![]() There was no history of preceding trauma, tobacco use, or known connective tissue disorders. ILLUSTRATIVE CASEĪ 57-year-old man with a history of hypertension and mechanical valve replacement, on warfarin, presented to Harbor-UCLA Medical Center after experiencing severe headache and decreasing level of consciousness the precise time of onset was unknown. Treatment options and considerations for treatment of this condition were reviewed. The patient was ultimately treated with a flow-diverting stent. Here, we report an illustrative case of a patient with VADA involving the origin of PICA, with anatomically poor collateral flow to PICA demonstrated on angiography. However, the risks associated with these treatment options are not clearly understood in the context of VADA involving PICA, and there are other variables (e.g., arterial configuration, presence of collaterals, operator skill, and potential bleeding events from antiplatelet therapy following endovascular treatment) that may factor into favorable treatment outcomes. Many endovascular and surgical treatment options for VADA have been proposed, and new developments such as flow-diverting stents continue to expand the armamentarium. Involvement of branch vessels of the VA, for example, PICA, further complicates matters due to the need to preserve brainstem and cerebellar perfusion, limiting treatment options and resulting in worse outcomes. VADA is usually not amenable to treatment with standard clipping or coil embolization due to the morphology of the lesion. Therefore, ruptured VADA is treated emergently to prevent mortality and severe disability. In patients with rebleeding, the mortality rate is high and has been estimated near 50%. However, ruptured VADA presents a precarious situation with a high propensity for subsequent rebleeding, estimated at 30–70% and typically occurring within hours to days of the initial event. Due to its uncertain natural history, the management of unruptured lesions is controversial. Alongside surgical and endovascular treatment options, conservative management may be considered. Unruptured VADA may present with headache, ischemic symptoms (e.g., lateral medullary syndrome), or mass effect, and remain stable or even improve without treatment. The hematoma may be eccentric to the adventitia or intima subadventitial dissection preferentially occurs in the VA alone and presents as aneurysmal enlargement and SAH whereas subintimal dissection preferentially involves the basilar artery and presents with luminal narrowing and brainstem ischemia. Intracranial VADA results from a tear in the intima, degeneration of the media, or disruption of the internal elastic lamina, which lead to the formation of an intramural hematoma. ![]() Vertebral artery dissecting aneurysms (VADA) cause 3–5% of cases of subarachnoid hemorrhage (SAH), particularly in middle-aged men, and can occasionally involve the posterior inferior cerebellar artery (PICA). Keywords: Flow-diverting stent, Posterior inferior cerebellar artery, Vertebral artery dissecting aneurysm In select cases, in which the surgical risk is low or in which the anatomy is favorable (e.g., nondominant parent vessel or robust collateral circulation in the involved territories), parent artery trapping with or without microsurgical revascularization can be considered. Flow-diverting stents appear to offer the most favorable balance of securing the aneurysm and avoiding medullary infarction, but the risks and optimal anti-thrombotic treatment strategy are incompletely understood. The methods of surgical and endovascular treatment of these cases were reviewed, with particular focus on the rationale of treatment, outcomes, and complications.Ĭonclusion: Numerous treatment options for VADA involving PICA have been reported with different risk and benefit profiles. Review of the literature identified 124 cases of VADA involving the PICA origin described over the past decade. Ultimately, the patient experienced a contralateral intraparenchymal hemorrhage leading to death. After consideration of the patient’s cerebral vasculature and robustness of collaterals, a flow-diverting stent was placed with angiographic resolution of the lesion and maintenance of antegrade PICA flow. We present an illustrative case and review the literature surrounding treatment strategies.Ĭase Description: We report a patient presenting with extensive subarachnoid hemorrhage due to rupture of an intracranial VADA involving the PICA origin. Background: Vertebral artery dissecting aneurysm (VADA) involving the origin of the posterior inferior cerebellar artery (PICA) is a complex disease entity in which the dual goals of preventing future rebleeding and maintaining perfusion of the lateral medulla must be considered.
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Simon Le Bon: LifetimeAchievements and Awards The band then recorded another one album entitled So Red The Rose.įurthermore, he also had dabbled in solo outings while he had been in Duran Duran for the band’s entire recording history. Nick Rhodes is 59 and Simon Le Bon is 62. Discover more Celebrity Heights and Vote on how tall you think any Celebrity is How tall is Nick Rhodes. In 1985, the band released a top Us hit along with their first single “Election Day”. Nick Rhodes height is 5ft 7 or 170.2 cm tall. However, Le Bon had founded the new band entitled Arcadia with fellow Duran Duran members Roger Taylor and Nick Rhodes. Caption: Simon Le Bon (Source: Pinterest) Moreover, the band together released three albums entitled Seven and the Ragged Tiger (1983), Rio (1982), and the live album Arena (1984) after the great succession.īesides, Rhodes and Le Bon only stayed as the two members who had been with Duran Duran from the beginning of their recording career when bass guitarist John Taylor moved out of the band in 1997. The band released its first album, Duran Duran in 1981 that was able to be famous as part of the New Romantic movement so quickly. Simon Le Bon: Early Life, Profession and Careerįirstly, Le Bon auditioned to join the rock group Duran Duran in 1980 started by John Taylor and Nick Rhodes. Then he came back to England from Israel and studied drama at the University of Birmingham. Also, he joined the same school named Nower Hill High School that his mother had previously attended. On talking about his educational background, he attended Pinner County Grammar School. ![]() He had spent his some of time working on a kibbutz in Israel after graduating high school. He used to sing for a church choir during his childhood. His mother encouraged his artistic talent by sending him for a screen test in a Persil washing powder TV advert. record received positive reviews and the band departed for their first American tour, with Les Binks on drums. Simon Le Bon: Birth Facts, Family, and ChildhoodĪ singer was born as Simon John Charles Le Bon on 27 October 1958 to his parents John and Ann-Marie Le Bon near Bushey, Hertfordshire, England. I also appreciate Mastervolt’s deep lithium battery experience - as in the around-the-world racing fleet Panbo covered in 2015 - and the reduced financial pain resulting from their nice trade/test discount. It’s darn compelling to get an advanced power system under the single warranty and guidance of a company with deep marine roots.īut Victron and Mastervolt have different strengths, and I like how the latter can even supply their own alternators. And while there were many ways I could have solved all that, Mastervolt and Victron stand out because both have developed extensive marine power product lines that include their own network protocols for deeply integrating the various components. Installing lithium batteries isn’t as simple as a move from flooded lead-acid to AGM or gel on an existing boat, their use often requires modification of charging sources, circuit protections, monitoring abilities, and more. While a subsequent entry will dive deeper into this subject, I can tell you now that a lot of research has led me to this conclusion: LiFePo4 is the safest of the lithium battery chemistries and it rivals or exceeds FLA safety, especially with the safety systems built into Mastervolt’s batteries and overall power system. Although that still makes the new technology five times as expensive as FLA, the investment will work out in the long run if they really do last ten times as long (and you don’t kill them prematurely).īut as you likely know, some lithium battery features are also safety concerns. But because only half the FLA amps are usable, so it’s more like $2 per usable amp hour, while LiFePo4 usable amp hours cost about $10 due to its 80% depth of discharge. In contrast, the least expensive reputable 100 Ah lithium I could find costs $800.Īt first glance that suggest the FLA battery storage costs $1.00 per amp hour versus $8 for LiFePo4. An 80 amp hour, deep cycle, group 27, flooded lead-acid (FLA) battery can be purchased for as little as $80. But lead-acid outperforms lithium in some ways, the most obvious being the upfront cost. LiFePo4 batteries have other benefits: they are maintenance-free, can be installed in multiple orientations, and self-discharge at a lower rate. (And that may be longer given that many lead-acid banks die from an event like getting discharged too far.) Longevity - manufacturers claim that lithium batteries can be used ten times more than lead-acid types, and thus last ten times longer.Constant power delivery - these batteries deliver a very steady voltage until they’re nearly completely discharged, even under large loads.Depth of discharge - LiFePo4 batteries can be safely discharged to 80% of their capacity while lead-acid batteries are typically discharged a maximum of 50% to protect their longevity.Lighter weight - they weigh less than half of a comparable lead-acid battery.Higher energy density - they generally store double the energy in the same physical space.High current charging - low internal resistance mean that lithium batteries can be charged quickly, and they’re often rated to accept their entire capacity in an hour.So far I’ve replaced her original inverter and installed one of the lithium iron phosphate (LiFePo4) batteries, but I’m already seeing the fruits of my labor and investment. 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Loans greater than $15,000 or less than $1,500 are funded through our branch network. Loans between $1,500 and $15,000 may be funded online. †We offer personal loans from $1,000 to $25,000, with minimum and maximum amounts dependent on an applicant’s state of residence and the underwriting of the loan. Your repayment amount must be in the form of cash or certified funds.Ĭalifornia Residents: Loans made or arranged pursuant to a California Financing Law license. **15 Day Satisfaction Guarantee: If, for any reason, you are dissatisfied with your loan and repay it in full within 15 days we will waive all finance charges with no penalties. This “hard” credit inquiry may impact your credit score. If you continue with the application process online and accept a loan offer, or are referred to a branch and continue your application there, we will pull your credit report and credit score again using a “hard” credit inquiry. *The process uses a “soft” credit inquiry to determine whether a loan offer is available, which does not impact your credit score. We may also ask to see your driver’s license or other identifying documents. As a result, under our customer identification program, we must ask for your name, street address, mailing address, date of birth, and other information that will allow us to identify you. ![]() To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. ![]() We offer personal loans from $1,000 to $25,000, with minimum and maximum amounts dependent on an applicant’s state of residence and the underwriting of the loan. ![]() Before Sinister could deliver the final blow, Doom stopped the fight. ![]() His accuser, Brian Braddock of Higher Avalon confronted Sinister and was defeated. After being found guilty of allying himself with King Hyperion, the Baron of Utopolis, Sinister demanded his right of meeting his accuser in the arena. ![]() Meanwhile, in the Kingdom of Utopolis, the Foundation discovered one of the life rafts, partially buried in the ground.Īfter retrieving Mister Sinister from the Bar Sinister, the Thors brought him to Castle Doom for trial. Old Man Thor and the new Thor set out to do justice. The Thor Corps are a police force under the command of their God, Doctor Doom. God Emperor Doom Susan, Franklin, and Valeria von Doom and Sheriff StrangeĮlsewhere, in another world, a gathering of alternate versions of Thor witnessed the ceremony held at Doomgard in which the Thor of Higher Avalon joined their ranks. The rest of the life raft teleported away as the two universes collided and were destroyed. The Invisible Woman tried to reconnect it to the rest of the structure, but failed, and it was destroyed. The Cabal and the Maker were also able to create their own raft, with stolen designs from the original.Īs Earth-616's life raft approached to the central point of the incursion, it suffered a hull breach, causing the portion containing the Richards family to drift away. As the life raft was deployed, Manifold teleported numerous heroes into it: Spider-Man, Star-Lord, Thor, Captain Marvel, and Cyclops, who had recently used a Phoenix Egg to become the Phoenix once more. Fantastic was forced to put the life raft in action. After the vessel transporting the Earth's "resurrection team" was destroyed by the Children, Mr. Once the Triskelion fell, the Maker deployed the Children of Tomorrow to attack. Other powerhouse heroes like Doc Green and She-Hulk arrived to Earth-1610 and stormed the Triskelion. The Iron Man from Earth-1610 deployed the Iron Man Six weapon, but the tide of the battle is turned in favor of the heroes of the Marvel Universe when the Guardians of the Galaxy and Cyclops' Sentinels arrived to help. At the Baxter Building, Mister Fantastic was finishing getting ready the Future Foundation's Life Raft to be used to save a small portion of humanity. Numerous heroes tried to fend off the attackers. The fleet arrived to the incursion point, the Manhattan of Earth-616 and started firing at it. Meanwhile, on Earth-1610, Nick Fury was making the final arrangements for the upcoming and final incursion, and soon after sent all of S.H.I.E.L.D.'s fleet towards Earth-616. They demanded to know who dared stand before them, and Doom presented himself. On one side of the Multiverse, Doctor Doom, Doctor Strange, and the Molecule Man were confronting the Beyonders. Time ran out, and only two realities remained: Earth-616 and Earth-1610. Many groups were involved in the Game of Worlds, including the Illuminati and the Cabal, but in the end, nothing could stop the incursions from ending the Multiverse. ![]() A time-travelling Doctor Doom ("Rabum Alal") and the Molecule Man of Earth-616 tried to thwart their plan by killing Molecule Men early, but this caused a contraction in the Multiverse, resulting in realities began colliding with other realities with their Earths serving as the focal point. Beings from outside the Multiverse known as the Beyonders (the "Ivory Kings") sought to destroy it by creating Molecule Men in every reality to simultaneously destroy all realities. The following is a brief rundown on relevant information from Time Runs Out that is recommended before starting Secret Wars. Time Runs Out is the lead-up to Secret Wars (2015). ![]() Loulie Walker, an event planner for the rich and famous in Manhattan, is also a mix-and-match fan. I walked out of a bag sale with two armfuls of Champagne flutes that I pull out every New Year’s Eve. “Vintage china and silverware is a great idea, and you can get it for pennies. Article contentĪt the table, especially if you’re on a budget, get funky with a mix of vintage from thrift stores or flea markets, Bowen said. This advertisement has not loaded yet, but your article continues below. Birnbaum said ask yourself a few key questions when planning, like who will set the table while you’re finishing off the meal? How much time do you need to shower and dress? Have your help arrive at least several hours in advance. Fresh ingredients will stay that way purchased two days ahead.Īnd don’t forget to designate help. “When I walk around with it all in my head I can’t think, I can’t focus, I can’t sleep.”ĭon’t head off to the market without a list, and plan to shop well in advance, Birnbaum adds. “I feel much better when I write things out,” she said. ![]() Morton has found success breaking to-do lists into categories and prioritizing each task, then syncing the tasks with her electronic calendar. “Preparing a dish that you have never done before will guarantee a less than fun day for you.” “The best way to have fun with your guests and friends is to make the meal doable,” Birnbaum said. Manage Print Subscription / Tax Receiptĭon’t head off to the market without a list. ![]() The purpose of this language isn’t merely to keep players from having to borrow their DM’s Monster Manual in the middle of a battle, nor to assign responsibility for keeping the statistics to any specific party (let alone the already beleaguered Dungeon Master). ![]() This was the first time people really started to understand why the game developers had included certain language in these spells: ‘the DM has the creatures’ statistics’. Even with the two appendices between the Monster Manual and the Player’s Handbook dedicated to compiling a list of suitable creatures for most summoning spells, it still leads to book keeping that most DMs would rather avoid.įortunately, these foibles are surprisingly easy to correct, with several simple options that can encourage creativity and player input.Ī while back, there was a popular strategy among shameless power gamers that went something like this:ġ) Cast the conjure woodland beings spell and summon a bunch of pixies.Ģ) Have the pixies use polymorph to turn the party into some beefy, high-damage beasts such as giant apes or tyrannosaurus rexes. You can’t swing a dead cat at a convention without hitting a Dungeon Master who has, at some point or another, pondered whether they’d rather scour the Monster Manual in the middle of a battle or just put their own head through the nearest wall. Complaints about summoning spells are ubiquitous in the D UNGEONS & D RAGONS community. The delay in the action was so tedious that even Travis Willingham, whose enthusiasm for the game runs so deeply that his Fitbit once reacted to his excited heartbeat during combat, grumbled about being bored. Matthew Mercer, a master of improvisation and all-around fantastic Dungeon Master, who is the primary creative force behind the biggest D&D show in the world, had a scathing indictment for conjuration spells when he had to break up the pace of an encounter to awkwardly read through a bunch of monster stat blocks for his player. The flavour text above really is better than any introduction we could write to the problem. ![]() Matthew Mercer and Sam Riegel, Critical Role, Campaign 1, Episode 49 No conjuration’s great… when you’re not the DM.” “To be fair to Marisha, the spell does say ‘Your DM will have a list of the creatures-’” “I hate conjuration spells, by the way, guys. ![]() GeorgiaĪdded its 80 million person freshman class of Rachel Baumann, Rachael Lukacs, Megan Roberts, Alexa Al-Hameed, Sterlyn Austin, Sami Davis, Mikayla Magee, Alyssa Perez-Legones, and Abbey Ward. Mike Heredia has joined as assistant coach, replacing Chris Brooks. Karley appeared 5 times on vault and once on floor. Torri appeared three times on bars and once on floor in 2018. Torri and Karley Hutchinson are no longer on the roster. Rachel Thompson has taken a redshirt year after missing last season. NebraskaĪdded freshmen Sarah Hargrove, Abby Johnston, and Kaylee Quinn, Megan Thompson, and Adnerys De Jesus. UtahĪdded signed freshmen Hunter Dula, Cammy Hall, Cristal Isa, and Adrienne Randall.Įrika Muhaw is no longer on the roster, having graduated in three years-so she was technically a senior last season even though it was only her third year at Utah. Gracen Standley is no longer on the roster. (Bailey Ferrer is slated to be a January addition.) LSUĪdded freshman walk-on Rebecca D’Antonio. FloridaĪdded signed freshmen Trinity Thomas, Sydney Johnson-Scarpf, Leah Clapper, Savannah Schoenherr, and Nya Reed, and walk-on Halley Taylor.įrancesca Lawal is no longer on the roster. Last season, Thomas had a floor RQS of 9.850 and a bars RQS of 9.820. OklahomaĪdded signed freshmen Olivia Trautman and Allie Stern and walk-on Emma LaPinta.Īdded sophomore transfer Karrie Thomas from Maryland. I’ll note all newcomers, as well as any early or unexpected departures and any applicable coaching changes. This will happen in stages and incompletely-some schools won’t actually know their rosters until the season is almost over (barely kidding), some freshmen won’t arrive until January and will be badly kept secrets until then, some walk-ons will disappear in about 2.5 months-but we do already have some complete rosters to inspect. Late August also means that we’re right in the midst of roster-reveal season. And isn’t that what we’re really here for? (It isn’t.) The actual meets may still be more than four months away, but mandatory-bonding-exercises season is ALIVE AND WELL. ![]() So in case you hadn’t heard, late August is already upon us. majoring in biology with minors in Spanish and psychology.We still have quite some time before we become fully ensnared by anticipation for the NCAA season, but we need this right now. North Carolina state champion on vault and floor in 2018.įull name is Allison Kendall Stern. placed first on floor, second on vault and fifth in the all-around at regionals in 2017. Level 10 gymnast at Perfect Balance Training Center where she trained under coaches Suzie Sanocki and Teshawne Jackson. 11 … tied her career-high 9.875 on vault twice … earned a career-high 9.850 on floor at Iowa State on March 11 … selected as a WCGA Academic All-American. Academic All-Big 12 First Team selection.Ĭompeted in 10 meets for the Sooners … made her collegiate debut against Georgia on Jan. WCGA second-team All-American (vault) … competed on vault in all 11 meets for the Sooners … earned a career-high 9.975 on vault … competed on floor in one meet for the Sooners … selected as a WCGA Academic All-American. Academic All-Big 12 First Team selection. 2) … selected as a WCGA Academic All-American. Big 12 Event Specialist of the Week (Feb. ![]() posted at least a 9.850 on vault in 14 of 16 meets. earned seven scores of 9.900 or higher on vault in 2021. Academic All-Big 12 First Team selection.Ĭompeted on vault in every meet of the season. selected as a WCGA Academic All-American. competed on vault in every meet this season … earned her first career perfect 10 against Alabama (Jan. NCAA first-team All-American (vault) … third-place finish at the NCAA Championships with a 9.9375 on vault. 19 during week 5 … named to Academic All-Big 12 first-team. 22) … scored a 9.900 or higher in six meets, including three-straight scores at that mark to end the season (NCAA Norman Regional Final and NCAA Championships) … ranked in the top 25 nationally on vault for three consecutive weeks of the season (weeks 5-7), including tied for No. 24) … appeared as a vault specialist in 15 out of 16 meets … earned a season-high on vault with a near-perfect 9.975 during the home opener vs. NCAA first-team All-American on vault … earned Big 12 Event Specialist of the Week for second time in career and first in 2023 (Jan. Four-time Academic All-Big 12 first-team selection.2020 WCGA second-team All-American (vault).Third-place finish on vault at the 2022 NCAA Championships.Two-time NCAA first-team All-American (vault). |
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