![]() ![]() Pancreatic vessels branch off the spleen and are the blood supply to the head, body, and tail, while blood drains through the splenic, superior mesenteric, and portal vein. The main pancreatic duct of Wirsung runs transversely through the entirety of the pancreas and is responsible for delayed complications when disrupted. ![]() The second is the acinar or exocrine portion that secretes lipase, amylase, and proteolytic enzymes into the duodenum along with bile at the ampulla of Vater through the sphincter of Oddi. The first is the endocrine pancreas that houses alpha, beta, and gamma cells responsible for glucagon, insulin, and somatostatin respectively. It is long, J-shaped, lobulated, and is divided histologically into two parts. The pancreas has some innate protection given its location in the dorsal aspect of the abdomen. The pancreas is a retroperitoneal organ which lies in transverse orientation in the epigastric region near the level of L1-L2. This chapter is a concise overview to further aid the care for patients who suffer traumatic pancreatic injury. A high degree of suspicion and comprehensive knowledge is required to identify, classify, and treat traumatic pancreatic effectively. Incorrect classification deters proper intervention and management. A delay in diagnosis leads to complications such as infection, pseudocysts, abscess, duct stricture, peritonitis, and endocrine/exocrine insufficiency which are associated with high morbidity and mortality. Diagnostic testing may require magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP). Post-traumatic pancreatitis may not cause alterations in blood or edema for several hours after the initial event. Unlike the liver, kidney or spleen, conventional imaging modalities miss subtle findings associated with pancreatic injury. “Eat when you can, sleep when you can, and don’t mess with the pancreas." This age-old surgical mantra is a saying to live by, but what happens if the pancreas has already been “messed with?" Pancreatic trauma is a rare but potentially catastrophic injury that can be very difficult to diagnose. This activity reviews the evaluation and management of pancreatic trauma and highlights the importance of an interprofessional team in caring for patients with traumatic pancreatic injury. A delay in diagnosis can lead to complications such as infections, pseudocysts, abscesses, duct strictures, peritonitis, and endocrine/exocrine insufficiency which are associated with high morbidity and mortality. ![]() Conventional imaging modalities miss subtle findings associated with a pancreatic injury, and post-traumatic pancreatitis may not cause measurable effects until several hours after the initial event. Pancreatic trauma is a rare but potentially catastrophic injury that can be very difficult to diagnose. ![]()
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![]() One of the favorites of all times is FreeCell Windows XP. Solitaires continue to be very popular and the newer versions of Windows also include a variety of these games. Probably it’s the reason why Microsoft added them to the older versions of Windows in the ’90s. This game looks exactly like the one that was installed on your old computer.įreecell Windows XP - Solitaires are great games to train your patience and attention. FreeCell XP will make you feel like you are back in time. You might even remember how the menu looked like back in the day. To achieve this, you can temporary use the seven row stacks in descending order, alternating between red and black cards, beginning with the kings.įreeCell XP - Do you remember how you discovered Solitaire games? Most probably you did when you got your first computer. Solitaire Windows XP - The object of this Solitaire is to use all the cards in the deck to build up the four suit stacks in ascending order, beginning with the aces. With every new game you’ll improve your skills and see how your score will also go up. But when you complete a sequence of one suit, from King to Ace, you get 100 points. If there are no more moves during the game, just press on the deck in the right bottom corner and new cards will be dealt.Īt the beginning you always have 500 points. At the very end place Ace on Two and the whole suite will disappear from the board. For example, place the Queen of Spades on the King of Spades, or the Five of Hearts on the Six of Hearts. The goal of the game is to move all the cards to. The main aim is to build a sequence of the same suit in correct descending order from King to Ace. Spider Solitaire is a popular single player card game that is played with two decks of cards (104 cards total). 100 FREE, undo support, multiple decks, stats, custom backgrounds and more. World of Solitaire has over 100 solitaire games, including Spider, Klondike, FreeCell and Pyramid. Spider Solitaire involves two packs of cards (together 52 cards). Full screen, no download or registration needed. This site is now owned and operated by my company: Sinopia Olive Limited 11 Raven Wharf Lafone Street London SE1 2LR. Check out my new calculator web app Legal. I also love hearing suggestions Email me at. Please let me know if something doesn't work. ![]() If you’re new to this game, it’s better to start from the easiest level to figure out the rules. Hi there, I'm Jo I originally created this game in November 2011. This game has three levels of difficulty depending on the quantity of suites you use (one, two or four). With the game open, right-click (or press and hold) the game button on your task bar and select. You can always launch the game from the product page, but theres an easier way-pin it. The game will download and install automatically. The rules are really simple and it’ll take you only a few minutes to understand them if you’ve never played Spider-like games before. On the Microsoft Solitaire Collection page in Microsoft Store, select Install. ![]() Many people spent hours playing this game on their old computers. The online game Spider Solitaire Windows XP is a similar version of a legendary and quite popular Solitaire game that comes free with Microsoft Windows XP operating systems. ![]() ![]() ![]() But the shoe still needed a name - so Jeff Johnson, Nike’s first full-time employee, came up with the word Nike. ![]() This logo was sent to be used on the new cleat that was being produced in Mexico. “Well, I don’t love it,” Davidson recalls Knight saying about the logo, “but maybe it will grow on me.” Kevin Durant’s Nike KD 4 ‘Galaxy’ Will Get Its First-Ever Reissue During the NBA All-Star Break ![]() Nike co-founder Phil Knight, who had taught at Portland State University until 1969, approached a graphic design student, Carolyn Davidson, who he had met during his time at the University, to create a logo for the new sneaker, which would be a cleat. At the time, Blue Ribbon Sports - the original name for the company that would later be known as Nike, was looking to create and sell a new shoe. The Nike Swoosh logo was first introduced in 1971, some 50 years ago. The History of the Nike Logoīefore getting into the nitty-gritty specifics of a logo valuation, it’s useful to learn a little about the Nike logo’s history to help set the scene. The simple checkmark-like design easily distinguishes the brand’s athletic apparel from competitors, adding to the relative appeal of the brand that brought in $37.4 billion in revenue in fiscal year 2020.īut how much is the iconic Nike logo actually worth? Turns out, it’s a bit hard to tell. Nike‘s Swoosh logo is arguably one of the most recognizable brand logos in the world. ![]() ![]() ![]() On February 2, 2016, Project Zero discovered four vulnerabilities in the Malwarebytes flagship product, including lack of server-side encryption for update files and lack of proper payload signing within encrypted data the combination of which allowed an attacker to recompile the encrypted payload with exploits. The free version can be run manually by the user when desired, whereas the paid version can perform scheduled scans, automatically scan files when opened, block IP addresses of malicious web sites, and scan only those services, programs and device drivers that are currently in use. Malwarebytes is available in both a free and a paid version. ![]() Malwarebytes scans in batch mode, rather than scanning all files opened, reducing interference if another on-demand anti-malware software is also running on the computer. Malwarebytes is primarily a scanner that scans and removes malicious software, including rogue security software, adware, and spyware. This is available in a free version, which scans for and removes malware when started manually, and a paid version, which additionally provides scheduled scans, real-time protection and a flash-memory scanner. Made by Malwarebytes Corporation, it was first released in January 2006. Malwarebytes (formerly Malwarebytes Anti-Malware, abbreviated as MBAM) is anti-malware software for Microsoft Windows, macOS, ChromeOS, Android, and iOS that finds and removes malware. Bulgarian, Catalan, Chinese (Traditional), Czech, Danish, Dutch, English, Estonian, Finnish, French, German, Greek, Hebrew, Hungarian, Indonesian, Italian, Japanese, Korean, Norwegian, Polish, Portuguese (Brazil), Portuguese (Portugal), Romanian, Russian, Slovak, Slovene, Spanish, Swedish, Turkish and Vietnamese ![]() ![]() ![]() Check out our paw patrol vector selection for the very best in unique or custom, handmade pieces from our papercraft shops. ![]() ![]() Okay could this party be my biggest challenge yet? I feel like a few years ago I would never have considered planning a paw patrol party (or any other commercialized/character/overly-merchandised-theme party) BUT my son is absolutely OBSESSED with Paw Patrol - so I felt like I just had to do Paw Patrol. Digital Vector Clipart Cut Files (SVG PNG JPG EPS DXF) Cricut Design, Silhouette Studio, Iron on transfer, Scrapbooking Free Printables. Skye Patrol PNG Bundle, Paw Dog Patrol Vector Png, Dog Cartoon Png, Digital Download, Sublimation Designs. ![]() ![]() Download and play hearts card game to become best player of card game.Īccept the new hearts multiplayer card game tournament challenge and become a Hearts pro by winning all the matches in the hearts championship. ![]() With all the Statistics and Smart AI opponents, you will enjoy joker card game offline. And it's free! No download, no login required, simple gameplay! Good luck and have a good time! Find us on the web as "53lu".Improve your hearts playing skills by playing our top-ranked free Hearts cards game with Leaderboards and Achievements. You can play classic Hearts online on our website. With each play of a suit it is increasingly likely that one of the other players will be out of that suit and thus able to discard points (either hearts or, far worse, the queen of spades. A good rule to follow when beginning is to play your high cards on the first lead of a suit and move to your lower cards when the suit is led again. The most obvious strategy is to play low cards, which is all well and good if you have them, but somewhat more difficult when you do not. The best insurance against picking up the Queen of spades is to lead low spades every chance you get. But you can't keep the Queen unless you have enough spades to defend her (four is best, three is chancy). It's better to keep the Queen of spades and dump her on someone during play than to discard her only to have her dumped back on you. Therefore, the danger of taking any trick is decidedly increased. When playing with the queen of spades, the number of points in each round doubles from 13 to 26 (the queen being worth 13 points). Once you have no cards of a particular suit left, you can discard your dangerous cards every time that suit is led. A second strategy is to try to empty your hand of a single suit by passing only one suit to your opponent. The first, and most obvious, is simply to rid your hand of the dangerous cards: High hearts the ace, king, or queen of spades and any other high cards. Success in Hearts is largely determined by the cards you discard before every hand. There are many variations of this awesome game such as: Small Hearts, Queens, Rickety Kate, Partnership Hearts, Likha, Booster Nines, 500 Hearts. Play continues in this manner until all cards are gone. Hearts cannot be led until they are BROKEN by either someone playing a Heart or the Queen of Spades on a trick. The player that wins the trick now leads a card. You must follow suit until your hand is absent of the led suit. The highest card in the led suit wins and the point value of all the cards in that trick are assessed. Each player plays one card and together they are called a trick. After receiving 3 cards passed to you, the first trick is led by the player to the left of the dealer. Next, each player chooses three cards, and passes them to another player. The game begins with all cards being deal. The winner is the player with the lowest total score. The game ends when a player reaches 100 points. Cards that are out of play are inactive and darkened. The hand is sorted by suit, then rank: Hearts, Diamonds, Spades, Clubs. Each player is dealt a hand of 13 cards from a 52 card deck. This game uses the standard 52-card pack. Cards have the following point values: Hearts: 1 point, Queen of Spades: gives 13 points, Other cards: 0 points. The object of the game is to be the player with the fewest points. Hearts is a four-player point-based strategy card game. Good luck and have a good time! Basic Rules This free online game is available in browser across all your Android, iOS and Windows devices. You can play mobile Hearts on our website. In many parts of the world it became known through the Microsoft version of the game packaged with most 1990s versions of its Windows operating system. The game has become popular in live play among grade school students in Canada, and has increased in popularity through Internet gaming websites. ![]() This card game as currently known, originated with a family of associated games called Reversis, which were popular around 1750 in Spain. Hearts is a trick-taking card game played by four players. ![]() ![]() Grand Hotel is a casual script font designed by Brian J. The font comes in a single style with over 400 glyphs. Kaushan Script is a contemporary script font whose letters have a calligraphic style while the font has a modern appeal as a whole. It comes in a single style with over 350 glyphs. This one, though still elegant, is less careful and “tight” as the previous two fonts by this designer. It comes in a single style with over 300 glyphs.Īllura is yet another elegant script font designed by TypeSETit. The studio spent a lot of time carefully designing this font to be as connected as possible that each letter transitioned smoothly to the next no matter what letter combinations you type. Lobster is a script font by Impallari Type. It comes in a single style with over 400 glyphs. Each letter is designed to connect to one another elegantly no matter what word you choose to type. Great Vibes is an elegant, calligraphy-style script font designed by TypeSETit. It comes in a single style with just over 200 glyphs. ![]() It has a retro appeal as it resembles typefaces used around America in the first half of the 20th century. ![]() Pacifico is a connected script font designed by Vernon Adams. It comes in a single style and with over 250 glyphs. It’s a calligraphy font that works great when used for formal purposes. Alex BrushĪlex Brush is connected, brush-script font designed by TypeSETit. They’re rarely used on the web as a body text and work best when used for their intended purposes. These types of fonts are mainly used on invitations, headings for announcements or advertising. Connected fonts are designed with a careful approach to ensure each letter flows into the next in a smooth, continuous manner. This refers to the flow that exists between each letter. ![]() Script fonts can also be connected, semi-connected or unconnected. They can either be formal where they’ll appear elegant or informal where they’ll appear more playful. ![]() Script fonts are beautiful typefaces that resemble handwritten and calligraphic lettering styles. ![]() ![]() ![]() To make it easy to keep track of your car maintenance schedule, we’ve created a simple, downloadable car maintenance checklist to help you keep on top of your automotive maintenance. And, of course, it’s important to remember that car maintenance costs, while not always cheap, can ultimately help you avoid expensive repairs down the road. ![]() By knowing the basics about what your car needs, and when you should perform routine car maintenance, you’ll ensure that your car is in top-running condition.Īs an added bonus, if you can prove that your vehicle has been well maintained, you’ll be able to ask top dollar when it’s time to resell it. The biggest hurdle is being aware of what needs to be done-and how often-for optimal vehicle upkeep. Contact us online today to learn more, or call us at 707.837.0646 to schedule an appointment.Caring for your car and keeping it in proper running order takes a little bit of effort, but you definitely don’t have to be a mechanical whiz to keep your vehicle running well. We provide all the vehicle-related services you need to keep your car running well any time of the year. And the costs associated with routine auto maintenance are typically far less hefty than if you put it off and had expensive repairs down the road.Īll Around Auto Repair is conveniently located in Windsor and is Sonoma’s County most trusted source for routine auto maintenance and car repair. ![]() Knowing what needs to be done, and how often, will keep your car in good running condition and make it more valuable when it’s time to resell or trade it in. Routine auto maintenance takes a little bit of effort, but you don’t have to be a mechanical whiz to keep your car running well. When you bring your car in for routine auto maintenance, your mechanic may also see if the windshield wipers need replacement, do a battery performance check, and recommend new tires. In the long-term, make sure to have your transmission, transfer case, and front and/or rear differential fluids checked, the shocks, struts, and spark plugs inspected, and the coolant system flushed. Though the Windsor area doesn’t get the snow other parts of the country does, waxing helps minimize damage from other issues like dust, sand, and ultraviolet light.
![]() ![]() ![]() You should also know that these macros are NOT my personal fat loss macros, so when Tighter Together rolls around and I am eating with a different goal, my macros will change. I tell every client or new friend that there IS a learning curve that comes with a much more intentional and accurate way of eating, but there are also ways to simplify! So if logging things into your app daily is becoming a chore, make a meal plan that FITS your macros and just eat! I promise it’s better than winging it :) If I know I didn’t get close to the calories I would have consumed with my normal dinner + dessert, then I’ll still make my protein ice cream (maybe leave out the chocolate). Let’s say it’s a day that we go out to eat of plans change unexpectedly- what happens? First of all, if I’m this accurate 5/7 days a week, then I know the unplanned things will not derail my consistency, so I don’t fret, I re-arrange! I usually will just pull macros from my dessert and dinner and eat something that is generally balanced from a restaurant and call it even. Lower calorie foods like zucchini and cauliflower rice I’m not concerned about being perfect. Once I know that my meals for the week add up to my totals, I just eat! I know what the approximate sizes of the portions and ingredients look like, BUT I will measure/weigh out things like peanut butter and proteins just so I get those correct. I wanted to show you my app entries as an example, but I won’t necessarily take the time to log them each day since I know from my first day and my meal plan the totals! Meal 1: (breakfast) 31 Carbs / 4 Fats / 22 Protein But I have made her recipe as called for and it’s DELICIOUS!Īnd here is one she has made with spaghetti squash! (Favorites: Everything But the Bagel from Trader Joe’s, Garlic Salt Seasoning (TJ’s), and 21 Seasoning Salute (TJ’s)Īlso, the “recipe” I’ve been making for lunch is adapted from Lillie Loves Macros blog and the main things I have changed are: spaghetti squash instead of pasta and then I leave out the chicken from the dish, and also use Fat Free Mozzerella as my topping instead of breadcrumbs. I’m truly not picky about the ratios of each in my meals as long as the totals add up at the end of the day.Īlso, my meals are not fancy! Most of them are put together quickly with relatively basic ingredients combined in different ways that I enjoy eating! Some people thrive with recipes and others don’t- I’m a simple girl when it comes to flavor combinations and I find that with some good seasonings, I’m happy! So those are the totals I’m looking to fill with the meals I eat throughout the day. The details for participating in that challenge can be found here. I read each questionnaire and am confident that you are eating in a way that is going to be effective for you and your needs. One of my favorite aspects of Tighter Together challenges is that hundreds upon hundreds of people given CUSTOMIZED macro counts. A person’s macros dependent on highly specific characteristics and I don’t recommend winging them. My meal plan example is based off of macros that are probably NOT your macros. It takes the tetris out of trying to fill your protein at the end of the day because you have already mapped out meals that help you fill your goals, so simply eating the food you planned gets a successful day of eating every day! So the kind of meal planning I’m talking about is flexible and PERSONALIZED to your macro numbers. So if we can eating ANYTHING, why are we talking meal plans? Well, sometimes life is busy and sometimes people get overhwhelmed when they can eat anything they want and a little structure goes a long way. ![]() To be perfectly honest, having a meal plan sounds pretty restricting, especially to people who have found all of the freedom that counting macros brings! With macro counting you are not eliminating foods of any kind, you are simply arranging the foods and portions you choose with a daily goals for each macronutrient category (carbs, fats, and protein). ![]() How and When to Use them with Macro Counting ![]() ![]() ![]() You are also advised to back up the download itself once complete, in case reinstallation is ever necessary. During the download (mine took a leisurely five hours) you’re advised to back up your STEAM folder this contains everything needed should the unforeseen occur. The upgrade is available exclusively as a download, although new users can purchase version 2 as a boxed edition. Whether you’re in either of those categories or are simply curious about all the fuss, read on. those with Omnisphere, Trillian and Stylus RMX) earn a bigger reduction. Existing owners are offered the upgrade at a discount and VIP Spectrasonics users (ie. If the need to program is secondary to a requirement for a vast, easily accessed pool of quality sounds, I can report that the updated grand total now tops over 12,000 (I didn’t count)! Over 4500 new sounds and sound sources were added this time, which is more than many plug–ins achieve in a lifetime. For the first time, original audio material can join the ‘soundsources’ (in Omnisphere speak) being processed by the toolkit of synthesis and effects - a toolkit that itself has been upgraded. ![]() Not surprisingly, this update isn’t free, but even creative types have to eat!Īrguably the most significant advance is ‘audio import’. Finally it was revealed that Eric Persing and his team had been quietly adding features and content to what would eventually become a full Omnisphere version increment. To some of us, the NAMM 2015 announcement that Omnisphere 2 was in the pipeline totally stole the show. With its hundreds of new sounds, remote-controlled ‘Orb’ function and more, I doubt anyone would have felt let down if that marked the winding up of development. The last major update (1.5) arrived four years ago and was free to existing users. Since its appearance in 2008, Spectrasonics’ Omnisphere has enjoyed a celebrated existence for a plug–in synthesizer. This fine instrument is called the ‘Experibass’ and is typical of the lengths Spectrasonics have gone to to provide interesting and unusual material for their soundsources.Īs it reaches its second incarnation, we ask: is Spectrasonics’ Omnisphere the world’s best soft synth? ![]() |
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