Word, Excel, PowerPoint and OneNote: Select the Feedback icon in the top-right corner of the app. If you encounter any issues while using Office, please send us feedback so we can address them. macOS Sonoma is supported starting with the September 2023 update (16.77). For the best experience with the new operating system, make sure that you have installed the latest updates for Word, Excel, PowerPoint, Outlook and OneNote. For example, if you’re on macOS Monterey, but later you don’t update your macOS to a supported version when macOS Monterey is no longer supported, you won’t receive any updates of any kind.Īs new major versions of macOS are released and older versions become unsupported, we highly recommend you continue to update your macOS to a supported version in order to receive mainstream support such as security updates as well as new features. ![]() ![]() If you’re on an unsupported version of macOS, your Office apps will still work but you would no longer receive any updates including security updates. What if I don't update macOS to a supported version? Learn more about the latest macOS releases. The October 2022 update (16.66) is the last build to support macOS Catalina 10.15. The September 2023 update (16.77) is the last build to support macOS Big Sur. Note that new installs of Microsoft 365 for Mac also requires macOS Monterey or later. ![]() Upgrading your operating system to macOS Monterey or later will allow Office updates to be delivered for your apps. If you continue with an older version of macOS, your Office apps will still work, but you'll no longer receive any updates including security updates. Starting with the October 2023 update (16.78) macOS Monterey or later is required to receive updates to Word, Excel, PowerPoint, Outlook, and OneNote.
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You can click Stop Sharing at any time to sever the connection. You can drag that message around so it’s not in your way. Note that the shared machine of the person requesting help displays a message warning that their machine is being accessed remotely. Remote machine appearing within a window on the helper’s screen. (Screenshot: )Īfter a few seconds, an image of the remotely connected computer will appear in a window. You can do this any way you like - instant messaging, texting, a phone call - whatever works for you.Įnter that code into the “Connect to another computer” box on the machine of the person helping. Give this code to the person who’ll be helping. Note that you have five minutes before the code expires. The button will be replaced with a 12 digit code. On the machine to be shared - that of the person requesting help - click on Generate Code. “Connect to another computer” is what we’re interested in here. ![]() You’ll be presented with options to either “Share this screen” or “Connect to another computer”, similar to what we saw above. (You can also install the Chrome Remote Desktop app as we did above, if you haven’t already, and run the Chrome Remote Desktop app.) Preparing to give helpīegin by visiting /support in Google Chrome. Now it’s time to set up the other side of the connection. Once installed, the download button will change to a “Generate Code” button. Chrome Remote Desktop Extension install screen. This is the software actually enabling remote access to your machine. The first time you click on the download icon in the “Share this screen” section, you’ll be prompted to install “Chrome Remote Desktop”. You can see it now has its own icon in the taskbar. Once you do, you’ll find a shortcut on the Start menu for Chrome Remote Desktop, treating it as a separate app you can run at will. You may be prompted to install the Chrome Remote Desktop app. The rest of this article focuses on this process. To establish the connection, you must be at your computer and the person who will be helping needs to be at theirs.
![]() 45-70-405, but was also commonly called the “.45 Government” cartridge in commercial catalogs. The cartridge is completely identified as the. Army’s Springfield Armory for use in the Springfield Model 1873 centerfire rifle. ![]() 45-70 Government ( and the only gov’t I trust), was developed at the U.S. At that time it was called the 45-70 Government cartridge. Government contract was issued for several thousand Springfield rifles chambered for the 45-70. The 45-70 dates back to as early as 1865 but it wasn’t standardized until 1873 when a U.S. 45-70 and ballistics chart, and the second deals with Black powder. Energy drops to 860 and Velocity slows to 978. Removed for space, at 300 yards the heavy projectile drops drastically minus 78 inches. Velocity slows to 1225 and energy to 1083 pounds. This projectile drops more than 27 inches at 300 yards. Removed for space, is the 300 yard trajectory numbers. Rifle zero: 142 yards, 2″ mid-range rise. Ammunition: Hornady 325 grain FTX bullet. This is a 45-70 Ballistics chart for rifles with a rifle barrel length of 24 Inches. Velocity slows to 1,071 and energy drops to 636 lb/ft. At 300 yards the bullet drops like a rock to minus 36 inches. Removed for space is the 300 yard trajectory. Rifle zero: 135 yards, 2″ mid-range rise. This following table is a ballistics chart for the 45-70 Government rifle with a rifle barrel length of 24 Inches and the following: Ammunition: Hornady 250 grain Monoflex bullet. After that, we share some history and show a few different rifles chambered in this iconic big-game cartridge. Below are a few different 45-70 Gov ballistics charts showing 250, 325, and 405 grain bullets at various distances. The best-known parody, "Notorious KKK" (a parody of Hypnotize by The Notorious B.I.G.), has accumulated over 119,000 views on YTMND. Starting in 2007, the character in the commercial, "Mac Tonight" was utilized in videos where he is depicted promoting violence against minorities and promoting the KKK with racist parodies of rap songs.
Laparoscopy also usually has a lower risk of infection and scarring. This means you can get back to your regular activities more quickly, although the time needed varies from patient to patient. Recovering from a laparoscopic excision is usually shorter than it would be for traditional open surgery. Ablation vaporizes the top layer of tissue but won’t address deep infiltrating endometriosis. While endometriosis can reform, excision surgery can be combined with postoperative hormonal suppression or other medical treatments to manage the potential recurrence of the condition.Īblation therapy is effective for superficial endometriosis but i sn’t as effective as a treatment for deeper endometriosis. Radical laparoscopic excision of endometriosis allows your surgeon to remove all the lesions and related scarring from anywhere in your abdomen. Here are some things you should keep in mind. There are many pros and cons to consider when comparing excision and ablation as ways to treat endometriosis. What Are the Pros and Cons of Each Type of Procedure? Sometimes referred to as fulguration, coagulation, or cauterization, ablation is also minimally invasive. The goals of surgical treatment of endometriosis are to completely ablate and/or excise active endometriotic tissue and correct anatomic distortions caused. What Is an Ablation Procedure?ĭuring an ablation procedure, your surgeon uses heat to vaporize the abnormal tissue. ![]() After surgical excision, your surgeon extracts the instruments and closes the incisions. They make a couple of additional small incisions and insert surgical tools into your abdomen to cut away the endometriosis lesions. ![]() We use a state-of-the-art DaVinci robotic arm to perform endometriosis excision.ĭuring a minimally invasive excision, your surgeon makes a small cut in your abdomen and inserts a laparoscope, which allows them to see inside your body to locate the endometriosis. This information is for you if you are about to have, or are recovering from, laparoscopic excision of endometriosis. Our team at Maiden Lane Medical usually performs minimally invasive laparoscopic surgery to remove endometriosis lesions and related scar tissue. Globally more than 200 million women are suffering with endometriosis but only a handful of surgeons are excision experts.Excision is a surgical treatment for endometriosis. A trained, expert Surgeon can treat endometriosis to its perfection. Accuracy in diagnosis and treatment options are dependent on the surgeon to recognize endometriosis disease in all its different manifestations. Various studies and clinical trials have proved that excision is more effective and the best way to treat endometriosis than ablation.Įxcision is a highly complex, modern, and advanced surgical technique and requires extensive training. Excision is always preferable as we don’t know the extent and depth of disease simple by looking at it. Ablation or fulguration acts on the surface of the lesion but leaves the active disease below it and it is particularly true for deeply invasive nodules and deep infiltrating endometriosis (DIE). This type of treatment leads to recurrence and multiple surgeries. There is also a possibility of damaging the underlying tissue such as bowel, bladder, ureter and other vital organs. This method causes more tissue damage and scarring and also we don’t get tissue for pathologic confirmation. If your doctor advices fulguration, you need to take a second opinion and go for excision specialist. Fulguration burns only the tip and women will be symptomatic even after this treatment. This method has not proven successful for endo treatment as endometriosis is like an iceberg, what we see is just the tip and the remaining is deep inside which needs to be excised. Whereas ablation also known as fulguration/ vaporiization/ coagulation is a method whereby the endometrial tissues are burned using heat, laser or cautery methods. When this surgery is done by excision expert, it has a very low rate of recurrence, provides good symptomatic relief and enhances fertility and leaves a positive impact on patient’s life. The excised tissue is sent for pathologic confirmation as well. The endometriotic tissue is ideally scooped down to the roots and anatomy is restored for optimum functioning. If the disease is not excised well chances of recurrence will be very high and also pain relief will not be complete.Įxcision is removal of endometriotic implants by cutting them away from surrounding tissues and organs. It’s a multidisciplinary approach for endometriosis surgery where excision specialist also involves colorectal surgeon, uro-surgeon and other specialities for optimum excision of disease. ![]() ![]() Laparoscopic Excision (LAPEX) is the surgical procedure of choice for treating endometriosis. ![]() Power Text Tool: Create custom headlines with the Power Text Tool with various, colors, fill patterns, and fonts.Speech Balloon Tool: Create “comic book” speech balloons and insert your desired text!.Object Tool: Customize a text box, picture box, line, graphic item or group.Quickstart™ Power Tools: Easily add various design elements to your projects.All you have to do is supply the paper, install the program, create, and then print! You can also create huge multi-page text and graphic intensive documents just like other $200+ name-brand desktop publishing programs! You can tinker with, tweak and outright torture text, plus create headlines and special effects like the pros do.Ĭlipart and fonts are all included inside this package! No more extra “downloads” to deal with when all you really want to do is to get started and finish quickly. Professional features allow you to wrap text around graphics, link text boxes and precisely place text elements, right down to the letter. Both first-time users and experienced graphic designers will appreciate Quickstart™ Desktop Publisher, as the program exhibits far more control over the appearance of your creations than ordinary word processors or print productivity programs. It includes intuitive and powerful text handling capabilities that almost all other print productivity programs lack. This is NOT just another “print productivity” program but a full-fledged professional desktop publishing program. Get your professional catalogs, brochures, newsletters, etc. Home 1 › Quickstart Desktop Publisher Pro 2 ![]() Social Studies, History & Geography (CD).Social Studies, History & Geography (DL). ![]() Increases a special type of damage based on your chosen class. Also increases damage to staggered opponents. Increases effects of debuff on enemies, and decreases such effects on your own character. ![]() A good option if your chosen Skills can apply such effects. Determines the amount of extra damage dealt to debuffed, staggered, or pushed enemies. Prioritize if you’re going for a tanky build. Increases Defense, Healing, and Shielding. Increases Attack and Movement Speed, and decreases Skill cooldowns. ![]() It’s most useful if your chosen Skill Trees already offer Critical Rate and Critical Damage boosts. The chance of landing a Critical hit (beware: not the same as Critical Damage). You also need to assign Combat Stats if you want to join PvP matches. However, besides normal Attack Power and HP, every piece of gear comes with a special selection of ‘Combat Stats’ that are important to your build. In that sense, it’s easy to see the difference between ‘good’ and ‘bad’ equipment. Lost Ark weapons and armour stick to the usual Common (white) to Legendary (orange) tiers. Protection, which grants a shield while casting, is a great solution if you have a powerful skill that leaves you vulnerable for a few seconds. Bleed is a very powerful effect (causing damage over time), so use it on a Skill with a long active time to apply it as much as possible. Match your Runes with the most suitable Skills.Only use effects such as an increased area-of-effect radius or decreased cooldown if you feel that the skill is lacking in those areas. When in doubt, go for effects like increased Attack Speed or increased Critical Rate/Critical Damage.If you’re about to fight a Boss with a specific elemental weakness, changing your Skill Tree to match that elemental type is worth the effort. Many Skill Tree effects change the damage to a certain elemental type.Try to allocate your Skill Points in such a way that you unlock as many Skill Trees as possible (better to have them at level 7 and 10 than level 8 and 9, for example).How to get the best Skill Tree build in Lost ArkĪnd that leaves the big question: which Skills to choose and what Skill Trees to assign? Here are some general rules and strategies to keep in mind: They tend to be more powerful and awesome-looking than your normal Skills, but they can’t be upgraded with Skill Points. In late-game Lost Ark, you will obtain two Awakening Skills.Abilities can be further enhanced with Gems and Runes, which are rewards from endgame activities like Chaos gates, Guardian Raids, and Field Bosses.If you want to strengthen your Lost Ark endgame build, finding these additional Skill Points is the way to go. After reaching level 50, you can earn more Skill Points by collecting Skill Potions from various quests, the Island Token exchange, Adventurer’s Tome rewards, and clearing The Tower.A new Skill Tree branch is unlocked when a Skill reaches level 4, 7, and 10, costing you 4, 20, and 48 Skill Points respectively. Every Skill has its own Skill Tree which allows for further modification.As this gameplay feature is at the core of the build system, here’s a quick rundown of how it works: Whenever you see players sharing their Lost Ark builds online, it’s usually a selection of Skill Points and Skill Trees. ![]() There was no history of fever illicit or prescribed drug contact, including scopolamine patch, or ingestion or unintentional intoxication. No other neurological symptoms were present. ![]() The patient did spring board diving regularly as part of her athletic training and denied any significant trauma to her eyes or face outside of her normal regimen. She had participated in spring board diving competition the day prior to presentation, with associated repeated water impaction from three-meter height. Subjectively, associated symptoms included blurry vision in both eyes with worse far vision in the right eye. The patient initially denied touching anything unusual prior to touching her eyes. She denied wearing contacts or placing eye drops in either eye. She rated the headache pain as 7/10 with exposure to bright light and 0/10 when in a dark room neither eye was painful. The case presentation was submitted to the Hawai‘i Pacific Health Research Institute for review and was deemed not needing institutional review board approval, study number 2019-003.Ī 14-year-old girl with a non-contributory past medical history presented to the pediatric emergency department with chief complaint of “right pupil very dilated and not changing with light changes.” She woke up that morning in her usual state of health, went outside to film a video for a school project, and 30 minutes later developed right eye photophobia and right unilateral temporal headache with exposure to bright light. 6 In this case report, we examine the case of a 14-year-old female who presented to the pediatric emergency department with acute anisocoria and unilateral mydriasis after contacting an Angel's trumpet plant and who had complete resolution of symptoms four days following eye contamination. 5 Also, only one case report of acute anticholinergic toxicity related to Angel's trumpet tea ingestion has been published from Hawai‘i. 4 Despite the high number of plants cultivated, between 20 only eleven events of human exposure to members of these genera were reported to the Hawai‘i Poison Center, out of the total 44 anticholinergic plant exposures that were reported. Brusmansia x candida, one of the many Brugmansia plants commonly referred to Angel's trumpet,is the most commonly cultivated species within this genus. 3 There continues to be confusion regarding what genus member plants belong to therefore, case reports and poison control reports of contamination and ingestion interchange the genera. Lockwood separated the genus Datura into two sub-genera: Datura and Brusmansia. 2 The Datura and Brusmansia genera of plants are often used interchangeably due to all member plants initially being included in the genus Datura. The first Angel's trumpet plant, at that time listed as Datura arborea, was brought to Hawai‘i in 1825, aboard the HMS Blonde. Although eye contamination with the Angel's trumpet plant is self-limited and resolves within a week, the appearance of a persistently unilateral mydriatic eye can be alarming to patients and clinicians, which too often results in an unnecessary, costly workup. It is critical when obtaining a history from a patient with such a presentation to ask explicitly about any contact with plants prior to onset of symptoms. This likely explains why even brief contact with the plant can result in unintentional contamination of the eye and in mydriasis. The three active components occur in different parts of the plant, including on the small glandular hairs that cover the entire plant. The Angel's trumpet plant contains three active components which can result in mydriasis: hycosamine, atropine, and scopolamine. We report the case of a 14-year-old girl who presented to the pediatric emergency department with acute anisocoria and unilateral mydriasis after contacting an Angel's trumpet plant and who had complete resolution of symptoms four days following eye contamination. Acute anisocoria and unilateral mydriasis is physically alarming to patients and diagnostically worrisome to clinicians. And then, I look at my boys, and they have so much anger. I thought that I was doing what was best for everybody. But I feel like it’s poisoned everything. You know I spent my whole life trying to keep this part of me separate. You can either go someplace, where you’re wanted for who you are. And I don’t want to be that old guy that gives you advice, but I look at you and I think there are two versions of how your life can go. You guys don’t care as much about the rules. I’m envious of your generation, you know. There’s nothing more powerful than a fat girl who doesn’t give a f-k. The situation with your son… a lot of people are talking… I know (he’s innocent.) It’s just. Suddenly, the whole world goes dark and nothing else matters except the person standing in front of you. I wasn’t going to stop until I got the truth. What is with your weird fascination with me? - Kat Hernandez ![]() Just had, like, this reaction, and I just, like, hated you. I guess I just wanted to hurt you as much as I imagined you’d hurt me. The need to organize her feelings and thoughts, so she can breathe easier. Rue BennettĬassie’s dad was handsome, the kind of handsome that made people treat him differently. What I really meant to say is my mom can do better and I hate seeing you sit in the chair my dad sat in. I admire what it took, I just hope it didn’t teach you the wrong lesson. I definitely haven’t reached my full power. It was like there was no more air left in the world. But I’ll do my best to make sure that it’s me. You know, I mean, like, is one of us gonna get hurt? Yeah. I came here so I wouldn’t have to think about it. This is the feeling I have been searching for my entire life, for as long as I could remember. I just showed up without a map or a compass, and at some point, you have to make a choice … about who you are and what you want. Listen, man, I’m sayin’ you keep f-king with Rue and her friends, I’m gonna kill you. You may have won the game, but you lost control of the team. ![]() Nate/TylerĮvery time I feel good, I think it’ll last forever, but it doesn’t. ![]() You are the most beautiful person I’ve ever known. The absolute worst part of depression is that even though you know you’re depressed, you’re unable to stop yourself from getting worse. Because when you’re in a hospital, you have zero responsibilities. If I could spend the rest of my life in a hospital, I would. Rue Bennettĭid all this happen because I left? - Jules She hated her life, not because it was bad, but because when you hate your brain and your body, it’s hard to enjoy the rest. Some people need to get their feelings hurt sometimes. You’ve got to believe in the poetry because everything else in your life will fail you, including yourself. It was the fact that she knew no matter what he did, she’d still love him. Nate Jacobs Quotes Famous Euphoria Quotes ![]() A game like The Witcher 3 drains the battery in under four hours at 30FPS, and under two hours at 60FPS. Reviewers over at PCGamer found that you can get around seven hours out of the Steam Deck running a visually simplistic game like FTL: Faster than Light when locked at 30 frames per second, so that's essentially a best-case scenario. Valve touts up to eight hours of battery life depending on the game and settings you're using. In exchange for this added performance, however, the Steam Deck loses out on some battery life. That's not to say the Switch can't have visually-appealing games, but on a technical level, it's a far cry from the Steam Deck. There's also a Switch port of this game, but it runs at just 540p resolution and with very low-quality textures, so it really makes it apparent that the Steam Deck is very far ahead. System: USB-C port, 3.5mm headphone jack, Dock (standard and OLED models): 1x USB-C port (charging), Three USB Type-A ports (two in OLED model), RJ45 Ethernet (OLED model), HDMIĪ great game to exemplify this is The Witcher 3: Wild Hunt since it's still a fairly demanding game that runs smoothly on the Steam Deck with better visual fidelity. Standard: 6.2-inch IPS, OLED: 7-inch OLED, Lite: 5.5-inch IPS, 1280x720 resolutionĢ56 Maxwell-based CUDA cores (integrated)ġx USB-C 3.2 Gen 2 (DP Alt Mode), 3.5mm headphone jack, microSD expansion The best games on Steam Deck need to be legible at 800p, work with a gamepad or touch screenthe less control mapping the betterand save. Nvidia Tegra X1 (launch models)/Nvidia Tegra X1+ (after August 2019)ħ-inch IPS, 1280x800, 60Hz touchscreen, optional scratch resistant glass coating Theres much more to handheld gaming than performance. There's also the more portable Lite model, coming in at $200.ġ1.7 x 4.6 x 1.9 inches (298 x 117 x 49mm)ĩ.4x4x0.55 inches (239x102x13.9mm) (standard model with Joy-Con)Ġ.88 pounds (398 grams) (standard model with Joy-Con)Ĭustom AMD Zen 2-based processor (4 cores, 8 threads, up to 3.5GHz) The OLED model launched in 2021 costs $350, and it also includes 64GB of internal storage. The standard model costs $300 dollars, with an IPS panel and 32GB of internal storage. The Nintendo Switch has been available since 2017, and you can find it at pretty much any retailer that sells video games, such as Best Buy and Amazon. Pricing for the Steam Deck starts at $400 for 64GB of eMMC storage, and it goes up to $649 for the 512GB SSD model. It's only available directly from Valve, so you can't find it at most retailers. Steam Deck vs Nintendo Switch: Price, specs, and availabilityīoth the Steam Deck and Nintendo Switch are essentially fully available at this point, though buying a Steam Deck isn't quite as easy. Let's take a closer look to see which one of these is better for you. And of course, it's important to keep in mind the exclusive games to each platform. The CPU runs between 2.4 and 3.5 GHz, and the system has access to 16GB of LPDDR5 RAM.When it comes to a handheld console, portability and battery life are also big factors to consider. It's powered by a custom AMD accelerated processing unit (APU) that's based on Zen 2 (CPU) and RDNA 2 (GPU) architectures, the same technology that helped build the Xbox Series X and PlayStation 5. In contrast, the Steam Deck saw release in early 2022, a full five years later than the Switch. On-board storage takes the form of 32 or 64 GB of eMMC flash memory, which delivers roughly the same performance as the microSD expansion card slot (around 95MB/sec, which is why expensive microSD cards won't improve Switch performance). At nearly a foot wide and weighing almost a pound and a half, the Steam Deck stands firmly on the unwieldy side of what you would consider a portable. Its NVIDIA Maxwell-based GPU runs between 307 and 768MHz, depending on whether you're playing in portable or docked mode. The Steam Deck Is a Big Portable Gaming PC. The Switch was released in early 2017 and is powered by the NVIDIA Tegra X1 system-on-chip (SoC) running at 1.02GHz, with a total of 4GB LPDDR4 RAM. The Nintendo Switch and Valve Steam Deck share a lot of similarities, but there are some big differences in terms of overall power and performance. The Biggest Difference: Parts and Performance |
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