![]() RESIDENTS CAN ALWAYS START WITH ASPIRIN AND ANTI-THROMBIN AND DISCUSS PGY12 TIMING with CARDS.Įarly trials such as the VA Cooperative Study (1983) and ISIS-2 (1988) demonstrated that aspirin, which inhibits platelets through irreversible cyclooxygenase blockade, decreases mortality in UA/NSTEMI. PLACE ALL PATIENTS WITH NSTEMI ON APPROPRIATE MEDICAL THERAPY. May have benefit, but may also delay CABG if needed. Unclear if patients should be pre-treated prior to invasive strategies in first 24 hours. Prasugrel and ticagrelor more rapid onset. Ticagrelor (see PLATO Trial) has reduction in death from vascular causes or MI in 1 year compared to clopidogrel, may see bradycardia. Prasugrel has increased bleeding risk but better ichemic outcomes. Newer agents likely better based on recent studies. Certain newer trials so benefit to Ticagrelor and prasugrel, still not clear about which is best but all patients need to be on one of the 3. P2Y12 inhibitor AHA/ACC Class 1 (clopidogrel, prasugrel, ticagrelor). Aspirin Class I therapy in all ACS patients 162-325 mg (rapidly inhibits platelet activation by halting thromboxane A2 production). ACC/AHA Class 1 recommendation: anti-coagulation recommended for all patients with NSTE-ACS: Unfractionated heparin or LMWH. Medical therapy will usually include both anti-thrombin strategies and anti-platelet strategies seen below. Those without immediate need but still intermediate risk will undergo invasive strategy within 48 hours while receiving medical therapy. In addition, TACTICS-TIMI 18 was also a trial of the IIb/IIIa inhibitor tirofiban, which continues to have a limited role in NSTE-ACS, primarily as bailout therapy in patients undergoing PCI of high-risk lesions.Īngiography is preformed immediately for refractory angina, hemodynamic instability, ventricular arrythmia, or acute heart failure. It is important to note that although both the biomarker and TIMI risk stratification findings (i.e., patients with negative troponins or patients with TIMI risk score 0-2 do not benefit from an early invasive strategy) are often incorporated into routine clinical practice, the interaction between the primary outcome and these individual subgroups did not reach statistical significance however, given stark numerical differences and apparent risk-response pattern within the TIMI score group (i.e., as TIMI risk increased, benefit with early angiography increased), lack of statistical interaction likely reflects underpowered subgroups in this case rather than a spurious finding. Overall the results of TACTICS-TIMI 18 provide practical guidance for the selection of patients who are most likely to benefit from early coronary angiography and intervention in non-STEMI ACS. Importantly, patients with TIMI score 0-2 and patients with undetectable troponins (25% of the study population) did not appear to benefit from routine angiography and PCI, suggesting that it is reasonable to pursue stress testing in these low-risk patients with intervention reserved for patients with significant ischemia on functional testing. Notably there was no mortality benefit with an early invasive approach, and this strategy was associated with a 2% absolute increase in protocol-defined bleeding. This benefit was most apparent in patients presenting with ST segment changes, troponin elevation at presentation, and patients with intermediate or high TIMI risk scores (3 or greater). TACTICS-TIMI 18 demonstrated a clear reduction in major adverse cardiovascular events with an early invasive approach, driven primarily by a reduction in nonfatal MI and recurrent ischemia. Overall, 60% of patients in the early invasive arm underwent revascularization versus 36% in the conservative arm. In the conservative strategy, patients underwent coronary angiography only if noninvasive stress testing was positive or there was failure of medical therapy (prolonged angina at rest, hemodynamic instability, recurrent angina or MI). In the early invasive strategy arm, 97% of patients underwent coronary angiography a median of 22 hours (all within 48 hours) after presentation with PCI or CABG to culprit lesions. The 2001 Treat Angina with Aggrastat and Determine Cost of Therapy with an Invasive or Conservative Strategy – Thrombolysis in Myocardial Infarction 18 (TACTICS-TIMI 18) trial randomized 2220 patients to either a protocolized early invasive strategy versus a delayed selectively invasive strategy with each arm receiving the IIb/IIIa inhibitor tirofiban. Unlike patients presenting with STEMI in which there is a clear mortality benefit to emergent coronary angiography and PCI, it is less clear whether patients with non-STEMI ACS (unstable angina or non-ST segment elevation MI) also benefit from routine early angiography and intervention.
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![]() We are running a 1GB network on the PC's. Hi Adrian, thank you for your reply! we are using the free VAW 3. The outcome became obvious to the issues.especially on first day.backup jobs got delayed to almost 1am but all was successful.mainly due to NAS slow in writing but there was no cannot find NAS issue as probably the NIC teaming prevented the "network path not found" error What we changed.NAS to use RAID 10 & use all 4 NIC ports (teamed).PCs to run at 6pm & lappy to run at 7pm. ![]() The next day only 8 machines backup successfully (the 5 from day 1 with 3 more).the following day only 12 (8 from previous days with 4 more).the previous days successfully backup machines started to use increment backup instead of full. ![]() The machines will be powered off after backup and skip backup when powered on. In the beginning, there were many failures as the network gets too congested and the NAS box gets too busy also.at most 5 machines can backup (each machine have at least 100GB of files for example). This is what I have and seen.150 PCs and 120 lappy backing up (personal files only) to a Synology NAS with only 1 LAN (RAID 5 12x4TB HDD).all set to run at 6pm. Other issues maybe that the backup repository IO is too busy to respond to these machines. The more common issue is that you have configured backup of a few machines to run at same time such that the network or the backup repository network is too congested such that these machines cannot see the backup repository. What type of network are running on these machines and/or your backup repository ? tr:Error code: 0x00000035 -tr:FC: Failed to check whether file or folder '' exists. ![]() Unable to perform threshold check for location "": failed to query backup repository disk spaceĮrror: The network path was not found. tr:Error code: 0x00000035 -tr:FC: Failed to check whether file or folder. Exception from server: An unexpected network error occurred. We have set these ones up the exact same was as the other ones so not sure what the error message actually means or why there even is an error.Įrror: Shared memory connection was closed. Lower Backup TCO with Self-Protecting Storage.We recently set up Veeam Backup Agent for Windows on a few of our PC's.Īll seem to be working perfectly fine, except for a couple that we received errors messages for as the backups failed. Retaining multiple copies of data provides the insurance and flexibility to restore to a point in time not affected by data corruption or malicious attacks. The more time passes between backup copies, the more potential for data loss when recovering from a backup. The possibility of weather-related events may justify having copies of data at remote locations.įor best results, backup copies are made on a consistent, regular basis to minimize the amount data lost between backups. The alternate medium can be in the same location as the primary data or at a remote location. This additional medium can be as simple as an external drive or USB stick, or something more substantial, such as a disk storage system, cloud storage container, or tape drive. Storing the copy of the data on separate medium is critical to protect against primary data loss or corruption. Backup copies allow data to be restored from an earlier point in time to help the business recover from an unplanned event. Primary data failures can be the result of hardware or software failure, data corruption, or a human-caused event, such as a malicious attack (virus or malware), or accidental deletion of data. The purpose of the backup is to create a copy of data that can be recovered in the event of a primary data failure. Recovery from a backup typically involves restoring the data to the original location, or to an alternate location where it can be used in place of the lost or damaged data.Ī proper backup copy is stored in a separate system or medium, such as tape, from the primary data to protect against the possibility of data loss due to primary hardware or software failure. This is sometimes referred to as operational recovery. Backup and recovery describes the process of creating and storing copies of data that can be used to protect organizations against data loss. ![]() My sister was able to upgrade to a “penthouse” room with a jacuzzi tub at an additional cost. Our rooms were ok, with large bathrooms and balcony overlooking the pool and beach. ![]() To say Finikas boutique hotel was in a remote location is an understatement but luckily so! We were welcomed by the smiling and helpful reception staff (Anastasia) and enjoyed a welcome drink offered to us by the manager himself, who was ever present, hands on, kind, and mild mannered. My husband and I returned to Greece after 4 years with my sister and brother in law and this time we chose to stay in Naxos although our travel agent selected this hotel, we knew nothing about it. Drive further to get to actual Pyrgaki or get a beach towel and an umbrella and go to the nearby Alyko beach instead - it’s wild but way more beautiful and no one will try to squeeze some cash out of you. It was clear the hotel team was eager to change whatever they told us to get some more money out. We asked him to bring the change from 50 euros, and when he came back he said the price was now double because there were “too many” of us (we were four and we didn’t plan to stay there for the whole day), and each sun bed was now 25, so 50 in total. ![]() We started bringing our stuff over, and he told us it was now 25 euros because we wouldn’t be ordering from the hotel (which seemed fair even though we didn’t tell him that). A hotel employee told us that it would be 20 euros. We arrived and wanted to rent an umbrella and two sun beds. Don’t go to the beach of this hotel if you’re not staying in! We headed to Pyrgaki beach and mistakenly stopped right near this hotel (we thought that was the actual Pyrgaki), and they will cheat and lie to get more money out of you. ![]() For example, the first post could be red, while the next would be blue, and then red, and so on. Some people even get creative by alternating colors. A few more of the many exciting ideas include alternating photos and videos, close-up snapshots and landscapes, or infographics (using an infographic maker) and photos. But this isn’t the only way of implementing a checkerboard grid styling on your page. In most cases, photos-and-text checkerboards are what you’ll mostly find on many people’s accounts. Here, posts with two distinct patterns are published in an alternating format to create a checkerboard appearance.įor example, we could have an alternating collection of photography and text-based images, wherein one post is a photo/image, the next is text, and the one after is a photo/image. Here, the color palette is chocolate, and the entire grid layout reflects that, giving off a choco vibe.Īnother common grid style that’s popular on IG is the checkerboard design. Viewed together, the entire collection looks like a matching set rather than a collection of individual posts.Īnother example of the matching color set is the grid layout on Aleksandrazee. Although the content of each post varies, the unique green palette adopted for each case gives the Instagram page design an eco-friendly vibe. Shopify’s official page is a great example of this. In this fashion, when someone comes to your page, the uniform color theme will quickly strike them, leaving a lasting impression in their minds. ![]() Of course, some posts will have higher contrasts than others, but the point is for everything to look almost the same, color-wise. Just pick a color palette (e.g., red like Coca-Cola or green like Shopify) and make sure your posts include that shade. In addition to being one of the simplest ways of designing a uniform-looking page, it also doesn’t involve too many fancy arrangements. ![]() The most common style of grid layout you’ll find on Instagram is a style based around a similar color theme. 8 Ways to Design Your Instagram Grid Layout 1. Later, we’ll also point out the reasons to use Instagram grid layouts on your pages. In this post, we’re going to be showing you ways to find Instagram grid ideas and design your own jaw-dropping layout. Well, the grid layout is such a great idea, and it has a lot of benefits. And now, you’re surely wondering how to arrange yours the same way. People design symmetrical IG layouts to appeal to their audience because they know viewers will be captivated by them.īefore coming to this post, you’ve probably seen someone’s grid layout and fell in love with it. The same idea extends to Instagram grid layouts. That’s the thing with symmetrical sights – they’re hard to miss or ignore. But, if it has a funny side to it, you’re definitely going to laugh out loud (LOL). If their color symmetry comes off as appealing, you’re likely going to compliment them for it. Chances are you wouldn’t stop staring at them. Imagine someone walking past you right now in an outfit entirely composed of matching colors – the same color of shirt, pants, shoes, and hat. Address – Captain D’s, LLC, 624 Grassmere Park Drive, Suite 30, Nashville, Tennessee 37211.The questions at Captain D’s survey would mainly be about your experience, your level of satisfaction, the service you were provided with, the nature of the place, and basically everything that needs to be improved in order to increase your satisfaction level. The actual survey has begun, so you need to make sure you should answer seriously, correctly, and honestly. Answer that honestly and click on next to go to the next page. Now, you will be asked to rate some things like your experience, your level of satisfaction and etc. Once done with the details, click on enter to proceed. Check the above-mentioned image for reference. ![]() Then you will be asked for a few details related to the day of your last visit according to your receipt. You need to first go to their official website link –. Each person is allowed to enter only one time per month.People should have a basic knowledge of the English language.A good and stable net connection is very important. ![]()
![]() Whisk heavy cream and sweetened condensed milk to make whipped cream.Cover and steep.īoil water on the stovetop or use an electric kettle with a temperature setting. For best results, make tea ahead of time and chill in the refrigerator. Put Earl Grey tea sachets and hot water into a teapot.This is to make the whipped cream topping.įor full ingredients and instructions, scroll down to see the recipe. Make ice using filtered water if possible. Smaller ice cubes blends quicker and easier. ![]() ![]() Instead of sugar, the Frappuccino is sweetened with sweetened condensed milk. Starbucks uses 2% milk in their Frappuccinos. Water can be heated on the stovetop or using an electric kettle.Īny kind of milk can be used but whole milk will make the drink creamier. Starbucks makes their London Fog drinks with Earl Grey tea by Teavana that has vanilla and lavender notes but you can use any Earl Grey tea brand you like. The Frappuccino base syrup is key to making Frappuccinos smooth, just like Starbucks. RELATED: 10+ Frappuccino Recipes Ingredient Notes An easy recipe that’s made in seconds in a blender, the drink is topped with homemade whipped cream.Make a batch of Frappuccino base syrup first. This recipe uses a homemade Frappuccino base syrup to give it a smooth and creamy texture, just like Starbucks Frappuccinos.London Fog Frappuccino is a frozen Earl Grey tea latte with vanilla notes.RELATED: Starbucks Iced London Fog Tea Latte Copycat Recipe Highlights This recipe is my creation, using the same Earl Grey tea they use. London Fog drinks contain caffeine since there’s black tea in Earl Grey.Īt Starbucks, they have a hot and iced London Fog but not a London Fog Frappuccino. Earl Grey is a flavored black tea with citrus notes from the bergamot fruit. The drink must be made with Earl Grey tea, no other kind of tea, to be called a London Fog. It’s made with Earl Grey tea, milk, vanilla, and sugar. You could install everything all at once, but that would make it much harder to troubleshoot if an element didn't work. ![]() I'll do it in steps (and test each time) to make sure everything's working correctly. I'm not going to be configuring options like multiple user accounts, so things will be fairly simple. It only has a single account (this is not recommended for public systems)Īs I already have several CentOS builds that have always been pre-setup with CPanel (and because CentOS is free), I've decided to do this build from scratch and without a control panel.you can provision it in a similar way on Azure or AWS, but with a public domain name) It matches available builds from popular providers (i.e.It has PHPMyAdmin to help administer any SQL databases.I'm going to build a local VM with the following requirements: Were you seeing an error? Was it slow? Was it corrupting data? If so, how? If you make your questions as specific as you can, you're more likely to get the answers you need.Apache centos lamp linux mariadb mysql php sql vm Saying your Moodle was unstable and asking how to make it stable is vague. Once you no longer need Moodle 1.9, you should upgrade php to a newer version.Īs with any forum, being specific about your questions will help you get the best answers. If you need to run both 1.9 and 2.x at the same time, you'll want the latest php 5.3, and you should be running Moodle 1.9.19+. Once you have the environment working, you should be able to install Moodle by following the instructions and recommendations for php.ini. I would start by installing the components and verifying they work one at a time, starting with apache, then php, then the other 2. I can't compare that to Linux because I only use those components in a hosted environment, so I've never installed them on Linux, though I've been tempted to install my own php a number of times. But I do use and admin Windows servers, and have in the past gotten WordPress running using apache, php, my sql and phpmyadmin. Let me start by saying I have no experience with Moodle on Windows. Once you feel comfortable you can install a pure server environment (no GUI's) and apply you knowledge while you are learning about the Linux environment. This means you can have a GUI and file manager etc. You could install an Ubuntu Desktop with Gnome, or a lightweight environment (don't bother with KDE, much too heavy). It's true that a Desktop installation could be more insecure than a Server installation (it will almost certainly be slower). As someone said earlier, the main downside is that you will be reminded to update packages, the Desktop apps etc that you are not using, although you could happily ignore most of these. This means you have an end-user friendly environment, and you can learn about the server and system (without having to master the command line interface to start with). It's worth doing something like creating an Ubuntu Desktop installation, and adding the server side to that - there are lots of good guides on the net about how to do this, especially for Ubuntu, Suse, and the other popular distros. Here again, the Ubuntu thread I mentioned was about a Ubuntu 13.10 on Unity! But for the security concerned (Unix) server administrator the boatfull of additional software serve no purpose but has to be maintained. One can argue that a GUI on server does no harm. Moodle runs in a server and a server does not need a GUI. In the Unix world 'server' and 'client' mean two different things. > I have experience of ubuntu however only the desktop version - Is ubuntu server all command line? If so this may be a bit daunting for me.ĭepends on how serious you are. *nix operating systems generally require less memory than Mac OS X or Windows servers for doing the same task as the server is configured with just a shell interface." (not added by me ) says, "You can use Linux(recommended), Unix-based, Windows or Mac OS X for the server operating system. ![]() in any case, Linux gets the best support in (did you read the "Ubuntu" thread I've posted?) if you go through the support forums here, you'll notice that many old-hands prefer Unix/Linux That said, a couple of points to support the Unix-case: You meet serious Windows administrators here, who know what they are doing. One could also argue that the "Windows package" make computer unsavvy people jump in that's why the high Windows proportion. Having being involved in various support discussions in I get the impression that Windows adminstrators suffer more than their Unix counterparts. Not only because I'm biased (see my profile). Good question! Sorry, but I can not answer it to any degree of accuracy! ![]() Model by Mathias GabrielProgramming: Even in the early stages programmers work with designers to start building all the functionality needed to make the weapons actually work. Motherflakker by Arturo PahuaModeling and Rigging: Concepts evolve into stunning 3D models and are expertly rigged for seamless animations. This helps inspire excitement but mainly gives everyone a better idea of what their part of the work will entail. ![]() So yeah…a little more than “Gun go ‘boom boom’ then people are happy.”Ĭoncept Art: Next some very talented artists bring ideas to life with captivating mockups. ![]() Ultimately we want to feel powerful but not handed victory on a silver platter and weapon design is a piece of solving that puzzle. This can sometimes be a trap though as “balance” isn't always what people want. Quality and quantity requires us to take a critical look at weapons utility in context of the entire arsenal and change or remove ideas that only favor novelty. As mentioned above we wanted to have a lot more weapons but we also want to make sure we don't have a ton of role overlaps in our arsenal. A brief overview of the process looks something like this □.ĭesign: First off, careful planning ensures each weapon's purpose and role in the arsenal, maximizing the chances of captivating players and giving them solid utility. I’ll take some time to be a bit more serious to mention that it takes a tremendous amount of effort from a whole team of people across multiple disciplines to get even one weapon fully up and running. ![]() She hit a button and the moose head started lip syncing Proud Mary by CCR. One of servers caught my eye looking over at a giant moose head on the wall and said “listen to this honey”. The sarcastic humor decorating the exterior of the restaurant reflects the charming personalities of the staff too. I came in the off season, so I’m sure the lack of drunken rowdy summertime Marylanders trashing the joint from June-August helped a ton. The service staff was super down to earth and friendly. I was actually surprised at how much lobster was in the sandwich and how good it tasted. ![]() Straight and to the point, no fancy filling - just my kind of meal! They focus on what they do best - lobster. The lobster sandwich was fresh and delicious & came with a pickle + fries. They make a mean Bloody Mary with real lobster…an entire claw….it was great. Overall, thumbs up and highly recommend!Īmazing food, great views, friendly staff and positive low-key vibes all around. This is a place where you can go and get a cup a literal cup of chowder and things of that nature but also get updated things off of the menu for a decent price. The only other thing I could say negatively was the decor was very old but it kind of gives it its own character because of the name and the type of place that it was. The bartender was very nice and the food came out very Timely and you can tell it was very fresh being that the place was on the water. ![]() Anyway, the food was very good and we got wings, I got shrimp tacos and my girlfriend got the Lobster Roll sandwich. It was April so I guess I don't know if it was technically the end of winter or the beginning of spring, but the weather outside was definitely not winter weather. The service was good, the food was good, but the only thing I can say negatively was there were heaters right above our heads and we had the entire bar in the back to sit meaning two of us oh, yet we couldn't escape it. Home cooked pancakes are better in my opinion. I’m not sure if it was on purpose? But, it was weird. The chocolate chip placement was definitely… interesting. Lacked flavor.Ĭhocolate chip pancakes (4/10): Pretty average pancakes, nothing special. They also didn’t taste full cooked, and they were very dry. Everything went well together and I was overall very pleased.īreakfast potatoes (4/10): Taste was bland. The chicken was a bit dry and overcooked. It’s the first time I’ve ever seen anything like it. It was unique and just amazing.Īpple Turnover: My family liked it a lot but, I didn’t because I don’t like apples in that crushed form.Ĭrabby chicken sandwich (7/10): Unique dish. The food is good, but nothing great.Ĭoconut Muffin (10/10): Delicious! Loved the coconut flavoring inside. It took us a while for the waiter to actually come to our table after being seated. Friendly and efficient service has been the foundation of our success and our management staff is always available for any suggestions or concerns.TLDR: Came for lunch around 12 on a Sunday and there was about a 45 minute wait. Our focus is to remain an affordable, casual restaurant while also offering the highest quality food and beverages available. ![]() The past 39 years have brought many changes but one thing remains the same: Harpoon Hanna’s is a family restaurant. Certified Angus beef, all-you-can-eat crab legs, poultry, pasta, and children’s selections round out a menu built to satisfy your entire group. Harpoon Hanna’s has a legendary reputation for serving the freshest fish and seafood available. Over the past 39 years, Harpoon Hanna’s has been recognized for numerous awards including the prestigious “Top 100 Restaurants in the USA” by Restaurant Hospitality Magazine. *Bar Open from 11am to 1am Bars are open until 1am nightly Rt 54 & the Bay | Fenwick Island, DE 19944 Stream It Or Skip It: ‘The Super Mario Bros. Rachel Zegler's Modern Twist on 'Snow White' Leaves Internet Divided: "Disney, WTF Are You Doing" ‘Elemental’ Lands on Digital, But When Will the Pixar Movie Be on Disney+? Stream It Or Skip It: ‘Elemental’ on VOD, a Post-Peak Pixar That Might Maybe Not Really Convince Us That Fire And Water Can Mix ‘I Wanna Rock: The ‘80s Metal Dream’ Reveals The Human Face Hidden Behind All That Hair Spray Where to Watch 'The Last Waltz' in Honor of Robbie Robertson Clarence Avant: Subject Of Netflix's 'The Black Godfather' Documentary Dead at 92 Stream It Or Skip It: ‘Reinventing Elvis: The ‘68 Comeback’ on Paramount+, A Documentary About The TV Special That Brought New Life To The King Of Rock And Roll ‘Johnny Cash: The Redemption Of An American Icon’ Examines The Intersection Of Singer's Life, Music And Faith Stream It Or Skip It: ‘In Viaggio: The Travels of Pope Francis’ on Hulu, a Documentary Following the Holy See Here and There and Everywhere ![]() The Tuohy Family Went On Bravo's 'Below Deck' Before Their Messy Controversy - And There Were Some "Red Flags"īradley Cooper's Leonard Bernstein Netflix Drama 'Maestro' Enters the 2024 Oscar Race ![]() Stream It Or Skip It: 'Novela' on Prime Video, A Wildly Fun Fantasy About A Telenovela Writer Who Becomes Trapped In Her Own TV Show 'Blind Side' Tuohy Family Alleges Michael Oher Recently Demanded $15 Million Not To "Plant A Negative Story" About Them Is ‘The Boy In The Striped Pajamas’ Based On A True Story? Margot Robbie Set To Earn $50 Million From 'Barbie' - And She Deserves Every PennyĪnthony Michael Hall “Tried To Sneak Onto The Set” While Filming ‘National Lampoon’s Vacation' To See His On-Screen Mom Beverly D’Angelo’s Nude Sceneīradley Cooper's Controversial Prosthetic Nose In 'Maestro' Doesn't Bother Leonard Bernstein's Children: "We're Perfectly Fine With That" ‘No Hard Feelings’ True Story: Read The Real Craigslist Ad For a “Cute Girl” to Date A Mom’s 18-Year-Old Son: “Take His Virginity” ![]() Stream It Or Skip It: ‘Miguel Wants to Fight’ on Hulu, an Amusing Teen Comedy About a Young Pacifist Questioning His Ideology |
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