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![]() The low mortality directly attributed to pelvic injuries should not suggest that these injuries themselves are unimportant. When pelvic injuries are noted on imaging studies, careful attention should be given to determining the presence of other injuries. These are high-energy injuries that frequently coexist with severe injuries to the head, chest, abdomen, spine, and extremities. However, only about 0.8% of deaths are directly attributed to pelvic injuries. Mortality in patients with pelvic fractures is high-13.5% in adults in one large study. Aortic rupture was seven times more common in patients with pelvic fracture than in those without, although still rare (1.4%, compared with 0.2%). In severe pelvic fractures (defined by an Abbreviated Injury Scale score ≥4), intrabdominal injuries rose in frequency to 30.7% of patients, and the bladder and urethra were most commonly injured, in 14.6% of patients. In patients with pelvic fractures, 16.5% had associated abdominal injuries, including liver (6.1%), bladder and urethra (5.8%), spleen (5.2%), diaphragm (2.1%), and small bowel (2%). How Common Are Pelvic Injuries? What Injuries Are Associated With Pelvic Trauma?Īn 8-year retrospective review of the trauma registry at the Los Angeles County and University of Southern California trauma center found that 9.3% of 16,630 adult admissions sustained some type of pelvic fracture. What is the role of interventional radiology and angiographic embolization? What special imaging tests should be considered for pelvic fractures? What associated injuries must be suspected and evaluated when pelvic fractures are detected? If CT is used in the setting of major trauma, why is MRI called upon for minor mechanisms of injury? Why is MRI recommended for some injuries and CT for others? If CT is planned for evaluation of other abdominal and pelvic soft-tissue injuries, is x-ray needed? If so, in which patients? When pelvic x-ray is normal, who needs CT? How should x-ray and CT of the pelvis be interpreted? What are the techniques for pelvic x-ray and CT? What injuries are associated with pelvic trauma? Along the way, we consider a number of critical clinical questions: Because fractures of the proximal femur are often clinically indistinguishable from fractures of the pelvis, we illustrate these injuries here, with more discussion in the chapters on extremity injuries ( Chapter 14 ) and musculoskeletal magnetic resonance imaging (MRI, Chapter 15 ). We also discuss high-risk pelvic bony injuries associated with soft-tissue and vascular injuries-which are examined in detail in related chapters on genitourinary imaging ( Chapter 12 ), abdominal trauma ( Chapter 10 ), and interventional radiology ( Chapter 16 ). In this chapter, we review a systematic approach to interpretation of the standard pelvis x-ray, correlating abnormalities with computed tomography (CT) findings. Imaging of the pelvis can be required following minor or major trauma and for nontraumatic painful conditions. ![]() ![]() ![]() I know pain the rear, but to install everything properly you need to install everything in release order. ![]() The next thing we need to do is uninstall the game. This will protect your saved games, CC, mods and allow you to uninstall and reinstall everything safely without fear of losing your progress so far. Anyway, if anyone can help, id really appreciate so the first thing to do is to move your Sims 2 folder (found Documents > EA Games > Sims 2) to your Desktop. I know its a long shot that anyone knows what the issue is and how to solve it, but if anyone could help I would be so grateful as the Sims 2 is one of my all time favourite games and Freetime in my opinion is the best expansion and its so annoying that its the only one I cant play. I don't know if maybe it can still run but there is a conflict somewhere in the files that is saying it can't run because of the stuff pack (which I did uninstall aswell, but whatever it did to my PC has lingered as Freetime still wont run), but I don't want to risk reinstalling Freetime unless there is a known solution as I don't want to lose all of my families and towns and have to start from scratch again. It would say I didn't have the nessicary PC requirements to run it, even though I know I do as It was working before I installed the stuff pack. I unistalled all the expansions packs, and reinstalled them and saw they all worked, until I tried installing Freetime. Everything was working before that point, but when I installed the stuff pack, suddenly Freetime no longer worked on my PC. That is until I installed the Ikea stuff pack. The game runs fine, with no issues coming from my PC running windows 10. I have all of the disc copies for the Sims 2 games and expansions (excluding Apartment life, which I do own but I can not find at the present time) and I had them all installed on my PC. I don't know if anyone will be able to help as I know Sims 2 is an older game, but I figured here would be the best bet to try and ask if there was a solution to the issue i'm having.
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![]() ![]() menthol, Tabasco, etc.) Y N ? GR YLW RD GR YLW RD Choking Y N ? GR YLW RD GR YLW RD Clothespins Y N ? GR YLW RD GR YLW RD CBT (cock and ball torture) Y N ? GR YLW RD GR YLW RD Shy Kink Compatibility Checklist Cock ring Y N ? GR YLW RD GR YLW RD Collar Y N ? GR YLW RD GR YLW RD Cross-dressing Y N ? GR YLW RD GR YLW RD Cuddling Y N ? GR YLW RD GR YLW RD Denial Y N ? GR YLW RD GR YLW RD Dildo Training Y N ? GR YLW RD GR YLW RD Discipline Y N ? GR YLW RD GR YLW RD Domestic Servitude Y N ? GR YLW RD GR YLW RD Double Penetration Y N ? GR YLW RD GR YLW RD Electrical Play (TENS, ErosTek, wand) Y N ? GR YLW RD GR YLW RD Enemas Y N ? GR YLW RD GR YLW RD Equine Play (a.k.a. Activity Tried Before? Interest Level (giving) Interest Level (receiving) Age Play Y N ? GR YLW RD GR YLW RD Anal Play Y N ? GR YLW RD GR YLW RD Analingus Y N ? GR YLW RD GR YLW RD Anal Sex Y N ? GR YLW RD GR YLW RD Ball Busting Y N ? GR YLW RD GR YLW RD Begging Y N ? GR YLW RD GR YLW RD Belting Y N ? 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Kink Compatibility Checklist Interest Level Rating Scale RED = Hard limit, absolutely not. ![]() ![]() Circle a GR (Green), YLW (Yellow), or RD (Red) Interest Level for each activity that you are interested, open to, or not interested in receiving from your partner. Circle a GR (Green), YLW (Yellow), or RD (Red) Interest Level for each activity that are you interested, open to, or not interested in giving or doing to your partner. If you are not sure what it is, circle the question mark. If you have tried the activity listed before, circle Y for Yes. Next to each activity listed is: Tried Before?, Interest Level (Giving), Interest Level (Receiving), and Shy. Both partners are encouraged to fill it out separately. This checklist can be completed by the Dominant/Top, submissive/bottom, or switch. Decide what each one means for you and answer accordingly. Remember that it's okay for your answers to change or be flexible and that you might be interested in some things at certain times and not at others. What would you like to try, feel, and have done to you? Consider new ideas and possibilities. Take your time and answer as honestly as you can. It's not about what your partner or anyone else wants at this point, it's all about what you want. It is important to have clarity on your wants, needs, and desires. Find a quiet, comfortable, non-rushed place to fill out this checklist your own. You have nothing to lose and a world of pleasure to gain! By exploring, sharing, and negotiating this list with your partner, you can discover what you will, won't, and might do together. Some things might be better staying a fantasy or never trying at all-This is all about you and your sexual needs, desires, and curiosities! Have fun going through the list and be open, honest, and true to yourself. Remember that you never have to do or try anything that you don't want to do. Think about what you like or what you might be open to try and leave the rest. Some activities might seem extreme or shocking which is a normal reaction. You may not know what some of them are and that's okay. Are you ready to take your relationship and your sexual ecstasy to the next level? Following is a list of possible BDSM activities presenting a world of kinky possibilities. Kink Compatibility Checklist The more you know about your intimate needs and curiosities, the safer, hotter, and more exciting your playtime will be! Once your desires are matched up with your partner's interests and fantasies, your play time in the bedroom will never be the same again. ![]() ![]() ![]() The same applies to the 7 data recovery tool. 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![]() ![]() There are different Classes (Types) of meter – Class 1 (Type 1) is more precise with the measurements than Class 2 (Type 2) because of the microphones used – but both will meet international standards for noise measurement and be accurate. The meters will quickly take measurements of noise level and allow the user to identify sources or situations where noise might be an issue either for occupational (noise at work) reasons, for environmental pollution or for noisy neighbour disputes. Pulsar Instruments manufactures a range of SPL metersof high quality in line with these standards. ![]() An SPL Meter is generally handheld, mobile and lightweight, and is manufactured in line with international standards such as IEC 61672. Sound enters the meter through a microphone, and then the meter evaluates the sound values by converting them into electrical information and the measurement values in decibels are displayed. It is measured with a Sound Pressure Level Meter, such as the Pulsar Nova. The unit measure of SPL is decibels (dB). Or, in other words is the ratio of the absolute sound pressure against a reference level of sound in the air. It is equal to 20 x the Log 10 of the ratio of the Root Mean Square (RMS) of sound pressure to the reference of sound pressure (the reference sound pressure in air is 2 x 10-5 N/m2, or 0,00002 Pa). Sound pressure level (SPL) is the pressure level of a sound, measured in decibels (dB). The unit of pressure measurement is pascal (Pa) Note: The term ‘sound pressure’ may be proceeded by other noise measurement terms such as ‘instantaneous’, ‘maximum’, and ‘peak’ (e.g. Sound pressure (p) is the average variation in atmospheric pressure caused by the sound. To understand what SPL is we must first understand what ‘Sound Pressure’ is. This is defined as Sound Pressure Level (SPL) and is quite a complex thing to get to grips with. The sound level (on a basic level – how loud something is) can be perceived differently by different people so we need to have a means to get an objective measurement of sound level expressed in numerical terms. ![]() ![]() Money Management Template - Record transactions to automatically populate the budget vs.If you add or remove any categories, just make sure that the formulas used for the totals don't get messed up. If your Net is negative, that means you have overspent your monthly budget.Īdding or Removing categories: The household budget template contains a very detailed list of categories, which you may or may not need. The Monthly Budget Summary table totals up all your income and expenses and calculates the Net as Income minus Expenses. If you spend more than you budgeted, the Difference between the Projected and Actual values will be negative, and if your Actual income is less than your Projected income, the Difference will be a negative number. In this spreadsheet, the calculations are set up so that negative numbers are bad. The cells in the "Difference" column use conditional formatting to make negative numbers red. At the end of the month, you record in the "Actual" column how much you really spent during the month. ![]() This represents your goal - you're trying to keep from spending more than this amount. You record your desired budget for each category in the "Budget" column. The purpose of this worksheet is to help you compare your monthly budget with your actual income and expenses. You may also want to read the article " How to Budget". ![]() Our article " How to Make a Budget" explains how to use these spreadsheets to create your budget. ![]() You'll want to replace the values in the Home Expenses category with your own. 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