![]() ![]() MELD-Na is more efficient than MELD to identify subjects with poor outcome and significantly increase the efficacy of the score to predict waitlist mortality. As hyponatremia is associated with poor prognosis in cirrhosis, inclusion of serum sodium (Na) into the MELD (MELD-Na) was found to improve its predictive value in chronic liver diseases. However, some studies have shown that the cut-point of 32 of DFI could be inaccurate and higher cut-offs have been proposed (from 37 to 44).Īlthough MELD score was designed for evaluation of patients awaiting liver transplantation, its use has been expanded and now, is used as a prognostic scale in various liver diseases such as AH, viral hepatitis, hepatocellular carcinoma and autoimmune diseases. Also, DFI allows identifying patients who may benefit from treatment with steroids. A score higher than 32 in the DFI is considered as a severe AH and mortality rates are close to 65% at 28 d. Among the many scoring systems, the DFI is the most used. There are several prognostic models to assess severity in patients with AH including the Maddrey’s discriminant function index (DFI), the Glasgow AH score (GAHS), the age- bilirubin- international normalized ratio (INR) - creatinine (ABIC) score, the Lille score and the model for end-stage liver disease (MELD). Therefore, assessment of the disease severity becomes an important and practical issue for clinicians involved in the management of patients with AH. Patients with severe AH have been reported to have 30-d mortality up to 50%. Its spectrum is wide and ranges from a silent disease to fulminant liver failure with a high mortality rate. This entity is an acute form of alcohol induced liver injury that is seen in patients who consume large quantities of alcohol during a prolonged period of time. AH was first described by Gordon Beckett in 1961 and clinical description of the syndrome is still valid after 50 years. Chronic alcohol consumption is the leading cause of liver failure in our country, and alcohol intake > 120 g/d is a factor associated with the development of alcoholic hepatitis (AH). It is estimated that 6% of the Mexican population is dependent on alcohol which equals to 4.9 million people. Our results show that MELD-Na is a more valuable model than DFI to predict short-term mortality. MELD-Na was the only predictive factor for mortality at 90 d. Child stage, encephalopathy, ascites, or types of treatment were not associated with mortality. In the univariate analysis, sodium levels was associated with mortality at 30 and 90 d ( P = 0.001 and P = 0.03). RESULTS: Thirty-day and 90-d mortality was 44% and 58%, respectively. Receiver operating characteristic curve analysis was performed. Short-term mortality was assessed at 30 and 90 d. MELD-Na and Maddrey DFI were calculated on admission. ![]() Demographic, clinical and laboratory parameters were obtained. METHODS: We prospectively assessed 52 patients with AH. AIM: To compare the ability of model for end-stage liver disease (MELD)-Na and Maddrey discrimination function index (DFI) to predict mortality at 30 and 90 d in patients with alcoholic hepatitis (AH). ![]()
0 Comments
![]() He added that the cases of cartridges had been stowed well forward in the ship, 50 yards from where the German torpedo had struck.Īn urgent Whitehall search of the records was ordered. (Your Republic of Ireland desk is of the opinion is of the opinion that the Irish would seek to create as much uproar as possible.)"īut Coombes added that a 1918 New York court case had established the Lusitania had not been armed or carrying explosives but did have 4,200 cases of small arms ammunition aboard. If it were now to come to light that there was after all some justification, however slight, for torpedoing, HMG's relations with America could well suffer. He said: "It cannot be denied that the sinking of the Lusitania did much to sway American opinion in favour of entering the war. He also reveals that Treasury solicitors had even gone so far as to consider whether the relatives of American victims of the sinking could still sue the British government if it was shown the German claims were well-founded.Ī senior government lawyer, Jim Coombes at Treasury Chambers, told Marshall that the Admiralty had always denied that the Lusitania was armed or carrying war munitions but that there had always been persistent rumours about the latter. Marshall said the disclosure of the true nature of the Lusitania's cargo was likely to spark a public, academic and journalistic debate. Although there have been rumours in the press that the previous denial of the presence of munitions was untrue, this would be the first acknowledgement of the facts by HMG." The Treasury have decided that they must inform the salvage company of this fact in the interests of the safety of all concerned. "The facts are that there is a large amount of ammunition in the wreck, some of which is highly dangerous. "Successive British governments have always maintained that there was no munitions on board the Lusitania (and that the Germans were therefore in the wrong to claim to the contrary as an excuse for sinking the ship)," wrote Noel Marshall, the head of the Foreign Office's North America department, on 30 July 1982. The Foreign Office files released by the National Archives at Kew on Thursday show that news of the imminent salvage operation in 1982 sparked alarm across Whitehall. The Cunard liner was nearing the end of her voyage from New York to Liverpool and her sinking was to feature as a major theme in British propaganda and enlistment campaigns: "Take up the sword of justice – avenge the Lusitania" read one famous poster. The liner went down in just 18 minutes and the loss of civilian life enraged US public opinion and hastened American's entry into the first world war. The RMS Lusitania was sunk on by a torpedo fired without warning from a German submarine just off the Irish coast with the loss of 1,198 lives, including 128 American civilians. ![]() Foreign Office officials also voiced serious concerns that a final British admission that there were high explosives on the Lusitania could still trigger serious political repercussions with America even though it was nearly 70 years after the event. ![]() ![]() ![]() And since everything is laid out in a table of contents so you can just jump to the section you need, you can concentrate on the writing task at hand, leaving the technicalities for the humans to deal with. One of the great features of ommwriter is that it allows you to dictate a word and then the computer spits out whatever comes to the mind, so there is no need to worry about trying to come up with creative ideas because the software will do it for you. The writer can actually use ommwriter and still have a lot of fun. This simple text tool is not an elaborate hoax. There is also a page editor on the software that allows you to quickly edit your written files for paper sizes as small as A4. ![]() The tool works with any word processing program. You can also export your finished pages in PDF or JPEG formats for others to view and download. As the name suggests, ommwriter is a word processor that allows you to create and save your works in a spreadsheet or text file. Ommwriter is part word processor, part art work of a new kind, and part tool. Ommwriter is a simple tool that makes creative writing a pleasure once again, enabling writers to be alone with their ideas to focus and to write with no distractions. This book does just that: it gives the writer a break from technology by focusing on the story. If the technology is the problem, then the writer should get out of the computer and focus on what comes next. The latest digital writing programs allow the writer to focus on the story rather than the technology. In her book, Writer's Digest Article #2 - What is Omniwriter? Writer's Digest Associate Editor, Ruth Graham offers an alternative to the old writing tools that seem to have been abandoned by the modern writer. ![]() ![]() ![]() (Christmas trees do not need to be cut down to a maximum length of four feet, like brush and branches. Christmas trees that are not collected in January must be placed out for yard waste pickup when yard waste collection resumes in the spring or taken to a Drop-Off Depot.Clear tree of plastic bags, tree bags, snow, and ice.Place tree next to your Garbage Bin for pick-up.Trees must be free of bags, tinsel, ornaments, nails, tree skirts and stands.Note: Residents employing landscaping contractors to maintain their properties are responsible for making sure contractors follow the rules as well. Yard waste that meets the above size requirements can also be taken to one of the City’s Drop-Off Depots year-round.For items that exceed this size, make arrangements with a private collections company. The diameter of wood set out for collection cannot exceed 7.5 centimetres (3 inches).Secure brush and branches in bundles no longer than 1.2 metres (4 feet), no wider than 0.6 metres (2 feet) and no heavier than 20 kilograms (44 lbs).Store yard waste on your own property (close to your home) between collections, not on City property.If you receive night-time collection, set out yard waste between 6 p.m. If you receive daytime collection, set out yard waste no later than 7 a.m. Place yard waste 0.5 metre from your Garbage Bin.Yard waste in plastic bags or cardboard boxes will not be collected. Place yard waste in kraft paper yard waste bags or rigid open-top containers (with an external height no less than 55 centimetres and no greater than 95 centimetres, with the exception of blue and grey boxes previously used for recycling).Read more about the benefits of mulching lawn clippings. If you have used herbicides on your lawn, leave clippings after you mow – don’t use as mulch on other plants or add to compost. If your clippings are too long, mulch by mowing several times or rake them off. Leaving clippings on your lawn improves carbon sequestration. Mowing too short can allow weed seeds to get more sun and increase the chance of germination.ĭecomposed clippings add the equivalent of one fertilizer application to your lawn each year.ĭecomposed clippings improve soil quality and minimize runoff.To maintain a 3-inch lawn, mow before the grass reaches 4.5 inches tall. Weak grass plants will take longer to recover. Mowing too short or scalping results in stress to the grass plant. ![]() Remove no more than 1/3 of the leaf tissue when you mow. Taller grass means longer roots and greater ability to withstand drought and reach nutrients.Taller grass shades out weed seeds and keeps soil cooler.For a typical residential Midwest lawn, maintain a height of 3 inches or higher.Typically, the species of grasses used in Minnesota lawns are Kentucky bluegrass, perennial ryegrass, and fescues. The bag holds up to 1.7 bushels (16 gallons) of grass clippings, and I emptied the bag an average of six times every time I mowed the test area. Proper mowing practices contribute to a healthy lawn and minimal weeds, and, if you leave grass clippings on your lawn, contribute to lawn nutrition. The Makita lawn mower has a detachable grass-catching bag and an optional mulching attachment. Regular mowing with a sharp mower blade at the proper height will help keep grass growing vigorously and maintain adequate density. Lawn mowing is more time consuming than any other lawn-care practice. ![]() ![]() ![]() ![]() “ The uncertainty of the ‘Internet of Things’ is growing as new devices emerge that are hijacked and integrated into botnets. Mirai infects routers, security cameras and other networked devices on the “Internet of Things” that still use factory defaults as credentials. The s ources of these attacks are most likely IoT devices that have been infected with the Mirai malware, which was also most frequently detected on honeypots. SSH, which is also used by IoT devices, recorded 456 million attacks. UPnP ranks second with 611 million attacks. With over 760 million attacks, or 26 percent of measured traffic, Telnet carried the largest share of the total number of attacks in the observed period. ![]() In the first half of 2019, F-Secure’s experts registered twelve times as many attacks as in the same period last year. The report is based on vulnerable servers that are placed on the net like bait (“honeypots”) and provoke attacks that are then documented by F-Secure. In autumn 2019 this law was impressively confirmed in the “Attack Landscape Report”. F-Secure report: More and more IoT devices attack Back in 2016, Mikko Hyppönen, Chief Research Officer at F-Secure, formulated his statement, now known as “Hypponen’s Law”: “ Whenever a device is described as ‘smart’, it is vulnerable“. “ If you get involved with such ‘stupid’ products, you risk having your home pierced with numerous security holes like a Swiss cheese,” says Trost. Especially in many crowdfunding projects, there are no guarantees as to how long the supposedly smart device will be supported and provided with security updates. Instead, the smart home industry must finally commit itself to common standards and long-term security mechanisms. It is unacceptable that there are any networked devices that have no or only inadequate routines for security patches,” complains Rüdiger Trost. ![]() “ KeyWe ‘s customers have to replace their ‘smart’ locks completely or live with the risk. Nevertheless, F-Secure has published a security warning. F-Secure is holding back important details about the hack, as many of the locks are already in use, but there is no possibility of subsequently securing the devices with a security update. “ All we needed was a little know-how, a small device to intercept the messages for 10 euros from the technology market and a little time to find the users” – said Krzysztof Marciniak, one of F-Secure’s cyber security consultants who performed the hack. However, F-Secure was able to handle the existing KeyWe security devices with quite simple means, by intercepting and manipulating the messages between the lock and the app. Users of the Korean manufacturer KeyWe ‘s supposedly “smart door lock” can open their doors at home using a smartphone app. Much of these attacks were caused by insecure smart home devices, which are now attacking other devices under the control of hackers without the owner knowing. We are finally calling for uniform, reliable standards in IT security for the Internet of Things.” This is confirmed by the results of the “Attack Landscape Report”, which in September 2019 registered a twelvefold increase in the number of attacks from the Internet compared to the same period last year. “ Any consumer who relies on such devices will end up being the fool himself. Graphic: Pixabay/ab - door and gate of the Smart Home wide open Finnish cyber security company F-Secure has hacked and opened the “smart door lock” of the Korean manufacturer KeyWe with amazingly simple means.įor Rüdiger Trost, Head of Cyber Security Solutions at F-Secure, this is further proof that the so-called “Smart Home” still has to struggle with extreme security problems worldwide: “ Outdated operating systems, poor programming, lack of standards – the now unmanageable number of networked devices makes the “smart” home a “dumb home“. ![]() ![]() 5 DIFFERENT REALMS to conquer and explore 25 CHALLENGING STAGES that will test your skills Choose your arsenal of towers and execute your strategy.Ĭreate devastating combinations of towers, abilities, and special powers to stop your enemies! ![]() UNIQUE ABILITIES AND SPECIAL POWER for every tower RUSH TO SAVE THE KINGDOM as you bring down 6 mighty bosses in the most legendary boss fights! 60+ DEADLY ENEMIES that will put all of your wit and strategic skills to the test 30 UPGRADES to train your army to their best form. NEW POWERS AND REINFORCEMENTS to vanquish your foes, td style! ![]() 10+ TRINKETS AND ARTEFACTS for that extra action in battle. LEVEL UP YOUR HEROES and upgrade their abilities 13 Powerful HEROES who will, without hesitation, rush into action at your command Heroes, your Army, Enemies and legendary td bossfights! Kingdom Rush Vengeance will give you hours and hours of gameplay in this amazing tower defense game available! Train legendary heroes and get all the achievements using your strategy in this amazing TD game. Clash against supreme bosses, unlocking and switching to new towers. Only for the most daring, reckless, all-out-of-bubblegum marines in space.Get ready to jump into action and show the Kingdom who’s the real boss in this tower defense game!įace empires of mighty enemies. CHOOSE YOUR DIFFICULTY MODE: Casual, Normal or Veteran.NO WI-FI IN SPACE? No worries, offline play guaranteed!.70+ ACHIEVEMENTS to complete and show everyone you’re the best RTS commander in the whole galaxy!.They are green, mean, killing machines!!! Well… some are machines and these aliens aren’t green… but they’re all massive and determined to crush you. 8 SPECIAL WEAPONS to unleash hell on your enemies and keep expanding your tactics like space itself! What’s better than a well-placed missile? An orbital strike of 50 high-explosive missiles!. ![]()
|
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |