![]() There is a strong association between cataplexy and narcolepsy. The place of the relevant gene products in normal sleep regulation needs further exploration. Cataplexy is a sudden, brief loss of voluntary muscle tone triggered by strong emotions such as laughter, excitement, anger or fear. These conditions cause a wide variety of sleep disturbance, including parasomnias, daytime sleepiness, and a condition like cataplexy. Some of the signs of catalepsy include: Decreased or slowed movement. Pitolisant is started at 8.9 mg orally once a day (taken on awakening) and increased to 17.8 mg once a day at week 2. The dosage varies between 8.9 to 35.6 mg in the morning. They result in sensory deprivation, hypothalamic and mid-brain damage, and involve the X-chromosome, chromosome 15, and chromosome 13, respectively. Pitolisant is a histamine-3 receptor inverse agonist, which is indicated for treatment of EDS and cataplexy in patients with narcolepsy. The last three important conditions, although rare, are considered in detail in this review. ![]() ![]() The condition may either be localized, meaning there could be a sudden nodding in the head or losing of grasp, or generalized in which the entire body suddenly collapses. Congenital central hypoventilation syndrome: Children with CCHS have negligible responses to hypercarbia and hypoxemia, even when awake minute ventilation. These include fatal familial insomnia, with involvement of the prion protein gene on chromosome 20, Norrie disease, the Prader-Willi syndrome and the Moebius syndrome. a sudden but temporary loss of muscle, usually triggered by some intense emotions such as surprise, terror, anger, or laughter. However, a number of conditions cause relatively focal damage to the neuroanatomical substrate of sleeping and waking. It is believed to be caused by an autoimmune destruction of the. Approximately 70 of people diagnosed with narcolepsy also have episodes of cataplexy. Psychological factors, behavioural difficulties, metabolic disturbances, and widespread rather than focal damage to the nervous system are present in many of these diseases and all influence the sleep-wake cycle. Cataplexy refers to sudden, brief and transient episodes of muscle weakness accompanied by both total conscious awareness and bouts of emotion such as laughter, terror, crying, etc. Narcolepsy is currently treated with amphetamine-like central nervous system (CNS) stimulants (for EDS) and antidepressants (for cataplexy). XXII, 1948: Psychodynamic Factors in Narcolepsy and Cataplexy. Sleep-wake problems are common in specific inborn errors of metabolism and structure of the central nervous system. Narcolepsy is characterized by excessive daytime sleepiness (EDS), cataplexy and/or other dissociated manifestations of rapid eye movement (REM) sleep (hypnagogic hallucinations and sleep paralysis).
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![]() (Sera from UnOrdinary, Rieta from Like Wind on a Dry Branch, Myst from Mystical, Duna from The Girl Downstairs, Aro from The Witch and the Bull, Shahrzad from The Wrath & the Dawn) I love a unique female lead with flaws and character development, any story with that and I’m sold. Overall I’ve dropped so, so many webtoons because female characters are written so similarly: they’re either incredibly beautiful, strong, with absolutely zero flaws whatsoever (unrealistic) OR they’re just a regular plain cutesie girl with medium length black/brown hair whose only personality trait is getting flustered. And the storytelling was really confusing with the flashbacks and weird dimensional shifts, I couldn’t follow along easily with the story. Phase: good art, poor writing and formatting. Unlovable Replacement: too cheesy, felt theatrical, didn’t like the love interest, didn’t love the art style.įreaking Romance: beautiful art, cool story, cool characters, loved the two love interests, but I found the MC to be unlikeable. I wish she had more depth than just being a beautiful woman who wanted to fight with the guys. Mei was also written to have zero flaws, which I think is important as a lead. I felt that Katsu treated Mei with more respect and delicacy, whereas Hayate was always crude and borderline harassing her. I did not see Mei ending up with Hayate-to me, the shift was too abrupt away from the initial pairing. My Dear Cold-Blooded King: I was SURE Mei would end up with Katsu, and I loved their pairing so much. ![]() I actually don’t love her paired with Tora, she just comes off as meh. Midnight Poppy Land: I really wanted to love this, because I love Tora and it has a great art style/premise, but once again Poppy ended up being an underwhelming, bland female lead. I hate Rose’s character, I just find her cringey. Websites where you can read & publish your own webtoons.Īge matters: started off strong but just got soooooo ridiculous. (This is especially true with Comico & Naver/Line) Some webtoons have animations and music that play during some chapters. Printed on long, vertical strips to make it easier to read on a phone or computer.Įspecially in Asia, they are in color instead of black and white since they are not physically printed. There are 3 main things that make webtoons different from traditional print and digital comics: Webtoons are a digital comic format that originated in Korea and has spread outside of the country. Feel free to discuss webtoon series and chapters as well as collaborate with other artists and writers to make your own webtoon. The reddit dedicated to all things webtoons. Preferably, visit the redesign of the page as we have more useful links there. ![]() We get to walk around the table and look at everyone’s cards. Recruiters can reduce the risk of this happening, and in the rare instance that it still happens, we’ll see it coming and make sure you have other options available. This process often takes up to two months, so when it blows up, you’re at least three months behind the eight ball. Their frustration comes from the time wasted on the candidate meeting the manager, taking assessment tests, and speaking to other leaders and people currently in the role. Prospective clients often reach out to us for help after their lead candidate took a counteroffer or withdrew at the 11th hour. This includes access to telehealth, so you can visit with a clinician when and where that works best for you.Ĭare when you need it, that’s not rushed, and is high-quality and affordable – this is how primary care should be.Ĭounteroffers….BY FAR one of the most frustrating parts of hiring Kinwell’s advanced primary care clinics across Washington are just for our members, which means patients can expect timelier appointments. ![]() That’s why we work closely with providers, like KinwellHealth, to reinvent ways our members can access primary care. That’s a huge barrier as you juggle work, kids, pets, and life in general.Īt Premera Blue Cross, our job is to remove barriers and ensure our members receive a good experience every time they use their health plan. I’ve heard time and time again of folks waiting months to get an appointment. One of the biggest reasons is patients have difficulty getting a timely appointment. ![]() Then, why have primary care visits fallen more than 6 percent between 20? These are all very positive reasons to have a primary care provider. Your primary care clinician gets to know you and your health, can help you navigate our complex healthcare system and will serve as your advocate. Findings suggest increasing opportunities for peer support and idea-exchange, professional development, and integration of riCHW expertise in health promotion decision-making are effective strategies to enhance riCHWs' professional self-efficacy and personal wellbeing.ĬOVID-19 burnout health workforce mutual assistance sense of community.Many studies show that having an established primary care provider helps improve health outcomes. riCHWs relied on work-based friends/colleagues for informational and emotional support to enhance their capacity to deliver services. Although riCHWs were deeply committed to enhancing community wellbeing, quickly shifting responsibilities in tandem with structural-level health inequities diminished their self-efficacy and mental health. We generated three distinct yet interrelated themes: (1) Rapid and trustworthy information is key, (2) Creativity and perseverance are good … structural support is better, and (3) Integrating riCHW expertise into health promotion programming and decision-making. Using a narrative inquiry approach, we conducted semi-structured, in-depth interviews with 11 riCHWs working in a midsized city in the midwestern United States. We sought to glean insight into riCHWs' stressors, coping strategies and resources, and self-efficacy to identify ways to support their work and wellbeing. This was exacerbated as riCHWs navigated a new and uncertain health delivery landscape. Despite the importance of this workforce, riCHWs are at high risk for burnout due to low recognition and demanding workloads. As community-embedded frontline health personnel, refugee and immigrant community health workers (riCHWs) played essential roles in the provision of informational, instrumental, and emotional support during the unprecedented first year of the pandemic. Refugees and immigrants have experienced heightened health inequities related to COVID-19. On registration you agree to pay for our services as set out on our website.ġ.4 We reserve the right to terminate your registration at any time if you breach these terms and conditions.ġ.5 Our services are intended to be used by registered users within Australia only.Ģ.1 Our services are provided to adults over the age of eighteen (18) years. Information relating to our collection, storage and use of the details you provide on registration.ġ.2 You agree to ensure that your registration details are true and accurate at all times and you undertake to update your registration details from time to time when they change.ġ.3 On registration, you will be required to provide a password. Please refer to our Privacy Policy linked on our home page for You must complete registration by providing certain information as set out on our membership/registration page. Your continued use of the website following such notification will represent an agreement by you to be bound by the terms and conditions as amended.ġ.1 In order to access the services provided on this website, you must become a registered user. Amendments will be effective immediately upon notification on this website. ![]() We reserve the right to amend these terms and conditions from time to time. The information is intended for residents of Australia only. In these terms and conditions, “we” “us” and “our” refers to JDM Concept Pty Ltd. These terms and conditions must be read in conjunction with any other applicable terms and conditions governing the use of this website. If you do not accept these terms and conditions, you must refrain from using this website. In using this website for theses or any other purposes, you accept these terms and conditions. These terms and conditions apply to the use of this website including the purchase of products over this website. We are thankful for many who have shared this journey with us and looking forward to provide wheels that not only looks good but of high quality in the years to come. We love what we do over here at JDM Concept and we are driven to keep high standards in what we do. In 2021, we created GTX-3P our latest collaboration, the 10 spokes hybrid concave 3-piece wheel to give further design choice to our discerning customers. In 2015, we did a collaboration with Work Wheels and created the GT5 1P (or simply called GT5) followed by GT5-3P three years later in 2018, a skilfully hand-assembled 3-piece modular wheel of the highest quality. If you are unsure about the brake clearance for your car, simply ask us. In fact, being specialised in just one brand makes a lot of sense because it means we have undivided attention to deliver the order as quickly as the factory can supply, and gaining in-depth experience and knowledge about the wheels because no wheels are created the same, particularly in area of brake clearance. In other words, JDM Concept has been appointed by Work Japan to be the sole channel to Australia market and we deal directly, with no middleman involve.Īlthough the parts that we focus to sell has shifted, but our desire to bring only quality parts has not. ![]() In other words, the foundation or concept of a good car must start with good quality parts.Īfter more than a decade of supplying many famous Japanese Tuning parts, we decided to focus our attention solely on wheels in 2013, particularly the brand Work Wheels (Japan), whom we have the privilege to be their official Australian distributor since 2006. ![]() That’s where we decided to name ourselves JDM Concept, because our concept is JDM. ![]() That’s what inspired us to establish JDM Concept in 2002 and believed it or not (like a typical cliche) from the bedroom of a rented apartment armed with a lap-top to supply JDM parts to car enthusiasts in Australia. Aftermarket car parts that are Made In Japan) are unrivalled in quality and design. When comes to automotive aftermarket parts, JDM parts (i.e. There is only one standard, JDM Concept standard. One for our customers and one for ourselves. So much so that we only sell products that we are happy to use on our own car. WORK-WHEELS // BEAUTIFULLY CRAFTED SINCE 1977, OSAKA, JAPANĪt JDM Concept, we love quality products (especially wheels). ![]() Defend your caravans and raid your enemies with swift camelry bred in the harsh desert. ![]() ![]() Palmyrans – Rising out of the sands of the Syrian Desert, Palmyra built its hegemony on trade and commerce.Minoans – Construct vast fleets of ships and build a Mediterranean trade network that will be commemorated on the vibrant frescos within your grand palaces.Macedonians – Relive the conquests of Alexander the Great at the head of an army of disciplined infantry and powerful siege engines, building a vast empire stretching from Greece to India.Lay waste to enemy cities with armies of skilled bowmen and durable siege engines. Hittites – Pouring out of the rocky hills of Anatolia, the Hittites were the terror of the Near East.Greeks – Establish colonies using your mobile fleets, resolve internal conflicts, and command armies of swift hoplites as you expand your domain.Egyptians – Sail the Nile River, construct massive pyramids to send your pharaohs to godhood, and lead armies of powerful charioteers as you vie for control of the rich lands of Canaan and the Levant.Choson – Control the advanced kingdom of Gojoseon and expand your territory by alliance or through the might of your powerful swordsmen.Carthaginians – Lead Carthage from city-state to empire and challenge the might of Rome with menacing war elephants and an indomitable navy.Its palace garden, a wonder of the world, was truly paradise on earth. Babylonians – Walk through the Ishtar Gate, ascend ziggurats, and explore the great city of Babylon, a testament to your people’s mastery of stone masonry.Assyrians – Restore the might of the Assyrian Empire under Adad-nirari II and terrify your enemies as the supreme Assyrian archers darken the sun with the shafts of their arrows.Play all the civilizations from the original Age of Empires and the Rise of Rome expansion! ![]() ![]() HUION platform shall have the right to modify or delete your uploaded contents if it deems those are inappropriate, or even block your ID if it is of severe nature.Ģ.Ěny dispute arising out of or in connection with the Agreement shall be submitted to be settled by the people’s court in the place where HUION is located, as per the laws of P. You shall agree with and authorize HUION website to provide your personal data as required by any law enforcement agency or for public security purpose, according to any government department, judicial authority, right holder, etc. In case of any dispute arising from your breach of this Agreement, you shall take the responsibility of settling it, including stepping forward to handle the complaints forwarded by HUION.Ģ. ![]() You shall guarantee that the performance of this agreement will neither infringe the rights and interests of any third party, including without limitation to the right of reputation and the portrait right, nor go against any agreement signed between you and a third party to invoke any claim by such third party you shall guarantee that the performance of this Agreement by HUION will not infringe the legal rights and interests of any third party. You shall guarantee that your works are created by you independently without (a) plagiarizing the works of anyone else, (b) adapting others’ works or using the works, pictures and writings of others for creation without authorization (c) violating the laws and regulations on copyright or involving any dispute. You shall confirm with HUION that you can autonomously submit to and release on the official website your original works (hereinafter referred to as “the works”) via the platform of HUION official website for sharing and paid use by users, and that any transaction established via HUION platform shall have nothing to do with HUION.Ģ. In the event any user breaks this Agreement, HUION shall have the right to require such user to compensate the loss (including but not limited to fine, indemnification, compensation, penalty, attorney fee, notarization fee and legal cost, etc.) suffered by HUION thereby. 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HUION Official Website Platform User Agreement Checking “I have read and agreed with the HUION Official Website Platform User Agreement” means you agree with and undertake to observe this Agreement. ![]() It’s no surprise that the patient is not succeeding and failing without identifying and fixing those factors.” “We really believe, as a value organization, that by moving to the home, we identify so many factors that drive health that you cannot see in a clinic or a hospital. Nathan Starr, the medical director of home services at Intermountain Health, said at Home Health Care News’ FUTURE conference. “We’re trying to be ahead of the curve,” Dr. Like Advocate Health, Intermountain Health sees home-based care capabilities as a positive differentiator for health systems. ![]() Take Intermountain Health, for example, which recently added another home health agency to its portfolio. While plenty of health systems did opt to hone in on core competencies during and after the pandemic, there are other health systems that continue to invest in home-based care. The question is around how to do it bigger and better, according to Keefe. “Because that’s where we’re going.”Īfter the merger, home-based care is still on the forefront of Advocate Health’s plans. “How do we build out this well-coordinated, innovative platform for care in the home?” Keefe said. Among other at-home service areas, the organization also has hospital-at-home and SNF-at-home programs.Ītrium Health, on the other hand, has been working on scaling the hospital-at-home model throughout its footprint with the help of Best Buy (NYSE: BBY). One of those investments includes the acquisition of Senior Helpers, one of the largest home care franchises in the country. Advocate Health Enterprises – the investment arm of Advocate Aurora Health – has made a bevy of home-based care investments over the years. ![]() pre- Mac OS 10.13, then you'll need to upgrade your PHP from v.5 to v.7.1, but you won't need to install either Apache or PHP ab initio). prior to MacOS 12.x.y ⚠️, already come with both Apache and PHP installed (you just need to turn them on, and if you have a pre-High Sierra OS version, i.e. Note that all versions of Mac OS X ⚠️ prior to Monterey, i.e. Mac OS 12.x.y, or higher here (for PHP & Apache and here (for MySQL) (but you must definitely note the following for Mac OS Monterey!!!). Mac OS 10.15.x here and here and for Monterey, i.e. Mac OS 10.14.x, can be found (for example) here for Catalina, i.e. Mac OS 10.13, can be found (for example) here. Mac OS: Instructions for setting up an AMP stack in High Sierra, i.e.This package also requires the installation of anĪMP (Apache/MySQL/PHP) stack. Then, also on any platform (Mac, Linux, or Windows), and also following the reboot mentioned above, Python 3.9 version of Anaconda on your machine, you should reboot your computer (so that Anaconda's settings to make it the default locationįor your Python application, etc., can take effect). Should then have Python 3.9 installed on your computer - it is part of the Anaconda installation. Not recommended), as well as registering Anaconda3 as your default Python 3.9 (if that is asked as well). ![]() If asked during the installation, make sure to add Anaconda3 to your PATH environment variable (even though it might say that that option is NOT under Program Files - I recommend that it be installed directly under C:\ ) Installation instructions for the Anaconda installer can be found here. Also on Windows: please install Anaconda into a location that does not have spaces, i.e. If you are on Windows, make sure to do both this Anaconda installation, and EVERY step in these instructions, when logged into an account with Administrator privileges on your machine - don't do anything anywhere in these instructions as a non-Adminstrator user when on Windows. The command-line version of the Anaconda installer. The installer that can be found near the bottom of this page. Mac, Linux, or Windows computer, please install the Python 3.9 version of Anaconda, using 11 browser)Īfter first uninstalling any other version of Python that you might possibly already have on your So please go to that page instead, if you are reading them from another location. ![]() These instructions are intended to be read from, on the bottom half of that page. ![]() Players can use that to do the campaign quickly and see how strong you can get. Press the top corners of the screen and hold it and you get the Rome Shell or something like that. I love being able to play one of my favorite PC games on my phone, and the great thing is, doesn’t need WiFi. There are a few things I’d like the developers to add, which include fixing units in towns and cities, or when they are on walls, it can be a little glitchy sometimes, but otherwise huge wall settlements are my favorite sieges to do, also sea battles and naval landings would be awesome to have in the game so you can do something like a Carthage beach landing and have an attack from land and sea, artillery ships attacking the walls so the naval troops can get through. There are a lot of factions you can play as, you can build forts and watchtowers to see over the land and stage raids and sieges. I love the total war games on PC, so I thought I’d try this out. All other trademarks and copyrights are the property of their respective owners. Feral and the Feral logo are trademarks of Feral Interactive Ltd. iOS, iPad and iPhone are trademarks of Apple Inc., registered in the U.S. Developed for and published on iOS by Feral Interactive Limited. SEGA and the SEGA logo are registered trademarks or trademarks of SEGA Corporation. Creative Assembly, the Creative Assembly logo, Total War, Rome: Total War and the Total War logo are either trademarks or registered trademarks of The Creative Assembly Limited. Originally developed by The Creative Assembly Limited. © 2002–2023 The Creative Assembly Limited. You need 4GB of free space on your device, though we recommend at least double this to avoid initial installation issues. ![]() ROME: Total War requires iOS 16.1 or later. Turn your screen into an exhilarating battlefield with thousands of troops.ĭirect your economic, civil and religious affairs from the Campaign Map. Rule the largest empire of the ancient world.Ĭommand your troops with ease using the touch-screen interface. Play the classic strategy game optimised for your device. * NVIDIA GPUs with 2GB VRAM or more (requires macOS 10.15.7 or later).History’s greatest empire, now in your hands.Įxperience the full glory of ROME: Total War on iOS! Build and rule the ancient world’s greatest empire by fighting spectacular real-time battles in huge turn-based campaigns.The following graphics card can run the game but does not meet the standard required for official support:.For more detailed specifications check the Feral website. Please note for your computer to meet the minimum requirements it must match or better all elements of the listed spec. * All Mac Pros released since Late 2013.* All 27" iMac Pros released since Late 2017.* All 27” iMacs released since Late 2014.* All Mac minis (M1) released since 2020.* All MacBook Airs (M1) released since 2020.* All 13” MacBook Pros released since 2016.* All 15” MacBook Pros released since Late 2016.To check your Mac model and when it was released, select About This Mac from the Apple menu on your menu bar. Additional Notes: The game is officially supported on the following Macs.Graphics: AMD Radeon R9 M290 2GB | Intel Iris Graphics 540 1.5GB | Apple M1 (requires Rosetta 2).**4K enhancements unlocked by downloading Enhanced Graphics Pack *Please note, ROME: Total War Collection is only playable on Windows. A whole new agent type has also been added to the fray Merchants can be sent all over the world to create trade links, access resources and buy out rivals to increase your income and assert your faction’s economic power. In a first for Total War, you can now take your favourite faction to battle against friends in cross-platform multiplayer between Windows, macOS and Linux. Players can now expand their armies and experience 16 additional factions that were previously locked, giving a grand total of 38 playable factions. In Battle, the new tactical map, unit displays and range markers give you greater command over Rome’s battlefields. Heat maps and new icon overlays have been added for gameplay mechanics such as diplomacy and security. The in-game camera has been enhanced, including map rotation and wider zoom level in Campaign mode. ROME REMASTERED includes a host of modern features and improvements to existing mechanics. ROME REMASTERED brings the classic Rome visuals up to date, with 4K optimization**, ultra-widescreen and native UHD resolution** support. This visual upgrade extends across a multitude of features, including re-modelled buildings and objects, and environmental effects like dust clouds and heat haze. The refreshed campaign maps also boast new high-resolution models, and units have been remodelled and retextured to look their very best on the battlefield. ROME REMASTERED includes the Alexander and Barbarian Invasion DLCs, as well as a copy of the original ROME: Total War Collection* if you don’t already own it. ![]() Ultimate List of Monthly Card Making Kit Clubs.Scrapbook Monthly Kit Clubs…the Ultimate List!."Now I know why the all the trees change in the fall."The autumn moon lights my way." - Led Zeppelin.Fall into these arms of mine, I’ll catch you every time." - Clay Walker "It's harvest time in this little town." - Luke Bryan."It’s autumn in New York It’s good to live again." - Ella Fitzgerald & Louis Armstrong.Newspaper clippings fill the coffee shops, the old men will always think they know it all, and young girls will dream about the boys of fall." - Kenny Chesney "In little towns like mine, that’s all they've got.Each night’s a little bluer, but autumn’s not that cold." - Lorrie Morgan "But I miss you most of all, my darling, when autumn leaves start to fall." - Frank Sinatra."Let me hold both your hands in the holes of my sweater." - The Neighbourhood."It’s time to let go of this endless summer afternoon." - Lorde."Wake me up when September ends." - Green Day.And I can picture it after all these days.” - Taylor Swift “Autumn leaves falling down like pieces into place.“Do you remember the 21 st night of September?” - Earth, Wind & Fire. ![]()
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