On this video, Shyam Natarajan, PhD, discusses the sensible implementation of AI-generated most cancers maps in medical settings. He’s an creator of the current BJUI Compass research, “Extracapsular extension danger evaluation utilizing a man-made intelligence prostate most cancers mapping algorithm.” Natarajan is the founder and CEO of Avenda Well being.

Transcription:

How do you envision the sensible implementation of AI-generated most cancers maps in medical settings? What are the potential challenges and limitations to widespread adoption?

We see use of AI-generated most cancers maps within the decision-making means of understanding who’s the precise affected person for what remedy, in addition to planning out the precise remedy, whether or not it is a whole-gland or a focused remedy. The findings from the research that was simply printed may very well be indicative that Unfold AI might enhance or assist type of that sub stratification of who may probably get a nerve-sparing surgical procedure vs a non-nerve-sparing surgical procedure, or who’s a greater candidate for focused remedy right here. One of many key challenges or limitations that we’re overcoming is that in an effort to run or develop this AI-generated map, the affected person should obtain a focused prostate biopsy with an image-guided prostate fusion system. And whereas this expertise is widespread, it isn’t common. So we see this, particularly with the issuance of latest classes of codes for biopsy and fusion biopsy which might be going to happen within the subsequent couple of years, we’re on the trail to sufferers universally receiving the best-in-class prognosis, after which we see AI including on high of that to provide sufferers a customized decision-making platform and assist paradigm.

This transcript was edited for readability.

Legendary hockey reporter Stan Fischler writes a weekly scrapbook for NHL.com. Fischler, often known as “The Hockey Maven,” shares his humor and perception for readers every Wednesday.

This version of “Unusual however True” recollects the evening when a number of New York Rangers climbed the protecting glass to defend their coach and basic supervisor, Emile “The Cat” Francis, who was having a dispute with a objective decide — and three followers.

New York Rangers coach and basic supervisor Emile “The Cat” Francis was not on the lookout for hassle, he was on the lookout for a win. 

It was Sunday evening, Nov. 21, 1965, at outdated Madison Sq. Backyard with the Rangers holding a 2-1 third-period lead in opposition to the Detroit Purple Wings.

Arthur Reichert, a brief, wiry objective decide, had his eyes riveted on the motion when Detroit mounted an assault. Reichert intently leaned ahead in his chair. So did author-historian Alan Greenberg, who later wrote an article in regards to the episode for the Rangers program-magazine.

“Detroit’s Floyd Smith poked on the puck, which went past the attain of Rangers goalie Ed Giacomin after which bounced again to him.” Greenberg remembered. “After a short second of hesitation, Reichert placed on the crimson objective mild.”

Francis, who was sitting within the stands close to Reichert, reacted to the illuminated crimson mild when he leaped out of his seat and rushed towards the top enviornment, the place the objective decide did his enterprise. 

“Once I noticed the ‘2’ go up on the scoreboard, I took off for Reichert,” Francis recalled in George Grimm’s ebook, “We Did Every part However Win.”

In these bygone Unique Six days, objective judges sat unprotected behind the web surrounded by the top enviornment crowd. When the new and bothered Cat reached Reichert, he shouted, “That puck by no means crossed the crimson line!”

The unflappable Reichert, who had a significantly better view than Francis, snapped again. “I’ve obtained two witnesses right here to show I am proper.” 

One of many witnesses then yelled, “Bug off, Francis, that puck was in.” 

Francis knocked him down with one punch, however two different pro-Reichert followers jumped in, outnumbering the miniscule coach/GM.

“Inside seconds,” Greenberg wrote, “a swarm of Blueshirted Rangers — led by Vic Hadfield and Arnie Brown — skated throughout the ice and scaled the boards and excessive glass to guard their chief, who was being held by the throat. In the meantime, gamers Mike McMahon and Earl Ingarfield have been within the subsequent firm of reinforcements. On the finish, a complete of 10 Rangers had scaled the tall glass barrier.”

What the gamers noticed after Backyard safety lastly separated the combatants wasn’t fairly. Francis had a black eye and was minimize over the left eye and left cheekbone, requiring stitches. Plus, his brand-new swimsuit was torn in half.

Reichert escaped harm by deftly shifting to an adjoining aisle till safety restored decorum. The sport resulted in a 3-3 tie, however the fallout wasn’t over. A day later, Rangers president Invoice Jennings declared that Reichert could be banned from working any extra Backyard video games.

“(NHL president) Clarence Campbell must come down from Montreal to get him in,” Jennings stated. 

However time was a healer. Campbell steadfastly supported Reichert and insisted that he’d proceed working Rangers video games, leaving Jennings and Francis no selection however to conform.

In an interview with Grimm a long time after the brouhaha, Francis sounded penitent over the entire affair. 

“Arthur Reichert was a very competent man,” the Cat insisted, “however I used to be combating for the lifetime of my hockey membership.”

Then, reflecting on the weird scene, Francis added, “It was a case of organized confusion!” 

Maybe it was, however ultimately, justice triumphed as a result of there was no confusion about Reichert’s judgement. The goal-watcher, who by that point had been working the crimson button for 33 years, steadfastly maintained that it was, actually, a objective and had proof optimistic that he made the proper name.

“When sport movies — earlier than on the spot replay — have been developed,” wrote Greenberg, “Reichert was confirmed appropriate in his judgement!” 

Francis, who invented the trendy goalie “trapper” glove, might look backward and discover solace within the firestorm he ignited. 

“Due to my incident,” he stated, “they began placing the objective decide in a protecting sales space in order that no one might get to them. “

Not even 10 glass-vaulting Rangers.

1. In a retrospective evaluation of 59,875 sufferers with metastatic prostate most cancers, various prognoses have been discovered primarily relying on the positioning of metastasis

2. Asian sufferers had the perfect total prognosis adopted by African American and at last Caucasian sufferers

Proof Ranking Degree: 3 (Common)

Prostate most cancers is the fourth most identified most cancers in males and eight main reason for most cancers demise worldwide. Localized prostate most cancers has good survival outcomes, nevertheless, metastatic prostate most cancers (mPC) confers a excessive danger of demise. Nevertheless, the impact on prognosis of the metastatic website has not but been adequately studied. This retrospective evaluation of the TriNetX database investigated the affect of various visceral metastatic websites on the prognosis of sufferers with prostate most cancers. A complete of 59,875 sufferers with metastatic prostate most cancers have been recognized with 39,495 (65.2%) having bone metastases, 7,573 (12.5%) with lung solely visceral metastases, 5,240 (8.7%) with mind solely visceral metastases, and seven,567 (12.5%) with liver solely visceral metastases. The median total survival (OS) was 15.7 months. The longest median OS was for bone metastases at 44.4 months adopted by lung metastases at 31.9 months. Mind and liver metastases had drastically decrease median OS at 9.6 months and 10 months respectively. No statistical distinction in OS have been seen between mind and liver metastases however each skilled poorer prognosis relative to lung metastases. When sufferers had two visceral metastatic websites, the median OS was 8 months for liver and lung metastases. Liver and lung metastases had a median OS of 6.6 months. Liver and mind metastases had the bottom median OS at 3.1 months. Liver and mind metastases sufferers had a considerably decrease median OS in comparison with liver and lung metastases (p<0.0001). Mind and lung metastases sufferers had a considerably larger median OS in comparison with liver and lung metastases sufferers (p<0.0001). In mPC sufferers with concomitant visceral and bone metastases, the median OS was 17 months with the worst prognosis being liver and bonee metastases (5.4 months, p<0.0001). In mPC with visceral metastases and concomitant lymph node metastases, the median OS was 42.2 months with the worst prognosis occurring in sufferers with no important distinction between mind + lymph node and liver + lymph node metastases. Sufferers with mPC with visceral metastases and concomitant bone and lymp node metastases, median OS have been decrease at 15 months. Sufferers with liver, bone, and lymph node metastases skilled thee worst survival final result at 5.6 months (p = 0.004). When accounting for the race of sufferers, Asian sufferers had the best survival adopted by African American, and at last Caucasian sufferers.

Click on to learn the research in PLOSONE

Picture: PD

©2024 2 Minute Medication, Inc. All rights reserved. No works could also be reproduced with out expressed written consent from 2 Minute Medication, Inc. Inquire about licensing right here. No article must be construed as medical recommendation and isn’t meant as such by the authors or by 2 Minute Medication, Inc.

Nobody will deny the Edmonton Oilers are one of many highest groups within the NHL. Led by the perfect participant within the sport and one other within the high 5-10, the checklist of achievements is spectacular and continues to develop.

Assume again to the 2022-23 season, when the Oilers led the league in scoring and likewise set a brand new NHL file for energy play effectivity. Then this previous season, they went on a 16-game profitable streak which fell simply in need of the all-time file of 17 straight by the Pittsburgh Penguins.

This success extends to particular person achievements, with Connor McDavid after all main the way in which. In 2022-23 he had what was known as ‘the season of the century’, as he took house 4 trophies, and this previous season noticed he set a playoff file with 34 assists in a single postseason.

Sadly for McDavid, his success does embody one particular person accolade he would have moderately averted. This previous season noticed he turn out to be simply the second non-goaltender (and sixth participant total), to win the Conn Smythe Trophy whereas additionally dropping the Stanley Cup Closing.

The rationale we carry this up, is as a result of the Oilers as a complete will need to keep away from setting one piece of NHL historical past this coming season. Giving due credit score to Invoice Tran of The Oil Rig, it is a file which the groups and followers alike really need no a part of.

When the Oilers misplaced to the Florida Panthers in sport 7 of the Stanley Cup Closing final season, it marked three consecutive years they’d been knocked out by the eventual champions. They misplaced 4-2 to the Vegas Golden Knights in 2022-23 and a yr earlier had been swept 4-0 by the Colorado Avalanche.

Luckily for the Oilers and their followers, as issues stand they are not alone. As per Tran, 5 different NHL groups have misplaced three consecutive years to the eventual Stanley Cup champions.

These 5 groups are the New York Rangers (1981-83), Boston Bruins (1990-92), St. Louis Blues (1997-99), Philadelphia Flyers (2009-11) and Vancouver Canucks (2010-12). The Blues and Bruins are particularly unfortunate, having misplaced 5 out of six seasons and 4 out of 5 seasons respectively, to the eventual champions.

Nonetheless, none have gone 4 consecutive seasons of dropping to the eventual Stanley Cup champions … but. That is the potential destiny awaiting the Oilers, if issues go terribly fallacious for them in 2024-25.

After all there may be one easy method for the Oilers to keep away from this undesirable piece of historical past – exit and win the entire rattling factor! Definitely it is greater than achievable, as confirmed by the Panthers themselves, who received all of it one yr after dropping 4-1 to the Golden Knights, albeit on the expense of the Oilers.

Nobody is saying it will be simple after all, however the Oilers have the expertise now mixed with the related expertise, to lastly carry the Stanley Cup again house. Not that it is wanted, however simply in case, they’ll all the time use the potential piece of undesirable historical past as additional motivation.

The 1996 Adam Sandler comedy “Joyful Gilmore” is returning for one more spherical, and although its sequel could also be in early growth, the movie is already racking up an all-star solid.

The golf comedy, slated to launch on Netflix, will likely be a reunion for Sandler and his co-stars Julie Bowen and Christopher McDonald, who’re slated to reprise their roles. Bowen performed Virginia Venit, a PGA Tour publicist-turned romantic curiosity for Joyful, and McDonald portrayed the cocky professional golfer Shooter McGavin who makes an attempt to thwart Joyful’s meteoric rise out of jealousy.

Carl Weathers, who died in February, rounded out the solid of the cult favourite movie, which additionally featured appearances from the likes of “The Worth Is Proper” host, the late Bob Barker; the late comic Joe Flaherty and golf legend Lee Trevino.

Kyle Newacheck will direct, and the 1996 model’s director, Dennis Dugan, will likely be one of many govt producers.

Here is what we all know to date concerning the “Joyful Gilmore” sequel’s solid.

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Unhealthy Bunny, Julie Bowen and Christopher McDonald are confirmed for ‘Joyful Gilmore 2’

“Joyful Gilmore’s” starring solid is ready to return for the sequel, and they are going to be joined be a number of newcomers. On Sept. 10, Netflix revealed some casting selections on social media.

“Shooter McGavin and Virginia Venit, please report back to the inexperienced,” Netflix shared in an X put up. “Julie Bowen and Christopher McDonald will return in Joyful Gilmore 2!”

A minute later, the streamer introduced Grammy-winning reggaetón sensation Unhealthy Bunny, who’s forayed into Hollywood with roles in films equivalent to 2022’s “Bullet Practice” and the 2023’s “Cassandro,” is confirmed for an unspecified position in “Joyful Gilmore 2.”

“Benito 🤝 Sandler,” the X put up reads. “Benito Martínez Ocasio will star in Joyful Gilmore 2!”

In an August look on “The Tonight Present with Jimmy Fallon,” Sandler teased a cameo by Kansas Metropolis Chiefs tight finish Travis Kelce, who’s taking his profession past the sector and on to the small display screen. He has been solid within the upcoming Ryan Murphy collection “Grotesquerie” on FX and is the host of the brand new spinoff “Are You Smarter Than a Celeb?” which premieres in October.

“Travis talked about it, so now we have a pleasant one thing for Travis,” Sandler advised Fallon. “He’s gonna come by. He’s a really good man. You guys would love him in actual life.”

Who else would possibly star in ‘Joyful Gilmore 2?’

In an April look on the “Dan Patrick Present,” Sandler stated he would “love” to get comic Drew Carey within the film after “Worth is Proper” predecessor Barker, appeared within the unique.

“After we have been writing stuff, Bob (Barker) was alive,” Sandler stated.

“After we have been writing stuff, Carl Weathers was alive. After we have been writing stuff, Joe Flaherty was alive. It sucks. We love these guys. They’re such an enormous a part of the film and simply nice folks. However we will get them concerned. Someway, they will be concerned.”

Barker died in 2023, and Weathers and Flaherty died this yr.

When will ‘Joyful Gilmore 2’ come out?

The “Joyful Gilmore” sequel does not have a launch date but and seems to be within the early levels of growth.

Sandler and Tim Herlihy, his co-writer on the unique movie, have been engaged on the script since February, Herlihy shared on X, previously Twitter.

Contributing: Brendan Morrow

James Rodríguez scored from the penalty spot to seal Colombia’s 2-1 win over defending World Cup and Copa América champions Argentina on Tuesday in a South American World Cup qualifier.

Injured Argentina star Lionel Messi did not play in Barranquilla in what was the primary match between the groups because the Copa América last.

Yerson Mosquera opened the scoring within the twenty fifth minute, however Argentina equalized within the forty eighth when Nico Gonzalez capitalized on a defensive blunder from the Colombians. James’ Sixtieth-minute penalty secured the win on the Metropolitano Stadium.

World Cup champion Argentina lifted the Copa América trophy after a 1-0 additional time victory over Colombia in July.

Colombia, which hadn’t crushed Argentina since 2019, remains to be unbeaten in South American World Cup qualifying.

Argentina leads the round-robin competitors with 18 factors after eight matches, two level away from Colombia.

The highest six groups in South American qualifying will get computerized spots on the 2026 World Cup.

Colombia as soon as once more had the 33-year-old Rodríguez to thank after he gave an ideal cross for Mosquera to nod in and opening the scoring. That equalized Carlos Valderrama’s document of 11 assists in South American World Cup qualifying.

A mistake by Rodríguez allowed Argentina to equalize, with Nico González stealing the ball from him and taking pictures previous goalkeeper Camilo Vargas.

However Rodríguez made amends when he beat Emiliano Martínez, a prolific penalty stopper, and equalized Falcao García’s mark of 13 targets in World Cup qualifying.

Argentina’s strikers Lautaro Martínez and Julián Álvarez failed to supply as a lot hazard as they do when veteran Messi is there to create alternatives for them.

Data from The Related Press was used on this story.

Benito Antonio Martínez Ocasió — often known as the musical artist Dangerous Bunny — has discovered his subsequent onscreen function, becoming a member of the forged of Adam Sandler‘s Completely happy Gilmore sequel.

Kyle Newacheck, who directed Sandler within the Netflix comedy Homicide Thriller, is helming the Netflix sequel to the 1996 comedy a few wannabe skilled hockey participant who discovers his expertise within the recreation of golf and begrudgingly goes on tour, solely to grow to be a sensation. Plot particulars for the sequel are being stored beneath wraps.

Julie Bowen and Christopher McDonald are again for the sequel, having starred within the authentic movie, respectively, as Virginia Venit, Sandler’s onscreen love curiosity, and Shooter McGavin, a jealous golf professional and the movie’s villain.

Camerashave began rolling on the comedy, with Sandler posting on Instagram on Monday: “It ain’t over. The best way I see it… we’ve solely simply begun.” 

Sandler and Tim Herlihy wrote the screenplay and also will produce with Jack Giarraputo and Robert Simonds. Dennis Dugan, who directed the unique Completely happy Gilmore, will govt produce with Judit Maull, Kevin Grady, David Bausch and Barry Bernardi.

As for Dangerous Bunny, repped by UTA and Rimas Leisure, the movie will mark his newest foray into onscreen roles. He beforehand appeared reverse Brad Pitt in Sony’s motion comedy Bullet Prepare and Gael García Bernal within the Amazon drama Cassandro. Developing, he has Darren Aronofsky’s crime thriller Caught Stealing at Sony Footage.

In a Vainness Truthful cowl story printed final yr, the music famous person stated, “You may say that I’ve been investing somewhat bit extra of myself in performing.”

Con un gol de penal y una asistencia de James Rodríguez, Colombia tomó desquite de su derrota en la reciente remaining de la Copa América y venció el martes 2-1 a Argentina por la octava jornada de las eliminatorias de Sudamérica rumbo al Mundial de 2026.

El capitán colombiano lideró el triunfo native con un gol a los 60 minutos y el preciso pase para el cabezazo a la crimson de Yerson Mosquera. James volvió a ser protagonista como y ocurrió en el campeonato continental disputado en Estados Unidos entre junio y julio, del cual fue elegido mejor jugador.

Un error de James propició el gol del empate transitorio de Argentina a los 48 minutos. Un mal pase hacia atrás del flamante fichaje del Rayo Vallecano de España lanzó a la carrera a Nicolás González, que robó el balón y avanzó con velocidad hasta ponerse delante del arquero Vargas, superándole con un tiro entre las piernas.

“Es un triunfo bueno, contra una Argentina que lo ha ganado todo”, señaló Rodríguez tras el cotejo. “El clima estaba durito, hizo mucho calor, pero hicimos un partido excelente. Es un triunfo justo”.

Invicta en las eliminatorias, Colombia llegó a 16 puntos, dos menos que Argentina, que pese a la derrota sigue en el liderato.

En el estadio Metropolitano de Barranquilla, bajo un fuerte calor que alcanzó 32 grados centígrados durante el partido, Colombia comenzó con el management de la pelota, mientras Argentina esperaba ordenada con dos líneas de cuatro, dejando a Lautaro Martínez y Julián Álvarez como opciones en el ataque.

Sin su capitán Lionel Messi por lesión, la Albiceleste no ejerció una presión alta, como hizo en su anterior presentación ante Chile en Buenos Aires, resuelta con una victoria 3-0, sino que intentó bajar el ritmo del encuentro y aprovechar cada pausa para recuperar energías.

“El horario del partido no está bien, se podía jugar a las 5, 6, 7 de la tarde”, indicó Scaloni. “No me parece sano para que los futbolistas desarrollen su potencial, el calor es igual para los dos, es lo que hay, pero es evidente que las condiciones para ver un espectáculo no están buenas”.

El primer acercamiento de Colombia llegó a los ocho minutos con un saque de esquina que los campeones mundiales defendieron con todo sus hombres en el área.

Fue un aviso de lo que pasaría después.

A los 24, Rodríguez — que recuperó su lugar en el as soon as inicial tras ser suplente el viernes en el empate 1-1 contra Perú — envió un pase filtrado para Luis Díaz, que fue salvado por un cierre providencial de Nicolás Otamendi.

Acto seguido, el córner volvió a tener como protagonista a James, que cobró en corto y rápido para Jhon Arias y, tras recibir nuevamente el balón, envió un centro desde la línea de fondo, que Mosquera cabeceó para batir al arquero Emiliano Martínez.

James llegó a 11 asistencias en su trayectoria en la eliminatoria sudamericana y superó el registro de Carlos Valderrama.

“Para ganarle al mejor equipo de la actualidad, hay que hacer muchas cosas bien”, explicó el seleccionador de Colombia, Néstor Lorenzo. “Fue un partido parejo, no tan vistoso, pero cuando tuvimos que meter, metimos; y cuando tuvimos que jugar, creamos oportunidades”

El gol en contra y la pausa de hidratación invitaron a Argentina a adelantar sus líneas, pero fue incapaz de exigir mucho a Vargas en el primer período.

Después del descanso, Argentina se encontró con una concesión de Colombia que le permitió igualar el encuentro.

Colombia volvió a acelerar y cinco minutos después forzó un falta dentro del área de Otamendi ante la llegada del lateral Daniel Muñoz, que, en principio, no fue señalada por el árbitro chileno Piero Maza.

Tras un largo tiempo de revisión en el VAR, el juez decretó la pena máxima, que dio la oportunidad a James de hacer olvidar su error y volver a convertirse en figura clave de los anfitriones.

El 10 colombiano engañó al “Dibu” Martínez y, con su excelsa pegada, envió su disparo al ángulo para devolver la ventaja a los suyos.

“Para mí, dentro de la cancha, no fue penal. Nico (Otamendi) se tira por delante”, se quejó el volante argentino Leandro Paredes. “Más allá de la decisión del penal, fue un partido parejo. El calor no es excusa, aunque no estamos acostumbrados”.

Rodríguez llegó a 13 dianas en premundiales e igualó la marca de Radamel Falcao García.

Scaloni refrescó a su equipo con el ingreso de Marcos Acuña y Alexis Mac Allister, que se unieron a Nahuel Molina, quien entró en el entretiempo.

Colombia, más acostumbrado al calor de su escenario, no realizó modificaciones hasta los 79 minutos cuando saltaron a la cancha Kevin Castaño y Jhon Córdoba.

Uno de los sustituidos fue Jhon Arias, que recibió la ovación de los presentes por su despliegue en el mediocampo.

A pesar de la necesidad de ir por el resultado, Argentina dio muestras de cansancio en el tramo remaining y no pudo evitar su primera caída desde noviembre pasado cuando perdieron contra Uruguay.

____

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SAN FRANCISCO (KGO) — {The teenager} accused of capturing San Francisco 49ers rookie extensive receiver Ricky Pearsall throughout an tried theft in Union Sq. appeared in courtroom for the second time Tuesday afternoon.

Throughout Tuesday’s temporary courtroom look, the 17-year-old suspect and his legal professional waived his proper to a speedy trial.

MORE: Teen suspect in Ricky Pearsall capturing introduced gun to high school week earlier than incident, report says

His legal professional instructed ABC7 Information that on Friday, his workforce shared new video proof with the prosecution that reveals the altercation between the teenager and Pearsall from a unique vantage level.

The lawyer stated he believes the newly uncovered video will reveal that the incident was an tried theft and never an tried homicide.

The suspect’s legal professional additionally took time to push again in opposition to headlines that his shopper introduced a gun to his highschool simply days earlier than the Pearsall incident.

“It is false. It is false information. That is a false narrative. He didn’t have a gun at college. If he had had a gun at college, three issues would have occurred. He would have been arrested, they might have filed a petition in opposition to him and he would have been ejected from the college. None of these issues occurred,” stated Deputy Public Defender Bob Dunlap.

EXCLUSIVE: Video reveals second Ricky Pearsall capturing suspect flees Union Sq. crime scene

Whereas the legal professional denied the younger man introduced the gun to high school, he did verify that his shopper nonetheless has an excellent authorized problem in San Joaquin County.

He wouldn’t, nonetheless, go into additional particulars.

The suspect is anticipated to subsequent seem in courtroom on Sept. 26.

In the meantime, the San Francisco District Lawyer’s Workplace nonetheless has not determined whether or not they need to attempt to have this case moved to grownup courtroom.

Martenzie Johnson:

I imply, one, the police union official is doing his job, proper? That is what all police officers are going to do on this case. They are going to rise up for their very own.

However this concept that, if you happen to do not comply, if you happen to do not comply with their orders, they will actual violence on you, that is not a part of the job, proper? They’ve a number of leeway as police Officers. They’ve certified immunity. They’ll get them out of lawsuits. They’ve powers from the state to shoot and kill folks with out actually any recourse.

They receives a commission a wage that’s a lot increased than most public service, to not point out the time beyond regulation that Officers like that may get from working these video games. So the least that they might do just isn’t — the least that they might do is de-escalate conditions. That is all we’re asking them to do.

They usually’re saying that, if you happen to do not adjust to this, if you happen to do not — if you happen to attempt to escalate the state of affairs, we are going to go even additional to a degree of violently snatching you out of your automobile, placing you face first into the pavement, driving your — my kneecap into your again and arresting you, only for, once more, such as you mentioned, a visitors violation.