But a combination of organization, ingenuity, team spirit, and a heavy dose of faith has helped the Duggars create a world that bears as much resemblance to the Waltons as it does to life here in the 21st century.” (For those among us too young to catch the references, The Waltons was a long-running historical drama that aired from the early-’70s to the early-’80s about a large, folksy, wholesome family in rural Virginia.) ![]() Within minutes of their very first TLC special, the narrator makes clear the family’s brand: “To the average parent. The Duggars were part of the Institute on Basic Life Principles. After being cancelled (more on that in a bit), the family maintained a media presence with a spin-off series called Counting On, which followed the older children as they began getting married and having children and ran until 2020. Four years and three children later, the family had their own series 17 Kids and Counting (its final iteration would be 19 Kids and Counting), which ran from 2008 to 2015. The Duggars’ first television appearance was a one-hour special on TLC called 14 Children and Pregnant Again. “As details of the family and their scandals unfold, we realize they’re part of an insidious, much larger threat already in motion, with democracy itself in peril.” The Duggars were on TV from 2004 to 2020. What can we expect? “A limited docuseries exposing the truth beneath the wholesome Americana surface of reality TV’s favorite mega-family, The Duggars, and the radical organization behind them: The Institute in Basic Life Principles,” the synopsis reads. The four-part docuseries premieres on June 2 on Amazon Prime and all episodes will be released at once. How to watch Shiny Happy People: Duggar Family Secrets. Here’s what you need to know going into the series, including how to watch. ![]() A new docuseries Shiny Happy People: Duggar Family Secrets explores this seemingly squeaky clean family, as well as the crimes, scandals, and revelations that shattered the Duggars’ wholesome facade. Headed by Jim Bob and Michelle, the prodigious family straddled the line between spectacle and adorable, never shying from their conservative Christian principles, but never delving too deeply into them either. For years, the Duggars were a mainstay of the media landscape.
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![]() If you already have music files stored on your computer, simply locate them and copy or drag them into the music folder you created on your Gabb Phone. Now that your Gabb Phone is connected to your computer, it’s time to transfer your music files. Transferring music files to your Gabb Phone Wait for the files to transfer, and once done, safely disconnect your Gabb Phone from your computer. From here, you can create a new folder specifically for your music files or simply drag and drop your music files directly onto the Gabb Phone drive. Open the file explorer or finder on your computer and navigate to the Gabb Phone drive. Once connected, your Gabb Phone should show up as a removable drive on your computer. ![]() Simply plug one end of the cable into your Gabb Phone’s charging port and the other end into a USB port on your computer. To do this, you will need a USB cable that came with your Gabb Phone. The first step in adding music to your Gabb Phone is connecting it to your computer. Connecting your Gabb Phone to your computer In this guide, we’ll walk you through the different methods you can use to add music to your Gabb Phone. If you’re a music lover and are wondering how to add music to your Gabb Phone, you’re in the right place! Despite being a device primarily aimed at communication and parental control, you can still enjoy your favorite tunes on your Gabb Phone. Using a music streaming app on your Gabb Phone.Transferring music files to your Gabb Phone.Connecting your Gabb Phone to your computer. ![]() Create custom batch scripts, list Amazon S3 files or entire folders, filter them with conditions, query, change object metadata and ACLs and much more. Quickly upload only new or changed file using multipart uploads and concurrent threads. Easily upload, query, backup files and folders to Amazon S3 storage, based upon multiple flexible criteria. It couldn't be easier!Īre you looking for a simple way to backup your files to Amazon S3? Try S3Express S3 Command Line Utility for Windows. ViceVersa PRO will automatically only copy files that are new or have changed since the last time it run: so you can have an always up-to-date, exact replica of all your important files, file by file and folder by folder. as soon as changes to files are detected). ![]() when connected to the network or when a USB drive is inserted) or even in real-time (i.e. every X hours or at an established time during the day), event-driven (e.g. as requested by the user), scheduled (e.g. The copy can be performed on-demand (i.e. USB Drive, NAS), another hard-disk, or another computer (desktop, server, workstations over LAN, VPN). Copy thousands of digital photos, documents and files that you need to backup or mirror to an external media (e.g. With ViceVersa PRO you can copy efficiently multiple files between folders, disks, computers. This powerful, yet easy-to-use utility transforms the often tedious and time-consuming task of renaming multiple files into a simple matter of seconds. Some batch rename software can do more than just renaming filenames. Need more help Want more options Discover. Use a text file as a source for new file names. Try also ViceVersa PRO, easy to use file copy software (a.k.a. Free downloads & security Education Virtual workshops and training Gift. If you have a suggestion for a new feature, get in touch and it could appear in a future release of the software! Additionally, A Better Finder Attributes. Separate processing for files and folders, batch processing of sub-folders. Automatically deals with file date consistency rules. Select files in the Finder and activate A Better Finder Attributes via the Finder context menu or via a hot key. As such, it is continually being enhanced and improved.Īs well as being " recommended" by a number of web sites, Bulk Rename Utility has also appeared on many magazine cover-discs, from Brazil to Sweden.īulk Rename Utility is compatible with all versions of Windows, e.g. Most of the features have originated from users' suggestions. It has a large base of regular users and an active User's Forum. The software gets downloaded very frequently. and it can batch rename 1,000s of files in seconds. It started as a freeware Visual Basic tool, but as its popularity has grown it has been completely rewritten in C++ to be robust and lightweight - and very, very fast! It can easily handle folders/discs containing well over 100,000 entries. Renaming multiple files and/or multiple folders has never been easier! It has a small memory footprint so it can be left running all the time without consuming all your memory. Bulk Rename Utility is an easy to use file rename program (a.k.a. We have played Catan for a long time now, and we love how every expansion adds to the base game, building over what the previous ones have achieved. Best Catan Expansions – Final ThoughtsĬatan is an ever-evolving game introducing new features with every new set released. It’s perfect for experienced Catan players who enjoy the challenge of adapting to new mechanics and navigating the complex trade networks of historical Europe. This expansion is best chosen when players seek a fresh take on the Catan formula, with an added strategic depth and historical context. The goal is to be the first to deliver all of your Commodity Tiles, adding a race element to the traditional Catan gameplay. Merchants of Europe also introduces the concept of moving your Merchants across the board, building Trading Posts, and constructing roads between the Posts. This shift in victory conditions creates a more engaging and competitive atmosphere. Instead, players start with a number of settlements and goods, and the first player to deliver all their goods emerges victorious. Unlike the base game, Settlers of America doesn’t end with a set amount of victory points. The game also introduces rail lines, which players must build to deliver goods to their opponents’ cities, adding another strategic element to the gameplay. This dynamic eliminates the risk of being boxed in, a common concern in the standard game. They move along intersections, and when they stop at an available city space, they transform into new settlements. The settlers, represented by covered wagons, replaced the traditional roads. ![]() The game retains the familiar hexagonal grid and resource collection mechanics, but introducing settlers and rail lines adds a new layer of strategy and complexity. This isn’t merely a rethemed version of the original it significantly alters the standard Catan ruleset, providing a more refined and immersive experience. Settlers of America introduces a refreshing perspective to the base game, transporting players to the American West. This expansion is a must-have for those seeking to enrich their Catan experience, making it a worthy contender for the best Catan expansions. “Catan Histories: Settlers of America – Trails to Rails” is a remarkable addition to the Catan universe, offering a unique twist on the classic gameplay we’ve come to love. This expansion is a testament to the adaptability of Catan, one of the best board games for group play. However, for smaller groups, the base game remains the preferred choice. In conclusion, the “Catan: 5-6 Player Extension” is a valuable addition to your Catan collection if you often have more than four players. While the expansion efficiently accommodates more players, some feel Catan shines brighter with its original 3-4 player format. ![]() ![]() The additional building phase can disrupt the game’s flow, as players must check if anyone wants to build after each turn. The game lengthens with more players, and the downtime between turns can be lengthy, despite the extra build turn. However, this expansion has its drawbacks. ![]() The most significant change is the expanded island, which is necessary to prevent overcrowding with the increased player count.Īn added rule allows players to trade in resources to build at the end of each person’s turn, mitigating the risk of the robber as turns take longer. This expansion allows for up to two additional players, introducing new wooden pieces in green and brown, extra resource and development cards, and additional terrain hexes and ports. “Catan: 5-6 Player Extension” is a must-have for any Catan enthusiast who often finds themselves with a larger gaming group. ![]() Pruritus induced by sweating is the most common trigger of itching in patients with AD ( 12– 16). In a survey of 100 Chinese patients with AD, daily life activities that increased the severity of itch were sweat in 96% of the patients’ dryness in 71%, stress in 71%, physical effort in 73%, specific fabrics in 64% and hot water in 48% ( 12). In general, the most commonly described provocative agents are heat, sweating, hot water, dust, irritants, xerosis, wool fibers, harsh soaps and emotional stress. Modified from Ständer S: Experimental Dermatology 2002 (11):12–24. Their results support the importance of developing and using objective measurements of itch, and suggest that the relation between subjective and objective measures of disease severity may not be straightforward ( 8). Increased actigraphy scores, independent of subjective pruritus scores, correlated with poor sleep quality. They demonstrated discrepancies between subjective measures of itch and objectively recorded actigraphy activity ( 9, 10). Using scratch monitors placed on a patient’s wrist (actigraphy) overnight, this group brought to light the inherent error in using subjective measurements of pruritus. Work from Rees and colleagues, however, has shown these subjective measures of itch do not correlate with objective measures of itch such as nocturnal scratching ( 8). More recently, measurement tools have been developed to measure the impact of pruritic skin conditions on a patient’s quality of life, such as the Dermatology Quality of Life Index ( 7). The measurement of a patient’s itch level has traditionally been assessed using a 10 cm visual analogue scale (VAS), similar to pain scales. One barrier to studying itch and the effect of therapy on itch is our inability to accurately measure it. ![]() While significant progress has been made in understanding the itch of AD, these advances have not yet led to effective targeted therapies. Histamine-independent cholinergic mechanisms of itch have also been postulated to play a role in AD itch. These neurophysiogical and neuroimmune itch pathways have been recently reviewed in detail elsewhere ( 5, 6). The roles of opioid receptors, other cytokines and proteinase-activated receptors have also been explored, but no one molecule or pathway has emerged as the predominant mediator of itch in AD. Newly identified itch mediators include the histamine 4 receptor and interleukin-31. Recent human studies in AD identify roles for neuropeptides such as calcitonin, gene-related peptide, substance P, as well as neutrophophins such as nerve growth factor. More modern concepts of itch pathophysiology in AD involve understanding the close relationship between the nervous system and the skin two organ systems derived from the same embryological origin (ectoderm). Unfortunately, clinical studies revealed that histamine receptor (H1, H2) blockade does not lead to significant improvement in itch or inflammation in AD ( 4). Early research attempting to understand the pruritus of AD focused on the role of histamine. ![]() Nocturnal itch leads to intense scratching, leading to skin damage and poor sleep quality. The pathophysiology of AD is complex and not fully understood, but the so-called itch/scratch cycle perpetuates the disease. ![]()
Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license.įigure 14.12B X-ray of the femur, post-operative arthroplasty by Dr. While prosthetic replacement is reserved for fractures with high risk of AVN and the elderly.įigure 14.12A X-ray of the femur, pre-operative femoral neck fracture by Dr. Īs a general rule, internal fixation is recommended for young, otherwise fit patient with small risk for AVN. Table 14.3 Delbet Classification for risk of AVN with femoral neck fracture. The Delbet classification correlates with the risk of AVN: Type High morbidity and mortality associated with hip and pelvic fractures after trauma has been well documented. Prognosis is varied, but is complicated by advanced age, as hip fractures increase the risk of death and major morbidity in the elderly. Replacing the femoral head is achieved with either hemiarthroplasty or total hip arthroplasty. Internal fixation can be performed with multiple pins, intramedullary hip screw (IMHS), crossed screw-nails or compression with a dynamic screw and plate. The treatment options include non-operative management, internal fixation or prosthetic replacement. Significant complications such as avascular necrosis (AVN) and non-union are very common without surgical intervention. Non-displaced fractures may be subtle on x-ray.Femur often positioned in flexion and external rotation (due to unopposed iliopsoas).Lesser trochanter is more prominent due to external rotation of femur.Shenton’s line disruption: loss of contour between normally continuous line from medial edge of femoral neck and inferior edge of the superior pubic ramus.The mechanism in young patients is predominantly axial loading during high energy trauma, with an abducted femur position resulting in a femoral neck fracture while an adducted femur position often results in a fracture-dislocation of the hip with secondary acetabular injury. BACKGROUND: Traction bed C-arm X-ray machine is used for closed reduction and internal fixation to treat femoral neck fracture has some errors. In elderly patients, the mechanism of injury varies from falls directly onto the hip to a twisting mechanism in which the patient’s foot is planted and the body rotates. motor vehicle collisions) in younger patients. Transcervical: mid-portion of femoral neck.Neck of femur fractures are considered intracapsular fractures. Avascularity of the femoral head is more common with fractures that are cranially situated in the femoral neck. Since disruption of blood supply to the femoral head causes significant morbidity, diagnosis and classification of these fractures is important. Subsequent images revealed that the patient had surgical management of this fracture resulting in the placement of an Austin-Moore prosthesis.įemoral neck fractures are a subset of proximal femoral fractures. The femoral neck is the weakest part of the femur. The distal femur was displaced cranially and laterally. There was a fracture of the high femoral neck on the right. Lesser the angulation more stable the fracture with a better a prognosis.ODIN Link for Femoral Fracture images (Pre and Post-Op), Figure 14.12A and B: Figure 14.12A X-ray of the femur, pre-operative femoral neck fractureįigure 14.12B X-ray of the femur, post-operative arthroplasty Imaging Assessment Pauwel classification is based on post-reduction angulation of fracture line to the horizontal evaluated on a AP radiograph. Type IV: complete, unstable and fully displaced ![]() Four major medical databases and a combination of the search terms of femoral neck fractures. Methods Reviewed was the literature on non-displaced femoral neck fractures in elderly patients. We also discussed the surgical and non-surgical treatments and selection of implants. Type III: complete, unstable and partially displaced Background This paper aimed to review the databases on non-displaced femoral neck fractures in elderly patients. ![]() Type II: complete, stable and undisplaced Type I: is incomplete, stable and impacted Further, the displacement is graded as per the position of the principal (medial) compressive trabeculae. Garden classification is based on the pre-reduction displacement of the femoral head. ClassificationĪlthough many classifications are proposed Garden classification and Pauwel classification are generally followed from a practical point of view as these two systems take into consideration the stability of the fractures. The fracture line extends through the junction of the head and neck of femur. displaced subcapital fractures of the femur. Subcapital fracture is the most common type of intracapsular neck of femur fracture. A new method for prognostication of non-union in subcapital femoral neck fractures is presented. ![]() Looking to build scalable financial reporting for Acme Corp to enable growth through efficient use of capital.” “Senior bookkeeper with 10+ years of relevant experience saving companies I’ve worked for over $5M in annual savings through reporting, monitoring, and streamlining of costs.Eager to leverage my background of saving costs by analyzing vendor efficiency to help scale Acme Corp.” “Full-charge bookkeeper with experience taking on more responsibility as a company grows.Looking for an opportunity as a full-charge bookkeeper at a quickly growing B2C company like Acme Corp.” “Experienced bookkeeper with a focus on building processes that save time and improve accuracy to give a holistic financial picture of the business.Here’s a list of common skills employers are looking for in bookkeepers. As a rule of thumb, only include skills you would be comfortable being asked about in an interview. So, keep your skills section to five to ten of your top skills. A big red flag to a hiring manager is when they see a long list of skills taking up too much real estate in an applicant’s resume. Next, the hiring manager or recruiter will review your resume. However, it also means you’ll drastically increase the chances of getting past the first hurdle to getting an interview. Yes, this means you should update your resume for each bookkeeper role to which you apply. Your skills section is a great opportunity to include tools you have experience with specifically mentioned in the job description. The skills section of your resume will help you get through the first automated resume review stage.īefore a human ever looks at your resume an automated system called an Applicant Tracking System (ATS) will score your resume based on whether or not it contains certain keywords. Performed full-cycle accounting duties, including managing the general ledger and reconciling multiple accounts.Efficiently processed and coded vendor expense invoices and ensured 100% of approved invoices were paid in full and on time while maximizing cash flow.So, her updated experience might look like this (changes underlined): In addition, I would mention specifically coding vendor expense invoices as part of the invoicing bullet point. Specifically, I would talk about full-cycle accounting duties, reconciliation, and general ledger experience. Still, I would try to incorporate specific keywords from this job description in her resume. ![]() Responsible for all aspects of client bookkeeping needsĪll in all, the work experience in Stephanie’s resume is pretty relevant for this role at Acme Corp.Responsible for bank reconciliation of multiple accounts.Responsible for full-cycle accounting duties.Once lifted, the position will switch to on-site. This position will start as a remote position until the COVID-19 Pause for NY is lifted. Acme Corp is a perfect place to get ahead if you’re excited to be part of a winning team. ![]() We’re now hiring a Full-Charge Bookkeeper to help us keep growing. Here is a quick summary of the job description for what Acme Corp is looking for:
![]() He's been gaming since the Atari 2600 days and still struggles to comprehend the fact he can play console quality titles on his pocket computer. Lead your powerful dark army and make the Kingdom tremble with each step. Clash in supreme boss fights and thrilling td battles. Time for some Royal Vengeance in the Kingdom Vez’nan, the powerful almighty wizard has returned. Oliver also covers mobile gaming for iMore, with Apple Arcade a particular focus. Kingdom Rush Vengeance is the kind of epic defense game you’ll love Battle fierce enemies as you upgrade your towers and rush to complete every challenge this kind of offline td strategy game has to offer Face hordes of challenging enemies in an offline tower-defense medieval adventure. You can learn more about and download all the latest. Current expertise includes iOS, macOS, streaming services, and pretty much anything that has a battery or plugs into a wall. New for 7/29: Popular tower defense title Kingdom Rush Vengeance TD+ is the newest release on Apple Arcade. Kingdom Rush: The Comic - Based on the iOS hit game KINGDOM RUSH, comes this epic story that lets you live the universe of Kingdom Rush in an awesome and. Since then he's seen the growth of the smartphone world, backed by iPhone, and new product categories come and go. ![]() Having grown up using PCs and spending far too much money on graphics card and flashy RAM, Oliver switched to the Mac with a G5 iMac and hasn't looked back. At iMore, Oliver is involved in daily news coverage and, not being short of opinions, has been known to 'explain' those thoughts in more detail, too. Get Kingdom Rush Vengeance TD Game latest version for iOS (iPhone/iPad/iPod touch) at 4.99. He has also been published in print for Macworld, including cover stories. Oliver Haslam has written about Apple and the wider technology business for more than a decade with bylines on How-To Geek, PC Mag, iDownloadBlog, and many more. ![]() ![]() Notably, content creators will be rewarded with $GODS tokens, varying from 300 to 6,000 $GODS per month, with further bonus rewards allocated after exceeding certain viewership milestones. Simultaneously, Gods Unchained will also be supercharging user-created content with exclusive rewards, early access, and increased visibility for some of the great work the game's community creators are already doing.Īs part of the new Gods Unchained Content Creator Program, players will now be able unleash their creativity and contribute to the whimsical world of Eucos by showcasing their talent and unique ideas. Narratively, the two factions will compete for crystals as energy sources in a new Atlantis-like, vast ocean area called The Shimmering Atlant. The result of this factional confrontation will also affect two legendary cards that all players will receive, in addition to a cosmetic card back that will bear the crystal colors of the victors of these in-game events called skirmishes. Tides of Fate will also feature new variant cards and a fresh metagame where players have to choose a faction - Dragons or Mechs - and actively contribute to their side's success. The set also introduces a new manasurge mechanic that allows a card in hand to gain bonus effects if a player spends a certain amount of mana in a single turn, evoking feelings of a mechanical power burst in line with the Atlantean/mecha theme of the expansion set. The Tides of Fate set includes 142 collectible cards and nine in-game-only "chained" cards, which are linked to the effects of other cards. ![]() "This new experience will be accompanied by Tides of Fate, our first major card expansion set since Mortal Judgement over a year ago, offering gamers tons of new cards, God Powers, and fresh mechanics for them to play around with." Season 2 offers a new chapter in the game's ever-evolving story that will introduce sweeping changes to the meta and players' strategies," said Daniel Paez, VP and Executive Producer of Gods Unchained at Immutable Games. "We are thrilled to announce our collaboration with Amazon Prime Gaming. |
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