You can feel his weight when he jumps, when he begins accelerating from a walk to a sprint, when he just barely makes a jump and has to pull himself up, and even when he dies. INSIDE boldly skips the score, and instead scores with the subtle genius of its sound design. Perhaps the most remarkable piece of information about the sounds in INSIDE is that Danish composer Martin Stig Andersen recorded sounds being routed through a human skull, which created an ominous somber feeling that adds greatly to the atmosphere without drawing attention to itself. Walking over damp concrete sounds so true to life that you could swear you could smell it if you tried. The creaks and moans in the early-game’s barn tell a story of the age of the wood and how long it must have been since the farm was abandoned. Sounds add an almost tangible feeling of texture to objects in the game. This makes way for the impact of this game’s striking sound design. INSIDE prefers to leave the player with an ominous quiet, driving home how small and alone the protagonist is. For these reasons, soundtracks are typically prominent features in games, especially those for whom atmosphere is critical. Legend of Zelda: Ocarina of Time) can even become legendary for their vital contribution to game-feel. They help bring the player into an experience by inspiring emotions that help them connect to the events happening on-screen. However, INSIDE develops a powerful feeling of “This poor kid,” which builds tension in more hectic moments. ![]() Without sympathy or empathy, the struggles of the game’s protagonist fall flat. In Bastion, for example, a player is unlikely to sympathize with the protagonist due to the distanced perspective and the game’s unearthly setting. In other games, however, this dissociation can very easily detract from a player’s valuable sense of inclusion. For INSIDE, this separation works to great effect in creating a sense of fear for or pride in, the kid in times of peril or triumph, respectively. Looking at the lines of mind-controlled people), make him feel alive even under the player’s control. Additionally, the subtle responses the kid makes in response to his environment (eg. Despite directly controlling the kid’s every action, there was enough separation that solving the puzzle was still perceived as the kid’s achievement. Cars visible in INSIDE's background that have holes in the windscreens.During the GameGrumps playthrough of INSIDE, Dan Avidan, after solving a puzzle, casually remarked “Oh man, this kid is smart!” before being teasingly reminded by co-host Arin Hanson that Dan was the one controlling the kid. Tl dr: Major theory of LIMBO is that boy died from being thrown through a car windscreen in a car crash. I didn't see the connection when I first read the theory, but today it suddenly hit me! Could this be a canon link between the games? Or was it just a sign from the developers that they are aware of this theory? One of the leading theories of LIMBO is that the boy died in a car crash thrown to the windscreen as symbolized by the boy crashing through the glass at the end. Never even crossed my mind that it was the same kind of worm in the first game I just assumed it was the pig's tail, and it was a visual cue/warning that some of the pigs were still alive.Ģnd time round, I also noticed that around the farm area, there was at least one broken down car with what I assumed was a bullet hole in the windscreen. But I completely missed a crucial link: the worm you pulled out of the pig. ![]() I realised there were more similarities the second time round: darts-wielding enemies and use of anti-gravity. Some similar game mechanics in the puzzles, pipes, and a thematic link in that both feature a lone boy protagonist. ![]() My first play of INSIDE, I didn't see many plot links to LIMBO. Only after this did I read through theories on the 2 games. Saturday: Played INSIDE to get the secret ending. Wednesday: Completed LIMBO for the first timeįriday: Second playthrough of INSIDE (to disable all the orbs)
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![]() It is formed by the articulation between three bones distal tibia, distal fibula, and talus bone. The ankle joint is a hinge synovial joint that moves in one plane to produce dorsiflexion and plantar flexion. Treatment of these fractures aims to restore joint stability and alignment to reduce the risk of post-traumatic ankle arthritis. Employ interprofessional team strategies to enhance care delivery and improve outcomes for patients with acute ankle fractures.Īnkle fractures are common injuries that could result from a trivial twisting injury in old frail patients up to high energy trauma in a young population.Explain the treatment options for acute ankle fractures.Explain how to evaluate for an acute ankle fracture.State the etiology of acute ankle fractures.This activity reviews the evaluation, classification, and management of acute ankle fractures and highlights the role of an interprofessional team in collaborating to provide well-coordinated care to affected patients. Classification systems can help delineate the mechanism of injury and the structures damaged, which is vital in determining the best management modality. Acute ankle fractures can affect many different structures. Rush rods versus plate osteosyntheses for unstable ankle fractures in the elderly. The Dorsal Antiglide Plate in the Treatment of Danis-Weber Type-B Fractures of the Distal Fibula. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. įractures of the Ankle and the Distal Part of the Tibia. ![]() routine exploration of medial side of the ankle is not necessary unless there is evidence that portion of the deltoid ligament has entered the joint and is blocking reduction of the talus Ĭomparison mortise views in neutral dorsiflexion Ĭomparison of two conservative methods of treating an isolated fracture of the lateral malleolus. treat as bimalleolar frxs, w/ ORIF of lateral malleolus presence of medial tenderness, > 5 mm of medial clear space is seen on static or stress radiograph, indicates injury of the deltoid ligament it has been observed that x-rays tend to over-estimate displacement (as compared to CT scans) and because the apparent displacement may be mostly due to internal rotation of the proximal fibula as compared to pathologic external rotation of the external fibula ![]() isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is up to 3 mm of fibular displacement there may be an assoc impaction frx of lateral tibial plafond, metaphysis of the tibia ( Pilon frx), & medial malleolus Ĭomparison of two conservative methods of treating an isolated fracture of the lateral malleolus. comminution alters landmarks & complicates rotation and length assessment comminuted fractures of the fibula are often high energy injures resulting from direct lateral trauma or vertical loading when lateral malleolus is displaced, posterior tibiofibular ligament either ruptures or avulses posterior tibial tubercle from back of fibular notch ī2 w/ medial lesion (malleolus or ligament)ī3 w/ a medial lesion and fracture of posterolateral tibia occasionally anterior tibial tubercle is avulsed, producing fragment of Tilaux, or avulsion is from fibular attachment, producing fragment of Wagstaff frx of fibula by external rotation or abduction injury, is preceded by rupture of anterior tibiofibular ligament anterior syndesmotic lig are partially or completely torn in about 50% of type B injuries, while posterior syndesmosis ligaments usually remain attached to the posterior aspect of distal fibular fragment most common type of frx of fibula is caused by external rotation, resulting in oblique frx at level of sydesmosis ( Weber B) which is equivalent to a supination eversion injury Type B: fibula frx at level of syndesmosis-transsyndesmosis ![]() ![]() It is what you need to find in your gleaming new mobile phone. 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They are stunning and although somewhat messy, we think their drought tolerance and low cost of maintenance make them keepers. Our 1970s house in Carlsbad came with three mature queens. (Courtesy of the La Jolla Historical Society)Īlmost every San Diegan has a story about palm trees. ‘Palms!,’ I exclaimed, thinking to drag her out the door to see this glorious sight, but she, inured to their presence, simply shrugged and said, ‘What’s the big deal?’” It was late at night when we arrived and as we waited for her father to pick us up I stepped outside and saw the palms there in all their alien glory. ![]() “I had never been west of the Hudson nor south of Long Island and I flew with my girlfriend to visit her parents in Arizona. ![]() “I was in my early 20s before I saw one and it was the immediate and apparent symbol for me of southern climes,” he told me via email. ![]() Boyle grew up in Peekskill, N.Y., and arrived in the Southwest as a young writer. Climate change and other forces at play in our state have shaped his apocalyptic fiction for decades. Boyle’s new novel “Blue Skies” has a cover that pictures a windswept palm surrounded by flames. His palm triptych was acquired by the Cheech Museum in Riverside, and the Museum of Contemporary Art San Diego owns a couple.Ĭalifornia writer T.C. They were showcased at an exhibit at Quint Gallery in La Jolla earlier this year. Vásquez’ palm paintings depict flaming palms against broody skies. “I think it’s a tragic story, them not being feasible for the future.” “The historical perspective pulled me in and I gradually went from someone who kind of despised palm trees to really being almost in love with them,” Vásquez said. He intertwines botany with history, Hollywood, politics, tourism and urban development. I had no idea about the history of palm trees or their role in urban planning.”Īs Vásquez began to consider palms as his subject matter, he read Jared Farmer’s book “Trees in Paradise,” an authoritative account of trees that define California, from palms, eucalyptus and citrus in Southern California, to redwoods and sequoias in Northern California. My first reaction was emotional and intuitive, not intellectual in any way. “They are so ubiquitous they become familiar. “You don’t really notice some things in the environment until something goes wrong and then they stand out,” said Vásquez, a Southern California native. ![]() News photos of flaming palms in Santa Barbara captured the imagination of San Diego artist Perry Vásquez. As climate change accelerates, temperatures rise, and droughts are frequent, wildfires have torched countless Southern California palms. David Hockney painted them next to swimming pools and stark modern houses.Īrtists seem drawn to the darker side of palms. You know them from films set in California or exotic, tropical foreign locales. While the future of palms in our region is up in the air, their ongoing resonance in art is undeniable. Tens of thousands more palms can be found in commercial and residential landscapes. Today, around 50,000 palms - dozens of species - are among San Diego’s 250,000-plus street trees. Serra may or may not have actually planted the tree, but the event launched a proliferation. Legend has it that Father Junipero Serra planted California’s first new palm, a date palm, in 1769, in what is now Old Town San Diego State Historic Park. California live oak and pines including Torrey, firs and cedars, are among the handful of original arboreal residents.Įxcept for the desert fan palm (not to be confused with Mexican fan palms that line our streets), no palm trees are San Diego natives. As anyone who has seen old photos of San Diego knows, our native landscape is generally low and scrubby. ![]() If your system is Windows 8.1 or Windows 10, the Choose default apps dialog opens.Click Set Kerio Connect as your default email client.In Kerio Connect Client, click Tools > Settings.The use Kerio Connect Client to send messages from other applications, you must set Kerio Connect Client as the default email client: Setting Kerio Connect as the default email client Kerio Connect Client for Windows and Mac also enables OS capabilities within the applications, such as emoji, spelling and grammar check, and dictation. For more information refer to Kerio Connect Client.Ĭlick Help > Kerio Connect Knowledge Base to display information about the section you are currently in. The application has the same functions and features as the browser-based Kerio Connect Client. Install a new version on top of the current one to replace it, as described in Installing the application.įor more information refer to Configuring your Kerio Connect Client. ![]() Click Help > Check for updates (Windows) or Kerio Connect > Check for updates (Mac) to install a new version if available.You can also install new versions manually: Select or Deselect Enable automatic updates. ![]()
![]() OK, so maybe I’ve been a touch facetious, but the point is that the majority of the files you can see in my developer directory aren’t needed. To make things easier to read I’ve added some annotations to mine so you can get an idea of where all the space goes: GrandPerspective shows you the total space taken up by the scanned directory in the bottom-left corner (20.7GB for me), but you can also hover over individual files to see what they are and how much they take up. When GrandPerspective finishes – and it might take some time – you’ll see something like the image below: ![]() If you’re curious, try searching ~/Library/Developer for “IMG_0005.JPG” – I found 90 copies of the same photo. Keep in mind that each of those simulators is feature complete, right down to those sample photos you see in the Photos app.
![]() Genshin Impact is now available on Mobile, PC, PS4, and PS5. Other useful boosts include Xingqiu, Mona, Albedo, and Kamisato Ayaka. So far, this Talent is one of the most useful abilities in the game. Pyro is able to counter everything in the game but most of the enemies COUNTER geo. The more enemies that counter shields, the less use people are able to get out of geo characters PERIOD. Remember to use Genshin Impact Sucrose for this as she might multiply the crafted item. Geo is designed to be a tanky element that deals neutral damage while being able to pump out shields. If Travelers have a lot of Gloomy Statuettes but insufficient Dark and Deathly Statuettes, they can utilize the Crafting Table to upgrade the lower-rank Statuette. Deathly Statuettes: Dropped by level 60+ Shadowy Husks, Abyss Herald, and Abyss Lector.Dark Statuettes: Dropped by level 40+ Shadowy Husks, Abyss Herald, and Abyss Lector.Gloomy Statuettes: Dropped by Shadowy Husks, Abyss Herald, and Abyss Lector.Here's how players can get each type of Statuettes: Nevertheless, some of them may be hiding on lower grounds or in a cave.īy far, Statuettes are only used to upgrade Kamisato Ayato's best weapon in Genshin Impact, Haran Geppaku Futsu. Where To Find Shadowy Husk (Black Serpent Knight) To Farm Statuettesįor the southern part of the Underground Chasm, most of the Shadowy Husks locations are quite straightforward. By far, there aren't many theories on who these faces are. Each of these items resembles the face of an unknown person, where the Gloomy version has a rather normal face, the Dark Statuette is described as emanating warmth, while the Deathly one has an ominous energy. ![]() Like typical Genshin Impact materials, there are three levels for this drop Gloomy Statuette, Dark Statuette, and Deathly Statuette. When players defeat a Shadowy Husk, they may obtain a Statuette. Related: Genshin Impact: How To Unlock The Underground Chasm’s Map This action can be seen in the Archon Quest with Dainsleif. Even though they have now been cursed to lose their humanity and become monstrous, these guards managed to remember their purpose to protect the citizens of Khaenri'ah. This opponent, the Shadowy Husk, was once the protector of Khaenri'ah. However, the enemies that drop this material have been introduced in the previous version when Enkanomiya fell into darkness. Statuette is a new item available in Genshin Impact 2.6. ![]() Army) VIEW ORIGINAL 2 / 2 Show Caption + Hide Caption –Ī female Soldier poses for an example photo with medium-length hair secured into a ponytail to support an upcoming change in Army grooming and appearance standards. Females with long hair will now have the option to wear a ponytail while wearing an Army Physical Fitness Uniform, conducting physical training in a utility uniform, or while wearing tactical headgear or other equipment. The Soldier's hair is secured into a long ponytail and tucked underneath her Army Combat Uniform collar. Further, having a choice to wear multiple hairstyles will allow female Soldiers more ways to secure their hair so that it can fit appropriately under their headgear.Ī female Soldier poses for an example photo with long hair while wearing tactical headgear to illustrate an upcoming change in Army grooming and appearance standards. The updated standard removes the constraints of dimension requirements.īy eliminating some of the restrictions, Soldiers will now have more flexibility, all while keeping it within the confines of professionalism, Mitchell said. ![]() Individuals must also have appropriate size and spacing between each braid, cornrow, twist, or lock, and are authorized one distinct type of hairstyle at one time. Under the current standard, Soldiers are allowed to braid, twist, lock, or cornrow their hair if they are uniform and no greater than 1/2 inch in width. Soldiers will also be authorized to wear multiple hairstyles as long as it maintains a neat and professional appearance, and if the hairstyle doesn't impede the use of headgear or other equipment, Sanders said. Soldiers will be authorized to wear multiple hairstyles if they can maintain a neat and professional appearance, and if the hairstyle doesn't impede the use of headgear or other equipment. and make Soldiers perform better."Ī female Soldier poses for an example photo wearing "locs" and multiple hairstyles to illustrate an upcoming change to Army grooming and appearance standards. "If I am in the Army long enough, it would be nice to see how these changes have improved productivity. "I use the analogy, 'If you look good, you feel good - and if you feel good, you perform ," Sanders said. Quintana Mitchell, the uniform policy NCO for G-1. The push to change the Army's grooming standards proves that the force is evolving and making a concerted effort to make everyone feel included, said Master Sgt. The process also included two Army dermatologists, an Army psychologist, and an Army equal opportunity advisor as subject-matter experts, who provided medical or EO knowledge to back the panel's findings. The panel included Soldiers from all components, representing a cross-section of ranks, units, ages, cultural backgrounds, career fields and races. The changes originated from a panel of 17 Soldiers - 15 women and two men - who assessed a list of proposed grooming and appearance modifications connected to the professional appearance, health and wellness, diversity, and inclusion of Soldiers. "Their identity and diverse backgrounds are what makes the Army an ultimate fighting force." ![]() "This is one of the many facets of putting our people first and recognizing who they are as human beings," he said. The announcement will be followed by an all-Army activities message that will take effect late February and will supersede the standards outlined in the grooming and appearance chapter of Army Regulation 670-1 until the next scheduled revision. ![]() Brian Sanders, senior enlisted leader of Army G-1’s uniform policy branch. WASHINGTON - New changes to grooming and appearance standards are slated to take effect next month, as part of the Army’s commitment to improve the wellbeing of all Soldiers.Īrmy senior leaders approved several upcoming grooming and appearance modifications, said Sgt. Medium-length ponytails are only authorized for wear on the back of the scalp and cannot exceed the head's width or interfere with a Soldier's headgear. A female Soldier poses for an example photo with medium-length hair secured into a ponytail to support an upcoming change to Army grooming and appearance standards. The unstable emulsion progressively separates.An emulsion of Phase II dispersed in Phase I.Two immiscible liquids, not yet emulsified. ![]() This moisturizer also has hyaluronic acid, an oily-skin-care staple, and squalane, which according to the brand, resembles sebum and “prevents moisture loss, and provides a shield from environmental damage without clogging pores and creating a weighty after-feel.” Squalane is also a humectant, and according to Howe, “Oily-skinned patients need humectants more than oils in their moisturizer.” Bondaroff also recommends Nouri’s Infinite Bio-Fusion Serum for mature skin as a natural retinol alternative. David Colbert, the lead dermatologist at New York Dermatology Group. While the recommendation for oily skin is typically to avoid more oils, the jojoba oil in this formula is lightweight enough that it won’t make you any oiler, according to Dr. Like the rest of our experts, Bondaroff recommends avoiding heavy oils, but for mature skin specifically she recommends looking for something to “help control oil, clear breakouts and reduce signs of aging,” and likes that this Nuori Bio-Catalyst day cream is “packed with so many active ingredients” - oddly enough one of them is an oil. Ingredients: Hyaluronic acid, squalane, shea butter, jojoba oil | Consistency: Rich cream | Price: 1.7 ounces (Approx. Kenneth Howe, a cosmetic dermatologist at Wexler Dermatology, who adds, “Its lightweight gel formulation goes well with oily skin,” and it also happens to be a personal favorite of his 14-year-old son. ![]() In addition to the Hydro Boost being noncomedogenic, alcohol- and oil- free, it also contains glycerin and hyaluronic acid, which, King explains, “are both humectants, so they can hydrate the skin without the need for emollients that may feel too heavy for oily skin.” It’s also a favorite of Dr. It’s the kind of moisturizer you tell everyone to use, because regardless of skin concern, it’ll probably work for you too. Caroline Robinson describes it as “lightweight yet nourishing,” and I would agree. $11/ounce)īoth Warycha and Hadley King, clinical instructor of dermatology at the Weill Medical College of Cornell University, recommend Neutrogena’s Hydro Boost Water Gel for oily skin types - though it’s been recommended by experts countless other times for dry skin types, the rosacea-prone, and even pregnant women, too. Ingredients: Hyaluronic acid | Consistency: Gel-cream | Price: 1.7 ounces (Approx. The options below manage to hydrate with mostly oil-free ingredients and don’t feel heavy or greasy either (one pick is even approved by a dermatologist’s 14-year-old son). “Stripping your skin will only cause it to produce more oil,” she notes. ![]() To find the best on the market for oily skin types, we consulted Warycha, Marc, and six other experts, including Shamara Bondaroff, founder of SB Skin, who has this additional tip to keep in mind: Don’t excessively clean your face or use a harsh toner, either. So, in other words, “You should still use a daily moisturizer,” says CareMount Medical dermatologist Melanie A. “Sometimes your glands produce more oil than normal because it’s dehydrated,” says Vanessa Marc, celebrity aesthetician and owner of Vanessa Marc Spa. But, in fact, your oily skin could just be a cry for hydration. When your face is overproducing natural oils, it can seem counterintuitive to reach for a moisturizer. ![]() The rates of injury were also compared between pure orbital floor fractures (only floor) and impure (floor and rim). Infraorbital anesthesia in floor fracture IOP straight and upgaze (may possibly inc w/IR entrapment) Orbit/lid emphysema 2nd to sinus wall fracture In contrast, since our hospital protocol requires that all orbital fractures receive an ophthalmic examination, we believe that our results are unbiased the true incidence of intraocular injury is approximately 17%.ĭiplopia field: limit on up or downgaze: r/o IR entrapment vs hemorrhage/ edema alone: CTEvaluation - Full Ophthalmic Exam Plus It is likely that the specialty of the physician conducting the research may possibly account for the inconsistencies. ![]() Of these, there is no agreement as to the incidence of injury. While various studies have reminded the community of the importance of the ophthalmic examination in patients who sustain orbital fractures, to date, there have been only a handful of studies which focus on the incidence of intraocular injuries in patients with fracturesOcular Injury Intraocular injuries occur in a wide pattern when orbital bones are fractured.The relationship, if any, between the purity of orbital fractures and their secondary ocular problems has not been elucidated to date. Noted rates of intraocular injury range from 1% to nearly 70% More severe injuries such as optic nerve trauma and retinal detachments have also been reported. The ocular Sequelae of mid-facial fractures are usually considered to be edema and ecchymosis of the soft tissues, subconjunctival hemorrhage, diplopia, iritis, retinal edema, Ptosis, enophthalmos, ocular muscle paresis, mechanical restriction of ocular movement and nasolacrimal disturbances. A wide range o f ocular trauma can occur concomitant with orbital fractures. |
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