![]() ![]() Most outdoor fatalities, 50% to 70%, occur in the first few days of working in warm or hot environments because the body needs to build a tolerance to the heat gradually over time. Although illness from exposure to heat is preventable, every year, thousands become sick from occupational heat exposure, and some cases are fatal. ![]() workers are exposed to heat in their workplaces. It’s your responsibility to minimize these hazards as much as possible to keep workers safe while at work.Īny warehouse that uses extreme temperatures to store or process goods should ensure health and safety requirements are visible and readily accessible to ensure your employees are safe.Īre you interested in seeing how companies in all industries are leveraging a powerful inspection and audit platform to achieve operational excellence? Start your free monitorQA trial today to get started.Millions of U.S. Warehouses are filled with potential hazards. Make health and safety requirements more visible with monitorQA We suggest using digital inspection software to create policies and procedures that are designed to keep your employees free from harm. You can certainly take steps to prevent harm to your employees by creating a safe work environment even if they must work in extreme temperatures. Provide beverages that help regulate employees’ internal temperatures, such as hot chocolate or coffee for cold environments.Allow workers in extreme temperatures to take more and longer breaks than other employees.Create less-restrictive dress codes that allow employees to dress comfortably for their workday. ![]()
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![]() ![]() When your teen Sim is active, switch the Susceptible to Drugs toggle off, and your teen Sim will no longer have a chance of coming home from school high. I know it bothered some of you that their teen Sims came home from school with a Ziplock bag of weed, or even high after hanging out with some bad influences, as it was out of your control and happening off screen. When your Sim is active, simply toggle Reactions to Partners off to make your Sim tolerate and not react towards their partners drug habits. You can now choose whether or not the reactions settings should apply to Sims partners as well as their offspring and parents. Fixed compatibility issue with SimRealist - Private Practice mod.Added Carnaval Streetwear Kit to Drugs Log.Added Tartosa to Eco Footprint settings.Fixed missing string for Henford-on-Bagley.Added legalization settings for Tartosa. ![]() Added instant reactions to on-sight drug consumption.Fixed crucial bug where parents did not react to teens.Added toggle for teens to not come home high from school.Added toggle for parents to not react towards partners.It should be relatively self explanatory, but I will explain how to log in to the site in this post nonetheless. What it means is basically that you can log on to the website with your Patreon account and download the latest Patreon releases directly from the website, as well as gain access to up-to-date Patreon tutorials. Not only have I re-designed the whole thing, but I have also made it integrate fully with Patreon. The reason being that I have spent most of February updating my website. This version is not nearly as complex as the last release. ![]() ![]() ![]() Note the presence and location of abnormal (adventitious) extra breath sounds, such as crackles, wheezing, rhonchi, stridor, or pleural friction rub ( Table 1).Normal breath sounds are called vesicular breath sounds, which are low-pitched sounds louder on inspiration and softer on expiration.Auscultate at five levels posteriorly and anteriorly, comparing side by side.Place the diaphragm of the stethoscope on the patient's chest, and ask the patient to take deep breaths in and out through the mouth.Asking the patient to fold arms or place hands on opposing shoulders also helps to get maximal exposure to the lung fields. Position the patient: ask the patient to lean forward or sit upright in order to examine posteriorly.A hyper-resonant percussion note is a pathological percussion sound indicative of hyper-inflated lungs from advanced COPD, emphysema, or a pneumothorax. It resembles the percussion note heard over the thigh and is indicative of a pleural effusion. A "stony dull" or flat percussion note sounds duller than the "standard" dull sound. ![]() Note the presence of pathological percussion sounds.Left pleural effusion produces a dull percussion sound over Traube's space. Tympanic percussion note (a drum-like sound when percussing over hollow organs): over the Traube's space, an area overlying the gastric bubble and bordered by the sixth rib, anterior axillary line, and left costal margin.When percussion of the lungs elicits this sound, it is indicative of consolidation. Dull percussion note (the sound heard over solid tissues): over the liver in the right lower anterior chest and over the heart in the left anterior chest.Resonant percussion note: heard over a normal air-filled lung.The normal findings on the chest percussion are: Appreciate the quality of percussion sounds.Percuss anteriorly and posteriorly, placing the finger on the chest in the intercostal spaces.On expiration, the lower border of the lungs is at the level of the sixth rib at the midclavicular line and the eighth rib at the midaxiallary line anteriorly, approximately at the level of the T10 spinous process posteriorly. Repeat the percussion at four and five levels, comparing each lung level side by side, working up to the chest wall, starting at the inferior lung borders.The sound should be hollow, representing an air-filled lung. Use the tip of the middle finger (plexor finger) of the dominant hand to tap firmly on the top third (middle or distal phalanx) of the pleximeter finger of the non-dominant hand at least twice (it is advisable to keep fingernails short).Make sure the other fingers and palm are not pressed against the patient's chest.The firmer the finger is pressed to the chest wall, the louder the percussion note tends to be. Place non-dominant hand with middle finger (pleximeter finger) pressed and hyperextended firmly on the patient's right or left mid-back area (lower levels of lungs posteriorly).Percuss both posteriorly and anteriorly, starting on the back.Examining the posterior of the lung requires the patient to be leaning forward or sitting on the edge of the bed. Position the patient on the examination table at a 30- to 45-degree angle and approach from the right side.Make sure the patient is undressed down to the waist.RUL - right upper lobe RML - right middle lobe RLL - right lower lobe LUL - left upper lobe LLL - left lower lobe. An approximate projection of lungs and their fissures and lobes to the chest wall anteriorly. Anatomy of lungs with respect to the chest wall. The superior lobe of the left lung also has a separate projection known as the lingual.įigure 1. The left lung has two lobes: the superior and inferior lobes. The right lung has three lobes: the superior, middle, and inferior lobes. Each lung lobe can be pictured underneath the chest wall during percussion and auscultation ( Figure 1). The areas for auscultating the lungs correspond to the lung zones. Auscultation can provide an almost immediate diagnosis for a number of acute pulmonary conditions, including chronic obstructive pulmonary disease (COPD), asthma, pneumonia, and pneumothorax. ![]() Percussion is a useful skill that is often skipped during everyday clinical practice, but if performed correctly, it can help the physician to identify underlying lung pathology. Learning the proper technique for percussion and auscultation of the respiratory system is vital and comes with practice on real patients. Source: Suneel Dhand, MD, Attending Physician, Internal Medicine, Beth Israel Deaconess Medical Center ![]() ![]() Soundwave commands an ever-growing legion of cassette troops to carry out tasks big and small. As such, Soundwave is not popular among the rank-and-file Decepticons, who see him as a two-faced snake and wouldn't mind abandoning him on the battlefield-if they thought Megatron would let them get away with it. On top of hearing all in his role as Communications Officer and Decepticon spy-master, he is actually capable of "reading minds" by scanning and decoding the electrical impulses that carry "thoughts" in both organics and Cybertronians, and he will not hesitate to use what he learns as blackmail to keep himself high in Megatron's esteem. Though stoic and possessed of little outward personality (as evidenced by his monotone computer-style speech), Soundwave is not without drives: he has worked hard to get where he is, and he guards his place in the Decepticon hierarchy fiercely. Though "only" Communications Officer, Soundwave stands at Megatron's side as a confidant, comparable in rank to Starscream and Shockwave, but unlike them, entirely loyal to his leader. Soundwave (aka Soundblaster) is one of Megatron's most reliable troops, and he has positioned himself comfortably and irreplaceably in the Decepticon upper command structure. ![]() ![]() Secretly, Soundwave was always a little surprised that his Barry White impression had taken him to the top ranks of the Decepticons. ![]() ![]() ![]() Changing the Product Key for Office XP/2002 / 2003 / 2007Ĭhanging the Product Key for Office 2007 or previous requires you to go into the Registry. To remove the previous key, you must use the /unpkey: value switch, where you should replace value for the last 5 character of the installed product key as reported with /dstatus. ![]() Instead of using the /dstatus switch, you must use the /inpkey: value switch, where you should replace value for your Product Key. When you are using a Click-to-Run based installation of Office or want to change the Product Key via a command line, you can use the same OSPP.VBS script as mentioned before. Change Product Key for Click-to-Run and MSI based Office installations Setup will now start with the option “Enter a Product Key” which allows you to enter a different product key. Here, locate your Office application and press Modify or Change. Start-> Control Panel-> Uninstall a Program Start-> Settings-> Apps-> Apps & features Change Product Key for MSI based Office installations Product Keys for Click-to-Run based installations of Office can only be modified via the command line. Changing the Product Key for Office 2010 / 2013 / 2016 / 2019 / 2021Ĭhanging the Product Key for msi-based installations of Office (available up to Office 2016) can be done directly from the Control Panel/Apps & Features or via a command line. Office offers a scripted method to lookup your Product Key. You should now get a screen with some license details such as the license name, type and the last 5 characters of the Product Key.Office 2010 (64-bit) on a 64-bit version of Windows. ![]()
![]() ![]() What was the worst thing that happened today?.What was the most amazing thing you did today?.What was the first thing you noticed/felt when you reached your destination.Try the below journal prompts to inspire you while you are traveling. Try to journal every day as it is amazing how quickly you can forget all those small details. Maybe get up half an hour early to write about your day before, or make sure you leave some time at the end of the day to journal. To really make the most of travel journaling it is a good idea to create a habit. What are some interesting facts you have researched about your destination?.What do you want to learn on this adventure?.What souvenir do you want to bring home?.What has been your favorite vacation/adventure ever?.What are you most excited about? ( it could be food to try or a tour you have booked).What advice have you read or been given about your destination?.Why did you choose this adventure or destination?.Have there been any pre-trip disasters?. ![]() What part of this trip have you enjoyed planning for the most?.What is on your destination bucket list? And why do you want to see or experience these things?.What are your expectations of this destination or experience?.If you use your travel diary to help plan your adventure then it’s a great idea to get into the habit of journaling before you leave. Using journal prompts like the ones below is a great way to get stop the writing block. Usually just starting is the hardest part and once you begin writing you will find the ideas flow easily. It’s normal to feel a little stuck with writing. So, what do you write in a travel journal? Travel Quotes To Use In Your Travel Journal. ![]() ![]() ![]() See what the madness is all about by learning how to play. Spades is a modern and updated free version of the famous trick-taking card game. Klondike Solitaire, electronically, has been around in force since the early days of the PC. Xbox, Windows 10 version 17763.0 or higher. The ultimate goal of Klondike Solitaire is to add all the cards into their foundations in the top right based on suit from Ace to King.Įnjoy this age old game all day long with Card Game Solitaire's wonderful rendition of a classic Solitaire card game! Click through the stock cards to add extra cards to the solitaire game. Play arcade, puzzle, strategy, sports and other fun games for free. Create stacks of cards on the solitaire board by stacking cards downward alternating color. Play free online games in Microsoft Start, including Solitaire, Crosswords, Word Games and more. ![]() Solitaire is a fun card game to enjoy at all ages. Card Game Solitaire does it better than the rest offering smooth game play and an undo button! Made popular online by the original PC solitaire version, Card Game Solitaire's Klondike Solitaire is taken to the next level with a game you'll keep coming back to again and again! Klondike Solitaire is the most popular card game around. Play card games for free whenever you like-when at work, school, or home-and make all your friends jealous with your ever-increasing solitaire skills! Every time you play solitaire, you compete with yourself for your best high score. For example, you can only place the 2 of Spades on the 3 of Spades (see illustration). The most important rule of the Spider Solitaire game is that you can only place a card on top of another card that is 1 point higher in value. Playing it online allows you to enjoy this classic game with friends or computer opponents at your own pace.Card Game has tons of free online solitaire card games that are both available for download and playable directly out of your browser. In this game, you do not need to take account of the colours when moving the cards. Overall, "Spades" is an engaging and mentally stimulating card game that offers a mix of skill and chance. The game is usually played by four players in two partnerships. The players take turns playing out one card from their hands clockwise around the table. Play their other casual games on Poki: Classic Solitaire, Ping Pong, Sudoku Village, Tactical Squad, Super Bubble Shooter, Mine Sweeper, Mine Sweeper, 8 Ball Pool With Buddies, Mahjong Pyramids, Unblock It, Power Badminton, True Love Calculator, Hangman, Ludo Hero, math-trivia-lite, Super Girl Story and Typing Fighter. You can enjoy the game's challenges, social interaction, and strategy from the comfort of your device. 'Spades' is a popular trick-taking card game that you can play online. Spades is traditionally a game for four players, played in partnership (with the partners sitting opposite each other). The online version of "Spades" here on allows you to play against computer-controlled opponents, making it convenient even if you don't have a group of four players available. Timing and teamwork play a crucial role in achieving success. You must consider the cards in your hand, the bids made by others, and the actions of your opponents. "Spades" is a game that requires careful strategy and communication with your partner. The partners work together to fulfill their combined bid, while also trying to prevent the opposing team from reaching theirs. The highest bidder gets to choose the trump suit for that round. Įach player is dealt a hand of cards, and in each round, players take turns to bid on the number of tricks they believe they can win. The objective is to accurately predict and then win the number of tricks bid during the game. ![]() "Spades" is a popular trick-taking card game that you can play online. ![]() ![]() ![]() ![]() And journalists, occasionally, have to make a tough call. Certainly, it’s always preferable to get the sources on the record all the time. Every journalist deals with their sources differently. And to further avoid confusion and problems, yes, any agreements about “on the record” and “on background” should be reached before the source says anything.īut, also, let’s get to the real world for a minute. ![]() To avoid confusion and problems, sources and journalists should assume everything is on the record unless there is communication between the two. But was it kind of a crummy thing to do to another journalist? Many thought so. The subject line of Rubin’s email was “OFF THE RECORD,” but Alex Thompson, one of West Wing Playbook’s authors, said he never agreed to the email being off the record and, therefore, anything Rubin wrote could be published. This is similar to what happened in September when Politico’s West Wing Playbook published an email from Washington Post columnist Jennifer Rubin. Patel stresses that the terms must be agreed upon before the information is shared. Patel went on to essentially say that companies simply can’t start an email with “on background” or “off the record” or “not for attribution” and automatically assume that anything that comes after will not be used or specifically sourced. Patel then made the definitions of “on the record” and “on background” clear.Ībout “on background,” Patel writes, it “means you can talk to us and we will not specifically identify you, instead using a descriptor like ‘company spokesperson.’” Patel writes, “From now on, the default for communications professionals and people speaking to The Verge in an official capacity will be ‘on the record.’ We will still honor some requests to be on background, but at our discretion and only for specific reasons that we can articulate to readers.” But it’s interesting to see what The Verge is doing. Is that a bit different than the kind of sources, say, The New York Times or Washington Post or CNN deal with covering news stories? Perhaps. Oftentimes, that means The Verge hears from PR types who pitch those various gadgets and products. Perhaps here it should be noted that The Verge is a blog mostly about technology and it writes a lot about gadgets, electronics, products and that sort of stuff. Patel wrote, “We’re doing this because big tech companies in particular have hired a dizzying array of communications staff who routinely push the boundaries of acceptable sourcing in an effort to deflect accountability, pass the burden of truth to the media, and generally control the narratives around the companies they work for while being annoying as hell to deal with.” “On background” can be especially tricky, which led The Verge to change its policy regarding reporting “on background.” Editor-in-chief Nilay Patel wrote about it in a story published Wednesday on The Verge’s website. Again, the agreement should be made before the source reveals the information. Now, what about “on background?” Typically, that means a source shares information that a journalist is free to use with one caveat: The journalist should not attribute that information to a specific or named person. Off-the-record comments are supposed to remain strictly between the source and the reporter. If the reporter agrees to an off-the-record request, the ethical thing to do is not report or even repeat that information. The source then can decide whether or not they want to share that information. Here’s how it’s supposed to work:Ī source should ask a reporter first if something can be off the record. I wrote about this recently, but let’s go over it again real quick. Here are two phrases that often come up in journalism - in fact, they come up so often that even non-journalists have heard of them.įirst, off the record. ![]() ![]() ![]() Relation of body mass index and skinfold thicknesses to cardiovascular disease risk factors in children: the Bogalusa Heart Study. Estimates of excess deaths associated with body mass index and other anthropometric variables. Association between general and central adiposity in childhood, and change in these, with cardiovascular risk factors in adolescence: prospective cohort study. Comparison of dual-energy x-ray absorptiometric and anthropometric measures of adiposity in relation to adiposity-related biologic factors. Comparison of body fatness measurements by BMI and skinfolds vs dual energy X-ray absorptiometry and their relation to cardiovascular risk factors in adolescents. Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry. A comparison of the Slaughter skinfold-thickness equations and BMI in predicting body fatness and cardiovascular disease risk factor levels in children. Quetelet’s index (W/H2) as a measure of fatness. It is also important to note that BMI is not meaningful for some groups of people, such as bodybuilders or pregnant women, as it may result in a higher BMI due to the higher muscle mass or the extra weight of the unborn child, even though they may still have a healthy body fat percentage.1Garrow, J.S. Since muscle mass is heavier than fat mass, men can have a higher BMI than women with a similar body fat percentage. This is because men tend to have more muscle mass and women tend to have more fat mass. Therefore, it can be applied equally to men and women.įor women, a BMI between 18.5 and 24.9 is generally considered normal, while for men a BMI between 20 and 25 is considered normal. This is because the BMI formula only uses weight and height to calculate it and does not take into account the overall body composition, such as muscle percentage, body composition or body fat percentage. It can lead to breathing difficulties and joint pain, in addition to disorders of the metabolism and sex hormones.Īlthough men and women may have different body compositions due to their anatomical and hormonal differences, gender is not taken into account when calculating BMI. ![]() Not every pound of excess weight will make you ill, but permanently being overweight increases the risk of numerous diseases including osteoarthritis, arteriosclerosis, high blood pressure, diabetes and various types of cancer. ![]() Within this category, you are statistically less likely to develop certain diseases. Normal weight for Body Mass Index is usually between 18.5 and 24.9 and is considered healthy. It allows people at risk to document their progress towards an ideal weight – for example, by getting more exercise and changing their diet. The BMI helps to identify all such risks to health in good time and reduce them. The body's metabolism and immune system may also be impaired. As the body is at risk of deficiency here, such persons have an increased risk of cardiovascular disease and osteoporosis. If your BMI is below 18.5, you are underweight. ![]() A total of eleven weight classes can be shown here. These categories are then broken down into different degrees and levels of severity. ![]() ![]() ![]() Some Amazon workers in the US, France, and Italy protested the company's decision to "run normal shifts" due to COVID-19's ease of spread in warehouses. Īmazon saw large growth during the COVID-19 pandemic, hiring more than 100,000 staff in the United States and Canada. It has over 300 million active customer accounts globally. It is the leading e-retailer in the United States with approximately US$178 billion net sales in 2017. 2010–present: growthĪmazon purchased the Whole Foods Market supermarket chain in 2017. In 2006, Amazon also launched the Fulfillment by Amazon program, which allowed individuals and small companies (called "third-party sellers") to sell products through Amazon's warehouses and fulfillment infrastructure. AWS later shifted toward providing enterprise services with Simple Storage Service (S3) in 2006, and Elastic Compute Cloud (EC2) in 2008, allowing companies to rent data storage and computing power from Amazon. In 2004, AWS was expanded to provide website popularity statistics and web crawler data from the Alexa Web Information Service. In 2002, it launched Amazon Web Services (AWS), which initially focused on providing APIs for web developers to build web applications on top of Amazon's ecommerce platform. In the subsequent year, it initiated the sale of a diverse range of products, including music, video games, consumer electronics, home improvement items, software, games, and toys. It began selling music and videos in 1998, and began international operations by acquiring online sellers of books in the United Kingdom and Germany. Main article: History of Amazon 1994–2009: early yearsĪmazon was founded on July 5, 1994, by Jeff Bezos, who chose the Seattle area for its abundance of technical talent, as Microsoft was in the area. It also produces consumer electronics-most notably, Kindle e-readers, Echo devices, Fire tablets, and Fire TVs.Īmazon has been criticized for customer data collection practices, a toxic work culture, censorship, tax avoidance, and anti-competitive behavior. It publishes books through its publishing arm, Amazon Publishing, film and television content through Amazon MGM Studios, including the Metro-Goldwyn-Mayer studio which acquired in March 2022. Īmazon also distributes a variety of downloadable and streaming content through its Amazon Prime Video, MGM+, Amazon Music, Twitch, and Audible units. Īs of October 2023, Amazon is the 12th-most visited website in the world with 82% of its traffic coming from the United States. It is the second-largest private employer in the United States. In 2021, it surpassed Walmart as the world's largest retailer outside of China, driven in large part by its paid subscription plan, Amazon Prime, which has close to 200 million subscribers worldwide. As of 2023, it is the world's largest online retailer and marketplace, smart speaker provider, cloud computing service through AWS, live-streaming service through Twitch, and Internet company as measured by revenue and market share. ![]() Īmazon has a reputation as a disruptor of industries through technological innovation and aggressive reinvestment of profits into capital expenditures. Its acquisition of Whole Foods in August 2017 for US$13.4 billion substantially increased its market share and presence as a physical retailer. Other subsidiaries include Ring, Twitch, IMDb, and Whole Foods Market. The company has multiple subsidiaries, including Amazon Web Services, providing cloud computing, Zoox, a self-driving car division, Kuiper Systems, a satellite Internet provider, and Amazon Lab126, a computer hardware R&D provider. ![]() The company initially was an online marketplace for books, but incrementally expanded into a multitude of product categories, a strategy that has earned it the moniker "The Everything Store". ![]() It is considered one of the Big Five American technology companies the other four are Alphabet (parent company of Google), Apple, Meta (parent company of Facebook), and Microsoft.Īmazon was founded on Jby Jeff Bezos from his garage in Bellevue, Washington. ( / ˈ æ m ə z ɒ n/ AM-ə-zon, UK also / ˈ æ m ə z ə n/ AM-ə-zən) is an American multinational technology company focusing on e-commerce, cloud computing, online advertising, digital streaming, and artificial intelligence. ![]() |
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