![]() ![]() "Guidelines serve as a starting point for the delivery of evidence-based care, but they are only useful if they are implemented successfully," Dr. There still are areas of controversy, including surgical attire, in which there are not enough high-quality data to support guidelines. With some exceptions, prophylactic antibiotics should be stopped at the time of incision closure. These are the main areas in which there is new evidence to support new or different guidelines:īlood glucose control is now recommended for all patients, regardless of diabetic status.Īdherence must be high to all components of SSI reduction bundles for there to be a benefit. Early showering does not increase the risk of SSIs and can be encouraged at the surgeon's discretion. No studies have shown a difference in SSIs between patients who shower as early as 12 hours after surgery and patients who delay showering for more than 48 hours. Double gloving decreases the risk of holes to the inner glove, so routine double gloving is recommended to protect the surgeon. Surgical gloves can contain or develop defects. Historically, guidelines have not recommended using antibiotic sutures to decrease SSIs, but there now is considerable evidence to support their use. Clippers generally should be used instead of razors to remove hair.Īntibiotic sutures. Shaving causes microscopic cuts and abrasions, resulting in disruption of the skin's barrier defense against microorganisms. Hair removal: Hair in the surgical site should be removed only if it would interfere with surgery. Studies of individual procedures have shown promising results when using topical and local antibiotics to reduce infections, but large, randomized clinical trials of a wider range of procedures would be needed before supporting more widespread use or formal recommendations. There now is high-quality evidence to support expanding blood sugar control to all patients, regardless of diabetic status. Short-term blood glucose (blood sugar) control before, during and after surgery is more important than long-term blood sugar maintenance. Surgeons should counsel patients to completely refrain from smoking for a minimum of four to six weeks before elective surgery.īlood sugar. Regardless of the type of surgery, smokers and former smokers are at higher risk for SSIs. These are among the guidelines' recommendations: On average, a surgical site infection increases the hospital length of stay by 9.7 days, according to studies cited in the guidelines. ranges from 160,000 to 300,000, and the estimated annual cost ranges from $3.5 billion to $10 billion. The estimated annual incidence of SSIs in the U.S. They occur in an estimated 2 percent to 5 percent of patients undergoing inpatient surgery. SSIs are the most common and costly of all hospital-acquired infections, accounting for 20 percent of all hospital-acquired infections. Surgical site infections (SSIs) include infections in the area of the skin where the incision is made, infections below the incision in muscles and tissues surrounding muscles and infections in other parts of the body involved in the surgery. Duane, MD, of the John Peter Smith Health Network in Fort Worth, Texas. Ban, MD, a resident in the department of surgery of Loyola University Medical Center. The guidelines, published in the Journal of the American College of Surgeons, are an update of previously published guidelines. ![]() ![]() The guidelines detail the latest evidence for the measures that patients, surgeons and hospitals can do to prevent infections, such as quitting smoking (recommended), shaving the surgical site (not recommended, unless hair interferes with surgery) and showering after surgery (does not increase risk of infections). MAYWOOD, IL - A Loyola Medicine surgeon is first author of new guidelines for the prevention, detection and management of surgical site infections, which affect as many as 300,000 patients per year in the United States. ![]()
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![]() ![]() View Gallery: Photos: Winter Storm Landon in Greater Columbus, Ohio Fairfield and Union counties move to Level 3Īfter 8 p.m. The rain then began transitioning into freezing rain around 3:30 a.m. Winter Storm Landon in Ohio: Get the latest, up-to-date forecast and conditions, pinpointed for Greater Columbus, from our partners at AccuWeatherĪreas south and east of Columbus, including the southern portion of Franklin County, as well as Fairfield and Pickaway counties, could see more serious ice accumulation before the snow, possibly up to a quarter of an inch of ice. However, snow and ice accumulations are not definite, as there are still many uncertainties with the storm system, according to the weather service.Īs for Wednesday's rain event, James Gibson, a NWS meteorologist, said the Columbus area received 0.83 inches. ![]() Sections of Delaware County, for example, are expected to receive between 8 and 12 inches of snow. Level 3 snow emergency: Roads will close to non-emergency personnel during Level 3 snow emergencies, except for personal emergencies or "absolutely necessary" travel. Those out driving may be subject to arrest, the Ohio Committee for Severe Weather website states.Watch Video: Winter storm Landon hits ColumbusĮstimates suggest that Greater Columbus could see 6 to 8 inches of snow Thursday into Friday morning from Winter Storm Landon, according to the National Weather Service office in Wilmington, while areas north and west of the city could see up to a foot of snow. Drivers are urged to ask their employers if they should report to work. Level 2 snow emergency: In addition to blowing and drifting wind, roads are very icy and only necessary travel is recommended during Level 2 snow emergencies. Those out driving are urged to "drive very cautiously. Level 1 snow emergency: This means that roads are icy and there is some blowing or drifting snow into roadways. Delaware, Fairfield, Licking, Pickaway, Union and Madison counties were under a level 1 snow emergency as of 2:30 Sunday afternoon. ![]() Ohio snow emergenciesĬounty sheriff departments determine the snow emergency level, as well as how long the emergency is in effect. Matt Bruning, spokesman for the Ohio Department of Transportation, tweeted photos of Interstate 70 showing a fast moving snow storm heading east on Sunday morning. Be mindful that travel conditions will be very deteriorated," the National Weather Service in Wilmington tweeted. These heavy bands of snow are dropping over an inch an hour for some locations. Radar reflectivity shows enhancements in snow bands along and SE of I-71. "Winter Storm Warning expanded up into the Columbus area. Tuesday is expected to be partly Sunday with a high near 39 degrees.Įarlier Sunday, the National Weather Service in Wilmington issued a warning about rapidly deteriorating conditions on the roadways in central and southwest Ohio. Monday evening is expected to be mostly cloudy with a low of 26 degrees. ![]() on Monday, which will have a high of 34 degrees. The NWS is anticipating a slight chance of snow before 1 p.m. Snow accumulated throughout the morning and afternoon Sunday, as much as 6 inches in some parts of Ohio. Additional snow, as much as half an inch, could accumulate through Sunday evening.ĭrivers are asked to use caution while driving.Ĭolumbus winter weather: Seven of the top spots for sledding, tubing, skiing, more winter fun in the area What is the Columbus snow forecast? Snow, as much as six inches across some parts of the NWS Wilmington area, rapidly accumulated on roads Sunday morning. The service warned that side roads likely will remain slushy. The Columbus area saw several inches of snow Sunday as The National Weather Service issued a winter weather warning for a large section of Ohio stretching from Columbus to Cincinnati during the day.Īt roughly 3 p.m., the weather service reported that rising temperatures and reduced snowfall have allowed for improved conditions, allowing it to cancel all warnings and advisories. View Gallery: PHOTOS: Winter weather hits central Ohio ![]() ![]() : 22 His father, Anthony McClelland, has an extensive criminal record and was not involved in his life. James was born on December 30, 1984, in Akron, Ohio, to Gloria Marie James, who was 16 at the time of his birth. since 2011 and leads the LeBron James Family Foundation, which has opened an elementary school, housing complex, retail plaza, and medical center in Akron. James has been a part-owner of Liverpool F.C. He has won 19 ESPY Awards, hosted Saturday Night Live, and starred in the sports film Space Jam: A New Legacy (2021). He has been featured in books, documentaries (including winning three Sports Emmy Awards as an executive producer), and television commercials. Off the court, James has accumulated more wealth and fame from numerous endorsement contracts. On February 7, 2023, James surpassed Kareem Abdul-Jabbar to become the all-time leading scorer in NBA history. James is the first player in NBA history to accumulate $1 billion in earnings as an active player. In 2018, James exercised his contract option to leave the Cavaliers and signed with the Lakers, where he won the 2020 NBA championship and his fourth Finals MVP. In 2016, he led the Cavaliers to victory over the Golden State Warriors in the Finals by coming back from a 3–1 deficit, delivering the team's first championship and ending the Cleveland sports curse. After his fourth season with the Heat in 2014, James opted out of his contract and re-signed with the Cavaliers. James won his first two NBA championships while playing for the Heat in 20 in both of these years, he also earned the league's MVP and Finals MVP awards. ![]() After failing to win a championship with Cleveland, James left in 2010 as a free agent to join the Miami Heat this was announced in a nationally televised special titled The Decision and is among the most controversial free agency moves in sports history. Named the 2004 NBA Rookie of the Year, he soon established himself as one of the league's premier players, leading the Cavaliers to their first NBA Finals appearance in 2007 and winning the NBA MVP award in 20. A prep-to-pro, he was selected by the Cleveland Cavaliers with the first overall pick of the 2003 NBA draft. He was heavily touted by the national media as a future NBA superstar for his all-around scoring, passing, athleticism and playmaking abilities. Mary High School in his hometown of Akron, Ohio. He has also won four Most Valuable Player (MVP) Awards, four Finals MVP Awards, and two Olympic gold medals, and has been named an All-Star 19 times, selected to the All-NBA Team 19 times (including 13 First Team selections) and the All-Defensive Team six times, and was a runner-up for the NBA Defensive Player of the Year Award twice in his career. He has won four NBA championships (two with the Miami Heat, one each with the Lakers and Cleveland Cavaliers), and has competed in 10 NBA Finals. James is the all-time leading scorer in NBA history and ranks fourth in career assists. Nicknamed " King James", he is widely regarded as one of the greatest players in the history of the sport and is often compared to Michael Jordan in debates over the greatest basketball player of all time. ( / l ə ˈ b r ɒ n/ lə- BRON born December 30, 1984) is an American professional basketball player for the Los Angeles Lakers of the National Basketball Association (NBA). McDonald's All-American Game MVP ( 2003).2× National high school player of the year (2002, 2003).USA Basketball Male Athlete of the Year (2012). ![]() ![]() ![]() It's reassuring to have a tool to backup or migrate without problems RV Lavigne Happy Developer Very easy to use !! Multisite with unlimited Giga.Thanks for creating this fantastic, time saving software! Frank J Okun Happy Developer We've used other backup siftware, but nothing comes close to this software. We have been using All-in-One Migration to backup our clients' WordPress sites for many years, It has proven time and time again to be the most affordable, reliable, easy to use, and fastest way to backup, move, or restore WordPress sites.In addition, once we resolved the issue, the plugin worked flawlessly. The solution they provided was on point and I could not be happier with the service. Support was extremely responsive and seemed genuinely committed to finding a solution.The WPRESS format makes it a breeze to manage all of my WordPress sites, taking a huge stress out of development. All-in-One WP Migration has been my go-to for backups and migrations for over a decade, I've trusted it on hundreds of client sites.It is very reliable and flexible and I had no defect or error in backup-restore operations to-date. ![]()
![]() His 216 career points rank second in Phoenix history. Lightning Radio is the 24/7 audio home of the Tampa Bay Lightning. On this weeks Block Party, Seth Kushner is joined by Chris Poitras from Jostens to talk about the Tampa Bay Lightnings Stanley Cup Rings, including how the process. TAMPA BAY - The Tampa Bay Lightning have signed forward Félix Robert to a two-year, entry-level contract vice president and general manager Julien BriseBois announced today. However, Lightning games are also broadcast on other stations throughout the. The Lambton, Quebec native finished his junior career holding several Sherbrooke franchise records, including career power-play goals (29), longest point streak (16 games) and most points in a single season (92, 2019-20). The primary station of the network is WFLA 970 AM, which serves the Tampa Bay area. Prior to turning pro with the Penguins, the undrafted Robert suited up for four seasons for Sherbrooke of the Quebec Major Junior Hockey League, supplying 81 goals and 216 points in 219 career games. He also played 10 games for the Wheeling Nailers of the ECHL in 2020-21, tallying five goals and six points. The 5-foot-9, 180-pound Robert has played in 90 career AHL games over two seasons with Wilkes-Barre/Scranton in 2020-22, posting 22 goals and 47 points. 'Tampa Bay Rays Podcast' features Neil Solondz bringing you in-depth interviews that help you get to know the Rays players, coaches and executives on a personal level, plus weekly news and notes. The most up-to-date breaking news for the Tampa Bay Lightning including highlights, roster, schedule, scores and archives. Tampa Bay Lightning star goalie Andrei Vasilevskiy doesnt know if the heavy workload over the past four seasons is to blame. In six 2022 Calder Cup playoff games, Robert notched two goals and four points. ![]() at New York Rangers: ESPN, ESPN+: 102.5 MHz-FM, Lightning Radio 24/7 Friday, Oct. Tampa Bay Lightning Radio & Live Play-by-Play SiriusXM Browse Sports NHL Tampa Bay Lightning Tampa Bay Lightning Thursday, April 27 4:00 PM PDT Tampa Bay Lightning Away Online Toronto Maple Leafs Home CH. Robert ranked tied for third on the Penguins for goals and fifth for scoring. October Date/Time Opponenet Television Radio Tuesday, Oct. ![]() Robert, 22, spent the 2021-22 regular season with the Wilkes-Barre/Scranton Penguins in the American Hockey League where he scored 16 goals, tallied 34 points and recorded a plus-19 rating, leading Wilkes-Barre/Scranton for plus-minus. ![]() ![]() ĬMap Tools allows users to sketch out ideas with boxes or circles and show their interrelated ideas and concepts by linking these other boxes with arrows. The concept map on CMaps can be enhanced by linking items that include images, documents, videos, charts, or other concept maps. One of it's greatest strengths is the powerful collaborative community available to users. The software can be downloaded for free, projects may be developed, used and revised at home by students or in the classroom. On the homepage of the site you will see a user manual and site description using the actual software tool.ĬMap Tools was developed at the Institute for Human and Machine Cognition, joining the concept mapping theory with a practical technology partner. To download CMap Tools, go to the following website: Jonassen defines concept maps as "spacial representations of concepts and their interrelationships that stimulate the knowledge structures that humans store in their minds." Jonassen concurs with the Novak and Cañas description by stating, "Concept mapping is a process of identifying important concepts, arranging those concepts spatially, and identifying relationships among those concepts, and labeling the nature of the relationships among those concepts." Concept maps allow learners to contemplate relationships among ideas and thoughts and also think about how the ideas fit together, learning by analyzing and reviewing many thoughts and ideas. Ideas and concepts are linked to additional ideas and concepts and learning how and why can help us to understand the main concept we are trying to learn. This method of learning enables learners to understand that ideas are not isolated and free standing. After the rough hierarchy has been enacted, links between the conepts should be developed showing the relationship between topics. A concept map can be an ongoing project to be reconstructed as knowledge evolves. ![]() One of the advantages of using software to participate in this process is that the reordering or restructuring of the hierarchy layout can be done easily. A list of core topics, or key concepts are developed and identified that relate to the domain knowledge and the topics should be ordered in a hierarchical sense. Description of Application Ī concept map allows learners to identify knowledge within a particular context, typically by using a focus question. While researching education in science, children were interviewed, but the need arose for some sort of documentation of the data, and the format of graphic representation emerged. The development of Concept Maps emerged via the work of Joseph Novak,, was done in 1972. Thus, in the mind of the learner, a sort of structure is developed known as the cognitive structure. In the 1960's educational psychologist, David Ausabel,, proposed the idea that cognitively learning is achieved by assimilation of new concepts to join and expand upon previously held knowledge by the learner. This page explores the CMap Tools application, how to use the software, its transformative potential, and will provide you with some tools that you might need to integrate concept maps into your classroom. This process provides interactive learning among students of all different types and levels. ![]() The software encourages collaboration and allows users to share ideas and to make comments. ![]() ![]() CMap tools allows learners to look at the relationships between concepts and understand them as part of understanding a single concept. Introduction A Concept Map on Concept Maps, courtesy of IHMC see live map here ĬMap Tools ( ) is a concept mapping freeware utilized as a visual learning tool used to organize, present, and share knowledge. ![]() ![]() ![]() (b) The negative angle means the velocity is 36.9 ° 36.9 ° below the horizontal at the point of impact. Thus, any projectile that has an initial vertical velocity of 21.2 m/s and lands 10.0 m above its starting altitude spends 3.79 s in the air. Significance(a) As mentioned earlier, the time for projectile motion is determined completely by the vertical motion. Solve for the magnitude and direction of the displacement and velocity using Recombine quantities in the horizontal and vertical directions to find the total displacement s → s → and velocity v →. ![]() The problem-solving procedures here are the same as those for one-dimensional kinematics and are illustrated in the following solved examples. Note that the only common variable between the motions is time t. Solve for the unknowns in the two separate motions: one horizontal and one vertical.Use the kinematic equations for horizontal and vertical motion presented earlier. Treat the motion as two independent one-dimensional motions: one horizontal and the other vertical.The magnitudes of the components of velocity v → v → are v x = v cos θ and v y = v sin θ, v x = v cos θ and v y = v sin θ, where v is the magnitude of the velocity and θ is its direction relative to the horizontal, as shown in Figure 4.12. The magnitudes of the components of displacement s → s → along these axes are x and y. Resolve the motion into horizontal and vertical components along the x- and y-axes.The magnitudes of these vectors are s, x, and y. Figure 4.11 illustrates the notation for displacement, where we define s → s → to be the total displacement, and x → x → and y → y → are its component vectors along the horizontal and vertical axes, respectively. In other cases we may choose a different set of axes. It is not required that we use this choice of axes it is simply convenient in the case of gravitational acceleration. (This choice of axes is the most sensible because acceleration resulting from gravity is vertical thus, there is no acceleration along the horizontal axis when air resistance is negligible.) As is customary, we call the horizontal axis the x-axis and the vertical axis the y-axis. ![]() The key to analyzing two-dimensional projectile motion is to break it into two motions: one along the horizontal axis and the other along the vertical. We discussed this fact in Displacement and Velocity Vectors, where we saw that vertical and horizontal motions are independent. The most important fact to remember here is that motions along perpendicular axes are independent and thus can be analyzed separately. In this section, we consider two-dimensional projectile motion, and our treatment neglects the effects of air resistance. The motion of falling objects as discussed in Motion Along a Straight Line is a simple one-dimensional type of projectile motion in which there is no horizontal movement. ![]() Such objects are called projectiles and their path is called a trajectory. Some examples include meteors as they enter Earth’s atmosphere, fireworks, and the motion of any ball in sports. The applications of projectile motion in physics and engineering are numerous. Projectile motion is the motion of an object thrown or projected into the air, subject only to acceleration as a result of gravity. Calculate the trajectory of a projectile.Find the time of flight and impact velocity of a projectile that lands at a different height from that of launch.Calculate the range, time of flight, and maximum height of a projectile that is launched and impacts a flat, horizontal surface.Use one-dimensional motion in perpendicular directions to analyze projectile motion.By the end of this section, you will be able to: ![]() ![]() ![]() Her cat is near the computer to keep an eye on the mouse.Denial is a river in Egypt (referring to The Nile using the word Denial).Here are a few instances of puns in speech: They may be great conversation starters since they make you sound clever and occasionally even humorous. Puns are among the most frequently used figures of speech in daily conversation. Twinkle, twinkle, little star, How I wonder what you are.In this case, the object is absent or inanimate. It addresses a subject that is not present in the work. Martin Luther King Jr.: “I Have a Dream” Speech Some of the examples of anaphora are as follows: It is a repetition of a word or phrase at the start of several sentences of clauses. Telling a rude customer to “have a nice day”.Coming home to a big mess and saying, “it’s great to be back”.The dinner you served was as hot as ice.These are often used in a humorous manner. Irony or sarcasm is a figure of speech in which the usage of words conveys the opposite of their literal meaning. This mall has good facilities for differently-abled people.I have told you a million times to not touch my stuff!Įuphemism is the usage of a mild word in substitution of something that is more explicit or harsh when referring to something unfavorable or unpleasant.Some examples of using hyperboles in a sentence include: It is the usage of exaggerated terms in order to emphasize or heighten the effect of something. Leaves rustle in the wind and are whipped into the air.Ī hyperbole is a figure of speech that consists of an exaggeration.The boulder hit the ground with a flump. ![]() To be more precise, it involves the use of words that imitate the sounds associated with the action or object referred to i.e. This is a figure of speech that is used to express a sound. Barry bought a book to bring to the backyard barbecue.All Adam ate in August was apples and almonds.A good cook could cook as many cookies as a good cook who could cook cookies.Some popular examples of alliteration in a sentence include: Alliteration is a sentence that consists of a series of words that have the same consonant sound at the beginning. ![]() ![]() ![]() This FAQ will explain in detail how gas mask filters work, specifically focused on useful information for new and experienced players alike. Do I have to start the game over? Need some recommendations, I can't make it through this room without choking to death. FAQ: How gas mask filters work, finally understood. ![]() The crazy thing is that these filters were littered everywhere, then suddenly, disappeared as if they aren't even part of the game now. I have since altered the key arrangement but I have no more gas mask filters and I can't make it through the next room. So Ive read that the number with a picture of a gas mask displayed on the left when you bring up your watch is NOT the number of filters you have with you but the minutes you have left in your filter. Even though he will sound like hes dying and the screen will get all foggy, dont change them yourself and youll never worry about filters. But the issue is that there's mask AND filter. This will get you 10 minutes out of a 1 minute filter. ![]() You can run with the gasmask off for almost 45 seconds, then throw it on for 10 seconds, and repeat. Artyom will automatically change them when they run out. Originally posted by Jig McGalliger: Then reload back to the the library or church to get more filters. Be sure to equip a gas mask and filter as soon as you load back in as radiation will take effect. Sometimes I accidently hit g trying to get to my flash light earlier in the game and it has now cost me. Quick question on gas mask filters, confused. I did this when I first got out on the surface and wasted a ton of them. Lost World 2.0 (Fallout 4 Metro Exodus Modlist) Trailer. Issue: I have zero of those filters left due to some jackass putting the gas mask replacement button (G) right next to the flash light button (F). I took that little sh*thead back to his mom and everything came to a halt.Īfter I save the boy, there's a door that opens to a room filled with toxic gas(?) Just before this room of death, there are two hustler's selling items none of which appear to be gas mask filters (retarded, considering the door to their hole in the ground leads to a ROOM FULL OF TOXIC GASES). To begin, if its a problem from the start of the game, either its a random bug in the game that I never had on my side or its you who forgot the filters at the start of the game, in the orange box, next to the ammunition in the locker, before going outside. ![]() ![]() In that selected portion's counterpart, or outer-portion of the path, current flows from Anode(of the selected part, here diode) to Cathode ( of the selected part, here diode). Within the circuit's portion of interest (Here it is diode), Current flows in its Anode to Cathode direction. It is applicable for any-components like Electrochemical (Battery)-Cell,, Electrolytic-cell, Cathode-ray-Tube( CRT), etc.Ĭircuit's portion-of-interest(here diode)'s Anode is to be attached with circuit- counterpart(here battery)'s Cathode.Īnd Circuit's portion-of-interest(here diode)'s Cathode to be attached with circuit's Counterpart(here battery)'s Anode. A selected portion of Circuit portion(portion of interest)(here diode)'s Cathode is the electrode that Vomits out-out positive-charge Īnd the circuit's portion-of-interest(here diode)'s Anode is the electrode that Sucks-in the positive charge.Ībove-table: Anode-Cathode Vs Plus-Minus Disambiguation That tells the direction of allowed-direction of current.įrom the second-method, we-can easily remember, the direction of current.Īnd ow. A semiconductor is a kind of material, in this case silicon or germanium, whose electrical properties lie between those of conductors (metals) and insulators (glass, rubber). The triangle inside the diode, makes an arrow sign. A diode is a semiconducting device, that allows current to flow in one direction but not the other.Now, if once we learn to recognize the K, if the diode orientate to a different direction in the diagram, we could easily identify the anode and cathode. Now, the side of diode, where K was drawn, is Cathode (K).īy default, the opposite side is anode (A). Now, just fill in the blanks to make it a diode. We can easily remember, anode is abbreviated as A, and Cathode as K.Both technique I've learnt from someone else, many-years ago. ![]() |
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