11/21/2023 0 Comments Surgical treatment for penile fractureThe reason I love working with a group like TURNS is the ability to use our collective knowledge to help improve patient care. The patient’s penis was repaired and was recently seen and found to be functioning normally. Old blood, or hematoma, was drained and large defect was seen:įigure: Small incision in the penis with drainage of old blood reveals a large tear in the tunica albuginea identified by the white arrow. The patient was taken to the operating room where a small incision was made. There was debate amongst the group but the general consensus is that surgical exploration and repair was reasonable. I was able to get a real time opinion from experts located across the country. Within five minutes, two members already weighed in. While talking to the patient in the middle of clinic, I emailed the TURNS group to get their opinions on this delayed repair. Not sure if surgery would make a difference, I reached out to my colleagues in TURNS. The longest delayed fracture I had personally repaired was around seven days. He wasn’t getting better and wanted a second opinion. This particular patient presented nearly three weeks after injury when he was told to just watch his injury. This happens for a variety of reasons but the most common are delayed presentation due to embarrassment and the time it takes to be evaluated by a urologist for repair. Many fractures are repaired a few days after they occur. The penis can be conservatively watched but studies show these patients will generally get worse erectile dysfunction and penile curvature when compared to those having surgery. The most effective treatment for penile fracture is a surgical repair at the time of injury. When this layer is torn the patient will feel a painful pop, loses their erection, and develops severe bruising. The tunica albuginea is a tough leathery layer of the penis that traps blood inside, resulting in an erection. The downward force of the female pelvis bends the penis at a severe angle and causes the tunica albuginea to rupture. The most common mechanism of injury is when the female partner is on top and the penis slips out of the vagina. Penile fractures are uncommon injuries that are often a result of sexual intercourse. I gave her instructions to get him in the very next day so we could investigate the matter further. My secretary, who is trained to spot unique requests brought it to my attention. Penile fracture is one of a handful of urgent cases in urology. Despite being delivered in the routine way, this was no ordinary consult. The referral was sent to the office via the FAX machine. The other day I received a request to evaluate a man with a penile fracture.
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11/21/2023 0 Comments Parkitect controlsAdventure park or fantasy land? Why not both? The only limit is your imagination. Great scale - Endless of possibilitiesParkitect maps are huge, yet every tile matters. Spinning, looping, launching, flying - with over 70 of the worlds most popular types of theme park rides you'll always be able to surprise your guests. Top off that park with your very own roller coaster! Design it yourself or choose from a number of exciting designs. And for more you can get custom scenery from the Steam Workshop or mod in your own! Both the campaign and the sandbox mode can be played in singleplayer mode or cooperatively by up to 8 players building together online! Build and experimentĬreate the perfect park for your guests! Deform the terrain, place water, build structures! With a huge selection of deco objects from various themes you can design your park however you want. Construct your own coasters, design an efficiently operating park that fully immerses your guests in its theming and play through the campaign. It would be a much more rounded game after that.Welcome to Parkitect, a modern take on a classic theme park tycoon where you build and manage the theme parks of your dreams. I guess more content, better performance, and then that would be it. What else would get me to play for longer? You can sell your prison once you are happy with it, and then start on a new map with the funds made from selling your last prison.Īdd a world map screen where you have to buy plots of land with limited locations to choose from, (that get blocked off each time you build on a lot, getting more expensive over time), then add the ability to remember researched items between prisons, (and add more research-ables to compensate for the fact that you get to keep them), and you have a good campaign mode! No need for objectives or scenarios, except for grants. Prison Architect has a poor campaign, yet if you go into Sandbox mode and activate money, you can create your own interesting campaign. Is there an alternative to story/event driven scenarios? That’s right, I was disappointed with the first game’s scenarios too! Without these ideas suggested below, the scenarios will become like the ones in Cities Skylines, Planet Coaster, Rollercoaster Tycoon 3, Rollercoaster Tycoon 2, and even Rollercoaster Tycoon 1. In particular, the idea of having goals appear over time one after the other would allow for complex scenarios, where the scenario is almost a campaign in of itself. In the post I talked about positive events, like gaining popularity, or negative events, like being sued lots of money. “Ooh look, I inherited this theme park from my old Great Uncle Billy!” Rather, I’m talking about ingame events that cause interesting scenarios, within the scenarios. I’m not talking about made up nonsense with characters you don’t care about. The unfortunate thing is I’ve already seen the scenario editor that this game comes with, and if the campaign levels are built with that, they’re likely, not definitely, going to be very bland and boring.Īt the bottom is the full post that I wrote about the Scenario Editor, but essentially I would like them to tell stories with them. Great, they’re already adding a campaign, so what are you worried about?Īs I’ve said in the past on my Parkitect subreddit posts, other recent management games have had lousy campaigns, and it could happen to this game too. Also, some of those those hours was spent finding issues and working out improvements for the little reviews I wrote on the Parkitect subreddit.Ī finished campaign mode, which has been promised already! I then spent the other four hours either trying to get mods to work (unsuccessfully), or exploring the scenario editor. For those wondering, I spent about two hours in the test park, and seven in the big park I called The Red Lake. After building just one park (and a test park to test the controls and to see what was there), I don’t want to play anymore. But here I am, after just 13 hours, no longer interested. The trouble with Parkitect is it has so much content and dedication from the developers, with so much potential. I would still recommend the game to most theme park lovers. Normally, I wouldn’t be so bothered, as I did enjoy the hours that I put into it already, and I certainly wouldn’t write a blog post about any other game I played for 13 hours unless it was very expensive. It’s good value, I guess, but ultimately I have no reason to wanting to go back. I bought Parkitect for £13.59, and I’ve played it for about 13 hours. After discovering this shocking truth, I can’t go back to playing Parkitect… #Horror #ParkiectIsDoomed #KillTheDevs 11/21/2023 0 Comments Venus trine pluto synastry experiencesIn Astrology, Pluto is known as “the great renewed,” representing that part of our being that destroys and kills to renew. Pluto takes about 248 years to make a full rotation of the zodiac, but its progress is variable: it can spend between 15 to 26 years in each zodiac sign. This symbol can be read as the triumph of the spirit over the mind or the transcending matter. When Pluto was discovered, it was given the alchemical symbol, even though alchemical practices had been going on for three centuries. Pluto rules the Scorpio zodiac sign, and it is the god of the dead and the underworld in Roman mythology. Venus rules our romantic relations, marriage and business collaborations, fashion, art, and social life. It is also related to the desire for pleasure and comfort. Venus is associated with harmony, love, beauty, affections, and the urge to socialize and connect with others. In astrology, it represents our self-worth, enjoyment, personal relationships, and physical chemistry. It is known to be a twin planet to Earth. This planet is the second-brightest object, and you can see it without using a telescope in the night sky. Venus orbits the Sun in about 225 days and spends 18.75 days in each zodiac sign. She was known for seducing gods and mortals with her charms and sensual attributes. Venus rules the zodiac sign of Taurus and Libra, and it’s also the goddess of love and beauty in Roman mythology. However, this article will explore what the Venus trine Pluto natal aspect means. The aspects could be Venus conjunct Pluto, Venus sextile Pluto, and Venus square Pluto. Join our Facebook group to get the answers to your synastry questions from our experienced community. If you’re looking to offer an instant experience to followers, this is the way to do it. For that reason, why not pair unexpected design elements together, like an explosive red cloudy graphic with a clear white beer icon? While you want to be careful promoting alcohol on social media, the food, wine, and beer industry is massive. Choose colors to convey messages based on how you want followers to feel. Make every highlight cover the same color or different, depending on what feels best. If you’re an online influencer or just big into fitness, why not make an Instagram highlight cover specific for it? Show reels of you bench pressing your personal record, doing particular education videos, or offer goals and inspo you’re working towards.ĭecide what type of color palette you’re aiming to achieve, as well. Pairing a simple icon or graphic with a floral circle frame is all anyone needs to see to know what type of lovey-dovey images will soon follow. It’s called Instagram highlight, isn’t it? Consider these covers as the preface for the content you sport under that category. Highlight Your Relationship Image via Amanda Melo. Now, for design! Here are 10 Instagram highlight covers to get you started. While JPG files are smaller in size and are ideal for online uploads, PNG files can also work because they retain image quality.įor more on these specifics, be sure to check out the blog post below next! Highlight cover designs should ideally be a JPG or as a PNG. When you’re ready to export your design, it’s also important to know which file types to use. Only a small portion of the highlight cover will be shown on the profile page, so you need to keep all your cover designs the same dimensions for consistency. The Instagram highlight cover dimensions are the same size as Instagram stories: 1080 pixels x 1920 pixels or within a 9:16 aspect ratio. Starting off with the proper height and width ensures you don’t need to crop any of your design. Instagram story covers are small, and it’s crucial to have the correct file types and dimensions so that the design reads well. The Right Way to Size Your Instagram Story Covers If your brand is vibrant and cheerful, for example, your highlight covers should reflect that same energy.įor some guidance on which colors to choose, consider color science. IG highlights are an extension of your brand, which means their cover designs should go hand-in-hand with your brand style- color palette, fonts, etc.-and voice. The more content you have, the more story covers you may need-but, keep in mind that too many covers can quickly become overwhelming. Some accounts feature only a handful, while others have upwards of 10. It’s up to you how many highlight covers you want to include on your IG page. Image via New York Botanical Garden’s Instagram page. Icons and other simple designs are ideal for highlight covers because they’re easy to see at even the smallest sizes. Be Clear and PreciseĮach highlight cover has only a small viewing window, so it’s essential to make the designs clear and easy to read. Rather than use, say, a photo for one cover, an illustration for another, and an icon for the next, stick to the same style across your Instagram story covers.ĭoing so will make your collection easier to follow and more visually appealing. If your goal is to get users to watch your highlights-which, duh, why else would you save them?-then you need to entice them with an attractive highlight cover.Īesthetics are everything on Instagram, and in order to establish a strong aesthetic, you have to be consistent. Tips for Designing Your Instagram Highlight Covers Get Started with FREE Instagram Story Templates 11/21/2023 0 Comments Pixelmator pro curved textYou will also need to check that the free Photoshop alternative is compatible with your camera. There are some that work well on laptops, while others need a powerful desktop and plenty of available RAM. There are options on our list for Windows, Mac, and Linux. Next, make sure the free Photoshop alternative you want will work on your device. However, if you have spotty internet, or like to edit while you travel or commute, you will need a downloadable free Photoshop alternative that doesn’t require an internet connection. A browser-based free Photoshop alternative is also a good choice if you like to edit photos over multiple devices. If you have an older computer or don’t have much space on your hard drive, an online option could be the way to go. The first thing you should decide is whether you want an online option or a downloadable free Photoshop alternative. With 19 excellent free Photoshop alternatives on our list, how can you choose the right software to edit photos the way you need? Read on for some key things to look for when choosing a free alternative to Photoshop. How to Choose the Best Free Photoshop Alternative Snapshot of Our Top 3 Free Photoshop Alternatives Download the Best Alternative to Photoshop for Free.Best Free Photoshop Alternatives Comparison Chart.19 Free Photoshop Alternatives W/ Similar Features in 2023.How to Choose the Best Free Photoshop Alternative.Snapshot of Our Top 3 Free Photoshop Alternatives.This article introduces the 19 best free Photoshop alternatives and compares their features, benefits, and drawbacks. In addition, most of these offer free stock images, something even paying for a pricey Photoshop or Adobe Creative Cloud subscription won’t get you. Thankfully, several excellent free alternatives to Photoshop offer similar features without the high price tag and steep learning curve. Many people consider Photoshop the best software to edit photos, but unless you have experience and dedicated training with this program, you will find it hard to use and cost-prohibitive.Ĭontent creators and photographers need easy-to-use, free Photoshop alternatives that allow them to navigate tools and features quickly to post more photos in less time. If you've ever tried to edit a photo with Photoshop, you know how intimidating and complicated the software can be. 11/21/2023 0 Comments Working remotely challengesAs computer prices dropped, many bought comparable machines for their homes, using modems to access the same tools they used at work. People began spending less time in meetings and on the phone and more time interacting with their computers. revolution, office workers started using networked PCs and teams embraced e-mail and file-sharing. In the nineteen-nineties, during the so-called I.T. In the following decades, technical advances arrived with increasing frequency. “You would watch the lines load on the screen, one by one.” The technology wasn’t fast enough for widespread use-hours could pass while the computers synchronized-but the basic template for remote work had been set. “It was very slow,” she told me recently. mainframe using a primitive modem, sending screens of code back and forth. In 1986, my mother, a COBOL programmer for the Houston Chronicle, became one of the first true remote workers: in a bid to keep her from leaving-she was very good, and had a long commute-the paper set her up with an early-model, monochrome-screen PC, from which she “dialled in” to the paper’s I.B.M. The satellite-office idea didn’t catch on, but it didn’t matter: over the next decade, advances in computer and network technology leapfrogged it. Nilles coined the terms “tele-commuting” and “telework” to describe this hypothetical arrangement. A system of human messengers and mainframe computers could keep these distributed operations synchronized, replicating the communication that goes on within a single, shared office building. But Nilles imagined a system that could ease the traffic crisis: if companies built small satellite offices in city outskirts, then employees could commute to many different, closer locations, perhaps on foot or by bicycle. The personal computer hadn’t yet been invented, and there was no easy way to relocate work into the home. That year, Nilles published a book, “ The Telecommunications-Transportation Tradeoff,” in which he and his co-authors argued that the congestion problem was actually a communications problem. America’s car-based work culture seemed suddenly unsustainable. In October, 1973, the OPEC oil embargo began, and gas prices quadrupled. Suburban sprawl and cheap gas were combining to create traffic jams more and more people were commuting into the same city centers. In the early nineteen-seventies, as the director for interdisciplinary research at the University of Southern California, he became fascinated by a more terrestrial problem: traffic congestion. Later, at NASA, in Houston, he helped design space probes that could send messages back to Earth. Air Force’s Aerial Reconnaissance Laboratory, near Dayton, Ohio. In the nineteen-sixties, Jack Nilles, a physicist turned engineer, built long-range communications systems at the U.S. 11/21/2023 0 Comments Anytrans iphone to iphoneUsually doing all these tasks would require you to download multiple apps on your computer, however all this can be done with AnyTrans, and that is one of the things that make AnyTrans our favorite third-party data managers for iPhone. Usres can also take advantage of this application to create ringtones for their iPhone, download media and transfer it to iPhone, screen mirror their iPhone on their computer and download apps on their device. Other useful featuresĪnyTrans is an all-in-one tool for iOS users and its usefulness does not end at data management. This means you get the ability to choose the content that you want to transfer, and save time. Using this tool you can also restore previously created backups to your iOS device.Ī great thing about the backup feature of AnyTrans is that it lets you preview files stored in backups on the computer before transferring them to your iPhone. This feature can wirelessly create your iPhone 12’s data backups. You can use AnyTrans to create backups of your iPhone 12 data as well with the Backup Manager feature. With AnyTrans Device Manager you can manage your iPhone 12 data with ease by transferring your photos, videos, music, contacts, notes and other stuff to your computer for safekeeping. While the Device Manager feature of AnyTrans will prove helpful when transferring data from computer to iPhone, it can also be used at a later point when you want to transfer your iPhone 12 data to computer. Users with songs and movies on iTunes Library can also migrate their iTunes content to their brand new iPhone 12. For those who do not have access to their old iPhone but still have an iTunes or iCloud backup, AnyTrans offers the Device Manager feature, which lets you move data from computer to iPhone 12 with easy drag and drop interface. 11/21/2023 0 Comments Acoustica mixcraft 6.0 build 196Registry First Aid Platinum 11.0.1 Build 2433 M. When I follow the install, it prompts me to try the trial version or buy. But when I click to open my old install file for 6, all I get is an automatic download for 7. Mixcraft 6 free download - SOFTWARE FREE DOWNLOAD powered. The better quality sample conversion would eliminate some steps for me. Download Acoustica Mixcraft 6.0 Build 196 with Key iahq76 torrent. Acoustica User Forums.Mixcraft 6 - CNET Download.Download Mixcraft 6.0.1.213 Free - Sof. I would really like to see better quality pitch and time conversion (such as eLastique Pro 2) and better quality sample conversion. Acoustica Mixcraft Pro Studio 9 Build 452 With Registration Code Free Download Version Crack Download (100Working) Acoustica Mixcraft Pro Studio Crack may also UPD Acoustica MixCraft Pro Studio 9 V9.0.b452 Incl Keygen-R2R. Now that, sir, would seriously help to kick Mixcraft up a notch, into the 'serious' pro DAW arena. Download Mixcraft 6.0.196 With License Product Key For Free. Since you guys are partnering with iZotope now, maybe they would be willing to cut you a deal to make use of their SRC technologies. Careful audio analysis and graphing do reveal some noise that indicates a minimum phase approach? That being said, it is leaps and bounds better than any previous iteration of Mixcraft. Even using the latest build of TB-Barricade with Jeroen's excellent noise-shaping algos, the final delivery is not as good as my typical method of conversion. I always had to use better quality resampling tools post-mix. 6.0, Aggiornare lumia 1020 a windows 10, Lido il pesce innamorato, Jack e jill. If you already have a previous version of Mixcraft, the demo will not overwrite your current installation. Acoustica mixcraft 6 keygen Kasten masonry wood stoves, Gadget guy erina, Etwas provozieren englisch, Slainte monkey junction, Musisi jazz cilik, Kieran. Acoustica mixcraft 7 free download, Suono modem 56k mp3, Differenza tra. The online User Manual will help you get started. īTW, the mixdown to 44.1k (16 bit) from 48k/24 bit works out a lot better than any previous version of Mixcraft. Download a free, fully-functional two-week trial of Mixcraft 10 Recording Studio to test drive your own personal music recording studio. 64 bit for the 7th version of Mixcraft, right? right? C'mon now. I really enjoy the simpler workflow and I like the fact that we now, finally, have multi-out VST support. Products Mixcraft Pianissimo Spin It Again CD & DVD Label Maker Legacy Products. I'm very pleased that Mixcraft is catching up with the professional "big boy" DAWs in many respects. I've used Cubase, Sonar, etc., but I sincerely like Mixcraft. features that made the purchase decision difference for me. At any rate, originally, it was Acoustica's price point vs. I've been working with MP3 compression and bitrate/bitdepth conversion since RedHat ver. Some of us are actually very qualified musicians/engineers. not everyone is a novice who uses mixcraft, you know. 11/21/2023 0 Comments Will keep us togetherAll of which is to say, it was a great time to be Neil Sedaka. And it was not uncommon for these songs to hit the heights in the illustrious pop top 40. It was downright normal to see people your parents’ (occasionally even grandparents’) age, with sideburns and unbuttoned shirts, performing their latest frothy radio-friendly single on prime-time network television. It was surprisingly common for songs performed by artists 35 and up to be rubbing shoulders with the songs by the “kids.” Not only did radio embrace the “ageless” approach, but all the afternoon talk shows and nighttime variety hours on TV were complicit with the notion. You didn’t have to be a hot young thing in your early twenties (or younger) to score a massive hit. When it came to the pop charts in the ’70s, age literally was just a number. “Love Will Keep Us Together” was the musical embodiment of everything the Captain & Tennille seemed to be about, a mission statement if you will, a song so aligned with their whole persona, so custom fit to their sugary weirdness, that even 45+ years later it’s still hard to believe it was a freakin’ cover. If asked to pick a song that best encapsulates the swinging ’70s in all its shag-carpeted, Pet Rock’d, earth-shoed glory, you’d be hard pressed to find a better specimen than the Captain & Tennille’s 1975 #1 hit “Love Will Keep Us Together.” Infectious, bouncy, and supremely sticky, sounding like both a commercial jingle and the kind of thing a Disney World in-house performing arts ensemble would include in the love-themed portion of their act (see the legendarily tacky incredible-ness of “ Up With People,” or even better, The Simpsons‘ reimagined take “ Hooray For Everything“), it was POP with a capitol P and Proud of it. 11/21/2023 0 Comments Does powdered creamer break a fastPlus, the added healthy fats from the organic coconut milk make this creamer an excellent choice for those on a paleo or keto diet. 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