Blown pupil causes1/5/2024 With the darkness stimulating the dilation of both pupils, and the light stimulating nothing (owing to the optic nerve pathology on the tested side), the pupil exposed to light will dilate abnormally, until it is the same diameter as the unlit pupil. During the swinging light test, there is a moment when the contralateral (healthy) pupil is again submerged in darkness, while the ipsilateral (affected) pupil has light shining upon it. It means that the tested optic nerve is damaged in the pre-chiasmal portion. This is an afferent pupilalry defect, or a Marcus Gunn pupil. With rapid sequential light stimulus, the affected pupil will paradoxically dilate in response to light. This demonstrates normal optic nerve, 3rd nerve and midbrain function. Normally, with swinging light, the pupils of both eyes will constrict whenever light is directed at either pupil. The pupils consensually constrict in the presence of light, and rapidly re-dilate when the light source is removed. Massive midbrain damage can be ruled out.Įither the tested optic nerve is damaged and light is not registering in the midbrain, or the midbrain is massively damaged. The optic nerve on the tested side, the midbrain and both the third nerves are probably intact. Normal consensual reaction of both pupils Uncal herneation - stretch of the 3rd nerve across the petroclinoid ligament Midbrain lesion- ipsilateral damage to the Edinger-Westphal nucleus of the 3rd nerve (thus resulting in loss of parasympathetic input to the ipsilateral eye) due to hypoxia)Ī much more extensive list of causes of bilateral myriasis can be seen in the discussion section for Question 27 from the first paper of 2019. basilar artery infarctīilateral 3rd nerve damage, eg. That is what the end of brainstem herniation looks likeīilateral midbrain lesion- eg. Late Holmes-Adie pupils (initially, they are dilated).Neurosyphilis (bilateral Argyll-Robertson pupils).Organophosphate poisoning (thus, a pharmacological excess of parasympathetic stimulation) A Summary of Pupil Examination Findings Unaided observations of the pupillary diameterīilateral pontine lesion, with damage to the descending sympathetic fibersīilateral thalamic lesion, also with damage to descending sympathetic fibers Question 21.1 from the second paper of 2015 (and the identical Question 30.2 from the second paper of 2018) instead asked for three causes of coma with bilateral miosis, each cause being worth 5% of the marks. This important topic has come up in Question 5 from the first paper of 2007, which asked about pupil reactivity and diameter in the context of coma. Unlike the crisp and clean interior of Talley and O'Connor, this hoary incunabula is overgrown with trailing fronds of references, featuring obscure and apocryphal authors, and discussing rare and extinct physical findings. Rather than escaping into comforting familiarity of well-known examination medicine textbooks, I will instead refer to a more ancient and venerable "Clinical Methods: The History, Physical, and Laboratory Examinations (3rd edition)" - specifically Chapter 58, by Rober H Spector. To the unpoetic intensivist, they are more like keyholes into the dressing room of the upper brainstem, and barometers of intracranial pressure. This is where the money is, as far as the ICU cranial nerve examination is concerned. The eyes, the poets say, are the windows to the soul.
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He as also done coursework in Computer Science NYU and Stanford.īefore working in software engineering, Tolan lead complex data analysis at a top-tier economic consulting firm, specializing in Energy Deals and Financial Litigation. Tolan graduated summa cuma laude in the top 1% of his class with a Bachelor’s of Science Administration in Finance & Entrepreneurship and a Bachelor’s of Arts in French & East Asian Studies. Tolan is software engineer, with a focus on education and contributing to open-source projects. ProductivityMe Co-founder & Lead Udemy Instructor We offer simple and easy-to-follow courses, and like our thousands of students, we’re always excited to learn cool new things. We create short, engaging videos that help people Master Excel. We hope that you are safe, and ask that you work to treat yourself and others with kindness and empathy. SPECIAL NOTE: In response to Covid-19, we would like to offer any of our courses for free to those experiencing economic hardship. Please message us directly, and 3 times a month we have the ability to generate unlimited free enrollments for up to 72 hours. Use the hours you save to make more money or just have some fun!Ĭlick “Take This Course" now, and become MORE PRODUCTIVE today! Quickly find files, folder, and documents with one-touch searchesĬustomize the Quick Access Toolbar and use the Access keysĥ0+ other tips, tricks, and keyboard shortcutsīecome the go-to keyboard savant in your office. Rename folders with the click of a button Instantly zoom in and out of application windows Snap windows so that you instantly have two applications side-by-side Seamlessly launch applications without ever touching your mouseįlip between tabs (and browsers) without missing a beatĬycle between programs- forwards, backwards, right, and left Discover 75+ ways to work more efficiently on any Windows machine. Learn to save 4 hours a week by slightly tweaking your workflow. Downloadable Course Guide and List of Keyboard ShortcutsĢ4/7 Access to Instructor via Course Discussion & Udemy MessageĬommunity of 64,000+ Students in all of our CoursesĪctive Student Discussions & Growing Course Knowledge BaseĪre you a Microsoft Windows user? How many hours per week do you spend on the computer? Macos catalina patcher stuck1/5/2024 If none of the above methods work for your Mac, you can try to clean install the macOS Sierra or High Sierra from external drive. After the restoration, try to install the macOS again. If you have a Time Machine backup, restore your Mac from the backup in Recovery mode.
Peanut butter cheerio balls1/5/2024 In my house we call these Pooh Butter Bars. Put them in the refrigerator until firm.Mix until well combined and pour into parchment paper lined pan. Pour peanut butter and agave mixture over the Cheerios.This only takes a minute or two once the pan is warm. Melt 3/4 cup peanut butter and 1/2 cup agave together over low heat, stirring constantly until well mixed together.Line an 8 x 8 pan with parchment paper.How to Make No Bake Vegan Peanut Butter Cheerio Bars What to Mix Into These Cheerio Bars for Non-Vegansįor non-vegans, you can substitute the agave for honey. What to Mix Into These Cheerio Bars for Vegans Ingredients for No Bake Vegan Peanut Butter Cheerio Bars These No Bake Vegan Peanut Butter Cheerio Bars meet a majority of that criteria! This recipe requires one bowl, 3 ingredients that you probably already have in your pantry, and you’ll remember how to make them after only reading through the recipe once! Not to mention they are delicious and perfect for packed lunches of all ages! But more often than not, I’ll keep looking until I find a shorter recipe. Sometimes I will read through a recipe and see if I can sift through the stuff I don’t need to see if I am still interested. New to me recipes with a lot of fluff turn me away. Third, if the recipe is short and sweet I’ll give it a try. Why not?! Or, if I can remember what ingredients I need without writing them down, there is a good chance I’ll try making it. Second, if I already have all of the ingredients in my pantry I will most likely give it a try. I made them based solely on looking at the picture. I knew how to make them without even looking at the ingredients or recipe. For example, over Easter I saw a White Chocolate Covered Oreo Bunny Butt on Pinterest. I have criteria for what I consider to be a recipe worth trying for the first time.įirst, I like to be able to look at a picture and know exactly how to make it and what ingredients I’ll need. Let stand until firm, about 1/2 hour.With one bowl, 3-ingredients, and 5-minutes you’ll move this recipe to the top of your quick and easy favorites! Put an ice cream stick in middle of each ball. Add 3 cups cereal, 1/2 cup raisins and 1/3 cup sunflower seeds. Remove the pan from heat and turn off burner.ģ. Heat over low heat, stirring all the time, until marshmallows are melted and mixture is smooth. Put 3 cups marshmallows and 1/4 cup margarine in large saucepan. You could also call them peanut buttery Cheerios snacks on sticksġ0 or 11 wooden ice-cream sticksġ/3 cup sunflower seeds (shelled – just the nuts)Ģ. Recipe for Cheerios treats / Cheerios on a stick ( See more recipes made with Cheerios here!) The recipes in the pamphlet were created in the Betty Crocker Kitchens, then tested at home by kids ages 8 to 12. The cereal has a starring role, since the how-to for these no-bake “Cheerios on a stick” treats comes from General Mills’ 1980 booklet, “Cheeriodle Cookbook for Kids.” Here’s an easy-to-make recipe for no-bake snack treats that combine Cheerios cereal with peanut butter, marshmallows, sunflower seeds and a few other goodies - turning them into a Cheerios-based version of Rice Krispies treats - or kind of like homemade energy bites. Software duplicate finder1/5/2024 You can find and delete any file format ranging from GIF, JPG, and PNG to text, audio, video, and images. It only offers 15 files in the free version.
Secret neighbor logo1/4/2024 Using these abilities, players need to scavenge the house for basement keys, and valuable loot they can use to upgrade their skills and equipment. Bagger will have extra storage space, Brave will be able to give everyone a speed boost, the Detective knows where the keys are, and more. Intruders come equipped with classes and different abilities. Concept-arts from the Exposed ArtBook (unused objects such as Blender and Soda Machine. Objects are divided into separate categories and placed in alphabetical order. The only logical thing to do is to break into the neighbor's house and into his basement. The following is a list of objects from Hello Neighbor, Hello Neighbor: Hide & Seek, Secret Neighbor and Hello Neighbor 2. Everyone thinks he's locked in the creepy Neighbor's basement. Practice your roleplay skills.Ī group of friends are searching for their missing friend. It feels like that scene from "The Thing" where characters test each other for who's the traitor. The best players in the game are the ones who convince groups of people that someone else is the Neighbor. Your arsenal consists of useful gadgets such as bear traps, a secret control room, smoke bombs, and more. Initially, you are in disguise, and it's up to you to gain trust of other players to lure them away form the group and have them go missing. 6 players sneak into the house, trying to get into the locked basement door - only to realize one of them is the Neighbor in disguise.Īs the Neighbor, you choose from several classes and use everything in your power to prevent intruders from succeeding. Secret Neighbor is, in theory, a meaningful and intriguing spin-off from Hello Neighbor, introducing multiplayer elements that really should work quite well. Events of the game take place between Act 1 and 2 of the original Hello Neighbor game. A group of kids try to sneak into their creepy Neighbor's house. Secret Neighbor is a multiplayer Social Horror game set in the Hello Neighbor universe. Secret Neighbor: Hello Neighbor Multiplayer was first published on. Secret Neighbor: Hello Neighbor Multiplayer is an application developed by. The eldritch academy1/4/2024 Many anti-virus programs detect game files as a “virus” because the game files contained cracked files which make the game run. Steamunlocked.one is a platform to download all your favorites games on steam without the cost. (OPTION) Install the update version if they have the future in the link below:įinal Disclaimer and Instructions from steamunlocked Request a game or request re-upload, visit Game Requestĭownload HERE (See instructions if you don't know how to install: Instructions on how to install)ĥ. These stories expand on certain endings or characters, or explain details that were unclear in the main story.Īll links are interchangeable, you can download different parts on different hosts A series of bonus stories after completing the main game.Some routes have multiple endings, based on the choices Yue makes. Three dateable characters and five total ending routes.Yue’s choices determine who she becomes close to as she investigates the secrets of her school. A romance/paranormal thriller visual novel with horror elements.But as the girls investigate the old dormitory for a way to be rid of the monsters, they begin to uncover a sinister truth regarding their school… Features: A chance discovery of magical “petals” leaves four students as the only line of defense against this threat. However, the ideal school life at Solana Academy is disrupted by the sudden appearance of grotesque monsters from the formerly sealed-off old dormitory. Despite its distance from major cities, it never wants for students or funding. Solana Academy is a prestigious all-girl boarding school in a remote corner of Japan. Eldritch Academy – The remote boarding school of Solana Academy has a sinister secret, one that Yue Ishikami and her classmates are forced to confront after a monster breaks free… Eldritch Academy Free Download PC Game Cracked in Direct Link and Torrent. Boxee box power supply voltage1/4/2024 That gives great efficiency because it avoids a second dc-dc conversion to provide the regulated 12v rail for the board but it also means that the 12v input to the dc-dc psu must be very well regulated. They pass it unaltered to the motherboard. The 12v input dc-dc psu's don't regulate the 12v rail. Interesting idea but that would be very, very bad. I'd probably do a cheap AMD sempron based system now, as I could do the motherboard, proc and ram for just over $100. I bought a micro ATX atom 330 board, but those are basically gone these days. I would recommend doing a linux software raid5 (MD RAID) and back up important data (family photos etc.) through an Amazon cloud storage service like Jungledisk or simp[ly to some external USB hard drives. Openfiler cannot currently handle new hard drivers with 4K sectors correctly. Unraid cost some money ($80-$120) is too slow for multiple streams of high-def media because it only is reading off of one drive at a time. When btrfs becomes a true replacement for ZFS in a couple of years, we won't be having these discussions so much anymore. FreeNAS is moving from FreeBSD for this reason (and the presence of some other toolschains for software development, which will help in adding / fixing features. Hardware support for a bunch of popular sata / raid cards is not there. Opensolaris is dead, FreeBSD has much more limited hardware support and slower pace of innovation. If you planning on building a NAS type box with expandability (eventually a bunch of drives as your media collection grows), I wouldn't pidgeon hole yourself by doing an ITX case (unless you factor in the price of later doing eSATA port multiplier and expansion chassis) or a DC - DC power supply.Īlso, while ZFS / RAIDZ has some very cool features, there are a few gotchas. You introduce one more point of failure, and lose efficiency with each conversion. Why take 120 v AC, then convert it to DC< then once again go DC-DC, without any sort of line conditioning I think its a waste to do it that way. If this where an automotive based project where 12v DC is readily available I could see the viability of a DC-DC supply. From a tinkerers and an electronics students perspective, youre either gonna have to buy a premade, or spend a decent amount or sacrifice somewhere. I looked into diy battery powered backups. 1) Who wants a lead acid battery just laying about ?ġC) Awesome so now you got 40$ in a dc-dc PSU, another 40 in a battery that wasnt designed to be used that way and probably wont last long like that, another 40 in an el cheapo battery charger thats absolutely killing any hope of efficiently using that wall outlets power and whatever the enclosure costs.ĢB ) Nice, so youre gonna spend a good chunk of change on a good battery and kill it with a crap chargerģA) Heck no Ill buy one of those sweet chargers to go along with it.ģB) Congratulations, you just went from a $20 dollar ac-dc power supply to a $250 dc-dc solution. Best liquid collagen1/4/2024 It contains 15 grams of protein and over 50% of the daily value of vitamin C to enhance collagen production. It's also Informed Sport Certified, a certification that tests supplements for hundreds of substances banned for sport. Momentous is NSF certified for sport, a reputable and rigorous third party certification that verifies the supplement contains what it says it contains with no harmful contaminants and no substances banned for competitive athletes. However, it is unclear exactly what type or types of collagen is included in the Momentous formulation. If you experience joint pain, this particular supplement may be especially beneficial since it contains FORTIGEL collagen hydrolysate which may help reduce joint pain in healthy athletes. If you are an athlete or active individual looking for a collagen supplement, you might like Momentous Collagen peptides. And, since collagen is derived from animal tissues, it is not appropriate for vegans and vegetarians, though there are fish-derived sources suitable for pescatarians. While collagen supplements may provide added benefits, keep in mind that your body makes its own collagen, so it's not necessary to consume collagen supplements. When deciding which collagen supplement is best for you, consider the form, type of collagen (different types are correlated with different potential benefits), source, dose, and budget that best suit your needs. To determine the best collagen supplements on the market, our registered dietitians combed through the research and used their clinical expertise. As an added bonus, some collagen powders are also great sources of protein. While claims that collagen supplements can strengthen hair and nails have not been studied as thoroughly, there are potential benefits. Collagen consumed in whole foods or as a supplement may improve skin appearance and joint pain. As we age, our body produces less collagen, resulting in decreased skin elasticity and more wrinkles. Collagen is a key component of our skin, bones, cartilage, muscles, and tendons. Mtg cardsmith blurs image1/4/2024 Slice each onion into thin, half-moon slices. Slice each onion from the North to the South Pole. Prep the onions: Remove the outer layer of each onion.Slice each pepper quarter into short, thin ribbons. Remove the stem, seeds, and membranes using your fingers and discard. Prep the pepper: Quarter the pepper from the North to the South Pole.Slice each cabbage quarter into short, thin ribbons. Holding your knife at an angle, cut out the core and discard. Quarter the cabbage from the North to the South Pole. Prep the cabbage: Remove the outer leaves.While they’re toasting, work on the veggies, but don’t forget about the nuts! Once they’re done, let them cool while you finish up. Give the pan a shake once during cooking so that they brown more evenly. Smaller nuts/seeds will need less time, so keep an eye on them. Toast the nuts or seeds on a baking sheet for 5 to 10 minutes. We used part olive and part sunflower oil. Use a bell pepper if you’re really sensitive to heat. Roughly chopped if large we used cashews. Where we bought it (USM = Somerville’s Union Square Market) Like any slaw, it takes quite a bit of chopping, but just take your time to cut things roughly the same size. Double success! With just a few modifications to a mango slaw recipe from Smitten Kitchen to accomodate my weirdo diet and what we had on hand, lunch was served. So then I took a lunch break.Īfter lunch, I gave up on the melon and started looking for fun slaw recipes to tackle the two heads of cabbage we also got from the CSA. Gah! Of course, all those recipes looked delicious and made me hungry. There are a million (seriously, a million) recipes for the melon, cured meat, soft cheese, and viniagrette combo, but I’m on a very strict diet to help control my migraines and can’t have cured meat, cheese, or vinegar. I was determined not to do that again, so I hunted and hunted for a recipe to blow me away. Granted, we just got an awesome chest freezer, so I’m a little freezer-happy at the moment, but still. Both of us kind of like it, but not nearly as much as the other fruit that tempts us at the farmer’s market – peaches, blueberries, raspberries… Yum! When it showed up in our share last week, I ate two slices then cut up the rest and froze it. Cantaloupe is another CSA adventure for us. AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |