3/22/2023 0 Comments Ivcd placement![]() ![]() As such and with the AV node (AVN) having rich sympathetic innervation and decremental properties, which accounts for some portion of the RA–RV time, we had to identify the end of the AV nodal contribution and the beginning of the septal contribution. 19 As the right atrial (RA) sense to RV sense was determined and used for the SyncAV measurement programming for 256 cycles, the offset delay is based on this RA–RV time delay. ![]() Similar effects have been demonstrated in prior studies in which tailoring the programming of the AV negative offset was generally determined by observation and intentional fusing of the QRS morphology, thus decreasing its duration on ECG. 26Īlthough our study lacked a control group of MPP programming without fusion, the final QRSd values in our analysis were substantially lower than those reported in the IRON-MPP trial, even despite that the majority of programming in that study was tailored to the narrowest QRSd (115.31 vs. ![]() In our method, the potential deleterious effects of RV pacing are felt to be decreased as multiple wavefronts are initiated. The overall baseline QRSd of 153.31 ± 24.60 ms was decreased to 115.31 ± 16.31 ms after MFP programming (p 80%) pacing, when combined with native activation like in the AdaptResponse clinical trial, seemed more beneficial than traditional CRT which includes RV pacing. A total of 22 patients (19 men and three women) with similar baseline characteristics were compared (all values in mean ± standard deviation). QRSd was compared between before and after programming. EGM-based measurements to determine the QRS septal onset to right ventricular (RV) time (SRAT) and the left ventricular (LV) to RV pacing conduction time were collected and applied to a formula to facilitate MFP. Patients in sinus rhythm with an AV conduction time of less than 350 ms were included in this analysis and were further stratified by strictly defined left bundle branch block (sLBBB) or nonspecific intraventricular conduction delay (IVCD). We therefore developed and tested a method combining MPP-CRT and controlled septal contribution to create a multifuse pacing (MFP) technique, establishing four ventricular activation sites for CRT patients using measurements from intracardiac electrograms (EGMs) and incorporating an AV-delay shortening algorithm (SyncAV™ Abbott Laboratories, Chicago, IL, USA) to narrow the QRSd. An additional site of activation via intrinsic conduction of the septum may further contribute to CRT however, the incorporation of all strategies together has yet to be explored. Multipoint pacing (MPP) has also demonstrated benefit in this population. Adaptive atrioventricular (AV)-shortening algorithms have achieved QRS duration (QRSd) narrowing in traditional cardiac resynchronization therapy (CRT) patients. RAFFAELE CORBISIERO, MD, FACC, 1 ANDREW MATHEW, DO, 1 CAITLIN BICKERT, BSN, 1 and DAVID MULLER, RN 2ġ Deborah Heart & Lung Center, Browns Mills, NJ, USAĪBSTRACT. Multipoint Pacing with Fusion-optimized Cardiac Resynchronization Therapy: Using It All to Narrow QRS Duration ![]()
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3/22/2023 0 Comments Dreams punta cana![]() ![]() these guys keep us coming back and keep us laughing. Breakfast was good and the only minor complaint I have is the bacon is not normal bacon, it's more like canadian bacon and like beef jerky if that makes sense.Įntertainment - what can I say. We really have no complaints about the food at all. Restaurants - We ate at Seaside Grill (delicious steak), Portofino (I had steak, my husband had chicken, both delicious), Himitsu at the teppanyaki table - delicious chicken, beef and rice and at the World Cafe where they have several options. Pool - The pool is one of the best features here, it runs through the entire resort in a lazy river style, it is only about 3 feet deep, there are plenty of floaties (as long as children AND adults don't pile 6-7 of them together at a time and hog them all). We only had turndown service once and just kept the do not disturb card on the rest of our stay, we didn't need it. ![]() The room was made up every day before I returned from the day in the sun. Rooms - Rooms are spacious and nice, just tired. But honestly other than that incident, I didn't feel that they were a bother. It lasted about 15 minutes before Security yelled at them. The one day one of them took their phone and attached it to the speaker at the pool bar near the beach and BLASTED it. I never once felt that they took over or got better service than me, as a matter of fact I didn't see any of them tipping anybody, really a shame even though it is not required, they were running their butts off for them and didn't get a tip at all. There was a group of about 100 people for a birthday party. I will say this is the first time where I noticed they were here over the weekend. I had read on here before that the locals come in and "take over the resort" and that they get service before anybody else. ![]() Definitely helpful for those that have special needs. The one thing that was new this time for us was them taking us to our room with our luggage in a golf cart and again to the lobby with our luggage when we were leaving. The resort is a decent size so it is a bit of a walk from the lobby to the beach, but it's totally doable. We stayed in Room #6212 which overlooked the pool and was right next to the Preferred Club Bar (huge convenience) so this would put us closer to the beach. As I have said in all of my previous posts, the rooms are dated and in need of a face lift, but it really doesn't bother us as we are only in the room to shower and sleep and the bed was very comfortable. My husband and I traveled here for our 10th visit from 11/2-11/9/19. Just about everything you need is included, like toothpaste, an extra comb, sewing kit and sunscreen. Otherwise, the bath products are private label and of high quality. Parents might want to tuck those away right away. The Dreams Resorts are big on incense and the tray of bathroom amenities includes several sticks and a book of matches. The lounge is staffed 24 hours with a concierge, private bartender, snacks and additional Internet access. In addition to a private beach area and no waiting in line at any of the restaurants, the rooms include complimentary Wi-Fi and a selection of movies, video games and traditional board games provided in the private lounge. The elite level of guests at Dreams are members of the Preferred Club. A limited number of suites have private hot tubs on the balconies. Plush bathrobes, slippers and evening turndown service are among the amenities in the suites. Neither is there a charge for cribs in the junior suites, which have delightful walk-in closets. The deluxe rooms offer a shower/tub combo in the bathroom and either one king or two double beds. Flat-screen TVs are accompanied by DVD players. Each room includes a mini-fridge stocked every day with bottled water, soft drinks and a few snacks, such as chips and candy bars free of charge. All rooms include a balcony or private patio. This spacious property, complete with flamingo pond, has 620 deluxe rooms and 106 junior suites in 10 buildings of no more than three floors that follow the flow of the pool that meanders throughout the property. ![]() 3/22/2023 0 Comments Expanse alex death![]() ![]() She implores them to try and bring the Martians, Earthlings and Belters together in a unified front. With everyone joined together, Avasarala briefs the team, telling them that their cooperation and peace is everything Marco is afraid of. Just as they do, Clarissa returns and Amos introduces her as part of their crew, at least temporarily anyway. They’re going to take the fight to Marco but for now, they celebrate their mini-victory. With Amos already at Luna, parting ways with Elrich who’s intent on carving his own place in the galaxy, the Roci heads straight there to regroup. He tries in vain to hide his rage before noticing a compassionless Filip shrugging off the betrayal and telling his Father they still have work to do. Marco Inaros sees parts of his plan slowly start to come undone, assessing the damage done to these ships. Unfortunately this split sees Drummer lose Oksana, who decides to leave. ![]() The crew onboard the Mowteng are split over the actions they’ve taken, knowing that they too have been thrown into this fight, thanks to Drummer’s actions. With the Roci safe for now, Drummer soon gets on the comms unit, speaking to Holden and letting him know that the threat, at least for now anyway, has been quelled. Karal is killed, Drummer gets on the comms asking for assistance, and missiles are dropped and fired on the other ships. On the eve of battle, she makes a bold choice and decides to take her ship back, holding Karal up at gunpoint as a mutinous split fractures the ship in half. On the other side of the conflict lies Drummer and her crew. Bobbie grabs Naomi and they await the Roci showing up to save them from this ordeal. Unfortunately in the ensuing charge across space, Alex winds up having a stroke and dies onboard his ship. Thankfully this leap of faith is well placed, as Bobbie dons her spacesuit and grabs Naomi. Naomi goes through a whole range of emotions as she floats aimlessly out to space, hoping someone will pick her up. What follows is an incredibly daring and frightening situation, something that mirrors some of the extreme close-ups in 2003’s Gravity. With her helmet on, and knowing that she’s done this before, Naomi takes a gamble and leaps out into the void of space, away from the Chetzemoka to prevent Alex and Bobbie from being killed. Her constant hammering manages to send the ship off-course, while the Firehawk closes in on Naomi’s ship.Īlex sends a message across to her, informing Naomi that he’s coming and encouraging the girl to hang tight. Naomi however, does her best to try and free herself from the precarious situation onboard the Chetzemoka. Holden feeds this plan back to Alex and Bobbie, imploring them to head off and grab Naomi. However, they’re going to run right through the middle of the formation, even if it means sacrificing themselves to allow the others to escape. Outnumbered and with little firepower, they have no choice now but to run. Episode 10 of The Expanse Season 5 begins with Holden realizing a hunting group is closing in. ![]() 3/22/2023 0 Comments Airo ct scanner![]() ![]() ![]() With the Airo Mobile Intraoperative CT scanner, such situations can be completely avoided. The Airo Mobile Intraoperative CT System particularly helps in cranial, spinal and trauma proceduresĭuring surgical procedures when a surgeon is implanting a screw, or a plate, or removing a tumor, a regular CT scanner exposes the surgeon to an undue amount of radiation. “Airo particularly helps in cranial, spinal and trauma procedures,” confides Gregerson. The portable scanner provides three-dimensional images with its integrated OR table and 32-slice helical scan detector array. The scanner produces high-resolution CT images that enhance the decision-making processes in surgeries and support minimally invasive surgical procedures. Encompassing the firm’s Intelligent Imaging approach is Mobius Imaging’s flagship product, the Airo Mobile Intraoperative CT scanner, which can be brought to the patient. In order to enhance the capabilities of medical imaging, Mobius Imaging designs and manufactures imaging systems that allow the clinician to collect high-quality images wherever required-be it the Operating Room (OR), Emergency Room (ER) or any other clinical setting.įounded in 2008, Mobius Imaging envisioned developing a novel CT scanner with an Intelligent Imaging approach to help in surgeries and interventional procedures. “Many patients in the ICU are in critical condition and moving them to the radiology room for scans causes inconvenience and may be clinically inappropriate,” states Eugene Gregerson, President and CEO, Mobius Imaging. Additionally, care providers are keenly looking for intelligent advancements in the radiology arena with portable Computed Tomography (CT) scanners that are not only able to produce three dimensional images, but also provide personalized services to patients. Most healthcare organizations are now adopting a wide array of novel technologies, such as 3D mammography, cloud computing, and telemedicine. Medical institutions are currently focused on enhancing the quality of patient care along with facilitating cost effective, personalized healthcare services. ![]() Eugene Gregerson, President & CEO, Mobius Imaging The healthcare landscape today is changing tremendously to stay abreast of the latest digital and technological innovations. ![]() ![]() ![]() The streaming platform has similarly rescued shows like "You," which originally aired on Lifetime and "Lucifer," which first aired on Fox. Season 4 will be the first original season of "Manifest" that will exclusively be on Netflix. In addition to the well-known characters, Kyle Boyd and Tela, and June, who were also on Flight 828, will make their debuts. "Never in my wildest dreams could I have envisioned the worldwide outpouring of love and support for this story, its characters, and the team who work so hard to bring it all to life," executive producer Jeff Rake said in a statement. "That we will be able to reward the fans with the ending they deserve moves me to no end."īest of Netflix: 50 best TV shows to watch on Netflix right now It appears that there will be a few new faces introduced in the fourth season, but they will only be minor additions. There are currently three seasons of Manifest, with a fourth season on the way. ![]() 28, the streaming service announced it would pick up the show, a play on the flight number that plagues the characters (8/28). So the streaming platform could really say yes for a Manifest Season 4. For quite some time, the shows creator and writer, Lisa McGee, has been open about the intention to finish off the show with the third season however she has given a few hints that have some. Netflix made the official announcement for Manifest Season 4s release. a dramatic series that has been broadcast for three years to the broadcaster. Manifest fans will be happy to learn Season 4 has an official release date. "Manifest" watchers replied with excitement but also asked the obvious question: "When is the release date?" Netflix is keeping fans in the dark about that detail for now. Deadline clarified that there is an encouraging sign for Manifest fans is that Lucifer is also produced by WBTV, which gives the studio and Netflix a working model on how to transfer successfully. So, Netflix decided in August 2021 that there will be a season four. When it was canceled, fans started online petitions to renew it back, and finally, it was a success. "The passengers of Flight 828 don't know what's about to hit them," the Netflix account tweeted. Manifest Season 4 has recorded success after launching on Netflix. The mini-trailer shows Michaela Stone (Melissa Roxburgh) snooping around a freight barge for clues to solve the mystery of their weird time-traveling circumstance. Monday, Netflix released a nondescript trailer showing where "Manifest" will pick up when it returns. As part of "Geeked Week," a five-day virtual event where fans get sneak peeks of popular genre series and movies. ![]() 3/21/2023 0 Comments Tico ice cream philippines![]() Honestly, it was a bit confusing for us at the start. We couldn’t decide on what to order because of the many choices available. The menus are located where the queue is, so you are pressured to decide what to order right then and there. (Tip: Take a look at the Cold Stone Creamery Menu before you go.) If you have a date with you, it’s good to know what to order already. To keep it simple, choose from the signature ice cream mixes above, based on the ice cream flavor or fruit that you like. Like It (5 oz) is the minimum size for the ice cream with mix-ins (P158) or the signature flavors (P168). Scope Get access to detailed historic and forecast consumption values and volumes at category level along with a top-level overview. historic and forecast consumption along with latest events and recent developments in the global market. ![]() ![]() Ice Cream Market in Philippines: Market Snapshot to 2022.Flexible packaging is the most commonly used pack. Hypermarkets & supermarkets is the leading channel for the distribution of ice cream products in the country. cream’ category is forecast to grow the fastest during 2017-2022. Country Profile: Ice cream in the Philippines.Impulse Ice Cream - all dairy- and water-based ice creams. Outlook to 2022: Market Size, Growth and Forecast Analytics is a broad level market review of Impulse Ice Cream - Single Serve market in Philippines. Impulse Ice Cream - Single Serve (Ice Cream) Market in Philippines - Outlook to 2022: Market Size, Growth and Forecast Analytics.Take-Home Ice Cream - includes all diary and water-based ice cream products sold. 2022: Market Size, Growth and Forecast Analytics is a broad level market review of Take-Home and Bulk Ice Cream market in Philippines. Take-Home and Bulk Ice Cream (Ice Cream) Market in Philippines - Outlook to 2022: Market Size, Growth and Forecast Analytics.The data guide comprises retail sales, of various categories within Ice Cream, such as Frozen Yogurt, Take-Home Ice Cream, and Artisanal Ice Cream (Retail),along with their values, volume and channels of distribution. | Published by: Mordor Intelligence Inc | USD 500 Philippines Ice Cream Market Analysis (2013 - 2023).Flexible packaging is the commonly used pack. Hypermarkets & supermarkets is the leading channel for distribution of ice cream in the country. artisanal ice cream category is forecast to register fastest value growth during 2018-2023. ![]()
3/21/2023 0 Comments Roger daltrey![]() ![]() He also sings on other songs as a supporting role.Ĭollaborated with Art Garfunkel, Julian Lennon, Cliff Richard and others.ĭaltrey sings Led Zeppelin's " Kashmir" with Ann Wilson and The Beatles' " Let It Be" with Simon Townshendĭaltrey wrote the lyrics for and performed "Child of Mine". Performed as the Tin Woodman the song "If I Only Had A Heart". Roger Daltrey is a rare animal: a bona fide rock star, a male artist who behaved responsibly for most of his life down to earth and level-headed. ![]() Speaking with DJ Zane Lowe on Apple Music, the Baba O’Riley singer said that the woke generation is creating a miserable world for themselves and everyone else. Education Roger was first admitted to Victoria Primary School, and he has performed exceptionally there. Though, he is 5’6 in feet and inches and 167 cm in Centimetres tall, he weighs about 132 lbs in Pound and 60 kg in Kilograms. Performed as the Street Singer the songs "Mack The Knife" and "Mack The Knife Reprise". The Who lead singer Roger Daltrey has joined the wave of rock musicians speaking out against woke culture and its effect on society. Well, Roger Daltrey’s age is 78 years old as of today’s date 16th October 2022 having been born on 1 March 1944. Performed "Don't Let The Sun Go Down on Me". He’s arguably the greatest rock singer that has fronted. Performed the entire soundtrack, including "Bitter and Twisted", "Just a Dream Away", "White City Lights", " Free Me", "My Time Is Gonna Come", "Waiting for a Friend", " Without Your Love", and "McVicar". And that is so true of the way that Roger Daltrey, born on March 1, 1944, has propelled the Who from his position out front of the band. He wrote the lyrics for "Love's Dream", "Orpheus Song", "Peace at Last", and performed "Love's Dream", "Orpheus Song", "Funerailles", and "Peace at Last". Martyrs & Madmen: The Best of Roger Daltreyĭaltrey worked with Rick Wakeman and others on the soundtrack for Lisztomania. A Celebration: The Music of Pete Townshend and The Who ![]() 3/21/2023 0 Comments Dopewars beermat download![]() By the conduct of emotional investment, the dissertation describes how voluntary players can end up experiencing emotions about aspects which would most likely seem trivial from a non-player's perspective. Based on this condition, game artefacts can be described as standing out from among all other technological artefacts which co-shape human intentionality. However, this can go on only as long as long as the player ful fills the requirements of which the gameplay condition comprises. Rather than being explained in terms of their rules, computer games appear as technological artefacts which simultaneously extend the concrete limitations against which their human players are free to realize their projects, and shape the ways in which human mind can be directed at aspects of the world. From describing the freedoms and responsibilities imposed by the materiality of the computer game artefact on its voluntary player, the gameplay condition emerges as an intersubjective baseline for the players' judgements about events, objects, and states of a airs in the game, potentially surfacing as emotions. Building on game studies, existential phenomenology, and philosophy of technology, this dissertation postulates a first person perspective from which to describe solitary computer game play and the emotions it involves in terms of their experienced signi cance. From this premise follows that to understand an emotion it is necessary to understand the reasons the subject has for relating to the object of the emotion in the particular way. Emotions are taken as intentional, as always about something. Focusing single player computer games and situating within the emerging fi eld of computer game studies, this dissertation starts from the assumption that emotions are always already intertwined with the experience of play and proceeds to describe, not any idiosyncratic emotional experience, but the means by which games can ensure their contents to be involved in players' emotions. Our ability to enjoy computer game play that involves genuine intense emotions which in other contexts would be easily deemed as "negative" suggests that there is something in the ways in which we make sense of computer games that separates gameplay from other activities we engage in. This version of Dope Wars is ported directly from the wildly popular version of the PC game, also from Beermat Software.Computer games contribute to their players' emotions in diverse ways, ranging from sheer exhilaration to anger and disillusion. There is also the ad-supported free-version available, with ads and the 30 day game length. The paid version removes ads, allows 15, 60, 90, 120 and 365 day game lengths, shows arrows indicating direction of daily price changes, and adds the powerful RCL 9000 weapon. More space, more profit! Good luck my friend, you're sure going to need it!! Also, keep an eye out (and cash on hand) for the chance to buy a larger coat. She sure has some wacky things to say, but occasionally, she'll give you a very handy tip off, which is essential to your financial success in Dope Wars. Other loan sharks can lend you money to solve short-term liquidity crunches, but they'll be after their money soon enough! If you get injured, pop in to see the local doctor at his surgery, but look out - he has no scruples, and you have kidneys. Buy low, sell higher! But beware - Officer Hardass is looking out for you, so get prepared for a stand-off with the cops by visiting the Dope Wars Superstore to tool up for the inevitable confrontation! You can also buy more storage space along the way at the Superstore, so look out for sales and special offers.Īlong the way, special market events will cause prices to rise or fall spectacularly, so be ready for these, this is how you get rich! There are muggers out there, so try to keep unused cash in the bank, earning interest. You only have one choice - dive into the world of wholesale trading of weed to make money fast and save your skin!Īs you travel from location to location, a day passes and local prices change. The bad? You owe $5,500 to Dishonest Harry, a not-too-friendly loan shark, interest is piling up, he'll be visiting you soon for his money, and he owns a chainsaw! Just sayin'. ![]() The good news - you have $2,000 in cash, and licenses to legally trade. ![]() 3/21/2023 0 Comments Aurora laptop unveiled![]() Wi-Fi 6 is also standard across all models, and some have Wi-Fi 6E. ![]() The ports are all the same across all models, including USB Type-A and Type-C, Gigabit Ethernet, audio input and output (both digital and analog), and a combined headset port. No matter what hardware configuration you buy, you will get a “custom Alienware motherboard,” which means upgrades could be more difficult down the line than with a typical custom-built PC. Given the variety that Alienware is offering, and the lack of any pricing information, it’s hard to make any judgements about performance or value. You can also pick between 8-64 GB RAM, varying storage capacities, three Wi-FI cards, and eight PSU/cooling configurations. There are also a whopping 15 choices for the graphics card, including nine GeForce RTX 3000-series GPUs, the new RTX 4090, and five Radeon RX 6000-series cards. There are six CPU options, all of which are from Intel’s brand new 13th-generation Core lineup - ranging from the brand-new Intel Core i5-13600K to the high-end Core i9-13900KF. AlienwareĪlienware is selling the R15 in many, many, many different hardware configurations. The new R15 has a 240mm heat exchanger that is “doubled in size from the previous generation,” but the latest hardware from Intel and NVIDIA is more demanding on power than ever, so that change might not amount to much. Poor air circulation and hot temperatures are a frequent problem with pre-built desktop computers, and Alienware’s recent desktops have been a mixed bag when it comes to thermal performance. Depending on the parts you pick, it weighs as much as 34.2 pounds (15.5 kg).Īlienware says the desktop has “an array of hexagonal side vents” to help with airflow. The desktop measures 32.2 inches in length (589 mm), 8.86 inches across (225 mm), and 20.1 inches tall (510 mm). The new Alienware Aurora R15 follows the same basic design as other Alienware desktops, with a white chassis and RGB lights visible on the front and side panel. Today, the company unveiled the Alienware Aurora R15 desktop, featuring the latest hardware from Intel and NVIDIA. ![]() Dell’s gaming division, Alienware, already sells many desktops optimized for PC gaming. ![]() 3/21/2023 0 Comments Enterprise architect![]() With some help of an Enterprise Architect Consultant you get a a head start at customizing EA fit your needs. MDG technologies provide an elegant way to package all of your custom changes and distribute them to the whole organisation. With the UML Profiles you can tailor meta-elements with your own icons and images, create custom toolboxes and diagram types to your specific requirements. UML Profiles & MDG TechnologiesĮnterprise Architect already ships with a lot of standards and modeling languages, but sometimes you need something extra.įrom adding a few extra properties to some standard elements to making your own complete modeling language. In order to really benefit from a tool such as Enterprise Architect you also need a modelling method.Īn Enterprise Architect Consultant can help you define a modelling method, model your meta-model, or implement your existing method using Enterprise Architect. All business processes that are not linked to a requirementīecause you can easily export the search results to MS Excel you can also use them as the basis for reporting matrices or impact analyses.īuying Enterprise Architect is not enough to get your team started. ![]() All Attributes that have a specified type.All Classes and Interfaces with a certain name.With SQL Searches you can make searches that find exactly those things you were looking for. You can use the standard model searches, but those often yield too much results making it difficult to find the things you were looking for. We can set up your document templates with virtual documents, template fragments, scripts or SQL to generate the most professional documentation ever with the press of a button.Įnterprise Architect also has a powerful scripting module that you can use to automate certain tedious, difficult or repetitive tasks.įinding things in even a moderate sized model is a daunting task. Document GenerationĮnterprise Architect ships with a very powerful document generator, but with serious power comes serious complexity as well. If you are lost in the myriad of options for setting up and deploying EA an Enterprise Architect Consultant can help you see the forest through the trees again. How can we share parts of our model with other models?. ![]()
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