![]() RVH is characterized by a left parasternal or subxiphoid heave. Other cardiac findings include third and fourth sounds and the systolic murmur of tricuspid regurgitation. S2 heart sound splitting with an accentuated pulmonic component may be found early, while a systolic ejection murmur with sharp ejection click over the region of the pulmonary artery may be heard in advanced disease, along with a diastolic pulmonary regurgitation murmur. Wheezes and crackles may be audible upon auscultation due to underlying lung disease. Expected signs include an increase in chest diameter, labored respiratory efforts with retractions of the chest wall, distended neck veins with prominent a or v waves, and cyanosis. Physical exam findings reflect the underlying lung disease or pulmonary hypertension, right ventricular hypertrophy (RVH), and RV failure. Anorexia, right upper quadrant abdominal discomfort, and jaundice may occur due to passive hepatic congestion. Other symptoms include anginal chest pain (due to right ventricular ischemia), hemoptysis, and, rarely, hoarseness due to compression of the left recurrent laryngeal nerve by a dilated pulmonary artery. Common symptoms are fatigue, tachypnea, exertional dyspnea, and cough. In chronic cor pulmonale, right ventricular (RV) hypertrophy (RVH) generally predominates. Cor pulmonale usually presents chronically however, 2 main conditions can cause acute cor pulmonale: pulmonary embolism (more common) and acute respiratory distress syndrome (ARDS). It is estimated to account for 6-7% of all types of adult heart disease in the United States, with chronic obstructive pulmonary disease (COPD) due to chronic bronchitis or emphysema the most common cause (the causative factor in more than 50% of cases). Cor pulmonale is a change in the structure and function of the right ventricle and is caused by a primary disorder of the lungs or the pulmonary blood vessels. ![]() This patient's diagnosis is chronic cor pulmonale. Correct answer: Distended neck veins with prominent a or v waves Explanation The correct response is distended neck veins with prominent a or v waves.
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![]() I replaced an ink cartridge, but my product shows that the same ink is expended. How do I print with black ink from Windows or my Mac when a color cartridge is expended? Which ink cartridges should I use with this product? When I send a handwritten fax, the recipient can't read the fax. How can I know if there is a fax stored in the product? How do I clear the fax header on the product? How do I change the baud rate or fax speed on my product? How do I save faxes to my Mac instead of printing them? Will I lose faxes if the product is turned off? How do I save faxes to my Windows computer instead of printing them?Ĭan I use the Epson FAX Utility to receive faxes on my computer? How do I print faxes stored in the fax memory when the product has an expended ink cartridge? How do I add a pause when I enter a fax number on the product's control panel?ĭo I need a filter if I'm faxing over a DSL? Why?ĭo I need to use a filter if I fax over a VoIP (Voice over Internet Protocol) line? I'm having trouble sending or receiving faxes over a VoIP (Voice over Internet Protocol) phone line. How many pages can I store in the fax memory? The fax header gets cut off when I send a fax. I cannot access the fax settings on my product's control panel. How do I send a fax from my product control panel?Ĭan I use a pre-paid calling card to send a fax? How do I send a fax using the Fax Utility on my Mac? How do I send a fax using the Fax Utility in Windows? How do I restore my original fax settings? How do I use an answering machine with my fax? I'm having trouble sending or receiving faxes. My printout does not print, and the print queue is paused. I see the message Encryption credentials have expired on my Mac. I see the message Printer is Offline when I try to print with a wireless connection on my Mac. Check the scanner, network, and connection settings. I see the message Unable to connect to network scanner. I see the message Printer is Offline when I try to print with a USB connection in Windows. I see the message Printer is Offline when I try to print with an Ethernet connection in Windows. I see the message Printer is Offline when I try to print with a USB connection on my Mac. I see the message Printer is Offline when I try to print with an Ethernet connection on my Mac. I see the message Printer is Offline when I try to print with a wireless connection in Windows. I see the message Filter Failure with rastertoescpII when I try to print from my Mac. What does the message on my product's LCD screen mean? How do I set up my product to print only Black or Grayscale from Windows or my Mac? ![]() Printing or scanning is slow over my wireless connection. I was able to print from my Mac before with a USB connection, but now I can't. I was able to print from Windows before with a USB connection, but now I can't. How do I print a multi-page document from Windows or my Mac so it stacks in the correct page order? How do I print a borderless photo from Windows or my Mac? How do I print labels in Microsoft Office? I can print with a wireless connection on my home network, but not on a VPN (virtual private network). Printing is slow or the printer stops printing when I try to print from Windows or my Mac. ![]() How do I make multiple copies using the product's control panel? How do I copy a document or photo using my product's control panel? ![]() How do I set up my product for the fastest printing? 9/25/2023 0 Comments Gylt walkthrough![]() Shocked!: exit the Infirmary through the door diagonally opposite the wheelchair and then enter the ventilation shaft behind the two toppled brown lockers.Main Building, First Floor, Infirmary Hallway Diary 3/21 (A Day at the Hospital): in the same room, past the wheelchair, near a cabinet and an empty bed.Diary 2/21 (Neverending War): behind the wheelchair where you’ve freed the first Inhabitant, on a desk.One you drop down, you’ll collect the first Blood Quart and free the first Inhabitant. Blood Quartz 1/10 + Inhabitant 1/10 (both story-related): a bit after you’ll have to crouch through a ventilation shaft.Diary 1/21 (First Day at Bachman School): after entering the school, go straight on through the double doors and you’ll find this Diary immediately on the first bench.To unlock this trophy, you must make it across using the wooden planks and without touching the water. Immediately after, you’ll reach a small puddle. Before leaving the trunk, wait for the searchlights to move away and then continue on. Avoid a Cold: when you first can control Sally, sprint through the snow until you can crouch through a fallen trunk.6 Canaries, needed to access a secret room in the School Courtyard which contains one Diary and one Inhabitant.To be able to free all 10 Inhabitants you need the 10 Blood Quartz 10 Inhabitants for Helping the Missing Ones and to be able to unlock the Good Ending.10 Blood Quartz – needed for the 10 Inhabitants.Here you’ll find a compiled list of all possible ending variations including the good, bad, and secret endings. OXENFREE II: Lost Signals has a number of interchangeable ending scenarios based on decisions made by players during the course of individual playthroughs.Įvery choice you make can affect the final outcome of the game for you. Tune back in to find screenshots of all Adler Letter Locations, so you can collect all 4 sets. These are hidden all over and some are clearly visible while others may be hidden and hard to find. The 4 Sets of Adler Letters in OXENFREE II: Lost Signals are hidden clues that are like bonuses that players can find. Listening to the original soundtrack and bonus tracks may also reveal unexpected finds. Players are advised to keep their in-game radios active and constantly scan the channels. The sequel continues the trend from the original game, packed full of hidden messages. Heard Maria tell Charlie she has a crush on him.Īgreed to be a special kind of friends. Prevented Olivia from tuning the portal in any way.ĭiscovered the complete Adler Letters Set 1.ĭiscovered the complete Adler Letters Set 2.ĭiscover the complete Adler Letters Set 3.ĭiscovered the complete Adler Letters Set 4.Ĭhecked in with Evelyn for all three transmitters. Prevented Olivia from tuning the portal and smashed her radio. ![]() You should ideally have finished the games once just to experience the nuances before beginning your second playthrough and attempting to get 100% achievements. Related: Secrets in OXENFREE II: Lost Signals ARGįor the purpose of ease, this walkthrough is divided into 4 categories. Here is the complete Walkthrough for OXENFREE II: Lost Signals which covers everything from Achievements, Trophies, and Collectibles to Anamoly Locations, Choice Paths, and Endings.ĭo note that this post is a work in progress and will be continually and periodically updated as the game releases and as we get to know more about the story, choices, decisions, and endings. 9/25/2023 0 Comments Vintage automatic watches for menThis mechanism is also found in some of the brands’ more affordable watch series. The Victorinox Maverick utilizes the ETA Caliber 2824-2 system, a very accurate Swiss-made automatic movement. (Image: Amazon) The Victorinox Maverickis an automatic watch designed for divers who do not skimp style. Hamilton H-40 Automatic Movement Victorinox Men’s Maverick Swiss Automatic Stainless-Steel Casual Watch Victorinox ‘Maverick’ Swiss Automatic Watch. The movement has 25 jewels, 21,600 VPH, and an impressive power reserve of 80 hrs. The Khaki King is powered by Hamilton’s H-40 automatic Swiss-made movement based on the ETA 2834-2. The Hamilton Khaki King brings some of the favorable features from its military watch days into a more casual, friendly aesthetics. The syringe hands and a touch of style stand out well against the black dial. Instead of using the Nato straps, the Khaki King uses a leather strap-on instead. The 40 mm diameter with an 11 mm thickness is a perfect match for average wrist size and avoids the overly bulky look of many field watches.Īnother change from its predecessor is with the bands. Think of this as a perfect blend of military and modern formal and casual design.Īs you would expect from a wristwatch that has its root from a military watch, the Hamilton Khaki King features durable and heavy-duty stainless steel designed to withstand the roughest of environments. Of course, they’ve tweaked the design enough for it to stand on its own. ![]() The Hamilton Unisex Khaki King field watch features similar designs to Hamilton’s previous military-style watches. Hamilton Unisex Khaki King Automatic Watch This is a perfect fit if you’re looking for a refined automatic dress watch from a trustworthy American watch brand. Domed acrylic crystal to protect the watch dial, and water-resistant to a modest 30m.Īpart from the sleek design and vintage vibe, the watch is well built with reliable Timex watchmaking utilizing a Japanese Miyota caliber 8215 automatic movement with a power reserve of 40 hours and accuracy of -20~+40 sec per day. The simple date window display gives it the elegant look of a classic dress watch. The Timex Marlin is a recreation of Timex’s 1960s Mid-century watch design. This two-tone watch looks fantastic with the gold bezel, gold, and luminous watch hands set against a black background. The Timex Marlin is an example of how the brand has continued to deliver watches that offer value for money. When it comes to affordable watches, Timex is one of the top brands that comes to mind. Timex Men’s Marlin Automatic 40mm Watch (Image: Amazon)
9/25/2023 0 Comments Do 11 week old puppies sleep a lotIn this phase you can observe that your puppy moves its legs or ears. It is characterized by very high brain activity produced by dreams. During this phase dreams do not occur yet. This phase lasts about 20 minutes and is characterized by ample brain waves as well as a slow breathing rate. Initial physiological changes are observed and the heart rate decreases. However, the brain can still have punctual physical reactions. In this phase it starts to be more difficult for the puppy to wake up unexpectedly. This barely lasts a few minutes and the puppy can respond to external stimuli. This is the first step and corresponds to the transition from the waking state to the sleeping state. Therefore, before evaluating whether the puppy’s sleep duration is adequate, it is important to know what are the different phases of sleep in order to prevent any disorder in this cycle.ĭid you know that the phases of a dog’s sleep are not very different from the phases of human sleep? Let’s see what they are: Drowsiness This will allow you to detect any signal that tells you something is wrong. As we have already explained, during the first months of his life, observation is as important as love or food. It’s quite normal to ask yourself questions when welcoming a puppy into your home. Don’t be worries, we will explain the reasons behind a puppy’s long periods of sleep. If you watch your puppy closely, you will notice that he spends a lot of time sleeping. ![]() Caring for the puppy is very important as well as monitoring his behavior and health, in order to be able to detect any abnormality as soon as possible and treat any conditions as quickly as possible. ![]() Training: This mode allows you to learn through doing.Time is limited, explanations are not provided during the test, and feedback is given only at the end. Testing: Two full-length tests are offered, with 25 prompts each.Practice Modes Two practice modes are available for you to practice with. Note that there are no refunds once the access code has been used, so make sure you have Excel 2016 installed on your computer before using it. Please make sure your computer follows these system requirements.Once the download is complete, you can start practicing.You will then have to download the Excel training software to your computer.Once filled, an access code will be sent to you within 10 minutes.After purchase, you will be directed to fill out a form on your personal page. ![]() The questions on JobTestPrep’s tests have been carefully selected to cover the major topics that appear on the Prove It Excel Power User Test. Using software by one of the world's leading Excel assessment providers, we have compiled practice tests similar to those used by employers during the pre-employment selection process. It goes without saying that completing these tests successfully is necessary, and that the higher your score is, the greater your chances of getting hired. This test enables employers to carefully assess a candidate’s Microsoft Excel skills, as well as to decide if he or she is qualified for the offered position. The Prove It Excel Power User Test, provided by Kenexa, is one of the most common Excel assessment tests used in the hiring process. 9/25/2023 0 Comments Affinity designer graphic design![]()
9/24/2023 0 Comments Sketch mountain drawing![]() Draw the horizon line and organize the imageĭetermine the horizon line. ![]() How to draw mountains: The step by step tutorial 1. If you want to learn how to draw mountains, you will love this 5-step guide. If you’re not entirely sure about a plane, just guess, don’t overthink it.If you like to draw landscapes, sooner or later you will have to deal with the drawing of rocks and mountains. You can change and simplify wherever you like. Remember that this doesn't need to be absolutely faithful to the original. You can use some rough shading as well, if you like. Then refine the shapes by adding the major planes. Start off by drawing the outlines of some rocks around you, just as you did in step 2. Now that you have learned to see planes in the rock formations around you it's time to put it into practice. You can also add some shading to indicate which planes are directed towards the sun and which might be in the shade. Don’t be afraid to simplify and straighten the lines. Once you see the planes, take a prominent pen and mark them on the picture. Looking for the differences in shadow strength will help you with that, as they’ll receive different amounts of sunlight due to their angle. They're not always straight or smooth, so it can take a while for you to start seeing them. I find it easiest to start off with some rough shapes using very light lines and then refine them one by one. See if you can stack them or create some overlapping (more on that below). You can however play around a bit with the composition, especially if you're drawing smaller rocks you can move around. Don't bother with any shading or detail, just the basic silhouettes will do. It's a lot easier to get to know the texture this way.Īre they rough, smooth, light or dark? Clean or dirty, close-by or far in the distance?įor this exercise all you need to do is choose a few rocks, outside or from a collection at home, and draw their outline. ![]() What kind of colour or size ranges can you see? Don't be afraid to pick some up or get really close (as long as it's safe) and touch them. Depending on where you live you might see anything from huge mountains to beach boulders or simple footpath gravel. The easiest way to ease yourself into this admittedly somewhat tricky drawing topic is to go on a little walk outside and take notice of the different kinds of rocks you'll find in your area.ĭon't take your sketchbook this time, it's just about observing. ![]() Yet they all reveal a lot of experience and look simply terrific. Note how very different their approaches and the level of detail and texture are. The second drawing on the other hand is very realistic and would have taken quite a while. The first sketch is very rough, but as you see, even though there is no shading or detail you can easily see the mountain range. There are many approaches to drawing rocks and mountains, from abstract to photorealistic, and everything in between.īelow you can see two extremes. They can be a lot of fun once you relax into it and stop aiming for perfection. Try to enjoy drawing rocks with all their special textures, rather than being intimidated by it. Once you learn to see these it’ll be a lot easier for you to draw them convincingly. One of the most important things for you to realise is that as complicated as some rocks may look, they all consist of very simple, underlying geometric shapes. But you should develop an eye for different types of rock and their defining characteristics. As an artist you don't need to know the name, formation process or chemical composition of what you're drawing. 9/24/2023 0 Comments One piece odyssey fecha![]() PS4™ game disc owners who buy the PS5™ Digital Edition disc-free console will not be able to get the PS5™ version at no extra cost. Owners of a PS4™ disc copy must insert it into the PS5™ every time they want to download or play the PS5™ digital version. (Image credit: Bandai Namco) The One Piece Odyssey release date is set to officially release on Janufor PC players and on Janufor those of you looking to play on consoles. If you already own the PS4™ version of this game, you can get the PS5™ digital version at no extra cost and you do not need to purchase this product. Alabasta, Water Seven, Marineford, Dressrosa Will you make the same choices in a world made from your own memoriesONE PIECE ODYSSEY releases January 13, 20. mod request - Nico Robin Strong World outfit. Here are the best ways to get XP and level up in One Piece Odyssey. However, there is a trophy for getting all your characters to level 70, which means you have a bit of a grind to get there. ![]() Players will earn XP as they complete quests, fight enemies and more. Take care to not make duplicate purchases. One Piece Odyssey Nico Robin Marin Kitagawa Bikini My Dress-Up Darling Mod with Jiggle Physics. Earning experience is a natural part of RPG games. Espera lo inesperado en tu prxima aventura con los Piratas de Sombrero de Paja, se indic en las redes sociales oficiales de One Piece, donde tambin se revel que el videojuego llegar a PC, PS5, PS4, Xbox Series X y S este ao 2022. *In addition to this product, ONE PIECE ODYSSEY Deluxe Edition and other digital content is also available. Una tormenta, un naufragio, una isla misteriosa. Play as various members of the Straw Hat Crew in a classic RPG set in the world of the popular ONE PIECE anime! Separated from his crew, Luffy sets off on a grand, new adventure to find his friends and escape the island!ĭangerous new enemies, terrifying forces of nature, and more await them! ![]() They find themselves washed up on a lush tropical island surrounded by constantly raging storms. The famed pirate, Monkey.D.Luffy, better known as Straw Hat Luffy, and his Straw Hat Crew, are sailing across the New World in search of the next island and the next adventure that awaits them.īut during their voyage they are caught in a storm and shipwrecked. This product entitles you to download both the digital PS4™ version and the digital PS5™ version of this game.Ī new RPG from the hugely popular manga and anime series ONE PIECE, commemorating the 25th anniversary of the series! 9/24/2023 0 Comments Solano west wind drive in concord![]() 25, featuring “Ghostbusters,” “Angry Birds,” “CIA” and “Tarzan.” Gates open at 6 p.m., and movies will start at dusk. ![]() So much so, Solano Drive-In in Concord and Capitol Drive-In in San Jose - both operated by West Wind - are hosting a customer appreciation night Thursday, Aug. Credit cards are accepted and it is open rain or shine.In a world where major motion pictures stream across 2-inch cellphone screens, it’s a nice surprise to hear the Bay Area’s only two remaining drive-in movie theaters are booming. ![]() Just remember to get there early, as fans advise, to secure your car spot for the best viewing experience possible. You can also bring chairs and a table for food if you plan to relax and watch outdoors. The concession area offers all of the usual suspects, plus pizza delivered to your car if you'd like. The lines for everything can get "super duper long," as one longtime movie goer here puts it, but the joy of going to a double feature – although few folks can actually last that long, especially with a car full of kids – hauling in all of the food, snacks, beverages and blankets your group wants, kicking back in the comfort of your car and laughing out loud and cuddling up under the blankets, all for a very reasonable price, is definitely worth the hassle. Kids ages five to 11 are always just $1 and those under age five are free. Every Tuesday evening is Family Fun Night when entry is just $5 per person. The Sacramento drive-in is an especially busy location, so be warned, particularly during peak times such as Friday and Saturday nights, or events like Customer Appreciation when free entry is a big draw. Credit cards are accepted and it is open rain or shine. In the instance of a car battery dying, the theater offers a complimentary jump-start to get you on your way. You will need to turn your key to accessory to keep the stereo on, which isn't a problem for newer vehicles. Audio comes through your car FM stereo, or bring a boom box. Coming here is definitely a different experience from watching a movie in a theater you can laugh your head off, cry at the sad scenes and snuggle under the blankets you brought without strangers shushing you. Admission is just $1 per child, and kids younger than five are free, so what are you waiting for? Also available to buy are candy, popcorn and snacks, plus pizza, Mexican food and the like. Tuesday is Family Night and a real treat for the kids, with bouncy houses set up near the concession area, plus free face painting and even a few cute animals to pet or take a short pony ride. For the $7.50 admission, you can watch two movies and bring in as much cooked or take-out food, snacks and non-alcoholic beverages as you'd like. This drive-in gets terrific reviews from folks who come for family night, date night or just hanging out with the friends. A big plus is that you can bring in all of the cooked or take-out food, snacks, non-alcoholic beverages and blankets you want, as getting comfy in your car is what drive-ins are all about. If a car battery dies, a drive-in staff member will assist with jumper cables to get you moving. Audio is through the car FM stereo, though particularly for older cars a dead battery may result, so a battery-driven boom box is advised. Since you will be viewing the movie from your car, be sure your windshield is clean and clear. All movies are double features, except during grand premieres or special events, so you get twice the bang for your hard-earned buck. There is a playground for the kids, with live music, face painting a petting zoo, and food deals for a buck, plus the car-parking area is tilted, so everyone can see. Tuesday is Family Night at West Wind Drive-Ins with tickets at $5 for adults, $1 for kids ages five to 11 and kids under five are free. If you are looking for a way to make movie going an exciting yet reasonably priced event, then come over to the drive-in in Concord, and bring the family too. |
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