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Mini Dragon Group (ages 6-7)

Публічна·37 учасників

Waves Complete 9.6 (WIN MaC) LINK

SoundGrid Studio can assign and patch the following hardware and software devices: Up to 8 hardware I/O devices, each with up to 128 I/Os (depending on model). Click here for the complete list of SoundGrid-compatible I/O devices. Up to 8 software I/O devices. Computers using a SoundGrid ASIO/Core Audio driver can be configured for up to 128 I/Os. 1* SoundGrid DSP server (internal or external). Up to 4* Control Protocols (* will be added later)

Waves Complete 9.6 (WIN MaC)

The waves plugins (like a lot of other manufacturers) are having trouble with Rosetta 2 on the M1 Macs so the M1 based Macs are not translating the Intel based plugs properly which is why they don't work. Waves are working on M1 native code which makes sense. If a piece of code is not working on Rosetta 2 I suppose it makes more sense to spend the time writing native code than it does to try and tweak existing code. It might take a few months though.

In addition to brew uninstall postgres, should I remove any of the following files/directories manually? Keep in mind I want to completely wipe the slate clean, no data files/database tables or anything.

Background: COVID 19 pandemic caused by severe acute respiratory syndrome coronavirus -2 has proven to be the deadliest pandemic till date. Multiple covid waves have hit people hard on each part of the continent throughout the world. The second wave in India turned out to be highly infectious and virulent. Sudden surge in cases of mucormycosis after recovery of COVID surprised many clinician. Mucormycosis being a rapidly progressive and fulminant fungal infection required surgical debridement of necrotic tissue on emergency basis. The fatal combination of immunocompromised status, multisystemic involvement, and difficult airway in these patients pose numerous new challenges regarding anesthetic management. The present study was conducted to outline major concerns and the anesthetic management of patients undergoing surgical resection for rhinoorbital mucormycosis (ROM). Materials and Methods: A retrospective observational study was conducted in our institute for a duration of 2 months (June and July 2021). The data of all the cases posted for ROM was collected from the ENT and Anesthesia record register. Total 70 patients presented with mucormycosis, for surgical debridement out of which 25 patients were posted for surgery under general anesthesia or monitored anesthesia care (MAC). Demographic characteristics, comorbidities, duration of COVID illness, treatment taken during COVID (oxygen therapy/steroid intake), hemodynamic parameters, monitoring methods, and surgical procedures were recorded for each patient. Statistical Evaluation: SPSS version 21.0 was used for data analysis. Mean and SD were used to analyze the difference in mean values, and independent Student's t-test were utilized to compare the quantitative variables. Frequency distribution and percentage were used for qualitative parameters. Significant difference was accepted at P [less-than or equal to] 0.05 with 95% CI (confidence interval) in the study. Results: Demographic data were comparable with respect to age, gender distribution, and ASA status. Mean duration of Covid illness was (12.18 [+ or -] 3.68) days. The mean HbA1C measured was (10.8 [+ or -] 1.42). Strong correlation was found between steroid intake and raised HbA1c in all patients (r = 0.77). Regarding the comorbidities, 24 (96%) patients had associated type 2 diabetes mellitus, 16 patients (64%) had pneumonitis, and 1 patient had pulmonary TB and hepatitis. Conclusion: Considering the perioperative risk associated with high HbA1C and pneumonitis, MAC was preferred in majority of cases. Strict hemodynamic monitoring, perioperative glucose control, difficult airway cart, metabolic and electrolyte balance and vigilant peri-operative monitoring are cornerstone for better outcome and short length of hospital stay.

Acute overdose with Remifentanil Hydrochloride for injection can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, and, in some cases, pulmonary edema, bradycardia, hypotension, partial or complete airway obstruction, atypical snoring, and death. Marked mydriasis rather than miosis may be seen with hypoxia in overdose situations [see Clinical Pharmacology (12.2)].

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  • Fred Bryan
    Fred Bryan
  • Андрей Махнатий
    Андрей Махнатий
  • Viego
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