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We'll get better at measuring things and I think that we'll be able to respond to changes better. I do think going forward, I definitely feel like even though it's uncomfortable learning this new thing, I feel like it makes sense. What Roxane was mentioning I find interesting is that there are so many things that we do where we're trying to be objective. Because when you're in a C-section, certainly, you're focused on the field and you're going to rely on your nurses to measure that. Now, it's really up to the nurses to help us out. With the new definitions of it being like 1,000 milliliters, whether it's a vaginal delivery or C-section. It's like 1 gram is equivalent to 1 milliliter. I think a lot of other societies and a lot of what are called perinatal quality collaboratives in each state that follow maternal mortality and follow metrics like these quality improvement metrics still use and are still pushing quantitative blood loss. I think even ACOG has changed a little bit on that where I don't think they're pushing, I think, quantitative blood loss. There's a lot of people that battle that back and forth. It's not an easy thing to do, but it's something that we've switched over because qualitative blood loss is probably not as accurate as quantitative blood loss. We also have to take into account amniotic fluid, which is also lost at the time of delivery. They have to know what it weighs prior to the delivery and what it weighs with blood. Our nurses now have to gather everything that has blood on it and they have to weigh it. Quantitative blood loss is a little bit more labor-intensive. We all learned what our 500 and what our 400 look like. I think we looked at the bag, we looked at the laps, and we looked at the blood all around, and we're like, "You know what? That's 500 ccs. You're right.īecause it was really easy to estimate blood loss. Gosh, quantitative blood loss, I think, is the bane of our practice at our university. Rampersad, you want to tell us what quantitative blood loss is? Now, there's been this movement where we have to do quantitative blood loss. I actually googled these pictures because I remember looking at a lap sponge and then having to make a guess on how much blood there is. When we do them, we used to qualitatively measure blood. Why I bring it up is, if you remember an interventional radiologist back when you were doing your clerkships through labor and delivery, the nature of deliveries, there is going to be blood loss at that time. When did you guys train? How far back are we talking? When we trained like when we talk about blood loss, if you remember. I feel like many of us get a chance to serve on those committees to interpret the evidence and make these protocols, but we really take them as guidance on what we do. One thing I want to point out for people that are listening that don't know, ACOG is the American College of Obstetricians and Gynecologists and they set our ground rules for what we do in practice. Greater than 500 and less than 1,000 is still an important number to pay attention to if someone has reached that state of blood loss after vaginal delivery. For vaginal delivery though, even though greater than 500 may not change your hemodynamic state, it's still an important number to look at for vaginal delivery. I think that's the number that we're paying attention to. Recently, ACOG has changed that definition to include blood loss greater than 1,000 ccs. Bleeding that occurs less than 24 hours after delivery is considered acute postpartum hemorrhage, while any bleeding from 24 hours to 12 weeks following delivery is considered late postpartum hemorrhage.Ĭan we talk about what is postpartum hemorrhage? Roxane, why don't we start with you? Then I'll let you guys kind of guide the conversation after we get some floor information established. The timing of the bleeding can clue the physician into the potential causes of the hemorrhage. Any material with blood on it is weighed and the measurements are recorded in order to calculate total blood loss. Today, many practices have switched to quantitative measurement as it is believed by many to be more accurate. In the past, most practices measured blood loss in a qualitative fashion they looked around at the blood all around the area during delivery and guessed roughly how much blood was lost. However, monitoring a patient’s hemodynamic state is important for blood loss between 5 ccs if patients deliver vaginally. Currently, ACOG defines postpartum hemorrhage as blood loss greater than 1000 ccs. While postpartum hemorrhage generally refers to excessive bleeding after childbirth, the specifics for diagnosis, set by the American College of Obstetricians and Gynecologists (ACOG), have changed over time. This is especially useful for those who have movement difficulties. Safety rails serve as barriers, preventing children from rolling out of bed, and they also serve as handles, offering support for getting in and out of bed. For bunk beds, they’re easily attached onto the bed frame of the top bunk to reduce the risk of injuries. They are not only made for hospital beds and baby cribs, but also for bunk beds. Normally, bed safety rails (also called guardrails) provide security for children, adults, and the elderly.
Ed specialized in strategic advisory for crypto related businesses, to include mergers and acquisitions, as well as capital raising activity. It’s all very bizarre, but the possibility of fresh money-even digital funny money-may be intoxicating for an eccentric, eager-to-please mayor-in-waiting.Ed Han most recently was a managing director and Head of Crypto and Digital Asset Investment Banking at Bank of America where he joined in 2013. It may all seem a bit ridiculous (and grifty), but to keep things in perspective, one of the biggest industry stories this week was about a man who lost a million dollars of “Bored Ape” NFTs. This week, almost three years to the day after he was fined hundreds of thousands of dollars by the Securities and Exchange Commission for his role in promoting a cryptocurrency scam, boxer Floyd Mayweather unveiled a purchasable token based on his name. That Matt Damon ad is part of a $100 million campaign by that will feature other celebrities and pro athletes. There’s plenty of other money, and influence, splashing around. Last week, the New York Times published a piece about Andreessen Horowitz-a leading venture capital firm sinking billions of dollars into crypto startups-blitzing Capitol Hill with prewritten, industry-friendly bills presented by slick-talking company officials (some of whom were only recently hired from government regulatory positions). It’s Happening at Home.ĭespite its frequently populist messaging, crypto has big money behind it. It Was Mortifying-but I Learned Something Important.Īmerica Is in the Middle of an Energy Crisis. I Confronted Someone Who Removed Me From Find My Friends. And just like the lottery, statistically speaking, it’s a loser’s game. The least we can ask of the leader of our city is not to encourage such irresponsible behavior, especially since, for people on the bottom rungs of the economic ladder, playing the crypto lottery is tempting enough already. Whenever the crypto bubble pops-the recent stablecoin report issued by the Biden administration may have signaled “last call” to those paying attention-regular people who invested/gambled on crypto are most likely going to be the ones left holding the bag. Like many barely considered crypto ventures, Adams’ burgeoning Bitcoin boosterism is dumb and it will end badly. That still doesn’t make it a good idea for a public servant to promote gambling with one’s entire paycheck in what is essentially an unlicensed, unregulated casino. Pledging fealty to the Bitcoin cult, promising to become a low-tax crypto playground, laying out the red carpet for the venture capitalists investing in the industry-these are rapidly becoming table stakes for tech-forward mayors.Īdams’ motivations are unclear, but it doesn’t take a genius to understand that Wall Street loves a good party (volatility is king and crypto has plenty of it) and that Adams wants to keep those with deep pockets happy. The message boils down to this: I’m going to take my public salary and gamble it on a speculative store of value, and you should, too! And to further grease the journey into crypto-gambling dystopia, Adams even wants New York to establish its own cryptocurrency, as Miami recently did with MiamiCoin. Besides showing a general obsequiousness to the tech industry and an ignorance of people’s real financial problems, it’s worth thinking about the examples being set by Adams, Suarez, and their peers. Pledging fealty to the Bitcoin cult, promising to become a low-tax crypto playground, laying out the red carpet for the venture capitalists investing in this industry-these are rapidly becoming table stakes for tech-forward mayors. But the crypto gloss being overlaid on municipal politics is something relatively novel and more than a bit troubling. The grasping for publicity by any means is to be expected-his message was likely appreciated by visitors in town this week for an NFT conference-and the braggadocio is par for the course. Leaving aside the fact that, no, you cannot actually dictate to your employer the currency in which you get paid (“I’d like my fee for this article in gold doubloons if you please, Slate”), this was still an embarrassingly stupid move on the incoming mayor’s part. 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This will create a profile with the tag “this profile is not yet claimed”, which the individual can claim once they sign up. You will also be able to take pictures of people who are not yet on this platform. The sign-up process is pretty simple, requiring basic information like your name, age, and phone number. Poparazzi also does not allow captions or comments (which should promote a healthy social environment). The photos that you take are called “pops” and each profile gets a pop score that tracks how many photos other have taken of you. The app also doesn’t allow cropping the photos, adding captions, or even editing your photos. In addition to the selfie ban, it also bars filters and follower count. You can also control your privacy settings, which means only people who you approve can take photos of you. You can remove any photo from your profile that you don’t like. Although you would not be able to post on your profile, you will have control over your profile. The app also comes with some privacy options for users. But, the camera lets you hold the shutter button to capture a GIF. So, no filters, stickers, or texts can be added to an image. Whereas on Instagram, you swipe right from your feed to open the camera and share a new post.Īs you can see in the screenshots above, there are no options to edit an image before sharing it. Moreover, it puts the camera tab at the bottom bar. Although the UI looks pretty similar to Instagram, there are a few changes here and there.įor instance, instead of the “Following” and “Followers” sections on your Instagram profile page, your Poparazzi profile page contains “Views” and “Reacts” sections. So, your profile will be based on the photos that your friends have taken of you and tagged you on the platform. You can create your profile but once the profile is made, it is your friends who define it. So, like celebrities have their own paparazzi, who follow them around and take their pictures, you friends can now do that for you and post your unfiltered photos on the app. On this platform, you are your friend’s “poparazzi” and they are yours. So, what’s different with Poparazzi? Well, as aforementioned, there is no room for any selfies on this app. As per the company’s official blog post, people’s real lives are made up of many not-so-perfect moments that are worthy of being captured and shared. The new photo-sharing platform is different from its competitors as it claims to create a space where there is no pressure to be “perfect”. On Poparazzi, there is no room for selfies! Also, the app does not include any photo-editing tool and filters as it wants users to share unfiltered real-life moments. This holds especially true for plus-sized or voluptuous body shapes as these outfits can make you look wider than usual. What Not To WearĪvoid pencil skirts or tapered trousers and jeans, big prints, gaudy embellished tops, vertical patterns and prints, thick scarves that sit around your neck, and heavy boots. Since you have sexy lower legs, make an effort to show them off! Wear belted tops and dresses, flowy cuff sleeve tops that flow around the buttocks, fluttered sleeves, dark jeans or trousers, off-shoulder or strapless tops, A-line and straight skirts, boot cut and straight cut trousers, well-structured shouldered jackets and shirts, wide belts, chunky earrings and necklaces, medium-high heels, and wedges. You can go for pants and skirts that will make you look slimmer. You could also look for clothes that have curves. The key to dressing well would be by creating a wonderful balance with your bust. The lower legs are shaped well, and they happen to be your body’s best feature. Your arms are also slender and well-shaped. You have a little more weight in the upper legs. You tend to gain weight around the stomach, and your waist isn’t well-defined. Your midsection looks full, like the oval-shaped body. If you have a diamond-shaped body, your hips will be broad, and your bust will be narrow and in alignment with the shoulders. What Not to WearĪvoid wearing tapered jeans or trousers, loose-fitting tops, wide stripes, ruffles, pleated skirts, baggy jackets, tight t-shirts, high necks, turtle necks, cardigans, chunky earrings and necklaces, round-toed shoes, heavy boots, and flats. You can also wear wrap-around tops, skirts, and jackets to slim down your mid-body area, vertical stripes, peplum tops, tunic tops, belted dresses and tops, wide-collared jackets, fish-cut or flared skirts, cargo pants with pockets near your hip, empire-waisted dresses or tops, dresses or skirts just above your knee to show off your legs and make you look well proportioned, high heels, long and slender earrings, and necklaces that fall until your cleavage. Wear square neck, V-neck, and U-neck tops or shirts. The buttocks are flat, and the legs are slender. The waist is not very well-defined and ends up being the widest section of the body. Women with these body shapes tend to gain weight in their stomach before anywhere else. The hips will be narrow, and the midsection will look full. If you have an oval body shape, your bust will be larger than the rest of your body. In general, character statements have three sections: Your statement will represent both you and the subject and its appearance will have some influence. Type your statement and print it on good quality paper. To do otherwise would damage your reputation and possibly make you subject to UCMJ action. If you are called on to write a character statement on someone's behalf, make sure what you write is 100% factual. They just want to get an idea of the person's history so that they can make a fair decision based on the evidence. And the members who will be judging the case don't care if you use bad grammar. He will be grateful for any effort on his behalf. Usually, when things get to the point where character references are requested, the subject of interest is in potentially serious trouble and his career is on the line. The important thing is that you cared enough to write. If you are asked to write a character statement, don't worry if you can't write well. An NCOIC or manager would usually be considered to be impartial. The most effective character statements are those written by someone who has known the person a long time and who can be considered to be impartial. The people who will read your character statement don't know the individual personally and are depending on you to accurately and honestly describe his or her character. A character statement helps judges, Commanders, First Sergeants, and other strangers make fair decisions by providing a factual description of a person's character. Because he is being judged by strangers who don't know him, character statements will be required in his defense. Keisuke was surprised by Nemu’s behavior but he wants to protect Kanae and decides for the sake of escaping, he will violate the others.Occasionally an Airman will be subject to some sort of formal punishment where he is judged by members outside the squadron. Nemu takes advantage, forcing the protagonist to submit to her as she brings her lips up to his ear: “This is a contract kiss.” However, Nemu could see right through him and knew. That was his secret, his urge to assault and humiliate girls. However, Keisuke seemed to be getting aroused by Miyako’s appearance. With eyes wide open in fear, she pisses and shits herself. Her screaming begins in tandem with the electrical current. Suddenly the lights go out, the girls scream, then lights return reilluminating the room to show Miyako bound to a grotesque torture device. “Anyone who quits the game will die.” With an assigned act, he must “use the key”.Īfter hearing the unreasonable and immoral requirements to win, Miyako gets pissed and snaps on the mysterious voice. In order to escape the room, Keisuke is the “unlocker” and one heroine the “keyhole”. While still confused about their unusual situation, a mysterious voice suddenly speaks to them: “A game has now started.” Six people find themselves trapped in a mysterious futuristic complex, forced to dance to the tune of a sadistic computer game, where failure to follow the game rules results in death.Ĭharacters include our protanist, Takato Keisuke, his childhood friend Hokari Kanae, classmate Ando Miyako, underclassmate Mikaba Rika, English teacher Aoi Natsuki, same year Byakuya Rinne, and classmate Manaka Nemu.
Fission is used in nuclear power reactors since it can be controlled, while fusion is not utilized to produce power since the reaction is not easily controlled and is expensive to create the needed conditions for a fusion reaction. Fission is the splitting of a heavy, unstable nucleus into two lighter nuclei, and fusion is the process where two light nuclei combine together releasing vast amounts of energy. However, progress is slow due to challenges with understanding how to control the reaction in a contained space.īoth fission and fusion are nuclear reactions that produce energy, but the applications are not the same. Some scientists believe there are opportunities with such a power source since fusion creates less radioactive material than fission and has a nearly unlimited fuel supply. Scientists continue to work on controlling nuclear fusion in an effort to make a fusion reactor to produce electricity. Along with this, an enormous amount of energy is released, which is several times the amount produced from fission. Atoms of Tritium and Deuterium (isotopes of hydrogen, Hydrogen-3 and Hydrogen-2, respectively) unite under extreme pressure and temperature to produce a neutron and a helium isotope. Nuclear fusion refers to the "union of atomic nuclei to form heavier nuclei resulting in the release of enormous amounts of energy" (Merriam-Webster Online, Fusion takes place when two low-mass isotopes, typically isotopes of hydrogen, unite under conditions of extreme pressure and temperature.įusion is what powers the sun. The word fusion means "a merging of separate elements into a unified whole". The high-speed neutrons that are ejected become projectiles that initiate other fission reactions, or chain reactions. This resulting energy is then used to heat water in nuclear reactors and ultimately produces electricity. This splits the target nucleus and breaks it down into two smaller isotopes (the fission products), three high-speed neutrons, and a large amount of energy. During the process, a neutron is accelerated and strikes the target nucleus, which in the majority of nuclear power reactors today is Uranium-235. These neutrons are accelerated and then slammed into the unstable isotope, causing it to fission, or break into smaller particles. Nuclear fission takes place when a large, somewhat unstable isotope (atoms with the same number of protons but different number of neutrons) is bombarded by high-speed particles, usually neutrons. In 1939, scientist began experiments, and one year later Enrico Fermi built the first nuclear reactor. The surprising discovery that it was possible to make a nucleus divide was based on Albert Einstein’s prediction that mass could be changed into energy. The word fission means "a splitting or breaking up into parts" (Merriam-Webster Online, Nuclear fission releases heat energy by splitting atoms. They are opposing processes, and therefore very different. Both fission and fusion are nuclear processes by which atoms are altered to create energy, but what is the difference between the two? Simply put, fission is the division of one atom into two, and fusion is the combination of two lighter atoms into a larger one. The foundation of nuclear energy is harnessing the power of atoms. Inside the sun, fusion reactions take place at very high temperatures and enormous gravitational pressures |
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