10/3/2023 0 Comments Shawn moran patterson schwartz![]() Conveniently located in the heart of North Wilmington close to restaurants, shopping, parks, schools, and major roadways. Other amenities include new doors (2018), new roof (2020), newer gutters (2017), driveway (2017), and shed (2017). Enjoy outdoor entertaining and relaxing on the brick paver patio overlooking the fenced-in back yard. The partially finished lower level has a great recreation room, half bathroom, utility room and additional storage closet. Donald Debernardi, Jill Patterson, and two other persons are also associated with this address.The phone number for Shawn is (559) 658-5860 (Sierra Tel Co, Inc). The upstairs hosts a spacious primary bedroom with sitting area and double closets, three additional nice sized bedrooms with large closets, laundry room, cedar closet and two renovated full bathrooms. Quick Facts 40866 Griffin Drv, Oakhurst, CA 93644-9551 is the residential address for Shawn. From the kitchen you will be welcomed into the family room filled with natural light, brand new hardwood floors, built-in shelves, brick fireplace, and access through a sliding glass door to the brick paver patio. The renovated kitchen (2019) includes refinished and hand painted oak cabinets with new hardware, quartz countertops, tile backsplash, new sink and all new stainless steel appliances, gas cooking, recessed lighting, large pantry, and custom built-in banquette breakfast room. Read Shawn's reviews from past clients, browse transaction history, and get in touch. Enter to the inviting living room that features a picture window, wall of bookcases and hardwood floors that carry you into the formal dining room with wainscoting and corner cabinet. Visit Shawn Moran and Jeff Olmstead's profile on. There is unmatched curb appeal with professional landscaping, newly sodded lawn, charming window boxes, new blue slate front walkway and stoop leading to the entry of the home. The home has two, all brick two story additions, a unique quality that enhances the typical neighborhood colonial. Enjoy touring you new home.Beautifully renovated and meticulously maintained 4 bedroom, 2 1/2 bath colonial in a highly sought after North Wilmington neighborhood. Situated directly across from the large Sharpley Park makes this the perfect location. Also all of the brass door knobs and switch plates. Please notice all of the chair rail, crown and base moldings. ![]() ![]() The list of special features continues with a walk up attic, full basement with an outside entrance, top of the line Lennox HVAC in 2015. There are 3 other good sized bedrooms, one could easily be used as an office with built in desk and shelving. The owners suite will surprise you as did the rest of this home with hardwood floors and full bath with a heated tile floor, a double sized walk-in tiled shower with 2 separate shower heads and a bench seat and double sinks. Then out to the open screened porch overlooking the expansive slate patio. ![]() 0 Sq Ft Lot Lot 13 Chichester Ave, Aston, PA 19014. James Leary Long & Foster Real Estate, Inc. 2.59 Acre Lot 2247 Aston Mills Rd, Aston Township, PA 19014. The family room has a brick gas fireplace with built-in shelving flanking both sides. Shawn Moran Patterson-Schwartz-Brandywine / 15. Now to the cozy and relaxing part of living in your home. This room is illuminated by 8 recessed lights. SS Kitchen-aid dishwasher, Cabinets include pantry closets, glass front cabinets and numerous pull out sliding drawers. Double SS Kitchen Aid ovens with convection abilities. A Sub Zero side by side refrigerator with ice maker. The Wolf 5 burner gas stove has a Zephyr range hood venting to the exterior. The eat-in kitchen has room for a breakfast table and eat-in island top of the line granite counter and back splash. To the right is a Truly Formal Dining Room with its Brass chandelier and 5 brass wall sconces and bay window that opens this room to accommodate any size table. Kenneth Schiele OctoJSeattle, Washington - Ken, our son, husband, dad, brother and friend, passed away peacefully in the early morning on J. There is a large brightly lite formal Living Room to the left with crown moldings. Upon entering you will immediately be impressed by the oak hardwood floors that stretch out before you and continue through the entire home. Shawn Schwartz was arrested for second-degree assault, obstructing a police officer and resisting arrest, according to Boulder County. The brick and slate front walkway leads to the beginning of your journey through an example of owners treating their home like royalty. Man questioned in teen’s death arrested on other charges. This is an amazing all brick center hall colonial with all of the quality upgrades that you can possibly imagine in your new home.
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10/3/2023 0 Comments Spotify playlists photos![]() In this instance, we will use the custom size and show you how to create a party songs playlist, starting with deciding on a Color Scheme to adding a perfect image. They work perfectly as Spotify playlist covers to make some crisp-looking visuals. Once you have entered the sizing, click on the "Create Design "button.Īlso, Picmaker has thousands of great-looking pre-made Instagram post templates, which conveniently can be re-purposed in a matter of minutes. Then enter that size in the custom size box in order to fit the right size. Step 2: Select Custom SizeĪs I said, Spotify playlist covers are sized at 300x300 pixels, so click the "create" button and search for "custom-size" If you’re a new user, click on the ‘Sign Up’ button to create a new account for free. Let's take a look at how to create an aesthetically pleasing Spotify cover for your playlists! Step 1: Open Picmakerįirst, start by opening a new page in your browser and go to to log into your account. Yes! Our Free AI-Based Graphic Design Tool Picmaker lets you create a great-looking Spotify playlist cover in a few simple steps and most importantly you won’t need any special graphic design skills to be able to use it. Now we know the basics, In the next section let’s see how to design your own awesome Spotify playlist cover image How To Design Spotify Playlist Cover In Minutes?ĭon’t have an idea about how to create a Spotify playlist picture from scratch? This means that things like transparency and animation are off-limits. The best Spotify playlist cover size is 300 x 300 pixels, But It's better to go beyond this to ensure the image doesn't risk losing quality on very high-resolution displays. The Best resolution is 300 x 300 pixels.You need to keep your file size at or under 4MB, which is the max file size accepted. It's better to create it as a square image, which is a 1:1 ratio. You can use a different shape if you want, but it will be cropped square when you upload it. There are a few rules you need to follow when making your playlist image So, if you’re a active Spotify user, what’s not to like here? The Best Spotify Playlist Cover SizeĪ great playlist cover on Spotify starts with having all of the technical requirements in line! Here, we’ll show you how to design your own Playlist Cover Image, find the right art size, how to change your Spotify cover image, and best practices to gain more reach. So, Why don't you give your Spotify playlists a unique touch?Īlso, Customizing your own Spotify playlists is fun and creating your own custom playlist cover is an awesome way to show off in front of your tribe and make them vibe! Īnd those Spotify Playlists are even better if you use your own playlist cover image to show them off. I have tons of my own playlists that I listen to every day. Playlists are an integral part of your Spotify experience. Come let's make your playlist stand out with a cool Spotify playlist cover and attract more love. 10/3/2023 0 Comments Nyt spelling bee pangram![]() It is also defined as United States guitar player and singer of the blues (born in 1925). It is also defined as a very wealthy or powerful businessman. It is also defined as a competitor who holds a preeminent position. KING is defined as a male sovereign ruler of a kingdom. It is also defined as a rhythmic thrusting movement of the legs as in swimming or calisthenics. KICKING is defined as the act of delivering a blow with the foot. INNING is defined as (baseball) one of nine divisions of play during which each team has a turn at bat. The word IMAGINING has no known definition. It is also defined as the ability to form mental images of things or events. IMAGING is defined as (medicine) obtaining pictures of the interior of the body. ![]() It is also defined as the formation of frost or ice on a surface. It is also defined as a flavored sugar topping used to coat and decorate cakes. ICING is defined as (ice hockey) the act of shooting the puck from within your own defensive area the length of the rink beyond the opponent’s goal. The word GINNING has no known definition. It is also defined as any clever maneuver. It is also defined as a drawback or difficulty that is not readily evident. GIMMICK is defined as something unspecified whose name is either forgotten or not known. The word GIGGING has no known definition. The word GANGING has no known definition. It is also defined as tool consisting of a combination of implements arranged to work together. It is also defined as act as an organized group. It is also defined as an association of criminals. It is also defined as an organized group of workmen. GANG is defined as an informal body of friends. It is also defined as the 3rd letter of the Greek alphabet. It is also defined as a unit of magnetic field strength equal to one-hundred-thousandth of an oersted. GAMMA is defined as Portuguese navigator who led an expedition around the Cape of Good Hope in 1497 he sighted and named Natal on Christmas Day before crossing the Indian Ocean (1469-1524). GAMING is defined as the act of playing for stakes in the hope of winning (including the payment of a price for a chance to win a prize). GAMIN is defined as (sometimes offensive) a homeless boy who has been abandoned and roams the streets. The word GAINING has no known definition. It is also defined as the amount by which the revenue of a business exceeds its cost of operating. It is also defined as rise in rate or price. It is also defined as obtain advantages, such as points, etc. It is also defined as increase (one’s body weight). ![]() It is also defined as reach a destination, either real or abstract. It is also defined as the advantageous quality of being beneficial. It is also defined as derive a benefit from. It is also defined as win something through one’s efforts. It is also defined as a quantity that is added. ![]() It is also defined as increase or develop. It is also defined as earn on some commercial or business transaction earn as salary or wages. GAIN is defined as the amount of increase in signal power or voltage or current expressed as the ratio of output to input. The word GAGGING has no known definition. It is also defined as mentally or physically infirm with age. GAGA is defined as intensely enthusiastic about or preoccupied with. The word CANNING has no known definition. It is also defined as any disease of the throat or fauces marked by spasmodic attacks of intense suffocative pain.ĬANING is defined as work made of interlaced slender branches (especially willow branches). It is also defined as the organic process of growing older and showing the effects of increasing age.ĪNGINA is defined as a heart condition marked by paroxysms of chest pain due to reduced oxygen to the heart. The word NICKNAMING has no known definition.ĪGING is defined as acquiring desirable qualities by being left undisturbed for some time. Don’t forget to subscribe to get daily updates. The answers for the NYT puzzle can be learned by watching the video below. These are answers and solution to the New York Times Spelling Bee Puzzle. 10/3/2023 0 Comments End o fman immortal story![]() As we know, she auditioned for Ambrosio and was cast as Matilda. She instantly fell in love with the medium, because it is apparently similar to how beings like herself perceive the world. This prompted her to watch Fischer’s movies, which was her first exposure to film. She took up modelling and attracted the attention of director Arthur Fischer. The One eventually made her way to London, attracted by the culture. The real Marissa's last wish was to live forever. However, the One still has certain memories of the people she has consumed, and traces of the real Marissa remain. This is why she doesn’t appear to age through the course of her career. The Marissa we see in Immortality isn’t the ‘real’ Marissa, but The One. The One was instantly struck by Marissa’s beauty, and took her to a farmhouse and consumed her. As she wandered the war-torn villages in France, she came across a young woman, Marissa Marcel, dying in a field, having been left for dead after being sexually assaulted by German soldiers. The One hibernated through the First World War and awoke at the end of World War II. The One and Other One manoeuvre time by hibernating. The One however, still maintained her faith in humanity and her fascination for their art through the centuries. However, it seems that this effort was ultimately a failure, and the Other One grew jaded because of this, developing a contempt for humanity. The details are hazy, both because of the passage of time and multiple retellings, but The One apparently played the role of Christ, and Mary Magdalene and Mother Mary were the same person. But their greatest endeavour, their attempt to ‘elevate humanity’ was the story of Christ and the Crucifixion. In the universe of the game, they are responsible for the story of Adam and Eve and the Fall of Man. ![]() The One and the Other One both initially had a deep fascination with storytelling, art and humanity. They have been around since the dawn of time, and exist by killing people and then taking their form. The true main characters of Immortality, the ones who have driven the events of the game, are a pair of supernatural, immortal, parasitic entities called The One (Charlotte Mohlin) and The Other One (played by Timothy Lee DePriest). Discovery is the essence of Immortality, and you should really only be reading this if you’ve already played the game, because I intend to discuss the most hidden parts of the game. I'm going to be discussing the deepest layer of this game and how it affects the wider range of events. For this piece, I went through all the clips multiple times and put together a timeline of events, and I now feel equipped to do a complete breakdown of Immortality as I understand it. The fragmented, non-linear, layered nature of this game can make it difficult to follow the plot of the game, especially at its deepest layers. But as anyone who has spent more than a few hours with the game will tell you, it goes far beyond that. There are plenty of compelling mysteries in this basic read of the game alone. She resurfaced in the late '90s (having not aged at all) to make one final film (Two of Everything), that was also never released, before vanishing for good. Neither of them were ever released, and she disappeared from public life, becoming a recluse. On one level, it’s about Marissa Marcel, an actress who made two movies in the late '60s and early '70s (Ambrosio and Minsky, respectively). Immortality is also a very dense and layered game. The two are very different in terms of how you play them and what they’re about, but discovery of new information is a core component of both these games. If you like Outer Wilds, you will probably like Immortality. Immortality is one of those games that reeled me in based on premise alone - a mystery game told in non-linear fragments with the player’s natural curiosity to find answers to the ever-increasing number of questions as the driving force of the game, and where the unique mechanics end up being used to illustrate the game’s many themes and ideas. 10/2/2023 0 Comments Study remotely meaningMental Health: Remote work can improve mental health in many ways, such as by giving employees more flexibility.At the office, they might get interrupted by a coworker or distracted by their desk buddy’s loud music. At home, employees might get interrupted by a pet or distracted by the sound of their neighbor mowing the lawn. ![]() Interruptions And Distractions: Interruptions and distractions are inevitable regardless of the work setting it’s just a matter of the kind of interruptions and distractions.In other ways, remote work fogs the boundaries of work and life. Work-Life Balance: In some ways, remote work encourages better work-life balance, like empowering employees to feel more comfortable taking breaks.The pros and cons I’ve explored are by no means exhaustive. Remote Versus In-Person Work: Other ConsiderationsĪs you can see, many of the arguments surrounding remote versus in-person work have pros and cons. ![]() But, in many ways, remote work makes it harder for that drama and gossip to take place. That’s not to say that drama and gossip won’t happen with remote work. For example, employees in one department might get upset if they see employees in a different department typically walking out of the office an hour earlier. Even day-to-day operations at an office can cause drama. You don’t have to organize events like office birthday parties and happy hours, which can be ripe grounds for drama, or worse, employees getting harmed. When your business is remote, there’s less likelihood of turbulent office drama. While communication and bonding are tougher in remote work settings, there’s a silver lining. Pro Of Remote Work: Less Likelihood Of Turbulent Drama After all, tone can be notoriously tough to decipher online. It can be tricky to comprehend communication over mediums like Zoom and Slack. Day-to-day communication takes a hit, too. There aren’t water cooler chats or spur-of-the-moment lunch gatherings. Not having physical barriers to your company’s growth enables you to hire more people but makes it harder for employees to bond and communicate with each other.įor one, interactions aren’t as spontaneous with remote work. However, with remote work, there are no physical barriers to your company’s growth.Ĭon Of Remote Work: Harder To Bond And Communicate If you can’t squeeze in new employees, you might have to pause hiring while you look into a new office or see if your current office can be remodeled. You’ll eventually hit a point where the growth of your business will be confined to the space you have left in the building. When you run a company from a physical office, each time you prepare to hire a new employee, you have to figure out where in the office they’ll sit. Pro Of Remote Work: Easier Business Growth This is great for employees but can make work more challenging - for example, the employee might not hear important information in a Zoom call due to loud background music at a coffee shop. Additionally, your employees can work from different types of locations. Operating remotely, you can give your employees technology stipends or ship them equipment, but there’s no guarantee they won’t just use their personal laptops. You’ll know your employees are using your secure Wi-Fi network, surrounded by other company personnel. When you operate from a physical office, you can set everyone up with similar technology and furniture. However, without a physical office, your employees won’t have consistent work environments. Instead, you can take those savings and use them in other ways to scale your business and make life better for your team, like by hiring more help and giving more employee bonuses.Ĭon Of Remote Work: Inconsistent Work Environments Without a physical office, you don’t have to pay thousands of dollars in rent per year, buy and maintain office technology and furniture, pay for Wi-Fi and more. Pro Of Remote Work: Lower Operational CostsĪ major benefit of remote work is that it helps you lower your operational costs. ![]() Department of Labor, the frequency of payday in California and Michigan “depends on the occupation” of the employee, whereas the frequency of payday in Arizona must be “two or more days in a month, not more than 16 days apart.” Minimum wage rates and payroll requirements are just two things that can differ by state. ![]() Similarly, Roger’s sweetheart did not develop on her own. As a result, LeTania grew up in a lovely home with parents who have been married for over three decades. She also never forgets to wish her parents happy birthdays or other holidays such as Mother’s or Father’s Day. Yes, LaTania loves her family and spends a lot of time with them or writing about them. Tanya Kirkland and her husband have a beautiful kid who adores and respects her parents. She is also a writer who expresses her affection for her parents. Smith’s partner, as previously said, is in tune with her body and mind and aims to create a mindful environment. Furthermore, LeTania appears to be a lifelong learner who continues to discover new things every day. Her blogs demonstrate how in touch she has been with herself and the world in order to make a change. Smith discusses her growing children and how she and her partner are attempting to educate them about African-American history and struggle. Her blog, Of Many Worlds, is where she recounts her experiences, discusses her daily life, and discusses prejudice. Let’s hope she succeeds and contributes to making the world a better place.Īlso read: Robin Le Normand, Aritz Arambarri, Urko Gonzalez, Martín Zubimendi LeTania enjoys writing Smith’s spouse believes that yoga can help to increase awareness in the body temple and provide clarity to the mind and soul. She appears to be teaching a yoga lesson through Zoom, according to her Facebook profile. ![]() Furthermore, she is using adversity, such as the epidemic, to her advantage. She not only aims to create an ecstatic experience, but she also shares principles as a way to encourage enthusiastic practice and incorporates music. LeTania Smith, Roger Guenveur Smith’s wife, was a fantastic teacher, and her Vinyasa flow lessons grew in popularity. She also began her teaching career after receiving her Vinyasa Yoga certification from the Laughing Lotus Yoga Center in New York City. LeTania found yoga through her dancing profession and was immediately hooked to the practice, according to her bio. The lovely lady is a yoga instructor with certification.Īfter graduating from the University of South Carolina, she pursued dance and discovered her passion for yoga. LeTania Kirkland Smith, the wife of actor Roger Guenveur Smith, is one of them. Roger Guenveur Smith and LeTania have a low-key relationshipĪ person who is in touch with themselves is both stunningly lovely and terrifyingly vulnerable.The Wife of Roger Guenveur Smith, a Yoga Instructor. 10/2/2023 0 Comments Pavlov vr quest 2 custom maps![]() ![]() That said, considering the pedigree and prestige behind it, Above and Beyond does fall short of greatness, which largely comes down to its uneven single-player mode. Update 2. The game, in general, is not lacking in content, which is not something that can be said for every VR shooter. In some ways, this game feels like a greatest hits compilation, one that guides players through a series of familiar combat zones and set pieces intercut by prolonged sections of dialogue.Ībove and Beyond is solid by most metrics the gunplay feels fine, the visuals are top-tier, the campaign is fairly long, and the unlockable documentary videos are great. Pavlov vr Custom maps on cracked verision hey guys, this might not be very relevant here but its the only VR piracy oriented sub thats actually alive. We make it easier for users to access content. This video will teach you How to Install the new update of Pavlov Shack on The Oculus Quest. Introduction How to Get Custom PAVLOV MAPS on Quest 2 AND Steam Pavlov VR & Pavlov: Shack Joseph Khateri 5.01K subscribers Subscribe 3K 123K views 1 year ago custommaps pavlov. SideQuest is a place to get more apps for your Oculus Quest, it is a completely safe way to enjoy some cutting edge content in VR and expand the capability of your standalone VR headset. Since then, Medal of Honor's only project was 2020's Above and Beyond, a VR exclusive set during World War 2. Multiplayer shooter in VR with realistic weapon mechanics, features 5 vs 5 competitive and social game modes. Despite being massive in the early 2000s, the legendary military shooter was a shadow of its former self by 2012, which would be the last year the franchise would produce a mainline home console entry. ![]() There was an update around 2 years ago that corrupted all maps that were within the TTT Gamemode. Mods on Pavlov VR work through the steam workshop while on shack you gotta find the maps you wanna play and download them on the headset. How to make custom maps In the future Im planning on getting an Oculus Quest 2 and playing Pavlov VR. Medal of Honor is all but retired in this day and age. All Discussions Screenshots Artwork Broadcasts Videos Workshop News Guides Reviews. ![]() ![]() But Berlin’s devoted audience in the world of fashion suggests to keep things “out there.” Here’s your welcome to this season’s dream.īOBKOVA For Spring, Kristina Bobkova continues to explore her Ukrainian origins and the intersection between her roots and the world stage-she is, after all, amid the few Ukrainian luxury designers on the international world stage. Accordingly, your enthusiasm for these stapes may depend on how excited you can get about the prospects of the restless pursuit of playfulness. All in all, it was nice to see Berlin Fashion Week pursue a dreamy tone, for once, as opposed to putting a lick of polish on a full-on, all-encompassing nightmare. Ditto the unexpectedly neutral elements emblazoned across next Spring’s template, like the long, fuss-free proposals by William Fan, Litkovska, Bobkova and Sia Arnika, which were so lightweight and airborne that they came to seem ethereal as they floated back and forth along the length of the runways. Because Berlin’s aesthetic can come off a touch overbearing, so a few designers’ collections worked a charm. Against a plethora of backdrops-cue: modernist art galleries, underground settings and sky-high sorts-this season’s reigning touchpoint saw garments alluding to old-school glamour with a modern twist. And as for this season’s take on fashion? There’s more to the story. This season, downturns notwithstanding, designers managed to grapple with the turbulence of their times, blossoming a rich artistic expressivity that stretches far beyond the urban- esque appeal that characterises the city: indeed, one expects a few rough edges in Berlin, but the capitals credentials are slowly booming an artistic powerhouse of talents, whose key Lingua Franca remains the rich creativity expressed on a shoestring. 10/2/2023 0 Comments 5 of cups yes or no![]() It can be a voluntary or involuntary shaking up or break away from the 4 Cups state. It can mean healing, or it can mean spoiling based on context.ĥ Cups is Mars in Scorpio, and is the 'counterbalance' to that. It can be healing, loving and nurturing, or it can be overprotective, moody, insecure and deceptive. In 4 Cups Moon in Cancer, we have a saturation and excess of sympathy and care, 'luxury' of smothering or being smothered with them. I can see the severity of 5 Cups as a 'counterbalance' to the benevolence of the 4 Cups. I honestly never interpreted it that way before but now that you've said it I always have got this 'ping' in my heart chakrah when I pull that card, like it tugs away at my heart strings in a compassionate way You feel a sense of compassion for the figure in the picture and that can absolutely translate to a sense of compassion within the reading. It obviously can be a mix of all of them. I always called it the 7 stages of grief card.ĭepending on where it sits within the spread and what cards surround it I can gather kind of what stage of grief I feel like is present in the reading the most. I called it my grief vision goggles once I had more time and space to fully retroactively stand outside myself and reprocess the loss.Ĭompassion is a beautiful message to pull from it. The moment I saw it for the first time it made me think about that time in my life when I first lost her and was unable to really stay objective or positive about what I still had to be thankful for. My mother passed away when I was 15 and I got into Tarot around 20 years old. I always resonated very deeply with 5 of cups. Click here to read the rules in more detail. Repeatedly breaking the Rules will result in a Ban. No Gatekeeping, Harassing, Belittling, or Dismissing another person or another person's beliefs. No Sharing or Requesting Pirated material.Īll images of decks and spreads must also include the Deck Name, The Deck Creator(s) and or the Artist(s). Pictures of your Cat, your Altar, your Crystals, random cards etc., are limited to the Shitpost Saturdays Event Rule 7 or are limited to the Deck Spotlight Megathread Rule 5Īrt posts must include context and are limited to one every 30 days. Spread Posts and Interpretation Help must be complete break-downs of the spread or are limited to the Weekly Reading and Interpretation Help Thread Rule 4ĭeck posts must include a review of the deck. Rule 2įree Reading Requests and Offers are limited to the Weekly Reading and Interpretation Help Thread which can always be found pinned to the top of r/tarot. Promotional content is limited to the Megathreads and User FlairĪdvertisements of any kind, promotional, self-promotional, monetizable or commercial content, Social Media links, soliciting for Social Media platforms and invitations to Social Media groups is limited to the Promotion Megathread.Īdvertisements for decks and deck releases announcements are limited to the Deck Spotlight Megathread. These rules are condensed for the side bar, you can find the complete rules here Rule 1 Please check the redesign version of the sub for the sticky post calendar, flair filters, and other features. Please note that r/tarot uses the Reddit redesign, and some features are not backwards compatible with old Reddit. ![]() Whether you believe in divination or just want to learn more about yourself, you have a place in r/tarot. ![]() ![]() Beginners, professionals and skeptics welcome! Discuss the history of tarot cards, learn about tarot theory, compare reading techniques, and more. For tarot and cartomancy enthusiasts of all experience levels and belief systems. 10/2/2023 0 Comments Typhim side effects![]() The chronic carrier state occurs more frequently with advanced age, and among females than males. (6)Īpproximately 2% to 4% of acute typhoid fever cases develop into a chronic carrier state. (4) Domestic surveillance could underestimate the risk of typhoid fever in travelers since the disease is unlikely to be reported for persons who received diagnosis and treatment overseas. Of these 414 cases, 1 (0.2%) case occurred in an infant under one year of age 77 (18.6%) cases occurred in persons one to nine years of age 81 (19.6%) cases occurred in persons 10 to 19 years of age 251 (60.6%) cases occurred in individuals ≥20 years of age the age was not available for 4 (1%) cases. In 1992, 414 cases of typhoid fever were reported to the CDC. During the periods of 1975 to 19 to 1984, respectively, 62% and 70% of the cases of typhoid fever reported to the CDC were acquired during foreign travel this compares to 33% of cases during 1967-1972. Most cases of typhoid fever in the US are thought to be acquired during foreign travel. ![]() Typhoid fever is still endemic in many countries of the world where it is predominantly a disease of school-age children and may be a major public health problem. (4) Infection of the gallbladder can lead to the chronic carrier state. (1) (2) (3) During the period of 1983 to 1991 in the US, the case fatality rate reported to the Centers for Disease Control and Prevention (CDC) was 0.2% (9/4010). The case fatality rate was reported to be approximately 10% to 20% in the pre-antibiotic era. The course is typically more severe without appropriate antimicrobial therapy. Among the less common but most severe complications are intestinal perforation and hemorrhage, and death. Constipation is common in older children and adults, while diarrhea may occur in younger children. Skin lesions known as rose spots may be present. Classical cases have fever, myalgia, anorexia, abdominal discomfort and headaches the fever increases step-wise over a period of days and then may remain at 102☏ to 106☏ over 10 to 14 days before decreasing in a step-wise manner. The clinical presentation of typhoid fever exhibits a broad range of severity and can be debilitating. S typhi organisms efficiently invade the human intestinal mucosae ultimately leading to bacteremia following a typical 10- to 14-day incubation period, a systemic illness occurs. Humans are the only natural host and reservoir for S typhi infections result from the consumption of food or water that has been contaminated by the excretions of an acute case or a carrier. Typhoid fever is an infectious disease caused by S typhi. The vial stopper and the plunger stopper of the syringe are not made with natural rubber latex. Each dose of 0.5 mL is formulated to contain 25 mcg of purified Vi polysaccharide in a colorless isotonic phosphate buffered saline (pH 7 ± 0.3), 4.150 mg of Sodium Chloride, 0.065 mg of Disodium Phosphate, 0.023 mg of Monosodium Phosphate, and 0.5 mL of Sterile Water for Injection. The vaccine is a clear, colorless solution. The vaccine contains residual polydimethylsiloxane or fatty-acid ester-based antifoam. Phenol, 0.25%, is added as a preservative. ![]() ![]() The potency of the purified polysaccharide is assessed by molecular size and O-acetyl content. Each 0.5 mL dose may contain residual amounts of formaldehyde (not more than 100 mcg) used for the inactivation of the bacterial culture. The capsular polysaccharide is precipitated from the concentrated culture supernatant by the addition of hexadecyltrimethylammonium bromide, and the product is purified by differential centrifugation and precipitation. Casein derived raw materials are used early in manufacturing during the fermentation process. The organism is grown in a semi-synthetic medium. Typhim Vi ®, Typhoid Vi Polysaccharide Vaccine, produced by Sanofi Pasteur SA, for intramuscular use, is a sterile solution containing the cell surface Vi polysaccharide extracted from Salmonella enterica serovar Typhi, S typhi Ty2 strain. |
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