![]() ![]() Examining the posterior of the lung requires the patient to be leaning forward or sitting on the edge of the bed. Position the patient on the examination table at a 30- to 45-degree angle and approach from the right side.Make sure the patient is undressed down to the waist.RUL - right upper lobe RML - right middle lobe RLL - right lower lobe LUL - left upper lobe LLL - left lower lobe. An approximate projection of lungs and their fissures and lobes to the chest wall anteriorly. ![]() Anatomy of lungs with respect to the chest wall. The superior lobe of the left lung also has a separate projection known as the lingual.įigure 1. The left lung has two lobes: the superior and inferior lobes. The right lung has three lobes: the superior, middle, and inferior lobes. Each lung lobe can be pictured underneath the chest wall during percussion and auscultation ( Figure 1). The areas for auscultating the lungs correspond to the lung zones. Auscultation can provide an almost immediate diagnosis for a number of acute pulmonary conditions, including chronic obstructive pulmonary disease (COPD), asthma, pneumonia, and pneumothorax. Percussion is a useful skill that is often skipped during everyday clinical practice, but if performed correctly, it can help the physician to identify underlying lung pathology. Learning the proper technique for percussion and auscultation of the respiratory system is vital and comes with practice on real patients. Source: Suneel Dhand, MD, Attending Physician, Internal Medicine, Beth Israel Deaconess Medical Center ![]()
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![]() System requirements: macOS 10.12.5 or later, 2GHz Intel Core i5, AMD Radeon R9 M290 (2GB), Intel Iris Pro 6200 (1.5GB) The game’s system requirements aren’t as steep as some other racing games, so it should work with most recent Mac models – but it’s definitely worth double-checking Feral’s website before buying. The game is available on both the App Store and Steam but – as is so often the case – the Steam version of the game is cheaper, and also offers an online multiplayer mode that isn’t available if you buy it from the App Store. The game’s physics and mechanical systems are highly realistic, so you do need genuine driving skill to beat your opponents, but you can also indulge your inner speed-demon a bit, as the game includes a ‘recovery’ option that can step back in time when things go wrong, and get you back on the track again (albeit with a brief time penalty). There’s also a Hillclimb mode, which requires extra powerful cars in order to reach the top of challenging hill tracks, such as the famous Pike’s Peak in Colorado. Alternatively, you can choose Rally mode, which challenges your speed in individual races on a variety of tracks and weather conditions. The main Championship mode allows you to drive through a series of races in order to earn prize money so that you can upgrade your car. There are three game modes to provide variety, as well as 40 different types of car that you can drive. You can even drive through Hell itself – which, apparently, is a well-known rallycross track in Norway. Dirt Rally boasts that it lets you race on “the most dangerous tracks in the world”, ranging from the rain-swept roads of Wales, to the rocky hills of Greece. The Dirt series, however, is a bit more like the Fast And Furious films – it’s all about the high-speed action and the thrill of hurtling around corners and over hills with the pedal permanently pushed to the floor. ![]() ![]() ![]() I pushed her onto the bed and kissed her all over and sucked those glorious tits. I had never really cum from a blowjob but I would at this rate.īut she stopped. Great head, best I've ever had, not too hard, tickling my balls, jerking nicely, and fingered my asshole a little even which surprised me. The moment I began fingering her, she got down and began giving me head. She took some of my pre-cum in her fingers and put it in her mouth and then said something in Spanish. I grabbed her hard to me and kissed her deeply, sticking my tongue way into her mouth as I groped her, ending up squeezing her ass as hard as possible.Īs we kissed and fondled she was undoing my pants and played with my cock. No awkward undressing, no stupid lingerie to deal with, just pure woman. Then she went to the bathroom and came out completely naked. She grabbed my raging cock through my pants and kissed it. She was fucking amazing, every move was perfect and I realized why older women are so awesome. She helped me take my shirt off and kissed all over my chest+stomach and used her nails to lightly scratch me, which felt so good. She was having none of it and pushed me away, I didn't know what the hell was going on.īut once we got into the master bedroom she began to slowly kiss my neck and put her hands all over my body. We end up going to her place and I finally go for it and try to kiss her in the elevator. My giant boner was calmed by drinking a lot and some weed from earlier. Her English was poor so we couldn't really talk and it was awkward but once we got to the club I got turned real fast by her grinding on me, whispering Spanish to me as she "accidentally" let her lips touch my ear and stuff like that. ![]() I was out with friends and it was mostly couples so I got paired off by default with this sexy and flirty Spanish woman in her 40's. She sometimes got carried away in a similar fashion because obviously I'd ease up when I felt her dig her nails in, but she would be like "what are you doing? That was amazing, why did you stop?"ĭammit woman, just talk to me! I look like I've been flayed over here. She liked rough sex but if I got a bit carried away, nibbling turning more into biting, pulling her hair too roughly, etc, she would properly dig them into my skin and draw blood.īut it wasn't an exact science. ![]() His face was a picture!Īlso, +1 on the scratching thing, fingernails down your back feels so hot.Īn ex would use hers as some form of non-verbal communication. She scolded him, slapping him across the back of the head as she shepherded him away, tutting at me as she did. This one old couple noticed so the dude, presumably not sure what he'd seen, came closer to the window for a better look, much to the dismay of his wife. It wasn't so bad driving along as people don't really get a chance to look, but stopping at traffic lights was pretty embarrassing. My mate driving didn't notice at first, then glanced over his shoulder with a mixture of adulation and repulsion, I just shrugged smugly. I remember it was a blazingly hot summer's day around lunchtime, people everywhere. ![]() I don't have that many crazy sex stories compared to the ones I've read in here (best sex thread in a while) but I did get blown by my first GF while driving around in the back of my mates car. 152iTunes, a435843, Koala King, andyt29, antoniospain, ashgarth, barnmania, BlueMax, botatubo2, bragrim, Brit6, bronko23, cascador, Cavaliere, curtis oniel, cutilaie, Dave998, dusty500, effCup, emslo, erostutitsbus, errare, espain2, fanoday, fas1569, Ferd3, ferdifootball, frank91965, friedl1956, glensullivan, grafxgy, grnsguy, grundle, haunted, hawk160, Homer, hummingbird, ifr2lax, j1025, jackrussell, jmp883, jomama, JZip, kal, KaylanNicole, keefriff, Lonic, lucianoramon, magikrat, Markk2525, martin1512, MayfairFan, mikeli, moclips7924, mollycat, Mr.The Paul and Linda story is amazing, fair play fella! ![]() ![]() ![]() Note that each quarter, your point level will reset, and you’ll have another opportunity to earn the point level maximum. ![]() You can redeem your credits through the Virgin Pulse platform for various gift cards, merchandise, or as a donation to a charity of your choice. Once your accumulated points reach the program’s point level maximum for the quarter, you’ll earn a corresponding number of credits. As you complete activities, your Virgin Pulse points will accumulate. Every activity is worth a different number of Virgin Pulse points. The Virgin Pulse Activity Program is your opportunity to earn rewards throughout the year by being active and engaging in healthy habits.Įach quarter, you can earn points for completing various activities, such as tracking steps or healthy habits, or completing Journeys or your Daily Cards. The call length varies, and you can do up to 6 calls with the coach per year as part of the program. To get started, log in to your Virgin Pulse account. Under the Programs tab, select Work Place Options: Live Well Wellness Coaching to choose a topic and find a date and time for your initial call. Sessions are aimed at increasing the participant’s self-efficacy and internal motivation for lasting behavior change, nurturing new habits that lead to long-term success. Individuals and coaches commonly design wellness plans around weight management, nutrition, tobacco cessation, physical activity, stress management, and overall lifestyle improvement. Through Virgin Pulse, our telephonic wellness coaching program offers access to certified professional coaches who provide individualized, goal-oriented guidance, wellness education, strategy development, and encouragement. Learn evidence-based tips, practice new skills, start experiencing real results, and even earn points that you can redeem for rewards-all through the Virgin Pulse website or mobile app. In a short amount of time, you can transform healthy steps into life-enriching habits in the areas of physical fitness, diet and nutrition, tobacco cessation, sleep improvement, stress management, and financial wellness. Virgin Pulse JourneysĪs part of the Wellbeing Hub, Virgin Pulse Journeys gives you the daily support you need to reach your goals, including in the areas of physical fitness and diet and nutrition. (If you’re not signed in on the Intuit network, you will be prompted to enter your Intuit directory username and password). If you’re an existing Virgin Pulse member, log in to Virgin Pulse. Once your registration is complete, select Take Me There to sign in. Follow the progress bar to complete registration. If you’re new to Virgin Pulse, visit /intuit and select Sign Me Up! at the bottom of the page. How it works How to enrollĮligible employees are automatically enrolled. EligibilityĪll regular employees who work 20 hours or more per week. You can challenge friends and build a community to help support you on your wellbeing journey. The Wellbeing Hub also helps you start and maintain important healthy habits. The more data you add, the more personalized your experience becomes. ![]() You can earn up to 45 points per day for tracking healthy habits in a matter of seconds.įind out more about how to earn points in Virgin Pulse by clicking here.The Wellbeing Hub, powered by Virgin Pulse, connects you with Intuit wellbeing programs and benefits that are relevant to you, based on your interests and health assessment. To get to the options of healthy habits, after logging in to Virgin Pulse, click ‘Tracking’ and then ‘Healthy Habits.’ Click ‘browse all’ to see the categories and options and add some new ones to your dashboard. If you’d like to invite some friends to join in, create a challenge with your colleagues to increase your accountability. I challenge you today to log in to your Virgin Pulse profile and select Healthy Habits that are meaningful to you and applicable to your goals. Categories of habits are ‘getting active’, ‘being productive’, ‘building relationships’ and ‘managing my finances’ and more! There are over 100 unique healthy habits available in Virgin Pulse to keep you on the road to living a healthier life. Healthy Habits are also able to be tracked in Virgin Pulse and there are many habits available so you can work on goals important to you. Virgin Pulse has daily cards with simple tips that are able to be read very quickly to fit into your busy life. You can earn YP4H points for things you are already doing, such as tracking steps, sleep, and healthy habits. With YP4H powered by Virgin Pulse, the program can be customized for you to help you reach your goals. Are you interested in becoming healthier, but you do not know where to begin? At Ohio State, many Wellness resources are available to help you reach your goals and improve your health and well-being. ![]() ![]() The key issue is you have to use the drivers supplied by the manufacturer as they customise them for each docking station. I have been using this Displaylink USB3 docking station from Targus for the past 6 months with few issues: Sorry Paragraph DisplayLink is what I meant. Unfortunately your options are either multiple cables, unreliable video, or throw money at it.Ĭontact lenovo support and see if you can have them take a look at the laptop under warranty, they might replace it if you make enough noise, could work. Isn't there a USB port right next to the HDMI port on that laptop?ĭuct Tape the two cables together, problem solved ) We don't have a huge budget, so buying a decent laptop and docking staion from either Dell or HP is not on the cards (which is a real shame cos those docking stations are awesome) My user is currently using her monitor plugged directly in to the laptop, but she says this is too much of a faff and really wants to use a docking station (I think she is just being pedantic myself) I guessed this would be the case, but I was hoping against hope that there might be alternative. ![]() However, that still leaves you with essentially two devices (since you're splitting the video duty off to another device) so you might just want to use the onboard VGA or HDMI instead, unless you're looking to drive two monitors.Thanks Paragraph, I can tell you that Startech does spin their own driver that isn't fully compatible with the "Generic" DisplayLink driver, but it is still DisplayLink, so that might be worth a look if you're suspecting a driver issue.Īs another alternative, Matrox's USB devices do pre-date DisplayLink, so it's possible that you'll have better luck with them, but they are on the pricey side. Unfortunately DisplayLink is the defacto standard for USB video. ![]() DisplayPort isn't the same as DisplayLink ![]() ![]() ![]() Play the Diamond Rush online slot at the best real money casinos and win up to 30,000 coins. Land five diamonds in a row to trigger the Diamond District Bonus and win credit prizes or minor, major, and grand jackpots. It has got really good rating points and reviews. Land three dynamite plunger scatters to bank an instant prize and trigger eight free spins with expanding wilds and a respin feature. Diamond Rush is on the top of the list of Action category apps on Google Playstore. The Kansas City Chiefs secured their spot in Super Bowl LVIII with a 17-10 win over the Baltimore Ravens in the AFC Championship Game. Description: Cuddle up to the Diamond Rush quest, an adventure game mixing action and puzzle-solving, and enjoy many playing hours The games characteristics and screenshots may vary according to the model of your phone. Bet 50-500 coins when you play Diamond Rush at recommended slot sites and enjoy an RTP of 95.76%. You can hit winning combos with three to five matching symbols, with the prospector paying a top prize of 300x. Play Diamond Rush slot online and reap the rewards of an XPower stream mechanic that gives you 324 ways to win on every spin. Play Diamond Rush on mobile, tablet, or desktop and use the diamonds to trigger an exciting bonus game with big prizes. ![]() Enjoy a prospecting theme as you hit winning combos by filling five reels with maps, pans, and lanterns. Spin the Diamond Rush slot machine and join the rush to play one of the best new online slots from AGS. ![]() Each game comes with a description and when it is possible with a help topic. We attach great importance to their quality. Thousands of flash games free to play organized by category (action, sport, adventure, fight, simulation, shoot. Spin for free, or play Diamond Rush for real money at the best online casinos. 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To a lesser degree, this also occurs on some of the levels while playing the game.įirst three lines = start game as one of three players: Timothy, Yosi or Rudra Zinanįourth line = turn the backgrounds on or off. ![]() The text in many cases is extremely hard to read on a 17" monitor. The ugly part is the choice of colors on the title screen. Also, a pause button would be nice to have. The bad part of this game is the lack of documentation. Gameplay is very good and some of the levels have up to three characters to control at the same time, which adds to the excitement. What makes this game unique is, sometimes you simultaneously control three chacters with one set of controls Diamond Rush is the simplest 3D game in which you have to overcome various traps and look for diamonds. Domini Games debuts an exhilarating new series in Hidden Motives: The Diamond Rush Its the Wild West, and youre the sheriffs daughter Or at least youre playing one as the lead in a movie. There are 49 funfilled levels which can be played and repeated in any order. The object in Diamond Rush is to gather all the diamonds before the clock runs out. Caiman free games: Diamond Rush by khaim. ![]() ![]() ![]()
![]() ![]() S – Santa Rosa / Sarasota / Seminole / St. P – Palm Beach / Pasco / Pinellas / Polk / Putnam The purpose of Guardianship is to provide support to the person in managing their own affairs and to advocate for their rights and best interests. Before you can complete a legal guardianship document, you will need to have the birth certificate of the child in question, as well as the names and contact information of both the child’s parents or legal guardians. O – Okaloosa / Okeechobee / Orange / Osceola Guardianship is a legal relationship between a person who has a disability or a mental disorder and another person called the Guardian. Step 2: Mail or deliver the completed form to the county courthouse where the case was filed. Complaint about a Guardian or Conservator RTF PDF Step 1: Complete the form with as much detail as possible. ![]() M – Madison / Manatee / Marion / Martin / Miami-Dade / Monroe If you have a complaint about an appointed Guardian or Conservator fulfilling his/her statutory duties, please complete the form below: 1. Ethan Coen and his wife, film editor Tricia Cooke, have created a feature Drive-Away. L – Lafayette / Lake / Lee / Leon / Levy / Liberty Ethan Coen and wife Tricia Cooke on their raunchy new lesbian road movie. H – Hamilton / Hardee / Hendry / Hernando / Highlands / Hillsborough / Holmes General information about guardianship is available from the courts and The Florida Bar.ī – Baker / Bay / Bradford / Brevard / BrowardĬ – Calhoun / Charlotte / Citrus / Clay / Collier / Columbia Please contact your local court for more information. Know where to go for reliable answers on correct grammar and spelling. If a county is not linked, guardianship forms or checklists are not available on the court website. Use numerals instead of written words for numbers. ![]() Kansas lawyers registered as active under S. However, forms for decedents estates, guardianship and conservatorship, and care and treatment are contained in the Kansas Judicial Council Probate Forms 3d publication. A New York minor child power of attorney form (guardianship) can be used to appoint another person to have decision-making power over a minor child’s education, health, and finances. This includes health care decisions or decisions about their financial affairs (conservatorship). They may not have the capacity to make their own decisions. Firstly, you need to obtain the appropriate form, either from a lawyer, healthcare facility, or an online resource specific to Pennsylvania. Guardianship forms and/or checklists are available on some local court and clerk websites. The Judicial Council does NOT provide free forms for establishing a guardianship or conservatorship. Guardianship is a crucial legal tool that allows one person or entity to decide for an adult the ward. Filling out a Medical Power of Attorney form in Pennsylvania is a straightforward process that ensures someone you trust can make medical decisions for you in case you become unable to do so. Forms and Checklists Relating to Guardianship Matters ![]() ![]() Dog water fountains can be helpful to entice dogs to hydrate throughout the day. ![]() Make sure that your dog always has access to fresh water. Increase Your Dog’s Water Intakeĭehydration can cause constipation in dogs because the body responds by reabsorbing as much water as possible from the feces, making it hard and difficult to pass. If you see any other abnormalities (anything sticking out of the anus, a tumor, etc.), make an appointment with your veterinarian immediately.ĭo not remove any foreign material from your dog’s anus on your own, as this can cause trauma to the rectum or gastrointestinal tract. You can try removing the mats with electric clippers (not scissors!), but if you aren’t able to, do not hesitate to call your veterinarian or a groomer. Long-haired dogs are at risk for developing mats of fur that can completely cover the anus and make it impossible for your dog to poop. Take a look at your dog’s bottom-sometimes the problem will be obvious. Here are five things you can do to help a mildly constipated dog: 1. However, if your dog does not begin to poop normally within a day of starting home treatment, or their constipation becomes a recurring problem, call your veterinarian. If your dog only has symptoms of mild constipation, and they seem to feel fine otherwise, you can try home treatment. Producing small amounts of feces that are harder than normalĥ Home Remedies for Mild Dog Constipation Seeming a little uncomfortable while pooping: walking while in hunched position, vocalizing, panting, looking back at their hind end frequently If your dog is showing only mild signs of constipation, there are a few remedies that you can try at home to help ease their constipation. If you see these signs, your dog needs to be treated by a veterinarian as soon as possible:ĭiscomfort: pacing, straining to defecate, panting, looking at or licking their belly frequentlyĭistended belly (seems larger than normal) Constipation can affect a dog’s entire body and cause permanent damage to their gastrointestinal (GI) tract. You need to call your vet for an appointment as soon as possible. ![]() If your dog is showing severe symptoms of constipation, no home remedies can help. If your dog is having trouble pooping or has not pooped as often as they usually do, they could be constipated.įollow this guide to learn when you should go to the vet, and when you can try home remedies to help your constipated dog. While many people may worry about diarrhea, you should also notice when your dog isn’t pooping on their normal schedule. ![]() It’s important to pay attention to what’s going into your dog and what’s coming out-or not coming out. ![]() ![]() The blue backdrop symbolizes stability and security, indicating confidence. The icon of a game controller is interesting and is reminiscent of a fighter pilot's helmet and goggles. The bold, unmissable Montserrat typeface grabs the attention and lends the logo a rugged, urban flavor. The Source Code Pro typeface has a cool and authoritative appearance. The gray gaming console stands out against the white background, making it clear that you're an expert in gaming. 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