12/8/2023 0 Comments Scd dvt prophylaxisVenous thromboembolism (pulmonary embolism or any lower-limb deep-vein thrombosis) occurred in 103 of 991 patients (10.4%) in the pneumatic compression group and in 95 of 1012 patients (9.4%) in the control group (relative risk, 1.11 95% CI, 0.85 to 1.44), and death from any cause at 90 days occurred in 258 of 990 patients (26.1%) and 270 of 1011 patients (26.7%), respectively (relative risk, 0.98 95% CI, 0.84 to 1.13).Ĭonclusions. The primary outcome occurred in 37 of 957 patients (3.9%) in the pneumatic compression group and in 41 of 985 patients (4.2%) in the control group (relative risk, 0.93 95% confidence interval, 0.60 to 1.44 P=0.74). Intermittent pneumatic compression was applied for a median of 22 hours (interquartile range, 21 to 23) daily for a median of 7 days (interquartile range, 4 to 13). A total of 2003 patients underwent randomization - 991 were assigned to the pneumatic compression group and 1012 to the control group. The primary outcome was incident (i.e., new) proximal lower-limb deep-vein thrombosis, as detected on twice-weekly lower-limb ultrasonography after the third calendar day since randomization until ICU discharge, death, attainment of full mobility, or trial day 28, whichever occurred first. We randomly assigned patients who were considered adults according to the local standards at the participating sites (≥14, ≥16, or ≥18 years of age) within 48 hours after admission to an intensive care unit (ICU) to receive either intermittent pneumatic compression for at least 18 hours each day in addition to pharmacologic thromboprophylaxis with unfractionated or low-molecular-weight heparin (pneumatic compression group) or pharmacologic thromboprophylaxis alone (control group). Whether adjunctive intermittent pneumatic compression in critically ill patients receiving pharmacologic thromboprophylaxis would result in a lower incidence of deep-vein thrombosis than pharmacologic thromboprophylaxis alone is uncertain. Adjunctive Intermittent Pneumatic Compression for Venous Thromboprophylaxis. Patient who is already on a pharmacologic agent does not get additional benefit with adjunct SCD (Sequential Compression Device).Īrabi et al.
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In other words, although the same advice was given to all the patients, probably some patients complied strictly, whereas others did not.Ī mechanical sensory device mounted on the patient’s head to automatically monitor the head position or the nursing records of direct observation of patient’s position can both be used to obtain an index of adherence. However, in these studies the patients’ actual positions were not assessed, and thus the researchers did not actually test the positions adopted by the patients. Shortening the duration of FDP and the use of alternate positions, such as avoidance of the supine or face-up positions, has been proposed after comparisons with strict FDP. But FDP is inconvenient and not readily tolerated thus, the optimal method and duration of FDP have been debated for many years, especially after MH surgery. Adherence also varied with time, being worst at midnight and declining over time.įace-down positioning (FDP) is recommended after vitrectomy and gas tamponade for rhegmatogenous retinal detachments (RRDs) or for macular hole (MH) surgery. We found patients age had no effect on adherence. Adherence was higher in female than in male patients, and higher in patients with MH than in those with RRD. Adherence to the FDP varied considerably among patients. There were diurnal variations in adherence, being highest in the evening and significantly lower at midnight, and we evidenced a decline in adherence over time, with it being significantly low on the last follow-up day. The adherence was significantly better after MH surgery (90.8 ± 11.7) than after RRD surgery (87.5 ± 12.5 P < 0.02). Female patients (90.8 ± 10.0) had significantly better adherence than male patients (86.7 ± 13.3 P < 0.02, U test). Adherence was assessed and recorded four times per day for 3 days postsurgery. We studied 119 female and 177 male patients who had undergone primary vitrectomy and gas tamponade for a macular hole (MH) or for rhegmatogenous retinal detachments (RRDs). To determine the adherence to the face-down positioning (FDP) in 296 patients who had undergone vitrectomy and gas tamponade. 12/8/2023 0 Comments Broken android data recovery freeIn this step, please select which types of data you want to recover. If you’ve done this before, skip to Step 3.įor more detail guide to Enable USB Debugging Mode on Android. 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Some people complain about Jillian Michaels’ methods of pushing you to do more and do better. That way, when you’re exhausted a little over halfway through, you can tell yourself what’s left (and hopefully it won’t seem like much). In some cases, it may even come as a comfort to have the workout basically memorized. Even if you do get bored by day four or five, you’ll get a switch-up soon, and it’s only 24 minutes. Though there’s a chance to get bored because you’re doing the same workout for a week at a time, she introduces plenty of new moves from one workout to the next. Show yourself some grace if you can’t do all the reps the first time through. Jillian walks you through not only the correct form for everything you’ll be doing but offers modifications for those who can’t do the original exercises. Worried that the intensity might be too much for you? No need. I didn’t see any claims about losing a certain amount of weight over the course of the month like the ones I saw for 30 Day Shred, but I don’t see why this one would be any different. You’ll get access to it online, so there won’t be a physical copy that you’ll receive when you purchase the workouts. With this workout DVD, you’ll get a 30-day meal plan to follow along with. These workouts move quickly in order to keep the intensity (and your heart rate) up, which is what leads to fast results. Each workout is divided into three sections: strength, cardio, and abs. You’ll do one workout each week and then progress to the next one. This DVD came out in 2012 and features four workouts. When you cancel, you will have access to Enterprise Diamond for the remainder of the month for which you have already paid. Cancel at any time by calling Intuit at 80, prior to your monthly renewal date. Each month, your account will be automatically charged the agreed-upon price unless and until you cancel. (Hosting sold separately.) Enterprise Diamond is a subscription and is only available on a monthly payment plan with no annual commitment. Enterprise Diamond is compatible with, but does not include hosting. (See QuickBooks Desktop Payroll and QuickBooks Time Elite disclosures below.) Enterprise Diamond is sold in increments of 1-10, 20, 30, and 40 users. QuickBooks Time Elite is $5 per month per employee. Assisted Payroll is not available in IN and WY. Assisted Payroll is $1 per employee per pay period maximum of 4 pay periods each month. QuickBooks Enterprise Diamond subscription:Įnterprise Diamond includes QuickBooks Assisted Payroll and QuickBooks Time Elite time tracking. After the 30 days, you can call to purchase. of the 2023 End User License Agreement.įree trial download: The first 30 days of QuickBooks Desktop Enterprise free trial from the date of sign up is free. Going forward, we will provide support only for the latest version available during the term of your active subscription.* For more details, see section 13.1.2. Īdditional information about your 2023 QuickBooks Desktop product: Our policy on "Discontinuation and End of Software Support" has changed and will no longer be based on a fixed date. See Subscription Terms & Conditions for details. Upon expiration of your paid subscription you will no longer have access to the product or any of its connected services. If you cancel outside of the 60 day money back guarantee period you will have access to QuickBooks Enterprise for the remainder of the 12 month term in which you paid for. If you cancel inside the 60 day money back guarantee period you can opt to receive a refund (see: money back guarantee terms and conditions ). Intuit will authorize your card to ensure prompt order processing, resulting in a temporary hold on your account. If you select the Monthly Option Plan then you will pay the then-current fee over the course of 12 months. You can cancel at any time by going to Account & Settings in QuickBooks and select “Cancel” or by calling 80, prior to your renewal date.īoth the Annual and Monthly Option Plan commits you to a 12-month term fees vary per plan. After 12 months, your credit/debit card account on file will automatically be charged on a monthly or annual basis at the then-current fee for the QuickBooks Desktop Enterprise product and plan you’ve selected until you cancel. Your subscription of QuickBooks Desktop Enterprise Silver, Gold or Platinum is valid for the first 12 months starting from purchase date. If you are not satisfied with QuickBooks for any reason, simply call 80 within 60 days of your dated receipt/purchase confirmation for a full refund of the purchase. Terms, conditions, pricing, subscriptions, packages, features, service and support options are subject to change at any time without notice. Red, on the other hand, was destroying everything at the starting base using the horse riders, even the walls. Yet, they never attacked the new base for some reason. Yellow villagers would just die from catapults in hundreds while trying to gather the wood. I remember that one of my tactics was to start from a scratch, build the transport boat and move all the villagers to north where you can get a decent army (it took a many replays to figure this out) for free and build the city in safe environment. Guess what - I could not read the objectives and was trying for a while to just kill every single Roman unit. I'm talking about the scenario where you have to destroy the wonder and build your own. I was like "challenge accepted" and I built all kinds of buildings on every free spot on the map except the yellow and red enemy territory. He answered: "I never played the game but since it is strategy game, my guess is that it is about expansion and having the largest city". :D I remember the moment when I asked my dad: "How do I win in the game I play?". I did not knew English at this age so I had to figure out everything visually. I never owned the full game at this time because it was quite pricey in my home country and what I had instead is Win 98 SE disc with "interactive samples" that included AOE ROR demo. I know AOE since being six years old kid. I'll even try to see if he remembers anything. He's not capable to play it himself anymore, but now i can be the one playing the game and he'll be the one to grab a chair and see his grandson play still to this day. I will be visiting my grandfather in Canada soon, after many years of being apart since my grandparents moved there, and i cannot wait to show him how this game has progressed and become after all these years, to tell him it's still alive and active since. In my eyes he was awesome at it, even though he was not really, still he loved this game a lot and the fact that he had a very excited fan sit with him he could talk to and answer all my curious questions of what was what. My grandfather introduced me to Rise of Rome when i was 6, i always watched him play this game after he got home from work and i'd grab a chair to watch him battle AI. I do want to share my favorite moment if that is okay. I don't really need to win, i bought this game the moment it hit Steam. The giveaway is over! Winners have been contacted via PM, and a post with the results is forthcoming. If you only mention one platform and win but I'm out of keys for that platform, I will pass you over. Good luck everyone!ĮDIT: If you would prefer one platform but would also take another if I run out of keys for your preferred platform, please mention that in your entry. I plan to use RedditRaffler to give away the keys fairly unless there's some horrible secret about them I should know. I will end this giveaway Friday night at around 7 PST and announce winners ASAP so that they'll have the weekend to enjoy it. Your Reddit account must be at least 1 week old at the time of this post to enter. Comments on the game, how the subreddit is going, your favorite AOE memory, or anything else you'd like to share are encouraged. a reply to my post, not a reply to another comment) although discussion is fine. This comment should be a top-level comment (I.E. Thanks to /u/CysionBE and our other friends at Microsoft and the Forgotten Empires team we have been given 10 keys each for the Steam and MS store releases of Age of Empires: Definitive Edition to giveaway! I'll keep the rules simple - post a comment below with the version of the game you'd prefer to win. Your overview will show your expenses and your investment portfolio. Whereas some quicken alternatives only focus on spending, Personal Capital also focuses on investment tracking and retirement planning. Personal Capital is our favorite, and it’s free to use. Quicken Alternatives for Personal Accounting 1. If all this sounds like a hassle, check out some of the best alternatives for your money management. If you want to use the Quicken mobile app, you must buy and sync the software with your home computer. The software seems to lag behind the rest of the fintech universe. It’s also been immensely underwhelming for many users since HIG Capital bought them in 2016. That desktop-based technology is becoming increasingly outdated, so it’s not outside the realm of possibility that they will discontinue the program. Since Intuit sold Quicken, no one is sure of its future. The basic version allows you to track and pay bills, set up bill alerts, automatically import transactions, categorize spending, create a budget, and generate your credit score. 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12/8/2023 0 Comments Penny dreadful dorian grayWhether or not we use it as much more than a jumping off point.” Because that”s kind of what it is – using the novel as a springboard for where John and the storytellers choose to take it. Decided not to read it.” So I kind of anticipated being asked that question thought, “You know, I really think I should read this. I would have hated to have been answering this question with a “No.” Like, “Nope. So we discussed how much and how little would be involved. But I did read it and talked to John about how much he wanted the novel to inform my portrayal of the character. I hadn”t actually read it in high school. I felt it was my duty to explore the source material. John”s given you some great material to work with, but I”m also curious, how closely have you explored the source material for inspiration in how you”re going to play it? In the same way a predatory animal doesn”t know they”re a predatory animal. Not that Dorian”s a bad guy, because I think that even when you”re playing someone who is maybe a little bit more well-acquainted with the darkness, you have to kind of figure out where they exist in the light as well. I just knew I wouldn”t want to go from Spider-Man to Thor, or Spider-Man to Superman, or even good guy to good guy. It was 'Spider-Man: Turn off the Dark,' the musical. But the language was so good that I just thought, ‘I gotta do this.” And also it was so different from what I had been involved with at the time. I was always a little nervous about that. I was initially a bit hesitant when it came to knowing that I had to be without clothes. That stood out to me instantly as something I knew I wanted to be involved with. Reeve Carney: First of all for me, the language – I mean John ’s storytelling combined with the beauty he creates with the dialogue. I know I can do something fun with this part?” Tell me, what was the thing about this role that really got its hooks into you and made you say, “I want to play Dorian Gray. Spinoff Online: “Penny Dreadful“ is a fascinating show and Dorian is, I imagine for you, a fascinating part to play. With the debut season of the series arriving on Blu-Ray earlier this week, Carney spoke exclusively with Spinoff Online from Dublin about his exotic character, exploring the source material and even – though sworn to secrecy about Season Two – a peek at the mood on set as the series moves forward. As part of the ensemble of lurid eccentrics in the John Logan-penned show, Carney”s Gray brushes up against (literally and figuratively) other gaslight luminaries and alters their lives with his avowed self-indulgence but also finds himself questioning his own rules of eternal existence as a result. Just like Dorian Gray himself, playing the ageless hedonist hasn”t gotten old for “Penny Dreadful” actor Reeve Carney.Īfter a three-year stint on Broadway as Marvel”s webbed wonder in “Spider-Man: Turn Off the Dark,” the 31-year-old actor/singer/songwriter segued into the role of the legendary sybarite whose portrait grows old for him from Oscar Wilde”s 1891 novel “The Picture of Dorian Gray” in Showtime”s hit Victorian horror mashup series. (CBR) Reeve Carney talks about his experiences as “Penny Dreadful”s” Dorian Gray 12/8/2023 0 Comments Rolex highland park villageBut with the same planning and foresight used in establishing Highland Park, the developers traveled to Barcelona and Seville, Spain as well as to Mexico and California, studying the architecture in order to plan a retail center for Highland Park. Business was “expected” to stay downtown. Prather decided that Highland Park needed a shopping center that could function as a town square, most bankers and merchants offered them discouraging words. Because of a good original master plan and strict deed restrictions, it is today an enclave of gracious homes, fine schools and beautiful parks. Over the years, Highland Park, a separate town now located within the boundaries of the city of Dallas, has become one of the most beautiful communities in the nation, rivaling even Beverly Hills. This club, Dallas Country Club, is the oldest country club in Texas. Prather lured a country club to Highland Park as a drawing card to attract wealthy citizens of Dallas to their new development. After all, it was 130 feet higher than Dallas, and it certainly had plenty of parks. The new community would be named Highland Park. They set aside 20% of the land for parks, planning a high-class community with fine homes surrounded by abundant green space. Armstrong and his two sons-in law, Hugh Prather and Edgar Flippen hired noted architect Wilbur David Cook, the designer of Beverly Hills, to lay out the new Town, which opened in 1907. Armstrong envisioned a new, exclusive planned community just north of the bustling young city of Dallas. Armstrong purchased 1,326 acres of land bisected by an Old Indian trace later used as a cattle trail, now called Preston Road. The story of the development of the Village began in 1906 when entrepreneur John S. According to the Urban Land Institute, Highland Park Village was the first planned shopping center in the United States with a unified architectural style and stores facing in toward an interior parking area, all built and managed under a single ownership. This unique Mediterranean Spanish-style development was constructed in 1931. Highland Park Village is America’s first shopping center and the prototype for shopping centers all over the country. Newton felt that color, interference, and diffraction effects needed a better explanation. But some people disagreed with him, most notably Isaac Newton. As we discussed in the atom about the Huygens principle, Christiaan Huygens proved in 1628 that light was a wave. The double-slit experiment, also called Young’s experiment, shows that matter and energy can display both wave and particle characteristics. Explain why Young’s experiment more credible than Huygens’.The direction of propagation is perpendicular to the wavefront, as shown by the downward-pointing arrows. The tangent to these wavelets shows that the new wavefront has been reflected at an angle equal to the incident angle. The wavelets shown were emitted as each point on the wavefront struck the mirror. Reflection: Huygens’s principle applied to a straight wavefront striking a mirror. The ray bends toward the perpendicular, since the wavelets have a lower speed in the second medium. Huygens’s Refraction: Huygens’s principle applied to a straight wavefront traveling from one medium to another where its speed is less. shows visually how Huygens’s Principle can be used to explain reflection, and shows how it can be applied to refraction. The principle is helpful in describing reflection, refraction and interference. This principle works for all wave types, not just light waves. The new wavefront is tangent to the wavelets. The emitted waves are semicircular, and occur at t, time later. Where s is the distance, v is the propagation speed, and t is time.Įach point on the wavefront emits a wave at speed, v. |
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