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I definitely don't use Arena although I have it on my PC. When you know what you have you'll understand what they mean. As for how each engine will return information to you (2 processores, 4 threads or two cores.) is another story. Well, don't worry - they cannot read different things on your PC! You know you have one processor with two cores (which have two threads each - summing up to 4 thread in common). Some engines (when you click on their exe files in your Windows Explorer) read your PC configuration and return pieces of information, which can be very different at first sight. These can include SSE (Streaming SIMD Extensions) and AVX (Advanced Vector Extensions)." From the abovementioned site when clicking on "Instruction Set Extensions" for your processor (SSE4.2): "Instruction Set Extensions are additional instructions which can increase performance when the same operations are performed on multiple data objects. (Suppose, the case with Protector is the same.)Īnyway, it seems your processor is a "modern" one and supports all SSE., AVX and so on versions of the engines. As for Strelka 6, I'm sure this engine doesn't have parameters (it's a raw version of Houdini, after all), so it cannot return you even a single piece of information. I never used Protector, so I can tell you nothing about it. I see you have black screens when you click on Strelka 6 x32 and Protector 圆4 only. Pointng your mouse on "# of Cores" or "# of Threads" and so on.there and clicking on them you can see the definitions, such as: "A Thread, or thread of execution, is a software term for the basic ordered sequence of instructions that can be passed through or processed by a single CPU core."Īlthouh the language is somewhat technical, you have to browse through most of these categories in order to be able to explain for yourself all unclear points you have up to now. For example, look at the processor you have: Intel(R) Core(TM) i3 CPU 540 3.07GHz Michael, most of the questions can be answered by Uncle Google. Well, well, well - too many questions, indeed! Thanks for the POPCYNT info! I couldn't find precisely that online either! How did you acquire your knowledge? Probably not chiefly by googling! I think you are a 'natural'. For example, I understand that when Robbolito's black screen says '4 CPUs found, using 4 threads' it means '4 threads found', but should I be changing this via the black screen (then saving that engine somehow)? I can't find anything on this, nor on how to load two engines simultaneously in Arena to analyse the same position. So I may be slow but what I still don't get is how I can change an engine's 'thread' (or other) parameters except by doing it within the GUI. I am a little worried we may be talking at 'cross purposes'!? Sure, Arena can give troubles but the point is I am perverse! - I actually enjoy the challenge of getting the best from engines in Arena and WinBoard and the 'learning' that goes with it! I am actually a good 'googler' (my work requires it!) but there's very little good online help with these things (and Arena's help file is useless!). I'm sure there are other ways, too.but first start with this one! Under Engine/Manage/Select there is a box called "loaded engines" - load two of your engines (from the right box with the installed engines -> to the left one) and press "Start" button on the down left side! This feature distinguish the new "modern" processors from the old ones.Īs for how to run two engines simultaneously in your Arena GUI: 1. joining the other thread of the core to prolong the analysis. After stopping your activity, the thread you use for your browsing will return to its usual job - i.e. Still, you can click with your mouse and browse whatever you want on your PC - it won't freeze because every core has two threads and one of this threads will handle your new activity (for example, opening Internet Explorer and so on) for a moment, while the other thread will keep running the analysis of the engine. So you can install two engines (they'll use one core each) and run them one after another in the GUI to analyse a certain position. This way the GUI tells the engine (when installing) that this engine will use one processor core only (when running under this GUI). CPU Cores Setting" with value "1" (in my case). Under the Arena menu Engine/Manage/UCI there is an option "Common max. I had to run Arena 3.5 GUI in order to be able to answer your questions.īlack screens, after double-clicking on the engine-exe file in your Windows Explorer, are only for receiving information about the engine - whether it is recognized by your PC and if this engine will run on your PC, who is the author, what does this engine recognize about your computer configuration and so on.Īll your parameters' changing has to be done on the settings' menu of the GUI. Writers and editors can focus on their work without being distracted by a complex interface, further enhancing their productivity. The software boasts a user-friendly interface that is easy to navigate and understand, making it accessible to a broad spectrum of users. This cooperative environment significantly improves efficiency and communication among team members. 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The risk of spontaneous preterm birth increases as the length of the cervix decreases. In addition, alterations in maternal vaginal flora by pathogenic organisms (e.g., Chlamydia or Trichomonas organisms, bacterial vaginosis) are associated with preterm labor. Preterm labor, followed by preterm birth, has been associated with maternal anemia urinary tract infection cigarette smoking and use of alcohol, cocaine, and other substances, all of which are potentially avoidable risk factors. Increased risk factors include poor prenatal care infections, including periodontal (dental) infections nutritional status and sociodemographics (socioeconomic status, race, and lifestyle). Because epidemiologic data have shown some risk factors to be avoidable, there are some promising avenues for both prevention and treatment. The exact cause of preterm labor is unclear however, several risk factors are known. Cervical dilation more than 2.5 cm and 75% effaced.Documented uterine contractions every 5 to 10 minutes lasting for at least 30 seconds and persisting for more than 1 hour.Late preterm is between 34 and 36 completed weeks of gestation.Gestation between 20 and 37 weeks is considered preterm. Early prenatal care makes it possible for the woman to reduce or eliminate some risk factors that contribute to preterm labor. Department of Health and Human Services, 2010) goals is for 90% of all pregnant women to have prenatal care starting in the first trimester and to reduce preterm labor and delivery. Preterm birth has great significance for society because of the high rate of perinatal deaths and the excessive financial cost of caring for the preterm newborns. Preterm labor and premature rupture of membranes are the two most common factors that lead to preterm birth. It occurs in approximately 12% of pregnancies and accounts for most perinatal deaths not resulting from congenital anomalies. Preterm labor is defined as the onset of labor between 20 and 37 weeks’ gestation. Nursing care is incorporated throughout the chapter. This chapter discusses high-risk intrapartum care. Health care providers must quickly and accurately identify the nature of the problems and intervene to reduce or limit detrimental effects on the mother and newborn. However, when complications occur during labor, they can have devastating effects on the maternal-fetal outcome. Labor and birth usually progress with few problems. Trial of labor after cesarean (TOLAC) (p. Prolapsed umbilical cord (PRŌ-lăpst ŭm-BĬL-ĭ-kăl, p. Hypotonic uterine dysfunction (hī-pō-TŎN-ĭk, p. Hypertonic uterine dysfunction (hī-pĕr-TŎN-ĭk Ū-tĕr-ĭn, p. Discuss the rationale for vaginal birth after a prior cesarean birth.Īmnioinfusion (ăm-nē-ō-ĭn-FŪ-zhăn, p. Describe the preoperative and postoperative care of a woman who is undergoing a cesarean birth.Ģ2. Discuss five indications for a cesarean birth.Ģ1. List three potential complications of multifetal pregnancy.Ģ0. Describe umbilical cord prolapse, and state two associated potential complications.ġ9. Review the most common cause of rupture of the uterus during labor.ġ8. Define precipitate labor, and describe two nursing actions that should be taken to safeguard the baby.ġ7. List two indications for using forceps to deliver the fetus.ġ6. Describe three types of lacerations that can occur during the birth process.ġ4. Explain why an episiotomy is performed, and name two basic types of episiotomies.ġ3. Define and identify three common methods used to induce labor.ġ2. Explain the term cephalopelvic disproportion (CPD), and discuss the nursing management of CPD.ġ1. List two potential complications of a breech birth.ġ0. Name and describe the three different types of breech presentation.ĩ. Differentiate between hypotonic and hypertonic uterine dysfunction.Ĩ. Identify two complications of premature rupture of membranes.ħ. Interpret the term premature rupture of membranes.Ħ. Explain why tocolytic agents are used in preterm labor.ĥ. Describe two major nursing assessments of a woman in preterm labor.Ĥ. Discuss four factors associated with preterm labor.ģ. These Christmas wallpapers can be printed and inserted into your phone case( but that can look good only if your phone case is clear). Cute Santa wallpaper aesthetics for iPhone These colourful Cookie Stars wallpaper brings a sense of happiness to your mobile whenever you see it. Sprinkle stars Christmas wallpaper for smartphone This cute Santa Wallpaper will recall your beautiful childhood memories. Sprinkle Start Christmas Wallpaper will let you feel United this Christmas. Globe ornaments Christmas wallpaper for smartphone and tablet Cosy Christmas wallpaper for iPhoneĬosy Christmas wallpaper will refresh your mind every day till Christmas. 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If you looking to bring a piece of wild forest and implement it in your iPhone background, this image is perfect representation of frosted mountain trees. 12.Santa joy and gifts Christmas wallpaperĪllow the child within you to enjoy the Christmas spirit. Embrace the traditions and indulge with sweets and whims, life is short and you need to fulfil all your wishes. Snowflakes Christmas wallpaper for iPhoneĪ simple iPhone wallpaper that doesn’t need any description.
Protecting the public by preventing harm from tainted sterile products is of paramount importance and is a fundamental step in providing patient- centered pharmacy services. This article will provide a brief overview of the USP, review the highlights of, describe differences between USP and USP, and describe the impact that will have on sterile compounding programs in health systems. The goal of this article is to provide a primer to pharmacy directors and others on new requirements and updates to hazardous drug handling as designated by USP. Pharmacy directors must be proactive in understanding the impact that USP will have on their processes for preparing sterile products. The official date of chapter publication has not been determined, but it is highly anticipated by stakeholders because this chapter requires key operational changes in the preparation of intravenous medications. The second round of public comments on the revised chapter opened on Decemand closed on May 31, 2015. The first round of public comments ended on Jthese comments were incorporated by the USP Compounding Expert Committee into a revised chapter. On March 28, 2014, The United States Pharmacopeia and The National Formulary (USP-NF) published USP General Chapter Hazardous Drugs–Handling in Healthcare Setting, as open for public comment in the USP Pharmacopeial Forum (PF) 40(3), the free online-only journal in which USP publishes revisions to USP-NF. As a result, a 2014 National Survey of standards in hospitals showed increases in compliance with both sterile preparation and hazardous drug requirements – but there was room for significant improvement. The authority of the US Food and Drug Administration (FDA) in regulating sterile compounding was reviewed, and accrediting organizations took a firm stand on institutions implementing the standards of USP General Chapter. A call to action was generated by many professional organizations and groups to take the recommendations for compounding as set forth by The United States Pharmacopeia (USP) seriously. 1 As the analysis of the tragedy unfolded, it was obvious that many of the deaths and disabilities could have been prevented if the center had adhered to fundamental guidelines of preparing sterile intravenous preparations. The 2012 New England Compounding Center tragedy is well known 678 confirmed cases of contaminated intravenous preparations resulted in over 60 deaths. Although complying with USP may seem to be a daunting task, it can be manageable if approached in a systematic organized way. Until the standard becomes official, it is important for pharmacists to become familiarized with the latest draft to identify potential barriers to compliance and to strategize a plan to overcome barriers. Pharmacy leaders at every level will play a key role in assisting an organization to achieve timely compliance with USP standards. Even if one is compounding in the most compliant USP cleanroom, improper technique can negate all the benefits of the physical structures. This point should be emphasized with all compounding personnel. Regardless of all of the requirements listed in USP, there is no substitute for disciplined, consistent work practices regarding proper sterile technique. USP describes hazardous drug handling related to the receipt, storage, compounding, dispensing, administration, and disposal of both sterile and nonsterile products and preparations. USP serves as a new standard to guide the handling of hazardous drugs in order to protect patients, health care personnel, and the environment. USP General Chapter pertains to the compounding of both hazardous and nonhazardous drugs. On March 28, 2014, The United States Pharmacopeia and The National Formulary (USP-NF) published USP General Chapter Hazardous Drugs–Handling in Healthcare Settings, as open for public comment in the USP Pharmacopeial Forum (PF) 40(3). Smoke is also reportedly visible form Vista Point it is unclear if this is the same fire. The fire truck initially became stuck after encountering a road washed out by flooding at 79 en route to Montezuma, according to the California Highway webpage. Highway S2 is shut down from State Route 79 to S 22 and a Sig Alert has been issued. Septem(San Diego’s East County) – A fire truck en route to a fire reported in the Scissors Crossing area near Julian has become stuck in the mud. This strike apparently ignited the fire, with smoke visible on a second image moments later shot from Borrego. Lightning strikes are reported in the Warner Springs area and other locations including the bolt shown at left, taken by Bob Kutscher. Update: The fire is now out but the roadway remains flooded and there are many other hazards. In addition, CHP reports a lightning fire in Borrego at the Borrego tree farm a road closure in the area has been lifted now. Both alerts are to remain in place until three this afternoon. There is a second cell that is affecting I-8 and it is slowly moving towards the Mexican border. Some of these areas were burned during the Chariot Fire, so there is a danger of mudslides as well. It is producing flooding on sections of the S-1, (Sunrise Highway), as well as Pine Valley. The first storm cell today was reported about 23 miles south of Borrrego Springs, and the cell is nearly stations. This is the second day in a row of stormy weather yesterday over 200 lightning strikes occurred countywide, including 95 on land and 129 over coastal waters. Photo by Brett Staubaum: Smoke from Borrego tree farm fire and thunderheads overheadĪug(San Diego's East County)-The National Weather Service has issued two separate flash flood alerts due to thunderstorms in the East County. Update 2:45 p.m.: Viejas Grade in Alpine is closed at Willows due to an ATV accident with injuries. Spring Valley: Quarry Road from SR125 to Lakeview is closed due to flooding(DPW).Also Magnolia dip is now closed at highway 78 and 500 feet north of Magnolia dip due to flooding in Ramona. closed from 10 th and at 11 th due to flooding (DPW). I-8 east west of Fuerte, off-ramp sign fell down and is in slow lane, per CHP.State Route 94 at Buckman Springs Rd., vehicle overturned (CHP).Willow glen is completely closed by the quarry, a reader reports Dehesa road from the school to willow glen has multiple mudslides and is a total mess.CHP is en route to check conditions on Highway 79 from I-8 to Julian. Sunrise Highway is open but you are required to carry chains.to Honey Springs due to flooding (Caltrans) CHP site indicates a “river” flowing 30-40 feet wide this a.m. SR-94 closed both directions from Lyons Valley Rd.Snow on I-8 just east of Kitchen Creek – snow ploughs are working (CHP) Numerous accidents reported east of Pine Valley.Here are the latest updates on closures and hazards impacting Highway 94, Interstate 8 and other highways as well as major surface streeets across East County. Janu(San Diego's East County) - Snow, debris flows and flloding from heavy rainfall are making the morning commute tough. Several southbound lanes on I-15 are shut down due to the fast-moving blaze fueled by 30-40 mph winds. Two structures have been burned.ĭecem(Fallbrook) - The Lilac Fire is burning in North County near the Interstate 15 and State Route 76 junction in the Fallbrook-Bonsall area. The Lilac Fire is now 175 acres, Cal Fire reports. The Del Mar Fairgrounds is accepting large animals. Three temporary evacaution shelters have been set up at Fallbrook High School, Pechanga Casino and Pala Casino. Cal Fire is excercising its option to get military helicopters as well as San Diego Fire & Rescue night-flying helicopters. EW evacuation warnings are in effect: North of Pala Rd., South of Reche Rd., West of I-15 Freeway, East of Green Canyon Rd. County Emergency Services warns of "dangerous fires" in N orth County. Update 3 p.m.: Lilac Fire is now 500 acres and 0 percent contained. New evacuation orders: South of Hwy 76 West of I-15 Freeway North of Gopher Canyon Rd, East of East Village Way & Mission Rd. The fire is now 2,000 acres and still 0 percent contained, per Cal Fire. Facebook Journalism Project covid-19 reporting. Localized Language Support: Expand accessibility by adding multiple language options to cater to a global audience, making the app user-friendly for non-English speakers. 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