![]() ![]() Although this fixed frame projector screen might not seem fancy, it proves there’s no need to spend thousands of dollars for good performance. It’s claimed 1.1 gain puts it in the ideal range for typical viewing conditions with a modern projector while the wide viewing angle makes for easy setup. The screen has an even texture and excellent color accuracy with only a slight blue tint. With a good projector, the image quality is excellent before even considering price. The screen is quick and easy to assemble, and comes in multiple sizes most are native 16:9, but some larger sizes are also available in 2.35:1 aspect ratios. This 100 inch projector screen from Silver Ticket offers picture quality comparable to substantially more expensive models at a budget-friendly price. However, if you’re not a perfectionist with an unlimited bank balance, we think the Silver Ticket is a better buy. If your budget allows, it’s one of the best permanent mount screens for any home. It’s hard to fault this projector screen, other than the high price tag. The ezFrame has a transparent screen, designed for use with a hidden speaker or a rear-speaker, as the screen’s fabric allows for more sound to come through, creating a more realistic theater experience. Of course, a good movie is about visuals as well as audio, and the ezFrame delivers when it comes to sound as well. When it comes to design, a black velvet frame around the mount gives it an upscale and glamorous look. When watching films, the color reproduction is accurate and vibrant, thanks to the white matte surface of the screen. The ezFrame is easy to set up in minutes, with a toolkit conveniently included. It’s one of the best overall choices, for good reason-the Elite Screens 135-Inch ezFrame has a huge screen and a 16:9 widescreen ratio for that full move experience. (Most of the screens we found had claimed a 1.1 gain, but these numbers are often embellished by the manufacturer, hence the testing.) A variety of content was viewed on each screen to look for sparkles, hot spots, texture, or other issues. Using a spectrometer and a colorimeter I measured the images off the lens, then off the screen, to see how much of a color shift each screen introduced, and to calculate the gain. I used an Epson 5020UBe projector combined with a Lumagen Radiance 2021 video processor to make the projected image as close to reference accurate as possible. To test the contenders, every screen was built and tested in my home theater room. Some projector screens require a frame assembly, but others can be attached to the ceiling and quickly lowered for use. Once you’re ready to watch, setup should be as easy as possible. Setup: Unlike TVs, projector screens can be rolled up or folded and tucked away when not in use.Check your projector’s maximum projection size, and measure your room to figure out what’s best. Projector screens typically range from about 100 inches to 150 inches, with most users going for 100-inch or 120-inch screens. Size: Part of the fun with projectors is the massive viewing size.However, if the audience in your home theater is usually small and/or your room is deep and narrow, a narrower viewing angle is fine and usually accompanies better image quality. Viewing Angle: If you want a large audience to enjoy your projector screen, you’ll need one with a wide viewing angle (perhaps around 160 to 180 degrees).Some high-end projectors boast higher gain (maybe 1.5) while maintaining correct colors, but this higher gain can lessen the screen’s viewing angle (see below). For most purposes, a gain of about 1.1 is optimal, as this maintains dark blacks while providing a bright image. Brightness: A projector screen’s ability to reflect light is measured in gain.
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![]() On April 1, 2017, the company embarked on Nissan M.O.V.E. In fiscal year 2017, the company sold 5.77 million vehicles globally, generating revenue of 11.9 trillion yen. Nissan is a global full-line vehicle manufacturer that sells more than 60 models under the Nissan, INFINITI and Datsun brands. More information on Nissan in North America and the complete line of Nissan and INFINITI vehicles can be found online at or visit the U.S. Environmental Protection Agency as an ENERGY STAR ® Partner of the Year since 2010. Nissan is dedicated to improving the environment under the Nissan Green Program and has been recognized annually by the U.S. In North America, Nissan's operations include automotive styling, engineering, consumer and corporate financing, sales and marketing, distribution and manufacturing. Nissan NV Passenger S and SV grades are also available with a 4.0-liter 24-valve DOHC aluminum-alloy V6 rated at 261 horsepower and 281 lb-ft of torque, with a 5-speed automatic transmission.įour more information on the 2020 Nissan NV Cargo Van and Nissan NV Passenger Van, please go to About Nissan North America The NV3500 HD Passenger Van is available with Nissan's advanced 5.6-liter Endurance ® V8 gasoline engine rated at best-in-class 3 375 horsepower and 387 lb-ft of torque, matched with a heavy-duty 7-speed automatic transmission. ![]() Manufacturer's Suggested Retail Prices 1 (MSRP) for the 2020 Nissan NV Passenger Van: The 2020 Nissan NV Passenger Van features standard roof-mounted curtain supplemental air bags with rollover sensors for side-impact and rollover head protection for all outboard passengers, and standard headrests and integrated seat belts for all rear seating positions. The 50/50-split 4th row seat can be partially or completely removed as needed. The split 2nd and 3rd row seats are completely removable and repositionable. At the heart of the NV Passenger is its outstanding seating flexibility – featuring 4-row/12-person seating capacity with up to 324 possible seat configurations. The Nissan NV Passenger Van is rugged outside and completely passenger-focused inside – offering a balance between functionality and comfort that sets the benchmark in class. Manufacturer's Suggested Retail Prices 1 (MSRP) for the 2020 Nissan NV Cargo High Roof models: ![]() Manufacturer's Suggested Retail Prices 1 (MSRP) for the 2020 Nissan NV Cargo Standard Roof models: Powering the rear-wheel drive Nissan NV Cargo is a choice of two powerful yet fuel-efficient engines – a 4.0-liter V6 and 5.6-liter V8. The 2020 Nissan NV Cargo is available in three models: NV1500, NV2500 HD and NV3500 HD, and in two roof configurations – Standard Roof and High Roof. Both models are also offered with a fuel-efficient 261-horsepower 4.0-liter V6 with 5-speed automatic transmission.Īll 2020 NV Cargo and NV Passenger models come with America's Best Commercial Van Warranty 4 – featuring bumper-to-bumper limited warranty coverage of 5 years/100,000 miles, whichever comes first. ![]() The NV 3500 Passenger S (with 4.0-liter V6) has a starting MSRP of $36,110 1.īoth the NV Cargo and NV Passenger are available with a 375-horsepower 5.6-liter Endurance ® V8 gasoline engine with a heavy-duty 7-speed automatic transmission – providing best-in-class 3 horsepower and torque. The NV Cargo is the only available High Roof model with rugged body-on-frame construction in the segment 2. The NV Cargo has a starting MSRP of $29,890 1 (NV 1500 Cargo Standard Roof S with 4.0-liter V6). Both models are available now at select Nissan Commercial Vehicle dealers nationwide. pricing for the 2020 Nissan NV Cargo van and 2020 Nissan NV Passenger van. ![]() You can install multiple programs into a bottle, but generally, CrossOver creates a new bottle for each application. ![]() A bottle is a virtual Windows environment (e.g., Windows XP or Windows 10) with its own C: drive, fonts, registry, and software. To complete the Enter Activation Code form you will need to enter either your existing account information, or your email address and a new password to create a account.ĬrossOver installs Windows applications into bottles. However, if you bought CrossOver from a third party and received an activation code, click Enter an Activation Code on the CrossOver Trial dialog box. However, if you bought CrossOver from a third party and received an activation code, click Enter an Activation Code on the Unlock CrossOver dialog box. If you purchased CrossOver from, an activation code is not needed to register. To open the Unlock CrossOver dialog for a user-level install, use the following command: $ sudo -H ~/CrossOver.app/Contents/SharedSupport/CrossOver/bin/cxregister To open the Unlock CrossOver dialog for a system-level install, use the following command: $ sudo -H /Applications/CrossOver.app/Contents/SharedSupport/CrossOver/bin/cxregister You can unlock CrossOver by going to the CrossOver main menu and selecting Unlock CrossOver.Įnter the email address and password associated with your account in the Unlock CrossOver dialog box and click Unlock. Note: If unlocking for all users, you need your Mac username and password. Unlocking with Email and PasswordĪfter startup, you can unlock CrossOver by going to CrossOver > Unlock CrossOver.Įnter the email address and password associated with your account in the CrossOver Trial dialog box and click Unlock. If you have already purchased CrossOver, click Unlock with Purchase Info. If you have already purchased CrossOver, click Register.Ĭlicking Buy opens the CodeWeavers store. CrossOver periodically prompts you to register before the trial period ends.Ĭlicking Buy Now opens the CodeWeavers store. However, after 14 days, installed Windows applications are disabled. The CrossOver trial has all the functionality of the full version. To continue using CrossOver in trial mode, click Try Now. If you haven’t registered CrossOver it will start in trial mode. However, CrossOver is only available to all users on a machine when installed in the Applications folder. Note: You can also drag and drop CrossOver to install it anywhere on your system. ![]() Our recommendation is to move to Applications. If you don't want to see this prompt in the future, check Don't ask again. When prompted, select Move to Applications Folder to install in Applications, or select Do Not Move to keep CrossOver in the current folder. (3) Double-click to extract the zip file. (2) Locate the file in Finder (usually in your Downloads folder). (1) Download the CrossOver installer from the CodeWeavers website. Note: To ensure your macOS is compatible with CrossOver, consult the table near the bottom of our CrossOver page. Intel or Apple Silicon (M1 or newer) based Mac running macOS 10.13 or laterġ GB disk space (additional space required for Windows applications) Because CrossOver integrates the applications with macOS, games like Grand Theft Auto V, Elder Scrolls V: Skyrim Special Edition, and The Witcher 3: The Wild Hunt, or productivity apps like Quicken launch like any native program. CrossOver allows you to run Windows software on your Mac. ![]() ![]() ![]() The world’s leading financial app for smartphones and mini tablets delivers real-time, streaming quotes for all financial instruments including Stocks, ETFs, Bonds, Commodities, Forex, Indices, Futures and Bitcoin. Our live Economic Calendar ensures you’re immediately in the know about announcements and events that move the markets.īuild and customize your own portfolio to track your positions. Use our cutting edge technical analysis, live charts, breaking news and opinion & analysis. ’s Android app is a one-stop-shop for traders and investors. ■ Real Time – Live quotes for over 40,000 financial instruments, traded on over 70 global exchanges. ■ Economic Calendar – Global economic events with results in real time. ■ Live Charts – Track price movements for financial instruments. ■ Portfolio – Build your own customized portfolio as a personal tracker to monitor your favorite financial instruments. FastDownload offers some of the best and most popular Windows 10 games. Our game collection is updated daily with new games that are compatible with your Windows 10 PC, so you will never run out of a new free game to play! They're all free so you can download them right away and enjoy playing hours of exciting gameplay. With no ads, viruses, or in-game purchases, our Windows games make sure that you get the most out of your gaming experience and performance. We are different from other game platforms like Windows Store, Epic Games, Riot Games, Xbox app, Google Play, because we offer completely free PC game(s) that you can just download and play whenever you want to. Whether you love a card game like Microsoft Solitaire Collection, shooter game like Battle Royale, action game like Genshin Impact, or racing game like Forza Motorsport and Rocket League, you'll find a Windows game that suits your game mode and keeps you entertained at FastDownload! Fall Guys, a game that defined the early days of the pandemic lockdown, went free-to-play around two years after its initial launch. Downloading Microsoft Games for Windows - LIVE 3.5.56.0. If you havent played Microsoft Golf 3.0 or want to try this sports video game, download it now for free Published in 1996 by Microsoft Corporation. You can play over 1000 free PC games for your Windows PC. Microsoft Games for Windows - LIVE was an online gaming service for Windowsbranded PC titles that. Black and white video clips are supported.This is an amazing opportunity for avid and casual gamers to discover some of the most engaging titles by playing them for free. ![]() No more worrying about blurry downloaded videos!.Enhance all kinds of videos downloaded from the Internet, such as Tiktok and Youtube.The resolution of the enhanced video is up to 4K!.Improve the pixels, restore color and line details.Suitable for your idol’s live-streaming screen records!.Add more facial details, such as eyelashes and hair can also be restored.Enhance selfie videos to better quality.Whether you want to enhance your selfies, anime, 2D and 3D cartoons, black and white movies, or even all the videos downloaded from Tiktok and Youtube, HiQuality can help you to improve the resolution into HD videos by using the most advanced Al algorithm. With just one tap, you can make all the videos clearer, and the resolution can be up to 4K. The most professional video quality enhancer in the market. ![]() Keep track of your income and expense, schedule your bills, stay in line with your budget and finally know where all your money goes thanks to beautiful charts. ICompta is an application that lets you manage your accounts with ease. If you have any queries or facing any issues while installing Emulators or iCompta 6 for Windows, do let us know through comments. We are concluding this article on iCompta 6 Download for PC with this. You can follow any of these methods to get iCompta 6 for PC Windows 11 or Windows 10. Both the mentioned emulators are popular to use Apps on PC. We have listed down two of the best methods to Install iCompta 6 on PC Windows laptop. ICompta 6 has got enormous popularity with it’s simple yet effective interface. The links are provided in step one and choose Bluestacks 4 for MacOS. All you need to do is install the Bluestacks Application Emulator on your Macintosh. The steps to use iCompta 6 for Mac are exactly like the ones for Windows OS above. You can use the the same way you use it on your Android or iOS smartphones. Now you can just double click on the icon in bluestacks and start using iCompta 6 on your laptop. You can find the under list of installed apps in Bluestacks. Step 6: Once you click on the Install button, iCompta 6 will be installed automatically on Bluestacks. ![]() In our case search for iCompta 6 to install on PC. Step 5: Now search for the you want to install on your PC.On the home screen, find Playstore and double click on the icon to open it. Step 4: Google play store comes pre-installed in Bluestacks.Once it is opened, you should be able to see the Home screen of Bluestacks. Step 3: It may take some time to load the Bluestacks app initially.After successful installation, open Bluestacks emulator. Step 2: Installation procedure is quite simple and straight-forward.JavaScript has been disabled on your browserenable JS. Step 1: Download the Bluestacks software from the below link, if you haven’t installed it earlier – Download Bluestacks for PC Avatar: Frontiers of Pandora - Title Update 1.02.Let’s start our step by step installation guide. We are going to use Bluestacks in this method to Download and Install iCompta 6 for PC Windows 11/10/8/7 Laptop. Bluestacks software is even available for Mac OS as well. Method 2: iCompta 6 for PC Windows 11/10/8/7 or Mac using BlueStacksīluestacks is one of the coolest and widely used Emulator to run Android applications on your Windows PC. As it is designed for Gaming purposes, you can play high-end games like PUBG, Mini Militia, Temple Run, etc. It is very lightweight compared to Bluestacks. NoxPlayer is simple and easy to use application. Step 4: Upon successful installation, you can find iCompta 6 on the home screen of NoxPlayer.Find the official from developer and click on the Install button. Step 3: Now search for iCompta 6 on Google playstore.Step 2: Once the emulator is installed, just open it and find Google Playstore icon on the home screen of NoxPlayer.Open the official website and download the software. Here is the Download link for you – NoxPlayer Website. Step 1: Download and Install NoxPlayer on your PC.Now we will see how to Download iCompta 6 for PC Windows 11 or 10 or 8 or 7 laptop using NoxPlayer. It is super flexible, fast and exclusively designed for gaming purposes. NoxPlayer is Android emulator which is gaining a lot of attention in recent times. Method 1: iCompta 6 Download for PC Windows 11/10/8/7 using NoxPlayer Here we will show you how to install and use the two emulators above to run Android and iOS applications on Windows and MAC computers. Keep track of your income and expense, schedule your bills, stay in line with your budget and finally know where all your money goes thanks to beautiful charts.Currently, the demand for using applications for Android and iOS on computers is great, so there have been many emulators born to help users run those applications on their computers, outstanding above all Bluestacks and NoxPlayer. Free Download iCompta 6.1.10 | Multilingual Free Download | macOS | 25 mb ![]() Software description provided by the publisher. Pinball FX3 is home to the most exciting pinball library, with tables based on the biggest brands in entertainment including Aliens™,Family Guy, TellTale's The Walking Dead, Portal® and more! Zen Studios will continue to support Pinball FX3 with frequent content releases and new features! ![]() This content requires the base game Pinball FX on Steam in order to play. All tables feature challenging new game modes, table upgrades and power-ups, unlockable bonus items and more! View update history Read related news Find Community Groups.All tables have received graphics updates including real-time lighting and shadow projection.The game Pinball FX is already released on PC, PlayStation 4, PlayStation 5, Xbox One, Xbox Series X and Switch in the USA and UK. Not so hot with the flippers? Pinball FX3 features new single player modes that will help you become a better player! Switch 4 Months Ago JPinball FX Release Date.Multiplayer matchups, user generated tournaments and league play create endless opportunity for pinball competition. The Pinball Pass will release on February 16 with the launch and. Cross-commerce functionality will arrive at a date after launch. Pinball FX3 is the BIGGEST, most COMMUNITY focused pinball game ever created. As we have previously announced, Pinball Pass is designed to be the connective tissue across platforms, allowing players the ability to play Pinball FX on any platform of their choice as part of the subscription. Our brand new pinball platform, Pinball FX, will be available on Xbox Series X/S, PS5. Williams™ Pinball classics are now available - and Fish Tales™ is yours for FREE! Zen is proud to bring these amazing games to players around the world. In the lead-up to Pinball FXs release, Zen will also reveal original tables featuring brand-new IPs. ![]() ![]() ![]() Or, rather, a few people who I know are starting to help, and I want to keep it small for now since Iâve never done this before. I posted this because Iâd like to have people help me with the app â but Iâm not ready yet. I published the first draft of Evergreenâs Coding Guidelines yesterday. My default position now is: if a format or API or syncing service makes sense for a feed reader, then Iâll (at least try to) support it. Thatâs just for starters: I also decided to look into everything else and see what makes sense to support. I may have a difference of opinion when it comes to feeds, but who the hell cares when thereâs so much good stuff to do? (Theyâre not holding my opinion against me why should I hold theirs against them?)Īnd so I decided to support the h-feed format in Evergreen (hopefully in 1.0). It took me a while, but I realized that I was acting like a Clinton or Sanders supporter still arguing with the other side about the 2016 primaries â after losing the general election to a monster, after the point where those small differences matter at all.Īnd then I started to get excited about IndieWeb. In the last couple years Iâve been chatting with Manton Reece, Micro.blog creator, a bit â and Manton agrees with me about feeds.īut Manton also works with IndieWeb, and has mentioned any number of good ideas they have that I should look into. (Iâm telling you about this so you can learn from my mistake.) Fast-forward Hereâs the thing, though: that was me being a total jerk. And, while I understand the elegance of microformats, side feeds have critical advantages that microformat-feeds donât. Feeds have been and remain tremendously successful â see podcasting, for one thing â and the way forward is to build on that success. ![]() I took it personally, since Iâd spent much of my career working with feeds, and I took this as a suggestion that my career was all wrong and they wouldnât be interested in someone like me, someone who would be an ally in their committment to the open web. I donât know which thought occurred to me first: The argument (I think I hope Iâm not misrepresenting anyone) was that microformats are simpler than mantaining a separate file. Their idea was that the data a reader might collect should be encoded in the page itself, using microformats. When IndieWeb started, some years back, the first thing I noticed was that they appeared to be against the idea of feeds â or, at least, what they called side feeds: RSS and similar. I wonder if more and more companies will find value in having a podcast too. (Though, of course, people can decline: itâs not required!)Īnyway: there was a time before companies had blogs, and now they have blogs. And itâs small enough to still be intimate â my goal is to eventually interview every single person who works here. It may be that Omniâs size is somewhat unique in the Mac and iOS world: itâs big enough that we wonât run out of people to interview and topics to talk about, which could be tricky for a 5- or 10-person company. And there are much larger companies (such as Microsoft) who create videos and podcasts. There is the Supertop Podcast from our friends who make Castro. Iâve been wondering if other companies in our world are doing similar podcasts. You can subscribe to the podcast or just listen to this episode â thereâs a player on the page. There will be new releases of OmniOutliner, OmniPlan, and OmniGraffle â plus a whole bunch of great stuff for OmniFocus 3.0 for Mac and iOS, including tags, JavaScript scripting, and OmniFocus for the web. Check out episode #7 (I wish we had called it 007) where Ken Case talks about all the good stuff coming up in 2018. ![]() I just finished creating my first All-in-one digital life planner and I’m excited to finally be able to share it with you all. This newfound interest in digital planning has motivated me to start creating and sharing more digital planner freebies on the blog and add fun digital planner products in my shop and on Etsy. Once you’ve tried it, it’s hard to not see the appeal. I’ve also discovered that digital planning has many other benefits that I will detail in this article. You can pretty much change and adapt everything to your needs and preferences. Even though I still love having a paper planner, notebooks, and cute stationery, I gave digital planning a try and fell in love with how flexible and customizable it is. More and more people have turned to digital planning recently. The world keeps evolving and so does the world of planning. I also offer big packs of printable planner inserts, lettering workbooks, and printable planner stickers in my shop and on Etsy. ![]() If you’ve been here a while you know that I’ve been sharing many planner printables for several years. You can also add pictures, digital stickers, draw, or type in it with the font of your choice… Digital planning is a fun & flexible way to customize your planner without using any physical products (that makes it economical & ecological, yay). Instead of writing with a pen and adding physical stickers in a paper planner, you’ll be writing with a stylus (such as the Apple Pencil) on a tablet or iPad. ![]() What is a digital planner / digital notebook?Ī digital planner or digital notebook is a PDF file that contains hyperlinked tabs and/or buttons to help you go from page to page easily. For more information, see my disclosures here.) This digital notebook works with iPads or Android tablets in note-taking apps such as Goodnotes (the one I use and recommend) and Notability (or others). This free digital notebook will help you discover, on a smaller scale, the concept and benefits of digital planning and decide for yourself if this might be something you want to invest in or if you’d rather stick to paper planners exclusively. Today I’m very excited to share with you a free digital notebook with 6 hyperlinked tabs. ![]() ![]() Microsoft SQL Server is the pioneering tech company's take on database management. Keep in mind that OS support may also vary depending on the MySQL edition you get. Apart from these, Oracle Linux, Red Hat, CentOS, Oracle Solaris, Canonical Ubuntu, SUSE, Debian, and FreeBSD users may also experience Oracle's database management software. You may also run this program on macOS 1.14 and macOS 10.13. Its current version is compatible with Windows 10. MySQL supports several platforms including Windows and Microsoft Windows Server. Those who are signed up for the Enterprise MySQL edition, a 24/7 support is available for faster assistance. There are also courses available online that offer to teach you how to use the software efficiently. Concurrently, the application's official website also has its digital manual available to the public. ![]() You can even Google topics related to the program and find your answers through forums and blog posts. It's not difficult to seek help from their community page. Since MySQL has been in the business since 1995, it has developed a pretty solid community with a mix of tech experts and rookies. Yes, it comes with a steep price, but you're actually saving more money especially when you compare it to its competitors who offer the same service at a higher cost. InnoDB Cluster saves you from relying on external tools, scripts, etc by delivering an integrated, native, HA solution for your database. Reduce the risk of data loss by delivering online backups of your database through Enterprise Backup. It includes the most comprehensive set of advanced features, management tools, and technical support. If you're looking to improve your database management for your business, MySQL Enterprise edition is for you. All these you can get and more for absolutely no cost! Utilize the MySQL Workbench for visual modeling, SQL development, and administration. You can also access the Transactional Data Dictionary for improved reliability. It includes support for SQL and NoSQL, MySQL replication, group replication, InnoDB Cluster, Partitioning, and Router. You can download it for free on the official website under the GPL license and is supported by a community of open source developers. MySQL Community Edition is the best option for small businesses and freelance developers. Furthermore, it supports highly complex and advanced SQL queries. The MySQL query syntax is easier to learn in comparison to other database management software. It provides adapters to integration to almost all types of programming languages. Installation requirements are minimal that you can use it on Windows and Linux with few resources without any problem. Many of its users happily report that this program has helped them develop various systems from content managers to web applications.Īsk any MySQL user and they can easily tell you that it's simple and easy to install. MySQL claims to be the king in open-source databases and there's a pretty good reason why. The fact MySQL’s clientele includes tech giants such as Facebook, Google, and PayPal proves how it has been trusted even by the experts in the industry. Depending on the speed of your network the file may take a while to download.įile name would be: mysql-installer-community-.msiĭouble on the MSI installer to install MySQL.Īccept the License agreement and Click on the Next > button.Ĭhoosing the setup type: For all products and features Ĭhoose Full and click on the Next > button.Īlternatively, we can choose the components to install.Ĭomplete the install wizard to complete the installation.Fast, reliable, and scalable database management ‘No thanks, just start my download.’ link to continue. If you are not willing to open or log in to the account, click on The next screen allows you to open or log in to the Oracle web account. In the Select Operating system drop-down, choose Microsoft Windows.Ĭlick on the download for Windows (x86, 32-bit), MSI Installer Download Stepsīrowse the download URL and click on the download button. In this article, we will learn the steps to download and install MySQL Community server on Windows 10 operating system. It is licensed and provided under the GPL License. MySQL Community Server is the world’s most popular Open source database. Intubated patient: lift sedation (e.g., propofol) and place the patient on a pressure support mode (e.g., 10 cm pressure support with 5 cm PEEP).Nonintubated patient: simple observation.No motor response (GCS M1): Lesions below the pons may cause loss of all motor responsiveness (other than spinal reflexes such as triple flexion of the lower limbs).However, occasionally severe toxic/metabolic etiologies may also cause decerebrate posturing (e.g., hepatic encephalopathy) normal pupillary size and response may support a toxic/metabolic etiology. This may be associated with downward herniation, or compression of the brainstem by posterior fossa lesions. ![]() Extensor posturing (decerebrate GCS M2) is loosely associated with damage at the level of the midbrain.Flexor posturing (decorticate GCS M3) is loosely associated with damage at the level of the thalamus.The patient is able to move somewhat, but not in a meaningful way to evade the source of pain. This may include crude movements, or flexion of the arm towards the source of pain. Withdraws to pain (GCS M4): The patient moves their arm in response to pain.(2) Arm crosses midline, in efforts to alleviate a painful stimulus on the contralateral side.(1) Stimulation of the supraorbital ridge or temporomandibular joint, causing the patient to bring their hand to their head.Localizing to pain (GCS M5): Patient brings their hand towards the source of pain in a meaningful attempt to alleviate it.Motor responses to pain (listed below).Presence of any asymmetry (e.g., an asymmetric grimace or motor response implies the presence of a focal lesion).Triple flexion is also suggested if the patient responds exactly the same way, regardless of where their foot is stimulated (e.g., dorsum vs. Extremity flexion without grimacing in the lower extremity may be seen in the presence of brain death, due to a spinal reflex known as triple flexion.Grimacing without withdrawal may suggest an intact sensory response, with motor paralysis.⚠️ Sternal rub is contraindicated in patients status post recent surgical sternotomy.This may be useful for patients who are unresponsive to less aversive stimuli. A sternal rub may be less precise, but it provides very potent stimulation.Supraorbital pressure may be helpful, as this facilitates differentiation between localization versus withdrawal.For stuporous/comatose patients, apply painful stimuli to four extremities and bilateral face (e.g., supraorbital ridge, temporomandibular joints, or a Q-tip within the nose).For awake patients, ask them to move their extremities. ![]()
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