His total CK levels were elevated (1,654 unit/L) upon arrival and trended down over his 68-hour hospital course. The patient’s troponin-T, creatinine kinase myocardial b fraction (CK-MB), and total CK levels were monitored to identify any cardiac or global muscle damage. The patient tested positive for blood (3+) and albumin (1+) in the urine, and was diagnosed with myoglobinuria and admitted to the intensive care unit for hemodynamic monitoring and resuscitation. Dark purple ecchymosis is visible on the patient’s knees from his fall to the ground after the strike (B) Superficial linear flash burn (black arrow), punctate burns (white dotted arrow), and small abrasions over left nipple (C) Lichtenberg figure lesions on the lateral right thigh (black dotted arrow). Dark linear flash burn on left anterior thigh (black arrow). Superficial punctate burn on left anterior thigh (white dotted arrow). Lichtenberg figure lesions on anterior right thigh (black dotted arrow). The patient also presented with an open wound on the left lateral ankle his shoe had been burnt and blown off by the strike.Ĭutaneous injuries on patient one: (A) Small superficial thermal burns where the patient’s belt buckle contacted the skin (white arrows). Distinct Lichtenberg figure lesions were observed on the anterior right thigh ( Image 1A) as well as on the right and left lateral thighs ( Image 1C). Superficial flash burns were also observed on the patient’s trunk and anterior thighs, and ecchymosis was observed on the patient’s knees, resulting from his fall to the ground. Minor superficial thermal contact burns were observed below his belt buckle ( Image 1A). Small abrasions were also observed above the scrotum area and the left nipple, and partial thickness punctate burns were observed on the anterior left thigh and over the left nipple ( Images 1A and 1B). He sustained multiple burn injuries, including superficial burns on the anterior trunk and legs ( Image 1). Chest and pelvic radiography as well as computed tomography (CT) of the head and cervical spine were normal. A focused assessment with sonography for trauma (FAST) and abdominal examination were negative and there was no evidence of compartment syndrome or internal injury. His vitals were normal and he was in normal sinus rhythm (NSR) with no heart murmurs. The patient presented, alert, oriented, and responsive with a Glasgow Coma Score (GCS) of 15, but complained of diffuse pain. He recalled falling to his knees and losing sensation in his left leg and subsequently suffered loss of consciousness for a very short period of time post-strike. He presented with superficial and partial thickness cutaneous injuries. Their unique lightning burns and treatment are discussed.Ī 40-year-old male was struck by lightning while walking in a rainstorm holding an umbrella in an open parking lot. While several published case reports describe the injuries of individuals struck by lightning, this report presents a couple that was simultaneously struck by lightning while walking arm-in-arm in the rain holding an umbrella between them. 1 The risk presented by this high strike density in conjunction with the large population density and favorable climate for outdoor and water activities has earned Florida the reputation as the “Lightning Capital of the United States.” 2, 3 Although being struck by lightning is considered an uncommon occurrence, Florida has more than twice as many lightning-related casualties and fatalities than any other state and averages approximately 10 fatalities per year. In Florida, the heat and humidity of the subtropical climate creates optimal conditions for thunderstorms the density of lightning strikes is approximately 30 strikes/km 2 per year, relatively high on the global scale and the highest in the U.S. In the United States, the National Weather Service estimates the odds of being struck by lightning in a given year as approximately one in a million.
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But this is not so, correct? In the end, what I get is determined solely by NAV, and is not predictable? I also don't understand why I can view par values and coupons of all bonds in the ETF, but average par value is apparently not listed.
As you can see from the chart, the only variable is the average download and upload speed you'll experience. T-Mobile provides its Wi-Fi Gateway device, a combination modem and Wi-Fi 6 router compatible with T-Mobile's 4G LTE and 5G networks. Instead, it's a fixed wireless service that provides you with a router that connects to a cellular signal. The premise of 5G home internet is that, unlike typical internet connection types (including coaxial cable lines, fiber-optic internet and digital subscriber line), you're not reliant on underground constructions and deployments to get you connected. It's one plan, one price and no additional fees. There aren't many qualifiers when discussing T-Mobile Home Internet plans. T-Mobile's Wi-Fi Gateway is included in the monthly price. If you decide not to go with automatic monthly payments, your price will be higher. Note: Prices listed on this page reflect available discounts for setting up paperless billing. There isn't an array of tiers and options from which to choose because there's one plan and one plan only. Simplicity is one of the biggest things that jumps out at me when I look at T-Mobile Home Internet. Plans and prices for T-Mobile Home Internet While that broadens the company's availability footprint, it wouldn't be right to include this as part of T-Mobile Home Internet, as Lite has a 100-300GB data cap. That said, T-Mobile also announced a Home Internet Lite service, open to anyone within a T-Mobile service area. For those outside the current availability window, T-Mobile's site mentions that expansion could take six months or more and allows interested parties to put their name on the list for down the road. Additionally, there's a focus on expanding access for small towns and communities. But when you consider that US Census data puts the total number of households in the country at approximately 143 million, about 65% of households remain ineligible for T-Mobile Home Internet.Ī T-Mobile spokesperson didn't have specific details on expansion plans but highlighted that more than 10 million households in the current footprint are within rural America. When will T-Mobile Home Internet get to my area?Īs mentioned, T-Mobile is the most widely available 5G home internet service. In the meantime, T-Mobile is open to signups in over 600 cities but more households, many within rural areas.Ĭheck the T-Mobile Home Internet eligibility page to determine if your address is serviceable. By comparison, Verizon's 5G Home Internet service has rolled out in approximately 900 markets but is available to around 40 million homes. That makes it the country's most widely available 5G home internet service. When discussing any ISP, it's always good to begin by answering the fundamental question: Can I get this service? T-Mobile Home Internet is available to over 50 million households across the country. T-Mobile utilizes much of its 4G LTE network to expand its availability, so don't expect full 5G capabilities all the time. But now that the company's home broadband offering is established, what does that mean for you? Does 5G home internet offer something new? Is T-Mobile Home Internet a viable option to replace your current ISP? We've been aware of T-Mobile's desire to use 5G to break into the home internet game for quite some time. A short year later, it proclaimed it had expanded its availability to 40 million households, and CNET's Eli Blumenthal gave it a try. By April 2021, T-Mobile announced it had launched its home broadband service nationwide. T-Mobile Home Internet started rolling out as a pilot program early in 2021, and CNET was among the first to give it a test run. In June, the company made a splash with the latest American Customer Satisfaction Index survey results, which placed it at the top of all non-fiber national internet service providers. The Federal Communications Commission included T-Mobile's home internet offering as one of only 11 fixed internet services able to cover over 5% of the US population. The number of subscribers continues to rise - up to 3.7 million customers, per the company's second-quarter 2023 report. T-Mobile's got to be feeling pretty chuffed about its 5G home internet offering. English speakers are not likely to know, for example, that Саша (Sasha) can be short form of both Александр (Alexander) and Александра (Alexandra) and thus the translator may need to make alterations to the text to alert the audience to this fact. Of greater concern are people’s proper names. For example, the phrase “ Я хо чу заказать столик” (I want to reserve a table), becomes almost impossible to fully translate, with a conveyance of light informality and an implication that the table is likely not for many people. However, others, such as “ столик “ can be more challenging. Some diminutives have more obvious translations, for example мамочка (mommy) and папочка (daddy). Russian uses far more уменьшительные слова (diminutives), especially in literature and conversational speech, than does English. See the graphic to the right for further explanation. This form, for example in крупнейший, is most accurately translated as “one of the biggest.” While the difference between the formation of the two Russian forms is small, the fact that Russian has a grammatical form that English does not, and given that mistranslations of this form can result in untrue statements not intended by the speaker, this difference between Russian and English is perhaps one of the translator’s most dangerous pitfalls. Самый крупный will always refer to “the biggest.” The простая superlative form in Russian is a slightly more книжный стиль (literary form) and is formed with the ending – ейший (or – айший after ж, ч, ш, щ ). The simplest way to explain them to an English speaker is that “hard” superlatives are most like those in English. However, Russian has two types of superlatives: составная and простая (hard and soft) and translating these can be challenging. Прилагательное в превосходной степени (superlatives) in English have just one form, implying that something is “the most” of something. Прилагательное в превосходной степени (Superlatives) For more on Russian’s superlative cases, click here to download this scan. For instance, “ Я гулял” (I strolled) is much more direct and finite than “ Я погулял,” which is closer to “I strolled around awhile.” While such subtleties can often be expressed in English using phrasal verbs, translators must navigate a web of subtleties and consider each case in context to decide how to express the same thought with economy. Russian has only three tenses, настоящее (present), прошедшее (past), and будушее (future), but it also uses вид (aspect) to add layers of значение (meaning) emphasizing how the action was performed, if it was completed, repeated, done with specific purpose, etc. Verbs in English and Russian express время (time) very differently. It is she that he loves) or through other emphasis (i.e. The translator, if to keep the original emphasis, will need to creatively carry this into English, perhaps with a нестандартный (non-standard), non-neutral word order (i.e. In these instances, emphasis is specifically placed on the word moved forward in the word order. This word order is нейтральный (neutral) in Russian, but for вы разительность (emphasis), the word order can be changed, in which case it is no longer neutral: Её он любит/Он её любит. One of the major differences between Russian and English is порядок слов (word order). 7 More Russian MiniLessons! Порядок слов (Word Order) All of our downloads are in one place, broken down by skill area so you don’t have to enter your email address every time.AND we create tools to make service providers lives’ easier. AND we design handouts for educational purposes. Inside The Member’s Club we deliver activities that are designed for kids from toddlers-teens. The Member’s Club is a membership program that is designed to help you simplify your life while helping the kids you serve, every day. Introducing: The OT Toolbox Member’s Club …if you serve a child who is developing skills, or you have a passion for helping kids with or without disabilities, this therapy club is for you. The time to create resources and find fresh intervention material is just not always available. It has materials and resources for anyone that works with kids on accomplishing skills: professionals that work with therapists, parents whose children receive or potentially receive OT, educators, counselors, advisors, speech therapy professionals, physical therapists, physical therapy students, and others in the speech language or physical therapy profession.Īs “helpers”, much of our time is spent managing full schedules, offering consultation, and dealing with payor sources. So they are a must for delivering great materials…but I wanted to make the content so easy to digest that you can implement it right away and help your kids’ thrive.Īd-free content is a benefit of Level 2, premium membership.Īll of this is WHY the OT Toolbox Member’s Club has come to be! A Club for Occupational TherapistsĪnd when I say a “club for occupational therapists”, I really mean ALL OTs: OTs, OTAs, OT students, and OT faculty.īut, in reality, this therapy club benefits the child. Ads are what pay for the systems and technology so we can create and deliver free downloads. It’s what allows us to pay contributor writers, who offer their expertise and experiences in blog posts. It’s what keeps this site running so we can pay the hosting bills and email service providers. And easier to consume. I wanted to offer an ad-free environment for readers to access the information on this website.Īds are a necessary part of the internet. >I wanted to take all of the information found on The OT Toolbox and make it easier to read. We spend evenings and weekends surfing blogs to access downloads and find the information that we need.We purchase treatment materials with our own money.We spend hours outside of the job looking for activity ideas.But many times, therapy professionals struggle to find the precise tools to serve their clients. These are face-to-face and virtual spaces where you can find resources, ask other OTs questions, and grow as a professional through a community environment. And there are fabulous communities of OT professionals to be found on Facebook and other social media outlets. Many go on to gain additional certifications or degrees. OT professionals attend continuing education courses, attend professional affiliation meetings, and are constantly learning and developing as a professional. However, once they are out in the field, that education and learning as a professional doesn’t end. Occupational Therapy professionals go through years of schooling, and then fieldwork placements. My goal has always been to provide therapists, educators, and parents with the resources they need to help kids thrive…at a free or low cost while saving you time so you can help those children. Since it’s creation, the mission of The OT Toolbox has been to help therapy professionals, parents, educators, (and anyone working with children) to help the kids they love and serve, to thrive and develop skills. Today, I wanted to share with you, as the creator of The OT Toolbox, more about one of my biggest goals for this website. 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