4/18/2024 0 Comments Child cervical spine x ray![]() In a subset analysis, the NEXUS criteria had a 100% sensitivity and a 19.9% specificity for detecting clinically significant CSI in pediatric victims of blunt trauma. 7 On the other hand, the NEXUS study included 3,065 patients under the age of 18. Unfortunately, the Canadian C-spine study excluded all patients younger than age 16 and has not been validated in the pediatric population. ![]() 6 Decision RulesĬlinical decision rules such as the NEXUS criteria and the Canadian C-spine Rule are frequently utilized in adult trauma. Juvenile rheumatoid arthritis and osteogenesis imperfecta, as well as other rare predisposing medical conditions - Klippel-Feil syndrome, Larsen syndrome, and Morquio syndrome - should also raise one's suspicion for CSI in the appropriate clinical setting. Isolated congenital vertebral anomalies such as os odontoideum (separation of the odontoid process from the body C2) can cause serious CSI from even minor trauma. Specifically, children with Down syndrome are at increased risk for C1/C2 subluxation due to their relative atlantoaxial instability and articular mobility. Patient, it is also important to consider any other congenital or acquired comorbidity that may predispose them to CSI. Older children and adolescents are additionally at risk for sports-related CSI, diving incidents, and accidents involving other forms of motorized transportation. The most common causes of pediatric CSI include motor vehicle collisions (MVCs), falls, pedestrian accidents, and bicycle collisions, with MVCs spanning all ages but much more commonly causing significant CSI in young pediatric patients. Not surprisingly, 60-80% of all pediatric spine injuries occur in the C-spine, compared to adults, in whom CSIs comprise only 30-40% of all spine injuries. These characteristics place young children at a dangerously increased risk for higher level CSI and ligamentous disruption. 3 In addition, their paraspinal musculature is underdeveloped, ossification centers have not yet formed, and interspinous ligaments have greater laxity. 2 Young children in particular have larger and heavier craniums relative to their body size, resulting in a higher center of gravity and fulcrum for cervical motion (C2-C3 versus C5-C6 in adolescents and adults). The pediatric C-spine remains underdeveloped until at least 8 years of age, at which time it begins taking on characteristics of an adult C-spine. ![]() 1 As an emergency physician, you must be proficient in evaluating pediatric patients for traumatic CSI. While cervical spine injuries (CSIs) are relatively rare in this patient population (<1%), they can be associated with significant morbidity and mortality. You find it difficult to discern if he has any midline cervical spine tenderness and begin to wonder: Does this patient need cervical spine imaging? If so, what type of imaging should be obtained? Can I apply the same clinical decision rules that I use in my adult patients?Īge-related anatomic differences and injury patterns, as well as difficulties with the physical exam, make clearing the cervical spine (C-spine) one of the most challenging aspects of pediatric trauma care. He has a cervical collar in place and is crying hysterically. GCS is 15, and he has no other obvious distracting injuries. On your initial examination, vital signs are significant only for tachycardia. He was the restrained backseat passenger of a vehicle that was rear-ended at 50 mph while stopped in traffic. A 4-year-old boy is brought to the emergency department after a high-speed motor vehicle collision.
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4/18/2024 0 Comments Utah dmv driving tesr study book![]() Also, spend adequate time with Section 7, which covers the "Rules of the Road" and includes illustrations of Utah's highway signs.Įach section of the document ends with three sample test questions. You'll feel much more comfortable on testing day if you understand what to expect. Start with Section 13, which includes information on both the written test and road skills exam. Rather, approach the document with intention. With nearly 200 pages, it's unlikely that you're going to memorize all the material it includes. That's because most new drivers get their permit before enrolling in a driver's education course. It can be a particularly valuable study tool as you prepare for your written exam. Though the Utah Driver Handbook can't replace driver's education, it's definitely a useful supplement. In Utah, new drivers who are under 18 are required to complete a driver's education program before they can get their license. While the handbook is a useful tool, it's not intended to replace a traditional driver's education course. Can the Utah Driver Handbook Replace Driver's Ed? In addition to providing information that can help you pass your written or driving test, it can also help prepare you for unexpected situations you may encounter on the road including inclement weather, obstructed roads and even what to do if you get in an accident. Though it features information that could benefit any driver, it's especially helpful if you're new behind the wheel. The Utah Driver Handbook was created by the state's Department of Public Safety to provide an easy-to-understand summary of Utah's traffic laws. ![]() This useful tool is chock full of information that will come in handy whether you're on the road to getting your permit or preparing to apply for your license, and for years to come. Before taking your written or road skills exam, it's a good idea to spend some time with the Utah Driver Handbook. If asked for authorization, select Do Not Ask Me Again and then click Accept.Authenticate using your Ithaca College username and password when prompted for Single Sign-On (SSO).When presented with the option to "Select an Account," choose Company or School Account.Enter your Ithaca College email address in the provided text box and click Continue.Cropping isn’t necessary, as Acrobat/Reader can isolate the signature from a clean scan or photo. Acrobat/Reader supports JPG, JPEG, PNG, GIF, TIFF, TIF, and BMP files. Photograph or scan your signature, ensuring the area is well-lit and shadow-free.Ensure the signature is centered to avoid capturing the edges during scanning or photographing. Sign your name in black ink on a white, blank sheet of paper.Note for using an image as your signature: Alternatively, you can share your PDF via a link or request signatures using Adobe Sign by clicking the Next icon in the toolbar.Your signed PDF can then be emailed as you would a physically signed document. Once signed, save your document as a PDF and exit Adobe Acrobat DC.Click Apply, then place the signature or initials in your PDF document.If you choose to save your signature and are signed in to Adobe Acrobat DC, it will be securely stored in Adobe Document Cloud for later use.Click Image to upload an image of your signature.Click Draw to manually draw your signature.To view different styles, click Change style. Click Type to enter your name and choose from several signature styles.Once added, signatures and initials are stored for future use. Here, you have the options to type, draw, or import an image of your signature. ![]() If it's your first time signing, the Signature or Initials panel will appear.If you have previously added a signature or initials, select it from the Sign options and click on the desired location in the PDF to place it. ![]()
4/18/2024 0 Comments Ps4 save wizard license key![]() If the player's health is reduced to zero, the protagonist dies. There are also large jars of red potion that increase the maximum number of health indicators by one, and large jars of green potion that grants a temporarily ability to hover. The blue potions are poisonous, and they take one life indicator as damage. ![]() The red potions scattered throughout the game restore one health indicator. There are small jars containing potions of several colours and sizes. Each time the protagonist is damaged (cut by sword, fallen from two floors of heights or hit by a falling rock), the player loses one of these indicators. The player has a health indicator that consists of a series of small red triangles. However, a game session may be saved and resumed at a later time only after level 2. The game consists of twelve levels (though some console versions have more). This cannot be done without bypassing traps and fighting hostile swordsmen. The main objective of the player is to lead the unnamed protagonist out of dungeons and into a fortress tower before time runs out. Gameplay Mechner used videos of his brother as a reference for the original animation of the game (pictured: IBM PC compatible version). Its success launched the Prince of Persia franchise, consisting of two sequels, Prince of Persia 2: The Shadow and the Flame (1993) and Prince of Persia 3D (1999), and two reboots: Prince of Persia: The Sands of Time (2003), which was followed by three sequels of its own, and Prince of Persia (2008). It is believed to have been the first cinematic platformer and inspired many games in this subgenre, such as Another World. The game was critically acclaimed and, while not an immediate commercial success, sold many copies as it was ported to a wide range of platforms after the original Apple II release. For this process, Mechner used as reference for the characters' movements videos of his brother doing acrobatic stunts in white clothes and swashbuckler films such as The Adventures of Robin Hood. Much like Karateka, Mechner's first video game, Prince of Persia used rotoscoping for its fluid and realistic animation. Taking place in medieval Persia, players control an unnamed protagonist who must venture through a series of dungeons to defeat the evil Grand Vizier Jaffar and save an imprisoned princess. It was designed and implemented by Jordan Mechner. Prince of Persia is a cinematic platform game developed and published by Broderbund for the Apple II in 1989. ![]() Sure, you were going to watch five Office reruns anyway, but that has nothing to do with chess. You could potentially watch five full episodes before it's your move again. You make a move and start watching reruns of The Office while your opponent thinks. I choose to believe that the 10 percent of the poll respondents who selected this option all misclicked. Does your battery even last that long, or are you one of those aristocrats with plug-in chargers? Remember, chess time controls are for each side, so if you choose a two-hour game you could potentially be playing for four hours. It gives me a jolt of anxiety to even ponder the existence of a two-hour online time control. Two hours? I can't believe this is an option. king), I generally dislike them for online play-because there is nothing sweeter than flagging your opponent in a hopeless position. ![]() The criteria: solely my personal judgment.īefore we get started, a note on increments: They were not included in the poll options, and while they might be a good idea for super- grandmasters who've memorized complicated and esoteric endgames (like king-and-rook vs. So let's add some totally subjective clarity to this question by ranking the options from worst to best. It's difficult to get a large group of chess players to agree on anything, and time controls are probably not the exception. Could the chess community come together, though, to select the best online time control from a short list of choices?Ī while back, a poll sought to answer this very question, and no single time control received more than 31 percent of the vote. What can I do if it's hard to write because I click on menu during writing?.Then import page according to this manual Then set Digital type and reMarkable format like on screenshot. ![]() Just select template that you need from this collection. How to download digital template for reMarkable?.To add a new page, tap Add page in the top menu bar.Select where you’d like to place the new page.If you have no enough space for handwriting, you can add more blank pages. An exact copy will appear immediately after the page you chose in the notebook. Tap the notebook options icon, then Page overview.The device doesn't support navigating using a stylus. Just tap on hyperlinks on pages and right/top sidebars using your finger. The files you’ve sent will appear in the My files menu on your reMarkable.Drag and drop the file you want to send, or click Browse files to select your document.NOTE: If you want to import an image or other file types (not PDF/EPUB), the only option currently supporting this is uploading files through the my. website: You can do it using reMarkable website, App or directly from a computer. In case you have any issues with the reMarkable, just look at this complete manual. The device has E-link Display, a big battery, and a cool design, which makes many people really happy with reMarkable. This is one of the best devices for Digital Planning. It allows you to plan even more conveniently than in a classic paper notebook. However, the best solution for convenience and portability is to use the template with your iPad or any other tablet paired with a stylus that supports handwriting. To work with it on a computer, you will need a PDF annotation program, for example, Adobe Acrobat. Since the creation of such a file is a rather laborious process that requires special knowledge, the easiest way is to purchase a ready-made template with hyperlinks or use an application with integrated templates for different occasions. By having some functions of a task manager, this choice gives you room for creativity. Therefore, for beginners, the planner application is the best option. ![]() There is a search by tasks and notes, but you still won't be able to structure your notes like in paper weeklies with quick access. Such task managers, as it is, do not have standard fields on which you can write down your thoughts or just the information you need. They are perfect for those who expect from digital planning nothing more than scheduling a business meeting or happy birthday to their cousin. You can also choose one of the task manager apps for digital planning, such as AnyDo, Todoist, Trello, etc. Just click on App Name to learn more about how to work with Digital Planner PDFs in this App. ![]() Which PDF annotation app should I look for?
![]() But in terms of the vastness of the data breach, the narrowness of its target, and its capacity to be deployed as a political weapon, none of those compare to the exposure of Hunter Biden’s entire virtual life. The 2016 hack of DNC servers and John Podesta’s Gmail exposed the private communications of a major political party. In the iCloud hack known as “ the Fappening,” nude photos of dozens of celebrities ended up on Reddit and 4chan. A suite of executives and thousands of employees were victimized by the Sony hack. It is hard to think of a single living individual who has experienced as total an annihilation of digital privacy since our devices became extensions of our consciousness. Since then, mainstream news organizations, including the New York Times and the Washington Post, have come to verify that at least some of the information contained in the cache is authentic. When it first publicly surfaced, 20 days before the 2020 election, the authenticity of the material was doubted to the degree that Twitter and Facebook effectively banned the story from legitimate political discourse. ![]() ![]() The FBI reportedly took possession of the original - at least if you accept the version of events promoted by those who have distributed the data, which Hunter Biden and his lawyers don’t - and all we have now are copies of copies. The first thing you need to understand about the Hunter Biden laptop, though, is that it’s not a laptop. For the sake of simplicity, let’s call this nebulous cloud of data a “laptop.” ![]() Imagine, in a country with toxic and broken politics, how explosive this collection of data might appear to your enemies in the days leading up to a presidential election, and how valuable it might become after their defeat, as they seek to overturn and then undermine the results. Now imagine it’s not just anyone but the same political opposition that has already sought to destroy your father’s candidacy by improperly pressuring a foreign leader to offer up dirt about your (sketchy, for sure) business dealings. Imagine revealing this kaleidoscopic archive of all your different selves to anyone else. Now imagine that you are both the son of a man running for president and a lawyer and lobbyist accustomed to mixing with powerful people and doing business overseas premised on your proximity to those powerful people, and that you are in the throes of a divorce and a midlife catastrophe brought on by the early death of your older brother and that, in your distortion field of grief, on a hell-bent drug-and-alcohol binge, you have been making even more horrible choices, taking up with your brother’s widow and, while in considerable financial debt, hiring prostitutes and zoning out with camgirls and staying awake for days at a time on crack cocaine and generally hurting everyone in your life who is trying to help you with your cruel and idiotic behavior.Īnd imagine that, in the middle of all of this, you lose control of 217 gigabytes of your personal data: videos in which you have sex videos in which you smoke crack bleary-eyed selfies selfies that document your in-progress dental work your bank statements your Venmo transactions your business emails your toxic rants at family members analysis from your psychiatrist your porn searches your Social Security number explicit photos of the many women passing through your bedrooms, photos of your kids, of your father, of life and death, despair and boredom. Imagine the entirety of your digital existence plotted out before you: your accounts and passwords your avatars your contacts every exchange of written dialogue the full history of your logged interests, banal and forgettable and closely held the note where you scrawled once-urgent word fragments that now make zero sense to you the rabbit holes you fell down or the minor obsession or the thing that connected to the thing that led you to decide to do another thing that became a part of a part of a part of who you are, or a part of who you are to some people, or a part of who you are only to yourself, barely recognizable in the light of day. 4/17/2024 0 Comments Amending hoa covenantsA husband and wife had sued their HOA in July 2013 challenging the validity of amendments to the HOA’s restrictive covenants that were passed in 20. The court rulings establish that any challenge to the governing documents must be brought within five years of their recording or, in certain situations, five years from the date in which the challenger takes title to the property if subsequent to the recording.Florida’s First District Court of Appeal brought clarification to this issue in February 2016. Further, Chapter 617, the Florida Not For Profit Corporation Act, provides that amendments to the articles of incorporation must be filed in the office of the Department of State.įlorida appeals courts have clarified the deadline for challenging an association’s governing documents. Section 718.112(1)(b) of the Act states that amendments to the articles of incorporation or bylaws are not valid unless recorded in the public records of the county where the declaration of condominium is recorded. In Florida, the most often cited Statute of Limitations is found in Section 95.11, F.S., which contains the time limits for the following common types of cases, I have included the pertinent section below regarding amendments to governing documents:FIVE YEARS: An action on a judgment or court decree an action on a written contract an action to foreclose a mortgage and other actions founded on written instruments. ![]() After that statutorily-indicated time period runs, any claim asserting that cause of action will likely fail, regardless of whether the person or entity bringing the case is “right” or wrong”. Statute of Limitations sets forth the maximum time frame to file a legal action making a claim or to enforce a party’s rights, depending upon the type of claim being made. In many cases, waiting around and failing to take action may convert what should be an invalid amendment into an enforceable obligation due to the application of the statute of limitations. This is only true, however, if the issue is brought to the courts in a timely fashion and with the requisite limitation period. Many owners/board members, and even CAMs assume that amendments that did not receive the requisite amount of membership consent are automatically invalidated by the courts. ![]() Statutory Limitation Period to object to amendments to governing docs in a Condo or HOA 4/17/2024 0 Comments Winzip or winrar which is better![]() He also points out that another advantage of using this kind of file is that it gives a person a chance to put aside different kind of information and data in the volumes one require. In the long run this saves time and money. In doing so the files becomes easier and faster to transfer from one place to another within the internet. This is because the files are easily handled as a result of being compressed. Advantages of using WinZip and WinRAR filesĪccording to Wally (2004 p.232), one of the advantage of using these kind of files is that a person is able to have very many large files compressed in one and small package which he or she can use especially over the internet. He adds that these files do have with them features that allow them to write ZIP archives to CD as well as the DVDs besides the email ZIP archives. In addition, they have a very integrated FTP upload and also they have in-built automation of backup chores. Jones (2000, p 42) has noted that some of the important features in the WinZip and WinRAR files are they give the people using their updates without having to cough an extra coin. Features of WinZip and WinRAR filesįor any program to perform as required it must have some of those features that make it perform excellently. They are also secured thus no worry of them being tampered with by those who may use it. They become easier to open thus saving on time. ![]() One of the noted benefits of using this file is that one is able to save a lot of time because once the large files are compressed the files are very small and easy to use especially when they are to be available over the internet. The first two have been noted to be compatible unlike the RAR 3 which isn’t compatible with either of the other two. They are classified as RAR, RAR2, and RAR 3. In use today there are three types of these kinds of files. This file has become a darling of many internet users because it can put together many huge files into just a small package that can be used or sent when using the internet. RAR files use the same technology as the ZIP which is to compress a huge amount of information and put it in one package. The latest version for example Chris (2008 p 430) argues that it has facilitated a new and better output in all aspects of its performance. It is good to observe that WinZip 13 was never produced. Other versions that have been produced ever since include the following WinZip 3.1, WinZip 3.2, WinZip 4.0, WinZip 5.0, 5.5, and 5.6, WinZip 6.0, WinZip 6.0a, WinZip 7.0, WinZip 8.0, WinZip 8.1, WinZip 9.0, WinZip 10, WinZip 11, 11.1, and 11.2, WinZip 12 and 12.1, WinZip 14 and 14.5, WinZip 15 which is the latest version. He gives an example of its ability to extract files in a subdirectory manner something that the previous versions failed to achieve. Harlan (2011 p 321) has noted that with more modifications the WinZip 3.0 version could perform more sophisticated tasks than the previous version. In addition, this version allowed one to scan the viruses in the system something that lacked in the earlier version. He argues that some of the features in the WinZip 2.0 were the dialog box that was used to show the paths and the names of the files of all the external programs. Chris (2008 p 429) contends that WinZip 2.0 for example had some features that WinZip lacked and therefore could be tasked in assisting with the performance of extra work load that could not be carried out when using WinZip 1.0. After this production, there have been other subsequent production with each one being an improvement of the earlier version. It is worth noting that earlier on in 1989 Phil Katz had invented on behalf of MS-Dos a Zip archive format that had been referred to as PKZIP. Harlan (2011 p 320) has argued that in the initial version for Windows that was released in April 1991 it was available as WinZip 1.0. WinZip Computing Company is the producer of WinZip software that has been used as a file compressor and archiver for both Microsoft Windows and the Mac OSX. Learn More History of WinZip and WinRAR files When computers came it was found that it had to be installed with some programs that helped it perform more tasks at the same time and faster. This is what slowly to the invention of computers as a tool for storage although they were used for other purposes later on. As a result scientists of the time began to think of how they could have the bulk information stored in such a way that anyone wishing to access it did not have to hustle a lot. This in turn led to the accumulation of materials that were difficult to refer to when the need arose because it was an uphill task retrieving such information from books that were not properly stored. In the past before the invention of computers people used to rely on books and other written materials as a way of storing their information. Disadvantages of using WinZip and WinRAR files.Advantages of using WinZip and WinRAR files. 4/16/2024 0 Comments Free youtube to mp3 wma converter![]() Lastly, while using these converters, it's important to be aware of legal considerations. Opt for converters that don’t require personal information and are free from malware or intrusive ads. Another essential aspect to consider is privacy and security. A versatile converter that works well on PCs, Macs, and mobile devices ensures you can use it regardless of your gadget. Higher bitrate options, like 320kbps, usually translate to better sound quality.Īdditionally, compatibility with different devices and operating systems is a key factor. A good converter should balance speedy conversions without compromising the audio quality of the output file. A user-friendly interface that simplifies the process of downloading and converting videos can save time and hassle. First and foremost, ease of use is crucial. When choosing a YouTube to MP3 converter, several factors come into play to ensure you get the best out of your audio experience. ➤➤ Click Here to Convert YouTube video to MP3 What to Look for in a YouTube to MP3 Converter Whether you're a casual listener or a music enthusiast, these tools will enhance your audio experience without costing a dime. Here, we delve into the 20 best free YouTube to MP3 converters, each offering unique features to suit your needs. These handy tools allow users to extract audio from YouTube videos and save them as MP3 files, making it easy to listen on the go. This is where YouTube to MP3 converters come into play. However, sometimes all you need is the audio, be it for a playlist, a podcast, or a personal collection. If you like our YouTube to WMV Converter, please give us 5 stars.In an era where digital media consumption is at its peak, YouTube stands as a colossal repository of videos and music. After the tool presents the target result, you can click the Download button to save it to your devices. We support users searching for YouTube videos with valid URLs. Yes, this can be completed quickly in our YouTube to WMV converter. Is it possible to convert YouTube URL to WMV? You could try the popular VLC media player to watch the WMV video. Let’s first get the conception: Windows Media Player only works with the Windows system, so it can’t be played on Mac, for example. The incompatibility with codecs or even with your video or audio drivers may be the reason. Owing to its online functionality, you could use it anywhere and anytime. wmv file quickly with this online YouTube to WMV downloader, which boasts a fast speed to download YouTube to WMV file. ![]() Where can I find an efficient YouTube to WMV downloader? You can come to this YouTube to WMV converter tool for help, which provides customers with a direct and easy way to download YouTube videos to WMV. ![]() This is an extremely simple problem to solve. Then you get the chance to convert YouTube video to WMV. You don’t need to first waste time installing software, but open this online YT to WMV converter on a browser. Online programs get popular nowadays because of their convenience. Our YouTube to WMV converter is totally free. No irrelevant window pops up to remind you to pay for the downloading. You can click the play icon to preview the result to prevent downloading the wrong YouTube to WMV file.Īfter you confirm the video is the one you look for, click the Download button to download YouTube videos as WMV onto local devices. Under the premise that you enter a keyword to find what you need, many relevant videos will be shown. We consider all possible ways the users search for what they need. And then you can enjoy those nice trailers in WMV format offline.Įxplore the Greatest YouTube to WMV Converter Find your favorite one and paste its URL to this YouTube to WMV converter. Our product is a good assistant to help you get the latest film trailers on YouTube. Now, just try it and get some funny YouTube comedies for fun. With the help of the online YouTube to WMV downloader, you are allowed to grab YouTube resources effortlessly and download them into WMV format without paying. Therefore, you are encouraged to make use of it without hesitation and then resave your uploaded YouTube videos to WMV. The helpful WMV converter is here for you and it is particularly specialized in converting YouTube to WMV. If you want to keep your YouTube videos in WMV, come to this online YouTube to WMV converter to complete it efficiently. Besides that, it features DRM that offers protection of content from copyright violation and illegal reproduction. Developed as an alternative to the popular RealVideo, WMV can also be used for online video streaming. Windows Media Video, also written as WMV, is a video codec developed by Microsoft for the Windows Media framework. What Is the YouTube to WMV Converter Used for? |
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