The Snow Girl (100 on Rotten Tomatoes) 5. And for those looking to kick off spooky season with a jump scare, horror films like It Follows and gothic horror drama series The Fall of the House of Usher creep their way onto Netflix in October. Informer (80 on Rotten Tomatoes) If you’re a fan of British crime dramas, this gritty series is well worth sitting down to. For romantic comedy fans, you can get cozy on the couch with Love Actually, My Best Friend's Wedding, or Sex and the City: The Movie.Īs for the new shows on Netflix, Netflix has brand new seasons of Big Mouth and Elite hitting the streaming platform next month. Netflixs fifth-biggest original TV series launch of all time, Bridgerton is the sexy period drama to end all sexy period dramas and, with a bevy of new. Originally a short-form animated series in 2018, Aggretsuko follows a 25-year-old red panda named Retsuko (born from lifestyle brand Sanrio), who’s easily one of Netflix’s most relatable. For Russel Crowe fans, you can check out his Oscar-nominated turn as Princeton professor John Nash in A Beautiful Mind or his Oscar-winning role as Maximus in Gladiator next month. Now that at least one of the Hollywood strikes is in the rearview mirror, you don’t have to feel as guilty wanting to know what’s new on Netflix this October.Īlthough Dune: Part Two has been delayed until 2024, you can catch get your Arrakis fix when Dune: Part One hits the streaming platform on October 1st. ![]() From new Money Heist, The Witcher to All the Boys 3, heres everything you need to know about the titles coming to Netflix in 2021. ![]() Cyberpunk: EdgerunnersThis sci-fi story peelsYakitori: Soldiers of MisfortuneBased on Carlo Zens. Netflix release dates 2021 whats coming up this year.
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A total of 5 grams is usually sufficient.□ For emergent reversal of anticoagulation, there is only one dose & one route of vitamin K that should be used: 10 mg IV vitamin K.PO administration has slower absorption.IM administration may cause hematoma formation.Subcutaneous administration has erratic absorption.Other routes are inferior for emergent reversal:.An anaphylactoid reaction is rate-related, so the likelihood of a severe adverse reaction at this slow of a rate is really zero. If you're absolutely terrified about this reaction, then infuse the vitamin K incredibly slowly (e.g.Fear of this reaction should never be a barrier to giving intravenous vitamin K to patients who need it.However, anaphylactoid reactions are generally less severe and can be avoided by infusing a drug slowly. Anaphylactoid reactions can present similarly to anaphylactic reactions and may be treated similarly. An anaphylactoid reaction is due to a drug's directly stimulating mast cells to release histamine – unlike an anaphylactic reaction, which involves IgE antibodies.This is an anaphylactoid reaction (not anaphylactic), so it can be avoided by infusing the vitamin K slowly (e.g., over 30 minutes).This is exceedingly rare (~1/30,000 patients).Intravenous vitamin K may theoretically cause an anaphylactoid response if infused rapidly.It takes Vitamin K 6-12 hours to start working, so vitamin K must be given simultaneously with FFP or PCC. Vitamin K will do the job after the FFP/PCC wears off.FFP or PCC will work only for ~8 hours.10 mg should be given intravenously, as soon as possible (infused over 30 minutes).Probably the most important intervention to reverse warfarin is vitamin K.For patients with intracranial hemorrhage, follow INR every 3-6 hours to ensure adequate reversal.Alternative: four units fresh frozen plasma.(1) 10 mg IV vitamin K over 30 minutes *plus* PCC or FFP.⚠️ For intracranial hemorrhage in a patient on warfarin, PCC should be given immediately without waiting for the INR to result.Anticoagulation reversal for minor procedures is generally unnecessary. There is little evidence that moderately elevated INR correlates with post-procedural bleeding after many procedures (e.g., ultrasound-guided central line placement or thoracentesis).Life-threatening bleeding requires aggressive normalization of coagulation parameters, but minor bleeding may respond to local measures.How important is it to reverse the anticoagulation? a mechanical mitral valve, which has a high risk of thrombosis). Some patients are anti-coagulated for higher risk conditions (e.g.Short-term interruption is generally fine. Most patients are anti-coagulated for atrial fibrillation or deep vein thrombosis. ![]() Why was the patient initially anti-coagulated?
Its not to big and not to small and yet in its layout it gives you comfort and style. There is an amazing amount of storage as well. A fiberglass swim platform with ladder will please the swimmers onboard. Padded foredeck sun lounges provide an ideal spot for sunbathing, easily reached via walk-around side decks. Sleeping accommodations for six include a midship full sized berth, forward V-berth, and a dinette. Get Ready for Summer!! This a great family cruiser puts a premium on liveability and style. Seller discloses and Buyer acknowledges that boat trailers may need to be adjusted or modified prior to use to meet all road transport laws and assure safe use. 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NEW BOAT TRAILER TRIPLE AXLE 18,000 LBS GVWR WITH ALL OPTIONSBuilt for West Coast trailering, the Pacific Coaster boat trailer has an 18,000 LBS. Come see what we can do for you!Ĭustom boat trailer, boat trailer, double axle boat trailer, triple axle boat trailer, four axle boat trailer, custom trailer, radar arch, boat repair, welding, fabrication, custom boat, boat fabrication, boat manufacture, sailboat trailer, two axle boat trailer, 2 axle boat trailer, dual axle boat trailer, three axle boat trailer, 3 axle boat trailer, 4 axle boat trailer, four axle boat trailer, tandem boat trailer Painted Steel, Galvanized, Aluminum or Stainless SteelĢ 5/16 ball hitch or Gooseneck/5th Wheel availableįusion Manufacturing also offers other fabrication, Custom radar arches, seat bases, custom clam guns and more. ![]() We are happy to deliver, please inquire for a quote, 50. Boat trailers starting at $3,950 - Modifications and additions available. If you are driving from Rapid City, the distance to the State Game Lodge is about 30 miles (south-southwest), and takes about 40 minutes to get there. 5-mile to the camp and the trailhead, located on the west side of the campground. 4-mile to Iron Creek Horse Camp Road, turn left and go. Follow the Needles Highway 5.7 miles to Camp Remington Road, turn left and go. Getting There Trail 3 Marker Blazeįrom the Custer State Park Game Lodge on Highway 16A, travel west 6 miles to the Needles Highway (87A). ![]() While the water in Iron Creek looks crystal clear, forest service officials advise it should still be purified before attempting to drink it. The forest in the area is comprised mostly of ponderosa pine, spruce and aspen trees. The granite rock formations and spires that are so abundant in the area provide excellent terrain for the bighorn sheep and the mountain goats. Wildlife commonly seen in the wilderness area includes deer, elk, mountain goats, bighorn sheep, wild turkeys and mountain lions. It is a scenic route that allows for lots of solitude plus dispersed camping opportunities. Much of the trail follows or parallels Iron Creek, a beautiful clear mountain stream. And yet, this often rocky and narrow trail passes through rugged and beautiful mountainous terrain, sometimes quite steep, on its way to the summit area of Black Elk Peak. ![]() Because the trail is much longer than Trail 9 or even Trail 4, this route sees far less traffic. One of the most scenic alternatives for more serious hikers and climbers is Trail 3, the Norbeck Trail in the Black Elk Wilderness. To reach the summit, most hikers use Trail 9 south, which often makes for a lot of traffic on that route. Black Elk Peak is not only the highest summit in the Black Hills it is also one of the most popular hiking and climbing destinations. It helped to acquire lots of knowledge points and kept 'exam readiness' bar at 100 or so. Basically maxed only intelligence/memory skills until late midschool (learned only some empathy skilles, stopped somewhere before the evolution theory or even lower). I went twice for this ending and firstly I became only a state senator (got C), became president only on my second run. It’s a phenomenal pitch, a lovely stadium, and it’s just a nice place to go and play football.”Ĭlick on the link below to watch Rob Cornell’s full interview with Alex.This one is a little bit tricky as you need to get A (or at least B, I think) on SAT. When you wake up on the day of a game you are excited to go and play your football there. It’s a proud moment for the the fans and a proud moment for me. It’s great what everyone has done for the club. To come into the football club and to be a part of it so early on – not going through the journey of it – is a privilege for me. You walk in now and you think ‘this is a beautiful place to come and play my football.’ It’s in a great place in Wimbledon and for me there is no better place to go and play your football. “From when we first started training there to what it is now, it has come on massively. With his family link to Wimbledon, Alex was fully aware of the club’s unique story when he joined and he regards it as a real privilege to play at Plough Lane. We are in a really good place and this club further down the years is going to really benefit from the young talent coming through.” We have a young squad, but we have very talented players, and us older lads can help them to mature and improve. They didn’t have the most money or the best players in the league. I’m not saying we are going to do the same thing, but it can be done. “Without putting too much pressure on ourselves, you only have to look at Wycombe last season. We know what we are capable of and we will continue to work hard to pick-up results. ![]() We don’t want to put loads of expectations on ourselves. We’ve got targets, but we want to keep them within the dressing room. If we keep learning and picking up results at the same time we are going to be in a great place. The best way to learn is by picking up results. “The gaffer, Dawsy, Robbo, and Bayzo are all helping us. Even though we are winning games, we still have a lot of learning to do, and we are doing that. I know it’s been mentioned that there’s not been much time on the training pitch lately with all the games, and we are still a young team. We want to do as well as we can, but at the same time it’s all about learning. It was a great result the other night and hopefully we can take confidence from that, and hopefully go to Charlton and get three points.”Īs one of the senior members of our squad, Alex is aiming to help Wimbledon’s young talents to progress – and he believes there is plenty of potential at his new club.Īlex, who helped Lincoln City back into the Football League, said: “A few of the lads have said that we’ve got a fair amount of points more than we had at this stage last season, but all of the boys have got ambition. “You want to get one up on your rival London club, but I think for us it’s just about getting back to winning ways in the league. My Dad grew up supporting Wimbledon, so it’s a good family derby! Both clubs have come through dark times: it’s great that we are back at Plough Lane and Charlton have been back at the Valley for a number of years. I grew up in Dartford, it’s not a million miles away from Charlton, and you tend to support your local team. "There are a few coaches I know that are still there, so it’s good a place to go back to and it’s a great stadium. ![]() ![]() “Growing up it was the club I supported because it was local to where I lived, and I played for Charlton’s academy for a number of years," said Alex. Alex Woodyard grew up supporting Charlton Athletic, but his father Colin pointed him in the right direction – and now the experienced midfielder is determined to push Wimbledon forward.Īs a player who also came through Charlton’s academy, Alex has a high regard for the Addicks, but there will be no divided loyalties on Saturday when he returns to the Valley.
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GFOA also understands that every local government may have unique risk factors or situations in your community to address so there is no one-size-fits-all approach to budget balancing. Treatments are categorized by type but are presented in no particular order. This article highlights several common fiscal first aid treatments and the risks to consider for each. With county governments getting revenue from a mixture of different sources and with the different level of impact that COVID-19 has had on different locations, the required severity of budget treatments will differ. Not every government will be in the same situation, however. As the economy starts to re-open, and as governments begin to grasp both the depth and longevity of this financial crisis, more severe budget-balancing strategies will be necessary. In early March, when the pandemic first caused shutdown orders and forced many to work from home, governments had to take short-term action to reduce spending, manage cash flow and identify how to maintain critical operations. In solving the immediate budget crisis, leaders must make sure they also don’t jeopardize their long-term financial stability or hurt the prospects for financial recovery. However, these treatments are not without risk. GFOA has developed a 12-step guide to financial recovery as part of our overall fiscal first aid resources (available online at These resources recognize the various stages of financial distress and highlight potential treatments that county governments can take. ![]() Legislative Presentations, Reports & ToolkitsĪs county governments begin to address large revenue shortfalls and significant gaps in their budgets, commissioners, executives, finance and budget staff and leaders from across every department in your organization will need to work together to consider both the short and long-term implications of budget reduction strategies. ![]() ![]()
shipyards capable of building nuclear-powered submarines. The Virginia class is built through an industrial arrangement designed to maintain both GD Electric Boat and Newport News Shipbuilding, the only two U.S. The vehicle was designed as an affordable test platform for new technologies. In 2001, Newport News Shipbuilding and the General Dynamics Electric Boat Company built a quarter-scale version of a Virginia-class submarine dubbed Large Scale Vehicle II (LSV II) Cutthroat. ![]() In a 10 March 2005 statement to the House Armed Services Committee, Ronald O'Rourke of the CRS testified that, assuming that the production rate remains as planned, "production economies of scale for submarines would continue to remain limited or poor." In hearings before both House of Representatives and Senate committees, the Congressional Research Service (CRS) and expert witnesses testified that the annual procurement rate of only one Virginia-class boat-rising to two in 2012-would result in excessive unit production costs, yet an insufficient complement of attack submarines. Improvements in shipbuilding technology have trimmed production costs below the $1.8 billion projected fiscal year 2009 dollars. To reduce costs, the Virginia-class submarines use many " commercial off-the-shelf" (COTS) components, especially in their computers and data networks. The Virginia class was intended in part as a less expensive alternative to the Seawolf-class submarine ($1.8 billion vs $2.8 billion), whose production run was canceled after just three boats had been completed. Each submarine is projected to make 14–15 deployments during its 33-year service life. Constructing a single Virginia-class submarine has required around nine million labor hours, and over 4,000 suppliers. īy 2007 approximately 35 million labor hours had been spent to design the Virginia class. Design problems for Electric Boat-and maintenance problems for the Navy-ensued nonetheless. The Virginia-class submarine was the first US Navy warship with its development coordinated using such 3D visualization technology as CATIA, which comprises computer-aided engineering (CAE), computer-aided design (CAD), computer-aided manufacturing (CAM), and product lifecycle management (PLM). The "Centurion Study" was initiated in February 1991. The class was developed under the codename Centurion, later renamed New SSN (NSSN). History Rendering of a Virginia-class attack submarine If the SSN-AUKUS fell behind schedule, Australia would have the option of purchasing two additional Virginia-class submarines. On 14 March 2023, the trilateral Australian-British-American security pact known as AUKUS announced that the Royal Australian Navy would purchase three Virginia-class submarines as a stopgap measure between the retirement of their conventionally powered Collins-class submarines and the acquisition of the future SSN-AUKUS class submarines. Virginia-class submarines will be acquired through 2043, and are expected to remain in service until at least 2060, with later submarines expected to operate into the 2070s. They are scheduled to replace older Los Angeles-class submarines, many of which have already been decommissioned. ![]() Virginia-class submarines are designed for a broad spectrum of open-ocean and littoral missions, including anti-submarine warfare and intelligence gathering operations. Designed by General Dynamics Electric Boat (EB) and Huntington Ingalls Industries, the Virginia class incorporates the latest in stealth, intelligence gathering, and weapons systems. The Virginia class, or the SSN-774 class, is the latest class of nuclear-powered cruise missile fast- attack submarines in service with the United States Navy.
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