3/23/2023 0 Comments Cinematica cumbaya![]() Patients were assigned to one of two groups (Young or = 55) and data were analyzed for differences between them. A 20-year retrospective review from two trauma centers of survival outcome for patients with TAL was performed to assess the effects of surgical therapy in the elderly cohort. We found no previous work examining outcome after blunt traumatic aortic laceration (TAL) that has focused on elderly patients (age > 55 years) with this lesion. At age 70 it is about three times what it is at age 20. ![]() For both sexes, fatality risk is least at age 20 years. At younger and older ages males are more at risk. It is found that fatality risk is about 25% greater for females than for similar aged males from about age 15 to 45 years. ![]() Similar effects were found for different occupants, indicating that basic physiologic response (not confined to traffic fatalities) is being measured. Fatality risk versus sex and age was determined for ten categories of vehicle occupants (unbelted car drivers, helmeted motorcycle passengers, etc.). This paper describes such a study, made possible by two recent developments: first, the availability of a large data file, the Fatal Accident Reporting System, which gives information on more than one third of a million people fatally injured in traffic crashes second, a new technique, the double-pair comparison method, which, by focusing on vehicles containing two occupants, at least one of whom is killed, allows appropriate inferences to be made from such data. No large-scale epidemiologic study to investigate how sex and age affect fatal trauma risk from the same impact has been possible previously because large numbers of people are rarely subject to sufficiently similar major physical insults. We conclude that the previously reported association between aortic rupture and pelvic fracture can be further specified to include, predominantly, those patients with an anterior-posterior compression fracture pattern. There was no increased incidence of aortic rupture among patients with any other pelvic fracture pattern. When pelvic fractures were classified according to vector of force, 10 of 12 (83%) aortic ruptures occurred in patients with an anterior-posterior compression fracture pattern, an incidence of aortic rupture eight times greater than that of the overall blunt trauma population. Of 4,157 consecutive blunt trauma patients, 371 (8.9%) had pelvic fractures, 34 (0.8%) had ruptured thoracic aortas and 12 had both injuries. A retrospective review was performed to determine whether the relationship between aortic rupture and pelvic fracture could be further delineated using a pelvic fracture classification based on mechanism of injury. A fracture of the first rib is a hallmark of severe trauma its presence should alert the clinician to: 1) generalized massive trauma with abdominal, chest, and cardiac injuries 2) local injury to the subclavian artery and brachial plexus and 3) necessity of long-term followup for late-developing sequelae.īlunt trauma patients with pelvic fractures have been shown to have a two-fold to five-fold increased risk of aortic rupture compared with the overall blunt trauma population. One late-developing post-traumatic thoracic outlet syndrome occurred. ![]() Three patients had an associated injury of the subclavian artery, and the importance of this association is stressed. Brachial plexus injury (5) and Horner's syndrome (3) occurred in survivors. ![]() Neurologic lesions accounted for the majority of deaths, however, unrecognized abdominal injuries and pulmonary complications were significant causes of mortality. The mortality associated with this injury was high (36.3%). This injury is a harbinger of major trauma with 35 patients suffering a major chest injury, and abdominal and cardiac injuries occurring in 18 and eight patients respectively. First rib fractures occurred in 55 patients. ![]()
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3/23/2023 0 Comments Golf with your friends speedrun![]() ![]() Simply click on the compass pointer in the top left of the screen to refocus on your party. When you transfer between regions Downtown the camera loses focus.Lastly we have a few known issues you are likely to encounter. Just tell us approximately how much time you spent and how much Karma/Nuyen you farmed. As for grinding, as long as you don’t encounter any issues while grinding you are welcome to fast forward or cut that section of the recording. If you do use it, make sure it’s included in the recording. You are welcome to use the secret room to gain XP and nuyen, but you shouldn’t use it to advance the story. We also know that the mod is grind heavy. You won’t be penalized if you break them down even further, this is simply the bare minimum to allow us to properly view and address any issues faced. From Downtown until you report to Dog that you killed the Rat Shaman.From the car yards until you exit the monorail Downtown.From the opening animation until you arrive in the car yards.Please break your videos down into the following chunks. We also know recording the whole thing in one video will make it unwieldy. We know the mod is fairly long, and odds are most people won’t finish it in a single sitting. As long as we can access them for the foreseeable future, or save them locally, it’s fine. If you are uncomfortable sharing publicly, you are welcome to privately share the videos with us instead. We simply want to see how you play the game and what issues you face. ![]() The goal of this contest is not to advertise, though we certainly won’t object to you live streaming (as long as it’s recorded for future viewing) or publicly posting let’s plays. Prizes are based on when you submit your final recording, not on how long your play through took.This contest ends when we get FIVE valid entries.Tell us how long it took you to complete the mod and how much Karma you had at the end.Share your recordings with us through facebook, steam, or on this post in order to win steam game keys.Be warned that hacking, rigging, and magic options will be very limited in the beginning of the game. Using the “SPEED RUN CHALLENGE BUILD” version of the module, record your progress as you play through the module as fast as you can.Welcome to the SNES Shadowrun Reboot Speed Run Challenge! Since I don’t expect you to do this for free, I decided to make a challenge of it. To that end, I want to enlist you, our loyal fans (and anyone else who stumbles over this project), to help us test. It’s also possible I would overlook issues due to being overly familiar with the module. I could play through the mod myself a dozen times, but even if I did I’m sure our players would do things I didn’t think of. That means our fixes are frequently theoretical and unverified.Īs eager as I am to remove the beta tag from this project, I want to do one more very thorough round of testing. Many of these were reported by the community and often they are hard to reproduce. Tap Tap Speedrun is free to play, though some in-game items can also be purchased for real money.Over the course of this project, we have fixed a lot of bugs. A super addicting tap tap game you can even play offline!.25 000 000 players in previous Noob vs Pro games.Different biomes in the world: friendly grass, deadly sand and much more.Set a New World Record in tap tap speedrun.Dozens of in-game characters you can kill.A lot of unique funny, tap tap pixel classic speedrun levels.Addictive gameplay: tap like a pro, jump on mushrooms and bosses, earn money, find secrets, speedrun and be part of a breath-taking adventure all at once!. ![]() What are you waiting for? Indulge yourself in some adventures and become the hero of speedrun story. ![]() Welcome to Tap Tap Speedrun! 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3/23/2023 0 Comments The wayward realms xbox one![]() ![]() A lot of those elements are thoroughly covered ground in the RPG genre. OnceLost Games sells The Wayward Realms as a faction-driven fantasy 'grand RPG' with a gigantic map to explore. Apparently, this means a massive open-world, with 'hundreds or thousands of NPCs. The Wayward Realms Could Be Next In a way, The Wayward Realms is in a similar position to Pillars of Eternity when it comes to its core concept. Although theres plenty about the game that fans dont know yet, theres also a lot of signs that The Wayward Realms is a blend of classic fantasy elements and new ideas introduced by OnceLost. The Wayward Realms is being billed as 'The Grand RPG,' with a scale to match its title. “We’re making the game that we wish we had made. Ahora que sabemos que The Wayward Realms es un nuevo RPG de mundo abierto, solo deseamos saber cuando estará disponible, pues ni la desarrolladora ni la editora han dicho nada, pero podéis seguirle la pista si lo agregáis a favoritos en vuestra lista de Steam. In that way, The Wayward Realms promises to be an alternate look at classic fantasy RPGs. “We’re basically saying ‘ What if this was 1994, with all of the technology of today around, and we were also older and smarter?’” “You can run into the problem where you’re trying to be a game for everybody, and we are not,” Ted says. Once Lost Games’ first project is Wayward Realms, and as Bethesda continues to garner a mainstream audience, they’re aiming for the people who remember when the imperial province was still a mystery, and what the Daedra were depended on what game you played. It’s hard to understate the kind of success Oblivion brought for Bethesda – the game is a cultural ubiquity for the latter half of the noughties, the map of Cyrodiil that came in the case a staple of teenage bedrooms. Under the direction of Ted Peterson and Julian LeFay, lead developers of the team behind the. Carrying a character from one game to the next, not unlike Commander Shepard in BioWare’s Mass Effect trilogy, is something Ted still wants to have a crack at. The Wayward Realms second trailer has dropped recently, offering gamers a glimpse into the game they are working on. 50 Games Like The Wayward Realms for Xbox One. In a sense, they’re starting fresh, with full creative freedom in their own company, but in another they’re getting back to unfinished business, to explore things they couldn’t in the nineties. 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Let’s do so now because a common question I answer is, “What actually is a kilojoule or kJ that everyone speaks of?” For example following a hard group ride, you might hear someone say, “That was a 2300 kJ day, I’m smoked!”, or your coach could set a specific kilojoule goal for a ride or a given time frame. I mentioned kilojoules above, but didn’t dive too far in. They are excited you are applying force as you create distance from the group! Or when you say, “I want more power up this climb!” Yup, spot on, you want to do more work in less time to get to the top faster! Calories Calculated with Power Whew that’s a whole college exam in a paragraph…did you get it?! I hope at least a bit, because, now you know what someone actually means when they yell, “Do work!” as you’re attacking for a prime in a crit. Your body will also lose energy in the form of heat leaving the body, since our bodies aren’t perfect and we all sweat! So in cycling to produce power and do work at any rate, your body will need energy in the form of calories (kcals). To do work requires exerting a Force over a Distance (Work=Force x Distance) and Power is basically how fast that work is performed (Power=Work/Time). A related measure of work is kilojoules, of which there are 4.186 kJs per 1 Calorie. This chemical energy can be transformed into heat and mechanical work energy in the body. The Calorie, or kilocalorie, is a measure of chemical energy stored in foods. Energy represents the capacity to do work, and food is the source of energy for humans. And all forms are governed by the laws of energy meaning they cannot be created or destroyed, only change form.įor clarity, some definitions from the good ol’ college physiology textbook in the Human Energy chapter will be beneficial. ![]() In the case of cycling, we’re talking about stored chemical energy in the form of food, and mechanical and heat energy in the form of work. Energy being expended, burned, and consumed are all functions of physics. Really, based on duration only, how does a device know the difference between coasting down a long descent essentially expending no energy toward forward motion, and covering the same ground pedaling at threshold up the same hill? The Scienceīefore we get started, let’s get make sure that we are all talking about ENERGY here. The problem with digressing down this chain is that the methods become less accurate. If it comes down to the latter, let’s hope you input accurate age, height, weight, activity level, etc. By this I mean that if the athlete has power data then it takes precedence over the heart rate calculation, and if no power data then HR is referenced and so on until finally, if only distance and time are recorded, then those metrics will be used for a rough estimate. ![]() ![]() Most cycling devices use a hierarchy system to calculate calories burned based on what information the user inputs and the device has available. And when we’re done, hopefully you can more effectively estimate how many calories you burn cycling, and even set your TrainingPeaks Nutrition preferences for each activity, as seen here. Let’s dive in a bit deeper to explore energy expenditure on the bike as it’s calculated in three different ways: by Power, by HR, and by raw metrics. It seems like every device or program has a different method for the calculation and very few individuals know what to trust. Often the topic is not initiated by the athlete, but something I feel is necessary to address because of how inaccurately some sources report it. One of the most common items I address is energy – both intake and expenditure. ![]() In my daily routine as a full-time cycling coach I spend ample time analyzing workout files. ![]() |
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