His general health steadily improved, and on a subsequent outpatient clinic visit 2 months later, he weighed 50 kg (a total weight gain of 8 kg). With a diagnosis of ketamine-induced multisystem illness, he was advised to refrain from further drug abuse and was discharged to a community-based drug rehabilitation program. He gained 3 kg body weight within a week of inpatient medical treatment. The acute kidney injury and the liver function abnormalities improved gradually ( Table 1). The patient was further managed with oral and intravenous hydration, a multivitamin supplement, and omeprazole. Screening tests for viruses (HIV, hepatitis A, B, C, E, Epstein-Barr virus, and cytomegalovirus), autoimmune liver disorders (autoimmune hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis), and metabolic liver diseases (hemochromatosis and Wilson's disease) were negative. There was no evidence of intraabdominal malignancy. A magnetic resonance cholangiopancreatography showed mild dilatation of the proximal common bile duct with narrowing of the common hepatic duct without cholelithiasis. The histology from the esophageal mucosa revealed only chronic inflammatory changes. Esophagogastroduodenoscopy showed grade 3 esophagitis and mild gastritis. The patient was initially managed with intravenous hydration, thiamine, and continuous urinary drainage through an indwelling catheter. The bladder was contracted.Įstimated glomerular filtration rate (mL/min) A computed tomographic scan of the abdomen without contrast revealed a full distended stomach ( Figure 1a), bilateral hydronephrosis ( Figure 1b) and hydroureter, and a thickened urinary bladder wall ( Figure 1c). The urinary bladder wall was thickened with increased trabeculations. An abdominal ultrasonographic study revealed bilateral hydronephrosis and hydroureter, hypoechoic liver with periportal hyperechogenicity, and mild dilatation of the common bile duct. The electrocardiograph and chest radiograph did not show any abnormalities. Biochemical and hematological laboratory results are shown in Table 1. His body mass index was 14.5 kg/m 2 and his blood pressure, 90/60 mm Hg. On examination he looked dehydrated and cachectic, and his sclerae were mildly icteric. He lived alone and was not sexually active in the immediate past. He had a 40 pack-year history of smoking, consumed about 20 units of alcohol (1 unit = 10 mL of pure alcohol) weekly, and inhaled ketamine powder intranasally almost every day for about 3 years. He was known to have chronic obstructive airway disease and enlarged kidneys detected by an ultrasonographic study. For several months he had a poor appetite and dyspepsia, and he had gradually lost weight. A 59-year-old man presented to the emergency department with vomiting, lower abdominal pain, dysuria, and urinary incontinence of 5 days duration.
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In recent years, transcutaneous bilirubinometry is being used for serum bilirubin screening of neonates >35 weeks after 24 hours of age. In premature neonates, it is especially bothering as repeated phlebotomy causes iatrogenic anemia and also increases parental anxiety. The TSB estimation procedure involves invasive extraction of venous blood. Frequent clinical monitoring and timely serum bilirubin testing are the best strategies for the prevention of bilirubin-induced neurological damage. Total serum bilirubin (TSB) level is the gold standard for the diagnosis of neonatal hyperbilirubinemia and is vital for the effective treatment of neonatal jaundice. Recent reports have shown the visual assessment of jaundice to be unreliable and unsafe. Neonatal hyperbilirubinemia is a common problem with almost 50% term and 80% of preterm neonates suffering from some amount of neonatal hyperbilirubinemia. Hence, TcB can be used for the guidance of management in these neonates. TcB is well correlated with TSB level in preterm neonates. The correlation coefficients between 28-33 6/7 weeks gestational age groups (r = 0.944) and 34-36 6/7gestational age (r = 0.950) were similar. The bias difference between TcB and TSB is -1.16 (95% CI: 2.35, -4.6) mg/dl. The TcB is excellently correlated with TSB with a correlation coefficient of r =0.948, p ≤0.001. The comparison between TcB and TSB values was analyzed by direct linear correlation in scatter plot and Bland-Altman plot.Ī total of 167 preterm neonates (66, 28-33 6/7 and 111, 34-36 6/7), with a mean gestational age 33.55 ☒.36 weeks and a mean birth weight of 1960 ± 613 grams, were analyzed. Transcutaneous bilirubin (TcB) was estimated by Dragger jaundice meter JM-105 and simultaneously venous blood and total serum bilirubin levels (TSB) were measured by diazonium method. All inborn and outborn neonates with a gestational age of 28 0/7 weeks to 36 6/7 weeks with the clinical diagnosis of neonatal jaundice were included in the study. The study was a prospective comparative observational study conducted in a tertiary care neonatal unit of Odisha from January 2019 to June 2020. To compare the bilirubin levels measured by transcutaneous bilirubinometer and serum samples for the management of jaundice in preterm neonates. 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Join in The Witcher universe’s favorite card game - available for free! Blending the CCG and TCG genres, GWENT sees you clash in fast-paced online PvP duels that combine bluffing, on-the-fly decision making and careful deck construction. The first step in creating a sales plan is to identify and write down the company's mission and goals. What to Include in a 30-60-90 Day Sales Plan? According to a survey conducted by The Bridge Group, sales reps with a 30-60-90 day plan were 79% more likely to achieve their targets than those without a plan.īy following the above-mentioned five steps, you can help ensure that your sales rep is equipped with the tools and resources necessary to achieve their sales goals. Evaluating the plan's effectiveness helps identify areas of success and opportunities for improvement. To do so, set a specific timeline for follow-up and review the sales rep's accomplishments against the goals set out in the plan. It is crucial to evaluate the sales rep's progress regularly. The aim is to provide the necessary support and guidance for the sales rep to succeed with minimal oversight. To help the sales rep accomplish their goals, including any relevant resources such as contact information for key personnel or online tutorials. Once again, including key metrics is crucial to track progress. Similarly, write down three to five goals that the sales rep should aim to achieve in the next 60 and 90 days, respectively. It is essential to include key metrics for each goal, which will help measure success. Write down three to five goals that the sales rep should aim to achieve in the first 30 days. By having a clear understanding of the mission, the sales rep can better comprehend their role in the company. This step is crucial as the plan should align with the company’s mission and goals. Start by identifying and writing down the company mission. Here's how to create a 30-60-90 day sales plan that will set you up for success. If you're looking for the secret sauce to succeed in sales, then a well-crafted 30-60-90 day sales plan is your recipe for success.Īccording to statistics, sales reps who implement a 30-60-90 day sales plan achieve a 30% higher success rate than those who don't. It allows both parties to be on the same page regarding expectations and progress, fostering a more collaborative and productive working relationship. This increased level of accountability can motivate the sales rep to work harder and achieve their goals.Ī 30-60 90-day sales plan can be used as a communication tool between the sales rep and their management team. 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The film wobbles between stilted, "medieval-like" dialogue and American accents from the majority of the main characters, an issue compounded by historical errors throughout the film. Watch: Sheriff of Nottingham to Severus Snape: Alan Rickman’s most memorable roles. Sadly, although Marian first appears a strong, independent, brave young woman, by the end of the film she has relapsed into the stereotypical damsel in distress. Costner merely floats along, leaving any sense of urgency or drama to the Merry Men, villagers, and the exciting visual effects. Parents will secretly root for Alan Rickman's Sheriff of Nottingham, who sparkles in contrast to Costner's dull Robin Hood. Viewers will be asking, "When will (x) happen?" as opposed to, "What will happen next?" Teens who aren't bothered by this will love the courageous actions of Robin Hood and his Merry Men and the exciting battle sequences. Robin Hood: Prince of Thieves relies on the familiarity of the plot to build extraneous plot twists, upon which most of the suspense lies. To stay in the loop on more movies like this, you can sign up for weekly Family Movie Night emails.Īlthough this version of the legend reveals more of Robin Hood's backstory, it tries to incorporate something for everyone and is too violent for kids. There is brief male nudity (buttocks) when Robin Hood emerges from skinny-dipping in a lake. "F-k" is used on one occasion, as well as some references to sex, and jokes centered on male genitalia. Sheriff of Nottingham and Robespierre are French gives the whole thing a cheerier. There is also an attempted rape, and a scary, creepy witch. Alan Rickman, Michael York, Sir Percy Blakeney etc. A man knifes his unsuspecting cousin, an illegitimate (and angry) half-brother appears, a painful childbirth scene (implied caesarian), a hanging, villages are destroyed, innocent children are threatened, explosions, a beloved character dies, and one nearly drowns. The film opens with a painful torture scene in which a man's arm is chopped off with a machete, and later a man is burned to death. Medieval graphic violence dominates this film, and that there are some particularly gory moments. Parents need to know that Robin Hood: Prince of Thieves is the 1991 blockbuster movie in which Kevin Costner plays the mythical medieval hero known for stealing from the rich and giving to the poor. Step 3: It may take some time to load the Bluestacks app initially.After successful installation, open Bluestacks emulator. Step 2: Installation procedure is quite simple and straight-forward.Step 1: Download the Bluestacks 5 software from the below link, if you haven’t installed it earlier – Download Bluestacks for PC.Let’s start our step by step installation guide. We are going to use Bluestacks in this method to Download and Install Spider Solitaire for PC Windows 10/8/7 Laptop. Bluestacks software is even available for Mac OS as well. Spider Solitaire Download for PC Windows 10/8/7 – Method 1:īluestacks is one of the coolest and widely used Emulator to run Android applications on your Windows PC. Here in this article, we are gonna present to you two of the popular Android emulators to use Spider Solitaire on PC. So even if the official version of Spider Solitaire for PC not available, you can still use it with the help of Emulators. But Android emulators allow us to use all these apps on PC as well. are available for Android and iOS platforms only. Games and apps like PUBG, Subway surfers, Snapseed, Beauty Plus, etc. Most of the apps these days are developed only for the mobile platform. Spider Solitaire Download for PC Windows 10/8/7 Laptop: Currently, Spider Solitaire for Windows has got over 10,000,000+ Game installations and 4.3 star average user aggregate rating points. It has got really good rating points and reviews. Spider Solitaire is on the top of the list of Card category apps on Google Playstore. Spider Solitaire for PC – Technical Specifications Name So before jumping into it, let’s see the technical specifications of Spider Solitaire. Here in this article, we will list down different ways to Download Spider Solitaire on PC in a step by step guide. But do you know you can still use any of your favorite Android or iOS apps on your laptop even if the official version for PC platform not available? Yes, they do exits a few simple tricks you can use to install Android apps on Windows machine and use them as you use on Android smartphones. Most of the apps available on Google play store or iOS Appstore are made exclusively for mobile platforms. Keep reading this article to get to know how you can Download and Install one of the best Card Game Spider Solitaire for PC. Looking for a way to Download Spider Solitaire for Windows 10/8/7 PC? You are in the correct place then. We have wanted to do this for years, and with Balsamiq Wireframes for Desktop, we were finally able to. One constant in the world of software is that if you have a web app and a desktop app, someone will want them to talk to each other. You can read more about the new Full Screen Presentation Mode in our documentation. This redesigned mode allows for easy user testing, review, and presentation of projects you're working on (and it's super easy to swap between those functions). We spent a lot of time rethinking our Fullscreen Presentation mode for our modern apps. A brand new full screen presentation mode From there you can search and import controls directly into your project without having to leave the app. Clicking that loads Wireframes to Go inside of the app. In Balsamiq Wireframes for Desktop, you'll find a "More Controls." button in the upper-right-hand corner of the UI Library. Importing controls was much harder than it needed to be, and we kept telling folks "Hang tight, I promise this will get better." Today, it gets better. When we redesigned our Wireframes to Go website (formally Mockups to Go), our desktop users got the short end of the stick. You no longer need to have a separate app/system to take notes on projects - it's all built in! You can read more in our documentation. Stakeholders can comment too (as long as they have a license or active trial), all you need to do is send them the project (.bmpr) file. When we released Balsamiq Cloud, we added a review and comment system that made collaboration super easy - and now, we have brought that same system to Balsamiq Wireframes for Desktop. Of course, there are new features as well, and I'd like to call out a couple of them specifically. "The good old flavor of Balsamiq in a new fresh and friendly interface!" - Benedetto, Windows beta tester superstar It’s even more fun to work with now!" - Rene Rosendahl, beta tester "Balsamiq Wireframes is now a native macOS app and one can really “feel” it: It’s fast, responsive, and also looks sharper. And while everything underneath is new, you should feel right at home when you use it. We simply took the work we had done for the web apps, and wrapped it in a thin - and homemade - code layer. If you've used any of our modern web apps, you have already experienced the core of this new editor. Gone are the Adobe underpinnings, replaced with a completely native framework of our own creation. We have spent the last few years completely rewriting our editor and app code because we wanted a completely native application. This is a fun topic because, technically, everything is new. Let's talk about why! What's new in Balsamiq Wireframes for Desktop Over 1000 people have tested it during a year-long private beta, and we finally think it's ready to launch. It's been re-written, from the ground up, to be native and fast, while staying comfortable and familiar. So it's my incredible pleasure to introduce you to Balsamiq Wireframes for Desktop.īalsamiq Wireframes for Desktop is the culmination of everything we have learned in the 10 years we have been making desktop apps. It's been a while since we spoke, but we promised you then that the next time we did speak, it would be about the new desktop apps we have been working on. The rapper wasn’t shy about acknowledging the discrepancy between Thank Me Later and Take Care: On “Headlines”, one of Take Care’s standout pop moments, he raps: “I had someone tell me I fell off/Ooh, I needed that.” It was this honesty and vulnerability that allowed Drake to rap-sing his way into the hearts of millions of fans worldwide, ushering in a new wave of commercial hip-hop draped in tender emotion.īut despite the album’s chart success-and its eventual Grammy win-Take Care is more than just a career-catapulting moment for Drizzy. Released in 2011, Take Care was an instant smash, debuting at the top of the album charts, despite being leaked online ahead of time. Shebib and Drake drew on the very “Toronto sound” they’d pioneered-a sound that was situated at the sweet spot between rap and R&B, and that had defined Drake’s acclaimed 2009 mixtape, So Far Gone. After receiving mixed feedback on his studio debut Thank Me Later-an album Drake himself felt was rushed-the rapper made a return to his own sonic roots, enlisting musical savant Noah “40” Shebib to spearhead his second studio album. And, like a vintage port, the album has aged beautifully, standing as one of the most beloved, most decadent moments of Drake’s illustrious discography.Īs the title itself suggests, Take Care is a testament to the theory that the best art requires lots of time. For all intents and purposes, the Drake of Views is the same one we got on If You’re Reading This and What a Time, but if his previous proper album (Nothing Was the Same) foretold anything, it’s that the man peering down from CN Tower sees things differently than the rest of us.ĭrake’s magnum opus Take Care is best compared to a fine wine: From the dark, warm tones of its cover art to the long waiting period between inception and release, everything about the album exudes opulence. Maybe the the most affecting acknowledgement to this end is the fact that “Hotline Bling”, a strong contender for 2015 song of the summer, was such an afterthought by the time Views was released that it appears here as a bonus track. He isn’t too much for the world, though, ruminating on his position as one of music’s biggest names-and those who’d rather he wasn’t-on songs like “Still Here”, “Hype” and “Grammys”. There are references here to specific people (“Redemption”), places (“Weston Road Flows”) and experiences (“Views”), along with nods to the influence of the city’s Caribbean population on “With You”, “Controlla” and “Too Good” (which just happens to feature Rihanna). “Just to show the city what it takes to be alive for it.” Drake’s presence eclipsed Toronto just about as soon as So Far Gone dropped, but the city-and what it thinks of him-was never far from his mind. “I made a decision last night that I would die for it,” Drake raps on “9”. Views, which followed two wildly successful projects in 2015 that he’d branded as mixtapes-If You’re Reading This It’s Too Late and the Future collab What a Time to Be Alive-would confirm him as both, his penchant for immaculate songwriting still fully intact and the pressures of existing as the most popular voice in rap, as well as his hometown’s most successful export, weighing heavy on his mind. He looks less like the superhero he’d made himself into over the course of a roughly six-year rise as singer-songwriter extraordinaire and more like a troubled monarch. On the cover of his fourth studio album Views, Drake looks down from atop Toronto’s CN Tower, paying homage to the city’s notoriously frigid winter temperatures in a heavyweight shearling coat and high-cut boots. |
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