![]() ![]() ![]() Subscribe to KFF Health News' free Morning Briefing. HHS cited several emergency pregnancy situations in which abortion might be required to prevent permanent injury or death, such as ectopic pregnancies, severe blood pressure spikes known as preeclampsia, and premature rupture of the membrane causing a woman’s water to break before her pregnancy is viable, which can lead to serious infections and threaten her life. The July policy guidance from the Department of Health and Human Services stressed that EMTALA supersedes any state law barring abortion, and that hospitals and physicians who don’t comply with the federal mandate could face civil fines and termination from the Medicare and Medicaid programs. The 1986 EMTALA law requires hospitals and physicians to provide screening and stabilizing treatment in emergency situations. The Missouri investigation is significant because EMTALA is one of the government’s strongest tools to ensure that patients with pregnancy complications receive needed abortions following the Supreme Court’s June ruling erasing the constitutional right to abortion. The Biden administration in July had reminded hospitals and physicians in the 13 states that have outlawed most abortions that federal law requires them to provide life- or health-saving medical services - including abortion, if necessary - to patients experiencing emergency pregnancy complications. She eventually sought medical help outside the state. The case involves a woman whose water broke early in her pregnancy, but the hospital refused to let doctors perform an abortion. It was authorized by the federal Centers for Medicare & Medicaid Services, which contracts with state agencies to conduct EMTALA surveys. 5 issue of Joplin Tri-State Business Journal.In late October, the Missouri Department of Health and Senior Services opened an investigation at Freeman Hospital West in Joplin, Missouri, under the federal Emergency Medical Treatment and Labor Act, department spokesperson Lisa Cox told KHN. “That person will have all the tools and resources he or she may need to keep leading this incredible team.”įor more on this story and a one-on-one interview with Gary Duncan, see the Sept. Lance Beshore, chairman of the board, in the release. “I am extremely confident, given the thoroughness of the process that has been established and the leadership of the board of directors, the choice for the next Freeman CEO will be an outstanding one,” said Dr. Freeman officials have said more of the details of that transition will be revealed in the weeks to come.īoard members have formed a committee to choose Duncan's successor. “I have always taken very seriously the responsibility of leading that team.”ĭuncan said he informed Freeman’s board of directors several months ago but waited to make an official announcement until a transition strategy had been formulated. “Whether they are responding to everyday patient needs or heroically saving lives in the wake of a historic tornado, our team lives out their commitment to serving our region. “For many years, I have been privileged to lead a team of people who are committed to the mission of this hospital system,” Duncan said in a news release. ![]() Duncan, who has held the top position for 15 years, joined the health system in 1975 as its first human resources director. Joplin-based Freeman Health System President and CEO Gary Duncan announced Aug. ![]()
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![]() ![]() For instance, the sound “su” す is mostly pronounced with just the “s” sound, so my images and pronunciation guide below reflect this.Īlso, words ending in ます “masu” are pronounced like “muss” rather than “mAs”. TIP: One super important thing to be mindful of, though: Much of the time the letter “u” is somewhat silent, or its full sound is cut short. Pin Japanese phrases with pronunciation for later! □ Here’s my little guide for how to pronounce Hiragana and Katakana (my Japanese phrases cheat sheet PDF is further down the page). Japanese doesn’t really which makes pronunciation much easier! In English and other Romance languages we tend to have letters that blend together to make some sounds. More on this at the end of the article.Īs a general rule with Japanese, pronounce the words by breaking them down into their syllables. I’m so glad I learnt to read before my first trip (even if sometimes I didn’t know what I was reading but I could piece the puzzle together). It’s even better when you can read what’s in some of the interesting Japanese foods at the convenience stores! I’ve got to admit though, being able to read Hiragana (the swirly one), Katakana (the pointy one used for “borrowed” or foreign words) and some basic Kanji (derived from Chinese) is SUPER helpful when you’re navigating your way around Japan. ![]() There’s no need to become fluent in Japanese or be daunted by the task of learning THREE alphabets (if you don’t want to!) ![]() However, the aim of this article is to help you learn the most effective phrases you’ll use on a daily basis as a tourist. Of course, there are dozens more Japanese phrases for travel I could add to this list. Notes on basic Japanese phrases for travelers and pronunciation For fascinating expressions and their meanings you can use at home, take a look at my guide to beautiful words in Japanese. TIP: This guide covers everyday Japanese travel phrases that tourists will find useful when in Japan. It has to be one of the best ways to not stand out as a stereotypical tourist. So much so, I’ve even written a book to help you learn how to as well! In the book I explain how I’m a firm believer that it’s possible to blend in when abroad by learning some local lingo. I’m a HUGE fan of being an invisible tourist when travelling (hence the name of this blog). I’ll guarantee this will help you get the most out of your trip, as I’ve also created a super easy and FREE downloadable PDF cheat sheet of these phrases so you can use it offline when in Japan. These are phrases I used daily on my trips to Japan. For quick reference, I’ve created this list of the most useful phrases in Japanese for tourists below so you don’t have to scour the internet putting together bits and pieces! If you talk to him in his language, that goes to his heart.” ~ Nelson Mandela.Īre you planning a trip to Japan? Worried about the language barrier? Don’t be! It’s easy to learn a few handy phrases in Japanese before your trip to get by - this is just as important as knowing what to pack for Japan. However, as the saying goes, “Better safe than sorry”, I hope you can remember the following phrases to prepare for any emergency cases that might occur.“If you talk to a man in a language he understands, that goes to his head. I do hope you will not run into any unpleasant situations in Japan. Know their manners so that you can use these Japanese phrases wisely. Before going to Japan, you might want to know more about Japanese Manners Do’s and Don’ts. To better plan your trip and find local cuisine, you can consult: Japan Travel Japan-Guide and Gurunavi. Don’t pass on food to other people around you from chopsticks to chopsticks.Do not leave your chopsticks planted up in your rice.Use the chopsticks to grab your food, not as a fork.Don’t point at someone or something with your chopsticks.As one can imagine, the amount of help you might receive doesn’t only depend on the welcoming nature of your host but also on how respectful you are. ![]() ![]() ![]() Technical accessibility and a do it yourself (DIY) spirit are prized in punk rock. Robert Christgau in Christgau's Record Guide (1981) As symbols of protest, swastikas are no less fatuous than flowers. Hippies kidded themselves about free love punks pretend that s&m is our condition. Hippies forced warmth punks cultivate cool. Hippies were rainbow extremists punks are romantics of black-and-white. Following alternative rock's mainstream breakthrough in the 1990s with Nirvana, punk rock saw renewed major-label interest and mainstream appeal exemplified by the rise of the California bands Green Day, Social Distortion, Rancid, the Offspring, Bad Religion, and NOFX. Many musicians who identified with punk or were inspired by it went on to pursue other musical directions, giving rise to movements such as post-punk, new wave, and alternative rock. Crass), became the predominant modes of punk rock. By the early 1980s, faster and more aggressive subgenres, such as hardcore punk (e.g. In the late 1970s, punk experienced a second wave, when new acts that had not been active during its formative years adopted the style. It took root in a wide range of local scenes that often rejected affiliation with the mainstream. In 1977, the influence of the music and subculture spread worldwide. It gave rise to a punk subculture that expressed youthful rebellion through distinctive styles of clothing, such as T-shirts with deliberately offensive graphics, leather jackets, studded or spiked bands and jewellery, safety pins, and bondage and S&M clothes. By late 1976, punk had become a major cultural phenomenon in the UK. Between 19, when the genre that became known as punk was developing, prominent acts included Television, Patti Smith, and the Ramones in New York City the Saints in Brisbane and the Sex Pistols, the Clash, and the Damned in London, and the Buzzcocks in Manchester. Glam rock in the UK and the New York Dolls from New York have also been cited as key influences. Certain late 1960s and early 1970s Detroit acts, such as MC5 and Iggy and the Stooges, and other bands from elsewhere created out-of-the-mainstream music that became highly influential on what was to come. The term "punk rock" was previously used by American rock critics in the early 1970s to describe the mid-1960s garage bands. Punk embraces a DIY ethic many bands self-produce recordings and distribute them through independent record labels. They typically produced short, fast-paced songs with hard-edged melodies and singing styles, stripped-down instrumentation, and often shouted political, anti-establishment lyrics. Rooted in 1960s garage rock, punk bands rejected the perceived excesses of mainstream 1970s rock music. Punk rock (also known as simply punk) is a music genre that emerged in the mid-1970s. Mid-1970s, United States, United Kingdom, and Australia ![]() The actual making of the costumes was not too hard, for Columbia: a tube top covered in spray glue and confetti (which was a tad itchy), black shorts painted with fabric paint, costume store bow tie (could be easily made), bought and cut up a blazer and spray painted it gold, the hat was bought and I had already had blue socks and lil loafers! For Eddies: we bought a beat up leather jacket and cut the sleeves off, sewed on the leopard print and wrote on the back with a paint marker, we used pins and chains as decorations, beat up jeans, a white scarf and black boots covered in spray snow for the frozen effect and lastly the cut on his head was done with costume silicone and fake blood.For the 1960s genre also known as "punk rock", see Garage rock. We’re watching Rocky Horror one night and we decided we had to be a couple form the movie! We wanted to go a little of beat so we decided on Columbia and Eddie because of their weird love! we had already had hot patootie memorized and the time warp! As a couple we LOVE Halloween and we go all out when we have a party. ![]() ![]() ![]() There were two people in the room besides Plowden – Gina Conway and Kelvin Leerdam. The room was rented out to Allen Plowden, who was at that moment duct-taped to a chair. His publicist Chanel Rae McFadzean told the Daily News that the single (and his unreleased album) will now be delayed until after his funeral.It was September 2006 when it happened, in a Holiday Inn in New Jersey. So far, the cops say everyone, including Antar, have been cooperative with their investigation.Īs we stated earlier, this was supposed to be a big week and a big summer for Chinx as his single was set to drop. ![]() On Instagram, he responded to the hateful comments he has been receiving saying, "All you motherf- fake-a- motherf-s that's hating and talking s- on my f- page, get the f- out of here with that s-.I'm alive. In one positive update, Antar Alziadi, who goes by the name Yemen Chee$e and who was riding in Chinx's Porshe when the gunfire broke out, will be released from the hospital this week. He also revealed, "There's always the issue of retaliation in these things." Boyce admitted that one of the reasons is that the Kardashian connection plays a part in the attention the case is getting. The NYPD is said to be on high alert for several reasons. It's nothing that you can ever prepare for. ![]() "My little Vince (her and Chinx's 4-year-old son). Speaking Monday outside the family’s two-story brick duplex in Ozone Park, Janelli told the Daily News, Still, his widow, Janelli Caceres, wrote on Facebook this week, "I wish a slow torturous death on who ever did this to my baby." His day-to-day relationship with Janelli is unclear, though, with conflcting rumors and stories circulating. And yes.Chinx was married at the time of his death. They were friends, so we're looking at all hip-hop angles."Īs we told you over the weekend, Chinx also had ties to Khloe Kardashian (via French) and often posted about rumored girlfriend Malika Haqq. NYPD Detective Robert Boyce revealed to the Daily News, “Stack Bundles and Chinx. The similarities, pointed out by both the NY Daily News and the NYPD, are as follows: Both Stack Bundles and Chinx were up-and-coming rappers, both drove Porsches, both were on the rise with music about to drop, both had ties to bigger rappers (Stack Bundles via Jim Jones, Chinx via French Montana) and both were killed in early morning hours shortly after they performed locally. In 2007, Stack Bundles (who had a close association with Jim Jones) was gunned down near the lobby of his Far Rockaway apartment building shortly before 6 a.m. ![]() While the bereaved mother was joined by family and friends, police investigating the crime have uncovered some shocking similarities between Chinx's death and the unsolved murder of his friend and mentor in 2007. On Monday, the mother of rapper "Chinx" was photographed mourning his death in front of the Dunkin Donuts in Queens, NY where he was shot dead over the weekend. It's been a few days since the shocking murder of rapper Lionel (Chinx) Pickens and police investigating the crime have drawn some comparisons to a shocking unsolved murder from 2007. NYPD has also revealed more details from the crime and its possible connection to a 2007 murder. The mother of slain rapper Lionel (Chinx) Pickens was seen mourning the death of her son yesterday. ![]() ![]() The App Library icon can also live permanently in the dock, making it easy to access all of your apps without having to switch through multiple homescreens. Click to enlarge.Īpple has also added the App Library to iPadOS 15, meaning you can hide your lesser-used apps behind an index of sorts. With the larger displays, Apple has also added a new, larger Widget size, exclusive to iPads.Ī look at the App Library. Now, just like on iOS, you can place widgets directly on your homescreen, rearranging them alongside your apps. The first improvement Apple showed off is an updated Widget experience on iPad. This screencap also includes the larger Photos app widget to highlight featured images. There weren't many photo-specific updates for iPadOS 15, but there have been a number of improvements that could help your overall workflow. New in iOS 15: richer EXIF data in ! /rt9sj3ABok If you've been anxiously awaiting for iOS to show the EXIF metadata of images in your library, you're in luck iOS will now show select metadata information of photos directly in the Photos app. Apple says the feature will match music, speed and even image editing to match the 'Mix' you choose. Also, a new 'Memory Mixes' feature will let you change the 'feel' of the montage to better fit the visuals. Now, music from your Apple Music library can be played alongside your photos and videos. Sebastiaan de With □️□ JPhotos MemoriesĪpple has also improved its 'Memories' feature in Photos app. This lil universal control nubbin’ /Ed1UyP8O8r In addition to swiping through the 'stack' of photos, you can also view them in a grid array with a tap, as illustrated below: Photo sharing in iMessage has also been improved, with a new look and animation when viewing a collection of images sent to you. ![]() A few examples include the ability for iOS 15 to display more information about the breed of a dog or a type of flower in an image. In addition to text, on-device machine learning will also be able to recognize other objects in images and provide additional information within the Photos app and elsewhere. ![]() The feature supports seven different languages at launch. The first new detail Apple showed off is what it's referring to as 'Live Text.' In essence, this new feature will use on-device machine learning to scan photographs and use optical character recognition (OCR) to pull phone numbers, names and other text from images, which can then be highlighted and selected like any other text. While Apple's improvements are far more comprehensive than what we'll cover here, here are the photo-related updates. iOS 15Īpple started its event out showcasing new and improved features for iOS 15, its next-generation mobile operating system. Here are some of the most significant features for photographers and videographers. ![]() Today, at its 2021 WWDC virtual event, Apple released the details of its new operating systems, including iOS 15. ![]() ![]() ![]() You’re looking for two things: The right color and the right texture. Put a cup of compound into the mixing container. If you need to, add in some more cornstarch.Ĭan you mix joint compound with acrylic paint?. ![]() Stir continually until you achieve the consistency you desire.Add some water and cornstarch into a pot, turn on the heat and let the mixture thicken into a paste.What can I add to acrylic paint for texture? The plaster used is not pure plaster of Paris Instead, it has additives that improve green strength, dry strength, permeability, and castability. Plaster mold casting, sometimes just called plaster casting, uses a mixture of gypsum, strengthening compounds, and water to create a mold. Is plaster of Paris the same as casting plaster? This allows the initial coat to properly soak into the plaster aiding adhesion of the final coat. Firstly, you can use a mist coat of white watered down emulsion However, it is more preferable to use a primer or top coat and water down the first layer by 10%. There are two methods to sealing the new plaster. Plaster is a Hardware store product that I often use to replace Modeling/Molding Paste because it yields the same results for a fraction of the cost. However, one sure way to prevent shrinkage cracks particularly is with the use of fibres in the mix, which will take some of the force of the movement through the material.Ĭan I use plaster instead of modeling paste? You should not use sand that lacks fine material and if it does then you should add some lime into the cement. ![]() How do you keep plaster art from cracking? You can find painting mediums with sand or silica added to them, or you can add sand directly so you have more control over the grittiness Because they are full-bodied, you can achieve the thickness you need to create impasto flowers or abstract textures that stand off the canvas. You can create the look of water, grass, skin, glass, fur, and more. Using acrylic paint, you can create an infinite number of textural effects, both abstract and figurative. What kind of paint do you use for textured paintings? ![]() ![]() ![]() Click OK.Private void pushDownMin(List h, int i) else if (h.get(indexOfSmallest - 1).compareTo(h. Set Variable name to _JAVA_OPTIONS and Variable value to the desired memory amount, e.g. If the _JAVA_OPTIONS variable is in the variables list, select it and click Edit. 0:00 / 1:41 heap How to increase Java heap size in windows 10 (Make Java faster) lovetolearn heaparea java Love To Learn 1.54K subscribers Subscribe 22 Share Save 5.9K views 1 year.If the _JAVA_OPTIONS variable is not in the variables list, click New.Tip: Click Reset dialog box to return the heap size to the default setting for your system. In the Set Heap Size panel, type the amount of memory (in megabytes) that is to be made available to Java as heap storage, and then click OK. ![]()
![]() ![]() The digital odometer indicates 17k miles. The leather-wrapped multi-function steering wheel fronts a 120-mph speedometer, a tachometer with a 6,500-rpm redline, and auxiliary gauges for coolant temperature and fuel level. Amenities include air conditioning, cruise control, a factory CD stereo, and urethane-coated flooring as well as power windows, locks, and mirrors. The flat-folding bucket seats and the fold-away rear bench seat are upholstered in gray and black cloth. Stopping power is provided by four-wheel anti-lock disc brakes with ventilated front rotors. Silver-finished 16″ alloy wheels were reportedly mounted with Hankook Kinergy ST tires in 2019. The selling dealer notes scuffs on the left-front fender and bumper. Features include a horizontal-split tailgate, a rear window wiper, and rear-hinged rear doors with pop-out side windows. The truck is finished in Tangerine Metallic (YR563M) with contrasting black accent panels on the roof, side skirts, and front and rear fascias. This Element has 17k miles and is now offered at no reserve with manufacturer’s literature, two keys, an accident-free Carfax report, and a clean North Carolina title. Equipment includes RealTime 4WD, a horizontal-split tailgate, rear-hinged rear doors, 16″ alloy wheels, and anti-lock disc brakes as well as flat-folding front bucket seats, a fold-away rear bench seat, air conditioning, cruise control, and a factory CD stereo. It is finished in Tangerine Metallic over gray and black cloth upholstery and is powered by a 2.4-liter i-VTEC inline-four paired with a five-speed automatic transaxle. This 2008 Honda Element EX was first sold in North Carolina and remained registered in the state until it was acquired by the selling dealer and relocated to New Jersey in December 2022. ![]() ![]() Wants to save money by downsizing in their retirement. ![]() Moves in - then back to a smaller apartment when the children are off on their own and the cooperator When a child is born, or to a three-bedroom when more children are born or when an aging parent Other benefits that ML cooperators enjoy include the ability to easily move within the developmentĪs their family composition changes - for example, moving from a one-bedroom to a two-bedroom
![]() Directing appropriate treatment strategies to the right individuals is a clinical challenge. It is increasingly understood that personalised medicine that takes these factors into account achieves superior results than “one-size-fits-all” approaches, which may ignore, for example, individual risk of ischaemia or propensity to bleed with antithrombotics. 2Ī variety of individual factors and circumstances other than clinical presentation and treatment type contribute to determining the outcome of CAD. Guideline-directed medical therapy and revascularisation using percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) are the main treatment strategies across the spectrum of CAD. unstable angina, non-ST-elevation MI and ST-elevation myocardial infarction ). chronic angina pectoris) to acute coronary syndromes (ACS), which encompass a variety of clinical scenarios (e.g. 1 Based on clinical presentation and prognosis, CAD spans from stable presentations (e.g. DOI: doi.org/10.1161/01.CIR.Although a combination of multiple strategies to prevent and treat coronary artery disease (CAD) has led to a relative reduction in cardiovascular mortality over recent decades, CAD remains the greatest cause of morbidity and mortality worldwide. TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy. TIMI risk score accurately risk stratifies patients with undifferentiated chest pain presenting to an emergency department. HEARTORG/Conditions/HeartAttack/LifeAfteraHeartAttack/Lifestyle-Changes-for-Heart-Attack-Prevention_UCM_303934_Article.jsp#.WoySlainG71 Lifestyle changes for heart attack prevention.Application of current guidelines to the management of unstable angina and non-ST-elevation myocardial infarction. The TIMI risk score for unstable angina/non-ST elevation MIA method for prognostication and therapeutic decision making. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Last medically reviewed on March 21, 2018 Your healthcare provider should be able to explain your results in a way that you can easily understand. Talk to your doctor if you have any questions about your TIMI score. keeping cholesterol and blood pressure levels in check.avoiding cigarette smoking and limiting alcohol consumption.You can lower your score, and your risk for a heart-related event, by: For example, if your TIMI score is on the high side, your physician might want to treat your condition more aggressively or pursue other kinds of medical intervention. Your score may help your physician come up with a treatment strategy. Knowing your risk for having a heart attack or other heart-related event can be extremely helpful to your healthcare provider. This means not every person will be given a TIMI score. Doctors typically use the TIMI score on a select group of people with heart conditions that meet a certain criterion. ![]() |
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