![]() The paper is a good weight, and I haven’t had any bleed-through using various pens, markers, Sharpies, etc. Plus, you can work on one page at a time without having to have the whole book open. The spiral-bound and blank pages are ideal for sketching and bullet journaling. The Mililko is a remarkably flexible notebook. All pages are microperforated, and the cover is water-resistant. It has designated sections for date, notes, and action items. Hence the name, “Meeting Notebook” provides a nice structure for taking meeting notes. The best thing about this notebook is the paper - it’s high quality (suitable for fountain pens and sharpies) and extra bright white. Although it’s not perforated, you can effortlessly tear out the sheets without destroying the notebook. These notebooks are ideal for when you want to jot things down or quickly log your thoughts. They’re sturdy, lightweight, stay together, and the paper quality is decent. Just like the loose leaf computer sheets, you cannot overlook the low rent drugstore notebook. Doing so makes it easier to stick to my to-do list and block out the distractions. However, when I am working on multiple projects, juggling a hectic work/family schedule, or kicking off a new project, the task planning sheets help me map out my day. I don’t use the task planner every day as it’s a relatively rigid structure. When you really want to remove the chaos, the Emergent Task Planner will help marketers connect big goals to small daily tasks. It’s a benefit not easily accessible with standard notebooks. A bonus to the loose paper is that you can easily hang the sheets on the wall for review, easily rearrange them, or pass them along to your design team. You can spread the pages out on a table and get to work. Still, sometimes loose paper is the perfect canvas for sketching out new ideas, brainstorming user flows, and wireframing new UI features. Okay, okay, so I know printer paper is not technically a notebook. One potential flaw to keep in mind is the notebook has no elastic closure or pockets. ![]() Plus, Baronfig will plant a tree for every notebook sold. ![]() For those picky marketing notetakers, the notebook is available in three sizes, several colors, lines, and paper options such as lined or dotted. The cloth binding allows for a minimalist yet sophisticated look. The Confidant is a sturdy, well-designed line of notebooks. My personal favorite is the Open Flat Notebook A6 or the Planting Tree Paper Note B5. Muji offers a ton of options with various sizes, paper selections, and colors. Also, the notebooks are sewn together, which allows the notebook to open flat. One of the best features of the Muji notebooks is the price - as low as $.90. Each notebook is built with high-quality paper that is smooth to write on. The Muji notebooks are simple and well put together.
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![]() Equip Emblems that improve Attack, HP, or Critical-Hit Rate since all of them affects your damage during Flail. Your Boost Emblem loadout should consist of 7 Red Emblems for maximum Attack Speed, 2 Brown Emblems for a bit of damage, and 1 Emblem of any color. This is an optional due to it's situational use however, it is also worth noting that using Drain Crown as a held item works really well when Yawn hits multiple enemies, followed up by Flail since it deals AoE damage, and 10% of the total damage dealt on all enemies is the total healing that Snorlax gets. However, you can equip X Attack instead if you want more damage. Slow Smoke works great in this build, allowing you to drastically slow enemies as you pummel them down with Flail. Focus Band provides decent defense boost and a reliable survivability tool, enabling you to stay alive longer in fights. You can replace Scope Lens with Razor Claw for the movement reduction effect. ![]() Muscle Band and Scope Lens are your core offensive items and synergizes well with Flail. This means the higher your max HP is, the more damage you deal. The damage you deal with Flail depends on Snorlax's missing health. This is an offensive build focused on disabling a target with Yawn and following up using Flail to deal high attack damage. Def., or HP since you need to be as durable as possible when fighting in the frontlines. Your Boost Emblem loadout should consist of 4 Blue and Purple Emblems for better defenses and 2 White Emblems for a bit of HP. Note that you can reposition yourself while you are using Block. The damage you soak up will be converted into extra Attack because of Weakness Policy, giving you additional offense for counter attacks.Įject Button enables you to get a better position to use your moves, making it a must-have battle item. These items increase Snorlax's overall survivability so you can stay in the fight for much longer. This is an all-defensive build designed to put Snorlax in front of its allies as it leads the charge via Heavy Slam and keep enemies at bay using Block.įocus Band and Buddy Barrier allows Snorlax to receive tons of damage from the enemy while protecting allies. The builds are still viable even without the suggested emblems. ![]() The emblem color and stats here are suggestions only. Duration of effects on opposing Pokemon increased. Recharge rate increased from 128s to 111s (-17s). Yawn+: Level learned changed from 14 to 13.įixed the issue where Pokemon put to sleep would not wake up after being attacked. Description for Block+ will also be modified. Shortened the duration from 1 second to 0.8 seconds (-20%).įixed a bug where effects of Block+ was active unintentionally. Block+: Level learned changed from 14 to 13. Heavy Slam+: Level learned changed from 12 to 11.ĭamage decreased from 1806 to 1717 (-5%). Flail+: Level learned changed from 12 to 11.Īlthough the Patch Notes indicated a damage increase, there was no change. Bug fixes have been made for the following aspects of this move: actions ![]() You can't force someone to seek professional help, but you can offer support and help find a qualified doctor or mental health provider. If a loved one has symptoms of cyclothymia, talk openly and honestly with that person about your concerns. If you're reluctant to seek treatment, work up the courage to confide in someone who can help you take that first step. Cyclothymia generally doesn't get better on its own. If you have any symptoms of cyclothymia, seek medical help as soon as possible. Loss of interest in activities once considered enjoyable.Irritability, especially in children and teenagers.Signs and symptoms of the lows of cyclothymia may include: Increased drive to perform or achieve goals (sexual, work related or social).Poor judgment that can result in risky behavior or unwise choices.An exaggerated feeling of happiness or well-being (euphoria). ![]() Signs and symptoms of the highs of cyclothymia may include: The unpredictable nature of your mood shifts may significantly disrupt your life because you never know how you're going to feel. When you have cyclothymia, you can typically function in your daily life, though not always well. ![]() The lows consist of mild or moderate depressive symptoms.Ĭyclothymia symptoms are similar to those of bipolar I or II disorder, but they're less severe. The highs of cyclothymia include symptoms of an elevated mood (hypomanic symptoms). Cyclothymia symptoms alternate between emotional highs and lows. ![]() The reader also is cautioned that this material may not be applicable to, or suitable for, the reader's specific circumstances or needs, and may require consideration of non-tax and other tax factors if any action is to be contemplated. The information contained herein is general in nature and is not intended, and should not be construed, as legal, accounting or tax advice or opinion provided by Ernst & Young LLP to the reader. Kristie Lowery ( Kenneth Hausser ( Debera Salam ( by NTD’s Tax Technical Knowledge Services group Carolyn Wright, legal editor. ![]() Workforce Tax Services - Employment Tax Advisory Services It is estimated that the average Arizona taxpayer will receive a 13% income tax reduction starting in 2023, saving families approximately $350 a year.įor additional information concerning this Alert, please contact: Now, the Department states that the tax rates to be reflected on the 2022 Arizona personal tax return will be 2.55% and 2.98% in accordance with SB 1828.Īrizona Governor Doug Ducey announced that due to the state's surging economy, a letter was issued to the Arizona Department of Revenue with instructions to implement a 2.5% flat tax in tax year 2023, not in 2024 as originally anticipated. Through October 28, 2022, employees could elect a percentage of withholding ranging from 0.8% to 5.1% on Arizona Form A-4. The tax cuts were contingent on meeting general fund revenue collection goals. SB 1828, enacted in 2021, included a measure to phase out the current graduated personal income rates and replace them with a flat tax of 2.5% in several phases crossing tax years 2022 through 2024. If the employer uses a substitute electronic A-4 form for their employees (rather than a paper A-4), can the electronic form simply be updated to reflect the new withholding rate percentages? Do not send the new A-4 form to the Arizona Department of Revenue. ![]() The employee may want to retain a copy for their records as well. The employer should retain the A-4 with their employee and tax records. What should the employer do with the new completed A-4 forms? What if the employee wants their Arizona taxes to be overwithheld?Įmployees will still have the option of selecting a higher Arizona withholding rate than their wages might dictate and there is still a line to add an additional amount of Arizona withholding. The new default Arizona withholding rate is 2.0%. The employer should select 2.0% on behalf of the employee. What if the employee does not update their old Arizona Form A-4? The Department provides the following FAQs: Previously, the A-4 gave employees a range of withholding percentages as follows:Ġ.8%, 1.3%, 1.8%, 2.7%, 3.6%, 4.2% and 5.1% The updated A-4 gives employees a range of withholding percentages as follows:Ġ.5%, 1.0%, 1.5%, 2.0%, 2.5%, 3.0% and 3.5% Accordingly, the Department has published a revised Form A-4 (10-28-2022), which employees may begin using immediately. 1-1-2022), does not reflect these rate cuts. The Arizona Department of Revenue announced that SB 1828, enacted in 2021, substantially lowers individual income tax rates effective for tax year 20, and the current Form A-4, Arizona Withholding Percentage Election (rev.
![]() ![]() Inside your personal/ folder, create new subfolder called textures/. It doesn't look very good, does it? That is because it is using a default placeholder texture, with the words "unknown node" scrawled all over it. To lay down a block, right-click anywhere on the floor, and you should see something like what you see in Figure 4. This will add 50 blocks of your new material to your inventory. To do this, open Minetest's terminal (inside the game, press F10) and type /giveme personal:reinforced_steel 50 (if the engine complains, give yourself give privileges with /grantme give). Open your text editor, and copy what you see in Listing 1. Let's see how that works by building a basic node. All physical things in a Minetest world, including invisible ones, are nodes, and every different kind of node is defined by a mod. Speaking of which, the basic building block, never better said, of Minetest modding is the node, a glorified table. Unsurprisingly, the Minetest modding API relies heavily on tables. Even Lua's pseudo object-oriented programming paradigm is table-based. Lua tables combine the features from arrays, associative arrays, lists, dictionaries, and so on from other languages into one powerful data structure. To program mods, you use Lua, a high-level language vaguely reminiscent of Python.Īlthough we won't go into Lua in much depth here (there are plenty of good guides and tutorials online), it is worth mentioning that in Lua it is all about tables. Minetest has made the API for creating mods part of its framework from the beginning. For us tinkerers, that feature would be the mod system, and making your own mods is relatively easy. Although Minetest's gameplay is great, it is not, I think, the most interesting feature. Making Your Ownīut, again, you are just playing someone else's game. If you want the whole survival experience, get yourself some monsters from GitHub and the Minetest Wiki and battle it out against zombies, ghosts, and all sorts of creepy-crawlies. In the mobs_animal directory, you'll find a README document describing different ways you can interact with your four-legged friends. Then, right-click it with shears, and you'll get colored wool. Right-click a sheep with a dye, and you will change its color. For example, right-click a cow with an empty bucket, and you'll get milk. Many animals, like cows, pigs, warthogs and sheep, give meat when they are killed, or other products when they are right-clicked. Do the same with the mobs_animal mod.įigure 3: It is exciting to meet your first cow. The mod will turn green as shown in Figure 2. Pick mobs and tick the enabled checkbox at the top of the window. In the panel on the right, you will see a list of available mods. Rename the mobs_redo/ folder to mobs/: mv mobs_redo mobsĬreate a new world or pick an old one, and click the Configure button. Change into the mods/ subdirectory: cd ~/.minetest/modsĪnd download the general mobs and farm animals mods made by Minetest Forums member TenPlus1: git clone minetest directory in your own home directory. ![]() Let's grab some animals, shall we? Notice that, apart from the minetest/ directory in /usr/share, you also have a hidden. However, if you want to get into some serious gameplay before tailoring, head over to the Minetest website to see what's available. This is by design: The creators of Minetest assume you are going to want to tailor your experience, so they give you the bare minimum, and it is up to you to bring in (or create, as you shall see later) your own modifications. You have a nice variety of materials and things you can craft, but, for example, there are no animals and no monsters. The default world that comes with Minetest is basic. A "world" in Minetest is, to all practical effects, its mods. You'll see that the brunt of bringing the game to life is born by the files in the mods/ directory. If you have installed Minetest from your distro's repositories, look into your /usr/share/minetest/games/minetest/ directory. It is the mods that make the game playable. Minetest is made up of two parts: the main engine and the mods. Figure 1: You can model the worlds of Minetest in more ways than one. Moreover, they do offer a card like Greenlight if you need. Apart from that, their parent dashboard allows you to set teen allowances and keep an eye on all your teen activities with a single touch. The app is ideal for kids & teens, and it encourages them to earn more money and taking care of responsibilities, instead of just sitting or playing games. This budgeting app lets your children earn their allowance and make a financial decision on how they will save, spend, and invest earned money. BusyKid Chores App for Kids to Earn Money: BusyKidīusyKid is the ultimate money management app that will help you teach financial stuff to your teen by giving them small indoor tasks. Ultimately it helps your teen to build some better money habits. It provides more parental control for the given card. Also, they can set limits, pause card, block some stores, etc. Parents can transfer instant money or schedule their teen allowances. These digital wallets are divided into three types: spending, saving, and giving. ![]() Current teenage money management app: CurrentĬurrent is one kind of personal money management app for your kids and teens that offers digital wallets. Ultimately spendee is an app for everyone and it is a perfect budget planner for households or for the family to control and manage their income vs expenses. The app also offers a travel mode that helps your child to maintain expenses in different currencies when they are abroad. You can also create a separate wallet for your teen without sharing your entire budget. The app allows you to assign money to virtual wallets and keeps you track of it. ![]() Spendee is another significantly build a visual app that syncs with bank accounts automatically fetches transactions and categorizes them. Spendee Budget and Expense Tracker & Planner: Spendee The main cool feature of this app, to let them know the power of savings and build interest for the same. You and your teen both will able to track their expenses using this budget app. Using an app, you can set various allowances, and if they try to spend money that isn’t on the card, it will automatically decline the transaction. ![]() Greenlight is a parental control debit card for teens that allow managing their accounts from their phones. Greenlight The Debit Card for Kids : Greenlight The app is quite useful if your teens spend too much out of budget, it will allow them to track their spending using interactive statistics. Also, it notifies the user when they go over their predefined budget. This money management app automatically fetches & categorizes your linked credit or debit card transactions and counts them against your defined budget. Using this money management app, one can easily track their spending and set a budget. The app has so many users because the app is entirely free, and It helps people manage their cash flow by linking bank account from a huge list. Mint is one of the best budgeting apps created by Intuit, which is the same company that has created Quickbooks and TurboTax. Mint Budget, Bills, Finance & Expense Tracker App : Mint So, if you are looking for the best budgeting apps, here is the complete list of top 7 money management apps that your teens can use to manage their spending. But choosing the most right and useful app that fits your needs is a crucial choice. Using the best budget app is a beautiful supplement to your typical financial budget and lets you to accomplish your business goals. Cause everyone knows that money does grow on a tree and you as parents work really hard to earn each penny from which you assign them pocket money for the expenses. ![]() Since your teen always has your smartphone all the time and stays stick to them, instead of lecturing them, you can suggest some apps to manage their spending. So, if you give pocket money to your teen, they will spend like water without knowing its value or its necessity. With technology advances that cash flow is now converted into digital transactions. Remember that piggy banks? That we used previously to save some money from our routines and we use them in need. Her first single for the album is "Egoísta" featuring Pitbull, which was released in February 8 on radios.Christian Nodal, Criss Angel, Giovan. Two days after its release, the album was certified gold in Mexico, after 30,000 copies sold. It also announced the new name of her third album, Carpe Diem, which was released in March 23, 2010. On August 27, 2009, EMI Televisa posted a video teaser of Belinda's new song "Sal de Mi Piel". On August 18, 2009, "Sal de Mi Piel" was released on iTunes. Belinda also provided vocals for the Spanglish remix of "Te Quiero" by DJ Flex. Her nominations included Song of the Year for "Bella Traición" and Best Female Pop Album for her hit album, "Utopía". Belinda was nominated in two categories in the 2007 Latin Grammy Awards, which were held on November 8. On October 18, 2007, Belinda won two awards, Video of the Year for "Bella Traición" and Best Solo Artist at the MTV Video Music Awards Latinoamerica. She also appeared as a guest star in Buscando a Timbiriche, La Nueva Banda. This new CD included tracks in English and a DVD. Belinda revealed in a program aired by Televisa, "Bailando por un Sueño" and "Bailando por la Boda de Tus Sueños", that EMI wanted her to spend one week in Los Angeles recording "Utopía 2", her first album in English which was released in Europe and NorthĪmerica by EMI International on September 25, 2007. Her second studio album Utopía reached #3 on the Mexican Charts. In 2005, she collaborated with the Mexican rock band Moderatto on their single Muriendo Lento, which is a cover of one of Timbiriche's songs, a Mexican pop group from the 1980s. The albums titled "Belinda", "Belinda (Enhanced)" and "Belinda: Edición Especial" are the only albums that are being sold today, the rest were limited editions. ![]() There were 4 different versions of the album released: the original version " Belinda", " Belinda (Repackage)" which featured 1 extra track: No Entiendo featuring Andy & Lucas, " Belinda (Enchanced)" which featured 2 Remixes and 2 Multimedia Tracks, and " Belinda: Edición Especial" which included a CD with 18 tracks and a DVD that contained five videos. It included singles such as Lo Siento, Boba Nia Nice, Ángel, and Vivir, which was also chosen as the main theme song for Corazones al límite, another soap opera where she briefly appeared in. The album was produced by Graeme Pleeth and Rudy Pérez. ![]() Belinda has recently been seen in a new telenovela called Chameleons where she plays a prefect for a high class high school, and doubles as a thief with her love interest, who is also a teacher at the school where shīelinda.Her international self-titled debut studio album Belinda was released in Mexico by Sony BMGĪnd RCA Records on Augand became as great a success in many different countries, as it was in Mexico. Belinda also contributed a total of 4 songs to Soundtrack, wich was released on Augand debuted at #5 on the Billboard 200 and it has sold 1.4 million copies to date in the US. The movie premiered on Augand it received a total of over 8.1 million viewers. In 2006, Belinda returned to the small screen in the Disney Channel Original Movie The Cheetah Girls 2, playing the role of Marisol. For the remainder of the series, her role was played by Mexican actress and singer, Daniela Luján. Before the second season started, Belinda dropped out of the show in order to pursue other projects. She recorded a soundtrack for the show, and received her first Latin Grammy nomination for her work on the soundtrack. Following the success of Friends 4 Ever! and Adventures in Time, Belinda starred in the dual role playing identical twins, Mariana Cantú and Silvana Del Valle, who were separated at birth in the popular children's telenovela, Accomplices to the rescue. Her second role was playing Violeta in the telenovela Adventures in Time, that also starred Christopher Uckermann. When she was 10, she starred in her first TV series entitled Friends 4 Ever! produced by Televisa in Mexico and contributed to a soundtrack for the program. ![]() Peregrín and her family moved to Mexico City when she was four years old and have lived there since.Īt a very early age Belinda showed an incredible talent for singing, acting and making home videos that she wrote and filmed herself. Belinda was born in Madrid, Spain on Augto a Spanish father, Ignacio Peregrín and mother, Belinda ![]() "In this job, you really need to retain almost all of the information you receive in training because you will use it every day.…You also need to be alert, very self-confident and decisive. The average pay for an Air Traffic Controller (Federal) is 162,286 a year and 78 an hour in Islip, New York, United States. Nav Canada usually has about 60 to 80 training seats open across the country each year.Ĭhallenges: There is a lot of shift work, including early mornings, late nights, weekends and holidays. Calhoun says, but competition for jobs is stiff and not everyone makes it through the training. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. There is always a steady demand owing to attrition, Ms. The average Air Traffic Controller salary in West New York, NJ is 97,791 as of January 26, 2023, but the salary range typically falls between 80,125 and 120,370. Nav Canada says that makes it the world's second-largest air navigation service provider by traffic volume. Its employees manage 12 million aircraft movements a year for 40,000 aircraft customers, including major airlines, private planes and helicopters, covering more than 18 million square kilometres. Nav Canada owns and operates all 41 air traffic control towers and seven area control centres in the country, where air traffic controllers work. Training includes about a year of classroom and simulation work, with frequent testing along the way, then a final year working alongside a licensed air traffic controller.īy the numbers: There are more than 1,900 air traffic controllers at Nav Canada, which is the private owner and operator of the country's air navigation service. Air traffic controllers undergo about two years of training before receiving their licence from Transport Canada. Calhoun warns it's a highly competitive field and most successful applicants have more education or life experience. ![]() Interested applicants should visit start building their applications or more information about air traffic controllers.Education: You need a high school diploma to apply to be an air traffic controller, but Ms. Kennedy International, LaGuardia and Newark Liberty International – as well as Teterboro and Long Island MacArthur.Īctive duty military members must provide documentation certifying that they expect to be discharged or released from active duty under honorable conditions no later than 120 days after the date the documentation is signed. The New York TRACON manages aircraft flying to, from and over the New York metropolitan area, including the three major airports – John F. The average Air Traffic Controller salary in Albany, NY is 85,485 as of June 26, 2023, but the salary range typically falls between 70,041 and 105,223. They must also pass a medical examination, security investigation and FAA air traffic pre-employment tests.Īccepted applicants will be trained at the FAA Academy in Oklahoma City, Okla. Applicants must have a combination of three years of education and/or work experience. citizens, speak English clearly, and be no older than 30 years of age (with limited exceptions). The announcement is open only to applicants who live within a 50-mile radius of Westbury. The Federal Aviation Administration is accepting applications beginning June 19 through June 26 from people interested in becoming air traffic controllers at the New York Terminal Radar Approach Control (TRACON) facility in Westbury, N.Y. Recreational Flyers & Modeler Community-Based Organizations.Critical Infrastructure & Public Venues.Certificated Remote Pilots including Commercial Operators. ![]()
![]() Recently, we wrote a blog post about different Mixtape Websites.In 2005, WorldStarHipHop was launched by Queens, New York resident Lee ‘Q’ O’Denat as a hip hop mixtape distribution site. It is a popular site that is pure Hip Hop. ![]() The reason Datpiff makes this list is because they are a great Hip Hop resource for upcoming artists. In many ways, Datpiff is very different compared to WorldStarHipHop. Datpiffĭatpiff is probably my favorite out of all of these sites. ![]() The layout of this site is clean and they always have the freshest content. ![]() XXL is a very popular Hip Hop blog that features popular Hip Hop stars. XXLĮxclusive interviews, music videos, song premieres, and news is what you can find on XXL. I wonder why? The content on ThisIs50 ranges from music videos to blogs. Wholesome family content is what you can expect from IPoppingVideos.Ĭook It Up! Man Stabbed Smokes Crack While Receiving Medical Attentionįormerly known as BooBooTV, ThisIs50 prominently features 50 cent. Fight videos, more fight videos, and even more fight videos! Well, they do have other types of content like people smoking crack while receiving medical care. IPoppingVideos truly has eye popping videos. We created this website to share talented undiscovered musicians. Our business model involves helping smaller creators. Also, we have a lot of different promotion services. The biggest difference between us and WorldStarHipHop is the kind of content that we write and share. RockTheHipHop is the site you are on now! Honestly, we strive to be like World Star Hip Hop. Hopefully, one day your music will be featured on RapRadar. They have podcasts, and they are popular on social media. Submit your own videos and maybe you could blow up on FlyHeight. Think America’s Funniest Home Videos but the Hip Hop version. People doing stupid stuff is the bread and butter of FlyHeight. On FlyHeight, you can expect to find cringey viral videos. FlyHeightįlyHeight embodies the spirt of WorldStarHipHop. The interviews done by DJ Vlad help to separate WorldStarHipHop and Vlad TV. The biggest difference between Vlad TV and WorldStarHipHop is that DJ Vlad hosts interviews. The formatting and presentation of Vlad TV is in the style of WorldStarHipHop. Vlad TV channels WorldStarHipHop too much! The look and feel is eerily almost identical to WorldStarHipHop. HipHopDX is a great alternative to WorldStarHipHop. There is so much information on this site from gossip to editorials to new singles. Everything on the site is laid out very well for a great user experience. HipHopDX is a sleek and clean Hip Hop website. AllHipHop is still a trusted Hip Hop blog that is a go to for anyone who is looking for quality rap related news. For a while, they were really getting hot, but that heat has cooled down. They don’t rely on user submitted content and their discussion page seems a bit outdated. This site focuses more on gossip and news. AllHipHopĪllHipHop is the Wendy Williams of Hip Hop blogs. There are many other great websites like WorldStarHipHop. Every site including Rock The Hip Hop would dream of having the monthly visitors that WorldStarHipHop gets. Ultimately, WorldStarHipHop is still the king of Hip Hop blogs. 50 cent sued WorldStarHipHop for using his image. As a matter of fact, they have been sued several times. Started in 2005 by the late Lee O’Denat, the site has been through its fair share of controversies. Now, you can try and send it to them, but the chances of them posting without you paying are slim to none. In fact, it costs around $800 to upload your video to their site. Anyone can upload music to WorldStarHipHop, but it is going to cost you. Additionally, it is a go to place for upcoming artists to upload their music. The site rose to popularity after featuring fights and half naked models. WorldStarHipHop is a user generated video blog. Websites like WorldStarHipHop websites like worldstarhiphop ![]() The primary objective of this study was to assess the field performance of the Broselow tape and the Handtevy method with respect to prehospital pediatric patient weight estimations. 12, 17, 22 There appear to be no studies in the published literature evaluating the accuracy of the Handtevy weight estimation method in the prehospital setting. 21 There are few studies evaluating the Handtevy system, most of which were published prior to the development of the solely age-based application, however Rappaport, et al recently published a manuscript reporting almost 90% dosing accuracy using the Handtevy Field Guide (accuracy was based on correct use of the field guide/patient age, not patient weight). ![]() The Handtevy system, initially developed in 2010 as a length and age-based system, has been adapted and can now be used as an exclusively age-based tool for weight estimation. The Broselow method was developed in the 1980s and has been modified and studied fairly extensively in the intervening years, with varying results. 5 The Broselow method, which provides a weight estimation based on length as measured using the Broselow tape, is the most commonly used length-based tape. Many tools have been developed to assist with pediatric weight estimation, including age-based formulas, length-based tapes, paperboard dosing wheels, and electronic applications. However, in prehospital care, obtaining reliable weight measurements is not straightforward it is estimated that approximately 20% of out-of-hospital pediatric weight estimates are not accurate. As pediatric medication dosing is predominantly weight-based, accurate assessment is essential. 1 Many of the complications inherent to pediatric medication dosing are potentiated by the unpredictable nature of the prehospital setting. Pediatric medication errors have been attributed to a number of causes, including weight-based dosing and the increased number of calculations required for correct dosing and administration. 2– 4 These errors are estimated to affect over 21,000 US children under the age of 11 each year. 1 Medication errors have been shown to occur more frequently in the emergency department (ED), and error rates rise even further in the prehospital setting to just under 35% for all medications and over 60% for epinephrine. In the pediatric in-patient setting, Kaushal, et al reported an error rate of approximately 55 errors for every 100 admissions, the majority (28%) being dosing errors, and a potential adverse drug event rate of 10/100 admissions. A prospective study is needed to test this method with the Broselow Tape in an acute hospital setting.Medication errors in the pediatric patient population are quite prevalent. Conclusion: The Broselow Tape underestimated the weights of both overweight and obese patients, suggesting the need for adjustment of the length-based dosing zones for overweight and obese patients. Obese patients had a one-zone misclassification rate of 71% and a two-zone misclassification rate of 23%. Overweight patients had a one zone misclassification rate of 83%. Results showed that the misclassification rate of Broselow Tape increases with BMI percentile values. ![]() Results: Percent of true classification and misclassification of body weight zones was calculated for each BMI percentile category. SAS 9.4 was used for all statistical analyses with an alpha level of 0.05 to assess statistical significance. Heights and weights were recorded and compared to predicted Broselow Tape weight. Subjects were placed into groups according to the CDC guidelines of BMI percentile categories: underweight, normal, overweight, obese. Methods: A retrospective chart review was performed using the electronic medical records at the Children’s Hospital of Georgia in Augusta University, between May 2015- March 2018. It was hypothesized that the predicted weight needed adjustment by at least color zone for obese and overweight patients in order for them to receive adequate medication during emergency. This study aims to determine the accuracy of the Broselow Tape among pediatric patients with a body mass index (BMI) greater than the 85th percentile. The rise of childhood obesity in the United States, with a prevalence of 18.5% in 2016, has brought up recent concerns for underestimation of weight using the Broselow Tape. Introduction: The Broselow Tape is a color-coded tape that uses height to predict weight-based dosage of medications and equipment sizes in order to safely treat pediatric patients in medical emergencies. |
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