![]() If the issue no longer occurs, open Final Cut Pro settings and reapply your custom settings.īack to top Remove and reinstall Final Cut Pro Try to reproduce the issue you were experiencing. Hold down the Command and Option keys, then open Final Cut Pro. To reset Final Cut Pro settings:Ĭhoose Final Cut Pro > Settings and note any specific settings you've made. However, any custom preference settings will be reset to their default settings. Resetting preferences doesn't affect your libraries, projects, or media. Obtain new copies of the media from the original source.īack to top Reset Final Cut Pro preferences If you can't reproduce the issue using test media, the issue might be related to the media in the affected project. In the new library, create a new project using test media. If the issue doesn't occur in the new account, settings or files in the original account might be causing the issue.īack to top Test with a new library and project If an update is available, follow the manufacturer's instructions to update the software.Ĭreate another administrator user account on your Mac, then try to recreate the issue in the new account. If you're using a plug-in or other software not made by Apple with Final Cut Pro, make sure it's compatible with your version of Final Cut Pro and your version of macOS. Follow the manufacturer's instructions when updating.īack to top Check third-party software compatibility You might need to move your library and get additional storage, like an external storage device.įor any external devices you're using like cameras, storage devices, or interfaces, check with the manufacturer for software or firmware updates. On the Desktop or in the Documents folder with Desktop & Documents turned on in iCloud Settings.Ĭheck that you're using a supported media format.Ĭheck that you're using a supported camera, and that you're importing media properly.Ĭheck that you're using a supported storage device format, and that you have enough available storage space for your libraries and for exported project files. On a storage device you're using for Time Machine backups. ![]() Make sure to set the Privacy & Security settings on your Mac, which gives Final Cut Pro access to your photo library, Microphone, Camera, and Files and Folders.ĭon't try to store Final Cut Pro libraries in these locations: Make sure that you've installed Pro Video Formats.īack to top Check media and device compatibility If a Final Cut Pro update is available, click the Update button to download and install it.īack to top Verify installation of Pro Video Formats If you haven't already, back up your existing libraries and your current copy of the Final Cut Pro application.Ĭhoose Apple menu > App Store, then click Updates in the toolbar. You can search the user guide for key terms shown in alerts, alert icons, or error messages. Make sure your Mac meets Final Cut Pro system requirements.īack to top Make sure the app is working as expectedĬheck the Final Cut Pro User Guide to make sure the app is working as expected. If the issue only occurs when a particular device is connected, you might need to update or service the device. You only need to do this the first time you disconnect external devices. Quit Final Cut Pro, then choose Shut Down from Apple menu .ĭisconnect all external devices other than your keyboard and mouse.įor Intel-based Mac computers only, reset NVRAM. Try these steps in orderĪfter trying each step in this list, test Final Cut Pro again to see if you've fixed your issue.Ĭheck media, device, and storage format compatibilityĪn incompatible or malfunctioning external device can sometimes cause issues with Final Cut Pro. Before proceeding, make sure to back up your Final Cut Pro libraries, media, and the Final Cut Pro application.
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12/31/2023 0 Comments Risk star wars![]() With special cards to boost your forces and defeat invading forces, this game of Risk is an epic battle for control of the planet Earth and the universe. If your army is not victorious, the battle is over and all Daleks must retreat. The Doctor will do his best to stop you, bringing peace on each turn. Play as one of 5 different armies, with Classic or New Dalek Paradigm, as you fight for supremacy. Multiple Dalek armies descend from the skies, seeking to conquer the world. He who controls the battlefield, controls history. The age of deterrence is now the age of control. ![]() ![]() Hire one of eight legendary bosses to lead your soldiers, including Solid Snake, Raiden and Liquid Ocelot.Ĭoordinate with arms dealers to gain tactical advantages over those who oppose you. Private Military Companies have taken the place of state armies as the world's primary war machines.Īs the fires of war continue to spread, take command and wage the ultimate battle for supremacy. Includes a bonus mini-game that works within the larger game or on its own. Players choose to play as the System Alliance, Reapers or Cerberus and battle for the fate of the Galaxy. Led by Commander Shepard, a rag-tag army of the best and brightest soldiers in the galaxy is marshaled against the Reapers to ensure the light of civilization never goes dark now in Mass Effect Risk. Buy on Amazonīattle for the fate of the galaxy. Rustic Risk Board Game Classic risk game.High quality wooden pieces. This is the definitive version of the game with a wood board, 6 sets of wooden armies (in wooden war crates), 57 cards, 6 dice, game guide, and a deluxe wooden box to carry them in! When it comes to taking over the world, it'd all about who is willing to take the biggest risk. The new version has a drastically changed victory condition: complete three objectives while controlling your capital. Major and minor objectives have been added, along with cities and capitals, plus rewards for completing objectives. The graphics and components are brand new. Which side will win: the Galactic Empire or the Rebel Alliance? Buy on Amazon The object of the game is to defend or destroy the Death Star. This Risk: Star Wars Edition game lets players re-create the dramatic final moments of Star Wars: Return of the Jedi.Ĭhoose to play as either the Rebel Alliance or the Galactic Empire, and use the classic Risk dice to control characters and ships. This custom RISK edition features factions led by the four player characters as they vie for control over familiar maps from the series, using Pack-a-Punch cards to gain an advantage against opponents, and fending off wave after wave of zombie threats Buy on Amazon The legendary zombie demolition crew is back in a classic game of strategic conquest. Players build their army and lead their troops to glory in the all-time classic strategic combat game.Īdd an element of surprise to gameplay by choosing to play with Alexa after each turn. Take over the world in this game of strategy that features betrayal, alliances, surprise attacks, and a fierce, 2-headed dragon. ![]() DOI:10.1159/000486229įattizzo B, Giannotta JA, Cecchi N et al.: Confounding factors in the diagnosis and clinical course of rare congenital hemolytic anemias. He BJ, Liao L, Deng ZF et al.: Molecular Genetic Mechanisms of Hereditary Spherocytosis: Current Perspectives. Iolascon A, Andolfo I, Russo R: Advances in understanding the pathogenesis of red cell membrane disorders. Hematology Am Soc Hematol Educ Program 2018:377-381, 2018. Mohandas N: Inherited hemolytic anemia: a possessive beginner’s guide. Perrotta S, Gallagher PG, Mohandas N: Hereditary spherocytosis. ĭelaunay J: The molecular basis of hereditary red cell membrane disorders. Orphanet, das Portal für seltene Erkrankungen. Minkowski O: Über eine hereditäre, unter dem Bilde eines chronischen Ikterus mit Urobilinurie, Splenomegalie und Nierensiderosis verlaufende Affection. 7 8 Follow-up 8.1 Controls in asymptomatic patients In splenectomy, recommendations for vaccination and / or antibiotic prophylaxis must be followed. Mild hemolysis with anemia may persist in patients with a severe course, especially with spectrin defects. ![]() However, to date, it is unclear whether laparoscopic partial resection is equivalent to open, subtotal splenectomy in terms of hematologic outcome and risk of recurrence. Laparoscopic splenectomy is an alternative for hereditary spherocytosis. In an analysis of the Splenectomy in Congenital Hemolytic Anemia Consortium Registry, the mean hemoglobin increase was higher after total splenectomy than after partial splenectomy (4.2 g/dl vs 2.4 g/dl, p<0.001). Most data on subtotal splenectomy are from children, not adults. This risk is reduced by subtotal rather than total splenectomy, thus the former procedure should be preferred. ![]() The risk of splenectomy lies in the surgical procedure and the lifelong increased rate of severe infections, mainly due to pneumococci with a mortality of 0.1-0.4%. In severe jaundice leading to social problems increased jaundice in the presence of concomitant Gilbert's syndrome. In symptomatic/painful splenomegaly with associated thrombocytopenia or leukocytopenia that affects the patient*s quality of life. Often, microscopic differential blood count can guide further diagnosis. Other forms of congenital hemolytic anemia: Hereditary enzyme defects or structural defects of the hemoglobin genes also cause hemolytic anemia. The diagnosis is confirmed by the detection of the mutation of the SEC23B gene. In case of doubt, detection of dyserythropoiesis in bone marrow aspirate is required for definite differentiation. The reticulocyte count is often normal, but always not adequately increased in relation to the anemia. Splenectomy is not effective and contraindicated due to increased risk of thromboembolism.Ĭongenital dyserythropoietic anemia type II: Although single spherocytes are also detectable in the smear, it shows marked poikilocytosis, almost always with basophilia. Patient history shows frequent intrauterine hydrops with ascites. Hereditary xerocytosis (formerly also dehydrated hereditary stomatocytosis): Largely unremarkable blood count, only rarely stomatocytes and echinocytes (especially in phase contrast microscopy). After storage of the blood sample at 4 0 C for 2 hours, serum potassium and MCV increase, MCHC normalizes. Differentiation is important because splenectomy is often ineffective and associated with increased risk of thromboembolism. Hereditary stomatocytosis: The blood smear is crucial in this very rare clinical picture. MCV - mean corpuscular volume MCHC - mean hemoglobin concentration Leg ulcers may occur in elderly patients.Ī classification of hereditary spherocytosis based on clinical severity can be found in Table 4. The chronically increased hemolysis can lead to extramedullary hematopoiesis with the clinical picture of intrathoracic, paravertebral tumors even in patients with a mild form of progression - who were not splenectomized - after decades of progression. The course is usually mild in young adults and blood transfusion is not required. Hemolytic crises occur repeatedly, especially in the setting of intercurrent infections. Before making the diagnosis of secondary hemochromatosis in HS, primary causes such as HFE-associated hereditary hemochromatosis must be excluded. Cardiovascular complications, extramedullary hematopoiesis, or secondary hemochromatosis are rare. It may result in a severe drop in hemoglobin concentration, requiring blood transfusion. Hemolytic crises occur repeatedly, especially in the context of intercurrent infections. Most frequently after first time infection with parvovirus B19 Table 3: Typical complications of hereditary spherocytosis This sample meal plan is roughly 2000 calories, the recommended intake for an average person. *Note: modest variations in amounts of these foods have been used in subsequent studies.
12/31/2023 0 Comments Harvest assembly of godThey hope to help create a culture that encourages students and their families to prioritize their relationship with God above everything else. Their desire is to help students become grounded and established in the faith, and to make disciples that make disciples. They have been active in various ministries since their teens, but since 2019 have felt God drawing them to youth ministry. They have two children, Olivia and Charlotte. David and Alexis Johnson are high school sweethearts who married on June 28, 2015. His passion is to get down in the trenches and battle the enemy with them and show God's love above all else. His focus is to minister to the child's whole family. Pastor Dustin works to equip Kids to be able to handle the hard times by turning to Jesus as their strength. Dustin and Hannah believe that kids today are hit from all sides with things that are hard to handle. They have two children Hartley and Emerson. Dustin and Hannah met in March of 2012 and married May 18, 2013. Dustin and Hannah Clements came on staff November of 2016. Join him on Sundays and Wednesday or Watch Him Live on our weekly broadcast. Pastor Bearden has been in minsitry for over 30 years working to advance the Kingdom. He currently serves various postions within the community along with across the state. ![]() ![]() Prior to coming to Oak Grove, Pastor Bearden had Pastored other churches, growing congregations from fewer than 27 to over 500 in a few short years under the annointing of the Holy Spirit. He and his wife Lynn Bearden have been used mightily in this region and around the world to advance the Kingdom. Pastor Bill Bearden has served as the Senior Pastor of Harvest Assembly since May 2004. 12/30/2023 0 Comments Symptoms of narcolepsy type 1The sleep study checks for other explanations that could account for daytime sleepiness, such as sleep apnea or other causes of sleep interruptions. To diagnose narcolepsy, your doctor will ask you about your history of typical episodes and will have you undergo an overnight sleep study. Later in the course of narcolepsy, a person also can develop insomnia ( difficulty sleeping) during normal sleeping hours. During such episodes, a person may get lost while walking or driving, write or speak nonsense, misplace objects, or bump into things. They are periods of sleep that last only a few seconds, and usually are not noticed. Micro-sleeps are not unique to people with narcolepsy, and they can be experienced by anyone who is severely sleep deprived. More than 50% of people with narcolepsy experience periods of memory lapse or blackouts caused by very short periods of sleep called micro-sleeps. Memory lapses and visual disturbances may be particularly upsetting. Excessive daytime sleepiness can be disabling and may greatly diminish a person's quality of life. People with narcolepsy complain of fatigue, experience impaired performance at work and school, and may have difficulty in social relationships. Symptoms usually begin during adolescence or young adulthood. They tend to occur in people who also have sleep paralysis. These often-frightening visions are seen just as the person is falling asleep or waking up. Hypnagogic hallucinations - These are dreamlike images that are seen during the awake state instead of during sleep.Like cataplexy, sleep paralysis probably is related to insufficient separation between REM sleep and the awake state. Sleep paralysis - This is the temporary inability to move while falling asleep or awakening.The sudden relaxing of muscle tone is probably the result of the brain abruptly entering REM sleep. Typically, cataplexy is brought on by laughter, excitement or anger. Severe attacks can cause the knees to buckle, leading to collapse. Mild attacks can cause slurred or stuttering speech, drooping eyelids or hand weakness that causes the person to drop objects. It can last a few seconds or several minutes. Cataplexy - This is the sudden, temporary loss of muscle tone, which causes paralysis of the head or body while the person remains conscious.Excessive daytime sleepiness - This is always present and is usually the most prominent symptom.It is common for people with narcolepsy to have more than one symptom, but it is rare for a person with the disease to experience all four: However, it may take years to recognize the disorder because other, more common causes of daytime sleepiness often are blamed for the symptoms. The earliest symptom of narcolepsy is usually daytime sleepiness, which may be extreme. In narcolepsy, the brain-wave pattern can skip some or all of the other sleep stages, causing the person to move from the awake state immediately to REM sleep, or to awaken directly from the REM sleep stage. During REM sleep, your brain waves resemble those of an awake person, visual dreams occur and muscle tone is slack. During the night, healthy people normally progress through several stages of sleep before entering or leaving the state of sleep called rapid eye movement (REM). People with narcolepsy don't require extra hours of sleep, but they do need daytime naps because they have difficulty staying awake for long periods. A genetic (inherited) predisposition appears to play a role. The cause of other types of narcolepsy is unknown. This type of narcolepsy is associated with a shortage of a brain-stimulating protein called orexin (also known as hypocretin). The muscle weakness can be so severe that a person with narcolepsy will collapse to the floor, but not become unconscious. ![]() Men and women are affected equally.Ībout 50% of people with diagnosed narcolepsy have the combination of marked daytime sleepiness and sudden episodes of muscle weakness (called cataplexy). Once it appears, narcolepsy is present for life. ![]() Narcolepsy usually appears between ages 15 and 30, but the condition can appear earlier or later. Although sleep episodes can happen at any time, they may be more frequent during periods of inactivity or monotonous, repetitive activity. These episodes can occur often and at inappropriate times, for example while a person is talking, eating or driving. Narcolepsy is a disorder that causes sudden episodes of deep sleep. 12/30/2023 0 Comments Red tabby cat with purple eyes![]() If your cat is having a lot of tearing or swelling around the eye, go see the vet. The vet will need to treat the cause of the conjunctivitis appropriately, which will help unblock the tear duct. Severe inflammation in the conjunctiva (the tissues around the eye) can occasionally block a cat’s tear duct, causing excessive eye tearing. This is particularly true if there are other signs of eye disease, such as squinting, inflammation, or pain.Ĭat eye discharge should be examined within a day or two by a vet-sooner if it comes with any additional symptoms. ![]() However, there may be a problem if there is a larger amount of discharge in your cat’s eyes and it is thick, creamy, or coming from areas other than the corner. Often, this is confused with dried blood. It’s usually brown in color, and only slightly moist or dried. Goopy Eyes/Discharge in CatsĪ small amount of cat eye discharge in the corner closest to your cat’s nose is normal as long as it is a minimal amount. Take your cat to the vet if their eyes are glassy or tearing up. Glassy eyes are a sign of excessive tearing, which can occur when a cat’s eye is inflamed or in pain. If your cat squints for more than a few hours, it’s time to schedule an appointment with your vet. Whenever an eye is painful or inflamed, cats tend to squint. Squinting is also a symptom of eye disease. This is more of a symptom than a condition many conditions will present with irritated and red eyes.Īny condition that causes eye irritation should be evaluated by a veterinarian promptly. If treatment is delayed even a few hours, the resulting blindness is permanent. If you see this, seek treatment immediately to attempt to save your cat’s vision. The most common retinal symptom is when the cat seems to suddenly go blind, and their pupils look dilated. Hypertensive retinopathy (blood vessel damage because of high blood pressure) is one of the most common problems seen in older cats with eye problems. High blood pressure can lead to ruptures of the small blood vessels in the retina, which then can cause the retina to detach and result in blindness. Retinal issues are very common in cats and most frequently occur as a result of other health problems that cause high blood pressure, such as hyperthyroidism and kidney disease. Cats with ulcers will often squint, seem uncomfortable when the lighting is too bright, and have a red/inflamed eye, and they will sometimes have drainage from their eye.Ĭorneal ulcers can become severe quickly if they become infected, so have your cat examined quickly if you suspect they have a corneal ulcer. Corneal Ulcers in CatsĬorneal ulcers are injuries to the clear surface of a cat’s eye, more commonly known as scratches on the cornea. In some cases, the conjunctiva (the tissue surrounding the eye) can be so swollen that it is not even possible for you to see your cat’s eye itself!Īlthough anti-inflammatory medications may reduce the swelling of the conjunctiva, it often takes additional testing and examination to identify what caused the inflammation.Ĭats with conjunctivitis should be seen by a veterinarian within 24 hours. It occurs when the tissues surrounding the eye become inflamed and irritated.Ī wide variety of conditions can cause pink eye in cats, so it can be difficult to determine the underlying cause. Conjunctivitis/Pink Eye in CatsĬonjunctivitis in cats is more of a symptom than a disease. Cats with no history of infections should be seen as soon as possible-preferably, within 24 hours. Cat eye infections can present as “one and done” problems, but in many cases, the long-term outlook is not that simple.Ĭats with a history of viral eye infections should see a veterinarian within a few days after you see signs. Unfortunately, cats have many of these over the course of their lifetime-often brought on by stress or other diseases. The most common eye infections in cats tend to be viral infections. Here’s a breakdown of the most common eye issues in cats. There are a variety of conditions that can affect your cat’s eyes, but some are more common than others. This article provides a short overview of some of the eye conditions that might affect your kitty and how concerned you need to be about seeking treatment. Some cat eye diseases can be readily diagnosed and treated, while others are more challenging and may even require the input of a cat eye specialist, known as a veterinary ophthalmologist. 12/30/2023 0 Comments Rx7 jdm plate a specIt’s there where a car and the human beings behind it truly become one. Not just to excellence, but to long-term ownership. He’s already upped his game (no pun intended) by creating a special RX7 mod in Assetto Corsa - one that closely mimics his own tuning - to get one step closer to the real thing. As much as he used games like Forza and Gran Turismo to help fine-tune his vision of how he wanted the car to look, 2023 seems like the right time to turn those virtual lap times into legit ones. If you’re wondering where this build goes from here, Chris admits that it’s time to simply enjoy it. Captured by the talented Arlen Liverman, the opportunity allows a handful of lucky winners on social media to cherish this build as intended and it cements Chris’s car into a league of our staff’s discerning favorites, including Alex Alfaro’s Type R. Although it may not have taken home an award that day, it left an impression worthy of something special: a well-deserved spot in our ongoing poster series. Unsurprisingly, Chris’s car caught our attention too it easily became one of our favorites from the show. Despite being “96% introverted”, Johnston and his FD3S were the centers of attention at the Fortune Auto booth. Shortly after completion, Chris’s RX7 debuted at the SEMA Show in 2021. In a tibial plateau fracture, the fracture involves the cartilaginous surface of the joint in the knee. The external fixator is used when there are open fractures and significant soft tissue damage. An external fixator may also be used, especially in severe fractures. Plates and screws are not as commonly used as rods but can be used in those shaft fractures held close to the ankle. The rods are held in place with screws placed above and below the rod. It is done in the operating room and requires about an hour of operating time. Some patients can have intramedullary rods placed in the center of the bone on both ends of the fracture. It can be treated by casting from the foot to above the knee. These can occur after a fracture from a height, automobile accidents, sports incidents, and other recreational activities. There are also impacted fractures of the distal tibia, which require special care. They need special care because of the possibility of ankle arthritis. These occur up near the knee and can lead to knee arthritis, even when treated adequately. Some need surgery if they are significantly displaced or angulated. These are the most common type of tibial fracture and occur in the shaft or midportion of the tibia. The three categories of fractures include the following: Tibial fractures are separated into three different categories, not including open fractures, which require special treatment and which can occur anywhere in the tibia. It can hold up to 4.7 times the bodyweight, which tells you the kinds of forces necessary to fracture this bone. ![]() It forms the ankle joint along with the fibula and connects to the talus. The lower part of the tibia is smaller than the upper part and forms five different surfaces and the process known as the medial malleolus. The shaft of the tibia forms a triangular shape along its borders: an anterior, medial and lateral border. Together the condyles form the tibial plateau. The space between the flattened condyles is where the cruciate ligaments and menisci lie. The upper surfaces of each condyle connect to the femur, which forms the weight-bearing part of the knee joint. The most proximal part of the knee is associated with the medial and lateral condyle. The upper epiphysis is near the knee and the lower epiphysis is near the ankle. The diaphysis is the shaft of the bones and the epiphyses are the two ends. As a long bone, it has two epiphyses and one diaphysis. It is the second biggest bone besides the femur. The tibia is believed to be the strongest weight-bearing bone of the body. The tibia is closely connected to the fibula by the interosseous membrane, which forms a joint called the syndesmosis just proximal to the ankle. The lower joint connects the lower tibia to the talus at the ankle joint. Its upper joint connects the tibia to the femur in the knee. ![]() It is also called the shinbone and is the bigger bone of the two long bones of the lower leg. The tibia is one of the main weight-bearing bones on the body. 12/30/2023 0 Comments Chicken piccata giada![]()
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