The flavor was launched in Australia and New Zealand in 2012 and in the UK in 2014. Tropical Skittles have two flavors in one Skittle. In 2021, it was announced that, due to public demand, this change would be permanently reversed, bringing the lime flavor back to the original mix of Skittles for the first time since 2013. Green apple also replaced lime in the United States for a brief time in April 2001, as part of a promotion. In the United States and other countries excluding Europe and Australia, green Skittles were green apple flavored from 2013 until 2021. Blue-colored cherry cola flavored skittles were included in a limited edition variant in 2015. In Europe and Australia, purple Skittles are blackcurrant flavored. In September 2021, it was announced that lime would be permanently returning to the original Skittles flavor in October 2021, replacing green apple for the first time since 2013. A "Long Lost Lime" variation of Skittles was released in summer 20, bringing the lime flavor back to the original mix of Skittles for a limited time only. It was rumored that the reason behind this is the green apple flavor outperforming lime in taste tests. Green apple also replaced lime in the sour packets. In 2013, Skittles changed its original flavor line-up to include green apple, causing a consumer backlash. The original Skittles flavors in the United States (and other countries except for Europe and Australia ) are orange, lemon, lime, grape and strawberry. ![]() Earlier Skittles products tended to focus on fruit flavors more recent products have branched out to include flavors such as chocolate, bubble gum, popcorn, mint, and sours. The first flavor was Original Fruit Skittles, first released in Europe in 1974, and then in the United States in 1979. Most of the varieties are available only in particular regions of the world. Company, come in a wide variety of flavors. Skittles, a brand name of candy products produced by the Wm.
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![]() Go to Profile section, then to Add New Language and at the bottom of the page, choose your source and target language and submit a demo in no time.Translate between up to 133 languages. If you say “Here is a job for me!”, we look forward to your application. Slik oversetter du tekst med kameraet: Åpne Oversetter-appen på Android-enheten din. ![]() I Glosbe finner du ikke bare oversettelser fra nordsamisk-norsk bokml ordboken, men ogs lydopptak og datalesere av hy kvalitet. Vi m ogs hre hvordan setningen eller setningen hres ut. Gjennom et stort nettverk i inn- og utland tilbys dere her en rekke sprkkombinasjoner. Translatrkontoret drives av Ole Fredrik Kvamme som er statsautorisert translatr fra tysk til norsk. Vi formidler imidlertid ogs spansk, fransk og andre sprk. Uttale, opptak Ofte er ikke teksten alene nok. Translatrkontorets kjerneomrde er oversettelser mellom engelsk, tysk og norsk. Oversett Engelsk EN > NO Oversettelse Norsk(. Deliver the projects you are responsible for on time. Oversettelsen kan bli unøyaktig hvis teksten er liten, utydelig eller stilisert. Oversettelsesminne er som ha sttte fra tusenvis av oversettere tilgjengelig p en brkdel av et sekund. Online Engelsk Norsk(Bokml) oversetter - oversetter tekster, dokumenter, setninger, setninger, web-sider. Christian Brando, Marlon Brandos eldste sønn (49) 26. Johannes Heggland, norsk forfatter (88) 26. Stein Rønning, norsk verdensmester i karate (42) 24. Heath Ledger, australsk skuespiller (28) 23. Be available to work during flexible working hours and Claude Piron, sveitsisk psykolog, lingvist, oversetter, forfatter og esperantist (76) 22.Identify and fix machine-translation errors to improve the quality of our projects.Alt du trenger å gjøre er å kopiere teksten du ønsker å få oversatt, og lime den inn i oversetterverktøyet. Do Norwegian subtitles for English projects. Det er veldig enkelt å bruke vår online oversetter.Sounds like you? Read the description below carefully and apply now! □♀️ Our culture relies upon freedom, empowerment, innovation, imagination, creativity, and self-discipline.Īnd now, we are looking for a high-performing English to Norwegian Subtitle Translator. This Free translator can quickly translate from German to Norwegian and Norwegian to German (Deutsch-Norwegisch Übersetzer, Norsk-tysk Overs) words as well as complete sentences. Aktiv som tolk i Norge siden 90-tallet, allsidig erfaring. We are rushing towards the Series A round with our elite panel of investors like JIMCO, Revo, DAI, Orkun Isitmak, Hande Enes, Merzigo-KEY, Osman Alp Arli, Koray Bahar, to name a few. DOLF COPPES tolk og oversetter NORSK - NEDERLANDSK - TYSK - ENGELSK Statsautorisert nederlandsk tolk utdannet ved Hgskolen i Oslo, og Universitetet i Amsterdam. We work with the biggest names in online streaming services like Netflix and YouTube, the entertainment sector, including ATV and TRT World, and production companies such as Ay Yapim and W4tch.TV, content creators like Marina Mogilko, and e-learning platforms like ClassDojo. In pursuit of a globalized world, as the first end-to-end human-powered AI Dubbing start-up, Ollang alone has transcreated over 2 million minutes worth of content into more than 60 different languages so far, generating 3.5+ billion views worldwide, and telling inspiring stories to audiences. We are running towards a borderless world where language barriers do not exist. ![]() Accolades Ģ003: Voice Actor award, 26th Anime Grand Prix.Ģ004: Voice Actor Award, Tokyo International Anime Fair 2004. ![]() In 2019, she made her first musical appearance as Madame Thenardier in Les Misérables. In August 2018, she read the Your Name audiobook. On November 15, 2017, she left the Yen theater group she had been with for 22 years, and established the entertainment and voice actor office LAL. In 2016, Park was scheduled to appear in the Box Contents 2016 theater, but she did not participate as a result of poor physical condition. In 1998, she made her voice acting debut as Kanan Gimms in the anime series Brain Powerd. ![]() On January 22, 2020, which was the same day as her 48th birthday, she announced on her official website and Twitter that she had married to Kazuhiro Yamaji. In 1993, she joined the Institute for Drama, and two years later she was promoted as a member of the theater group Yen in 1995. She later studied at the Korean language school in Yonsei University. She entered the theater department at Toho Gakuen College of Drama and Music where she graduated in 1992. She attended and graduated from Wayo Konodai Girls' High School (和洋国府台女子高等学校) in 1990. Her female roles also fit the "tough lady/punk girl" archetype ( Temari, Nana Osaki and Teresa of the Faint Smile). Park is known for her roles as tough, calm and mature preteen or teenage boys who are often called prodigies in their fictional universes (for example, Tao Ren, Ken Ichijouji, Tōshirō Hitsugaya, Edward Elric, Kosuke Ueki and Natsume Hyūga). She won numerous awards, including the Best Actress Award at the 1st Seiyu Awards. She graduated from the Toho Gakuen College of Drama and Music and studied Korean at the Korean Language Institute (한국어학당) in Yonsei University. She weighs 121 lbs (55 kg), and her body measurement is as of 33DDD-24-33.Romi Park ( 朴 璐美, Paku Romi, born January 22, 1972) is a Japanese actress and singer affiliated with LAL. Romi Rain is 5 ft 8 in (173 cm) tall and has black hair and Hazel eyes. ![]() She now has the ideal body shape, flawless skin, a slim waistline, an appealing figure, and a stunning look of her attractive body shape following her own health and fitness recommendations, which made her earn a lot of money on premium sites. Her appealing physical type helped her grow to notoriety on social media sites such as Instagram, Twitter, Snapchat, Facebook, and others. Romi Rain image Romi Rain Height, Weight, and Body measurement Romi Rain was born under the astrological sign of Capricorn, the ethnicity of white, and the American nationality. She was born on January 12, 1988, in Boston, Massachusetts, the United States of America. Romi Rain is an American model and adult film actress, popularly known as Romi Rain on many social media accounts and even in the AV business. Romi Rain has not disclosed her earnings publicly, but her net worth is estimated to be approximately $2 million (USD) according to celebrity net worth.īoston, Massachusetts, United States of America She makes money through acting, modeling, affiliate marketing, sponsorship, paid video, AV video selling, and paid-to-chat. Romi Rain office wear Romi Rain Net Worth Romi Rain was born under the sign of Capricorn. Romi Rain was 34 years old in January 2022. Romi Rain was born on 12 January 1988, in Boston, Massachusetts, United States of America. Romi Rain developed her official website in November 2018, from where she now publishes her material and engages with her followers across many social media channels. We now have inadequate information on her early life and personal details because she has done an excellent job of keeping them private. She is well known as Romi Rain and has stated that she enjoys her career for reasons other than money. Romi Rain is an American adult film actress and a model who entered the profession in 2012 after becoming interested in investigating various adult firms, which led her to the adult industry. Romi Rain Bio/Wiki Romi Rain Net Worth Who is Romi Rain? Romi Rain Height, Weight, and Body measurement Family Background Educational Qualification Social Media Accounts: FAQs Where does Romi Rain currently live? Is Romi Rain Single? Where was Romi Rain born? What is the name of Romi Rain’s Father? What is the name of Romi Rain’s mother? What is Romi Rain’s Net worth? What is Romi Rain’s age? What high school did Romi Rain go to? What is Romi Rain’s real name? Does Romi Rain have fake boobs? Does Romi Rain drinks alcohol? Does Romi Rain smoke? Does Romi Rain go to the gym every day? Does Romi Rain have a tattoo? What is Romi Rain’s Ethnicity? Romi Rain Bio/Wiki Let our expert instructors take you on a tour of. ![]() Learn about 3D texture, industrial design, and rapid prototyping. While it doesn't have the exact same features as its Windows counterpart, Rhino for Mac offers a compelling 3D modeling. Rhino 7 Basic Rendering Tutorial PC Sim 11.6K subscribers Subscribe 25K views 1 year ago Rhino 3D Rendering and Animation Tutorials Rhino3D Rendering Tutorial This is a Rhino 7 Basic. As with layers, showing it in the main drawing will bring it back in all details where it is not specifically hidden. Rhino Online Training Courses Build a 3D model using our Rhino 3D tutorials. Buy this course (49.99) Course details Rhino for Mac is here. With the command HideInDetail you can hide an object in that specific detail only, but hiding it in the main drawing will make it invisible in all details. Get to know Illustrator and InDesign, explore typography, and learn the nuances of designing for print. This is not yet a fully native version (see below for the distinction). In this series we’re starting with the basics to introduce Rhino for Mac to those of you who may be completely new to it. Please update to macOS Big Sur 11.3 (or later). Rhino for Mac Tutorials Getting Started Series / 1 This is the first video tutorial in our ‘Getting Started’ with Rhino for Mac series. The same holds true for hiding and showing individual objects. is now LinkedIn Learning Library Design Design Training and Tutorials Whether you want to design a logo, create ebooks, or just learn how to use a Pen tool, our in-depth design tutorials can help. Rhino Rhino for Mac mac, apple-silicon dan (Dan) November 25, 2020, 3:52pm 1 Current Status: April 26th, 2021: Rhino 7 for Mac is supported on macOS Big Sur 11.3 on Apple Silicon Macs with M1 processors. Youll be able to make your very own products ranging from jewelry to furniture design to designing your own aircraft. But when you restore visibility in the main drawing, it will only come back in those details that had that layer marked as visible. You will learn the fundamentals and become proficient in 3D surfacing, prototyping and rendering with Rhino 3D. ![]() In other words, when you make a layer invisible in the main drawing, it will also be invisible in those details that showed it before. The Layout Details will keep their layer state even after you changed their visibility in the main drawing, but you have to realize that visibility of the detail layers is just a sub set of the main drawing. It uses the Rhino programming API do its magic. Grasshopper doesn’t execute Rhino commands. Regarding layer visibility, I am finding that there is no need to use the LayerStateManager (I have bad experiences with it anyway, I don’t know if the bug that made my drawing crash has been resolved by now, but I am not touching it anymore). This has absolutely nothing to do with Grasshopper Besides some shortcuts and missing plugins, Grasshopper for Windows and macOS are exactly the same. ![]() I am new to Layouts, I have been experimenting with it over the past few days. ![]() However, you won’t be able to restore or download any of the previous versions of your files, unless you upgrade to Premium. Open Rewind, choose a time and date (up to 15 days in the past)Īfter you do that, you will see a list of all the files that were changed during your period of choice.Rewinding your pCloud account is easy and only takes 3 simple steps: If you’re on a Basic plan – you can browse all changes up to 15 days in the past. Rewind provides a preview of your whole account from a certain point in the past. It’s like a time machine for your ideas in pCloud. There is another option, that you have on hand – pCloud Rewind. Now you can see the older versions of your file and choose a further action such as download or preview. Meanwhile, you have the option to preview and restore an older version of your files for the last 15 days with File Revisions. Now, don’t worry! There’s no need to up your organization level overnight. Probably that’s the reason they got that organized in the first place. If you need some inspiration and want to learn more about making a visually pleasing personalized Download link, check out this blog post ! File Revisions and pCloud RewindĮven the most organized person in the world knows the pain of accidentally deleting an important file or losing a great idea due to reworking it many times. It’s a fun way to share your vacation photos with friends and family or to impress your coworkers or future employer by sharing business information or your portfolio. Just follow these steps:Ī new tab will open with a live preview of your Download link, and the option to personalize it by adding a cover, title image, headline, and description. So if you are on a Basic plan, you can take advantage of this feature too by creating a single Branded link! It takes less than a minute to personalize the link you share. ![]() Like pretty much all nice and useful pCloud features, we haven’t reserved this one only for Premium users. It gives you the unique opporunity to show your content in the best possible light. Branding adds a personal touch to the shared content. A Download Link is the easiest way to share large files with someone. One of the most exciting features we launched last year is the branding of Download links. Another great news is that by inviting friends you can enter our challenge and win a Premium Lifetime pCloud Account! Find out more about how to get 500 GB for free here ! Now what do we mean by successful invitation: Only invited users with verified emails count as a successful invite. Each successful invitation will bring you 1 GB.
> 678 t = mtext.Text(x, y, text=s, **effective_kwargs)įile /shared-libs/python3.10/py/lib/python3.10/site-packages/matplotlib/_api/deprecation.py:454, in make_keyword_only.wrapper(*args, **kwargs)Ĥ50 since, message="Passing the %(name)s %(obj_type)s "Ĥ51 "positionally is deprecated since Matplotlib %(since)s the "Ĥ52 "parameter will become keyword-only %(removal)s.",Ĥ53 name=name, obj_type=f"parameter of ()")įile /shared-libs/python3.10/py/lib/python3.10/site-packages/matplotlib/text.py:178, in Text._init_(self, x, y, text, color, verticalalignment, horizontalalignment, multialignment, fontproperties, rotation, linespacing, rotation_mode, usetex, wrap, transform_rotates_text, parse_math, **kwargs)ġ76 t_horizontalalignment(horizontalalignment)ġ77 self._multialignment = multialignmentġ79 self._transform_rotates_text = transform_rotates_textġ80 self._bbox_patch = None # a FancyBboxPatch instanceįile /shared-libs/python3.10/py/lib/python3.10/site-packages/matplotlib/text.py:1197, in Text. > 1 klib.missingval_plot(data_interim_df)įile ~/venv/lib/python3.10/site-packages/klib/describe.py:689, in missingval_plot(data, cmap, figsize, sort, spine_color)Ħ87 for rect, label in zip(ax1.patches, mv_cols):Ħ91 height + max(np.log(1 + height / 6), 0.075),įile /shared-libs/python3.10/py/lib/python3.10/site-packages/matplotlib/axes/_axes.py:678, in Axes.text(self, x, y, s, fontdict, **kwargs)Ħ68 > text(x, y, s, bbox=dict(facecolor='red', alpha=0.5)) ValueError Traceback (most recent call last) ValueError: rotation must be 'vertical', 'horizontal' or a number, not 90 While trying to lot missing values I obtain the following error PipeInfo() # prints out the shape of the data at the specified step of a Pipeline Examplesįind all available examples as well as applications of the functions in klib.clean() with detailed descriptions here. ColumnSelector() # selects num or cat columns, ideal for a Feature Union or Pipeline - klib. ![]() cat_pipe() # provides common operations for preprocessing of categorical data - klib. num_pipe() # provides common operations for preprocessing of numerical data - klib. klib use staticLibrary and libraryPaths clauses. Sometimes it is more convenient to ship a static library with your product, rather than assume it is available within the user's environment. feature_selection_pipe() # provides common operations for feature selection - klib. The declarations are parsed after including the files from the headers list. The cloudinit klib supports a configuration option to overwrite previous files: its called overwrite. train_dev_test_split( df) # splits a dataset and a label into train, optionally dev and test sets - klib. All files are downloaded before execution of the main program. loss of information # klib.preprocess functions for data preprocessing (feature selection, scaling. pool_duplicate_subsets( df) # pools subset of cols based on duplicates with min. Klib is a new way to manage Kindle, Apple Books and WeRead highlights and notes on macOS. Tips: You only need to import manually the first time. Choose the Kindle folder in the pop up dialog and start Import. Click the menu File > Import from Kindle in Klib. mv_col_handling( df) # drops features with high ratio of missing vals based on informational content - klib. Klib: Start From Importing Import From Kindle How to import: Connect your Kindle to your Mac via USB. drop_missing( df) # drops missing values, also called in data_cleaning() - klib. convert_datatypes( df) # converts existing to more efficient dtypes, also called inside data_cleaning() - klib. clean_column_names( df) # cleans and standardizes column names, also called inside data_cleaning() - klib. data_cleaning( df) # performs datacleaning (drop duplicates & empty rows/cols, adjust dtypes.) - klib. missingval_plot( df) # returns a figure containing information about missing values # klib.clean functions for cleaning datasets - klib. dist_plot( df) # returns a distribution plot for every numeric feature - klib. corr_plot( df) # returns a color-encoded heatmap, ideal for correlations - klib. corr_mat( df) # returns a color-encoded correlation matrix - klib. cat_plot( df) # returns a visualization of the number and frequency of categorical features - klib. # scribe functions for visualizing datasets - klib. Var result = kotlinObject(arena, obj).Import klib import pandas as pd df = pd. To access DOM you need to write a kotlin+js stub and compile it to. No need write the WASM loader, simply add this html advanced property method call from "mymod"ĭiv.innerHTML = "Kotlin WebAssembly Accessing HTML DOM" ![]() ![]() Var div = document.getElementById("mydiv") simple method call to a kotlin custom code A library created with the new IR compiler uses a klib format and cant be used from the default backend. This code involves Custom JavaScript - to - Kotlin - to - JavaScript stub Easily create Kotlin Web Assembly project from these multiplatform boilerplate Gradle DSL It comes with a relaxed geometry and a high front end for a more comfortable riding position - with the caveat that we found it a little more difficult to weight the front tire sufficiently when really pinning the corners. If your riding leans towards the more adventurous end of the spectrum, exploring new trails, all-day epics and occasional multi-day bikepacking trip, then the Specialized Diverge Comp E5 is well suited to you. Read more: BMC URS ONE Apex full review (opens in new tab) It’s not totally bedecked in mounts – we wouldn’t choose it for bikepacking trips measured in weeks rather than days – but for those shorter, local rides which make up the majority of the time spent on our bikes, it’s a complete blast and a pleasure to ride. It still retains the efficiency you’d expect from a gravel bike – it successfully helped us complete the South Downs Way, a challenging one-hundred-mile gravel trail in the South East of England. Yet for all that, this isn’t a kind of monster-cross, essentially MTB with drop bars. This, combined with the short 425mm chainstays, adds up to a bike which we found can be popped around the corners, but still doesn’t feel skittish on the descents. At 70 degrees and 70mm, these numbers are quite far off what you’d get on a modern MTB, but for gravel it’s really quite progressive. Several cues are taken from BMC’s mountain bike range, such as a slacker head angle and stubbier stem. The BMC URS One impressed us with its brilliant balance between being fun and capable off-road, whilst remaining efficient enough to easily handle long distance epics. Lack of mounts on fork for extra carrying capacity ![]() With the demand for new bikes still being so high, the availability of certain models is pretty sparse and there aren't as many discounts as we'd normally see. We’ll take you through all the best gravel bikes we’ve tested and reviewed, explaining exactly what type of riding they’re best suited for so you can narrow down your search to those that best meet your needs. If you're interested in digging a bit deeper into gravel bike tires, we've also got a dedicated page discussing the best size and tread pattern for gravel bikes. ![]() They tend to be a little heavier and not quite as responsive in the corners – but if you're laden down by a suite of bags, you're not really going to miss or notice that much. They'll have plenty of mounting points to carry bikepacking bags along with really wide tyre clearance so that you can fit tires to give you traction and comfort on long off-road rides. On the other hand, a racy frame may lack the clearance for really wide gravel bike tyres and may not have a comprehensive set of mounting points for gear.Īt the other extreme are gravel bikes designed for bikepacking. The best gravel bikes for fast riding now often include aero features, snappier handling geometry, and lighter weight gravel bike wheels. ![]() While the original game had little more to do than run, film, and push buttons to start mechanical equipment, Outlast 2 makes a conscious effort to “gamify” itself. While settling myself in for another panic-inducing, sprint-filled journey through hell, I was surprised to discover quite a few additions to the Outlast formula. It’s a great place to start the story, feeling instantly fresh but also familiar to the opening of the original game, with the added drive to go deeper into the nightmare to find Lynn, rather than just happening upon answers like the original game’s protagonist, Miles Upshur. What he finds instead is a brutal, sex-obsessed religious cult, who have no qualms about murdering children en masse and raping women. Injured, panicked, and with nothing at his side but his night-vision enabled camera, Blake sets off into the night to find his wife in potentially hostile territory. Waking up in a sea of flames, Blake discovers that his wife is nowhere to be found near the wreckage of the downed helicopter. Searching for answers to the mysterious circumstances of her death, the crew’s helicopter experiences unexpected technical issues and crashes directly into the heart of the area they were investigating. We play as cameraman Blake Langermann who, along with his investigative journalist wife Lynn, rents a helicopter to fly over a region where a young pregnant woman was murdered. I’ll be damned if that’s not more or less exactly what Outlast 2’s problem is. Interestingly enough, when I was readying up to review Resident Evil 7 a few months ago, one of the primary concerns from fans was that the series was losing its identity by taking too much inspiration from other popular horror games. Outlast 2 suffers from what I can only imagine is a change in direction midway through development – a shift that almost totally abandoned what the first half of the game was trying to do. It’s stunningly gorgeous to look at, and the environments may be some of the most heavily detailed and painstakingly crafted this side of Resident Evil Remake – but it is also a very confused (and consequently confusing) game that has too many strange decisions to ignore. It is a good game and I enjoyed my time playing it. Outlast 2 is good, let me get that out of the way. What did I think of its sequel? Well, it’s one of the most perplexing mixed bags I’ve encountered in a while. ![]() I loved the original game and was eager to sink waist-deep into the blood of this universe again. Red Barrels’ sequel to the infamously gruesome Outlast – a chase-oriented horror game that focused on a “found footage” aesthetic using a night-vision enabled camera – is finally hitting store shelves. After years of waiting, the day is finally upon us. ![]() This morning, five of our “regulars” veterans, gave up their time to help repair the super cool, long boardwalk at the Oreland, PA Troop 1 Boy Scout Camp in New Ringgold, PA, which was damaged in the flood last year. ![]() Ryan Aulman taking me on a mountain bike ride across the Blue Mountain to the Port Clinton Fire Tower, to give me a much needed break from care-taking. A big one coming up is the first weekend of October when we rent out the Boy Scout Camp in New Ringgold and offer a full weekend of outdoor fun and camping to our vets and their families. ![]() So we are getting our feet wet back in the activities and events with our River House veterans. River House also sponsored our first veteran to long distance hike, Adam Perry, who went down to Georgia and began hiking north on the AT- he got quite a few hundred miles under his belt before he had to return home unexpectedly but it was enough to make him fall in love with the sport and realize how much it can heal. Bo is closing in on finishing now as he recently entered the last state of Maine. Bo is the first veteran that I know of who read my book and decided that hiking was for him and went for it in a big way. as he was thru-hiking the entire Appalachian Trail, with his friend. Todd and I hosted a retired EOD veteran, friend of Mario’s Bo Brickley, who we brought home and fed etc. They have a great handicap accessible launch there which we are eying up for Todd down the pike. Annie and Mike Schnur, my dear Board Members, made a great dinner for Todd and I and then Annie took me kayaking on beautiful Leaser Lake. Mario Kovach came down from NY state to visit and to help and take me cycling on the Schuylkill River Trail while he rode his new toy- a single wheel. The two have a fabulous relationship.Ī few of the guys have considered that River House’s Director (that would be me) needs a break from full time caregiving, so Ryan Aulman took me mountain biking across the Blue Mountain and then climbed the Port Clinton Fire Tower for a breathtaking view. ![]() It is a good thing that Danny is so strong! It is so good for Dan to have the opportunity to share his knowledge and expertise, his experiences in rehab, and his big heart with Todd. Dan also spends a great amount of time stretching him beforehand. Dan is taking his knowledge of working out, weights, muscle groups etc., and has Todd on a special weight training program so he can regain his strength back. A favorite, Dan Stein (one of the heroes in my last book, “Walking Toward Peace- Veterans Healing on America’s Trails,) has very generously offered to come up to our home very Sunday and work with Todd. In the meantime, some of my guys have stepped up to really support us. We recently had our first event and enjoyed a delightful campfire dinner with a nice group of our favorite veterans. I had to put my veterans and my outings on hold for a good half a year until I could finally come up for air. trying to help him gain as much back as possible. Todd and I have been very busy trying to learn how to navigate our new lives and putting a tremendous amount of money and time into rehab, therapy, etc. Eight months ago, tragedy struck our lives when Todd fell off the roof and broke his neck, causing him to become an incomplete quadriplegic (C3-5). It’s been 8 long months since I posted here on my River House website. ![]() Amiodarone (150 mg IV loading dose infused over 10 minutes, followed by 1 mg/min infusion for 6 hours, a 0.5-mg/min infusion for 18 hours, and then a reduced IV dose or oral dose) is also effective in converting atrial flutter to normal sinus ryhthm. It may be repeated once, but the provider should be aware it has a potential risk of inducing torsades de pointes, so the patient needs to be monitored carefully for 4-8 hours after drug administration. Ibutilide, a class III antiarrhythmic (Corvert, 1 mg in 10 mL saline infused slowly over 10 minutes) is effective in converting new-onset atrial flutter patients to normal sinus rhythm 90% of the time. If synchronized DC cardioversion is utilized in a non-emergent setting, the provider must be certain that the atrial flutter is new-onset, that a patient does not have thrombosis in the heart via echo, or that the patient has been adequately anticoagulated in order to prevent a thromboembolic event. If a patient is hemodynamically unstable and/or has an excessively rapid ventricular rate you may consider an antiarrhthmic drug or synchronized DC cardioversion. Beta blockers and CCB are effective in prophylactic prevention of atrial flutter after postoperative thoracic or cardiac surgery. Drugs of choice include beta blockers such as esmolol (0.5 mg/kg IV bolus followed by 50-300 ucg/kg/min) and propranolol, or calcium channel blockers such as verapamil (5-10 mg IV) or diltiazem. ![]() Initial treatment of atrial flutter targets the rate control (which is frequently ~150 BPM). |
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