2/29/2024 0 Comments Lhc group homepage itrain![]() ![]() Please contact your system administrator. This webpage will help you connect to your work resources from anywhere. You will also need to use Okta Verify Multi-Factor Authentication to verify your identity. If you see the error message Sign in failed! your username and password do not match those specified for your profile, or you do not have access permission. Are you an LHC Group employee who needs to access VPN, Outlook, Citrix, or other applications and services If so, you can use this webpage to sign in securely with your LHC Group Windows user ID and password. The domain uses a Commercial suffix and its server (s) are located in N/A with the IP number 103.233.2.53 and it is a. reaches roughly 521 users per day and delivers about 15,641 users each month. With 15 years of experience, we're committed to your growth and success. Provided by Alexa ranking, has ranked N/A in N/A and 5,922,694 on the world. If you have forgotten your password or are having trouble logging in, please click on the 'Forgot Password' link to reset it. Our mission is centered around helping people, and its through the dedication and hard work of our 29,000 team members, including yourself, that we are able to make a positive impact every day. We take pride in the culture of care, belonging, and trust that we have cultivated together. Go to Employee Home Page Join the dedicated team of healthcare professionals at LHC Group. The entire LHC Group team greatly appreciates your input. If your security image is still not displayed, report the issue using the Send Feedback link. To access LHC Group's employee home page, please click the button below. Then, open a new browser window, type the address in manually, and enter your username again. If your security image does not appear, close the browser and confirm that you are using the correct address to sign in for your organization. If you are an LHC employee or contract worker, or an HCBS full-time or part-time employee, login through the employee homepage > iTrain using your Windows. This feature requires browser cookies.Ĭaution: If you have successfully signed in on the current browser before and have not cleared cookies, do not enter your password if your security image does not display when you enter your username. For example, if your username is just enter jsmith.Īfter you enter your username, your security image is displayed automatically if you have previously completed a successful logon in the browser you are using. Supportive help that provides comfort and quality of life during life-limiting illness. In-home care by attentive professionals during a recovery or to help manage an ongoing condition. This Cookies Policy was created by GDPR Cookies Policy Template Generator and the. Cookies can be used to collect, store and share bits of information about your activities across websites, including on LHC Group website. For example:Įnter your username and password, and then select Sign-in. The LHC Group family is here to help now. Cookies are a small text files that are stored in your web browser that allows LHC Group or a third party to recognize you. In case you use a modern system like the ECoS or Central Station 1 and 2, iTrain will import all loc definitions so you can start even faster.Open a web browser and enter your organization's Okta address. Defining a route can be as simple as selecting the order of blocks, but more advanced options are also possible. Simply draw the layout and assign the signals and feedbacks to the blocks for automatic control of your block signals, without providing difficult rules. It is not necessary to study for weeks to be able to use iTrain. Need to register for an I-TRAIN account I-TRAINDSP is an innovative and interactive online training tutorial for Direct Support Professionals. Username Well never share your username with anyone else. The switchboard is fully scalable with an optional layout overview for large layouts, and allows different tabs for different views of (parts of) the layout. Use the following form to sign in to your account. ![]() Client server architecture allows extra computers to be used as extra overviews or controllers. Modern software techniques make it possible to run the program on all major computer operating systems such as Windows, macOS and Linux. For example, automatic block control avoids collisions and you control which train is driving manually or fully automatically according to a selected route. ![]() ITrain offers an easy to use solution to control your model railroad with your computer(s), especially if you want to automate only parts of your layout and keep control of the rest yourself. For more resources, please visit the employee starting page. ![]()
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2/29/2024 0 Comments Hebrew letter font free download![]() ![]() With “Letter Spacing” you change the space between the letters and with “Column Width” you give your text the right frame. Choose your preferred “Font” and “Font Size” and adjust the “Line Height”. With “Details” you refine your individual Bionic Reading reading mode. You can also adjust the visibility of the remaining letters individually to your needs. With “Opacity” you define the visibility of your Fixation. Maybe you only want to read nouns, verbs and adjectives with Bionic Reading®. With “Advanced Settings” you decide which part of speech the Bionic Reading® algorithm should consider. For monosyllabic words, your Fixation setting is taken into account. With “Syllables” the syllables of the word are used as a basis for the Fixation. Your defined settings for Fixation and Saccade are used by the Bionic Reading® algorithm. With “Letters” you define your personal selection of Fixation and Saccade. With “Saccade” you define the visual jumps from Fixation to Fixation. This online tool gives you the most exceptional learning experience and encourages you to improve your typing skills more quickly.With “Fixation” you define the expression of the letter combinations. That's why we developed, which is a free online typing tutorial. It is nevertheless easy to understand as touch typing takes dedicated practice to know it well. Most people still indulge in the bad habit of typing 'hunt-and-peck,' even those experienced professionals with years and decades of computer experience. Hebrew typing makes you more successful and a skill worth learning. ![]() It significantly increases typing speed and prevents mistakes. Hebrew Typing Keyboard can use muscle memory to locate keys quickly, without using the sense of sight and with all the fingers available, just as piano players do. Online Hebrew keyboard users are surfers having a Qwerty or Azerty Keyboard without Hebrew characters. We have a good ranking of users based on the Alexa service for the most known Hebrew keyboard. We also note that people coming from Non-Hebrew countries are using these keyboards. It is also for the users who speak and write Hebrew and don't have a physical keyboard. The primary users of these services are students and academics. You can then paste the text into any Facebook, Twitter, email, search app, etc. Touch and hold inside the text area for mobile phones and tablets to copy the text. You can use this online virtual keyboard when you are in a foreign land using the internet in a cyber cafe. It is a pretty straightforward online Hebrew keyboard, which will help you write documents in the Hebrew language. Moreover, you can edit your text by putting the mouse pointer inside the input box. So, you can type any Hebrew script using this online keyboard. This keyboard is applicable for typing both small and capital letters. ![]() No matter if you don't have a suitable keyboard to type the Cyrillic alphabet. This online typing keyboard allows you to type in Hebrew characters on your computer. You will learn the shortcut keys with this online virtual keyboard. You can use your computer keyboard or mouse to type Hebrew letters with this online keyboard. Hebrew Typing Keyboard enables you to type in the Hebrew language, so installing any software is unnecessary. Hebrew Keyboard is a fast and accurate typing keyboard. Our free online Hebrew Typing Keyboard uses Google transliteration typing service. So, follow below and practice with the Hebrew Typing Keyboard to become the Hebrew typing master in no time. To double-click the button to highlight all text, then press + to double and + to paste on your physical keyboard.Īre you facing a problem with typing in the Hebrew Language? Do you want to learn to type in Hebrew online? Or, Are you in search of the best Hebrew Typing Tutor and not able to find the best tool? Then Yes, you are on the right website to learn to type Hebrew quickly. When complete, you can copy and paste the letters. Hold on your physical Keyboard to type capital letters, and the texts will become the upper case. Your physical keyboard will type Hebrew on this page. Use the Hebrew Typing Keyboard for Hebrew typing practice online, and you don't have to install anything. Also, practice typing with our online typing keyboard games for free. Write Hebrew at a faster pace with this virtual Keyboard. This online keyboard app is also helpful for users who speak Hebrew worldwide. With this Keyboard, you can practice Hebrew lessons online for beginners. This Hebrew Typing Test Keyboard is also known as מקלדת בעברית in the Hebrew Language. 1 web-based editor to write in Hebrew characters. ![]() Hebrew keyboard online for Hebrew typing is the best and most comfortable virtual keyboard to type in Hebrew alphabets, letters, and words. ![]() 2/29/2024 0 Comments Grim reaper desktop wallpaper![]() sims.spawnsimple - Spawn specified number of Sims (keep the number low to avoid crashes).sims.remove_all_buffs - Moodlets are removed.sims.modify_funds - Add specified amount of funds.stats.fill_commodities_household - Fill commodities for all Sims in household.sims.fill_all_commodities - Fill commodities for one Sim.crafting.shorten_phases - Faster crafting.careers.remove_career - Abandon career.careers.promote - Earn a promotion in chosen career.mote - Earn a demotion in chosen career.plete_current_milestone - Completes current aspiration milestone.ui.to_respond - Backs out of dialog or makes a choice automatically.topay_bills - Pays bills automatically.testingcheats – Enables additional cheats.headlineeffects – Hides all headline effects (plumbobs, thought balloons, etc.). ![]()
2/29/2024 0 Comments Star wars rey cosplay beach![]() ![]() ( Like a freaking rockstar! #besthusbandever) Daddy wasn’t even planning on cutting the umbilical cord, so naturally he ended up delivering the baby on his own.Breastfeeding? Nah, we’re gonna make that so difficult that they make you stay an extra day in the hospital.(Thank goodness Grandma got an earlier flight than planned!) Daytime delivery so that we have somewhere for Maddie to be? Nope, we’re delivering in the middle of the night with the 6 year old as a witness.(She also clearly thought I needed a new comforter set.) Want an epidural? Nope, Emily decided we’re going all natural.Preterm baby? Make that full term plus 2.Literally everything we said would happen with this pregnancy and delivery went the opposite way. I’m still in awe as I sit here now reliving our experience. ![]() We’re so proud of her! And I guess now we don’t have to have any more talks about how babies are born. (When Emily was placed on my chest Maddie’s first words were “Can I pet her now?”) Six years old and this girl jumped into action like she was a grown adult. She gave the 911 operator our address and got towels to help keep her baby sister warm. Maddie was the calmest out of everyone and she really stepped up when things got crazy. (From his brand new sneakers… sorry, Babe!) The ambulance arrived 5 minutes later. Following the directions of the 911 operator, my 6 year old daughter Maddie got towels to wrap up the baby and my Hubby tied off the umbilical cord with a shoelace. My water broke in loud, movie-style fashion and after 2 pushes Emily was safe in her Daddy’s hands at approximately 12:35am. She immediately called 911 and my wonderful husband stayed close to me. At 12:26 I was on contraction #5, which I dubbed “the never-ending contraction.” Fortunately my wonderful mother-in-law was in town and staying with us. But again, Emily chose to defy authority…Īt 12:11am I tracked the first contraction in my pregnancy app. We were scheduled for an induction that morning at 40 weeks, 2 days. I had no idea when I bought this hat that it would be so appropriate in describing her! #tinyrebel Here is Emily’s first “official” portrait in the hospital at just 1 day old. Well… our little “high risk of preterm” baby earned her rebel status first by deciding that she was going to hang tight and go beyond full term. We spent every day that month preparing for her to come “any day now.” This meant hormone pills, a ton of extra ultrasounds and being required to stay off of my feet “as much as possible.” I spent the entire month of June in bed or on the couch because walking and even sitting up for too long became painful. Some of you may already know that this pregnancy hit a rough turn at our 20 week ultrasound when we were told there was a pretty significant chance that our baby could come as early as 24 weeks. Today I am proud to share with you my baby girls first studio portraits along with her incredible (and unexpected) birth story. The past few months have been such an intense rollercoaster and never in a million years did I anticipate such a dramatic finale. Please note some of the items sold in Star Wars: Galaxy’s Edge cannot be worn inside the land.This is undoubtedly the most personal post I’ve ever written.
![]() Having a 'parental control' option to filter content based on age-appropriateness would be a valuable feature. The website offers hundreds of printables that are well-organized and easy to find. Where Can I Find Free Printables If you are looking for websites that offer free printables, you have probably discovered Activity Village. It's perfect for my daughter's art projects. Free Printable Church Usher Hand Signals Free Printable. Review by appreciate the wholesome and child-safe clipart available here. It contains more illustrations which instruct the chief usher how to direct the ushers. Having a section with historical clipart for social studies lessons would be fantastic!" The companion handbook to the popular Universal Church Usher's Manual, this orange covered handbook is intended for the instructor. The versatility of the images allows for creativity in various subjects. Review by clipart on this website has significantly enhanced my middle school classroom materials. ![]() ![]() Adding a section with ecology-themed clipart for environmental concepts would be wonderful." The realistic plant and animal illustrations enhance my presentations. Review by teach environmental science, and the nature-themed clipart is perfect for my lessons. Still below, when you visit this web page, it will be adequately no question easy to get as without difficulty as retrieve instruction Church Usher Hand Signals. So, once you requirement the books quickly, you can straight get it. This booklet is designed to assist you in your participation in the liturgical Ministry of the Ushers here at St. Free Printable Church Usher Hand Signals GIGA TMS SUPPORT. Though we thoroughly enjoy the creative edge of our 12Stone services, make no mistake, this is a holy event where God is meeting with His people. The usher serves as a first representative of Jesus Christ for a worship service. When greeting the congregation, the usher moves the hand from the side to a waist-high. An usher is a spiritual ambassador for the local church God’s ordained and organized body of believers. In the typical resting signal, one hand hangs by the side, while the other is in a fist at the small of the back. Some ushers use the 'National Silent Uniform System' that was developed during the 1940s. Consider adding a 'teacher tips' section where educators can share creative ways they've used the clipart in their classrooms." Welcome to the Ministry of the Ushers Jesus said, 'Whoever welcomes you, welcomes me, and whoever welcomes me, welcomes the One who sent me' (Mt. Church ushers communicate to their congregations and among themselves through the use of hand signs. The intuitive search function and categorized clipart sets save time. Review by clipart website has simplified my lesson planning process. It would be great to have interactive clipart quizzes or games to reinforce learning concepts." ![]() The diagrams and icons make complex topics more accessible. Review by appreciate the educational focus of the clipart, perfect for my science class. Over these years, we have gathered a tremendous amount of your feedback, and we are pleased to share it with you. Stand outside the church/near the door while greeting people before Mass and after Mass to hand over the Messenger.Dear users of the clipart-library website, this year marks the 7th anniversary of our website. Baptist Church Usher Hand Signals Pdf If you ally obsession such a referred Baptist Church Usher Hand Signals Pdf ebook that will come up with the money for you worth, acquire the enormously best seller from us currently from several preferred authors. On holy days of obligation arrive 15 minutes early and talk to the priest to see if there are any changes you should be aware of. I had rather be a doorkeeper in the house of my God, than to dwell in the. For a day in thy courts is better than a thousand. Service Position: Hands cupped below the waist. Paul’s Baptist Church Good Samaritan Usher Manual June, 2021. In order to update your phone number and email account please call the office. To take the floor: Both index fingers pointing forward. All Usher's phone numbers are on the sheet, call the office if you do not have one. If you cannot find someone to cover for you then call the lead usher for assistance. ![]() No one else is responsible for this but You. If you are unable to be an Usher for your Mass then you are responsible to find someone to cover for you. Glance at the bulletin board in the sacristy to make sure any special instructions are posted for Mass.Įnsure the collection baskets, The Messengers, and any other handouts are in the proper places before Mass. Locate the lead usher and tell him/her you are available to assist them. Arrive 15 minutes early for ushering and wear your Usher name tag and jacket. ![]() ![]() ![]() There was also a model called the "CS" which was chambered for the ".22 Special" - WRF. I think the vast majority of the non-"Gallery Special" models were chambered for the short, long and long rifle cartridges. ![]() Model 12 C (pistol grip stock, octagon barrel and crescent metal buttplate) Model 12 A (straight grip, round barrel and flat non-metal buttplate) No, the "Model 12" is the main model category. if you could help me understand all this. ![]() I thought all the model 12's were gallery specials and they also had sub models such as 12a, 12b, 12c etc. Kind of a dumb question but is their just a gallery special model. I'm thinking of taking pictures of all the markings to help figure this riddle out. Attached is a picture of the barrel marks to give you a better idea. That marking code was put into production in 1921 that is why I believe this is a pre-1921 rifle plus the serial number is under 50,000. as for the date marks I have seen the diagram before and mine has no marks that match it. But knowin the exact history behind this rifle will make it that much better when I take my children out to shoot with it.Ĭmalan1213 wrote:Thanks all your input is really giving me hope that this is a valuable gun, not speaking in monetary value because I don't sell my guns they are like children, but more of historical significance of a rifle from the early 1900's. The gun fires, with some problems with extraction that I am trying to fix. I will keep trying but if I can get any further help I would be ecstatic. I have been searching forums but to no avail. The code on mine does not match any code I have read about, and considering the serial number is 48559 it is quite possible it was made prior to 1921. As for the date of manufactuer, remington stamped the left side of the barrel with a date code after 1921. Not to mention that this was a gallery gun and probably passed through thousands of hands and who knows what alterations the original owner made. Thanks for your help, I was under the understanding that it was a Remington Model 12 Gallery Special but within the model 12 there are many different variations such as the 12a, 12b, 12c, 12d, 12e with the 12c having many different sub types such as the Remington Special, NRA Target Model, and the Extra Option Model. If some one could please enlighten me it would be greatly appreciated. And the barrel markings match nothing I've researched. I am sure this rifle is a standard model, but no where on the weapon does it say peerless, expert, or premier. The magazine tube is steel with a brass inner tube. The stock has a pistol style grip and a creasent shape with metal butt plate. Moving towards the barrel a sideways 2 is also stamped about an inch away. Left side of barrel almost against the receiver in a vertical pattern the letters H S stamped on it. Other Patents Pending."īottom of the barrel just past receiver has the number 1 4 stamped on it. U.S.A." Second line "Pedersen's Patents Jany 5, 1909. ![]() Top of barrel just past the rear sight moving towards the front sight reads "Remington Arms Company. Left side of barrel near the receiver reads "22 Short" Left side of receiver reads "Gallery Special" Serial number also appears on trigger frame when the receiver is removed. Serial number stamp on bottom of receiver "48559" with "R W" above it. I understand you should measure to the end of the chamber face but I'm not going to try to take the barrel off. I hear John Gyde is the expert on these rifles.Ģ3" octagon barrel measured from tip of barrel to the start of the reciever. I will try to be as detailed as possible and if someone could help with the exact model and date of manufacture it would be great. My grandfather died unexpectedly years ago and my grandmother gave me a rifle that she didn't even know he had. So from what I've read you guys get this question a lot, but I have searched many sites and cannot find an answer. ![]() 2/29/2024 0 Comments Alien cooking game on cool math![]() ![]() To begin the game, players simply have to. This means that you must take customers’ orders, assemble the pizzas, and bake them to perfection. This awesome alien game lets you fly a UFO wherever you want Fly through an amazing world with rivers, ships, mountains and everything in between. It is up to you, Roy, to take control of the pizzeria and keep things running smoothly. You are playing as Roy, Papa Louie’s nephew. Most are available to play on the internet now, so in those cases, I’ve also included links to where you can find them - frequently either an app store or the Internet Archive’s glorious collection of browser-based, emulated DOS games. Papa Louie has left the pizzeria for a few days and needs your help. Standards: 1.OA.C.6: Demonstrate fluency for addition and subtraction within 10. Invading spaceships with addition problems move down from the top of the screen toward a laser cannon on a platform at the bottom. So, in the spirit of nostalgia, here are 15 ’90s-era computer games that made learning incredibly fun. Alien Addition is a math game that helps students with learning addition using an alien invasion theme. There's no need for reservations because we've got a table waiting for you at our Restaurant Games The best kind of pie is handmade and you'll find out exactly what you need for dough, sauce, and topping combinations in our Pizza Games, or make. Though the graphics on the computer games from the ’90s may be laughable now, just remember - once upon a time, they were considered the pinnacle of technological achievement. Our Cooking Games will entertain you and teach you everything you need to know about the kitchen. Some were part of long-running series, while still more of them received a number of remakes and reboots as technology improved. (Yes, I say that as a fully grown adult.)Ī lot of the educational computer games from the ’90s were originally developed and released long before the decade began, which could be why many '80s babies hold a certain degree of fondness for them many actually dated back to the decade in which we were born. And you know what? These games are still fun. That’s probably why there were so dang many fantastic '90s educational computer games - the rise of home computing (and, by extension, the rise of computing in the classroom) during the 1990s opened up a new world of possibilities, including tons of ways to make learning a blast for up-and-coming generations. Why do you ask?) But when it’s a literal game? Then it’s even better, especially when you’re a kid. Real talk: I think learning is always fun. ![]() ![]() ![]() By downloading free pictures Hornet (Hollow Knight) to your phone on our website, you agree to review and remove the screensaver from your phone. The catalog is constantly updated with new beautiful photos Hornet (Hollow Knight)" and original pictures.Īttention! All wallpapers of Hornet (Hollow Knight) on the site were found freely distributed on the Internet or downloaded by our users and are presented for informational purposes only. 4 5 Her shared father with the Knight and the rest of the Vessels makes them siblings. Immerse yourself in the vibrant world of Hornet (Hollow Knight) through our captivating collection of desktop wallpapers, phone wallpapers, gifs, fan art. HD wallpaper: Video Game, Hollow Knight, Hornet (Hollow Knight) 3840x1080px (4K) free download. Which might now be delayed by multiple years and oh they are going to have to use some of that funds to pay unity now. Every cent they made from hollow knight has gone back into making silk song. Her birth was the result of a bargain for her mother to become a Dreamer, and as such, she spent only a short time with Herrah. Hollow Knight got over 200,000 downloads from being on playstation and was eventually put on Playstations subscription service. both to a computer and to a mobile phone via mob.org. Hornet is the daughter of the Pale King Herrah the Beast, the queen of Deepnest. Hollow Knight Wallpapers Favorite All Resolutions 70+ Immerse yourself in the mesmerizing world of Hollow Knight with stunning HD desktop wallpapers. Now you can set a new wallpaper for your screen saver or lock screen. Unlike the Vessels, Hornet is known as “The Gendered Child” by the Midwife and the White Lady, suggesting that there are many key differences between the Knight and Hornet.How to download free pictures for your phone wallpaper Hornet (Hollow Knight):Ĭhoose your favorite from thousands of beautiful vertical pictures Hornet (Hollow Knight) in the highest quality, click download to your phone or computer. However, she also states that she has “Only pity for your cursed kind”, alienating herself from the rest of the Pale King’s kin. When speaking with the Knight, Hornet does refer to their other sibling, the Hollow Knight, as their “birth-cursed sibling”. Follow the vibe and change your wallpaper every day phone. Hollow Knight Hornet Cave iPhone wallpaper 693 0. Weve gathered more than 5 Million Images uploaded by our users and sorted them by the most popular ones. These 24 hollow knight iPhone wallpapers are free to download for your iPhone. The Knight was created alongside the other Vessels in the hopes that one of them would be able to contain the Radiance, whereas Hornet was the result of Herrah and the Pale King’s arrangement.ĭespite technically being half-siblings, Hornet’s comments throughout the game imply that they’re very different from one another. Explore a curated colection of Hollow Knight iPhone Wallpapers Images for your Desktop, Mobile and Tablet screens. You can also upload and share your favorite Hollow Knight: Silksong wallpapers. Hornet and the Knight don’t have the same mother and had very different upbringings. Tons of awesome Hollow Knight: Silksong wallpapers to download for free. ![]() ![]() You can also upload and share your favorite Hollow Knight Hornet wallpapers. As the offspring of the Pale King, Hornet and the Knight share a father, despite neither of them having a close relationship with him. Tons of awesome Hollow Knight Hornet wallpapers to download for free. ![]() ![]() Breath sounds are decreased throughout all lobes. On examination of his chest, the diameter seems enlarged. His head, eyes, ears, nose, and throat examinations are unremarkable. He is breathing comfortably with respirations of 12. His blood pressure is 130/80 and his pulse is 88. Examination reveals a man looking slightly older than his stated age. His father died of a heart attack and his mother died of Alzheimer's disease. He drinks occasionally but denies any illegal drug use. ![]() He has smoked two packs a day for the past 45 years. His past medical history is significant for high blood pressure and arthritis. He has had no weight gain, weight loss, fever, or night sweats. The cough has occasional mucus drainage but never any blood. Although symptoms have occasionally worsened with a cold, they have stayed about the same. What disorder of the thorax or lung best describes her symptoms? Chronic obstructive pulmonary disease (COPD) Spontaneous pneumothorax Pneumonia AsthmaĪ 62-year-old construction worker presents to the clinic reporting almost a chronic cough and occasional shortness of breath that have lasted for almost 1 year. There is dullness on percussion, increased fremitus during palpation, and egophony and whispered pectoriloquy on auscultation. On auscultation she has decreased air movement and coarse crackles are heard over the left lower lobe. Her head, eyes, ears, nose, and throat examination are unremarkable except for edema of the nasal turbinates. Her blood pressure and pulse are unremarkable. She looks ill and her temperature is elevated at 101 degrees Fahrenheit. Examination reveals a middle-aged woman appearing her stated age. Her father passed away from colon cancer. Her mother has diabetes and high blood pressure. She denies tobacco, alcohol, or drug use. She takes an oral medication for both diseases. Her past medical history includes type 2 diabetes for 5 years and high cholesterol level. She denies any weight gain, weight loss, or cardiac or gastrointestinal symptoms. She says she had a cold last week and her symptoms have only worsened despite using over-the-counter cold remedies. Which disorder of the thorax or lung does this presentation best describe? Spontaneous pneumothorax Pneumonia Chronic obstructive pulmonary disease (COPD) AsthmaĪ 47-year-old receptionist comes to the office with fever, shortness of breath, and a productive cough with golden sputum. On auscultation of her chest, there is decreased air movement and a high-pitched whistling on expiration in all lobes. Inspection of her anterior and posterior chest shows no abnormalities. Head, eyes, ears, nose, and throat examinations are essentially normal. Temperature is 98.6, blood pressure is 120/80, pulse is 80, and respirations are 20. On examination she is in no acute distress. She is a junior in finance at a local university and has recently started a job as a bartender in town. She denies smoking and illegal drug use but drinks three to four alcoholic beverages per weekend. Her mother has allergies and eczema her father has high blood pressure. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray she takes no other medications. She denies any other upper respiratory, gastrointestinal, and urinary symptoms and says she has no chest pain. She states she used to feel this way only with extreme exercise, but lately she has felt this way continuously. Does it have defining auditory characteristics that are hard to ignore? for example, harsh-grating, squeaky musical whistling, snoring, or squawking etc.A 21-year-old college senior presents to the clinic reporting shortness of breath and a nonproductive nocturnal cough.small airways (lower parts of the respiratory like the bronchioles or alveoli) Location? large airways (upper respiratory, trachea, large bronchi) vs.Discontinuous or continuous? meaning are you able to distinguish the individual sounds that come in a series and are intermittent (discontinuous)? Or are they a continuous sound?.Timing: are you hearing it mainly on inspiration or expiration or even both?.When you’re auscultating lungs sounds you want to tune your ears to take notice of the following things that will help you determine what type of abnormal sound you are hearing: ![]() What questions should you be asking yourself while auscultating adventitious lung sounds? However, before we jump right into identifying fine crackles, let’s go over the basics in helping you understand how to identify adventitious lung sounds. ![]() 2/28/2024 0 Comments Do the minions have names![]() ![]() Meanwhile, after thinking Kevin had "died" with Scarlet's missile in the later fight, Bob was the first one to mourn his "death". ![]() The next day, Bob and Stuart are tied up to a pile of explosives, ready to be set off by the Overkills, but Kevin breaks in and saves them. After hiding himself from the chase from other various villains, Bob gets fooled and captured by Frankie Fishlips. After escaping the torture room, the trio makes it to Scarlet's coronation at Westminster Abbey, where Stuart and Bob accidentally drop a chandelier on her. Nevertheless, she sends him with Kevin and Stuart to be tortured. Although, later, Scarlet and Herb arrives in Buckingham Palace, and Bob abdicates in favor of her. (His speech in Buckingham Palace can be seen in here). He later wields Arthur Pendragon's sword in the stone (with the help of the stretch suit), Elizabeth gets abdicated, and Bob is crowned as the new King of England. In London, he is given a Stretch Suit by Herb Overkill to steal Queen Elizabeth II's crown. In Scarlet Overkill's speech, Bob accidentally wins Scarlet's challenge, getting her ruby - he tries to retrieve his teddy bear and accidentally swallows the ruby when numerous villains try to get it chaotically. In Villain-Con, Bob meets Professor Flux, who invented a time machine, but the professor is killed by one of his future avatars. He is quite excited when he sees some information from VNC, a top secret channel about villains. ![]() Kevin hands him his teddy bear just before the light goes out. Kevin goes into the room, and Bob tells Kevin he misses the tribe. In the room, he sees lots of mirrors on the wall seeing his reflection, he thinks it is his buddies, he runs bumping into it and discovers it's not real. Kevin grabs the loudspeaker of the store and calls Bob, while Bob enters a changing room, thinking Kevin is inside. Then, he enters a department store while Kevin and Stuart search for him after noticing him missing. Soon, Bob is accidentally brought into the taxi with the woman's baggage by the taxi driver she soon, notices Bob and shrieks then throws him and his teddy bear out. Later, the trio visit an album store, and Bob follows a female customer because her clothes have lots of bananas drawn on it. When arriving to New York, Bob is quite interested in a parade against the war, so he holds a sign with "BOO-YA!" on it. Bob is tired, grew hungry halfway through the journey and tries to eat Kevin with Stuart, who has a hallucination that the minions are speaking bananas. On the way to their destination, Kevin carried him sometimes. His green eye is slightly lighter.īob was the only Minion interested in Kevin's journey, after begging him he was able to join. He looks similar to Jerry except without hair. He also tries to attack a butterfly, but fails & accidentally falls off into the void. He is playful and brings much annoyance to Kevin. īob first appears during the credits of Despicable Me 2, where is auditioning for the spin-off film Minions along with Kevin and Stuart. Is also shown more mature, albeit still playful, as well as more of a goofball like all the other Minions.īob with Kevin and Stuart in the audition of the spin-off film Minions. ![]() However, in the audition scene in Despicable Me 2 (having grown since the time of Minions), he became more plumper which made him look more like the short and plump Minions with spiky hair, just no hair. He also enjoys bedtime stories and playing with his favorite stuffed teddy bear, Tim. He is described as a "Little Brother" who finds love in anything and everything, including a rat (who he named Poochy) he found in a sewer in the Minions film. He often carries around a teddy bear that he owns called Tim, which is brown with yellow buttoned eyes.īob is a Minion who is more childish and immature than most of the other Minions. Bob is a short and bald Minion with heterochromia. ![]() |
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