Neonatal maintenance fluid calculator9/11/2023 ![]() ![]() All fluid boluses for volume should be done using normal saline (0.Paediatric patients fasting for theatre & other situations still require dextrose.All neonates should receive 10% dextrose and other children should receive 5% dextrose (plus additives) at all times, unless specified by the Paediatric Unit. * hyponatraemic fluids such as 0.225%, 0.22% or 0.18% (1/5) NaCal should be avoided unless under consultation with a Consultant Paediatrician (other than in neonates as listed above).Īlmost all paediatric patients require dextrose to be added to IV fluids given the high glucose demand and metabolism of children compared with adults. * note that there is emerging evidence for the use of Plasma-Lyte 148 in maintenance and replacement fluids, although this is not yet endorsed as standard practice. Neonates maintenance fluids requiring added electrolytes (day 2+ of life available in SCN only) Neonates maintenance fluids (day 1-2 of life)ġ0% Dextrose + 0.225% NaCal + 10 mmol KCl/500ml Maintenance or replacement fluids (beware hyponatraemia - use under specialist consultation) ![]() Maintenance fluids (beware hyponatraemia - use under specialist consultation) Maintenance or replacement fluids (especially with likely Na/K losses e.g. Those available in BHS are: Pre-mixed IV fluid* Pre-mixed bags for IV fluids should be used in almost all circumstances for paediatric patients at BHS. Please ensure the intravenous fluid rates are used if looking at the RCH CPG, not the nasogastric rates.Īll paediatric IV fluids at BHS are based on and compliant with the Standards for Paediatric Fluids: NSW Health (2nd edition).Īn excellent review article of IV fluid volumes and types is available: McNab JPCH 2016. correction fluids can be calculated according to the RCH guidelines for gastroenteritis.Refer to the RCH intravenous fluids CPG and RCH maintenance fluid calculator. maintenance fluid requirements are calculated using the 4,2,1 rule (4ml/kg/hr for the first 10kg, 2ml/kg/hr for the second 10kg, and 1ml/kg/hr after that, with a maximum of 100ml/hr maintenance).all fluids should be calculated as maintenance + deficit correction + ongoing losses.This will prevent intraop hypoglycemia in these patients. Neonates and Infants who come to the OR on dextrose containing maintenance fluids should have their dextrose containing maintenance fluids continue during the case (except for brief interruptions). D10 1/4NS remains the standard maintenance fluid beyond DOL-2. Thereafter as urine output (UOP) increases, maintenance rates are increased and electrolytes (Na, K, Ca) added to the maintenance fluid mix. D10W remains the primary hourly maintenance fluid on DOL-1. Neonatal providers approach to fluid management changes and adapts based on the newborns age, maintenance needs, deficits, and ongoing losses. Therefore, no electrolytes are added to hourly maintenance fluids on DOL-1 and sometimes up to DOL-2. Maintenance of electrolyte balance in the neonate is a challenge in the context of illness or prematurity. Physiologic diuresis is observed during the first few days of life which results in 5-15% reduction in body weight by the end of the first week. ![]() Neonates have excess total body water (TBW) at birth, which must be redistributed and excreted. Hourly Fluid Requirements calculated based on the "4-2-1 Rule" provide the minimum 5mg/kg/min of glucose needed by the infant brain. These two IV solutions are also the primary IV solutions of choice to provide for hourly maintenance fluid requirements in neonates and very young infants (< 4-6 months). D10W and D10 1/4NS are the primary IV solutions used in neonates and young infants at risk for hypoglycemia. ![]()
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Winter dusk sky9/11/2023 ![]() Many constellations and star names have Greek, Latin, or Roman backgrounds, so you might already be familiar with some. Using their imaginations, they envisioned these groupings as forming patterns that resembled mythological characters, animals, and other objects for which they were named. The predictable cycle of visible constellations is repeated year after year. ![]() In ancient times, our ancestors looked towards the heavens and noticed new groupings of stars appearing in the sky every season. Popular Wintertime Constellations and Asterisms So bundle up, put on your gloves and beanies, warm up some hot chocolate, bring out your new telescope or binoculars and let's do some exploring! We will also highlight the coolest observable celestial targets within these constellations. In that case, this guide will help you familiarize yourself with some of the popular wintertime constellations. Suppose you are just starting or have a little experience stargazing but want to learn more. Winter is also a popular time of year for many beginning stargazers to try out the new telescopes they found under their Christmas trees. Fainter stars appear in great profusion, while an abundance of first magnitude or brighter stars in the most popular and recognizable constellations dot the night sky. The sky never ceases to amaze on these cold, crystal-clear winter nights. ![]() Ah, wintertime in the Northern Hemisphere – that festive time of year when nights are long and barren landscapes are blanketed in snow. ![]() Superliminal free9/11/2023 ![]() ![]() ![]() Nice animation, shadows and lighting will make the atmosphere special. Also, you will definitely appreciate the stylish and realistic visual performance, in which it will be pleasant to be throughout the entire passage. Of the features, it is worth noting the exciting gameplay that will definitely not make you bored. Forza Horizon 5: recorre todo México a bordo de tu bólido. Forza Motorsport 7: mezcla perfecta entre simulación y espectáculo. Free Fire: el battle royale para móviles de gama baja-media. Explore the environment and carefully draw up a plan of action to find a way out and find yourself in the next room. Superliminal para Xbox One: la tienda virtual de Microsoft tiene el juego a 19,99. In each room there will be a unique mission, which you can fulfill with the help of logical thinking, ingenuity, and sometimes cunning. Here you will find a variety of tasks, intricate and rather difficult. We dont use automatic matching, instead, we hand-pick games that are good to play if you have enjoyed Superliminal. ![]() The game consists of several rooms that are unique in their performance, and you, in turn, need to find a way out of them in order to quickly get out of this ill-fated place. Here are our hand-picked short list of similar games the perfect thing to play next if you enjoyed Superliminal. Your task is to complete all kinds of puzzles, the complexity of which will gradually increase. Here you will immerse yourself in a rather unusual atmosphere that has been created with the help of depth, perspectives and illusions. Superliminal (Super Liminal) is a puzzle game where all actions take place from a first-person perspective. ![]() ![]() ![]() These projects don’t have to be very complex they should be something basic, which puts some of Java’s many features into play. Implementing a few Java practice projects not only demonstrates how Java works behind the scenes but also helps boost the portfolio. Project-based learning helps teach many concepts which the main theory can never teach. Projects are a way to show that one understands the underlying concepts of the programming language and is ready to apply them to solve real-world problems. But sadly, just mentioning “I know Java” on your resume isn’t going to be enough, is it? Showing recruiters that you can work your way through Java with some real-world projects is going to look better. Java continues to be a programming language that is in much demand. Why Java Practice Projects are Important? Our list suggests some fun Java project ideas for beginners with fresh topics programmers that should get you started. Good project ideas, especially ones that help boost your portfolio and improve your understanding of the underlying concepts are hard to come by. It is often a programmer’s dilemma as to what they can build with the concepts they have learned via some tutorial on the Internet. Java's usefulness has grown over the years as programmers develop new ways to use it on servers, bringing performance and scalability to a whole new level. ![]() Java handles garbage collection automatically without the user needing to worry about it.
![]() ![]() Hiroshima was chosen as a target because of its military importance. Rushay said that Hiroshima was one of four potential targets and that Truman left it up to the military to decide which city to strike. Maier said some historians have speculated that the possibility of the Soviet Union’s entry into the war helped spur the decision to bring the war to a quick end by using the bomb. “The US military was unwilling to say it could win the war without the bomb,” he added. Maier said, “Suicide attacks are fairly common today, at the time, the Japanese use of suicidal Kamikaze attacks had made a strong psychological impact on US military decision-makers who reckoned that the whole country would be mobilized to defend the home islands.” “There was a widespread belief among American military planners that the Japanese would fight to the last man.” “The recent experience in the battles in Iwo Jima and Okinawa was very costly in terms of US and Japanese casualties, despite the destruction of the Japanese air force and navy,” Rushay said. He added that Truman and his military advisers feared a “very costly invasion” of Japan. ![]() Such a demonstration would have detonated a nuclear weapon in a non-inhabited but observable area to compel Japan to surrender, an approach that was favored by a group of scientists and Assistant Secretary of War John McCloy, according to Rushay. Maier, who teaches a course on World War II, said Japan was not ready to surrender unconditionally and there was a concern that a weapons demonstration would have not done the job. “It seemed to offer a potentially magical solution that would spare a lot of pain,” he told CNN. Stimson was very adamant that the bomb be used.”Ĭharles Maier, a professor of history at Harvard University, said that while it was possible for Truman to have made another decision, he said “It would have been hard to justify to the American public why he prolonged the war when this weapon was available.” Truman Presidential Library in Independence, Missouri, told CNN: “At the time, there was a wide consensus in support of the decision to strike among the members of the committee. Sam Rushay, the Supervisory Archivist at the Harry S. Truman had tasked a committee of advisers, chaired by Secretary of War Henry Stimson, to deliberate whether to use the atomic bomb on Japan. American scientists working on the Manhattan Project had successfully tested a working atomic bomb in July of 1945 after the surrender of Nazi Germany in May. ![]() Define seeding utorrent9/10/2023 ![]() ![]() Encryption encodes your internet traffic while it’s being transmitted between your computer/smartphone and the VPN server, making it unreadable by anyone who intercepts it, including your internet provider.īest of all, VPN technology is easy to use and their numerous VPN apps for Android that allow seamless 1-click access to hundreds of VPN servers around the world. It adds strong encryption (with the same IP-anonymization benefits). EncryptionĪ VPN has one main advantage over a proxy. This means your torrent peers never see your true IP address, they only see the location of the proxy or VPN server. One study found that over 25% of bittorrent users are using one or both of these technologies to keep their torrent history private.īoth a VPN and proxy route your torrent traffic through a remote ‘server’ which then connects to the torrent swarm on your behalf. One is a proxy, the other is a VPN (Virtual Private Network). There are two tools that can help anonymize your torrents. The secret to anonymous torrents (works with Flud). In this Flud privacy guide, we’ll show you how the strong ‘Encryption’ built into a VPN can prevent your internet provider from knowing what your torrenting (or what you’re doing online at all). Trust me, if you aren’t using a VPN then your ISP knows you’re using bittorrent (and they’re probably Throttling you because of it). DPI allows your ISP to examine every packet of data you transmit and see what program it was sent by, where it’s headed, and what sort of data it contains. In addition to torrent peers, your ISP (Internet Service Provider) can also see what files you’re downloading online, by using a technique known as Deep Packet Inspection (DPI). Please download your torrents from legal sources. Hiding your torrents is completely legal, but it is up to you to use this information responsibly. This guide will show you exactly how to do that, by using VPN + SOCKS Proxy service to hide your identity and location while using Flud. Most Flud users would prefer to keep this information (and their torrent history) completely private. Peers participating in multiple torrent ‘swarms’ can also see other files you may be sharing from the same IP address. Your location (if you don’t take steps to hide it).Your IP address (Your virtual ‘address’ on the internet).How to use Flud Anonymously (keep your torrents private)īittorrent is a ‘public’ filesharing protocol, meaning every ‘peer’ sharing the same file as you can see identifying information about you such as: At $1.50 it’s a steal, and definitely worth supporting the developers even thought he ads in the free version aren’t obtrusive at all. We recommend trying the free version first, then upgrade to ‘pro’ once you’ve made the permanent switch to Flud as your go-to torrent client. Use one of the links above to download Flud directly from the play store, or just search ‘Flud’ from the Play search menu. Even free users get the full Flud experience. Both versions have identical features, which we love. This complete Flud setup guide will teach you:įlud is available in the google Play store in 2 versions: Free (ad supported) and Ad-free (pro version, $1.50). Best of all, it has built-in proxy support, which lets you download torrents anonymously with Flud, and hide your true IP address while torrenting (like a PRO). It’s intuitive, feature-rich, and very stable. Flud is our favorite torrent client for Android. ![]() ![]() ![]() Protect your Azure resources from distributed denial-of-service (DDoS) attacks Host your Domain Name System (DNS) domain in Azureįast, reliable content delivery network with global reach Improve application resilience by introducing faults and simulating outagesįull observability into your apps, infrastructure and networkĭeploy Grafana dashboards as a fully managed Azure serviceĬonnect cloud and on-premises infrastructure and services, to provide your customers and users with the best possible experience.Ĭreate your own private network infrastructure in the cloudĭeliver high availability and network performance to your appsīuild secure, scalable, highly available web front ends in AzureĮstablish secure, cross-premises connectivity Keep your business running with built-in disaster recovery service Implement corporate governance and standards at scale Monitor, allocate, and optimise cloud costs with transparency, accuracy and efficiency Simplify data protection and protect against ransomware Your personalised Azure best practices recommendation engine Streamline Azure administration with a browser-based shell Stay connected to your Azure resources-anytime, anywhere Govern, protect, and manage your data estate Simplify, automate and optimise the management and compliance of your cloud resourcesīuild, manage, and monitor all Azure products in a single, unified console Managed MariaDB database service for app developers Modernise SQL Server applications with a managed, always-up-to-date SQL instance in the cloudĪccelerate apps with high-throughput, low-latency data cachingĪzure Managed Instance for Apache CassandraĬloud Cassandra with flexibility, control and scale Innovate faster with fully managed, intelligent, and scalable PostgreSQL Support rapid growth and innovate faster with secure, enterprise-grade and fully managed database services.īuild apps that scale with managed and intelligent SQL database in the cloud Seamlessly manage Kubernetes clusters at scaleĪzure Kubernetes Service Edge Essentials is an on-premises Kubernetes implementation of Azure Kubernetes Service (AKS) that automates running containerized applications at scale. Store and manage container images across all types of deployments ![]() Provision unused compute capacity at deep discounts to run interruptible workloadsīuild and deploy modern apps and microservices using serverless containersĭevelop and manage your containerised apps faster with integrated toolsįully managed OpenShift service, jointly operated with Red HatĮasily deploy and run containerised web apps on Windows and LinuxĮasily run containers on Azure without managing servers.ĭevelop microservices and orchestrate containers on Windows or Linux Migrate SQL Server workloads to the cloud at lower total cost of ownership (TCO) Manage and scale up to thousands of Linux and Windows VMsīuild and deploy Spring Boot applications with a fully managed service from Microsoft and VMwareĪ dedicated physical server to host your Azure VMs for Windows and LinuxĬloud-scale job scheduling and compute management Remove data silos and deliver business insights from massive datasetsĪccess cloud compute capacity and scale on demand – and only pay for the resources you use. Secure, develop, and operate infrastructure, apps, and Azure services anywhere Jump in and explore a diverse selection of today's quantum hardware, software, and solutions Quickly create powerful cloud apps for web and mobileĮverything you need to build and operate a live game on one platformĮxecute event-driven serverless code functions with an end-to-end development experience Migrate, modernise, and innovate with the modern SQL family of cloud database servicesįast NoSQL database with open APIs for any scale Provision Windows and Linux virtual machines in secondsĮnable a secure, remote desktop experience from anywhere Additionally, you can use AI Transcribe to transcribe meetings and live conversations to generate meeting notes.Explore some of the most popular Azure products To use AI Transcribe, Internet connection is no longer needed, you can use the app offline.ĪI Transcribe has many uses, including transcribing lectures, podcasts, and interviews, which allows you to read the transcript quickly rather than having to scrub through the entire audio file second by second. Our app is designed to work seamlessly offline, without any interruption to your workflow. With AI Transcribe, you can transcribe conversations and meetings, and generate automated notes for meetings, Zoom, and other events. No data is uploaded, ensuring that your data remains secure and private. Looking for a fast, accurate, and privacy-safe way to transcribe audio files?ĪI Transcribe provides AI-powered transcription services that are fully functional offline, without the need for an active internet connection. ![]() Whatsapp chatbot for business9/10/2023 ![]() Slack, Google Analytics, Sendgrid, Zapier, Mailchimp, and Salesforce are a few additional integrations. Landbot.io offers the option to create integrations to aid in real-time data collection, similar to other bots. In order to improve customer experiences, brands can work with videos, images, GIFs, and more, adding them to scripts with ease. The use of rich media in their tool is one feature that caught our attention. Large brands like Uber, LG, T Systems, Ernst & Young, and L'Oreal also favor it. ![]() Landbot.ioĪ brilliantly designed interface and drag-and-drop WhatsApp chatbot creation tools are provided by Landbot.io. Therefore, you can feel secure knowing that even "more challenging" cases will be handled properly. Additionally, you can maintain the appearance of your brand identity by changing components like the color, shape, or size thanks to its customization options.ĭigitalized interactive voice response (IVR) for prioritizing conversations and contextual agent handovers are additional helpful features that are included. It's simple to create a flow that will lead your audience through a logical troubleshooting process using its no-code builder. You can create a chatbot to perform actions using triggers, update customer data automatically, respond to customer questions, or perform all of these tasks. In addition to Facebook Messenger, Apple Business Chat, and the web, you can use WhatsApp chatbots. ![]() Chatbots are one of the many services it provides. Freshworksįreshworks is trusted by over 50,000 businesses worldwide. People can add rich media integration into the conversation too. In order to handle more customers, it can also divert calls to messages.Ī human takeover is also possible with these tools. It has the ability to schedule appointments, nurture leads, and sell goods. In terms of features, Flow.ai simplifies sales and marketing. ![]() Amazon Alexa, Google Assistant, Khoros, Telegram, Twillo, Apple Business Chat, and more have additional integrations. It can process payments and is compatible with Facebook Messenger and WhatsApp. Flow.aiįlow.ai is intended to be the ideal answer for marketers who need to create and distribute automated messaging. With OneTalk, you can also access one WhatsApp account and other messenger services simultaneously across multiple devices to help provide customers with the best sales, marketing, and support experiences.Īll of those messages will be in one inbox so you don’t need to switch between each app. For example, you can use it for quick and easy reservations, customized welcome messages, or even take orders from customers automatically. Using WhatsApp Business API as the main medium of communication, you can build various decision tree-based chatbots to answer your customers.Īs one of the best chatbot providers in Indonesia, there are so many things you can customize with this chatbot. There are many things that you can personalize in chatbots. Made in Indonesia, OneTalk is one of the best chatbot platforms for you. Here are 10 WhatsApp chatbots you can try to implement for your business: 1. Simply choose the best WhatsApp Chatbot tool for your company. Therefore, it's a great idea if you're considering using WhatsApp for customer support within your company. Both outbound alerts and broadcasts are available to clients. Your business is now accessible on a variety of platforms. increases brand awareness and customer loyalty while improving customer interactions. ![]() WhatsApp chatbots offer a more individualized customer experience, which raises customer engagement and retention. Please note that you need to review the WhatsApp Commerce Policy first and make sure your business complies with all requirements before you can present your audiences with an official WhatsApp chatbot.Īlso read: All You Need to Know About WhatsApp Business Verification Process WhatsApp Chatbot Service Recommendation The WhatsApp API can be used after your application has been examined and approved. The application also needs the name of your business, the website's URL, and the representative of your business's name and contact information. You have the option to select either a customer or a solution provider when requesting approval.
Tra di noi restaurant bronx ny9/10/2023 ![]() Something that I love about New York is that you can find such great Italian food due to this legacy of Italian immigration, but many of the old Italian neighborhoods have changed quite a bit (including Corona). READ MORE 19 Best Cities to Visit in the Netherlands Besides Amsterdam by residents (My marriage can be plotted back to Italy and I try to return each year to explore a new region.) That time (along with growing up in New York) has instilled a love for Italian pastries and culture in me that has never really gone away. I am not Italian, but I worked at a Sicilian bakery throughout high school and college. This neighborhood includes many of the same institutions that opened more than a hundred years ago and today, these shops are often still run by the grandchildren and the great-grandchildren of these Italian immigrants. With the creation of the New York Botanical Garden, many masonry and landscaping jobs were created, which brought a flux of Italians to the Bronx. After the Third Avenue Subway opened up, many European immigrants (including my own great grandparents) flocked to the Bronx as it was cheaper and less cramped than the immigrant neighborhoods in Manhattan. How to get to Arthur Avenue / Nearby places to combine Arthur Avenue withīelmont is a pretty unique neighborhood.Where to eat and shop along Arthur Avenue.(I write this as a Native New Yorker!) I’ve formatted this as a little guide that will take you from shop-to-shop as you eat and shop the best of Arthur Avenue. I’m excited to show you a slice of the New York City that I love, served with a side of the best pizza that I’ve had in New York City. ![]() New York is constantly shifting, however during my recent trip home, I spent weeks searching for the New York City that I was worried didn’t exist anymore: small mom and pop shops without designated Instagram walls, charming neighborhoods where you can still appreciate the sheer diversity of New York City, friendly shop owners with strong accents who will chat with you and give out free samples, and good food that won’t break the bank. There are too many restaurants in the area to bother going back.If you are looking for more in-depth travel advice about Belgium and the Netherlands, I created a guidebook on behalf of Moon Travel about Amsterdam, Brussels, and Bruges. ![]() Restauranteurs should know that the stranger who walks in the door could easily become a regular if impressed with the service and food. Otherwise, you are given the bare minimum of consideration. ![]() This is one of those places where, if they recognize you as a regular, you are treated well. Had she done that, I probably would've ordered something else. I noticed, however, that for some tables, the waitress listed the specials. There was a blackboard on which specials were written but, it was impossible to see them from our vantage point. My husband's chicken scarpariella was excellent. In the middle of lunch a waiter came over and told us to hold onto our glasses and plates because he was moving our table to make more room for a large group sitting next to us. Certainly, that was understandable but, they weren't all reserved and we were not offered any other options. When my husband pointed to a table against the wall, we were told that it was reserved. There were several empty tables but, we were placed at one right in the middle of the floor where we would be in everyone's way. We make a point to stop at a different restaurant each trip for lunch before heading back to Connectiut. This includes a few favorite specialty stores and the market. ![]() Every couple of months my husband and I visit Little Italy to restock our cupboard. ![]() ![]() ![]() This job typically involves cold-calling potential customers to try to sell them on your product, or conducting email outreach campaigns. Sales Representativeĭuties: A sales representative is in charge of selling a product to a consumer, agency, or other entity. They work to ideate campaigns for their employer or client that reach audiences and drive sales, and are usually in charge of a team of people who assist in the agency or company’s marketing efforts. Marketing Managerĭuties: Marketing managers are in control of a company or agency’s marketing department. ![]() To work in sales or marketing, you typically only need a computer, an internet connection, and a phone. ![]() Jobs in sales and marketing typically involve customer or client interaction, but they don’t usually handle sensitive information or require many in-person meetings. If you’re part of the group that is wondering how to break into remote work, we’ve compiled a list of remote jobs that spans various global industries. After many were forced into their home offices because of the COVID-19 pandemic, many found themselves not wanting to leave. The number of people interested in remote work is skyrocketing. That might not seem like much, but when you take into account that there are an estimated 214 million companies worldwide it might help you realize just how influential remote work is. Sixteen percent of global companies are fully remote. ![]() AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |