The current review includes the following: 1) an introduction, 2) a list of the proposed mechanisms, 3) a discussion of the best lipid emulsion treatment for reversal of local anesthetic toxicity, 4) a description of the effect of epinephrine on lipid emulsion-mediated resuscitation, 5) a description of the recommended lipid emulsion treatment, and 6) a conclusion.īupivacaine lipid emulsion lipid shuttle lipid sink local anesthetic systemic toxicity. Investigators have suggested mechanisms associated with the lipid emulsion-mediated recovery of cardiovascular collapse caused by local anesthetic systemic toxicity these mechanisms include lipid sink, a widely accepted theory in which highly soluble local anesthetics (particularly bupivacaine) are absorbed into the lipid phase of plasma from tissues (e.g., the heart) affected by local-anesthetic-induced toxicity enhanced redistribution (lipid shuttle) fatty acid supply reversal of mitochondrial dysfunction inotropic effects glycogen synthase kinase-3β phosphorylation associated with inhibition of the mitochondrial permeability transition pore opening inhibition of nitric oxide release and reversal of cardiac sodium channel blockade. different terminologiesintravenous lipid emulsion, lipid emulsion therapy, lipid resuscitation therapy, lipid rescue, intravenous fat emulsion, and Intralipid (Frese-nius Kabi, Uppsala, Sweden), which is a brand name that has become synonymous with ILE, as it is the pre-dominant lipid emulsion used in the United States. Lipid emulsion therapy is a medication used in the management and treatment of Local anesthetic toxicity. Intravenous lipid emulsion (ILE) is increasingly used for the treatment of poisoning caused by lipid-soluble drugs. A systemic review and meta-analysis confirm the efficacy of this treatment. Lipid emulsion has been shown to be an effective treatment for systemic toxicity induced by local anesthetics, which is reflected in case reports. Lipid emulsion has been shown to be an effective treatment for systemic toxicity induced by local anesthetics, which is reflected in case reports. Killoran, Davide Cattano From Bedside to Bench and Back: Perfecting Lipid Emulsion Therapy for Local Anesthetic Toxicity. The first case report describing the use of intravenous lipid emulsion (ILE) therapy as a rescue or antidotal therapy for acute intoxication was published in.
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Then, arrange for some kind of display of what students did. What did the President do? Who helped? Was it successful? What lesson about life did you learn from looking into this? Adjust Accordinglyĭepending on how this might fit into your academic curriculum, you can decide how the assignment should be written up, depicted, charted, or otherwise presented. Who was against them? Why? What did they do? And then, write about how the President responded. Pick one or two of these things that you find most interesting and write about the obstacles they faced in trying to get them done. Look up some things that the President you chose did that were important. Of course, all of these Presidents did other things as well. Thomas Jefferson wanted the United States to grow larger, stronger, and to have more freedom. Kennedy learned that the Soviet Union had sent missiles to Cuba, less than 60 miles away from the United States border in Florida. Ulysses Grant had to decide how to move the United States forward after the Civil War.īill Clinton came into office during a time when our economy was in terrible shape. Woodrow Wilson wanted to bring about world peace by creating something he called the League of Nations. Lyndon Johnson had to decide about giving more people, especially Blacks, voting rights, and he had to decide what to do about the was in Vietnam. Harry Truman had to decide whether or not to order a nuclear weapon to be dropped on Japan as a way of ending World War II. Here are just a few examples of what they had to deal with: Kennedy, or Thomas Jefferson - really, any one that you would like. It can be George Washington or Abraham Lincoln, but you also may want to pick Harry Truman, Lyndon Johnson, Woodrow Wilson, Ulysses Grant, Bill Clinton, John F. Pick a President that you find interesting. While we usually focus on Washington and Lincoln around Presidents' Day, some students may have an interest in other Presidents as well. But it means to persist in working toward one's goal, not persist in trying the same things over and over again that are not working. "Grit" means being tough and smart enough to persist even when things are not easy. We have to be persistent about things we really care about, and we also have to be willing to do things differently from how we planned, and even compromise a little to get most of what we want. That's just the way things are, and when that happens, we have to work to get around them. Even though things seem easy when they are finished, there are almost always barriers, obstacles, roadblocks, and trouble along the way.Important things take planning and we have to leave time for things to happen. It takes time to get important things done.Never hesitate to ask for help if you need it and be prepared to give help not only when you are asked but when you see people having difficulty (this makes a wonderful activity even for early childhood classes, but certainly for older students: how do you know when a classmate of yours might need some help?) And, even if you can't be President, you can still do some pretty important things. You might be President some day! Why not? It might even be a reason to care about your school work.Every kids church ministry deserves the very best resources for teaching God’s Word, even when they don’t have the financial resources.Įvery week, thousands of churches use our Bible lessons, craft ideas, printable resources, and coloring pages to teach kids the Christian faith. We believe that children and parents benefit from a strong Christian education program in the church. Our website has teaching material for children of all aged – starting with the church nursery (age 0-1 years old), toddlers (age 2-3 years old), preschool (age 4-5 years old), young elementary (age 6-8 years old), older elementary (age 9-10 years old), and preteen youth ministry groups (age 11-12 years old). It is HIS divine will that young people come to faith in Jesus Christ and find salvation through the Gospel and the work of the Holy Spirit to bring them to faith. We believe that God is the loving Father of all kids. helps you tell kids about Jesus by providing age-appropriate Bible study material and Sunday School curriculum – all 100% free online. 2 Nguyen that she would use one of her other solely-controlled entities, the Global Financial Group, also a Washington, D.C. The local rules of this district likewise dictate that “n determining a motion for summary judgment, the court may assume that facts identified by the moving party in its statement of material facts are admitted, unless such a fact is controverted in the statement of genuine issues filed in opposition to the motion.” LCvR7(h)(1). Vu told 1 “ny factual assertion in the movant’s affidavits will be accepted by the as being true unless the plaintiff submits his own affidavits or other documentary evidence contradicting the assertion.” Neal, 963 F.2d at 456–57. Based on all of these representations, Nguyen agreed to contribute to the venture. They agreed, in relevant part, that Nguyen would be paid back the entirety of his investment plus transaction fees, and any profits would be split between the two according to their relative ownership interests. In addition, Vu provided Nguyen with other investment documents indicating his relative share and the operating costs of the project. Rather, at the time Vu secured Nguyen’s commitment, the account for the project had an overdraft balance of –$147.56. Contrary to Vu’s representations, however, she had not invested any capital in the joint venture at the time. ¶ 4, which showed a capital infusion of $200,000, Pl.’s Stmt. corporation (and a defendant in this case), see id. She also provided Nguyen with the operating agreement of one of her solely-owned companies, Global Real Estate Management, a Washington, D.C. Vu further indicated that she had invested $200,000 in the project herself. She indicated that she had had extensive experience and success in flipping properties in that area. First, Vu invited Nguyen to invest $50,000 in a project flipping investment properties in Washington, D.C. 63-2, and eventually entered into business together, see generally id. ¶ 3, first formed a friendship on social media, see Pl.’s Stmt. 1, and Vu, a resident of Virginia, see id. 1 Nguyen, a resident of Texas, see Compl. Thus, the Court accepts the factual assertions in Nguyen’s statement of undisputed facts and supporting documents as true. BACKGROUND Vu, who was initially represented by counsel but now represents herself pro se, and her two companies, who remain unrepresented, failed to respond to Nguyen’s summary judgment motion, despite being warned of the consequences, see, e.g., Minute Order of September 1, 2020. For the reasons that follow, the Court will grant the motion in part and deny the motion in part. Before the Court is Nguyen’s Amended Motion for Summary Judgment, Dkt. Nguyen seeks compensatory and punitive damages. and Global Financial Group, Inc., based on their failed joint business venture. MEMORANDUM OPINION In this diversity case, Quang Nguyen brings various state law claims against Kimberly Vu and two of her solely-owned companies, Global Real Estate Management, Inc. 65 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA QUANG NGUYEN, Plaintiff, No. Played to perfection by Tom Noonan, he’s possibly one of the most unsettling and downright odd murderers in all cinema. The film really clicks into gear, though, when the Tooth Fairy is properly introduced. Michael Mann’s fascination with procedure and the hunt for tiny scraps of evidence is infectious here, and Manhunter has since been cited as a major inspiration for hit shows such as CSI, in which Petersen also starred. Graham spends long stretches of the film in solitude, watching videotapes of the killer’s victim over and over again, or staring out into empty back gardens, combing them for clues. Petersen doesn’t get an opportunity to invest Graham with much light and shade, but he does succeed in giving him a memorably neurotic edge, as though he’s a mere hair’s width away from becoming as predatory as the killer he’s attempting to track down.ĭante Spinotti’s unusual framing and occasional, queasy hints of green – some shots look like a scrubbed-up homage to Suspiria – imply that both Lecktor and the Tooth Fairy’s psychosis is like a disease that Graham has to constantly stave off, a malaise that hangs over Manhunter’s lonely hotel rooms and cityscapes. Petersen’s performance isn’t the finest in the film, but it’s still a great one, and superior, I’d argue, to Edward Norton’s rather flat portrayal of the same character in Red Dragon. The New York Times, for example, wrote that he played Graham with “unmodulated self-absoption”. In 1986, some critics wrote disparagingly of Petersen’s performance. When Lecktor asks how the intellectually inferior cop had found his man, Graham curtly replies: “You have certain disadvantages. They don’t look like cop’s hands anymore.”), he has no answer, no witty retort to give, until the topic of conversation turns to Graham’s capture of Lecktor years earlier. When Lecktor gently teases Graham about his early retirement (“You’re very tan, Will. Placed in the same room as Lecktor, William Peterson’s haunted ex-cop seems almost lost, like a mumbling child. It’s clear, though, that he’d be more than capable of committing the unspeakable acts Thomas Harris would write about about in his later novels. “I wouldn’t want them to think I was dwelling on anything morbid.”). It’s not clear why Mann chose to misspell the cannibal’s name in his screenplay – subsequent films would correctly refer to him as Lecter – but their meeting is one of the film’s electrifying highpoints.īehind bars, Cox’s take on Lecktor is charming, even funny (“I don’t tear out the articles” he says off-handedly about the Tooth Fairy’s newspaper coverage. In an attempt to “get the old scent back”, Graham pays a visit to his old nemesis, Doctor Lecktor. He’s just about recovered from the physical and psychological injuries he suffered while arresting serial killer Hannibal Lecktor (Brian Cox) a few years earlier, so when his old boss Jack Crawford (Dennis Farina) shows up asking for help with another murder case, Graham is initially reluctant to get involved.Įventually prodded back into action, Graham begins the hunt for a serial killer dubbed the Tooth Fairy who, in Graham’s own words, “Butchers whole families to fulfil some sick fantasy.” With the killer operating on a strict lunar cycle, Graham only has a few days to catch him before the next full moon. Will Graham (William Petersen), once one of the FBI’s most talented criminal profilers, is enjoying his early retirement at his family home in Florida. He brings a similar 80s machismo and cool air to Harris’ story, while sticking quite closely to the basics of the novel’s plot. Where Demme goes for shadows and dungeon-like interiors, Mann, aided by the startling cinematography of Dante Spinotti, opts for oppressive brightness, empty space and disconcerting splashes of colour.īefore Manhunter, Mann was well known as the showrunner on the cop show Miami Vice. It’s fascinating, in fact, to compare Michael Mann’s approach to Manhunter with Jonathan Demme’s treatment of The Silence Of The Lambs. To the Native American Ottawa people, the rock is a source of legend and superstition, due in part because the rock appears from certain angles to be suspended in the air. The limestone breccia formation is quite rare in the Great Lakes region, although it is one of several such formations on Mackinac Island that include Sugar Loaf and Skull Cave. The arch is believed to have formed during the Nipissing post-glacial period, when water levels in Lake Huron were high following the end of the glaciation in Wisconsin. There are so many other things to do on the island, but this is a great way to explore the island without spending a lot of money.Arch Rock is a natural limestone formation on the shoreline of Lake Huron that stands 146 above the water. You can easily spend an entire day exploring the island on foot. Mackinac Island is 75% state park and has a number of pretty fantastic hiking trails. You’ll find the tablet at a great overlook of the Straits, near the Mackinac Fort administrative offices. While you’re there you can visit the horses, see a history of carriages and, best of all, it’s all free.Īnne’s Tablet is a tribute to author Constance Fenimore Woolson who spent her childhood summers on the island and became a well-known, early 19th-century author. The Grand Hotel Horse Stable is gorgeous and has a pretty epic chandelier in it. See the Chandelier in the Grand Hotel Horse Stables Pack a chair or toss a blanket on the ground and enjoy an evening of free music. Throughout the summer there are free concerts in Marquette Park on Thursday nights. There is also a historical marker out front on days the church is closed. However, if you’re there during the week its worth a try to see if the doors are unlocked. It still serves as a place of worship and hosts Sunday services every week at 10:30 which may be the only time you can step inside. The Little Stone Church was built of local fieldstones in 1904. It’s kind of small with just a couple seats, but if luck is on your side you can snag a seat and watch the freighters and ferries move through the straights. One of the best free views on the island is from the back deck of the library. The waterfront lawn at Mission Point is another great spot to fly a kite. Located at the base of Fort Mackinac it makes a great backdrop for kite flying. This is a great green space for flying a kite. Main Street is just a couple of blocks long.īe sure to walk over a block and stroll along Market Street as well. Stroll along Main Street and window shop for souvenirs. If you are walking to Arch Rock from the ferry docks its a bit of a hike, but worth it. Go at sunrise for some gorgeous, perfect light, images. This is the most popular scenic stop on Mackinac Island. There is a trail all the way around the rock you’ll want to walk. View it from a distance before moving closer and seeing this massive rock up close and personal. This 75-foot tall rock stands strong in the middle of the island. The Caramel Sea Salt is my favorite, but they have something for everyone, including sugar-free fudge and vegan fudge!įort Holmes is part of the Fort Mackinac Historic State Parks and is located on the highest point on the island.īe prepared to climb a lot of steps, but it’s well worth it. Stop at each of the stores to try this famous Mackinac Island treat. It is believed to be the burial ground for Native Americans and also a hiding spot for a fleeing fur trader.Įach of the 15 fudge shops on the island offers free samples. You are not allowed to go inside the cave, but it’s still a cool spot to visit. If you are looking for something a bit cozier, but still downtown, check out the Pine Cottage Bed and Breakfast.Ī small cave that is fenced off. There is also Mission Point Resort that is a nice stroll from the docks and a great place to stay. A bucket list stay at the Grand Hotel should happen for everyone at some point. There are a number of places to stay on the island. Many of these you can probably see and do in a day, but if you have two days it would be even better. This is a list of 13 free things to do on the island. Of course, my favorite is hiking and spending time in the state park, but there are a number of free things to do in addition to the park. There are so many free things to do on the island. You don’t have to spend a fortune when visiting the island. There are so many free things to do on Mackinac Island you might just be surprised by what there is to do on Mackinac Island. Mackinac Island is a great place to spend your vacation. Stem: Stem Color: Green Stem Is Aromatic: No Stem Description: Multi-branched with ascending stems.Leaves: Woody Plant Leaf Characteristics: Broadleaf Evergreen Leaf Color: Gray/Silver Green Leaf Value To Gardener: Fragrant Leaf Type: Compound (Pinnately, Bipinnately, Palmately) Leaf Arrangement: Other/more complex Leaf Shape: Obovate Hairs Present: No Leaf Length: 3-6 inches Leaf Width: Flowers: Flower Color: Gold/Yellow White Flower Inflorescence: Head Solitary Flower Value To Gardener: Long Bloom Season Flower Bloom Time: Fall Spring Summer Flower Shape: Star Flower Petals: more than 20 petals/rays Flower Size: 1-3 inches Flower Description: The flowers are a daisy-like white with a yellow center.Fruit: Fruit Type: Achene Fruit Length: Cultural Conditions: Light: Full sun (6 or more hours of direct sunlight a day) Soil Texture: Clay Loam (Silt) Sand Soil pH: Acid (8.0) Neutral (6.0-8.0) Soil Drainage: Good Drainage Occasionally Dry Occasionally Wet Available Space To Plant: 12 inches-3 feet NC Region: Coastal USDA Plant Hardiness Zone: 8a, 8b, 9a, 9b, 10a, 10b, 11a, 11b. Whole Plant Traits: Plant Type: Annual Woody Plant Leaf Characteristics: Broadleaf Evergreen Habit/Form: Erect Mounding Growth Rate: Rapid Maintenance: Low Texture: Fine.Play Value: Attracts Pollinators Wildlife Food Source Edibility: The leaves are edible. Attributes: Genus: Argyranthemum Species: foeniculaceum Family: Asteraceae Life Cycle: Annual Perennial Woody Recommended Propagation Strategy: Seed Stem Cutting Country Or Region Of Origin: Canary Islands (Tenerife) Wildlife Value: Bees, birds, and butterflies are attracted to the flowers.Tags: #full sun tolerant #drought tolerant #white flowers #yellow flowers #frost tender #blue leaves #tender perennials #daisy-like #long bloom time #pollinator plant #wildflower garden #compact habit #bird friendly #butterfly friendly #problem for cats #problem for dogs #bee friendly #problem for horses #humidity intolerant #compact #wet soils intolerant #shade intolerant #annual #tender #wildlife friendly See this plant in the following landscape: Cultivars / Varieties: The Clemson Cooperative Extension Home & Garden Information Center has a factsheet on common pests and diseases. Poor drainage may lead to fungal problems. Aphids and leaf-mining sawflies are common insects. Insects, Diseases and Other Plant Problems: Will not grow in shade. In some locations worldwide, the plant has been declared as an environmental weed, escaping gardens and creating competition to other native plants. This plant can be reshaped by pruning after all flowering has completed. Removal of dead flowers may extend the blooming period. The blooms grow above the leaves, forming a carpet of white. Ensure to provide a sheltered location with some protection from the afternoon sun in hotter climates. This drought-tolerant plant cannot grow in shade, full sun is ideal. It is suitable for both dry and moist locations, however, it will decline when high humidity is present. It has both male and female organs and is pollinated by insects. In other locations, it can be grown as an annual. This daisy-like bushy plant is grown as an evergreen herbaceous perennial in its native habitat, which includes North Africa and the Canary Islands, primarily on dry cliffs in rock crevices. Phonetic Spelling ar-ji-RAN-the-mum fen-ick-yoo-lah-KEE-um Description
It is a cloud-based platform making it easier to share documents across different networks. Google Docs is a dynamic, web-based document editor. Steps to add Strikethrough in Google Docs It can be done in multiple ways, we will let you know both ways how we can add strikethrough or Crossout text on Google Documents. Today in our tutorial we will let you know how you can add Strikethrough text in Google Docs. It is often used by many users in the Google Docs. Then instead of removing deleting it, keeps the text as it is by using a horizontal line through it, we call it Strikethrough. Usually, when a writer purposefully writes inaccurate content. They use to call it strikethrough and during the computer’s era, the same term was used but with a different ethic. Unlike today’s advanced technology, it was impossible for the typists to delete the misspelled during the old times. So, in order to give cover for those mistakes, they typed a horizontal line. Usually, Strikethrough is a tool used since the era of typewriters. Now in the world of technology, Strikethrough is a major tool which is used pretty much. It is used quite often when someone wants the audience to know the information despite the fact that it is wrong. Probably, on the internet or on some textbook you might have encountered a word that had a line drawn through it or a Strikethrough text. Today, we will be letting you know how to add Strikethrough in Google Docs aka Crossout text on Google Docs in 2019. They don’t know how to do basic functionalities on Google Docs. Many go through the Google Docs interface for the first time. Many users across the Globe use Google Docs to edit, view and create text documents. An easy-to-reference invoice number makes it easier to be efficient when you monitor your business. Tracking these different invoices is far easier when you have a single invoice number to support your invoice tracking system. As you add in more clients and start to provide more services, you might start to send 10, 20, or even more invoices out to clients each month. When you start your business, it probably feels like you keep track of everything in your mind. Even if your clients don’t insist on having an invoice number, there is another reason why you should use one. If you decide to pursue late fees, it is convenient to reference the invoice number in your communication. In that case, you might need to invoice late fees. For example, imagine if a client is very late in paying your invoice. You can communicate more effectively with clients when using an invoice number. Failure to meet these requirements could result in payment delays.Įven if your clients do not require an invoice number, it is still wise to use an invoice number. To avoid payment delays, your client onboarding process should cover invoicing procedures and specific requirements. Each company has different policies, requiring invoices to have an invoice number, date, and description. These companies will not issue payments unless they have a valid invoice. Many larger companies have invoice and payment expectations. We’ll explore this further in the next section. Given that your invoice includes all this information, why does an invoice number matter? It is a quick reference that makes tracking and communication easier. Notes: adding additional notes to the invoice is optional.Do you want clients to pay you via CheckYa? Make sure your contract and invoice reinforce this expectation. Payment instructions: Don’t make your clients guess how to pay you – the invoice is an excellent place to reinforce your payment expectations.Line items with pricing for each (e.g., “WordPress Website Development: 10 Hours at $100 Per Hour: $1,000).For example, you might be asked to address your invoice to an accounts payable department Your client name (this might be different from your day-to-day contact if you are working with a larger company.A professionally constructed invoice number typically contains multiple elements: Put these photos side by side to increase the dramatic effect.The best way to understand an invoice number is to put it in context. Everybody loves seeing before/after photos. You’re probably already taking a few photos for your own reference your company Facebook/Yelp page. Some companies include the number of people working on a project to further justify their final price.įinally, include a few photos of the work done. Write that it’s for labor, including how much you charge for labor per hour and the number of hours the job will take. You’ll also want to include labor costs in the same way. It’s generally a good idea to include a serial number or ID numbers for materials used in case you want to do a follow-up job and want to use the same materials. When you list the materials, include the description of the materials, the quantity you’ll need, the cost per piece, and the total amount of that material. Your description should also be easy for the customer to understand, so they know exactly what work was done. You may refer to your invoices in the future, so the details will help you remember exactly what you did. Mention any specifics, not just the general type of job, where possible. The description of the work to be done should be brief, but it should be detailed as well. 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