The uterine contraction is characterized by its intensity, frequency, and duration. ![]() The pelvic inlet has a wide transverse diameter – approximately 13 cm, the midcavity of the pelvis is round, whilst the outlet has a wide anterior posterior diameter. It is divided into three parts – inlet, cavity and outlet (Figure 1). The true pelvis is shallow anteriorly, formed by the symphysis pubis (4–5 cm), and deep posteriorly, formed by the sacrum and coccyx (10 cm). The significance of the false pelvis is to support the pregnant uterus the true pelvis is a bony passage for fetus to pass during labor. The pelvic brim extends from the sacral promontory, along the ilium on each side circularly along the ridge divides the pelvis into upper false pelvis and lower true pelvis. The bones are articulated together by four joints: anteriorly symphysis pubis, two sacroiliac joints posteriorly and the sacrococcygeal joint inferiorly. ![]() The maternal pelvis is made of five bones (Figure 1): the sacrum and coccyx posteriorly, two innominate bones on each side, and the pubic bone anteriorly. Maternal pelvis (passage)īony pelvis: ilium, ischium, pubis, sacrum and coccyx. 2, 3, 4 MECHANISM OF NORMAL LABORįor a successful normal labor a coordinated interaction of the uterine activity (power), maternal pelvis (passage) and fetus (passenger) is required. The onset of labor is also associated with an increase in prostaglandin production in the placental and cervix, furthering inducing their receptors and facilitating cervical ripening (PGE 2) and uterine contractions (PGF 2a). 1 This potentiates oxytocin receptors in the myometrium, reduces the progesterone/estrogen ratio and upregulates myometrial gap junctions to facilitate uterine contractions. Fetal dehyroepiandrosterone sulfate (DHEAS) is converted to estriol and estradiol by the placenta. Complex interactions of hormones between uterus, placenta and fetus. The factors that trigger labor at term are not clearly understood it is postulated that it is a result of changes in the hypothalamic–pituitary–adrenal axis, increasing fetal cortisol, and placental enzymatic functions. World Health Organization defines normal labor as starting spontaneously at term (37 completed weeks of gestation) for a fetus with cephalic presentation, progressing without maternal or fetal complication, and resulting in the delivery of fetus followed by placenta and membranes. The mechanism of normal labor is series of events that take place in the genital organ that allow the birth of a viable fetus at term followed by expulsion of placenta and membrane from the vagina. See end of chapter for details INTRODUCTION The seven cardinal movements of labor may not be at the top of your mind as you deliver, but knowing what’s going to happen in your body can help you better prepare for birth.By completing 4 multiple-choice questions (randomly selected) after studying this chapter readers can qualify for Continuing Professional Development awards from FIGO plus a Study Completion Certificate from GLOWM Explore more physiologically natural positions for delivery, and talk to your provider ahead of time to make sure they support you pushing how you feel most comfortable. This whole process is a lot easier when gravity is working in your favor. ![]() Having the support of a skilled doula to help support you during labor can make you more comfortable, and a doula can help with positions to get things back on course if the process isn’t happening smoothly, if progress slows, or if you experience variations in labor that make birth extra long or difficult. Chiropractors who specialize in prenatal care often also attend births and are an amazing resource to have during a difficult labor. Regular care by a Webster-certified chiropractor during pregnancy can help make sure your body is optimally prepared for birth. Top THREE tips to ensure your body and baby work together for a smooth labor and delivery This movement tends to happen quickly and fluidly once the front shoulder has emerged.Īnd that’s how your baby moves from your cervix into your arms! It’s a natural process, but a complex one. Expulsion: Once external rotation has occurred, the anterior (forward) shoulder emerges, followed by the posterior (rear) shoulder and the rest of the baby’s body. This allows the shoulders to fit down and under the pubic arch. Extension: Your baby’s head is delivered as it passes under the pubic arch and through the vagina! External Rotation: After the head emerges, there is typically a pause in labor as the baby rotates its head from facing up to facing either to the left or right, toward one thigh.
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She has played characters in some high-profile games, including Josephine Montilyet in Dragon Age: Inquisition, Dorothea & Shamir in Fire Emblem: Three Houses, and Bloodhound in Apex Legends. Regardless, she is undoubtedly a force to be reckoned with.Īllegra Clark is the exceptional Genshin Impact voice actor who speaks for Beidou. Some say she can harness electro energy through her sword, and some say she once split a colossal sea monster in half with just one swing of her claymore. Some say she would kill a man if he asked her about sea shanties. However, she has no problem with paying off her fines.īeidou is known for the exaggerated stories people tell of her. She has stated that she is used to spending more time at sea than on land and is a frequent breaker of the region’s rules. ![]() In her hometown of Liyue, she is part of The Crux, a crew of heavily armed sailors. No need to fear it on the open ocean, so there’s even less need to fear it on open land.”īeidou fights with a claymore and the Electro element. She has also voiced many characters on TV, such as Gerheade in The Seven Deadly Sins, Young Thorfinn Thordarson in Vinland Saga, and Wangari in Little Witch Academia. She is also set to play Einherjar in God of War: Ragnarök. Her other video game voice acting credits include Komitsu in Monster Hunter Rise, Skyla and other roles in Pokémon Masters. Laura Stahl is the English version’s Genshin Impact voice actor for Barbara and Xinyan. However, she doubts her own abilities and importance. She is beloved by the people of her home region. They also say that the sight of her can make them feel motivated. She is hardworking and charismatic but clumsy too.īarbara’s healing abilities can cure physical ailments, and the people of Mondstadt say that just seeing her can make your problems disappear. As the Deaconess of the Church of Favonius, Barbara considers herself an idol. She is the daughter of Frederica Gunnhildr and Seamus Pegg, as well as the sister of Jean. “The weather is so amazing! I could burst into song.”īarbara Pegg is a descendant of the Gunnhildr clan whose weapon type is a catalyst, and she uses the Hydro element. Some of her other videogame roles include Melodia in Disgaea 6: Defiance of Destiny, Letizia/ Lyre in Fire Emblem Heroes, and Pholia in Shadowverse. Harper in Doctor Who the Reasoning: A New Era, and Spartan Smith in The Rise of King Asilas. ![]() However, she has demonstrated her incredible talent in other parts, including for television shows such as Clara Contard in Miraculous: Tales of Ladybug and Cat Noir, Mrs. Kelly Baskin, professional yoga instructor and voice actor, has a shorter list of roles to her name than the average Genshin Impact voice actor. Like him, Amber then decided to become a member of the Knights of Favonius. Some of her mischiefs included setting fire to a Dendro Slime’s leaves and dropping eggs on her grandfather’s head. Growing up, he was always trying to get her out of trouble. With her outgoing personality, she is an energetic role model.Īmber had a special relationship with her grandfather. However, she has had her licence revoked many times when deciding to bend the rules. Amber has mastered her use of the glider, becoming a three-time winner of the Mondstadt gliding championship. She is the last remaining Outrider of the Knights of Favonius and considers it her duty to help the people of Mondstadt with any task, small or large. “Remember that I don’t go easy on anyone, even you!”Īmber is from the Mondstadt region and uses a bow as well as the Pyro element. These voice lines can be accessed from the character menu and are all completely unique to who you are playing as.īrowse the Genshin Impact voice actors and explore the game’s incredible characters. Each character has a long list of voice lines that naturally fit in during specific situations such as one for when it’s raining and one for when you’re standing still. As you unlock more and more playable characters through making wishes, you will build a team, each with varying skills and abilities.ĭiscover the Genshin Impact voice actors. ![]() ![]() With ingredients & collectables to find, quests to complete, puzzles to solve, chests to open, enemy & boss fights to win and dungeons to conquer, you won’t be short of things to do or places to explore.Īfter being attacked at the beginning of the game, you must start your mission to find your twin who has been captured. With dozens of playable characters and more being announced frequently, the game offers plenty of customisation as you combine and change any 4 playable characters to create your team as you travel the land.Ĭomposed of 7 major cities, each ruled by a god, the game takes place in the beautiful and expansive world of Tayvat. Genshin Impact is a free to play multiplayer action-adventure RPG created by miHoYo. ![]() Don't use different types of design elements at the top of your infographic than you do at the bottom.įor example, if you start using line icons in your infographic design, make sure that you use line icons throughout the entire visual. It’s important to also note that consistency is key. ![]() Check out the example below to see what we mean: In a design like this, your text should be mostly supplementary. The term infographic is literally “informational graphic” put together, so by definition, it needs to include graphic elements alongside all the text, data points and supporting arguments.Īlso, you need to make sure your infographic still makes sense even after taking most of the text out. And if there’s one thing your infographic shouldn’t be, it’s all text. After all, what is an infographic without visuals? Basically only text. ![]() ![]() This is one of the most important infographic best practices in this entire list. 2. Infographic Best Practice: Let Your Visuals Do the Talking This ensures your infographic will reach the right people, and drive leads and traffic to your website. What is going to get them more interested in your business or industry? What would entice them to buy?īrainstorm a list of topics and make sure each one has a specific audience that it caters to. When you start paying attention to your audience and keeping them in mind, it becomes much easier to determine your infographic topic. At the same time, it's working to convince and convert the audience into paying customers. The entire infographic covers information that is all going back to the single main topic, keeping it succinct and cohesive. The infographic explains exactly why, and it includes statistics to support its main point. It’s very obvious what this infographic’s viewpoint is: you should be taking advantage of video marketing. Here's an example of an infographic topic that's a good fit for companies that offer digital or video marketing services: This is how you draw potential leads and customers in, engage them with your content and get them to click over to your website. You should always stick to infographic topics that are interesting to your audience. There are so many topics to choose from.īut which of those topics are only interesting to you because you’re passionate about your business? And which topics would actually be of interest and offer value to your target audience? How do you pick your infographic topic or main point?Ĭhoosing your infographic topic can seem tricky. Make it as easy as possible to see and understand your point right off the bat.Įach time you’re getting started on a new infographic for your company, you need to decide on your topic, and don’t delve into different interpretations, side arguments or tangents of your main point. This is exactly how you want to set up your infographic. This Visme infographic is designed to be simple and focus on a single main point: how to increase blog engagement.Įach supporting element in this infographic details a step involved in doing so. An infographic is simply meant to visually illustrate a set of data or supporting arguments for one main point.įor example, look at this infographic on ways to increase blog engagement: There are other times and places for in-depth content, like a long-form blog article, an ebook, or an online course. Infographic Best Practice: Stick to One Main PointĪn infographic isn’t the place to do a deep dive into a topic. Ready to take advantage of your next infographic? Make sure you stick to these proven best practices in each and every infographic design: 1. Traffic that, in turn, will likely turn into paying customers! This article will help you understand the six infographic best practices your business needs to start pumping out compelling visuals that tell your story, convey information and drive traffic to your website. These best practices exist to help designers and non-designers alike follow a sort of blueprint while creating their infographics. When it comes to creating an infographic that is both educational and visually appealing, there are a few infographic best practices that business owners and marketers should always keep in mind. So many companies are working to create infographics, but they keep missing the mark. An infographic can be an extremely powerful way to display information for your audience, but only if it’s done correctly. "It’s super simple, so get creative!" - Brit+Co
3/9/2024 0 Comments Correlation scatter plot r![]()
Look for trainers with a proven track record of success, such as Paul Owens (Original Dog Whisperer), Grisha Stewart (Behavior Adjustment Training), Larry Benoit, John Garcia, or Martin Deeley. ![]() Costs vary depending on services needed inquire about one-on-one training sessions or group classes that can provide socialization needs too. Positive reinforcement is key for success look into a trainer’s methods of trust-building and rewards versus punishments. When looking for the right dog trainer, it’s important to consider their experience and expertise in understanding canine behavior, as well as credentials from organizations like CPDT-KA, IAABC, KPA, CTC, or Fear Free. Experience, expertise, successful track records, and reputation with clients are all important factors in determining who is truly the best when it comes to training your furry friend.Ĭlient testimonials can also be a great indicator of how well a particular trainer works with dogs and their owners. There are different training programs available, including online and private sessions.įinding the best dog trainer requires more than just searching for credentials and educational background.Puppy training focuses on socialization and developing good habits.When choosing a trainer, consider their credentials and track record.Positive reinforcement and force-free methods are recommended. ![]() Ultimately, though, if you’re searching for a great doggy mentor, then there are certain qualities which should be looked out for: from techniques used during lessons right down to rate plans offered – it’s all important info when considering your pup’s future successes! Similarly, Grisha Stewart has earned her place among some of the best dog trainers worldwide due to her innovative methodologies when it comes to reactivity training with pooches. He believes that positive reinforcement can help dogs become well-behaved members of any family. His approach to training focuses on developing trust through understanding between owner and pet alike. If you’re looking for some of the top names in canine instruction today, look no further than Paul Owens and Grisha Stewart - two renowned figures who have made their mark as world-class professionals.Ĭonsidered one of the greatest dog trainers alive today by many, Paul Owens is famously known as ‘the Dog Whisperer’. We may earn a commission, at no cost to you, if you purchase through links.ĭo you ever wonder what makes a dog trainer the best? It’s all about experience and expertise, a track record of success, and a reputation based on client testimonials. 3/9/2024 0 Comments Silvadene cream 20 year old![]() Silver Sulphadiazine is a local chemotherapeutic agent for prevention and treatment of burn wound infections. Primary blistering disorders, we recommend that clinicians exercise caution when prescribing protracted wound care with SSDįor blistering disorders, particularly when renal failure is concurrent or imminent.Prophylaxis and treatment of infection in burn wounds-Īs an adjunct to short-term treatment of infection inĪs an adjunct to prophylaxis of infection inĬonservative management of Finger-tip injuries In light of the existing literature on SSD use in burn patients, as well as the scarcity of data on SSD use in patients with However, patients with chronicīlistering disorders may never reach this point. At this point in therapy, SSD would be an ideal choice if an endpoint in therapy is expected. As the wound heals and forms granulation tissue, the rate of silverĪbsorption from SSD cream decreases due to improved barrier function and greater degree of silver-bound tissue. This feature may also be seen with bullous disorders. In partial thickness burns, the blood supply remains intact and is exposed, enhancing SSDĪbsorption and distribution. ![]() Chronic repair, prolonged therapy, and potentially widespread distribution of bullous lesions predispose these patients In burn patients, maximum silver absorption occurs during the initial inflammatory and migratory phases of wound healing. Signs and symptoms resolved after withdrawal of SSD cream and hemodialysis. The patient was found to have elevated serum and urine Of SSD cream to pyoderma gangrenosum wounds of the lower extremities. Conversely, Chaby et al reported a case of acute renal failure and leucopenia with neutropenia induced by large-scale application Stage renal disease treated with SSD cream for 2 weeks. Iwasaki et al reported elevated serum silver levels and rapid deterioration of mental status in a burn patient with end Thus amount of cream used, positively correlated with urinary silver excretion. Boosalis et al noted modestly elevated serum silver levels and markedlyĮlevated urinary silver excretion in 23 patients with second- and third-degree burns treated with SSD cream. Renal insufficiency accelerates silver accumulation. The sulfadiazine portion is eliminated quickly, whereas the silver Silver sulfadiazine is eliminated via renal excretion. It is thought that this transient leucopenia portends little risk for the patient. Leucopenia is commonly reported during the first two to three days of therapy with SSD cream but generally resolves spontaneously Hepatic, renal, and neurological toxicity may ensue. Silver also deposits in the labial mucosa, gingiva, cornea, and internal organs. Prolonged use of SSD cream may lead to argyria. Risk of systemic absorption and toxicity. Prolonged and excessive use of SSD cream in the treatment of extensive and chronic blistering disorders likely confers significant ![]() The association of SSD cream use and silver toxicity is well-demonstrated in the literature with reference to burn patients. Used commonly to treat bullous disorders, such as pemphigus vulgaris, epidermolysis bullosa, and toxic epidermal necrolysis. Silver sulfadiazine (SSD) cream, known for its antibacterial effects when used as a dressing for extensive burn wounds, is When prescribing protracted wound care with SSD for blistering disorders. Hence we recommend that clinicians exercise caution In burn patients may be applicable to patients with bullous diseases. Renal insufficiency accelerates silver accumulation and thus toxicity.ĭata on silver toxicity in patients with primary blistering disorders is scarce however the literature regarding silver toxicity Toxicity has been well documented in burn patients. The beneficial antibacterial effect of SSD use is not without risk, as silver Management of erosions in bullous disorders. Silver sulfadiazine (SSD) cream, most known for its use in the treatment of extensive burn wounds, is commonly used in the Silver sulfadiazine therapy in widespread bullous disorders: Potential for toxicityĮmily M Mintz, Dornechia E George, Sylvia Hsu Dermatology Online Journal 14 (3): 19 Department of Dermatology, Baylor College of Medicine, Houston, TX, USA Abstract 3/9/2024 0 Comments Mixlr dead and co![]() ![]() Moment of Surrender (snippet) / Where the Streets Have No Name.Beautiful Day / Blackbird (snippet) / Glorify (snippet)Īll details for this show including reviews, videos and photos can be found here.If you attended the show we ask you to share your concert review or photos with other site visitors. You can post your review of the show here and upload your pictures here. For Garcia, it was immediately clear that the tune would need room to breathe.The band performed their 10th and 11th concerts at the Sphere on consecutive days, and both had some sort of surprise in store for attendees. "'Terrapin,' even from the inception, was clearly a side, and orchestrated," Garcia told BAM magazine in 1977. Fleshed out, the seven-section song reached 16 minutes in length. "We had a lot of material," Garcia added. "There were two or three tunes that didn't make it onto the album." This abundance of material could probably be attributed to the fact that the Grateful Dead suddenly had a fair amount of time on their hands - something they were not necessarily used to. They'd played a series of shows in October 1974 at San Francisco's Winterland Ballroom which was filmed and released as The Grateful Dead Movie, and then began a two-year hiatus from touring. When they resumed in 1976, the Grateful Dead entered a new label contract: Their in-house label, Grateful Dead Records, had finally folded. They'd released three studio albums (1973's Wake of the Flood, 1974's From the Mars Hotel and 1975's Blues for Allah), plus a live double album (1976's Steal Your Face), and the pressure to maintain both a functional touring group and a cohesive business enterprise was too much. Grateful Dead signed a deal in 1976 with Arista Records' Clive Davis, who had one stipulation: They needed to bring in an outside producer. Except for Stephen Barncard, who co-produced 1970's American Beauty, the band had not worked with an outside producer since 1968's Anthem of the Sun. Listen to Grateful Dead's 'Terrapin Part 1'ĭavis, as Garcia recalled, was not trying to overstep. He wouldn't ever insist on handling us in any way," Garcia told BAM. So, fundamentally, we were in the space of, 'Let's just make music, and let's go into it as far as we can.' So the idea of having a producer was tied into that same idea." "When we started working with Arista, we did it thinking, 'What the fuck, it'll be nice to be involved with a record company, and not have to be doing the marketing ourselves, not have to do distribution' - just getting that held off. One of the producers Davis suggested for the album that would become Terrapin Station was Keith Olsen, who had recently helmed Fleetwood Mac's immensely successful 1975 self-titled album. That seemed to provide clear evidence that Olsen knew how to navigate a complex group dynamic. "If a producer is working with a solo artist, then he's designing the album from top to bottom he has control of the musicians who are playing. That's a level of production that you can do really well," Garcia added. "When you're producing a group, you're dealing with the interior dynamics of the group. You have to be psychologically involved you have to be emotionally involved. Olsen is a real good producer, as far as I'm concerned." You have to know what's going on, and you have to be on top of it. It was still an entirely new situation for Olsen. "Not like any other artist ever," he told Brian Sword in 2014. "I mean, the stories would go on for hours and hours. She can cook and present at least one healthy meal a day - so we won’t get ill and can survive the ordeal.' That will give you a hint of what it was like in the studio." They had a meeting that said: 'When we are in the studio, sometimes we do too many drugs and we don’t take care of ourselves very well. Olsen's willingness to let the Grateful Dead lead - instead of the other way round – was crucial to their collaboration on Terrapin Station. "What Keith Olsen did, and the only way he could have worked with Grateful Dead was this: he spent some time with us while we were rehearsing," Garcia told BAM. 3/9/2024 0 Comments Download free resume templates![]() Work experience on a resume is one of those things that’s easy to learn, hard to master.Įach work experience entry should contain the following: ![]() On the other hand, if you’re a student or just don’t have a lot of work experience, read our article on how to create a resume objective instead. To learn more about how to create a resume summary that excels, check out our guide. “Professional with X+ years of work experience in. Want your resume summary to stand out? Use this proven formula: It should, in 2-4 sentences, explain what your background is, and why it’s relevant for the position you’re applying for. Think of it as an introduction to the rest of your resume. Your resume summary is a “hook” that goes on top of your resume. all of our templates are one-page resume templates, so you shouldn’t have a lot of trouble sticking to the one-page limit! How to Write a Resume Summary? Long answer: check out our guide on how long should a resume be. If you have a lot of work experience (10 years +), sometimes it makes sense to make it 2 pages MAX if everything you mention is super relevant for the position you’re applying for. How Long Should a Resume Be?Īh, the most popular resume question in the world: “how long should your resume be?” If you want to learn more about resume formats, check out our comparison guide. Unless you’re looking to create a career change resume, we’d recommend sticking with this format. ![]() That’s the format most resumes you’ve seen follow - its main focus is your work experience, written down in reverse-chronological order. In 99% of the cases, you’ll want to go with the Reverse Chronological resume format. If you want to personalize your resume a bit more, you can also include the following sections:įor more information on how to place these sections on your resume, check out our article on what to put on a resume. Instead, you should focus on what you DO have: education, projects, volunteering experience, hobbies & interests.įor a complete guide on how to make a resume with no work experience stand out, check out our article. If you’re applying for an entry-level job or an internship, no one expects you to have ANY work experience. So, what the heck can you include in your resume if you have none? After all, most resume examples you see on the web are 80% about work experience. The process of writing a resume might seem super scary to you. How to Write a Resume for Your First Job? Want to learn how? Check out our complete guide on how to make a resume. If you manage to create a “good” resume, you’re going to 2x your chances of getting hired. When applying for a job, you’re (in most cases) going to be asked for a resume accompanied by a cover letter. Its main purpose is to show off your best self to potential employers. A resume is a brief summary of personal and professional experiences, skills, and education history. 3/9/2024 0 Comments Warcraft 3 reforged mods![]() Valve won, seemingly.Īfter the Dota 2 naming dispute, mods only became more influential and important. It got to use the full name, Defense of the Ancients, but agreed to change the name of Blizzard DOTA to Blizzard All-Stars, which later became Heroes of The Storm. Valve got to keep the name Dota 2 and Blizzard got-well, we're not sure. The companies settled the dispute out of court. In 2012, Blizzard went after Valve over its trademark filing for the name "Dota 2." Blizzard argued that the Warcraft 3 custom game Defense of the Ancients, also known as DotA, was associated exclusively with Warcraft and Blizzard, and that Valve had no right to trademark the acronym for a new game, especially because "Ancients" was a reference to Warcraft lore. It may also be hoping to avoid another Dota 2 situation. (Image credit: Valve) Why claim ownership?Ĭlaiming ownership of your Warcraft 3 maps does simplify things: There's no need for Blizzard to explain every possible way in which it is free to use your work, because it's simply saying that your work is its work. Valve trademarked the name 'Dota 2' in 2012, even though Defense of the Ancients was a Warcraft mod. That means that not only can it distribute your map until the end of time, it can theoretically prevent you from distributing it yourself, or from reusing any of the original work you put into it, whether that's for a mod for another game, a standalone game, or anything else. What makes Blizzard's EULA different is that it is claiming exclusive ownership of your work. You're sharing the rights to the work, in other words. ![]() The company you gave a non-exclusive license to can also do those things. You can license them to someone else, or sell them on a shirt. "Non-exclusive" is the important word here: It means that the parts of your mod that are wholly original-your original art, for example-are also yours to do with what you want. You've given Valve a non-exclusive license to everything you've uploaded by agreeing to the Steam Subscriber Agreement. Non-exclusive licensing agreements can be found all over the place, and for the most part, they exist simply so that you can't upload something to Steam Workshop and then claim Valve is infringing on your copyright by hosting it. Not only can Blizzard distribute your map until the end of time, it can theoretically prevent you from distributing it yourself. |
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