![]() Then, norepinephrine infusion therapy (0.1 mcg/kg/min) was started because she had peripheral vasodilatation symptoms and flushing. She was in cardiogenic shock and dopamine infusion, at a rate of 10 mcg/kg/min was started, and calcium gluconate was given for CCB toxicity but her vital parameters did not change. In our follow-up, her general condition was poor and lethargic bradycardia and ventricular extrasystoles were seen in the ECG. Hyperglycemia was not found in the patient's blood glucose monitoring. In the laboratory analyses, complete blood count, renal function tests, serum electrolytes, and arterial blood gas analyses were taken, and all the results were within normal limits apart from elevated lactate levels (5.2 mml/L). A central venous catheter was inserted quickly and 2500 ml/m2 hydration was started. The patient was taken to the PICU because her bradycardia and hypotension were resistant despite treatment. 20 ml/kg 0.9% saline infusion has been given to the patient two times in the emergency department. In the emergency department, gastric lavage and active charcoal treatment were not performed because she received the drug 10 h before the admission. She was lethargic, her arterial blood pressure (BP), heart rate, respiration rate, and body temperature were measured as 57/32 mmHg, 50/min, 14/min, and 36.2☌, respectively. On her physical examination, her body weight was 60 kg and her height was 157 cm. Her serial electrocardiography (ECGs) were obtained. The patient underwent continuous cardiac monitoring. The patient stated that she had ingested 40 tablets verapamil (contains 120 mg verapamil hydrochloride in each tablet) 10 h before the emergency service admission. Case ReportĪ 14-year-old girl was admitted to the pediatric emergency room with complaints of vomiting and dizziness. Here, we would like to report the early use of ILE therapy in verapamil intoxication in a 14-year-old girl who was followed with resistant hypotension and bradycardia in our pediatric intensive care unit (PICU). Intravenous calcium supplements, glucagon, hyperinsulinemic euglycemia (HIE) treatment, and in recent years, lipid emulsion therapy are recommended treatment methods in verapamil intoxication. Gastrointestinal decontamination is the first-line therapy. In verapamil intoxication, there is no known antidote. Metabolic acidosis and hyperglycemia are other common symptoms. Hypotension and bradycardia are the most common symptoms in CCB intoxication. ILE therapy began to be used for therapeutic purposes in the systemic toxicity of local anesthetic drugs in 2006, and then it was used for lipophilic drug toxicity, and successful results have been reported in intoxications with calcium channel blockers (CCBs), beta-blockers, neuroleptics, antidepressants, and anticonvulsants. Initial studies were done in the late 1990s. In recent years, intravenous lipid emulsion therapy (ILE) has been frequently used in the intoxications of anesthetic and lipophilic drugs after animal experiments. We believe our report may contribute to the early use of ILE therapy for toxicity with calcium channel blockers such as verapamil in pediatric patients. She had resistant bradycardia and hypotension which was unresponsive to inotropic agents and a successful result was obtained after using ILE treatment. We used ILE therapy in a 14-year-old girl with verapamil intoxication in the 2 nd h of the pediatric intensive care unit stay, before using traditional treatments such as glucagon and hyperinsulinemic euglycemia. In the literature, there is a small number of reported cases about verapamil intoxication and ILE therapy in the pediatric age group. In recent years, intravenous lipid emulsion therapy (ILE) was used for lipophilic drug intoxications, and successful results were obtained. ![]() Keywords: Children, intoxication, lipid emulsion therapy, verapamil Abstract Merve Havan 1*, Tanıl Kendirli 1, Serhan Özcan 1, Melih Timuçin Doğan 2, Ahmet Onur Yiğit 1, Tayfun Uçar 2ġDepartment of Pediatric Intensive Care, School of Medicine, Ankara University, Ankara, TurkeyĢDepartment of Pediatric Cardiology, School of Medicine, Ankara University, Ankara, Turkey A successful treatment with intravenous lipid emulsion therapy in a child with verapamil poisoning ![]()
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![]() ![]() Optoma UHD30īenQ TK 800 is perhaps the best selling Home Theater Projector available in the market nowadays. If you want to purchase one of the best projectors on the market today, then you should definitely check out the optimal uhd50x. This is a huge advantage that many people love when it comes to the technology that is used in a television. The response time on this model is very quick and it can easily adjust to the speed of your movements on the screen. The resolution of this screen size is better than most plasma TVs which can be found today and this means that you will not have to suffer from any blurry images. ![]() In terms of how it looks, the most outstanding thing about the Optoma UHD50X is that it features a very sharp screen. All of these features are sure to provide consumers with the best in picture quality. There is even a night light included that can help to provide additional light to the screen no matter what time of night it is. It also features an advanced dimming feature that will ensure that you are able to watch without having to overly light the screen. It has a very thin bezel on the screen meaning that there is tons of space available for the user to be able to get creative with the way in which they display the media. This particular model offers users the benefits of a smart television as well as the benefits of a projector. The technology incorporated into this model is top notch and is able to deliver images that rival even some of the high end televisions on the market today. This company has made sure that its technology, which includes the UHD50X projector, is able to work flawlessly in order for it to be able to offer the best products and the best services for those who are in need. The company known as Optoma UHD50X is one of the most trustworthy manufacturers of projectors. Moreover, you will be able to watch your favorite videos in crystal clear resolution. This projector will allow you to do so and you will be able to enjoy watching your favorite movies at the best possible quality. If you are looking for a device that can allow you to watch movies with the best picture and sound quality, you will definitely want to buy the Viewsonic LS810. This is one of the main reasons why this projector performs well with any operating system. Moreover, this product also works perfectly with any Windows operating system. This particular product is able to project crisp and clear image so you will not be having problems while watching movies with the help of this device. One of the best things about this projector is that you will be able to watch movies with the best picture and sound quality. This particular device can be a little costly than other similar products of the same class but once you see its functions, you will find out that its price is well worth it. This projector is manufactured by the renowned company Viewsonic and it comes with high quality and great features that can help you in having a great time while watching your favorite videos. The Viewsonic LS810 is considered as the best projector available in the market today. This kind of projector is an ideal choice for people who do not want to spend too much money on the purchase of a new television set or a brand new system to watch videos. Thus you will not have to worry about getting distorted images when you watch your favorite movies or videos. The technology incorporated in this projector is such that you get excellent clarity throughout. With the help of this, you can also watch high definition videos and movies in a better way. This projector offers a great clarity and color clarity and thus is well worth its price. The Best 8k Projector from Optoma is a dual screen system and thus offers you better quality images than other similar models in the market. These projectors are quite impressive and provide high definition visuals with the help of state of the art technology. Optoma designed and produced the Best 8k Projector for you which not only gives a clear picture and crisp image, but also helps you save money on the purchase. ![]() ![]() The Full Stack Developer: Your essential guide to the everyday skills Overall, Modern Full-Stack Development is an excellent resource for anyone looking to learn more about full stack development. With "Modern Full-Stack Development", you'll have everything you need to build web applications that are scalable, responsive, and easy to maintain. The book also covers tools for development and testing, including Webpack, Babel, and Jest. You'll learn about Node.js features such as the Event Loop and Streams. The book starts with an introduction to TypeScript and then explores React concepts such as components, props, and state. In "Modern Full-Stack Development", Frank Zammetti shows you how to use TypeScript, React, and Node.js to build modern web applications.
![]() ![]() OpenPGP has been enabled by default since version 78.2.1. Thunderbird 78 has built-in support for two encryption standards, OpenPGP and S/MIME. Please refer to the article Introduction to End-to-end encryption in Thunderbird where we explain some of the basics. What is end-to-end encryption about, and how does it work?Įnd-to-end encryption (e2ee) makes communications safer against being spied on by third parties. 43 I received an encrypted email with a hidden recipient (key ID 0x00000000) and Thunderbird cannot decrypt it.42 Thunderbird was automatically upgraded to version 78, but I prefer to stay with Thunderbird 68 and Enigmail.41 I am seeing a problem and I want to try and analyze it myself.40 How can I check if the problem I have has already been reported?.39 Where can I ask questions about, or report problems with the OpenPGP feature?.38 I am using Enigmail 2.2.x to perform a migration, but the import appears stuck.37 I previously used Enigmail's Junior Mode (green, red, yellow symbols), what are my options?.34 I need to use both GnuPG and Thunderbird in parallel, can I synchronize my keys?.33 How can I export my secret or public key?.32 Where does Thunderbird store OpenPGP keys?.31 How does Thunderbird store which keys are accepted?.30 Does Thunderbird support the Web Of Trust?.29 Can I disable the encryption of the email subject?.28 Does Thunderbird support per recipient rules or filter rules to automatically decrypt emails?.27 I used an advanced configuration with GnuPG to use a group of recipients and define the keys to be used.It is too big to include it with every signed message. 26 My public key is very big, because I have many signatures on it.25 Why does Thunderbird automatically send my public key whenever I digitally sign an email?.24 Why does Thunderbird automatically enable the digital signature when I enable encryption?.23 I had configured the Enigmail add-on to trust all usable keys. ![]() 22 Does Thunderbird support opportunistic or automatic encryption?.21 How do I get the public keys of my correspondents?.20 Why is encryption automatically enabled when I reply to an encrypted message?.19 Why do I have to mark my own secret key as accepted as a personal key?.17 What is needed to send an encrypted message?.16 How do I send an encrypted or digitally signed email?.15 Can I use an OpenPGP smartcard or a hardware token with Thunderbird 78?.14 If my secret key isn't supported by Thunderbird, what can I do?.13 I have imported my secret key, but Thunderbird cannot decrypt my emails. ![]()
![]() ![]() Surrounded by the four Reed brothers- all with very different personalities- Claire’s life as their personal maid begins. A house of excellent pedigree, they have managed the chivalric order for generations.Ī commander even at his young age, Adel took Claire into the mansion he lives in to work as a maid, as she had no other relatives. The Reed family is a noble family famous all over the country. Piofiore is on sale (42) on Amazon and Walmart (physical). (Wintertide Miracle is the 2nd fan disc). Claire was about to be taken away by the thief. The 1st fandisk of Code:Realize (Future Blessings) is currently on sale on Amazon and Walmart (physical, 25) but the main game (Guardian of Rebirth) is not. The thief that raided Claire’s house killed both of her parents. FebruYurika 17 Comments This time the story puts our Vitamin X cast into an alternate universe where Minami Yuri is the Chief of her detective agency and the B6 are her employees They get people asking them to solve cases such as finding a cat or seeing if someone’s husband is cheating on his wife. One day, a group of thieves attacked Sandicht. ![]() As Anselia became gradually more and more disturbed, a sudden outbreak of thief gangs raiding one village to the next became an issue.Įven though it was peace at the moment, the residents of Sandicht knew that Sandicht would be no exception and lived everyday in fear of being next.Īnd then, the tragedy they so feared came to be… However, the king had suddenly fallen ill and collapsed, throwing the country into chaos. ![]() Though poor, they lead happy lives.įor a long time, the king, Anselia, had lead his country to prosperity under an absolute monarchical rule. In Sandicht- a small village far away from the country’s capital, Anselm- lived the protagonist Claire Eithéa with her parents. ![]() ![]() And in the romantic and decadent spirit of a full box of chocolates, Dunkin’s Mocha Macchiato offers the combo of rich espresso and deep chocolate flavors. Starting with sweet sips for espresso lovers’ lips, Dunkin’ is once again serving the whimsical and playful Pink Velvet Macchiato, bringing the experience of biting into a delicious red velvet cupcake by combining Dunkin’s espresso with red velvet cake flavor and hints of smooth cream cheese icing. ![]() Sweet Sips and Sweet Hearts for any Valentine CelebrationĪvailable today for a limited time at participating Dunkin’ restaurants nationwide, Dunkin’s seasonal menu offers choices to fit any Valentine’s Day mood or moment. ![]() And, inspired by being part of so many fans’ love stories, Dunkin’ will debut its first-ever, online wedding-themed pop-up shop, and will put marriage on the menu by giving select fans the chance to kick off Valentine’s Day weekend with a Dunkin’ drive-thru wedding ceremony. For more information, visit Dunkin’ lovers everywhere: No matter how Valentine’s Day is celebrated, Dunkin’ is making it easy to feel the love and share in the sweetness of the holiday with a lineup of sweet sips and treats, featuring beautifully bold espresso beverages and perfect pairings of heart-shaped donuts. Dunkin' is part of the Inspire Brands family of restaurants. The company has more than 12,600 franchised restaurants in 40 countries worldwide. 1 ranking for customer loyalty in the coffee category for 16 years running. Dunkin' is a market leader in the hot regular/decaf/flavored coffee, iced regular/decaf/flavored coffee, donut, bagel, and muffin categories. įounded in 1950, Dunkin' is America's favorite all-day, everyday stop for coffee and baked goods. To learn more about Dunkin’, visit or subscribe to the Dunkin’ blog to receive notifications at. Halloween is just the beginning of seasonal surprises at Dunkin’! Stay tuned for more sweet news coming soon. Not a member of Dunkin’ Rewards? It’s simple to join! To make sure you don’t miss out on any Halloween treats, create an account on the Dunkin’ app today or visit to earn points towards free food and drinks. ![]() Members can also order ahead on the app on Mondays to earn 100 bonus points. From now through October 31, Dunkin’ Rewards members can unlock FREE goodies, including a Breakfast Sandwich, 10-count MUNCHKINS® Donut Hole Treats or Bagel Minis with the purchase of any full-priced medium or larger beverage by October 31. With the brand’s revamped loyalty program, Dunkin’ Rewards members can fuel up for the full spectrum of spooky-season thrills with nearly magical offers. This show-stopping beverage features a striking layer of festive orange-hued peanut butter cup swirl that blends into a layer of espresso on top for an extra Halloween-spirited sip. ![]() The Dunk-o-Lantern is here! This festive treat features a classic pumpkin-shaped donut shell filled with vanilla-flavored butter crème filling, topped with orange icing, and a classic Jack-o'-lantern grin.įans won’t have to wait to trick-or-treat to enjoy one of the world’s favorite flavor combinations – chocolate and peanut butter! Back for a second year due to popular demand, the bone-chillingly bold Peanut Butter Cup Macchiato joins the fall menu to round out Dunkin’s autumnal sips. Pair this donut with an iced Peanut Butter Cup Macchiato to experience a dangerously delicious duo that screams Halloween. The fan-favorite Spider Donut captures the sweeter side of creepy-crawlies – a yeast ring donut frosted with orange icing and topped with a chocolate MUNCHKINS® donut hole treat resembles a fa-boo-lous spider, with chocolate drizzle for the spider legs and white drizzle for the eyes. The frightfully enchanting donut is back for a limited time this Halloween, ready for guests to dig in… if they dare. These scary delicious treats join Dunkin’s fall menu to complete the seasonal line-up, which includes the Blood Orange Dunkin’ Refresher. In celebration of the trick-or-treat spirit, the brand's bakery case is also dressed up for Halloween, as donut shells transform into pumpkin-shaped donuts, and sprinkles turn to festive orange-and-black. BOSTON (October 12, 2022) – Dunkin’® is keeping guests fueled to fright this season with a whole suite of Halloween treats! Beginning today, Dunkin’ fans can sink their fangs into the full flavor of the season with the Dunk-o-Lantern Donut, Spider Donut and Peanut Butter Cup Macchiato. ![]() ![]() ![]() We would have liked to see an OLED display in this price range, as is already common in competing products. For example, if you place it in front of you on the table and set the brightness to the lower third, the displayed things are rather difficult to recognize. One point of criticism can be found in the display selection. ![]() The display is a 23.6 cm / 10.4 inch TFT with a resolution of 2000 x 1200 pixels (WUXGA+). The plastic parts are on par with the metal and do not have the function of scratch protection. The S6 Lite is available in Oxford Gray and Angora Blue.ĭarker plastic applications have been incorporated at the edges to match the gray color scheme. The back has a very nice aluminum case, which is really good to touch. On the front, we have a glass panel that makes a very solid impression and even when pressed harder, no pressure marks can be seen on the display. A USB-C cable as well as a power plug complete the package. ![]() This is included in the scope of delivery of all S6 Lite versions. The most important addition is of course the S Pen. Since the WIFI version also offers the option to insert a microSD card. It does not matter whether you decide for or against the LTE version. As we already know from smartphones, we also get a SIM card pin here to open the card slot. In addition to the tablet itself, the typical sheets, such as user manual, quickstart guide and warranty conditions are included. ![]() ![]() ![]() As you watch children grow and learn, it quickly becomes obvious that each child has their own way of learning and interacting with the world around them.The bool type keyword is an alias for the. One child may spend hours curled up with a book, while another uses any excuse to go outside. One child begs to go to the museum, while another can’t stop pulling objects apart to discover how they work together. ![]() In the early 1980s, developmental psychologist and educational researcher Howard Gardner verified what many parents intuitively know: different children learn in different ways. He observed that even though all individuals in a group seemed to be equally intelligent, a lesson plan that worked successfully for some children didn’t work as well for others. ![]() Howard Gardner’s observations led him to publish Frames of Mind: The Theory of Multiple Intelligences in 1983.He asserted that different people approach learning in different ways and that children learn better in school when their individual learning styles are recognized and supported. He outlined seven different learning styles: auditory, visual, kinesthetic, interpersonal, intrapersonal, linguistic and logical-mathematical.Įducation has traditionally been focused around linguistic and logical-mathematical learning styles, however student centered learning models such as the Montessori method and the International Baccalaureate program have found success helping children learn in the way that is best for them. Let’s take a look at three often-overlooked learning styles to help you discover if your child is an Auditory, Visual or Kinesthetic learner. We’ll also share tips on how to help your child succeed if they are one of these learning styles. A Closer Look at the Auditory, Visual, and Kinesthetic Learning Styles 1. Auditory Learning Style:Īuditory learners learn best through their sense of hearing. This means they remember and understand new concepts better when they are explained out loud-even if they’re doing the speaking themselves. They can even better retain knowledge when new ideas are paired with nonverbal sounds such as music, drum beats or clapping. ![]() How to recognize Auditory LearnersĬhildren who are auditory learners often love music and can remember the words to songs they hear. They can easily follow spoken directions and, if they don’t understand something, will often say, “Tell me again.” Auditory learners like to read out loud, rather than silently, even when they’re alone. They would much rather have someone read a story to them than read it to themselves. The auditory learner’s understanding is much stronger when their teacher explains something to the class, rather than when they’re given a reading assignment. If you think you have an auditory learner on your hands, encourage your child to say things out loud. For example, a mini spelling bee can help your child practice spelling words by saying the letters rather than writing them out. You can also help your child practice reading by getting some books on tape and encouraging them to read along with the spoken words of the story. If your child has a lesson to learn, try recording them reading the lesson out loud and give them the audio to listen to later. When they’re stumped by a new concept, start a conversation about it, and let your child work through the logic of the problem by talking to you about it. When they’re trying to memorize something, suggest making up a silly song about it. Auditory learners are also often intrigued by word play and language patterns. ![]() ![]() ![]() ![]() Exploring the Best Hello Kitty Projection Alarm Clocks 1. Each clock is chosen not only for its functionality but also for its emotional connection and nostalgic value to Hello Kitty fans. To create a best collection, we consider various factors, including design aesthetics, innovative features, and limited edition releases. A best collection represents the epitome of quality, uniqueness, and appeal, encompassing carefully selected pieces that stand out in the market. In this captivating blog, we explore the concept of a “Best Collection” of Hello Kitty Projection Alarm Clocks, curated to delight enthusiasts and collectors. Introducing the Concept of a Best Collection Additionally, projection alarm clocks serve as gentle wake-up aids, easing you into your day with a soothing projection and soft alarm tones. This promotes better sleep hygiene by reducing screen time before bedtime. One key benefit is its ability to project the time and other relevant information onto the wall or ceiling, providing a convenient way to check the time without reaching for your phone or clock. Beyond its charming design, this functional timepiece offers a host of advantages that elevate your daily routines. In this captivating blog, we delve into the importance and numerous benefits of owning a Hello Kitty Projection Alarm Clock. Whether for kids, young adults, or avid fans, there’s a perfect match for every age group.ĭiscover the magic of Hello Kitty Projection Alarm Clocks and enhance your mornings with a touch of timeless cuteness! Importance and Benefits of Having a Projection Alarm Clock From classic designs to modern innovations, we explore the best options available, each exuding quality and durability. These charming clocks offer more than just a wake-up call they serve as decorative pieces, perfect for Hello Kitty enthusiasts and collectors alike. With their endearing design and customizable features, HK Projection Alarm Clocks capture hearts across generations. Combining the timeless appeal of Hello Kitty with the practicality of a projection alarm clock, these delightful gadgets add a touch of nostalgia to any space. ![]() Introducing the enchanting world of HK Projection Alarm Clocks, this blog presents a brief overview of these adorable timekeeping marvels. Brief Overview of Hello Kitty Projection Alarm Clocks ![]() ![]() ![]() ![]() If they are different brands or have tuning knobs on the ends, this question won’t work.Ī musical note one octave higher than the previous is twice the frequency of the previous. Question 6 is only appropriate if the set of tuning forks are uniform. Also, it contains substantial built-in templates that you can use for free, or share your science diagrams with others in our template community.In-depth background information for teachers and interested students. In conclusion, EdrawMax Online is a quick-start diagramming tool, which is easier to make artery and vein diagram and any 280 types of diagrams. The students and researchers must use the EdrawMax Online tool. However, it may be challenging to create a high-quality tuning fork resonance diagram by hand. Therefore, to learn about the tuning fork resonance experiment, the students should use scientific diagrams. A correct setup and procedure can give an accurate result. For these subjects, experiments largely depend on the process. It causes the food to heat up for cooking.ĭuring an experiment of mechanics or physics, it is best to use scientific diagrams. They absorb the wavelength at a specific frequency and vibrate.
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