Category Archives: Anatomy

Anatomy

Dissecting the Anatomy of Planetary Nebulae Using the Hubble Space Telescope – SciTechDaily

On the left is an image of the Jewel Bug Nebula (NGC 7027) captured by the Hubble Space Telescope in 2019 and released in 2020. Further analysis by researchers produced the RGB image on the right, which shows extinction due to dust, as inferred from the relative strength of two hydrogen emission lines, as red; emission from sulfur, relative to hydrogen, as green; and emission from iron as blue. Credit: STScI, Alyssa Pagan

Images of two iconic planetary nebulae taken by the Hubble Space Telescope are revealing new information about how they develop their dramatic features. Researchers from Rochester Institute of Technology and Green Bank Observatory presented new findings about the Butterfly Nebula (NGC 6302) and the Jewel Bug Nebula (NGC 7027) at the 237th meeting of the American Astronomical Society on Friday, January 15, 2021.

Hubbles Wide Field Camera 3 observed the nebulae in 2019 and early 2020 using its full, panchromatic capabilities, and the astronomers involved in the project have been using emission line images from near-ultraviolet to near-infrared light to learn more about their properties. The studies were first-of-their-kind panchromatic imaging surveys designed to understand the formation process and test models of binary-star-driven planetary nebula shaping.

Were dissecting them, saidJoel Kastner, a professor inRITs Chester F. Carlson Center for Imaging ScienceandSchool of Physics and Astronomy. Were able to see the effect of the dying central star in how its shedding and shredding its ejected material. Were now seeing where material that the central star has tossed away is being dominated by ionized gas, where its dominated by cooler dust, and even how the hot gas is being ionized, whether by the stars UV or by collisions caused by its present, fast winds.

On top is an image of the Butterfly Nebula (NGC 6302) captured by the Hubble Space Telescope in 2019 and released in 2020. Further analysis by researchers produced the RGB image on the bottom, which shows extinction due to dust, as inferred from the relative strength of two hydrogen emission lines, as red; emission from nitrogen, relative to hydrogen, as green; and emission from iron as blue. Credit: STScI, APOD/J. Schmidt; J. Kastner (RIT) et al.

Kastner said analysis of the new HST images of the Butterfly Nebula is confirming that the nebula was ejected only about 2,000 years agoan eyeblink by the standards of astronomy and established that the S-shaped iron emission that helps give it the wings of gas is even younger. Surprisingly, they found that while astronomers previously believed they had located the nebulas central star, that previously-identified star is actually not associated with the nebula and is instead much closer to Earth than the Butterfly Nebula. Kastner said he hopes that future studies with the James Webb Space Telescope could help locate the real dying star at the heart of the nebula.

The teams ongoing analysis of the Jewel Bug Nebula is built on a 25-year baseline of measurements dating back to early Hubble imaging. Paula Moraga Baez, an astrophysical sciences and technology Ph.D. student from DeKalb, Ill., called the nebula remarkable for its unusual juxtaposition of circularly symmetric, axisymmetric, and point-symmetric (bipolar) structures. Moraga noted, The nebula also retains large masses of molecular gas and dust despite harboring a hot central star and displaying high excitation states.

The RGB image on the right reveals the spatial separation of molecules CO+ (red) and HCO+ (blue), indicative of UV and X-ray processes, respectively. The much deeper optical image of [O III] (green) provides a juxtaposition of the ionized atomic structure and that of radio molecular observations. Credit: STScI, Alyssa Pagan; J. Bublitz (NRAO/GBO) et al.

Were very excited about these findings, said Bublitz. We had hoped to find structure that clearly showed CO+ and HCO+ spatially coincident or entirely in distinctive regions, which we did. This is the first map of NGC 7027, or any planetary nebula, in the molecule CO+, and only the second CO+ map of any astronomical source.

Meeting: 237th meeting of the American Astronomical Society

In addition to Kastner, Moraga, and Bublitz, the research team involved in the HST imaging work includes Rodolfo Montez Jr. 10 Ph.D. (astrophysical sciences and technology) from Harvard-Smithsonian CfA; Bruce Balick from University of Washington; as well as Adam Frank and Eric Blackman from University of Rochester. Bublitzs international team of collaborators on radio molecular line imaging of NGC 7027 includes Kastner, Montez Jr., and astrophysicists from Spain, France, and Brazil.

Continue reading here:
Dissecting the Anatomy of Planetary Nebulae Using the Hubble Space Telescope - SciTechDaily

Anatomy

Anatomy of… the Australian Open Covid crisis | Sport | The Sunday Times – The Times

Trouble flies inCharter flights carrying more than 1,200 people from seven separate cities began to arrive in Melbourne on January 14. With positive tests recorded by non-playing personnel on flights from Los Angeles and Abu Dhabi, 72 players, including Britains Heather Watson and Victoria Azarenka, of Belarus, were deemed as close contacts and ordered to remain inside their hotel rooms for two weeks. Videos soon emerged of players hitting balls against mattresses and windows.

Grumbling over grubFor some players, the food in quarantine was not up to scratch. Fabio Fognini, the world No 17 from Italy, was among those to post uncomplimentary photographs of the meals being delivered to his room, while Frances Benot Paire decided to order a McDonalds delivery for breakfast

Read more:
Anatomy of... the Australian Open Covid crisis | Sport | The Sunday Times - The Times

Anatomy

3-D Printing and Computer Aided Design Aids Structural Heart Interventions – Diagnostic and Interventional Cardiology

With increasing complexity of interventional structural heart disease and congenital heart disease interventions, 3-D printing of the anatomy is being used for pre-planning and practicing procedures, device sizing and as a visual reference for the soft tissue during procedures. 3-D printing has become more popular within the medical space as it has been shown to help prevent, fix and foresee procedural errors.

Many lather hospitals are integrated 3-D printing services to better personalized patient care. These centers have 3-D printing labs to create accurate anatomical models from a patient's computed tomography (CT) scans.

However, printed models of the heart show one momement frozen in time from a dynamic organ that changes shape and twists throughout the cardiac cycle. For this reason, some centers are now also using computed aided design (CAD) software that can virtually model the anatomy during the entire cardiac cycle. This enables more accurate valve sizing and to model what happens when a device is placed in a moving heart.

In the setting of paravalvular leaks around failed surgical devices, many times patients are not candidates for a second or third redo operation due to progressive underlying frailty. The leaks are often plugged using off-label transcatheter occluder devices. These highly complex procedures once took five to seven hours in duration, but 3-D printed models of patient-specific anatomy now offers a better understanding of the leaks and can help preplan procedures with device sizing and how these occluder devices will interact with adjacent anatomy. Use of 3-D models can decrease procedural time by up to a half.

A 2018 study by the University of Minnesota in Minneapolis examined the effectiveness of 3-D printing and computer modeling to predict paravalvular leak (PVL) in patients undergoing transcatheter aortic valve replacement (TAVR). A common risk of TAVR is an ill-fitting valve which can lead to PVL. The study used 3-D printing technology to help confirm and detect the location of the leak. CT scans allowed researchers to see a 360-degree view of the location of the calcium build up while the 3D models allowed researchers to further evaluate the ill-fitting valves. The 3D aortic root models were then virtually implanted with the valve to determine if the size was correct and revealing where there were leaks around the areas of heavy calcium. The models were ethen compared to in-vivo implanted TAVR echocardiograms.

Every leak seen on the 3D models were confirmed on the CT digital scans. The 3D models allowed researchers to use prototypes to personalize valve placement, size and location to stop leaks and lower calcium build up.

We are very encouraged to see such positive outcomes for the feasibility of 3D printing in patients with heart valve disease. These patients are at a high risk of developing a leak after TAVR, and anything we can do to identify and prevent these leaks from happening is certainly helpful, said lead author Sergey Gurevich, M.D., assistant professor of medicine, Cardiovascular Division at the University of Minnesota in Minneapolis, Minn. Like any other new technology, as 3D printing evolves, we hope to see an increase in accessibility and opportunity for the use of this technology to help improve patient care.

For transcatheter left atrial appendage (LAA) occlusion procedures, 3-D printing can be used to understand the best location of a transeptal puncture to enable the delivery catheter to enter the LAA, explained Dee Dee Wang, M.D., director, structural heart imaging at Henry Ford Hospital, Detroit. She said these models also can help determine which catheters are best suited to that particular patient's anatomy. This preplanning can save procedure time and the need to exchange multiple devices.

"It allows us to be able to feel a patient's heart that we otherwise could not, because we are not surgeons, and that tactile sensation and concept of special resolution in being able to turn the heart outside the body, really gives us a better idea of the procedure before we go into it," Wang explained.

Another use case for in-house medical 3-D printing is to create surgical models to help cardiac surgeons plan complex cases. This is especially true with multidisciplinary cases in interventional radiology, cancer surgery and pediatric cardiac surgery. These types of models are used at Florida-based Nemours Childrens Health System as a pre-planning blueprint and roadmap for surgeons and proceduralists. The hospital said these help increase confidence, reduce procedure times and minimizing unexpected findings while in the operating room.

The simulation aspect of 3-D modeling is a game changer. To be able to look at a model of a tumor from all angles, without the restrictions of a 2-D image on a computer screen, is completely changing how we are planning complex surgery, said Craig Johnson, DO, chair of medical imaging and enterprise director of interventional radiology.

Using modified models from volumetric 2-D CT and magnetic resonance imaging (MRI), physicians can run simulations of the surgery and more accurately determine the tools they will need, with the multidisciplinary team involved, cutting down on waste. For example, certain models enable surgeons to drill holes in them to measure and select the appropriate medical equipment to use during the procedure.

Three-dimensional modeling prepares us by helping us know exactly what were going to do. We do not have to plan on the spot if we come across something unexpected. Instead weve had imaging from radiology as well and the model, said Tamarah J. Westmoreland, M.D., Ph.D., a pediatric surgeon at Nemours Childrens Health System. The surgery is almost like a musical concert. It is rehearsed, planned and then executed without complication.

Nemours also found 3-D models are invaluable in explaining procedures to patients and their families. An echo, MRI or CTR can be difficult for a parent to conceptualize, so the Nemours team uses a true-to-size 3-D model of that patient. In many cases, the patients have the high-fidelity models next to them in their room as care teams explain their treatment plan.

When we use a model to explain to a parent or a child a procedure, its clear, this approach is different, Johnson explained. They are able to visualize what we are going to do and it sets them at ease.

Jessica Lewis is the mother of a Nemours patient and experienced this firsthand. Her 13-year-old son, Malachi, had a rare congenital coronary artery anomaly and needed cardiac surgery at Nemours.

I was able to turn the model of my sons artery around and look at it from all sides, said Lewis. The more educated you are about the procedure, the more empowered you feel because you completely understand what is going on with your child.

One of the most import applications for CAD currently is to determine if there will be left ventricle outflow tract obstruction when placing a transcatheter metal valve. This is especially true with devices like the Edward Sapian transcatheter aortic valve replacement (TAVR) device used in the mitral valve position. The Sapian is frequently used in very sick patients with dysfunctional mitral valves who cannot undergo surgery, and currently there is no FDA cleared transcatheter mitral valve available.

She said experience with implanting Sapian in mitral valves, recording LVOT gradients and looking at post-procedure CTs allowed Henry Ford to developing computer modeling using CAD software from 3-D printing vendor Materialise to better predict which patients will have poor outcomes, or require more advanced procedures to better fit the valve using alcohol septal ablation or use of the LAMPOON procedure to cut the mitral leaflet to prevent LVOT obstruction.

"When we made a 3-D printed model it made perfect sense to us, but after doing so many prints we realized we can visualize the valve without having to actually physically print it," Wang said from Henry Ford Hospital's experience. "We do both computer modeling and printing so we can have better communication between the surgeon, implanter and the patient prior to the procedure. This enables everyone to speak the same language, because a surgeon may explain something differently than an interventionists who does not actually cut into the patient."

Henry Ford has now used 3-D printing and CAD in well over 1,000 patients.

She said CAD and 4-D CT imaging also has had a major impact on Henry Ford's LAA occlusion outcomes. "We have shown from our structural heart experience that using 3-d CT, 4-D CT and 3-D printing that we could actually have zero complications compared to the clinical trial average, which was 16 percent," Wang said. In addition to improving outcomes, she said they were able to reduce the number of devices used and the procedural time. "From a hospital administrator standpoint means a faster, more efficient lab. They can do more procedures, and for an implanter, they have the confidence they need to do the procedure."

As more hospitals use 3-D printing and CAD technologies, many medical imaging vendors have partnered with established 3-D vendors to offer their software integrated into their advanced visualization, PACS or enterprise imaging platforms.

An example of this include Philips integrating software from both 3D Systems and Stratasys, two global leaders in the 3-D printing industry, into its IntelliSpace Portal. The embedded 3-D modeling application can create and export 3-D models intuitively into the clinical workflow. The suite of clinician-focused rendering and editing tools helps assure the model reflects the true patient anatomy.

3D Systems precision healthcare capabilities include virtual reality simulators, 3-D-printed anatomical models, virtual surgical planning, patient-specific surgical guides, instrumentation and implants. Their solutions help to speed care and treatment and reduce costs.

Stratasys is a supplier of applied additive technology solutions, from 3-D-printed surgical planning models and medical device prototyping to advanced education and training. Stratasys' PolyJet-based full-color, multi-material 3-D printing solutions drive high-quality realism. Interfacing with Philips, customers can now rapidly design, order, and produce 3-D-printed anatomical structures on-demand from Stratasys Direct Manufacturing.

Some larger advanced visualization vendors offer partnerships with 3-D printing companies where STL (standard triangle language) files for printing can be created from medical imaging and then sent to an outside company for custom printing orders. This can save costs by outsourcing 3-D printing rather than deleting an in-hospital printing lab.

Other vendors have developed their own software or partnered with hospitals with advanced 3-D printing programs to integrate the technology into their own platforms. GE Healthcare is one of the vendors that has such software, allowing files for printing to be created from CT datasets using the AW Advanced Visualization software.

See and example of the GE technology for a hip fracture repair

In August 2017, the U.S. Food and Drug Administration (FDA) announced that software intended to create output files used for printing 3-D patient-specific anatomical models used for diagnostic purposes is a Class II medical device and requires regulatory clearance.

The FDA has approved 3-D applications for medical use. The first FDA clearance came in March 2018 for Materialise NV became the first company in the world for 3-D printing anatomical models for diagnostic use. Materialise Mimics inPrint software is used for pre-operative planning and the fabrication of physical models for diagnostic purposes, including patient management, treatment and surgeon-to-surgeon communication.

Bioengineers at several academic centers have been refining 3-D printing technologies to print replacement biological tissues to implant in the human body. The eventual goal is in the future is to print replacement organs.

In the realm of cardiovascular medicine, a couple of these 3-D printing technologies to expect on the horizon soon will be bioprinted heart valves, of blood vessels for use in bypass procedures and tissue patches that might be used to repair areas of infarct.

This science fiction-like technology is rapidly developing. The biggest obstacle has been being able to print very detailed, complex structures, such as tissue vasculature. In 2019, bioengineers collaborating from Rice University, University of Washington, Duke University and Rowan University cleared a major hurdle on the path to 3-D printing replacement organs with a breakthrough technique that enabled exquisitely entangled vascular networks. The technique can mimic the body's natural passageways for blood, air, lymph and other vital fluids.

Layers are printed from a liquid pre-hydrogel solution that becomes a solid when exposed to blue light. A digital light processing projector shines light from below, displaying sequential 2-D slices of the structure at high resolution, with pixel sizes ranging from 10-50 microns. With each layer solidified in turn, an overhead arm raises the growing 3-D gel just enough to expose liquid to the next image from the projector.

"One of the biggest road blocks to generating functional tissue replacements has been our inability to print the complex vasculature that can supply nutrients to densely populated tissues," said bioengineer Jordan Miller, assistant professor of bioengineering at Rice University's Brown School of Engineering. "Further, our organs actually contain independent vascular networks like the airways and blood vessels of the lung or the bile ducts and blood vessels in the liver. These interpenetrating networks are physically and biochemically entangled, and the architecture itself is intimately related to tissue function. Ours is the first bioprinting technology that addresses the challenge of multivascularization in a direct and comprehensive way."

To Access the Online 3-D Printing and Printing Services Comparison Chart

VIDEO: Applications in Cardiology for 3-D Printing and Computer Aided Design

3-D Printed Heart Models Displayed at SCCT

Researchers 3-D Print Lifelike Heart Valve Models

Interventional Imagers: The Conductors of the Heart Team Orchestra

3D Systems Announces On Demand Anatomical Modeling Service

3-D Printed Models to Guide TAVR Improve Outcomes

Nemours Children's Health System Uses 3-D Printing to Deliver Personalized Care

Developments in Transcatheter Mitral Valve Replacement

1,000th 3-D Print Patient Treated at Henry Ford Health System

New Technique Allows More Complicated 3-D Bioprinting

Find more 3-D printing news and video

See the article here:
3-D Printing and Computer Aided Design Aids Structural Heart Interventions - Diagnostic and Interventional Cardiology

Anatomy

How "Grey’s Anatomy" Tackled Human Trafficking and Systemic Racism – TVOvermind

After being on the air for more than 15 years, Greys Anatomy has covered lots of interesting and important topics. Regardless of what has gone on in the world, theyve always found a way to creatively incorporate current events. All of the things that went on in 2020 were no exception. The shows 17th season got off to a very eventful start, and it was clear that the writers wanted to include some real world issues that have been going on lately. In two episodes early in season 17, Greys has already tackled two very difficult subjects: human trafficking and systemic racism. Although both of these topics can be very sensitive, the show did a great job of navigating each issue. Continue reading to see how Greys Anatomy has shed light on human trafficking and racism in one season.

Human trafficking certainly isnt new. But in recent years more and more light has gotten shed on the horrendous realities of the situation. Although weve all heard the phrase and have a basic understanding of what it is, most people would agree they dont really have a strong understanding of the different ways human trafficking can work.

The series initially introduced the subject at the end of season 16 when a teenage girl came to Grey-Sloan Memorial Hospital complaining of stomach pain. Dr. Andrew DeLuca was immediately suspicious of the situation. He became even more concerned when the girls aunt continued to interject and wouldnt let the patient talk. Unfortunately, however, DeLucas suspicions were quickly brushed aside because everyone at the hospital believed that he was suffering through a mental health break down.

At the end of season 16, viewers were left wondering whether or not DeLuca was right or if his accusations really were the result of his faltering mental health. At the start of season 16, it became clear that DeLuca was, in fact, right. The doctors were eventually able to determine that the teenage patient was actually the victim of human trafficking. The episode helped to shine light on how these traffickers operate and how common these things happen.

Ellen Pompeo, the star of the show, expressed that the human trafficking storyline was one of her favorites. She told The Sun, The human trafficking that was in last weeks episode to this mental illness storyline with Giacomo Gianniotti, its really important stuff.

The United States has a very long and sad history when it comes to race. Although some people think that racism is a thing of the past, recent history has shown that isnt the case at all. Greys decided to put this issue front and center during season 17 in more than one way.

In one episode, the show highlighted how black patients tend to be overlooked by the medical system. During the pandemic, this means that many COVID positive black and brown patients are often put on the back burner in favor of treating white patients. During the episode, Maggie said, I want outrage for the fact that we are seen as disposable and rarely seen as victims that Black girls are less likely to be seen as innocent as white girlsAnd now, there is a plague that is killing Black people at a rate that should make everyone outraged. If COVID were killing white people at the rate that it is killing Black people, you better believe that everyone would be wearing masks because it would be the damn law.

The show also highlighted similar effects of racism in another scenario. In an episode, Dr. Hunt, who generally always gets things right, made an error when diagnosing an Asian patient. Dr. Hunt failed to realize that certain conditions are more common in Asian people.

For Dr. Hunt, this became a teaching moment. It was a chance for him to realize that although he has good intentions, he still needs to be mindful of the inherent biases he carries with him. Something as simple as not being aware of or acknowledging differences can easily become a life or death situation in the medical world.

While thinking about the issue of racism can be very uncomfortable for some, bringing this conversations to the forefront is the first step in the journey of making change.

At Greys Anatomy has been on the air for longer than some of its fans have been alive. Still, the show is showing no signs of slowing down. One thing we do know, however, is that season 17 will likely shine light on lots of over important issues. Unfortunately for all of the Greys fans out there, the show is on hiatus until March 2021. Once it returns, however, I have a feeling well all think it was worth the wait.

Originally posted here:
How "Grey's Anatomy" Tackled Human Trafficking and Systemic Racism - TVOvermind

Anatomy

Alpert Medical School adapts first-year anatomy course to adhere to COVID-19 guidelines – The Brown Daily Herald

Since the Warren Alpert Medical School moved the majority of its curriculum to a remote format beginning in fall 2020 to adhere to COVID-19 guidelines, lectures have been given live over Zoom or pre-recorded. The components of the curriculum that do meet in person, such as the first-year anatomy course, have been adjusted to meet social distancing requirements.

Because of the pandemic, the anatomy course no longer includes a year-long cadaver dissection, which had long been considered an integral part of the Med School experience, said Amy Chew, lecturer in ecology and evolutionary biology and one of the lecturers for the anatomy course.

Traditionally, groups of five to six students would spend about three hours a week dissecting a cadaver themselves, but this required many students to be in a confined lab space for a prolonged period of time, Chew said. Given the Centers for Disease Control and Preventions recommendations against indoor gatherings, this aspect of the course needed to evolve with the onset of COVID-19.

Med School staff now perform the dissections beforehand for the students to study later a method known as prosection, Chew said. Students are required to spend one hour a week in the lab, but during this time, only two students may be present together, which allows for enforcement of social distancing guidelines.

While the switch to prosection means that students miss out on the dissection experience, there are benefits to this teaching method, Chew said. The one major advantage is that students arent so tied up in lab, she said, adding that the new method gives medical students more time to study the content they learn during the anatomy lab outside of class.

Other medical schools had already stopped using dissection pre-pandemic, Associate Dean for Medical Education Paul George 01 MD05 said. By switching to prosection format, were actually more in line with what other medical schools are doing at this point, he added.

Students who spoke with The Herald voiced mixed feelings about the Med Schools switch to prosection.

With (COVID-19), Im grateful we get to go to the anatomy lab, Wendy Gonzalez 19 MD24 said. But I do feel like we missed out. I feel like we would remember so much more if we actually got to find everything ourselves. She believes that the more hands-on aspects of dissection would have helped her as a visual and tactile learner and better prepared her for a career in surgery.

But understanding the need for adjustment during the pandemic, Gonzalez said she thinks learning using prosection is still helpful.

Other first-year medical students prefer the prosection method.

Im somebody who is definitely not going to go into surgery, so its maybe less heartbreaking for me than for somebody whos really into anatomy and the body, said Jessica Moore MD24. Moore says she has been able to learn effectively using prosection because of her independent learning style. For me, its been a better experience, she added.

Navya Baranwal 20 MD24 said, At first I was a little apprehensive: What is my medical education going to be like? But overall I feel like its still been very meaningful and educational, and its been a nice balance of ensuring medical students safety but also (ensuring) that we have a good education.

Despite the change in the course structure, student engagement and performance has remained steady; course ratings and exam scores have been about the same as they were in past years, according to George.

In years prior, performance in the anatomy course was partly evaluated through a practical exam. But that component was eliminated in the fall, which made the efficacy of the course harder to judge, Chew said. It was replaced with 20 additional multiple choice questions on the lab material in the written exams.

It is challenging for us to try to figure out what (students) have been able to absorb from the lab without the practical exam, Chew said. I think we wont really know until these students take their step exams next year, she added.

The COVID-19 anatomy experience raises questions about the future of the Med Schools anatomy course after pandemic restrictions are lifted.

I think well go back to a more normal overall Med School structure at some point in the not-so-distant future, George said, but in regards to anatomy, its hard to predict when that will occur.

But theres certainly lessons we can learn from (COVID-19) about the curriculum and how to make it more efficient, George added.

Go here to see the original:
Alpert Medical School adapts first-year anatomy course to adhere to COVID-19 guidelines - The Brown Daily Herald

Anatomy

‘God, Guns, & Trump’: Anatomy of the Crowd – The New York Review of Books

Against the silver light of an impenetrably clouded sky was a small orange glow. The waning flame throbbed like a pulse as it descended, before finally disappearing behind the blue and white patch of stars on an American flag.

The insurrection on January 6 was not a singular event. It was the end of a prelude that began on November 4, 2020. The night after the presidential election, with a number of states yet to report, photographer Ruddy Roye and I were outside Miamis Versailles Restaurant on Little Havanas famed Calle Ocho. A small but booming crowd had gathered to demand a fair ballot count, oscillating between jubilationbelieving in the victory of their partyand rage, fearing the final tally would be corrupt. The following night at La Carreta restaurant locally known as the one on Birda larger, more agitated crowd had a pain in their eyes not unlike that on the faces of Democratic voters in 2016it was a fear that the fundamental values they believe America to stand for were under threat.

As the night progressed their fever became more frenzied. Police pushed the crowd back to prevent them from lunging at passing cars that carried Biden signs and thrusting flag poles toward the windows. The crowd attacked a Telemundo cameraman almost immediately after his arrival, and then turned on us, swarming and jostling us until police said they could not guarantee our safety and escorted us away.

This was when Ruddy and I decided we would observe the postures of those who lost the election, reading their body language to see what it might tell us about how America would transition on Inauguration Day, and into the future.

The weekend of November 14, in Washington, D.C., Trumps supporters formed caravans flying flags for God, Guns, and Trump in a procession to Freedom Plaza.The Million MAGA March was an extravagant performance of support and adoration amid his refusal to concede the White House. The crowd was flamboyant then, brightly colored and celebratory: men and women dressed in glittering stars and stripes, wearing flags as capes like superheroes and smiling wide for cameras. They flew flags that depicted Trump as the Hulk, Rambo, or a character from Fight Club. Everywhere there was brand promotion, with everyone streaming their own personal live feeds. Groups like the Proud Boys, in their signature yellow and black Fred Perry shirts and body armor adorned with their insignia, broke character only to run after drag queen Lady MAGA for a selfierevealing that, in the pageantry of patriotism, everything becomes permissible.

As the crowd dispersed, and the sun began to set, a woman walking down Constitution Avenue and talking about The Left said to her friends: Its the fact that they feel like theyre safe, that theyre able to do these violent things. Because the government wont do anything. While listening, I looked over and saw Proud Boys standing around chatting with the police on the perimeter later applauding them as they left. That night, the streets of downtown D.C. erupted into brawls between the Proud Boys and Antifa.

By January, the jubilance had become the resistance.

On the day of the siege, Nicholas Fuentes, American First podcaster and leader of the far-right Groypers Army played preacher atop the Peace Monument on the Capitol lawn. Every conservative in this country knows that the legitimacy of this democratic system is over, Fuentes bellowed. It means nothing anymore. The situation looks a lot like 1776, frankly. The crowd broke into cheers and a roaring chant of U.S.A! U.S.A! as they thrust their fists into the air. Later, they called for the destruction of the GOP. We know that the Democrats are our enemies, Fuentes said. What we dont expect is that Republicans will betray us at every turn.

The main enemy that day wasnt Antifa, Black Lives Matter, or Democratslike Rep. Alexandria Ocasio-Cortez, who said she feared her colleagues would betray her to the rioters. It was the Republicans who werent falling in line, and anyone who stood between the crowd and the party. The same group that stood chatting with and applauding the police in D.C. just months earlier were storming the Capitol, shouting into the crowd, Dont let those police stop youIts time for chaoskeep moving forward. They cant stop us all!

During debate on the article of impeachment following the riot, which the House passed on January 13, Rep. Hakeem Jeffries, Democrat of New York, declared that violence will not win, insurrection will not win, sedition will not win, terror will not win. But the last two months have made clear that violence, and terror, and insurrection can be waged in the name of righteousness, so easily inflamed and so furiously impassioned. As Rep. Kevin McCarthy, Republican of California, said, the necessary response is force rooted in justice and backed by moral courage. But that is precisely what the crowd believes it hasa cause with God on their sideand many say they are ready to die for it.

On January 20, 2021, Joe Biden was sworn in as the next president of the United States. His amplified voice carried across an empty mall, with downtown D.C. under a militarized lockdown. The spectators within the security zones were mostly military and media. The battle is perennial and victory is never assured, the president said, following his oath. We can join forces, stop the shouting and lower the temperature, he went on, explaining that disagreement must not lead to disunion. Without understanding that, he said, we could have no nation, only a state of chaos.

But the quiet that befell the capital this week is its own sign of a continued underlying chaosone that revolves around a disunity over morals and values that will be much harder to bridge in this uncivil war, as Biden called it. And while many watched the days events, marking them as ends, and new dawns, and pages that can be turned on the last four years, the quiet wrath of those who lost continues to seethe.

Ruddy Roye

The Million MAGA March, Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Trump supporters rallying the night after the election, Miami, Florida, November 4, 2020

Washington, D.C., January 6, 2021

Ruddy Roye

Miami, Florida, November 4, 2020

Ruddy Roye

Nicholas Fuentes (center with bullhorn), surrounded by Trump supporters, Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Lady MAGA, Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Washington, D.C., November 14, 2020

Ruddy Roye

Miami, Florida, November 4, 2020

Ruddy Roye

Miami, Florida, November 4, 2020

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Ruddy Roye

Washington, D.C., January 6, 2021

Inauguration Day, Washington, D.C., January 20, 2021

Ruddy Roye

Washington, D.C., January 20, 2021

Ruddy Roye

Washington, D.C., January 20, 2021

Ruddy Roye

Washington, D.C., January 20, 2021

Ruddy Roye

Washington, D.C., January 20, 2021

Ruddy Roye

Washington, D.C., January 20, 2021

Ruddy Roye

Washington, D.C., January 20, 2021

Read the rest here:
'God, Guns, & Trump': Anatomy of the Crowd - The New York Review of Books

Anatomy

Doctor, Doctor Give Me The News: When Will ‘Grey’s Anatomy’ Return in 2021? – Decider

In June of 2018, I wrote a jokey article that dared to tackle an unknowable question: Which takes longer, watching every single episode of Greys Anatomy or attending med school? That non-award winning piece of digital journalism history came out a few months before Season 15 of Greys Anatomy debuted on ABC. Shonda Rhimes long-running medical drama is currently in the midst of its seventeenth season, lasting 15 more seasons than NBCs early aughts Mark Feuerstein-led comedy Good Morning, Miami.

Greys Anatomy has produced over 350 episodes, but fans still cant get enough of this addictive small-screen drama. The shows currently on hiatus but its scheduled to return later this year. When exactly will Greys Anatomy be back with all-new episodes? Heres everything you need to know.

Nope. Sorry, no new episode of Greys tonight.

Unfortunately, its going to be a while. The next all-new episode of Greys Anatomy airs Thursday, March 4, 2021 at 9:00 p.m. ET on ABC.

The first six episodes of Season 17 are available to stream on both ABC.com and the ABC app.

Yes! The first six episodes of the new season are currently available to stream on Hulu.

Not yet. Historically, new seasons of Greys Anatomy have premiered on Netflix about a month after the season finale airs on ABC.

Where to stream Grey's Anatomy

See the original post:
Doctor, Doctor Give Me The News: When Will 'Grey's Anatomy' Return in 2021? - Decider

Anatomy

Gilmore Girls Meets Grey’s Anatomy: 5 Couples That Would Work (& 5 That Wouldn’t) – Screen Rant

The characters on Gilmore Girls and Grey's Anatomy live very different lives, but they all want love. Which fantasy crossover couples would work out?

WhileGilmore GirlsandGrey's Anatomyare different in terms of tone and storylines, they both feature many romantic relationships. The characters living in Stars Hollow have experience dating and breaking up, along with all of the ups and downs in between, and Meredith and her coworkers have very active love lives as well.

RELATED:Grey's Anatomy: 10 Storylines The Show Dropped

If the characters on these popular TV dramas met, some of them would make love connections. Others wouldn't be as successful as their personalities would be too different or they wouldn't be able to understand each other. Either way, it's fascinating to think about these crossover couples.

At first glance, Alex couldn't be more opposite from Rory. He's got baggage, a history of bad moods, and he's broken some hearts along the way.

But ifGilmore Girlsfans give him a bit more thought, he sounds a lot like Rory's love interest, Jess, so she already knows how to deal with people who have messy pasts and difficult lives. Rory and Alex would be a good match as she's learned a lot from her romance with Jess and could apply that to this one. Maybe her work ethic and positive attitude would inspire him.

When Owen dates Cristina, the couple struggles with his past and having children, as they differ on wanting to have a family. While Lorelai loves having her daughter Rory and has always wanted another child, it's still hard to picture these two characters falling in love.

RELATED:Gilmore Girls: 10 Characters Fans Wished Interacted More

Lorelai's energy would be off-putting to Owen, who's a much more serious person. He has experienced too much in life to constantly make jokes, and he doesn't have the greatest sense of humor. Lorelai would wonder why he's so upset all the time.

Although Meredith's past is more tragic than what Paris', as her mother suffered from a serious disease and her husband died, the two have similar intimidating and tough personalities.

Paris and Meredith would bond over the high expectations that they place on themselves and others, and since they're both strong and independent, it seems like they would get along. They would likely become serious quickly because they wouldn't want to waste time with small talknor would theyplay games.

It's hard to think of two characters who have less in common with each other than Jess and April. Jess is the Stars Hollow rebellious "bad boy"and April is a generally optimistic person who likes helping people heal and recover.

Jess and April wouldn't know what to talk to each other about, and since they've each had their heart broken before, they wouldn't want to waste any time dating someone who wasn't the right fit. They might go on one date, but that would be it.

Lane and Jo have both lived secret lives and kept important things from the people in their worlds. Lane goes through high school without sharing her love of music with her mom, and Jo doesn't tell anyone that she's hiding from a partner who is abusive.

RELATED:Gilmore Girls: 10 Times The Show Tackled Deep Issues

If two characters fromGilmore GirlsandGrey's Anatomydated, itcould be Lane and Jo. They would want to hear about each other's love of music and medicine, and Jo would love Stars Hollow, as she's always been searching for a safe and warm place to call home.

OnGrey's Anatomy, Lexie has been involved in some messy romantic situations, especially concerning Mark. She wouldn't want to date someone who has cheated on a partner, especially someone they were married to.

Lexie wouldn't like that Dean slept with Rory while married to Lindsay, and it would be hard for her to move past that and get to know Dean as a person. It's too bad because otherwise, Dean would respect Lexie's work ethic and career, as he always loved how smart Rory is.

A bookworm who has always taken school seriously, Rory is a great match for Maggie, who is equally intelligent and ambitious.

Both characters want the best for their futures and will stop at nothing to achieve what they want. They would enjoy talking to each other about their journalism and medical careers, and they would respect each other's drive to be successful. Rory and Maggie also have a good sense of humor while knowing when to be serious and when it's okay to joke around.

Lorelai has been around wealthy people her whole life, which is why she has trouble accepting Logan as a legitimate partner for Rory.

RELATED:Grey's Anatomy: 10 Ways Alex Karev Became Better And Better

Lorelai and Derek would probably hate each other.She would wonder why he seemed so arrogant, and she wouldn't buy into the whole "Derek is the greatestbecause he saves lives" thing. She would tell him that he didn't impress her, and he would be offended that she didn't appreciate all of his accomplishments in his career. Derek can definitely be a bit conceited, so he might not respect Lorelai's small-town life, which would be too bad since she has done so well for herself.

OnGilmore Girls, Emily and Richard don't have a relationship without problems, but they share a nice lifestyle and they truly care about one another.

There's another Richard who Emily could start a relationship with, and that's the beloved chief and doctor onGrey's Anatomy. These two characters would like each other as they're both friendly and polite, and Richard is a very smart and sophisticated guy, so he would impress Emily.

Luke may have a "dark day"when he grieveshis father, but he's not one to talk about sad situations.

This is why he wouldn't be a great partner for Jo. He would be uncomfortable with her difficult past, and these characters would struggle to makeconversation. Luke might seem too gruff for Jo, who would automatically think that he didn't like her. Their first date would be awkward and they wouldn't want to see each other again.

NEXT:Grey's Anatomy: The 5 Worst Things Penny Ever Did (& 5 Best)

Next WandaVision: 10 Characters That Could Be Holding The Remote

Aya Tsintziras writes about travel and pop culture. She loves coffee, barre classes, avocado, and watching TV. She lives in Toronto with her husband.

Visit link:
Gilmore Girls Meets Grey's Anatomy: 5 Couples That Would Work (& 5 That Wouldn't) - Screen Rant

Anatomy

‘Grey’s Anatomy’ Fans Are Still Disappointed Stephanie Left, but There’s a Silver Lining – Showbiz Cheat Sheet

As with many TV dramas, characters come and go on Greys Anatomy. Sometimes the actors move on to other work, sometimes their characters storylines are over, and sometimes they caused too much drama to stick around. Though Stephanie Edwards (Jerrika Hinton) didnt have any major storylines, she quickly became a fan favorite.

While much of her personal history was filled with pain, her exit is considered one of the best on the show. It was just dramatic enough to keep fans on their toes. Though viewers werent pleased she left, they believe she got the ending her character deserved.

Most characters on Greys Anatomy have a heartbreaking past, and Stephanie was no exception. As a child, she was diagnosed with sickle cell anemia and spent much of her time in the hospital. Though her treatment was successful, it left her traumatized when she was strapped down.

Regardless, Stephanie still chose to go into medicine. She was very good at what she did, but there was more than one occasion when she butted heads with her superiors, especially Meredith Grey (Ellen Pompeo). Stephanie wasnt openly rebellious, but she had a mind of her own. And she used it well.

During her time at Grey Sloan Memorial Hospital, she became an excellent neurosurgeon and worked closely with Amelia Shepherd (Caterina Scorsone). She also had a brief relationship with Jackson Avery (Jesse Williams) that ended when he confessed his love for April at her wedding to another man.

RELATED: Greys Anatomy Could Get Rid of Another Character Soon: We Havent Had a Death In a While

Stephanies character didnt get as much screen time as some viewers would have liked, but her final episode showed what an amazing character she really was. After she discovered that a patient, Kyle, tried to rape a woman, he took Stephanie hostage to try to escape the hospital. Miranda Bailey (Chandra Wilson) placed the hospital on lockdown, preventing Kyle from leaving with Stephanie.

When he realized he couldnt escape, Kyle set the hospital on fire to override the lockdown. Displaying quick thinking, Stephanie sprayed Kyle with hand alcohol. She then tried to flee with a boy who was trapped with her and Kyle.

She reached the roof with the boy, and rescuers were able to save them. But Stephanie didnt emerge unscathed: Burns ravaged most of her body. Once she found herself back in the hospital as a patient, Stephanie was reminded of her childhood, and knew she didnt want to live like that. She made the decision to leave Sloan Memorial in search of a life that didnt revolve around medicine.

Fans still miss Stephanie. Even though she got a heroic ending, many are still curious about where she went and if shell ever return. Even so, its clear she had one of the best exits on the show.

A Reddit user wrote, I think even though I really liked her and wouldve liked to see her stay, her exit was one of the best. She had like a whole episode just for her, and she left in an extraordinary way.

Another fan said, I think she had a good exit compared to other characters who left the show. I chose to believe that she went on to do Doctors Without Borders.

See the original post:
'Grey's Anatomy' Fans Are Still Disappointed Stephanie Left, but There's a Silver Lining - Showbiz Cheat Sheet