Yearbook. Retrieved from EBSCOhost. National Multiple Sclerosis Society. (n.d.). Pediatric (Child) MS. Retrieved December 4, 2011, from http://www.nationalmssociety.org/about-multiple-sclerosis/pediatric-ms/index.aspx National Pediatric MS Center. (n.d.). About MS. Retrieved December 4, 2011, from http://www.pediatricmscenter.com/WhatisMS.aspx Reed, J.C. (2010). Review of the Symbol Digit Modalities Test. Mental Measurements Yearbook. Retrieved from EBSCOhost. Smerbeck, A., Parrish, J., Serafin, D., Yeh, E., Weinstock-Guttman, B., Hoogs, M., . . . Benedict, R. (2011). Visual-cognitive processing deficits in pediatric multiple sclerosis. Multiple Sclerosis Journal, 17(4), 449-456. Read the full article

[san-diego-mts]

For legal reasons i would like to clarify that I am in no means an official account for the San Diego MTS. In fact, I'm beneficial to the operations of the SDMTS as I am free advertising. So really, they should pay ME.

RIP @firefox-official may you rest in peace

[cmofny]

Navigating the Neuro-Maze: Unveiling the Dynamics of Post-Concussion Assessment in New York

In the labyrinth of neurological challenges, post-concussion tests have emerged as beacons of insight, unraveling the enigmatic consequences of head injuries. Today, we delve into the intricacies of post-concussion assessments in New York, shedding light on the avant-garde methodologies employed by experts at the forefront of cognitive well-being.

Unraveling the Neuro-Knot

Navigating the cognitive aftermath of a concussion demands precision, and in the bustling metropolis of New York, the quest for clarity begins with cutting-edge post-concussion tests. The neurological landscape, intricate and dynamic, necessitates a comprehensive assessment that transcends the conventional.

The Pinnacle of Assessment: Unveiling the BRAVO Approach

At the helm of post-concussion evaluation stands the BRAVO method, a paradigm shift in the domain of neuro-assessment. Spearheaded by the trailblazers at https://concussionmanagementofny.com/, this innovative approach transcends traditional confines.

BRAVO, an acronym for Brain Resilience Assessment and Vigilant Observation, signifies a departure from mundane assessments. It incorporates an eclectic amalgamation of cognitive challenges, unveiling layers of neuro-resilience and cognitive prowess.

The BRAVO Journey: A Brief Expedition

Embarking on a BRAVO post-concussion assessment, individuals encounter a mosaic of cognitive puzzles designed to scrutinize every facet of neuro-functionality. From rapid-fire cognitive drills to intricate memory challenges, the BRAVO method navigates the neural circuitry with finesse.

The Neuro-Orchestra: A Symphony of Cognitive Challenges

Picture this: a neuro-orchestra, where each cognitive challenge plays a unique tune in the symphony of assessment. Neurologists orchestrate tests like the Symbol Digit Modalities Test (SDMT), assessing processing speed and working memory, and the California Verbal Learning Test (CVLT), unraveling the intricacies of verbal memory.

Meanwhile, the Maze Navigation Task simulates real-world spatial challenges, providing invaluable insights into executive functions. These assessments, meticulously curated, form the backbone of BRAVO, transcending the commonplace.

Beyond Traditional Metrics: The Neuro-Expanse Unveiled

What sets BRAVO apart is its departure from traditional metrics. Rather than confining evaluation to mere numerical scores, BRAVO embraces a holistic interpretation. Cognitive resilience and adaptability become paramount, fostering a nuanced understanding of neuro-functionality post-concussion.

The BRAVO Report: Decoding the Neuro-Labyrinth

Post-assessment, individuals receive a BRAVO Report, a comprehensive dossier unraveling the intricacies of their cognitive journey. The report, akin to a personalized roadmap, outlines strengths, weaknesses, and avenues for cognitive fortification.

The BRAVO Approach in the New York Landscape

Amidst the skyscrapers of New York, the BRAVO approach has found its niche in the realm of post-concussion assessment. Neurologists at https://concussionmanagementofny.com/ meticulously apply this avant-garde method to unravel the cognitive tapestry of individuals grappling with the aftermath of concussions.

Beyond the Neuro-Frontiers: A Glimpse into the Future

As we traverse the neuro-frontiers, it's imperative to glimpse into the future. The landscape of post-concussion assessment continually evolves, with emerging technologies like virtual reality (VR) and artificial intelligence (AI) poised to redefine the parameters of cognitive evaluation.

Imagine a future where individuals undergo VR simulations, replicating real-world scenarios to assess cognitive responses. AI algorithms, fine-tuned to decipher nuances in neuro-functionality, promise a personalized approach to post-concussion management.

Conclusion: Nurturing Cognitive Resilience in the Concrete Jungle

In the ever-evolving landscape of neuro-assessment, the BRAVO approach stands as a testament to the commitment to unraveling cognitive intricacies. As New York pulsates with energy, individuals grappling with post-concussion challenges find solace in the innovative methodologies championed by https://concussionmanagementofny.com/.

The journey through post-concussion assessment becomes a symphony, where the BRAVO method orchestrates a harmonious exploration of cognitive nuances. In the concrete jungle of New York, the pursuit of cognitive well-being transcends the ordinary, ushering in a new era of neuro-centric care.

As we navigate the neuro-maze, let the echoes of BRAVO reverberate, fostering cognitive resilience in the heart of the city that never sleeps.

[azlovesem]

All media Emma and i mean sll fuckn media ediecially american nonsrnsebinline is dross. Americans dribble stoss a lot. Fir some reason those stupid assholes who i bested all kg them. Those fuckn neo notes who nevef jusf dhut the fuck up..ill pinch out any goof americant slive. As in cabt fuck with ne Emma. Theyre nosey goof fuckn losers Emma. Especially with the relationship advice. I kearn ni kesson from sny snericsn exceot open fire and shut their stupud asses doen. Theyyre Upset Emma Watson because i neat the fuck riggt out of them jn front of dveryone and rmbarassed them allllll. Nig obe american slive looks anywhere like a chsmp like mr riggt now. Because i ounched you the fuck out for uour own good. Now rveryone knows im boss. Yiu just aint that great compared to ke i think Emma thinks do niw. Strp up i said duel of sny kind ill crush uiu in front of earth. Stupid. Joe rogan fuck that fuckn idiot. Nis 357 automag. Fuck fighting. Idiot. Fucon ufo alien sdmt using nin cum poop. Fuck ur fiighters ill fuckn dnash them. Ha ha ill use a .357 magnum on uou. Ah he loses. Who csn put thet pychopath in office?

[metrotransitarchives]

#metrotransitarchives #moovit #sandiego #california #oldtown #streetphotography #portrait #masstransit #metrotransit #SDMTS #MTS #gillig #CNG #lowfloor #transit #buses #publictransportation (at San Diego, California) https://www.instagram.com/p/Ch_CXIzv6t3/?igshid=NGJjMDIxMWI=

[debones-evolved]

What I did on Christmas

[nanukanal]

Beinahe alle, die neueren aber jetzt nicht (meine sdmt hyperfixation war so 2021)

honestly rabbat tbh oder lunas falke (dessen name mir grade nicht kommt)

hab damals unnötig lore für die morrison family gemacht ahhaha

Hast du deine eigenen headcanons für Charaktere? Oder generell the universe?

WAIT DU KENNST DIE SCHULE DER MAGISHEM TIERE?!??

HOLY SHIT LETSS GOOOO

JAAAAAAAA

[a-disaster-piece]

#tbt…Peace on Earth (or at least, on the bus). ✌️🌎☮️ Snapped this meaningful moment during what seems like another lifetime, while living in San Diego. #peace #paz #peaceonearth #pazdelmundo #worldpeace #bus #buscommuter #publictransport #publictransportation #SanDiegoMTS #SDMTS #community #languages #throwback #memories #nostalgia @sdmts (at San Diego, California) https://www.instagram.com/p/CO0bGQqAKtz/?igshid=3zzd25t221hr

[san-diego-mts]

SDMTS TOP TIP:

All the lesbians are on the surfliner, leaving all the gays on the trolley

(the straights take the nctd sprinter)

[espee-southernpacifc]

No... that's at OERM/SCRM. SDMTS 1003 and 1008 Seimens U2 were retired there from San Diego. U2 1001 is still in the MTS Heritage Fleet with the PCC car.

I’m so glad their saving some of these, I road these more times than I can’t count when I was little, 2 Seimens U2 LRV Units from the San Diego Metropolitan Transit System better known as the San Diego Redcar, here at Orange Empire Railroad Museum #OERM #Seimens #U2 #Trolley #Railroad #California #MTS #SanDiegoRedCar #LightRail #Trains #Railroad #Canon #EOS #7D #DSLR #EFS18200mm #IronHorseSteamPunkCarnivale #LAredcar #PacificElectric #📷

[sdsuadmissions]

SDSU and MTS have teamed up to make an SDSU-themed trolley! The designs consist of the 120 year anniversary celebration of SDSU, SDSU Football, and Hepner Hall!    See the designs at: http://newscenter.sdsu.edu/sdsu_newscenter/news_story.aspx?sid=76894 

[johnychen]

Seven Dwarfs Mine Train Roller Coaster Low Light Wide Angle 4K POV Walt ...