![]() ![]() Cross-sectional imaging may be warranted in this high-risk group of patients. To project the intervertebral disc spaces open, the central ray should be directed perpendicular to the long. This angle can and will vary between 5-20° depending on the position of the head. For this reason, a cephalic angle is required to project through the long axis of the vertebral column. Limited flexion and extension motion on physical examination should preclude the use of flexion and extension radiographs, as they are of limited diagnostic utility. A lordotic curvature exists in the cervical spine. A higher percentage of injury (12.5%) was detected by subsequent cross-sectional imaging in these patients. However, in the acute setting, 30% of the examinations were limited by inadequate motion. When adequate motion was present on flexion and extension radiographs, the false-negative rate was zero in this study. ![]() Four of the 32 patients (12.5%) with inadequate flexion and extension examinations had injuries subsequently detected on cross-sectional imaging (computed tomographic scanning or magnetic resonance imaging) including severe ligamentous injury. Thirty-two of the flexion and extension examinations (30%) were interpreted as inadequate because of limited motion. No ligamentous injuries were misdiagnosed in this group. Five of the 74 patients (6.75%) with an adequate range of motion had cervical spine injuries. Seventy-four patients (70%) had a range of flexion and extension motion interpreted as adequate for diagnostic purposes. Injuries included two fractures, eight acute disc herniations, two ligamentous injuries, and one cord contusion diagnosed on the basis of all radiologic evaluation and clinical follow-up. Thirteen cervical spine injuries were diagnosed in 9 of 106 patients (8.5%). Other injuries included 15 falls (14%), 9 blunt assaults (8.5%), and 16 other types of blunt trauma (15%). Continuing this motion, C6 through C7 exhibit a transient extension moment, with subsequent reversal of motion at the occiput through C2, with C6 and C7 contributing to terminal flexion. Sixty-six of the patients (62%) were involved in motor vehicle crashes. The data compiled included the age, sex, mechanism of injury, type of radiographic evaluations, interpretation of all radiographic studies, and clinical outcome on follow-up. The purpose of this study is to investigate the usefulness of flexion and extension radiographs of the cervical spine for the acute evaluation of ligamentous injury in cases of awake blunt trauma.Ī review of 106 consecutive cases of blunt trauma evaluated with flexion and extension radiographs of the cervical spine obtained in the acute setting at a Level I trauma center was performed. ![]()
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![]() However, these NPCs only move to the player’s house once the players have met their companionship requirements. New NPCs will give players a multitude of loot weapons and buffs in progression. Not only does this mod bring new enemies to fight, but it also comes with four harder difficulty modes that will really give you a challenge. It’s a very light piece of software, so it runs on most devices. Generally most of the top apps on Android Store have rating of 4+. Overall rating of Official Terraria Wiki is 4,2. Estimated number of the downloads is more than 100,000. ![]() Latest version of Official Terraria Wiki is 1.3.1, was released on (updated on ). For more videos like this then please leave a like.GuideRealm is the home of techn. Where can you run this program Terraria runs on Windows, Xbox One, PlayStation 3 and 4, iOS, Android, and Mac. Official Terraria Wiki is free Entertainment app, developed by Curse. Download Terraria, a sandbox adventure game in 2D that has always been compared to Minecraft due. Learn how to download and install terraria on pc and laptop in this video. Estimated number of the downloads is more than 5,000,000. Terraria is an Action, Adventure and RPG game for PC published by Re-Logic in Enter a flourishing land and explore this great world. Latest version of Terraria is 1.4.4.9.5, was released on (updated on ). Terraria is free Adventure game, developed by 505 Games Srl. The Calamity Mod for Terraria is a large content mod that extends the hours of your Terraria gameplay. On this page you can download Terraria and play on Windows PC. If you want to get more from your gaming, this mod is a must-try. The Calamity Mod for Terraria is a game utility that adds many hours of endgame content, as well as dozens of enemies and bosses dispersed throughout the vanilla game progression. There are various mods available for Terraria that adds more content and thrill for the players. But what makes it appeal to players more is the fact that the game allows modification. In fact, it became so popular that it is now one of the most sold video games today. The game was first released for Windows, but as it gained more popularity, it has expanded to several other platforms. Terraria is a popular 2D action-adventure game that lets you control a single character in a generated world. Jeremy Milliner Updated a year ago Add hours of fun to your Terraria game ![]() ![]() Decorating My Sight Word Treeįirst of all, the best part of the Sight Word Tree is decorating it! This generates pride about our sight words. The tiny humans love showing off their beautifully decorated tree to parents during pick up and drop off. I love when they do because it allows the parents to see the words we are currently working on in our classroom. A photo of our redecorated tree is always put up on Facebook, so parents get the most current word list. I pick words that are important to them, like Mom, Dad, and Love, so they are more inspired to learn them. I don’t find that every Pre-K kid is ready to learn sight words, especially in September, but the ones that are on the cusp are more likely to tune in if they are appealing-to-them words. As the year progresses, I add words from the Kindergarten Wilson’s Fundations program (most surrounding districts in our area use this program) once the routine has been established.Īlso, I try not to put colors or numbers on my tree. They are elsewhere in the room and used in conjunction with other activities. For instance, I’ll do a color-by-numbers, and we work off a list of color names near the tables. For numbers, I’ll flash the word name with a card for the tiny humans to assemble that number of counters on their ten frames. Splitting the words up this way makes the Sight Word Tree feel less cluttered and much less daunting to learn. ![]() I know a lot of people will say you should use the Dolce List of Sight Words. Others will use the word list that the reading program of their town’s elementary school uses. Personally, I’d rather use words that are meaningful and exciting for the children at first. While you might not choose a Sight Word Tree, per se, you should definitely think up something more interesting than a list on the wall and here’s why… How Should I Choose My Sight Words? Perhaps you think it’s insane to have a Christmas tree out all year. And not going to lie, you’re probably right. But hear me out on this one. Sight words are the most frequently used words in the English language, making up fifty percent of all written text. Early literacy curriculums aim for children to memorize them. In theory, this helps students automatically recall fifty percent of the words they come across when reading a new text.Ī Sight Word Tree is what teachers come up with when they figure out they can’t fit the Christmas tree back in the box. Originally published on ApWhat are Sight Words and What the Bleep is a Sight Word Tree?! ![]() ![]() ![]() (referred to as “CareFree”, “we”, “our” or “us”) for use by Medicare eligible persons (referred to as “you” or “your”) who need assistance with finding a Medicare plan or health insurance that meets your needs and for licensed insurance agents assisting Medicare eligible persons (also referred to as “you” and “your”). The Medicare Support Center at CVS is an educational and enrollment program owned and operated by CareFree Insurance Services, Inc. ![]() Your insurer cannot terminate your Marketplace coverage unless you tell them you want this coverage to end.īrowse more questions in the Marketplace Eligibility section.Welcome to the Medicare Support Center at CVS web and mobile experience. It will not happen automatically when your Medicare coverage begins. You may also owe a late enrollment penalty for Part D drug coverage, which is equal to 1% of the national average premium amount for every month you didn’t have coverage as good as the standard Part D benefit Marketplace.įinally, if you have Marketplace coverage when you become eligible for Medicare, and decide to drop your Marketplace plan, you need to contact your plan to terminate your Marketplace plan yourself. Your monthly Part B premium may go up 10% for each year that you could have had Part B, but didn’t. Third, keep in mind that if you sign up for a Marketplace plan, rather than enroll in Medicare Part B when you are first eligible to do so, and then later you decide to sign up for Medicare, you may be required to pay a penalty for delaying enrollment in Medicare Part B. ![]() (This is not the case for Medicare Advantage plans, however, which do have provider networks.) Marketplace plans tend to offer narrow provider networks while nearly all physicians and hospitals participate in traditional Medicare. Second, you should also be aware there would likely be differences in access to doctors, hospitals, and prescription drugs between Marketplace plans and Medicare. At age 64 at your income, you would qualify for modest premium subsidies in the Marketplace, but once you turn 65 and become eligible for Medicare, you would no longer be eligible for Marketplace subsidies.Īlso keep in mind that the combination of Medicare plus a Medigap policy would offer you more comprehensive coverage with lower overall out-of-pocket costs than a Marketplace plan. On average, the premium for the benchmark silver plan for a 64-year-old was about $12,850 in 2023 – much higher than the total premiums for Medicare – and the average silver plan deductible was about $4,890. Most Marketplace participants pick silver plans. In 2023, the national average premium for the lowest cost bronze plan for a 64-year-old was about $9,648 and the average annual deductible under bronze plans was about $7,481. While some plans charge a monthly premium in addition to the standard Part B premium, in 2023 most Medicare Advantage enrollees (73%) are not paying an additional premium for coverage through their Medicare Advantage plan.īy comparison, premiums for a Marketplace policy will vary depending on where you live, your age, and the plan you choose. Alternatively, you could enroll in a Medicare Advantage plan. At your current income level in 2024, you would pay around $3,506 in annual Medicare premiums ($2,935 for Part B and $571, on average, for Part D.) You could also choose to buy a Medigap supplemental policy to help cover Medicare deductibles and limit annual cost sharing, although premiums can vary widely depending on the plan you choose, your age, and where you live. If you are considering renewing a Marketplace policy after you turn 65 and become eligible for Medicare, there may be downsides to this choice.įirst, your total costs could be higher with a Marketplace plan than with Medicare, even if your income is high enough that you are required to pay income-related premiums for Medicare coverage. This is because insurers are prohibited from selling health insurance coverage that duplicates what you have under Medicare, if they know you are covered by Medicare. But once you turn 65 and become entitled to Medicare coverage, you cannot buy a new Marketplace plan. ![]() If you are not yet enrolled in Medicare, you can buy health insurance coverage through the Marketplace before you turn 65, and if you have a Marketplace plan, you can choose to renew it after you turn 65. ![]() ![]() I understand and appreciate that not all gay guys are into futanari, but a few suggestions came through and for those nerds out there that are bisexual or confused, this type of entertainment is perfect for you. Who knows? You might be able to “convert” them a little bit to your team.Īt any rate, one things' for sure, these Japanese artists sure know how to fuck with your mind! ![]() What you're getting here are certified dick girls – chicks with cocks as well as pussies that are looking to get down and dirty in some of the strangest ways possible.įor this reason, you might want to share some of this smut with your straight friends who are into tranny porn. It's a form of Japanese art that basically showcases what it's like for a person to have both the male and female sexual characteristics. Futanari is a type of pornography that delves into the realms of hybrid sex. In addition to yaoi porn, you’ll also see some interesting subtypes like futunari. While traditional yaoi focuses on two boys falling in love with each other and eventually getting involved in aggressive, yet awkward sexual encounters, the yaoi and yaoi-inspired stuff you see focuses far more on hardcore fucking. I didn’t spend all this time to upload bullshit porn. What kind of (HD) yaoi hentai manga videos can you expect to find at these places?The best, of course. On this page, I’ve compiled a dozen of the best free to view animated porn that you’re ever going to find online. ![]() I'm searching for uncensored free gay hentai porn sites! Be my furry rule 34 gay sex guide, PornDude!Fortunately for you, I’ve looked through all of the deepest, darkest crevices of the net to find the best and weirdest porn out there. ![]() ![]() ![]() ![]() For example, lips are closed at the start of saying the letter "B" but open at the beginning of the letter "D" making these otherwise similar-sounding letters more easily discriminated when looking at the speaker. Also, the lack of visual cues during oral communication can cause confusion. The lack of high frequencies on standard telephones makes it hard to distinguish an 'F' from an 'S' for example. It is used to spell out words when speaking to someone not able to see the speaker, or when the audio channel is not clear. Should an efficient American secretary, for example, know several alphabets-one for use on the telephone, another to talk to the telegraph operator, another to call the police, and still another for civil defense? Įach word in the spelling alphabet typically replaces the name of the letter with which it starts ( acrophony). Often, each communications company and each branch of each country's military developed its own spelling alphabet, with the result that one research effort documented a full 203 different spelling alphabets, comprising 1600 different words, way back in 1959, leading the author of the report to ask: A spelling alphabet, word-spelling alphabet, voice procedure alphabet, radio alphabet, or telephone alphabet is a set of words used to stand for the letters of an alphabet in oral communication.Ī large number of spelling alphabets have been developed over the past hundred-plus years, with the first ones being used to overcome problems with the early wired telephone networks, and the later ones being focused on wireless two-way radio (radiotelephony) links. ![]() ![]() ![]() I would, however, recommend an SSD hard drive, as they are worth the extra cost. I’m also using a mechanical hard drive for this example. My external hard drive is 1TB which is 1,000GBs. Your backup hard drive will have to be greater than the current amount of storage that your Mac is using for the Mac disk cloning to work.įor example, my Mac has an internal hard drive of 512GBs, and currently, I’m using 306GB of that. What Are the Requirements for a Backup Hard Drive? It’s best to be prepared and it’s super easy to do! Let’s talk about backup hard drives and what we’re looking for when it comes to cloning the data on our Mac. I never thought that data loss or software issues could happen to me, but they did. If I wouldn’t have had a clone of my data, I might have lost everything. It turned out that they were actually there, but my computer was experiencing a glitch. A file that you’re working with is now corrupted and you want to get a previous working version.įrom personal experience, I was using my Mac and while the actual hard drive didn’t fail, there was a software issue that caused some files to not appear.The hard drive has experienced physical damage.You made a mistake and want to go back and recover the data.Erased a partition or formatted a storage device.You emptied your trash bin and are missing a file that you want to recover.Some of the most common reasons you want to back up your data would be: However, they can still fail and it’s a good idea to have a copy of your data on an external device. ![]() Hard drives are much more reliable these days now that they’re solid-state and no longer mechanical, this has allowed for no moving parts which have drastically increased reliability. How to Clone a Hard Drive Disk to an SSDĬreating a clone of your Mac hard drive allows you to backup all of your data to another location which helps prevent data loss in the event of component failure.How to Clone a Mac Hard Drive Using Disk Utility.How to Clone a Mac Hard Disk Using Disk Drill.What Are the Requirements for a Backup Hard Drive?.Why Do You Need a Mac Hard Drive Clone?. ![]() ![]() ![]() Removed the autosave immediately following the dungeon capture scene as it was corrupting subsequent saves for a small number of users. Carver no longer mentions Leandra after her death.ĭOWNLOADABLE CONTENT - "MARK OF THE ASSASSIN" Sebastian and Anders no longer talk about Bethany or Carver as if they are not present. A ghostly Bethany no longer joins in conversations from beyond the grave. Fenris's romance banter now properly checks to see if Fenris and the player slept together, but have not yet made up. Isabela's romance banter now properly checks to see if the player is still eligible for a romance with her. A case where certain follower banter wouldn't appear when playing from a post-game save has been fixed. An issue that caused close to 200 banter lines between Hawke and the followers not to fire has been fixed. Players now receive an item reward when completing "Malcolm's Honor" with Carver in the party. Players are no longer able to re-use the Memento of Legacy to access the Legacy downloadable content multiple times in a single play-through. Sebastian's plot marker, if present, has been removed when bringing him into other downloadable content.ĭOWNLOADABLE CONTENT - "LEGACY" (SPOILER WARNING) ![]() Certain ambient audio no longer cuts in and out when switching between characters.ĭOWNLOADABLE CONTENT - "THE EXILED PRINCE" ![]() Players who choose not to log in will no longer be presented with recurring Lost Connection errors. Handling has improved for login, messaging, and authentication during periods of server disruption. The bulk of the resulting crashes were occurring in the conversation after Isabela's sex scene in Hawke's Estate and a conversation with Aveline in Viscount's Keep after she is promised her captaincy. Resource loading and memory handling in conversations has improved to address sporadic crashes occurring for some users. Aveline's head no longer vibrates in "Finders Keepers" when conversing with the warehouse guard. They may not work with new patches of Dragon Age: Origins. Dragon age origins patch 1.05 download steam full In fact, the Dragon Age: Origins +8 trainer, the most full featured free trainer which I know of, only works with Dragon Age 1.0. Isabela no longer has a plot marker in the post-game save if the player failed to complete "No Rest for the Wicked." This post is part of the series: Dragon Age Origins Cheats & Tricks. In "Magistrate's Orders," Carver now receives +5 friendship if Fenris kills Kelder or +10 friendship if the player kills him. ![]() When Isabela is present in "Magistrate's Orders," Bethany no longer receives incorrect friendship or rivalry points after the player decides Kelder's fate. Players can now disable the snap feature for area-of-effect attacks by holding the 'shift' key. The warrior talent Sunder will continue to work after saving and loading the game. For those who purchased and installed the Ultimate Edition via EADM, the Patch 1.05 installer will copy that CD-Key into the correct Windows registry location.Description This patch will update Dragon Age II to version 1.04 EADM has been replaced with EA's Origin system and this error has been corrected in the new Origin installer. The Ultimate Edition installer for the EA Download Manager (EADM) version of the game was placing the CD-Key in the wrong location in the Windows registry. Here are the patch notes:ĭownloadable content will properly authenticate once installed.įixed an issue where some users with DirectX10-era video cards were experiencing significant lag within menus and interfaces as well as sudden spikes in area load times. The v1.05 patch barely addresses anything and from reports at the forums and GameBanshee it seems to cause more problems than it fixes. You may want to skip the latest patch for Dragon Age: Origins. ![]() ![]() Under 'Permissions', add or remove a site:.On all sites: Allow the extension to automatically read and change data on all sites.On : Allow the extension to automatically read and change data on the current site.If you close the tab or window, you’ll have to select the extension to turn it on again. When you select the extension: This setting only allows the extension to access the current site in the open tab or window when you select the extension. ![]()
![]() ![]() Also just switching to FIRS + Iron Horse is a big step up from the vanilla game, I suggest that it's best not to add too much at once.My apologies for the delay, life has been pretty hectic for me lately. don't have two sets of trains) unless they're specifically designed to work together or you're sure of what you're doing. Is that actually the case?īest rule of thumb is to stick to one of each type of GRF (i.e. My suggestion for using realistic trains is to increase the "weight multiplier for freight" physics setting to 4 or 5, that makes the power/traction of an engine a more relevant (so you can't just transport heavy cargo with your fastest train).Īnd sort of related, how well balanced are the various vehicle GRFs with each other? I imagine the pricing/stats of various vehicles will differ, making some GRFs not really work together, even if they technically don't conflict. And it has a train with 2000km/h speed, but I can't pull other wagons, it was made for logical circuits.Īs others have said, Iron Horse and Road Hog are probably the most gameplay balanced with FIRS since they are from the same creator - I would say there are more interesting train sets out there, but it's a good place to start. NUTS for example has trains with like 100 years livetime and these are really fast (not that realistic). In terms of balance of vehicles: There are harder and easier ones out there, some are very expensive, some really cheap. You can also use Japanese Stations for passanger and DWE Stations for both.įor the economic challange use FIRS (complex, but still realistic, with an upper limit in production, no production change naturally, only when you boost it), ECS with all modules (a bit easier, no need for feedback loops like FIRS, production goes up like in vanilla, but with limit, modular, still realistic) BSPI (the vanilla industries but you need to have one power plant per city in order for other industries to work) or YETI (by far the hardest, feedback loops needed, unlimited production, but not realistic, but it looks nice, only 32bpp but still looks good with the 8bpp, NUTS=NUTS Unrealistic Train Set highly recommended) openttdcoop - large scale, advanced network and infrastructure projectsįor a realistic and nice looking network are ISR Station Renewal and vast a must have.To get your mittens on some flair, please contact us from the account you want flaired with appropriate proof of your identity. OpenTTDCoop or other large community team members.We hand out special "verified user" flair to those who request it and are in a genuine need for it. Official IRC Channel (#/r/openttd on OFTC).Report a Player / Moderator Contact /r/openttd links of interest ![]() reddit OpenTTD server network Server Rules - please read these! This subreddit welcomes any OpenTTD related content, discussions, and questions! Transport-related subjects are also permitted, but please try to keep it somewhat relevant to the game at hand. The project aims to produce a fully open source version of the 1994 classic, while extending it with new graphical options, signal types, and much more. OpenTTD is an open source remake of Chris Sawyer's Transport Tycoon Deluxe. If you're joining one of our servers, please be sure to thumb through our house rules. ![]() |
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