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A major Ontario condo construction lender says it won’t relax its loan criteria for developers despite a sharp drop in projects and industry calls for more support. In the fourth year of the real estate downturn, developers have been shelving or postponing condo projects because mom-and-pop investors are no longer interested in buying preconstruction units. Individual investors used to account for the vast majority of preconstruction condo purchases in the Toronto region. The lack of investors means that developers cannot sell the amount of units required to qualify for construction financing. Lenders typically require 70 per cent of a project’s units be sold before they will provide the developer with financing to launch construction. “The 70 per cent remains a good metric,” said Kevin VanKampen, head of business banking with Meridian Credit Union, the province’s largest credit union that has been providing condo developers with loans for at least two decades. With condo prices falling, Mr.

When the major AI models updated in September, it seemed to usher in a tide of vibe coded havoc. The use of it in the modding community was divisive enough. Now dedicated platforms have been flushed and flustered by this new unprecedented wave. One popular platform, decomp.dev, has opted to throw in the towel. Not just because of how pervasive AI entries have become in their space, but for more philosophical reasons. They are a decompiling community, and they feel AI does not foster community. “It is now clear that, with the right guidance, human input, and code reviews, AI can expedite the decompilation process in a significant way,” writes the site’s farewell message. “What is also now clear is that the community aspect of decompilation has been broken.” Founded in 2024, the site became a popular destination in the rapidly accelerating modding space. New tools and growing communities have made the rate of long-awaited translation patches and decompiles far more frequent, but the invasion of AI-generated decomps have fractured the scene. Decomp.dev’s reasoning isn’t anti-AI per se, but mournful in nature. Decompiling, in short, means disassembling and reassembling a game’s code.

Electrical storm following myocardial infarction (MI) can be difficult to control when antiarrhythmic drugs and cardioversion fail. We describe a 53-year-old man with hypertension and previously undiagnosed diabetes who presented with an inferolateral ST-segment elevation MI caused by total occlusion of the proximal left circumflex artery, which was treated with primary percutaneous coronary intervention and drug-eluting stent placement. He then developed marked leukocytosis with a systemic inflammatory response and acute kidney injury (peak creatinine, 4.03 mg/dL), which resolved with empirical antibiotic therapy and supportive renal care. On day 6, he experienced recurrent syncope associated with sustained monomorphic ventricular tachycardia (VT) that persisted despite intravenous amiodarone and lidocaine, electrolyte correction, and repeated cardioversion, necessitating sedation and mechanical ventilation. Repeat coronary angiography demonstrated a patent stent. VT ceased following an ultrasound-guided left stellate ganglion block (SGB) using 1% lidocaine and dexamethasone, which resulted in Horner syndrome. Antiarrhythmic therapy was continued, and the patient was extubated wit

Acute hemorrhage within the thyroid gland is uncommon but can cause rapid neck swelling and, in severe cases, airway compromise. We report a 65-year-old woman with hypertension and a history of partial thyroidectomy performed more than 25 years earlier who presented with painful neck swelling that developed overnight. The swelling was associated with pain on swallowing, without shortness of breath, voice change, drooling, fever, or recent neck trauma. She was hemodynamically stable with an oxygen saturation of 99% on room air. Examination showed marked neck swelling, thyromegaly, thyroid tenderness, and left-sided neck induration. Contrast-enhanced computed tomography (CT) demonstrated a multinodular thyroid with a large heterogeneous mass in the left thyroid lobe causing mass effect and rightward tracheal deviation. Subsequent ultrasonography demonstrated a heterogeneous intrathyroidal collection consistent with hematoma. The patient remained clinically stable and was discharged after approximately five hours of observation. At otolaryngology follow-up 10 days later, repeat ultrasonography showed a progressively enlarging left thyroid nodule, and fine-needle aspiration cytology wa

Primary adrenal insufficiency in childhood is frequently associated with inherited disorders. Lipoid congenital adrenal hyperplasia due to steroidogenic acute regulatory protein (StAR) deficiency is a rare disorder characterized by impaired mitochondrial cholesterol transfer and deficient adrenal and gonadal steroidogenesis. We report a five-year-old child raised as a girl who had been diagnosed with primary adrenal insufficiency at three months of age and was receiving hydrocortisone and fludrocortisone. Physical examination showed female-appearing external genitalia without virilization and Tanner stage I development. Biochemical evaluation demonstrated markedly elevated adrenocorticotropic hormone with profoundly low morning cortisol and globally reduced steroidogenesis, including low 17-hydroxyprogesterone, androstenedione, dehydroepiandrosterone sulfate, and free testosterone. Karyotyping revealed 46,XY. Anti-Müllerian hormone and inhibin B concentrations were compatible with preserved Sertoli cell secretory activity and supported the presence of testicular tissue despite severely impaired androgen production. A contrast-enhanced abdominal and pelvic magnetic resonance imaging