![]() Press examiner's left thumb against patient's larynx.Either with thumb of examiner's right hand or index and middle of left hand.Medial border of humerus at elbow medial to biceps tendon.Simultaneously with femoral to detect delay.As ever, in clinical practice there will be some selectivity to save time in the consultation. There are, of course, specific reasons to examine all the pulses at different sites as part of a complete and systematic cardiovascular examination.However, there is much to commend routinely following this with examination of the larger brachial and carotid arteries to feel the nature of the wall and particularly the character of the pulse. ![]() Clinically it is traditional to examine the radial pulse first.Such examination technique can be practised according to the requirements of the particular examination to ensure success. In clinical examinations it is important that the student follow instructions and take clues from the questions posed by the examiner and the type of examination (distinguish, for example, between a request to examine a pulse and conducting a cardiovascular examination).This will depend on circumstances and whether there are specific clinical reasons for examining a particular pulse or for systematically examining all arterial pulses.Other sites may be examined for pulses, in special circumstances - for example, the temporal artery (for tenderness in temporal arteritis) and the ulnar artery (if the radial cannot be felt or before arterial access at the radial site). Palpation of the abdominal aorta would also form part of this systematic examination (to identify abdominal aortic aneurysms for example). Systematic examination normally involves palpating in turn radial, brachial, carotid, femoral and other distal pulses. Medication (many drugs can affect the pulse, including beta-blockers and digoxin).Īrterial pulses can be examined at various sites around the body.Lifestyle and occupation (the fit and trained athletes have very low pulse rates).Past medical history (particularly of thyroid, cardiovascular and cerebrovascular disease).Age (affects the likelihood of atherosclerosis).There are many symptoms which may be relevant however, some examples include: HistoryĪs with all clinical examination, there are aspects of the history which are particularly relevant to abnormalities in the pulse. It is important to develop a reliable routine for examining the pulse and to refine and improve the technique throughout a career. Still today, thorough examination of the pulse can provide a lot of information and help form an accurate diagnosis. Historically, in the Middle or Far East, doctors were expected to make many diagnoses on examination of the radial pulse alone. Such routine examination can reveal an unexpected and timely diagnosis. Systematic cardiovascular examination can provide a diagnosis quickly without need for invasive or expensive tests. It is very easy to overlook the art of clinical examination when new technology can so easily be employed to make diagnoses.
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![]() ![]() Thank you! Sample Pastor Appreciation Scripture Sample Pastor Appreciation Bible Verse:Īnd those who lead many to righteousness,įirst Baptist Church – Austin, TexasHappy 10th Anniversary! We hope this letter is just one small way of showing our gratitude for your service. It’s been a pleasure to watch you grow as a leader, and we’re confident that God has big things in store for your ministry. We want to take this opportunity to express our appreciation for all that you do for our church. Words of appreciation for a pastor and his wife Thank you for last s Sunday sermon, the topic was touching and as you were preaching a certain voice was pushing me from the inside concerning the message, I thank God that through the message you preached am ready now to give my life to Jesus.On behalf of our church, I want to extend this appreciation message to you and thank you for honoring the call to come and preach to us, we were happy and blessed by the way you delivered the word.Let me take this earliest opportunity to extend my sincere appreciation for the wonderful sermon that the Lord has delivered to us through you, may the good Lord continue using you Mightly whenever you shall be in spreading the message of the kingdom.I lack words to express myself about but I just want to say thank you my spiritual father for the word and encouragement that you give us, I pray to our heavenly Father to bless you and your family and also meet your needs according to the richness in Glory. Remember pastor in your prayers because of the heavy work he is doing on behalf of the Lord in this world. Whenever you kneel down to thank God for His goodness in your life. ![]() We are the best place on the Internet to find cheap homes. So go ahead, find the cheapest property in the USA with and our free list of cheap houses to buy. ![]() lead to at least 10,000 total jobs eliminated, a reduction in workforce of 3. Housing is often chief among them, so it’s important that you save as much money as possible before making the investment of a lifetime. house located at 1225 Pettibone Ave, Flint, MI 48507 sold for 10,000 on Sep 12, 2008. REO properties are bank owned homes that are immediately offered for sale. Food, taxes and healthcare, among other expenses, can pile up fast. You have enough to worry about trying to calculate the cost of living in US. We have something for everyone with our nationwide list of cheap properties for sale. 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We can help you find the cheap house for sale on the block - and buy the cheapest house in the best neighborhood - with our nationwide database of the best real estate deals available right now. researches, complies and lists the largest selection of cheap homes for sale throughout America, many of them for under $100,000 … and very often for much less. Proud to be sponsored by Product School, one of the top-rated tech schools on SwitchUp. ![]() Weekly Webinars: wherever in the world you are - participate in our weekly webinars, learn from top industry professionals, and walk away with vast knowledge on a variety of topics. Every event is a unique and great opportunity to ask any question you’ve had about breaking into product management. ![]() Weekly AMAs: “Ask Me Anything” sessions hosted by experts in the product management space. 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Alert-small alert announce-small announce archive-small archive arrow-left-small arrow-left arrow-right-small arrow-right audio-small audio badge-small badge block-small block bolt-small bolt calendar-small calendar-check-small calendar-check calendar-cross-small calendar-cross calendar-plus-small calendar-plus calendar camera-small camera check-small check-circle-small check-circle check chevron-down-small chevron-down chevron-left-small chevron-left chevron-right-small chevron-right chevron-up-small chevron-up clock-small clock-arrow-small clock-arrow clock cog-small cog conversation-small conversation copy-small copy creditcard-small creditcard cross-small cross-circle-small cross-circle cross-circled-small cross-circled cross download-small download drinks-small drinks edit-small edit export-small export external-facebook external-facebookboxed external-flickr external-gmail external-instagram external-linkedin external-medium external-messenger-outlined-small external-messenger-outlined external-outlook external-tumblr external-twitter-outlined-small external-twitter-outlined external-twitter external-yahoo external-youtube filter-small filter folder-small folder globe-small globe grid-small grid groups-small groups heart-small heart-outline-small heart-outline heart hide-small hide home-small home info-small info invite-small invite-filled-small invite-filled invite launch-new-window-small launch-new-window link-small link list-small list location-pin-small location-pin-filled-small location-pin-filled location-pin-slashed-small location-pin-slashed location-pin location-services-small location-services lock-small lock mail-small mail meetup-m-small meetup-m messages-small messages microphone-small microphone minus-small minus notifications-small notifications-badged-small notifications-badged notifications-mute-small notifications-mute notifications overflow-small overflow-vertical-small overflow-vertical overflow photo-album-small photo-album-add-small photo-album-add photo-album play-small play plus-small plus-circle-small plus-circle plus profile-small profile profiles-small profiles projector-small projector pulse-small pulse refresh-small refresh reply-small reply search-small search send-small send sent-messages-small sent-messages show-small show sort-direction-small sort-direction star-small star-rounded-small star-rounded star textblock-small textblock ticket-small ticket trash-small trash tune-small tune tv-small tv updates-small updates wifi-small wifi ![]() ![]() This is where you can get help with any Amazon device you have, such as Echo Auto, Kindle, or Alexa (to name just a few).Īmazon will automatically show you a list of all the Amazon devices you currently own (based on your Amazon order history and registered devices). Moving on to the next section of Amazon’s “Contact Us” page, we come to the “Devices” section. If you need help with something else related to your order, you can scroll down to the bottom of the page and click on the menu under “Tell us more” to view more options:įrom there, you’ll be able to get to the best contact support method related to your order. If you need help with a different order, you can click “Choose Different Order.” You have the option to see the item’s tracking details (if it’s a physical package order), return or replace the item, and leave seller feedback. This includes both digital and physical orders from Amazon.Ī great example is the error, “ Amazon package not received” when you place a delivery.īy default, you’ll see your most recent order, as the screenshot above shows. When you visit Amazon’s “Contact Us” page, the first section you’ll see relates to Amazon orders. Let’s look at each of these in more detail: 1. Amazon Prime Support (and Other Topics).It’s important to understand these different reasons, as each has its own section on Amazon’s “Contact Us” page.Īmazon’s customer support topics break down into five main areas: Amazon Customer Service Exists to Help Youīefore we discuss the specific methods you can use to contact Amazon customer service, we want to discuss some of the common reasons for contacting Amazon.3 Amazon Customer Service Contact Methods. These included a corpse reviver that called for a glass filled with brandy, orange juice, and lemon juice, topped off with champagne, as well as recipes for a new corpse reviver, a stomach reviver, and Godfrey's corpse reviver (attributed to Godfrey Baldini). Tarling, listed four different reviver cocktails. The 1937 Cafe Royal Cocktail Book, by W.J. glass and a half of Encore Whiskey (defunct brand).a bottle of Taunus water (naturally sparkling mineral water from the Grosskarben springs near Frankfurt).Engel served the reviver cocktail while a bartender at the Criterion Hotel's American Bar, which some view as the first American-style cocktail bar in London. Leo Engel's 1875 reviver cocktail, the criterion reviver, used an early version of bottled mineral water and carbonic acid to make a medicinal "encore" cocktail that included the directions to "drink while effervescing". When differentiated, the №2A nomenclature is more frequently used. Ī corpse reviver with punsch is also sometimes referenced as a corpse reviver #3, but other guides use the №3 to instead mean a later Savoy version that uses Fernet-Branca. In the 21st century punsch is less likely to be stocked in most bars, and so a corpse reviver #2 made with punsch is sometimes differentiated by referencing it as a corpse reviver #2A, even though it will remain listed in some historical cocktail books as only the №2 or as a №2 with annotations. The use of punsch can also be found in Crosby Gaige's Cocktail Guide and Ladies Companion. In Patrick Duffy's 1956 Official Mixers Manual he lists the corpse reviver #2 as employing punsch and does not mention Lillet. ![]() ![]() In his notes he indicates that Kina Lillet may be substituted for the Swedish punsch, so he was likely aware of the Savoy version in both of his editions. The Savoy №2 recipe noted that “Four of these taken in swift succession will unrevive the corpse again.” īoth the original and the revised Trader Vic's Bartenders Guide lists the corpse reviver #2 the same as the Savoy, but substitutes Swedish Punsch for the Kina Lillet. The dash of absinthe can either be added to the mix before shaking, or added to the cocktail glass and moved around until the glass has been coated with a layer of absinthe to give a subtle absinthe aroma and flavor to the drink. The corpse reviver #2 as described in the Savoy Cocktail Book is the most commonly drunk of the corpse revivers, and consists of equal parts gin, lemon juice, curaçao (commonly Cointreau), Kina Lillet (now usually replaced with Cocchi Americano, as a closer match to Kina Lillet than modern Lillet Blanc), and a dash of absinthe. Garnish with orange zest.Ĭorpse reviver #2 recipe at International Bartenders Association Shake ingredients together in a mixer with ice. Corpse reviver #1 Corpse reviver #1 Cocktail Another recipe from 1903 for a Corpse Reviver made it as a fancy pousse-café. A recipe for a cocktail called the Criterion Reviver appeared in 1875 in Leo Engel's American and Other Drinks bar guide. A recipe appeared in the Gentleman's Table Guide in 1871 that called for 1/2 a wine glass of brandy, 1/2 a wine glass of Maraschino, and two dashes of Boker's bitters. ![]() The use of the words "corpse reviver" to describe a mixed drink appears in literature as early as an issue of Punch in 1861. Many "reviver" variations exist and the word is sometimes used as a generic moniker for any morning-after cocktail, also known as a " hair of the dog". Some corpse reviver cocktail recipes have been lost to time, but several variations commonly thought to be tied to the American Bar at the Savoy Hotel remain, especially those espoused by Harry Craddock that originally date back to at least 1930 and are still being made. The corpse reviver family of named cocktails are sometimes drunk as alcoholic hangover tongue-in-cheek "cures", of potency or characteristics to be able to revive even a dead person. Family of cocktails intended for curing hangovers ![]() I’d hoped to reply sooner, but I’m afraid I have some bad news. If you left someone in suspense and now have to let them down, here’s how to do it kindly: Either way, the bad news has to be given and it has to be given by you. Either you have to tell someone a project has fallen apart or inform a job candidate that the position has been filled by someone else. Sometimes an unanswered email requires a reply you don’t have the stomach to give. Maybe your procrastination was really a secret hope that the situation would dissipate into the ether so you would never have to respond at all. What’s a good time this week? “I’d Hoped to Reply Sooner, But I’m Afraid I Have Some Bad News” I wish I had sent this to you earlier, but congratulations on the ! I’d love to take you out for to celebrate. If you have time this week, I’d love to and catch up about your. Sorry for the radio silence – a lot’s been going on at. Are you still ? Can’t wait to hear more about it when we meet. Things have been hectic on my end, but I’d still love to catch up. Thank you for your thoughtful note a few ago. Instead of simply saying you’re sorry and rambling on about why you’ve neglected to reply sooner, think of something specific they told you or something they may like to show you have their interests in mind. If you received a friendly email from a colleague or client you value and forgot to respond, consider apologizing by showing them you care about them and continuing the relationship. Use some more predefined templates to help you increase productivity in the workplace for writing an email:īusiness outreach email “Sorry for My Late Response How’s Everything Going With X?” This will ensure the response lands directly in their lap and doesn't get overlooked. To expedite the process, reply directly in a more synchronous tool like your shared messaging platform. The project took me a bit longer than I anticipated, and I wanted to make sure I was sending you the best version of it. I’ll follow up with you when he gets back next week. Our has been on the road this week, and I’d like to get another pair of eyes on the documents you requested to make sure the quality is top-notch. I’ve been busy searching for your requested and your message got lost in the shuffle. ![]() If a project had multiple moving parts and, in the shuffle, an email got snoozed too long or forgotten about, fess up and try one of these: Even if you forgot to send a pressing document or provide much-needed information, it’s better late than never. If you received an email from a colleague-even a superior-or an important client, there’s no need to quit your job to avoid the awkwardness of a late reply. "Apologies for the Late Reply I’ve Been Busy With X” Here are some email templates you can use to help you say “sorry” for the late response. ![]() If you just remembered an email you snoozed last week (or last month!), try not to fret. So if you're beholden to email, there is a way to craft a late reply in a way that is both sincere and tactful. Not every company can handle asynchronous communication, especially if you're working directly with clients or external vendors. Don’t be too hard on yourself if you sometimes forget to respond to your emails right away.Įverybody knows that life gets hectic, but when it comes to professional emails received from a colleague or client, you’ll have to own up to your tardiness at some point. ![]() IfĬhanges the wallpaper of your primary display only.
![]() This bonus will expire after the ruler’s death.It still has to many buffs to useless things, and while the claiming states and transfer subjects thing is nice, it lost the claims for subjects option, which was very useful in the midgame before you had Imperialism. This will increase the base chance of success of these assassination methods by 1% each year (0%-20%): Bribe a guard, Bribe a nursemaid, Drown the target, Push the target from the balcony, Bribe a harlot, Bribe a beggar & Bribe a priest. ROOT did not improve the ruler’s bribery ability already.There is a decision that allows you to improve your rulers bribery ability, which is visible, if: This will increase the base chance of success of these assassination methods by 1% each year (0%-20%): Poison some wine, Poison some bread & Hire an assassin. ROOT has not trained better agents within the last 21 years.There is a decision that allows you to train better agents, which is visible, if: When executed, these decisions will work similar to the "Plan assassination" diplomatic action, but different is that other countries can not support these assassinations and that there is no event to choose the target. There is a decision to plan an assassination of your own heir, which is visible, if: ROOT has not planned an assassination of its own ruler or heir at the moment.ROOT does not have a regency council (consort regency is not allowed).ROOT (country) is not a subject or a tributary state.There is a decision to plan an assassination of your own ruler, which is visible, if: ![]() Plan the assassination of our own ruler / heir Further more it will increase the opinion and trust of the country that planned the assassination with the actor. When executed, this diplomatic action will increase the chance of success of the assassination by either 2% or 4%, depending on whether the actor has completed the Spy Ideas. ![]() Target is the target of an assassination attempt at the moment.ROOT did not support or plan the assassination in the target country.There is one diplomatic action to support the assassination plan of another country (category: Covert Actions), which is visible, if: You may have to pay extra money after some time or you can ignore it, which will reduce the chance of success of the assassination. When executed, this diplomatic action will open up an event that lets you choose the target (ruler, heir, consort) and afterwards the assassination method.Īfter a while you will be notified, whether the assassination was successful, unsuccessful, has been discovered or not. Target is not the target of an assassination attempt at the moment.ROOT does not have a regency council (consort regency is allowed).There is one diplomatic action to plan an assassination (category: Covert Actions), which is visible, if: If the actor is a target of such an assassination, it’s more likely for him that an event will trigger in which he can investigate the situation (may reduce the chance of success of the assassination) or ignore it (may increase the chance of success of the assassination). When executed, this diplomatic action will open up an event that displays, whether the target has planned or supported an assassination. Target is not a subject or a tributary state.ROOT (actor) is not a subject or a tributary state.There is one diplomatic action to discover the assassination plots of other countries (category: Covert Actions), which is visible, if: Since these methods are influenced by different stuff, the chances of success differ for most methods most of the time. Target has the personality "Zealot" or "Pious".Target has the personality "Benevolent" or "Kind-Hearted".Target has the personality "Greedy" or "Entrepreneur".Get someone at the target’s court to push it from the balcony Target has the personality "Naive Enthusiast".Get someone at the target’s court to drown it Lure the target into an ambush in which it is killed There are multiple methods you can choose from:įake an accident in which the target is killed ![]() Palacio also noted that while most people aren’t aware of this, RSA Security - one of the leading two-factor authentication services for enterprise companies - has long offered a desktop application. “What really matters, is that it is something only you can have.” ![]() “Two-factor authentication is still valid regardless of whether the second authentication factor ‘you have’ comes from your cellphone, your tablet, or right from a desktop app in your laptop,” the company writes in a blog post today. Instead of typing in a code, you can just copy and paste it from the desktop app. For those users who don’t have a smartphone, this also provides an easier alternative to the usual SMS messages services like Authy utilize to send their codes.īy switching to the desktop app, your phone only becomes important when you log in to another computer that is not under your control.īut doesn’t that defeat the purpose of a two-factor application? Authy - unsurprisingly - claims it doesn’t. This approach allows the same app to run on Windows, Mac and Linux.Īs the company’s founder and CEO Daniel Palacio told me last week, being able to get your second factor from your desktop and laptop makes for a far more seamless user experience. While it uses Chrome’s app framework, it’s a completely stand-alone app, though, and you don’t need to run Chrome to use it. Authy for Desktop is now available as a Chrome app here. This makes sense, given that you want to ensure that nobody who has access to your computer also has access to the application that provides you with your second key for accessing your private accounts.Īuthy is turning this idea on its head today by launching a desktop app for its two-factor authentication service. Users who installed the Chrome add-on will receive a warning that the software has been disabled at Google's end.When you use two-factor authentication, chances are you are getting your second factor from a mobile phone app like Google Authenticator or Authy. Google declined to comment on the record about how this add-on slipped through the net. Some reported the application sucked up high amounts of CPU resources and perhaps mined cryptocurrencies in the background. Indeed, it's said the extension tried to phish netizens by redirecting them to a fake login page and asking for account credentials. Google halts paid-for Chrome extension updates amid fraud surge: Web Store in lockdown 'due to the scale of abuse'įurther inspection using analysis tool CRXcavator revealed the add-on's code contained a suspicious URL that took the browser to a website hosted in Poland.Google's Chrome Web Store under fire for shoddy service and cryptic policies. ![]() ![]()
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