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OpenCiv3: Open-source, cross-platform reimagining of Civilization III

https://openciv3.org/
518•klaussilveira•9h ago•145 comments

The Waymo World Model

https://waymo.com/blog/2026/02/the-waymo-world-model-a-new-frontier-for-autonomous-driving-simula...
852•xnx•14h ago•512 comments

How we made geo joins 400× faster with H3 indexes

https://floedb.ai/blog/how-we-made-geo-joins-400-faster-with-h3-indexes
65•matheusalmeida•1d ago•13 comments

Show HN: Look Ma, No Linux: Shell, App Installer, Vi, Cc on ESP32-S3 / BreezyBox

https://github.com/valdanylchuk/breezydemo
169•isitcontent•9h ago•20 comments

Monty: A minimal, secure Python interpreter written in Rust for use by AI

https://github.com/pydantic/monty
172•dmpetrov•9h ago•77 comments

Show HN: I spent 4 years building a UI design tool with only the features I use

https://vecti.com
286•vecti•11h ago•129 comments

Dark Alley Mathematics

https://blog.szczepan.org/blog/three-points/
65•quibono•4d ago•11 comments

Microsoft open-sources LiteBox, a security-focused library OS

https://github.com/microsoft/litebox
340•aktau•15h ago•166 comments

Sheldon Brown's Bicycle Technical Info

https://www.sheldonbrown.com/
335•ostacke•15h ago•90 comments

Hackers (1995) Animated Experience

https://hackers-1995.vercel.app/
425•todsacerdoti•17h ago•223 comments

Show HN: If you lose your memory, how to regain access to your computer?

https://eljojo.github.io/rememory/
232•eljojo•12h ago•142 comments

An Update on Heroku

https://www.heroku.com/blog/an-update-on-heroku/
366•lstoll•15h ago•253 comments

PC Floppy Copy Protection: Vault Prolok

https://martypc.blogspot.com/2024/09/pc-floppy-copy-protection-vault-prolok.html
37•kmm•4d ago•3 comments

Show HN: ARM64 Android Dev Kit

https://github.com/denuoweb/ARM64-ADK
14•denuoweb•1d ago•1 comments

Unseen Footage of Atari Battlezone Arcade Cabinet Production

https://arcadeblogger.com/2026/02/02/unseen-footage-of-atari-battlezone-cabinet-production/
4•videotopia•3d ago•0 comments

Delimited Continuations vs. Lwt for Threads

https://mirageos.org/blog/delimcc-vs-lwt
11•romes•4d ago•1 comments

Why I Joined OpenAI

https://www.brendangregg.com/blog/2026-02-07/why-i-joined-openai.html
85•SerCe•5h ago•68 comments

How to effectively write quality code with AI

https://heidenstedt.org/posts/2026/how-to-effectively-write-quality-code-with-ai/
216•i5heu•12h ago•160 comments

Female Asian Elephant Calf Born at the Smithsonian National Zoo

https://www.si.edu/newsdesk/releases/female-asian-elephant-calf-born-smithsonians-national-zoo-an...
17•gmays•4h ago•2 comments

Introducing the Developer Knowledge API and MCP Server

https://developers.googleblog.com/introducing-the-developer-knowledge-api-and-mcp-server/
36•gfortaine•6h ago•10 comments

Show HN: R3forth, a ColorForth-inspired language with a tiny VM

https://github.com/phreda4/r3
59•phreda4•8h ago•11 comments

Learning from context is harder than we thought

https://hy.tencent.com/research/100025?langVersion=en
161•limoce•3d ago•80 comments

I spent 5 years in DevOps – Solutions engineering gave me what I was missing

https://infisical.com/blog/devops-to-solutions-engineering
124•vmatsiiako•14h ago•51 comments

Understanding Neural Network, Visually

https://visualrambling.space/neural-network/
260•surprisetalk•3d ago•35 comments

I now assume that all ads on Apple news are scams

https://kirkville.com/i-now-assume-that-all-ads-on-apple-news-are-scams/
1024•cdrnsf•18h ago•425 comments

FORTH? Really!?

https://rescrv.net/w/2026/02/06/associative
53•rescrv•16h ago•17 comments

WebView performance significantly slower than PWA

https://issues.chromium.org/issues/40817676
16•denysonique•5h ago•2 comments

I'm going to cure my girlfriend's brain tumor

https://andrewjrod.substack.com/p/im-going-to-cure-my-girlfriends-brain
102•ray__•5h ago•49 comments

Evaluating and mitigating the growing risk of LLM-discovered 0-days

https://red.anthropic.com/2026/zero-days/
44•lebovic•1d ago•13 comments

Show HN: Smooth CLI – Token-efficient browser for AI agents

https://docs.smooth.sh/cli/overview
82•antves•1d ago•59 comments
Open in hackernews

Researchers complete first human trial on viability of enteral ventilation

https://newatlas.com/disease/butt-breathing-ignobel-prize/
104•mustaphah•3mo ago
Study: https://www.cell.com/med/abstract/S2666-6340(25)00314-9

Comments

vlovich123•3mo ago
Could this completely obviate tracheotomies and ventilators?
f4uCL9dNSnQm•3mo ago
No, the total surface of intestine is up to 40m^2, while the single lung has 100 m^2 for exchange. It might be a supplementary method at best.
Qem•3mo ago
That lung 2×100m^2 are enough for sustaining energy intensive human aerobic activities, like running a marathon. Perhaps 40m^2 is all is needed to sustain someone in low energy mode, bedridden.
samus•3mo ago
Even a compromised lung is capable of fully oxygenating blood for everyday situations. One just has to compensate by breathing faster, or cycling that liquid more frequently.
timerol•3mo ago
I really expected this to be overblown clickbait, but the article delivers on the title about as well as it could. I have seen many more breathless articles on treatments that weren't already conducting human safety trials as well as having animal effectiveness trials concluded.

And yeah, it turns out that mammals can absorb oxygen through their butts. Weird

leoh•3mo ago
Not really. Said tissues are well vascularized and therefore lend themselves to oxygen exchange. It’s just that the lungs are especially efficient for this.
0cf8612b2e1e•3mo ago
Supposedly end stage alcoholics will give themselves alcohol enemas to more readily absorb the alcohol. More direct exposure to the veins.

Which sounds like a fake urban legend, but I would never discount want an addict is capable of doing.

agobineau•3mo ago
it pretty common. a lot of people in my high school did this, or froze beer and inserted it to get rapidly wasted. the other classic is the tampon soaked in vodka

most of this was just done because drinks were too expensive or hard to get for high schoolers and they had to optimise their alcohol supplies

not_a_bot_4sho•3mo ago
> froze beer and inserted it to get rapidly wasted

Wow. TIL...

Larrikin•3mo ago
Don't treat an anecdote on the Internet like it actually happened. There have been people posting that they had friends of friends in college do this for twenty years. OP never did it but it definitely happened.

In this case it's high schoolers, half of whom most likely have no sexual experience but are fully willing to explore their anal cavity, having access to alcohol but not that much access.

They can get drunk off small amounts of alcohol, but it's such a small ration that they are freezing and destroying their limited amount of beer (which most high schoolers hate) to shove up their butts, to get drunk slightly faster? How much frozen beer can one butt fit? Is it really that much better than holding your nose and pounding it in front of your friends? Are high schoolers really going to parties with beer in their butts to maybe get a buzz of two beers from one butt beer because they only have access to one twelve pack, instead of just telling everyone how they are so wasted instead?

tomcam•3mo ago
As a guy who was gotten to by some male abusers as a child, I was simultaneously laughing uncontrollably and shutting my sphincter like a bank vault door as I read this. Never experienced anything like this before.
bregma•3mo ago
Not to mention the freezing point of ethanol is about -20 F. Just touching beer frozen solid enough to insert is going to instantly freeze surface water. You'd get your buttcicle maybe a quarter of the way in and it's going to start tearing layers of flesh off. I imagine it would make for hilarious fun party times.
loloquwowndueo•3mo ago
Buttcicle hahahaha I’m dying here, lol what an awesome word
jnwatson•3mo ago
Beer is typically only 2-3 percent ethanol. Its freezing point is only slightly below 0 C.
xnx•3mo ago
> breathless

I see what you did there.

foxyv•3mo ago
I know that rectal rehydration is a good method when sterile IV fluids are not available. Hopefully it's much safer than current ventilator or ECMO treatments.
imglorp•3mo ago
Some reptiles too. Painted turtles can survive under winter ice for months with cloacal respiration to extend their hibernation.

https://www.pbs.org/newshour/science/the-secret-to-turtle-hi...

JackFr•3mo ago
> breathless articles

Nice.

Qem•3mo ago
The proof of concept by sea cucumbers probably predate us by several hundred million years[1]. I wonder how .any more people could be saved from COVID with this deployed.

[1] https://en.wikipedia.org/wiki/Sea_cucumber

qyph•3mo ago
I wonder if this could be used for doping in aerobic sports? Could this elevate overall oxygen intake in a healthy person?

My vague understanding is that oxygen intake is a big limiting factor in aerobic activities hence measurement of things like vo2max in sports science. ‘Blood doping’ has similar benefits though it’s also about having more blood period.

It seems unlikely that one could take a big enough suppository to help in a meaningful way in a marathon, but in a middle distance race lasting only a few minutes…

semicolon_storm•3mo ago
It seems unlikely, athletes are consuming liters of oxygen per minute. Plus, the impact is at least partially offset by needing to carry the extra weight with you.

Different story for apnea sports like freediving where a little bit of extra oxygen goes a long way.

o11c•3mo ago
A liter of liquid is a lot more than a liter of gas ...
Liftyee•3mo ago
Isn't liquid oxygen cryogenic (boils at -183C)? The engineering of keeping that ...there... gets interesting fast, especially when dealing with all the cold (absorbed heat from expanding gas) and containing the pressure while also releasing oxygen slowly.
o11c•3mo ago
Um yeah don't use liquid oxygen.

But oxygen dissolved or otherwise absorbed in a material is fair game. Even without anything fancy, water can contain about 1% free oxygen, which is 8x what you could do with gaseous oxygen (which is in turn 5x what atmospheric mixture has).

And there are a lot of chemical reactions that can produce oxygen much better than 1%. The trick is going to be avoiding heat changes.

jcgrillo•3mo ago
> Um yeah don't use liquid oxygen.

You could probably do it once..

hobs•3mo ago
There's a lot of water so as long as my anal cooling fins project into the cooling fluid it sounds like I'll be down there for hours.
estimator7292•3mo ago
The oxygen gas is dissolved into a different liquid, some kind of perfluorate in this case. You can put more oxygen molecules in a given volume when dissolved in a liquid than if you just compress the gas.
whycome•3mo ago
Watch the abyss. The mouse!
stevenwoo•3mo ago
In a trained person, the limiting factor as I understand it is the capacity of one’s blood cells to carry oxygen to the muscles. This method does not make more blood cells unlike the common doping methods used for aerobic sports like blood doping, artificial EPO.
0cf8612b2e1e•3mo ago
Cyclists have been doping by taking transfusions of their own, previously donated blood. The extra blood cells can then carry more oxygen than a non-treated human.
djmips•3mo ago
Pedantic quibble - they haven't donated their own blood, maybe just stored.
colechristensen•3mo ago
The surface area of your lungs is like a tennis court, there is a significant difference.

This is being talked about in the ballpark of partial assistance during severe respiratory failure so more like delaying organ damage during a crisis than boosting peak athletic performance.

qlm•3mo ago
If this was enough to temporarily replace breathing I wonder how that would feel if you were otherwise healthy. I imagine not breathing would instinctively feel quite strange and even distressing.
hifikuno•3mo ago
From the littlei know from a breath holding workshop I did awhile ago (for trying to get into freediving) it's the carbon dioxide build up in our blood that gives us the urge to breath, and not the lack of oxygen. If this method allowed for the removal of carbon dioxide from the blood then holding your breath might not even be discomforting.

Edit: goodells explained it better!

not_a_bot_4sho•3mo ago
I'm scuba certified.

Now I'm wondering if I should get certified to dive with an anal rebreather too.

dillydogg•3mo ago
The acid base balance of the cerebrospinal fluid is the primary driver of the respiratory drive, like allude to with your comment on the CO2. I did want to add that the lack of oxygen can affect respiration, which is detected by the peripheral chemoreceptors, like in the carotid bodies.

Additionally, the thoracic stretch receptors are important for respiratory drive, where the lack of expansion of the chest will promote respiration. When a healthy young person holds their breath for short periods, say 30 seconds or so, their blood CO2 and O2 are not much different, but they still will have to fight the instinct to breathe!

goodells•3mo ago
It would be quite distressing because of the accumulation of CO2 in the blood, even with completely adequate oxygenation delivered intrarectally. The slight change in acid-base balance is what makes a person feel the need to breathe, and CO2 is an acidic byproduct of metabolism. This is why people with metabolic acidosis (e.g. in diabetic ketoacidosis or sepsis) have an increased respiratory rate.
dillydogg•3mo ago
In my thoracic surgery rotations in med school I was taught that the strongest stimulus for increasing the respiratory drive was the acidification of cerebrospinal fluid. Which, of course, correlates with the blood pH. This information comes from some studies in the 60s with goats, and the old guard are happy to hang their hat on it.

There are also chemoreceptors for oxygen concentration in the circulatory system as well.

I think everything you have said is correct, I just wanted to add a few more details for anyone who is interested.

eszed•3mo ago
Would CO2 still build up if someone isn't breathing at all? I'm guessing so, since you say CO2 is a byproduct of metabolism. Alternatively, could respiration exhaust enough CO2 even in a situation where the lungs are too damaged to take in sufficient oxygen?

All that apart, I'm guessing this would be used in emergency situations, where a patient is likely already unconscious and could be kept under sedation until transferred to ECMO. Is CO2 buildup dangerous on its own? If so, in what kind of time-frame? What's the upper limit on the additional minutes this therapy could buy?

goodells•3mo ago
Yes, CO2 still builds up.

In an acute situation where oxygenation isn't sufficient, the imminent threat of anoxic brain injury and end-organ dysfunction is the concern. Measures would obviously be taken to correct that, up to and including rapidly sedating and paralyzing a patient in order to mechanically ventilate them with an increased fraction of inhaled oxygen and/or additional pressure (PEEP) to increase the surface area in the alveoli available for gas exchange.

Respiratory acidosis (i.e. the accumulation of CO2 and acidification of the blood due to inadequate breathing) is generally not harmful on its own, the concern there is just adequate oxygenation. However there are metabolic causes of acidosis, usually due to lactic acid accumulation, which lead to end-organ dysfunction because lots of enzymatic reactions in the body expect a very narrow pH range to work effectively. This occurs over a period of days, though.

eszed•3mo ago
Fascinating! Thank you.

So, it sounds like if this works (big if, of course, at this point), sedation + an enema could be a better "bridge" to mechanical ventilation than CPR. That would be amazing (if it works); science fiction stuff.

goodells•3mo ago
I would disagree for a few reasons, at least for its application to cardiac arrest. It might have some niche applications, but that's only speculative.

The main determinant of successful CPR is maintaining coronary perfusion pressure with unrelenting chest compressions so that the heart has a fighting chance at starting to beat normally again. Moving the blood so that it has enough pressure at the aorta where the coronaries branch off of is way way way more important than keeping it oxygenated, which we're already pretty good at. In fact, over-oxygenation in CPR has been shown to be detrimental to outcomes because it causes oxidative stress at the cellular level. Oxygen is nasty, it's amazing that life evolved to harness it.

I do agree that modern medicine (especially emergency medicine) is really cool, that's why I switched careers after working in software engineering. We have lots of tools at our disposal, it's already science fiction. Modern resuscitation involves drugs that manipulate the ion channels of the heart in various ways, we can shift fluids around by changing the osmolarity of IV fluids (and we can pump them into you through your bones after drilling into them if needed...), cardiac monitors and AEDs will time a shock just right depending on the dysrhythmia to increase the odds of success, we can even just repeatedly shock a heart to make it beat in some situations like an AV block. And that's just the stuff that they let paramedics do (i.e. trained monkeys, I am one).

eszed•3mo ago
I stand corrected! Thank you.
polishdude20•3mo ago
I wonder if, given that our intestines can absorb gasses into our blood stream, if that also means we readily absorb our farts into our blood stream as well? The chemical composition of them could be having effects on your whole system maybe?
freediver•3mo ago
The answer is probably yes and they eventually get exhaled through the lungs or metabolized by various tissues. Gives whole new meaning to 'carrying the fart' though.
russdill•3mo ago
https://www.healthline.com/health/fart-in-mouth
hn_throwaway_99•3mo ago
Worth the risky click, that was surprisingly informative.
thornton•3mo ago
Agreed!
tomcam•3mo ago
Thank you for your service
amelius•3mo ago
OK, I clicked.

> If gas that is a part of flatulence is making its way out of your mouth, anyway, does that mean it’s OK to fart into someone else’s mouth?

This article answers really too many unasked questions ...

richrichardsson•3mo ago
"Better out than in" might hold some weight if so.
smcnally•3mo ago
> The technical term is enteral ventilation via anus (EVA).

Anecdatally, I have encountered multiple people with congenital capabilities re enteral locution via anus.

Wishfully, training astronauts for enteral ventilation via anus during extravehicular activities that involve writing an ongoing Prince song would be called “EVA EVA 4EVA.”

plantsbeans•3mo ago
https://www.cell.com/med/abstract/S2666-6340(25)00314-9

DOI: 10.1016/j.medj.2025.100887

tomhow•3mo ago
Thanks, we've put that in the thread's top text now.
carlosjobim•3mo ago
Oxygenated blood should instead be directly injected into the main artery while deoxygenated blood is sucked out of the main vein and into a scrubber and rebreather apparatus for oxygenation.

Much better in every way.

radu_floricica•3mo ago
That's an ECMO machine, and it works. It's also cumbersome and expensive. This kind of thing might easily become a standard resuscitation step in first responders.
AnonC•3mo ago
The answer to the most important question is at the end of the article. They demonstrated that this is safe, not that it’s effective.

> “This is the first human data and the results are limited solely to demonstrating the safety of the procedure and not its effectiveness,” said co-author Takanori Takebe of Cincinnati Children’s Hospital and the University of Osaka in Japan. “But now that we have established tolerance, the next step will be to evaluate how effective the process is for delivering oxygen to the bloodstream.”

If it’s proven to be effective and can help avoid ventilators for (at least some) people, it would be a huge breakthrough and improvement in the quality of life for the patient and for their close ones.

samus•3mo ago
Even if it turns out it cannot fully replace it, it could help reduce operation pressure and frequency of a conventional respirator.
BizarroLand•3mo ago
My dad had covid (and passed away), but the final nail in the coffin was when he coughed against the high pressure respirator and collapsed a lung.

If they had this, the would have been able to keep him oxygenated and alive long enough to repair the lung and he might have survived.

I'm sure many others might benefit from this option in an emergency in the future, so I'm glad it's being examined.

samus•3mo ago
Sorry for your loss. That's a sad reason to die!
rc5150•3mo ago
It would be interesting to see how long it takes for this measure to make it into Advanced Directive worksheets/forms. I'd also wager that this method will be unilaterally declined by men who also decline suppositories on account of perceived homosexuality. Imagine dying because you think the life-saving practice is "gay".
stogot•3mo ago
It’s unclear how they cycle the oxygenated fluid and … cycle the fecal matter that is likely to occur
MathMonkeyMan•3mo ago
I was wondering how to deal with that when this becomes a therapeutic option. Worst case might be a colostomy, so somebody whose lungs don't work at all anymore can still "breathe" and poop long term.

On the other hand, maybe it would be fine. The oxygenated fluid would just come out extra dirty sometimes. Also, if you're butt chugging oxygenated fluid all of the time, it's not like solids are going to have time to collect in the colon.

Will oxygenating the otherwise anaerobic environment cause issues with the gut microbiota?

silisili•3mo ago
Interesting. Perhaps related? The Ohio river(and probably others) used to have smoke enemas at points for drowning victims. I'm told it's where the phrase 'blowing smoke up your ass' comes from, as people eventually thought it was snake oil/foolish.

So this is about oxygen delivery specifically, but I can't help but wonder if whoever came up with the old idea was onto something...

s1artibartfast•3mo ago
In the 18th century the Royal Humane Society also put rectal bellows along the banks of the Thames in London for the benefit of the drowned.
xp84•3mo ago
Never in 1 million years did I think that if you saw somebody fish a body out of the Thames, and immediately pull their pants down, this might not be cause for alarm
mitchbob•3mo ago
Discussion: https://news.ycombinator.com/item?id=45662831
p0w3n3d•3mo ago
It somehow resonates in me with one of the first memes I was sharing

  Do you think that's air you're breathing now?
MathMonkeyMan•3mo ago
For those unfamiliar with this piece of internet history: <https://www.youtube.com/watch?v=twpdnV2Yq1E>
djmips•3mo ago
Sounds like a classic - only 14K views!
p0w3n3d•3mo ago
That's because we used to share it on CDs - they had no view counts
pontifier•3mo ago
My mother is currently dying in the hospital with breathing problems. I mentioned this to her earlier today... I thought this would have been much farther along than it is. Hurry up with the medical tech already!
boltzmann-brain•3mo ago
there's a lot to air and gas within our digestive tract that we don't seem to understand.

one time when i got salmonella, i started reading up on it (believe me, i had nothing better to do) and i postulated a hypothesis: the bacteria starts out being able to (barely) survive in your normal gut biome, but creates sulfur gas in order to thrive, and then once it does, losing that atmosphere kills it.

so i started swallowing massive amounts of air, and laid down so that my head was the lowest point of my body. low tech? yes. stupid? who knows. but i was feeling better on the next day - and normally it takes a week or two to clear out.

n=1, take it with a lump of salt. hopefully sharing this helps someone in some way in the future.

djmips•3mo ago
Fascinating idea! Sounds like the birth of a folk rememdy.
belZaah•3mo ago
There was a time, where there were bellows made available along the Thames in London. Because it was believed blowing tobacco smoke up someone’s backside would be a really useful mechanism of resuscitation, in particular in case of drowning. There’s a itsy bitsy kernel of truth in everything…
djmips•3mo ago
TIL that blowing smoke up someone's ass is derived from the abolishment of this practice (apparently).
radu_floricica•3mo ago
I wonder:

- what's the actual oxygen carrying capacity? If they're up to human trials then I imagine they've already validated this step in animals

- can it also scrub CO2?

Without doing more research, I'm putting most of the probability mass into it being be a small but significant oxygenation aid. Not enough to let us survive without working lungs, but enough to push the odds in emergency situations, while also being harmless. Something like 5% extra survivability for a $100 cost and a sore butt. Well worth it, but not a revolution.

Tade0•3mo ago
CO2 dissolves really well in Perfluorodecalin.

EDIT: I mistook solubility of oxygen by volume for that by mass - very different figure and of course effectively much lower.

ivan_gammel•3mo ago
I remember an old anecdote from my childhood: "A hedgehog figured out how to breathe with his butt, then sat on a tree stump and died". We live in times when even such jokes become close to reality.
afarviral•3mo ago
Would it not be more direct to do gas exchange with blood?
analog31•3mo ago
You still need some permeable membrane with a high surface area, to exchange dissolved oxygen. In this method, the customer supplies the membrane.
samus•3mo ago
Such devices already exist and are used in heart or lung surgery, as well as in intensive care and medical emergencies. However, the potential for complications is much higher since they extract from and return blood to the body.
bcuzrecentdeath•3mo ago
Is phrenic nerve stimulation (and possibly necessarily vagus nerve suppression) enough to keep a person breathing?

There is eVNS; external Vagus Nerve Stimulation.

Stimulating the phrenic nerve causes the diaphragm to contract. Stimulating the VNS causes airways to contract.

What devices exist for "diaphragm pacing" and wouldn't that be lower risk than mechanical ventilation?

hyperific•3mo ago
If this proves to be effective (not just safe and well tolerated which is the scope of this study) it'd be interesting to see how this would be adopted by extreme athletes. Free divers who can go deeper, cyclists who can ride harder, sprinters who can run longer at full speed because they're retaining an oxygen-rich slurry in their bowels.
Qem•3mo ago
> Free divers who can go deeper

Makes me wonder if free divers could possibly already cheat by swallowing air, perhaps even pure O2, before dives, to slightly increase maximum time submerged through gut gas exchange. Althought this probably would mess with buyoancy a bit.