Internal fixation using cannulated screws, or percutaneous fixation with smooth wires are the most commonly chosen treatments, and the choice between the two depends on the fracture pattern. It is therefore typically reserved for cases where temporary fixation is needed, such as severe open injuries or multitrauma. External fixation is an option, but is technically difficult, as it requires placing multiple percutaneous pins in the relatively small distal femoral epiphysis or spanning the knee for stability.Closed manipulation and casting is an option, although Salter-Harris II fractures of the distal femur have significant potential for instability, which could lead to malunion, and continued micromotion at the fracture site may encourage physeal arrest (Lombardo, 1977).Observation is not indicated for displaced fractures (Graham, 1990).Treatment options for Salter-Harris II distal femur fractures include closed manipulation and casting, percutaneous fixation, external fixation, or open reduction with internal fixation. MRI is becoming more accessible and inexpensive, and has the advantage of avoiding further damage or displacement to the physis (Segal, 2011). When there is a concern for a subtle physeal injury, it may be more prudent to obtain an MRI. However, this remains controversial as most injuries can be seen on regular x-rays. In the past, stress radiographs have been recommended to visualize physeal displacement. In rare cases, patients can have distal femoral physeal injuries without displacement, which can be difficult to appreciate on plain radiographs. Imaging of the entire femur should be considered in most cases, especially in incidences of high energy trauma, to ensure the absence of segmental fractures including femoral neck fractures, or other associated injuries. X-Rays (AP and lateral views) of the affected knee are the standard modality for diagnosing distal femur fractures. Severe deformity or displacement of the distal fragment should raise concern for possible vascular injury prompting ABIs or vascular consult as indicated. Patients typically have pain, swelling about the knee, possible deformity, and an inability to bear weight on the affected leg (Azar, 2017). They are rare injuries comprising only 7% of all pediatric lower extremity fractures. Because of the undulating nature of the distal femoral physis, and the propensity for Salter-Harris II fractures in this location to cross different zones of the growing physis, these fractures are among the most likely to lead to permanent physeal arrest (Thomson, 1995).ĭistal femur fractures in children are typically related to significant trauma, such as falls, motor vehicle accidents, or contact sports. Restoration of normal limb alignment requires fracture reduction and fixation in a near-anatomic position, without risking further damage to the growing physis (Czitrom, 1981). Even though distal femur fractures are relatively uncommon injuries, they can have significant implications for limb alignment and future growth (Arkader, 2007 Basener, 2009 Eid, 2002). Salter-Harris II fractures of the distal femur are the most common pattern in children, and will be the focus of this review. Growth arrest (up to 50% incidence) is the most common complication following distal femoral physeal injuriesĭistal femur fractures in children can have various fracture patterns, including supracondylar fractures, T-condylar fractures, or fractures of any pattern from the Salter-Harris classification.Reduction and fixation is typically required for distal femoral physeal injuries.Salter Harris II fractures are the most common distal femoral physeal injury.Distal femur fractures in children commonly involve the physis.Study Guide Distal Femur Fractures Key Points:
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In some cases, the nature of the item means that it is non-returnable, for example, due to hygiene/health and personal care/wellness/consumable nature of the product. Office Products and Wireless Returns Policy New electronic items fulfilled by Amazon AU can be returned for change of mind, for a replacement or a full refund of the purchase cost of the item within 30 days of receipt of delivery.For information about returning faulty electronics please see Returning Faulty Items. Please see our Amazon Global Store Returns policy and Refunds policy for more information about returning Amazon Global Store items.Ĭamera, Electronics and PC Returns Policy Please see About Marketplace Returns & Refunds for details on Seller returns policies. To return faulty items see our Returning Faulty Items policy.įor items ordered on from a seller that fulfils and ships its own inventory (also called a third party seller), any returns will be in accordance with the returns policy set by that seller (not the Amazon AU returns policies). Andis 01410 Professional Master Clipper Guards - Dual Magnet Comb Set Small, fits for MBA, MC-2, ML, PM- & PM-4, Waterproof Purple, Set of 5. This change of mind return policy is in addition to, and does not affect your rights under the Australian Consumer Law including any rights you may have in respect of faulty items. : Andis 01815 Professional Master Adjustable Blade Hair Trimmer, Carbon Steel T-Blade - Silver : Beauty & Personal Care. Unless otherwise stated, original shipping fees for change of mind returns are not refunded. 123.00 / In Stock High, low, or in-betweenthe Fade Master® Clipper cuts the freshest tapers and closest shaves imaginable. Please Contact Us and see About Items That Can’t Be Returned. In some circumstances, these items may be eligible for a refund or a replacement (for example, if you receive the wrong item due to an Amazon AU error or if the item is faulty). You can return most new, unopened items fulfilled by Amazon AU within 30 days of receipt of delivery for a replacement or full refund of the price you paid for the item if you change your mind - see About Replacements and About Refunds. For instance, I’ve never been close to any of my grandparents, so several prompts relating to them were quite lost on me. Others involve pets or people that you may or may not have in your life. For example, some topics specifically refer to a “boyfriend” or “girlfriend” which may not make sense for every writer. One minor flaw is that some of the prompts are drafted in such a way that they may not be entirely relatable. In some cases the prompts are genuinely thought-provoking and ask you to reduce to words ideas you’ve probably only thought about, like your fears, your ambitions, or your feelings about other people in your life. Several prompts are purely fanciful and ask you to imagine people, scenarios, or circumstances that you’d probably never encounter in real life. Others are more philosophical and ask you to express your feelings or beliefs on hypothetical topics or situations. Some ask you to talk about past life experiences. They span a variety of subjects and themes. For the most part, the prompts are fun and interesting. If you’re buying this book, it’s for one reason: the writing prompts. I frequently find myself wanting to review one of my past responses or to bookmark a prompt to complete in the future, but there’s no way to do that without, well, a physical bookmark. With that said, I do wish the pages were numbered. With its 304 pages it’s about an inch thick, which lends an air of heft and substance to the book that I quite enjoy. Overall the design of the book is inoffensive, but the various nods to school supplies are perhaps a bit more youthful than I’d prefer.Īt 9 inches tall by 7.8 inches wide, the book is on the larger side but I still find it to be portable enough to toss into most bags or to tote around on its own. The inside covers resemble the design you’d find on a typical composition notebook in a striking mix of blue and white. Apart from the authoring organization listed at the bottom, the only other item that’s presented on the cover is a sketch of a fountain pen that’s featured in the lower right corner, a small touch that I’m unsurprisingly happy to see make an appearance. The title of the book appears at the top, with “642” written to appear as if hand-drawn in orange. The cover of the book is designed to resemble notebook paper in a muted hue of yellow with blue ruling. Ostensibly, the user is expected to draw or doodle a response, but you can always just write instead if you are not artistically inclined. Blank space is provided below no ruling is provided for the response. The phrase is usually not a complete sentence and is often ambiguous enough to be open to a variety of interpretations. A short phrase appears at the top of each quadrant. “Drawing” Prompts: The page is split into four quadrants. Again, they are usually unrelated, but in some instances they may have overlapping subject matter. Triple Prompt: The page is split into three different prompts.These prompts are usually unrelated, but sometimes they may share a topic or offer different twists on a similar topic. Double Prompt: Two prompts share the page.Single Prompt: A single subject is presented at the top of the page, and the remainder of the page is allotted for the response, for which 25 ruled lines are provided.Pages in this book take on one of the four following layouts: Apart from the cover page and foreword, the entirety of the book is dedicated to the writing prompts. The Super Lotto winners pay taxes in Jamaica! Still, you can relax if your win doesn’t exceed the non-taxable amount of JMD 1.5 million. Kingston 5 (New Kingston Office), Jamaica The address to collect bigger prizes is the following: To receive real money, turn to any of the Top Up and Redemption locations and provide your winning ticket. Please contact it beforehand to figure out what documents you must provide.Īll the winnings up to and including JMD 650,000 are credited straight into the players’ accounts. 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Just visit the Supreme Ventures Gaming website, open an account, study all the opportunities, and then feel free to make entries, win the games, and collect your prizes. Manifest winning the lottery and hope that your lucky numbers will bring you a prize!.Hand your slip back to the clerk, and he or she will print a ticket for you.There are a few of them, so it won’t be a problem. Add all the necessary options marked in the playslip.Take advantage of the six luckiest lottery numbers or convert your dream to digits. Then, select a Super Ball from the 10-ball set in the right panel. Pick five numbers out of the set of 36 on the left panel of the game slip.Visit a Supreme Ventures Limited point of sale nearby and get a playslip from the clerk.If you think playing the lottery with paper tickets is the most reliable way, you are, to some extent, right! For fans of traditional entries, the following instructions may be helpful: True gamblers try various entries here, including both playing over-the-counter and online bets!.You have enough time to prepare and create a lottery prediction algorithm in Excel. You can participate twice a week, so the game fits into your daily routine quite easily.The lottery has eight prize categories, and all the winning amounts except the jackpot are fixed.There are no add-ons or multipliers that may let you win more, but you can opt for a kind of System play and add more numbers to your game slip.Read how to pick the lottery numbers to find the most convenient method and win. A simple double-matrix format was established for the game, so you must pick five numbers out of the pool of 36 and one Super Ball from the 10-ball grid.The minimum legal gambling age for Super Lotto players in Jamaica is 18. And surely I am with you always, to the very end of the age. Therefore go and make disciples of all nations, baptising them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you. Matthew 28:18 – 20 Then Jesus came to them and said, “All authority in heaven and on earth has been given to me.Acts 3:15 You killed the author of life, but God raised him from the dead. The centurion, seeing what had happened, praised God and said, “Surely this was a righteous man.” Jesus called out with a loud voice, “Father, into your hands I commit my spirit.” When he had said this, he breathed his last. And the curtain of the temple was torn in two.
It’s vegan, gluten-free, and packed with flavor! As Bintu used a mixture of coconut milk and vegetable stock, the curry is much lighter and has less calories than most curries. This one pan cauliflower curry by Bintu from Recipes From a Pantry makes a quick and healthy weeknight dinner. They’re one of my all-time favorite recipes! 11. They’re really easy to make, so delicious, and incredibly healthy! Serve them with spaghetti for a quick and easy dinner. These vegan meatballs are the perfect comfort food. If you use ready-made pumpkin puree, you could even make it in 15 minutes! 10. These healthy pumpkin pasta with spinach and mushrooms by Elena from Happy Kitchen Rocks make a great dinner for the whole family. Healthy Pumpkin Pasta with Spinach and Mushrooms This cauliflower tikka masala by Anjali from Vegetarian Gastronomy is the perfect comfort food! But at the same time it’s vegan, rich, creamy, and healthy! Anjali used whole and clean ingredients for this flavorful recipe. The recipe for these fritters is of course 100 % vegan! 8. These potato fritters with red lentils are super easy to make and so delicious! They’re best with spicy sriracha mayonnaise. They’re ready in less than 20 minutes and you need only eight ingredients ton make them. These vegan pinto bean tacos by Christel from Diabetes Strong are super easy to make. But they’re great the whole year round! 6. I especially love eating them on hot summer days. You will love these vegan rice paper rolls with mango, mint, and avocado with an easy peanut dipping sauce! They make such and healthy and light dinner. Vegan Summer Rolls with Mango, Mint, and Peanut Dipping Sauce And don’t forget to add some fresh cilantro and diced avocado. Marlena added fresh lime juice and perfectly seasoned black beans to the rice. This 30 minute black beans and lime rice by Marlena from Where You Get Your Protein makes a great lunch or dinner. Besides, it’s also gluten-free and low in calories. Yes! Cauliflower! It’s such an incredible vegetable! As all my recipes, the cauliflower Bolognese is 100 % vegan. This cauliflower Bolognese sauce is not only super easy to make but it’s also incredibly healthy! Instead of ground meat, the recipe calls for cauliflower. The perfect recipe for kids that aren’t the biggest fan of vegetables! 3. These vegan tater tots by Jasmine from Sweet Simple Vegan are loaded with vegetables! They’re loaded with zucchini, cauliflower, and carrots. This one pan Mexican quinoa with black beans and corn is super easy to make, packed with protein, and so comforting! It’s the perfect dinner recipe for busy days! I love eating it with fresh parsley and avocado. 30 Healthy Vegan Recipes That Make The Perfect Vegan Dinner or Lunch 1. healthy kid-friendly recipes (for example veggie tater tots, pinto bean tacos, and vegetable potato fritters)Īs always, click on the title above each photo to see the recipe of each of these healthy vegan meals.healthy bowls (marinated mushroom bowl and Cajun sweet potato rice bowl).easy salad recipes that are perfect for lunch (for example an avocado black bean salad or a chickpea quinoa salad with spinach).healthy quinoa recipes (how do one pan Mexican quinoa or a sweet potato quinoa bowl sound?).
Works with iPhone 8 or later and iPod touch (7th generation) with the latest version of iOS and 12.9-inch iPad Pro (2nd generation or later), 11-inch iPad Pro, 10.5-inch iPad Pro, iPad (5th generation or later), iPad Air (3rd generation), and iPad mini (5th generation) with the latest version of iPadOS.ħ Find My for Powerbeats Pro requires an iPhone or iPod touch with iOS 14.5 or later, iPad with iPadOS 14.5 or later, or Mac with macOS Big Sur 11.3 or later. Performance depends on device settings, environment, and many factors.Ħ Audio Sharing is compatible with Beats Fit Pro, Beats Flex, Solo Pro, Powerbeats Pro, Powerbeats, Solo3 Wireless, Powerbeats3 Wireless, Beats Studio3 Wireless, BeatsX, AirPods (1st generation or later), AirPods Pro, and AirPods Max. Testing consisted of transferring phone call audio from iPhone to Powerbeats Pro and Powerbeats3 Wireless. Battery life depends on device setting, environment, usage, and many other factors.ĥ Testing conducted by Apple in March 2019 using preproduction Powerbeats Pro units and Powerbeats3 Wireless units and software paired with iPhone XS units and prerelease software. 5-Minute charge testing conducted with drained Powerbeats Pro that were charged for 5 minutes, then audio playback was started until the first Powerbeats Pro stopped playback. The playlist consisted of continuous pink noise at 80dB. The charging case is not sweat or water resistant.ģ Battery life depends on device settings, environment, usage, and many other factorsĤ Testing conducted by Apple in March 2019 using preproduction Powerbeats Pro and Charging Case units and software paired with iPhone XS units and prerelease software. Do not attempt to charge wet Powerbeats Pro refer to for cleaning and drying instructions. Sweat and water resistance are not permanent conditions and resistance might decrease as a result of normal wear. Powerbeats Pro were tested under controlled laboratory conditions, and have a rating of IPX4 under IEC standard 60529. Not all content available in Dolby Atmos.Ģ Powerbeats Pro are sweat and water resistant for non-water sports and exercise. Works with compatible content in supported apps. 1 Compatible hardware and software required. Adults 5 EURO, kids over 10 years are 4 EURO and under ten are free. You can see how the nuts are made into oils and taste a variety of oils, but they also offer a small truffle ‘museum’ and you can buy fresh, whole truffles directly on site in season. It’s a beautful drive past hilltop castles and sweeping river views. Take a drive South of Sarlat to the old mill (moulin) at the Ecomusee de la Noix at Domaine de Vielcroze. Open daily from 10am-6pm (can vary so check when you go) / Free for under 10 years, adults 8.50 EURO / Place des Oies, Sarlat /+33 5 53 28 70 55 / / Manoir de Gisson Sarlat Dordogne – Monument historique, site officiel You will probably spend about an hour there. The historic home ‘ Manoir de Gisson‘ is a wonderful place to stop for those who love history…with it’s somewhat spooky museum in the basement. There is a covered market, but hours vary / Marchés de Sarlat : jours de marchés, horaires et gourmandises | Sarlat Tourisme – Périgord Noir () Stroll around the Wednesday or Saturday morning markets and taste the local specialties, or come for the truffle market on Saturday morning only in winter months. In town, there is the Hotel Montaigne which was updated in the last five years and is centrally located with rooms starting around 100 EURO a night / 2 Place Pasteur, Sarlat / / +33 5 53 31 91 88 / Home – Hotel Montaigne It’s outside of Sarlat in the countryside in Castels, France / Charmante maison en pierres proche de Sarlat – Maisons à louer à Castels, France () The last one we stayed in was perfect in the winter, it had a fireplace and really retained the local charm (plus it was priced right at under 170 EURO for two nights). We always choose to stay in an Airbnb, it’s just easier with children. Open daily from 8am-7pm (shorter hours Sunday) / 33 Rue de la Republique, Sarlat / +33 9 84 20 72 27 / Pâtisserie Massoulier | Facebook The classic ‘ gateaux aux noix‘ is more of a cake style and is my personal favorite (recipe in READ MORE below). Stop by the pastry shop at Patisserie Massoulier and buy local treats like walnut tartes with caramel or chocolate and even take tea on the terrace in the sunshine. Open for lunch and dinner Tuesday-Saturday / 15 Rue Fenelon, Sarlat / +33 5 53 30 19 59 / Aux 3 Sens Restaurant () Argentine Chef Christian Borini is the owner, offering seasonal dishes, great flavors, beautiful plating and a very affordable price (under 25 EURO for three courses at lunch). It’s really the only way to see the incredible countryside so worth renting one if you’re in the area.Ī lot of places in Sarlat will have a touristy vibe, but our favorite restaurant is hands down Aux 3 Sens. Parking can be a challenge in Sarlat, but you can usually find a spot on the outskirts of town and just walk in. Having a car is great, as there are so many things to see locally. The trip will take just over two hours and are non-stop.įlights are into Bergerac (about an hour away) or Brive Valley Dordogne (about 20 minutes away). There are actually trainsrunning into town, which makes it a great place to go from Bordeaux. That’s how low staffed the line can be.Īnyway, I’m really sorry you had to wait. That means that we are the closest backed call center when that person from California calls. We get calls from California (I’m in NY) all the time. Thank you for saying for saying this!!! Calling the line is hard enough for some people- then they have to be put on hold and listen to stupid elevator music?! I can understand why people hang up and it’s frustrating but we simple don’t have the counselors.įor example, my center is a “backup center” which means we’re open 24/7, and the calls that go to centers across the country that aren’t open all day, will then get routed to their nearest backup center. The ten minutes I just wasted on you could’ve been life or death for someone else.” The cops aren’t on their way but next time they will be. But I usually end with “I know this is a prank. I could keep this going for hours - it’s amusing to hear the panic on their end to be honest. I’m here for you and I need to make sure your safe.” I call an Indian Restaurant as 'Rakesh' and the owner goes into complete rage mode Then a surprised guest appears. But you called us, and that’s a great first step. Me: “listen, I know it’s hard to admit you need help. “No my friend dared me, it was just a joke.” Me: “You know, that’s just usually what people say right before they hurt themselves. it’s actually quite amusing when I lie and say “I have your address pinpointed and the cops are on their way. Oh believe me, I already kind of do this:) once I’m 100% sure it’s a prank, I usually tell them that “I’m extremely concerned for their safety and I don’t want them to hurt themselves” so I’m sending hell over to check on them. Incel Rhetoric: Origins of Digital Misogyny INCEL/MGTOW RHETORIC WILL BE DEALT WITH HARSHLY WITH AN INSTABAN AND NO APPEAL MODS HAVE FULL DISCRETION ON HOW THEY ENFORCE OR IGNORE THEIR OWN RULES Empathy is rewarded, being horrible will get you a one-way trip to Bansville. You might enjoy r/atheism also.ĭon't be a dick. Rants about religion belong in their respective subs r/exmuslim and r/exchristian. No users under age 18, physically, emotionally, or mentally. Uncivil disinformation promulgators shall be banned and muted. This sub stands against misinformation on Reddit. We reserve the right to moderate at our own discretion. It is a free service where consumers can securely register their home, mobile or fax numbers for free to reduce unsolicited telemarketing calls. We're here to help, but include a link to your post when messaging us.Īll other site-wide rules are strictly enforced Choose from a variety of pre-recorded prank. Just don't be a complete dick, vent like an adult. Prank calling is the act of making a phone call with the intent of tricking or joking with the person who answers. are not permitted and may result in a ban without warning. Do not try to call out specific subs ADMINS, MODS, DOG BREEDS, CAT BREEDS, ANIMALS, companies, or individuals. Also check out r/angry, for when a simple rant's just not enough! Get it off your chest! Do not use this sub as your personal army. Angry? Annoyed? A tad bit peeved? We want to hear it. Proudly part of ProCSS Because the redesign sucks. When Cersei Lannister is planning her coup against the High Sparrow, she tells Qyburn to send a raven to Lanen at Lannisport to raise men for the coup. Lanen is one of the Westerland lords to escort Tywin's Body back to the Westerlands and is there at his funeral. Lanen is besides Jamie when the Trial by Combat between Oberyn Martell and the Mountain. Lanen is there when the news of the Red Wedding reach's King's Landing and is there when Tywin dismiss the rest of the council. When Tywin hears that the Karstarks abandoned the Young Wolf he sends Lanen and the Mountain with twenty thousand men into the Riverlands to put pressure on the King in the North, the men under the Mountain captures Robbet Glover and his men, the men under Lanen are unknow during this period. Lanen is given a seat on the small council. He and the Lannisport banner are seen at the Battle of Blackwater. When discussing the course of action in the War Lanen advocates for reinforcing King's Landing. Lanen grief's for his sons but is still able to carry out Tywin's order, he his there when Tywin sends Reginald Lannister back to his wife in Lannisport. Lannisport gives men to a new army being trained outside Oxcross but Robb Stark ends them at the battle of Oxcross. Lord Lanen's son's where killed at the Greenfork by Greatjon Umber and his young daughter Rayllea Lannister is his heir. When Theon and Tyrion are talking, Tyrion recalls seeing his father fleet being burned by Theon's uncles.Īt the Greenfork, Lord Lanen Lannister of Lannisport is one of the lords at Tywins banquet his sons are with Jamie Lannister, he brings Ser Tyland Lannister and Reginald Lannister. Lord Commander Jeor Mormont tells Tyrion that there have been disturbing reports from wildlings trying to flee south of the Wall that they have seen the mythical White Walkers, Tyrion dismisses the notion that these reports are real by saying that the fishermen of Lannisport also report seeing mermaids. During the Greyjoy Rebellion Lanen Lannister killed ten Ironborn warriors in a single battle. When Balon Greyjoy placed a Driftwood Crown on his head he sent his brothers to burn the fleet at Lannisport witch they did. When Tywin Lannister arrested Lord Walderan Tarbeck, his wife Lady Ellyn Tarbeck took two Lannisters of Lannisport Captive and Stafford Lannister but where released when a peace agreement was made. They sometimes marry into the Lannisters of the Rock.ĭuring the Dance of the Dragons Lannisport was sacked by Dagon Greyjoy and his Ironborn raiders and took a Lannister of Lannisport as a Salt Wife and the Lord of Lannisport was killed during the sack. The Lannisters there prospered from there new wealth. The Lannisters of Lannisport developed Lannisport from a small village next to the Rock to they built walls to protect the new city and ports to trade with Oldtown. |
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