![]() The National Emergency X-radiography Utilization Study group, which is discussed in more detail later in regard to its CDR, found similar rates of injury: 2.4% of 34,069 patients in 21 U.S. medical centers involving 111,219 patients, 4.3% of patients had injuries, at similar rates, in both academic and nonacademic centers, regardless of trauma center type (I through III). designation) all encounter cervical spine injuries with similar frequency, and emergency physicians must be intimately familiar with the imaging required to diagnose these dangerous injuries. The incidence of cervical injuries is relatively independent of the setting-level I, II, and III trauma centers (the U.S. This evaluation differs from the evaluation in trauma, as fractures or other bony pathology may not be present. In addition, nontraumatic cervical spine pathology occasionally requires imaging in the emergency department. Let’s begin our discussion with the cervical spine, followed by a parallel discussion of the thoracic and lumbar spine.Ĭervical spine injuries occur in approximately 2% to 4% of blunt trauma cases, and diagnostic imaging plays a pivotal role in the evaluation of patients for these potentially life-threatening or seriously debilitating injuries. Consequently, an even greater emphasis should be placed on applying reliable CDRs. The new ACR recommendation for a CT-first strategy guarantees an increase in the radiation exposure resulting from any screening for cervical spine injury. We discuss the radiation burden and cost of cervical CT. The three-view radiograph that has been the long-standing screening test in the emergency department is now recommended by the ACR “only when CT is not readily available.” Radiography is described in this document as “not … a substitute for CT.” The ACR cites a lack of evidence for recommendations of CT or x-ray as the primary screening tool for suspected cervical spine injury in children. Remarkably, the latest version of the American College of Radiology (ACR) Appropriate Guidelines for Imaging of Suspected Spine Trauma (2009) advocates thin-section CT as the primary screening study for suspected cervical spine injury in adults, removing plain radiography (x-ray) from this position. We review the evidence for use of CT and x-ray, comparing their sensitivity for detection of fractures. Imaging of the spine has undergone a revolution with the advent of multidetector CT with multiplanar reconstructions. Similar decision instruments can identify patients who require thoracic and lumbar imaging. We review two well-validated clinical decision rules (CDRs) that can identify patients at low risk of cervical spine injury who do not require any imaging. In many ways, the more difficult task for the emergency physician is not the interpretation of the image but the decision to image the spine. Thoracic spine metastatic disease with cord compressionĭegenerative joint disease and disc herniation Thoracolumbar compression and burst fractures T2 corner avulsion fractures (extension teardrop) Three-dimensional CT reconstructions of the normal cervical spineĬervical facet fractures with spinal cord injury on MRIĪcute cervical ligamentous injuries with x-ray, CT, and MRI findings The list in Table 3-1 can guide you to the relevant figure, where diagnostic features are discussed in detail. The figures in the chapter span a range of important spinal pathology, moving from cephalad to caudad. The figure captions are designed to allow the figures to stand alone, so we spend relatively little time discussing specific fracture patterns in the text. Don’t be daunted by the number of figures in this chapter-we explore injuries and nontraumatic spinal pathology in many imaging planes and in multiple modalities to maximize your three-dimensional understanding. ![]() We correlate CT findings with x-ray when possible, and we demonstrate associated soft-tissue abnormalities identified on magnetic resonance imaging (MRI). Our discussion of all spinal regions starts with interpretation of images, with a focus on computed tomography (CT) scan. Although differences exist, many common themes are shared in both the selection and the interpretation of diagnostic studies for all regions of the spine. In this chapter, we discuss imaging of the cervical, thoracic, and lumbar spine. ![]()
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![]() ![]() Use the same directions, just use crisping lid. Press the Manual button and adjust time for 15 minutes. Press the Cancel button and add onion, bay leaves, broth, tomatoes, and cilantro to Instant Pot. These are great Ninja Foodi Pork Chops as well! Simple steps for a tasty dinner. Place in Instant Pot and sear each side 5 minutes or until browned.Feel free to alter your seasoning used, to change the flavor of the pork chops.Take your whole almonds and drop them in your food processor to get the finely ground almonds that will adhere to the pork chop. If you do not own a food processor, you can use the pulse feature on a blender, or even crush up with a mallet in a sealable bag.Let rest Allow pork chops to rest for 2-3 minutes before serving. Check the temperature Flip pork chops and cook at 375 degrees F for another 7-8 minutes or until an instant-read digital meat thermometer reads 145 degrees F. Here are tips for this pork chops in air fryer recipe. Cook Air fry at 400 degrees F for 7 minutes. This is a great pork recipe to meal prep for easy grab and go lunches. To warm up you can warm up in the microwave or even the oven. You can store your leftover pork chops in the fridge in an airtight container for 3-4 days. ![]() This is a great Instant Pot Duo Crisp Recipe for beginners. Once you remove the chops, be sure to let them rest for about 10 minutes, so you don’t lose all the juices. Flip the chops halfway through their cooking. Brush the glaze on a pork chops and air fry in the preheated to 200C/400F for 11-13 minutes flipping half way through. Step 5: Place the chops in the air fryer where they should cook to an internal temperature of 145 degrees. Combine the ingredients for the glaze in a small saucepan and bring to a boil, continue cooking until reduced by a half. Step 4: Then take the chop and put it directly in the almond parmesan mixture. You want to move them around to be sure you cover all ![]() ![]() ![]() While, shipping delays may occur due to holidays, natural disasters, or carrier delays. We definitely will deliver your order in time under normal circumstances. However, we will give you an idea of when the package will arrive. Some distant areas may take a bit longer.īecause the post office handles your shipment, we cannot guarantee the exact time of delivery. For orders from other countries, it will take about 8-12 business days to deliver. Any orders placed on Saturdays will be sent out together with Sunday's orders.įor orders from the United States and the United Kingdom, the package will take about 5-10 business days to deliver, and for orders from Canada and Australia, it will take about 6-11 business days to deliver. Once we receive your order, we will process it on the same day and send it out in 1-2 business days. Sometimes, because of the exchange rate of currency, when the payment is finally cleared through the bank, the total amount will be a little different to the price of the product, but it's only less than 0.5% of the total price. It's our general view not to refund the difference.īasically, the final amount you will pay is just the price of the product plus shipping(if you choose to pay the shipping fee). I have bought something but seen it at a different price on your website?Īs an online business, we act much faster in adjusting our prices in response to trends, stock, and demand from customers. Your credit card information will not be stored on our servers. Your information is then SSL-encrypted and sent directly to our credit card provider's network, where your card and transaction is authorized and approved. When purchasing online using your credit card, all of your information is entered into an SSL secure web page. To initiate a return or exchange, you need to email us in advance at For all eligible returns or exchanges, we’ll send you a return shipping label and instructions on how and where to send your package. You have the right to apply for a return or exchange within 30 days after receiving the product. Once you are authorized to return an item back to us, when the tracking number shows that delivered to our return address, we will issue your refund, it will take about 3-5 business days to be processed and returned to your credit card or original method of payment. When can I expect a refund debited to my account once I return the item? Yes, you can choose the PayPal option and you will be asked to fill in your credit card information to fulfill the transaction. ![]() Note: If you choose to pay by credit card, please confirm that your billing address is correct.Ĭan I pay through Paypal with my credit card? We support PayPal payment and Credit Card payment, you can choose either one. Whatever happens to your order, you can contact us via It is important to provide us with your email and telephone number, order number, or tracking number so we can check the status of your order. How do I contact Powuse regarding my order?
![]() ![]() So perhaps a combination of misunderstanding the rules and a lack of understanding of some of the strategies that can be employed (which also includes smart trading of properties) are to blame for the general malaise surrounding the game. On my last few points regarding randomness and the lack of strategy: if that’s the case, how could there be Monopoly World Championships with participants who consistently do well at the game? Or they ignore rules that would help to speed the game up, such as the auctions that should take place if a player decides not to buy a property. Yet you will find that games go on too long mostly due to house rules that players swear are the official rules (a number of times as a kid, I played with people from different households who were convinced that ‘tax money going on free parking’ was an actual rule – yet this keeps money in the game’s economy that should be taken out, thus extending play time significantly). There’s also that just-mentioned random nature of the game: your turns can often feel as if they’re dictated by the whim of the dice, rather than by any meaningful or strategic decisions you make during play. A clear winner can emerge relatively quickly, but due to the random nature of the game it can still take a really long time for them to actually win. ![]() ![]() It has a reputation for simply taking too long to play, for example, as well as featuring player elimination that can cause losing players to just sit around twiddling their thumbs, sometimes for hours, while the remainder of the game plays out. It’s a game that’s simultaneously hugely popular and synonymous with board gaming itself while being reviled by nearly everyone who ends up playing it. Which is weird, because Monopoly as a game is, by modern standards, full of absolutely terrible mechanics and design decisions. Several generations of players have been introduced to it throughout their childhoods – it shows no sign of going anywhere. It’s unbelievably ubiquitous even now, 86 years after it was first released. If you tell anyone outside of the gaming community that one of your hobbies is ‘board games’, the inevitable next question you’ll hear is “Oh, like Monopoly?”. ![]() ![]() When mounting the forklift, keep the wheels in sight. ![]() Forklift is mounted by driving the forks into the holders at the back of the truck and held in place via dynamic mount. () - They have a large database of tested mods but are no longer testing new mods. Slight work around for people wanting to run the courseplay beta and this transport pack mod at the same time. () - Run by GIANTS, only hosts mods that have been vetted by the Farming Simulator team, also the only source for mods on consoles
![]() ![]() There’s nothing really special about them, but they managed to portray a similar mood and feeling from the character’s respective sex scenes from Fate/stay night.īecause of the four day time loop, there are a lot of scenarios which don’t directly progress the main story. When they are unlocked, you can view them from a section called Eclipse from the main menu. ![]() There are also sex scenes for the three heroines from Fate/stay night. If you’re the type of person who will skip sex scenes when you can, I would highly recommend not skipping this one. Caren’s sex scene doesn’t feel this way at all, in fact, it is very important to the story. I generally don’t really care much for sex scenes in visual novels, when sex scenes appear, it often comes across feeling forced and unnecessary. There is only one sex scene in the main story, Caren Ortensia is the main heroine and her sex scene is honestly really good. The time loop makes it really easy to 100% the game, because whatever choice you make, you can always come back and choose the other option during the next loop. Shirou tries to investigate why the Heaven’s Feel has been restarted while Avenger works with Bazett to try and win the Heaven’s Feel before the fifth day. ![]() The story is either told from Avenger’s point of view or from Shirou’s. ![]() There is a time loop, a four day period where everything resets during the night before the fifth day. Kotomine Kirei is dead and a replacement is at the church to oversee the Heaven’s Feel. The story starts with the Heaven’s Feel being restarted, Bazett Fraga McRemitz gets sent by the Mages’ Association to be their representative with her servant, from the Avenger class. Emiya Shirou is living peacefully in his house and all the servants from Fate/stay night are still alive, no one seems particularly interested in fighting in the restarted Heaven’s Feel. The setting has similarities and references to all three routes from Fate/stay night. It seems to be set in an alternate timeline to the Fate, Unlimited Blade Works, and Heaven’s Feel routes though. I really like Nasu Kinoko’s writing style and I find it easily helps me immerse myself in the story and the world in which it is set.įate/hollow ataraxia starts off 6 months after the Heaven’s Feel (holy grail war) from Fate/stay night ended. I’m a pretty big Type-Moon fan, at the moment it’s probably my favourite franchise so I’m not going to pretend this review might be a bit biased. Like Fate/stay night, the main game for the most part has the text presented in a way that reads much like a normal novel. It was originally released on PC in 2005, and was recently ported to PS Vita in November, 2014. I tried to keep this review free of spoilers as much as possible, so feel free to read without worrying about spoilers.įate/hollow ataraxia is a visual novel by Type-Moon, it is the fandisk/sequel to the popular Fate/stay night. Anyone who has been reading my blog may have noticed that my anime reviews haven’t really been that great, but part of the reason for me to start blogging in the first place was to improve my writing so hopefully there will be some noticeable improvement soon. I figured Fate/hollow ataraxia would be a good title to start with considering I only finished it recently, and it helped me come up with the name of my blog in the first place. I was always planning to try doing visual novel reviews on my blog. ![]() ![]() ![]() ![]() His roundups of new features in Windows 10 updates have been called "the most detailed, useful Windows version previews of anyone on the web" and covered by prominent Windows journalists like Paul Thurrott and Mary Jo Foley on TWiT's Windows Weekly. Instructional tutorials he's written have been linked to by organizations like The New York Times, Wirecutter, Lifehacker, the BBC, CNET, Ars Technica, and John Gruber's Daring Fireball. The news he's broken has been covered by outlets like the BBC, The Verge, Slate, Gizmodo, Engadget, TechCrunch, Digital Trends, ZDNet, The Next Web, and Techmeme. Beyond the column, he wrote about everything from Windows to tech travel tips. He founded PCWorld's "World Beyond Windows" column, which covered the latest developments in open-source operating systems like Linux and Chrome OS. He also wrote the USA's most-saved article of 2021, according to Pocket.Ĭhris was a PCWorld columnist for two years. Beyond the web, his work has appeared in the print edition of The New York Times (September 9, 2019) and in PCWorld's print magazines, specifically in the August 2013 and July 2013 editions, where his story was on the cover. With over a decade of writing experience in the field of technology, Chris has written for a variety of publications including The New York Times, Reader's Digest, IDG's PCWorld, Digital Trends, and MakeUseOf. Chris has personally written over 2,000 articles that have been read more than one billion times-and that's just here at How-To Geek. To change your theme on Windows, click the "File" menu at the top left corner of an Office application like Word, Excel, Outlook, or PowerPoint.Ĭhris Hoffman is the former Editor-in-Chief of How-To Geek. (However, you can change your theme to "dark gray" on Office 2016 and Office 2013. How to Enable Microsoft Office's Dark Mode on WindowsĪccording to Microsoft, Office's dark mode is only available if you have a Microsoft 365 (previously known as Office 365) subscription on Windows 10 and Windows 11 PCs. The system-wide dark mode on Windows 10, Windows 11, and Mac will now affect Office apps, but you can also separately choose a dark theme for Office apps like Microsoft Word, Excel, Outlook, and PowerPoint on Windows. Microsoft Office includes black and dark gray themes. ![]() On a Mac, you must change your system theme to dark mode. To enable dark mode in Microsoft Office for Windows, navigate to File > Account, then set the Office Theme to "Black." You can also change Windows 10 or Windows 11 to dark mode and use the default "Use system setting" setting. ![]() ![]() Conclusively, players can also download the Mazda and Doge DLCs for the game to add extra features, such as new Mazda and Dodge cars and tools. You can also have a look at other similar Racing Games Here. If players need extra tools, they can always be purchased from the marketplace or players can also sell their own tools to earn some cash in the game. The game is set on solving or completing missprotons, each missproton offers its own authentic and unique challenges depending the difficulty mode selected. Auctproton in Car Mechanic Simulator 2018 free download can be a great way to make money. The game starts with a short tutorial - a 'sandbox': you can examine three cars. The next section provides an overview of the first stage of the story mode. Before you start your adventure with Car Mechanic Simulator 2018, you will have to complete the tutorial. More tools than ever before are featured in this authentic mechanic simulator game, players can even now buy and sell Muscle and F1 Cars.Īfter repairing and restoring the cars, players can set up an auctproton, where players can sell their own cars and purchase new cars. Next Story orders Order 1 - Emden Lotz Prev Locations Test Track Race Track. ![]() You can also check out some other amazing Simulation Games Here. Moreover, players can build and expand their restoratproton service empire in this awe-inspiring realistic Car Mechanic Simulator 2018 free download. Car Editor is one of the best feature of Car Mechanic Simulator 2018 free download, where players can create and customize their desired car. Players can find unique cars in the junkyards and can profit from them by restoring classic cars and then selling it to customers. Car Mechanic Simulator 2018 free download challenges players to repair, tune, paint and drive the cars. Single Player The Bestselling Car Mechanic Simulator series Car Mechanic Simulator 2018 challenges players to repair, paint, tune and drive cars. One of the best and awesome Car Mechanic Simulator video game goes to a complete new level. You can eventually upgrade your garage to include specific equipment such as lacquer sprayer or a parts warehouse.Car Mechanic Simulator 2018 RELOADED Skidrow & Reloaded Car Mechanic Simulator 2018 Free Download PC Game Direct Links. If additional and extra tools are needed, they available for purchase. Each mission offers its own unique challenge of varying difficulty and time constraints to meet. Game’s infinite number of randomly generated missions will keep you more than busy (and dirty). With the inclusion of photo-mode, you can take stunning before and after photos, and the game’s infinite number of randomly generated missions will keep you more than busy (and dirty). Car Mechanic Simulator also includes car auctions where old cars are available for resale or purchased for your collection. Simulator 2018 also includes car auctions where old cars are available for resale or purchased for your collection. Car Mechanic Simulator 2018 Game Free Download PC Game setup in single direct link for Windows. It’s time to roll up your sleeves and get to work. Featuring more cars (40+), more tools (10+), more optionsand more parts (1000+) than ever before. All this with new, photo-realistic graphics. Build and expand your repair service empire in this incredibly detailed and highly realistic simulation game, where attention to car detail is astonishing. You can even add your self-made car in the Car Editor. Find classic, unique cars in the new Barn Find module and Junkyard module. Mechanic Simulator 2018 challenges players to repair, paint, tune and drive cars.
![]() ![]() This will take you to a window where you have to fill in your serial numberĥ. [perhaps after that there was another window with an error message taht you have no internet acces - continue without internet)Ĥ. If you have bought CS6 and have a serial number choose to register At the first start of CS6 with any app you will be asked if you want to try it for 30 days or registerģ. Disconnect your Mac completely from the internetĢ. but the key for you was getting that ssd removed or cleaned.ġ. Reinstall cs6 and license with the serial number that matches your installation file(s).Īnother user reported a similar solution* for activating cs6 on a mac. You should properly uninstall adobe software (using the uninstallers), and this is where you will probably fail. a directed cleaning is apt to fail, but it is less aggressive than a removal and than a reformatting and, if it does fail, you can proceed to removal or reformatting. ![]() Swapping your hd from one mac to another is guaranteed to cause a problem with adobe software because the machine id's won't match and you'll see a licensing error message (as you reported).Īt that point, you need to either remove or wipe clean (eg, reformat) that ssd and properly install cs6, or try a directed cleaning of all adobe software from that ssd. if that's the error message you are now seeing, contact support as indicated above. that's the only help you'll get from adobe for trying to install cs6 (as you confirmed). I'd really appreciate any advice on this.Īnd adobe support could reset your activation count. It would be possible to temporarily install a working GPU on the old iMac and swap the hard disk back into the old iMac in order to deactivate CS6 on that machine but it is going to cost so I would like to be sure that this will work before proceeding. ![]() I’m guessing that because CS6 has not been deactivated on my old 2011 iMac, Adobe’s servers assume that I am trying to install CS6 on a third device. I am running CS6 with the same serial number on a MacBook Pro. Since the GPU in my old iMac failed, I could not deactivate CS6 on that machine. I have tried to launch CS6 offline in order to enter the serial number but a message appears saying “We are unable to validate this serial number for Creative Suite 6 Design Standard. I have tried reinstalling the software from a CS6 download in my Adobe online account and also from a disk image of the original installer DVD but still I am unable to launch CS6 apps. I enter my email address and password and click on “Sign in Now” but previous “Sign in Required” window appears again and I can progress no further. “Sign in Required” - I select “Sign in Now”. When I select “License this Software” the following window appears… “Creative Suite 6 Design Standard Trial” - in this window I can either hit the “License this Software” or “Continue Trial”. “Adobe Indesign is not properly licensed and will now quit” When I try to launch a CS6 application, I get the following sequence of windows: I bought a replacement 2017 iMac and swapped out the SSD from my old iMac. I have been running Creative Suite 6 Design Standard on a 2011 iMac (running High Sierra) which I have had to retire due to a GPU failure. ![]() ![]() ![]() The truth is, once you get to checking out the world of fonts, you’ll see there’s a huge number of font options to discover. Often, people just getting started with tattoos (aka beginners), have a foolhardy approach to choosing their calligraphy font impulsively. Browse a unique collection of the best Greek fonts and thousands of free typefaces for design. These fonts are all well established, and will work perfectly as a compliment to any of the tattoo designs we have available. Download free Greek fonts for commercial and personal use. Our online calligraphy text generator makes quick work of finding you a font to use for your next tattoo. There’s now lots of temporary tattoo options you can choose from that are perfect for parties and get-togethers! New, time fading ink allows “less than hardcore” tattoo enthusiasts to get in on the action too! And don’t forget, just like tattoo artwork designs, tattoo calligraphy text doesn’t have to be permanent. First, you choose a tattoo design you want, then a your calligraphy font of choice and a meaningful quote of text. The history of calligraphy, or handwritten text, is rich and colorful! Handwritten calligraphy has roots that date back to Phoenicia and Ancient Greece, and has survived through countless battles and epic victories!ĭo you know how to choose a tattoo calligraphy font? It’s pretty easy once you get the hang of it. This will point you in the right direction to choose a design that’s right for you. Our online tattoo text generator can show you what various fonts look like in large size, and allow you to compare fonts for future reference. Although we don’t have TONS of available fonts to browse, we do have over 100 pre-loaded into the site for easy viewing. Women often choose more cursive type lettering, while men often opt for bold or sharp lettering to express their masculinity. Our calligraphy font generator online is a great tool for tattoo enthusiasts. The word calligraphy itself stands for handwritten lettering, and is a combination of written text and artwork, rolled into one! The number of calligraphy fonts currently available is huge! Women often choose more cursive type lettering, while men often opt for bold or sharp lettering to express their masculinity. Calligraphy fonts for tattoos are one of the most popular choices for text in the tattoo world. ![]() |
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