5/10/2023 0 Comments Day one outdoorsThe shapes were about the right size to be deer. In time, half a dozen dark shapes materialized over 200 yards away, in the gray morning mist, where I knew the meadow abruptly ends and yields to spent brown goldenrod and standing yellow hay.īut it was still too dark to see any of that. The clover changed slowly from black to green. Gradually on this day, it revealed the margins of the meadow carved out of the north field, the hard, straight edges delineated by a plow. It is only the hunter who must know what he is doing, and why.ĭeveloping light is almost musical in its profundity, and it has startling power. Some people can't understand why we would want to do that, but that's all right. And on this opening day, we hoped to kill a few deer off his land. He spends a lot of time clearing brush, planting crops and building tree stands. He works hard at making the wild land a richer, friendlier place for a deer herd. Now the north field, along with the rest of the remote 400-acre parcel, belonged to Steve. It was just there that I shot my best buck ever. And off to my right, the slender trunks of the poplars became individuated in the grayness. I strained my eyes, trying to identify the stone wall where I sat late one afternoon years ago, in the midst of a raging snow squall, laughing out loud at how amazing it was, just being there. And with any luck, deer are part of the tableau. But inevitably, the inchoate forms multiply, and a landscape emerges from the dark. The shapes are much more like the patches and blotches children playfully make themselves see by squeezing their eyes shut. And I knew that some time soon, in 2 minutes or 4 or 8 or 10, I would begin to discern shapes.Īt first, it seems impossible that those shapes represent concrete objects, much less the corporeal reality of living things as beautiful as whitetail deer. I sat in the sturdy tree stand built on the edge of the north field on Steve Renehan's mountaintop property high above the Delaware River, watching the darkness. It seemed that dawn finally decided to take a day off, but that's how a hunter always feels in the early-morning hours of opening day of deer season.
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5/9/2023 0 Comments Extreme formula glovesTestament to the success of the safety clothing was seen during the 1994 season when the Benetton pit crew and driver Jos Verstappen survived a terrific blaze that resulted from a fuel leak. The chance of fire as refuelling is undertaken is still a risk although modern valve systems have minimised the chances of fire. Pit crews must wear equal amounts of safety gear as the pit lane is the most dangerous place on a Formula racing track. It is not just the driver that has to wear the levels of safety clothing. The exterior clothing is only part of the Formula 1 safety equation all the drivers wear a full set of 'racing underwear.' Made up of long johns, vests, gloves and a balaclava this is also made out of fire resistant material and acts as a further level of protection if a fire ever does break out. The same can be said for Formula 1 boots as the soles of these are made extremely thin so the driver has the closest contact with the pedals of the car. They must be made as thin as possible to ensure the driver can maintain his connection to the car whilst also remaining fire-proof enough to protect. Gloves may seem a minor element to Formula 1 safety clothing but are arguably the most important of all. The shoulder straps are engineered to take the weight of both driver and seat to ensure speed of rescue is rapid. As well as clothing design, the seats in Formula 1 cars are fastened by just two bolts resulting in the quick release of the driver in the event of accidents. These have the simple purpose of allowing stewards to pull the driver away from a car safely whilst causing the least possible injury. One other feature of Formula 1 safety clothing and more precisely the overalls are the two 'handles' situated above the drivers shoulders. The many patches that adorn the Formula 1 clothing are also made of this special material so as not to act as a catalyst of fire - the thread used to sew the patches also adheres to this fire retardant principle. The length of races, usually in sweltering conditions also means the overalls must be breathable to allow for the kilograms of sweat produced by drivers to escape. In a sport where weight is paramount the material must also be light. Modern overalls are constructed from a form of Aramid plastic fabric that undergoes stringent tests using a variety of white hot propane flames. The items of clothing include overalls, gloves, boots and balaclavas in an attempt to shield every part of the driver's body in the event of a fire. The clothing that is used in Formula 1 today is made from fire-proof materials that are so efficient they can protect a driver as his car burns around him. During the GPs of the 1970s fire was a regular occurrence where drivers were injured and killed in horrific blazes mainly due to the unplanned ignition of fuel after accidents. The Formula one safety clothing also has a primary purpose to protect the driver in case of serious fire.įire has become less of a problem for Formula 1 in recent years but this has not led to a disregarding of safety clothing. A Formula 1 helmet has a clearly defined purpose to protect the drivers head in case of high velocity impact. Clothing within the world of Formula 1 is often overlooked when considering the vast array of other high tech safety equipment. 5/9/2023 0 Comments Set instafeed with instagramThis feature is really helpful for stores that have wide space (for admin like to focus on image attraction) Multiple Rows: Admin can post/show photos in two, three, or many rows depending on specific purposes.Single Row: This layout is more suitable for a small space.There are three major selections as following: Admins can freely opt for layouts that are well-matched with the page magnitudes, with the construct of pages and other blocks. In addition to sorting out photos, Instagram Feed lets admins choose designs to suit owners’ needs. Photos from Instagram are well filtered and shown on-site in an extremely clever way. This feature is one of the most noticeable. 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Many online merchants face a problem: when they show numbers of viewers or any statistics, it seems to be untrustworthy. That makes sites interactional and reaches potential shoppers. Once Instagram Feed is installed, it allows admins to integrate Instagram photos into stores. With the popularity of Instagram, it would be a great mistake for any E-commerce store which could not optimize this amazing social media.įor that reason, the Instagram Feed extension is introduced to store owners. In 2016, Instagram launched Stories, and it has attracted a vast number of users around the world. Make Your Store More InteractiveĪs a statistic of CNN in June 2018, Instagram has 1 billion active users monthly. Shoppers will be impressed at the first visit, and stores will get more new customers. With the support of Instagram Feed, online Magento merchants can color sites by adding stunning photos from Instagram easily. However, how to make the store attractive and professional is not an easy task. 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Fortunately, Colonel George Washington ambushed a Spider Lord detachment in the forests of western Pennsylvania, capturing their weapons and gear, and Benjamin Franklin was able to reverse-engineer the Spider Lords’ lightning guns. Like a lot of RPGs these days, it takes place in an alternative history in this case, it’s one where the great European and transatlantic wars of the late 18th and early 19th centuries didn’t happen, because those sinister arachnids, the Spider Lords of Shambhala, burst out of their warrens deep under Central Asia’s mountains in 1751 and attempted to conquer the world. What makes Airship Heroes an unintentional commentary on the cultural politics of our era isn’t the game itself – it uses a good workmanlike set of game mechanics and stats – but the setting, which is discussed at great length in the rulebook. The points I hope to make ought to be just as clear that way as any other. I have no desire whatsoever to upset the designer or the publisher of the game in question, nor to do anything that might deprive it of so much as a single sale, so I’ll call it Airship Heroes (not its real name), pretend that it’s a steampunk-themed game (which it isn’t), and swap out other details as needed to provide everyone involved with as much plausible deniability as they could wish. Still, that’s what happened, courtesy of one of the RPGs I picked up in the course of my research. I didn’t expect any of this research to cast light on the cultural politics of our era, much less to explain at long last why the Left can’t meme and why Hollywood has churned out so many politically correct flops since Donald Trump’s election. I’ve had plenty of both experiences, though by and large the admiration has been the more common of the two-there are a lot of really good games out there these days. One of the things I’ve been doing to try to make the game as good as possible is to read a bunch of current RPGs, in the hopes of getting a sense of where roleplaying games have gone in the years since I played regularly, admiring (and drawing inspiration from) the things that work, and wincing at (and being warned by) the things that don’t. The working draft is already in the hands of the publisher editorial feedback, playtesting to destruction, and frantic editing will follow, and with any luck it’ll be unleashed on a world trembling with dread in early 2020. I’m pleased to report that the game’s squamous and rugose bulk is slithering toward you-yes, you!-with uncanny speed, reaching out hungry pseudopods…well, you get the idea. Readers of my Dreamwidth journal will be aware of this, but those who simply follow this blog may not yet have heard that I’ve been asked by a game publisher to create a roleplaying game based on my fantasy series with tentacles, The Weird of Hali. It so happens that in recent months I’ve had the chance to explore it from yet another angle, by way of the research I’ve been doing for an unexpected project of mine. The collective confusions we’ve been exploring since I returned from January’s break form a tangled web, and no one loose end leads straight to the heart of it. 5/9/2023 0 Comments Adlock marissa lugoWeight regain appeared and the decision was made to convert the patient to a Gastric bypass. We herein, present a 57-year-old female who had a SG due to BMI 52.35 kg/m2 and a planned second stage SADI-S, suffered from severe malnutrition and required conversion to proximal SADJ-S (45 cm from the angle of Treitz). However, this procedure can encounter difficulties in the follow-up. SADI-SG (Single Anastomosis Duodeno-ileal gastric Bypass with Sleeve gastrectomy (SADJ-S) is an accepted option for patients to treat obesity. 2Endocrine, Metabolic and Bariatric Unit, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona. Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona. Meritxell Pera Ferreruela, Resident 1 Ramon Vilallonga, MD, PhD 2 Amador Garcia Ruiz de Gordejuela 2 Marc Beisani 1 Elsa Garcia Möller, Resident 1 Enric Caubet, MD, PhD 2 Oscar Gonzalez, MD, PhD 2 Jose Manuel Fort 2 Manel Armengol 1 1General surgery Department. Laparoscopic conversion from Single Anastomosis Duodeno-Jejunal Bypass with Sleeve gastrectomy (SADJ-S) to Roux-En-Y Gastric Bypass (GBP). The gastric enterotomies were repaired with endostapler. The mass was found to have negative margins on frozen section. Laparoscopic endoscope was introduced and the mass was resected transluminally with an endostapler. Under endoscopic visualization, two 10 mm trochars and one 5 mm trochar were inserted into the greater curvature. After oncologic evaluation, patient underwent laparoendoscopic transgastric resection. EGD showed a 7.5 cm lesser curvature gastric mass, 1 cm from the gastroesophageal junction. Abdominal ultrasound showed a heterogeneously hypoechoic structure between the left hepatic lobe and pancreatic body. Patient is a 51-year-old-male with epigastric pain. Transgastric Laparoendoscopic R0 Resection of Large Gastrointestinal Stromal Tumor near the Gastroesophageal Junctionīethany Briggs, DO 1 Jeffrey J Kraft, MD 2 Toghrul Talishinskiy, MD, FASMBS, FACS 3 1Bayonne Medical Center, CarePoint Health 2Advance Laparoscopic Associates 3St Joseph's Regional Medical Center. It is a difficult surgery that requires an expert surgeon. Conversion of paraesophageal hernia with gastric volvulus and necrosis areas to RYGB is a feasible option. Acute paraesophageal herniation post fundoplication can be suspected by the history of a precipitating event accompanied by typical symptoms. We performed a Roux-en-Y Gastric Bypass plus partial gastrectomy. Laparoscopic revisional surgery, reduction of stomach, fundoplication dismantling, gastric necrosis with perforation. Diagnosis of paraesophageal hernia, intrathoracic migration of fundoplication and gastric volvulus. Two months later, presented gastroenteritis, vomiting, suddenly dysphagia, sialorrhea, retrosternal pain. Manuel Aceves, MD, FACS 1 Raul Perez, MD 2 Eric Barragan, MD, FACS 3 Natalia Mendoza, MD 1 1Obesidad y Laparoscopía Avanzada de Occidente 2Hospital Civil de Guadalajara 3IMSSħ3 year old male with GERD, Successful laparoscopic floppy Nissen fundoplication was performed. Revisional Surgery to LRYGB Plus Partial Gastrectomy She received a Bachelor of Science in Physics from The Cooper Union and her Juris Doctor cum laude from Harvard Law School.Intrathoracic Gastric Volvulus Post Nissen Fundoplication. Securities and Exchange Commission, and Global Head of Compliance for a major investment bank. Lago has also served as the Director of the Boston Redevelopment Authority and Chief Economic Development Officer for the City of Boston, President, and CEO of the Empire State Development Corporation, Director of the Office of International Affairs for the U.S. In the Obama-Biden Administration, she served in the Department of the Treasury as Assistant Secretary for International Markets and Development. Before joining ITA, she led the New York City Department of City Planning and the City Planning Commission. Under Secretary Lago has a distinguished career in public service with expertise in international markets, trade, financial regulation, and enforcement. products and services overseas, provide in-depth trade analyses, develop strategies that will shape the future of international trade, and engage in commercial diplomacy across the globe. 28, 2021, to lead the federal government’s efforts to assist American businesses entering or expanding into international markets, enforce fair trade policies, promote travel and tourism to the United States and U.S. Marisa Lago is the Under Secretary of Commerce for International Trade. 5/9/2023 0 Comments Halomd download freeWhile it started on the Xbox with Halo: Combat Evolved and Halo 2, it was solidified on the Xbox 360 where it was even more accessible. 343 Industries has announced that it will be shutting down multiplayer servers for Xbox 360 Halo games at the end of 2021. It’s an end of an era for older generation Halo games. And John ends up back at Earth aboard the Covenant (Forerunner?) Then 3 starts off with John falling through the Earth’s atmosphere, and Johnson and the Arbiter are on Earth to find John. This includes the current Arbiter, Thel ‘Vadam, who was branded a heretic for his failure to protect one of the sacred Halo rings from the so-called “Demon”, SPARTAN-II John-117.Ģ ends with Johnson and the Arbiter still on a Halo ring, if I’m not mistaken. Though considered a commanding role of high esteem, the Arbiter was condemned to a life of suicidal missions to regain his honor. How many levels are there in Halo 2?ġ5 levels What is the first mission of Halo 2? Halo 2 had a legendary ending That’s actually the normal ending, similar to Halo 3s cryo-sleep scene. But unlike say Halo 3 where each mission would take an hour or more to do, you can knock most of them out in 35-45 minutes. It just get’s really tedious and boring on legendary. This is coming from someone who had A LOT of trouble with Halo 2, Halo:Reach on legendary. The remastered version of Halo 3: ODST for PC is now available via the Halo: Master Chief Collection on Steam, Microsoft Store, and Xbox Game Pass. Lack of options, despite there being so many weapons in Halo 2, you still have less options because most of the guns, even considering dual wielded are useless, because you can’t live for long, so you can’t shoot for long, which makes many of the weapons as good as nothing… Will Halo 3 be remastered? That’s right, a Combat Evolved level ranks higher than a Halo 2 mission.Įnemies are very resilient and strong…. The 10 Most Difficult Levels In The Halo Franchise, Ranked Halo 5 made the biggest sales record in Xbox history, and was also the best-selling digital title. More than 12 million copies of the “Halo” series of books, comics and strategy guides have been sold.įirst-week global sales of Halo 5 software and hardware totaled more than US$400 million, making it the fastest-selling Xbox One exclusive. “Halo: Combat Evolved” and “Halo 2” were the top two selling games on Xbox, and “Halo 3,” “Halo: Reach” and “Halo 4” are three of the bestselling games on Xbox 360. These together made Halo into a juggernaut. Plus great mechanics, fun Co-Op gameplay and a fun (and surprisingly deep) story. New to the Halo arrangement are dogfight groupings set in space.It was originally so successful because of the original graphical integrity, being a launch title for the original Xbox, and for being around before CoD could hog the show. The crusade’s experiences in Halo Reach with adversaries are ordinarily vast, open spaces with weapons stores, spread from adversary shoot and vital vantage focuses. Wellbeing is renewed utilizing wellbeing packs scattered all through Reach’s levels. At the point when the player’s wellbeing achieves zero, the character bites the dust and the diversion reloads from a spared checkpoint. At the point when the vitality shield is drained, the player loses wellbeing. The player is furnished with an energizing vitality shield that retains harm from weapons, shoot and effects. The Covenant come in eight particular assortments with various positions and classes for every sort for instance, Elites are the pioneers of a gathering, while Grunts are less insightful and just risky in expansive gatherings. In Halo Reach’s battle, which can be played alone or helpfully, players accept the part of Noble Six, a supersoldier occupied with battle with an outsider aggregate known as the Covenant. 5/9/2023 0 Comments Classic red wing bootsThe boots are waterproof and oil/ slip resistant. Double and triple stitched in various areas. 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You are walking on concrete and uneven surfaces, which all play a huge part on your foot condition. Your feet take so much abuse each and everyday. I could go on and on, but I think you get the point. The average foot expands about 5% in volume as the day goes on. There are times that the pressure on your feet is more than your body weight. The average person takes between 8,000 to 10,000 steps a day. So you may be asking yourself, why would I pay $200 for a work boot? Okay let’s consider this. Okay enough acting like a Detroit Red Wing fan and I’ll stop whining. My feet end up hurting, the front is tearing and they really suck when stepping on a nail, no protection. I have been working with my brother gutting out an old house. The other day my family bought me a pair and all I can say is this gift made my month. If you are familiar with them, then you know they are not a drop in the bucket. Red Wing boots are something I have been wanting to buy myself for the last ten years. 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Due to this researchers and stem cell therapy providers are able to provide life-saving and life-changing procedures every day. This is more than likely the result of the state having a rather varied population, in terms of socioeconomics and philosophical leanings, and because the state has some of the best research universities in the country. Given the fact that stem cell therapy and research have been rather controversial in the past, it is interesting that stem cell therapy in Texas is thriving. Stem cell therapy has been making significant advances in orthopedic treatments of joints, soft tissue and spine pain.It is true that everything is bigger in Texas and with 28 stem cell clinics currently operating in the state, it is one of the leading stem cell providers in the country. #5: Questions to Ask to Find a Stem Cell Clinic You Can Trust If you are going to spend the money to undergo a regenerative procedure, give yourself the best chance of achieving the desired result. 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This is not the case with adipose-derived cells, where cell counts remain significant throughout a patient’s life. The cell counts in bone marrow fall dramatically as a patient ages and after the age of 40 cell counts may not be adequate to provide an appreciative regenerative effect when used alone. These are bone marrow concentrate and adipose (fat) derived stem cells. There are two cellular products that contain significant enough cell counts to have the potential to regenerate damaged cartilage or soft tissue. Although these materials may contain growth factors that can be beneficial to stem cell growth, they contain virtually no live stem cells. When these injectables have been tested in the lab by growing the injection material out in-culture, no appreciable stem colonies have been demonstrated. Neither of these biologics, in their injectable form, contain live adult stem cells. The majority of these clinics utilize biologic products that fall into two classes of birth material: cord blood and amniotic tissue. #2: Best Stem Cell Sources with Potential for Cartilage & Soft Tissue Regeneration The majority of these injections are carried out without image guidance, and therefore, cannot ensure proper placement of the cells. Many of these clinics are owned by chiropractors and the injections are performed by injectionists who often are untrained in joint or spine treatments, usually nursing staff. Many of these clinics are not owned or operated by a physician, and quite often the procedures are not performed by physicians. Over the past five years, unspecialized centers advertising stem cell treatments have popped up all over the country. Good outcomes are much more likely as long as an accurate image-guided cell procedure is carried out utilizing an autologous cellular source (patient’s own cells). The treatment of orthopedic injuries is one of the few medical applications where stem cell injections have demonstrated appreciable improvement in evidence-based studies. #1: Common Problems with Stem Cell Clinics and Stem Cell Injections |