In regression models that included average staffing, a higher percentage of below-average staffing days was significantly associated with worse quality for licensed practical nurses in 10 of 12 models, with the largest association for decline of activities of daily living among long-stay residents (regression coefficient, 0.020 P < .001). Mean (SD) staffing hours per resident-day were 0.44 (0.40) for registered nurses, 0.80 (0.32) for licensed practical nurses, and 2.20 (0.50) for certified nurse aides. Results For the 14 717 nursing homes in this study, the mean (SD) percentage of days with below-average staffing was 30.2% (12.0%) for registered nurses, 16.4% (11.3%) for licensed practical nurses, and 5.1% (5.3%) for certified nurse aides. Quality indicators included deficiency citations long-stay residents receiving an antipsychotic percentage of high-risk long-stay residents with pressure ulcers (2 different measures for pressure ulcers were used) and percentage of long-stay residents with activities of daily living decline, mobility decline, emergency department visits, and hospitalizations and short-stay residents with new antipsychotic medication, mobility decline, emergency department visits, and rehospitalizations. Below-average staffing days were defined as those 20% below the facility average, by staffing type. Main Outcomes and Measures Linear, random-effect models with state fixed effects and robust SEs were estimated for 12 quality indicators as dependent variables, percentage of below-average staffing days as independent variables, controlling for average staffing hours per resident-day for registered nurses, licensed practical nurses, and certified nurse aides. Statistical analysis was performed from February 8 to November 14, 2022. Objective To examine whether staffing instability, defined as the percentage of days below average staffing levels, is associated with nursing home quality when controlling for average staffing levels.ĭesign, Setting, and Participants This quality improvement study of 14 717 nursing homes used the merged Centers for Medicare & Medicaid Services Payroll Based Journal, Minimum Data Set, Nursing Home Care Compare, and Long-Term-Care Focus data for fiscal years 2017 to 2019. Whether that association holds when controlling for average staffing levels is unknown. Importance Recent work suggests that instability in nursing home staffing levels may be an important marker of nursing home quality. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine. ![]() Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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You may also have come across the term interbank exchange rates, which narrows the participants to banks. Wholesale exchange rates are the rates used by banks, governments, investment funds, and large corporates to exchange currencies with one another. These rates are known as wholesale exchange rates. The company aggregates real-time data from worldwide sources, covering major trading venues. Likewise, the data for Google’s currency converter is provided by Morningstar, a US-based global provider of financial data. What exactly are the rates shown on XE or Google? The rates provided in XE’s free information services are mid-market rates from global currency markets. 1 CAD Canadian Dollar 0.7409328344 USD United States Dollar CAD to USD, USD to CAD. 1 AUD Australian Dollar 0.6646823682 USD United States Dollar AUD to USD, USD to AUD. If you wanted to do this over a longer (or shorter) period, simply change the number. The TODAY function is used as the end date, meaning your list always updates to show currency exchange rates (in this instance, from USD to GBP) for the past seven days. ![]() USD United States Dollar 1 EUR Euro 1.0817500119 USD United States Dollar EUR to USD, USD to EUR. To do that, you can use GOOGLEFINANCE ('Currency:USDGBP', 'price', TODAY ()-7, TODAY ()). "What are wholesale or interbank exchange rates? Complete list of currency units for conversion. ![]() You might observe a different exchange rate on Google is “wholesale exchange rates”. Features: - Whitelist or blacklist domains - Select among dozen of currencies to convert to - Detects prices in various formats - Supports 160+ currencies - Easily toggle between converted and original prices - Optionally set fee or tax to be added extra to conversion - Quick converter (in popup) - Rates page - Handles ambiguous currencies. You can check the same here: Currency Converter - Exchange Rate Calculator | Visa Kindly update the bank fee as 0% instead of 2%. The same conversion rate is shown in the Niyo SBM app under the Currency Converter option. Example: convert 15 Euro to United States Dollar: 15 Euro 15 × 1.0777673833 United States Dollar 16.1665107497 United States Dollar. Upon checking, we see that you hold a Niyo Global By SBM account with us.Īll the international transactions with Niyo cards will be based on the live Visa exchange rates. Rates for all countries, including Canadian Dollar, Yen, Euro, British Pound, Swiss Franc, Rand and more. 1 Euro 1.0777673833 United States Dollar 1 United States Dollar 0.927844 Euro. ![]() This is a fairly nice fluid system as you can keep your much loved hot hatch, and upgrade it to start competing with much more expensive supercars. You can purchase faster cars in higher tiers in the showroom, or you can upgrade your current car to move it up through the tiers. ![]() Sitting alongside this, is your car garage, where you buy new cars and upgrade your current car.Įach car is separated into performance tiers, just like Forza have done for years. This structure isn’t exactly fun, and you feel like you are just ticking boxes off a list to progress through the career mode. Each objective gives you a medal, and when you have so many medals, you unlock higher tiers. Essentially each event has three objectives which you have to meet. Progression through each rank is locked behind a medal system. And then each class culminates in a mini championship, where you typically race across 2 or 3 races with championship points being tallied to crown the champion. ![]() It is setup to take you through a fairly linear path from the slowest road cars, through to hypercars, and then the GT series and LMP series.Įach class of car, features a variety of races, hot-lap events and a few other special event types. It seems to be biased heavily towards the single player career mode, which quite frankly isn’t very fun. The Graphics – The Real Let Down On Console The Single Player Career Mode Best Sim Racing Rigs At Any Budget in 2023.Best Racing Wheels For F1 23: Xbox, PS5 & PC.F1 23 Compatible Racing Wheels & Controllers. The hallucinations are typically very brief and often relate to the specific emotions the person is feeling. People with anxiety and depression may experience periodic hallucinations. Therapy, medication, and social support can help. In more extreme cases, a mother may hear a voice telling her to kill her child.īecause postpartum psychosis can endanger the baby and disrupt the relationship between parent and child, prompt treatment is vital. Less commonly, some experience postpartum psychosis, which can cause hallucinations.Īn example is if a mother believes she is hearing her baby crying when the baby is not doing so. Many new parents struggle with postpartum depression and anxiety. Antipsychotic medication may help manage symptoms, and some people function better with therapy. People with psychosis may experience delusions and hallucinations and exhibit behaviors that are not typical. It can also cause psychosis, which is a loss of being in touch with reality. Schizophrenia is a mental health condition that changes the way a person thinks and behaves. LSD, salvia, dimethyltryptamine (DMT), and certain mushrooms are common hallucinogens. These drugs temporarily change the way the brain processes and sends information, causing unusual experiences and thoughts. They include: Drugsĭrugs called hallucinogens can induce hallucinations. A 2010 study attempted to review and discuss many of these hallucinations and their causes. ![]() Numerous medical conditions and other factors can cause hallucinations. Learn more about what happens in the brain during a hallucination.
![]() The difficulty was to make it functional, but I also wanted it to be beautiful to see both when open and closed.” "Definitely, the back of the blade with Hawkbill profile. We also asked him what was the most difficult detail of the Isonzo to achieve in practice: The smaller the knife the harder it is to achieve this.” ![]() ![]() Any knife should give you the idea of being a strong extension of your hand or arm. I want every knife of mine to be fully functional and to be safe and solid in my hand. We asked Jesper a couple of questions about the difficulties involved in designing such a small knife. We introduce here the Isonzo, or rather its different variants, because for the first time in the Maniago Knifemakers' line we find a knifeīut let's start from the beginning: the Isonzo was designed by Jesper Voxnaes (Vox), a Danish knifemaker who has made the essentiality of lines his style and who has already worked successfully with industrial manufacturers such as Viper, Fox, Boker and CRKT. The 2019 series is inspired by the rivers of the Italian region of Friuli This restocking fee is in addition to the $15 non-refundable layaway fee.Line presented in 2018 took their names from the mountains surrounding Maniago, in northern Italy, There is no penalty for early payment.Ĭancellations of layaway orders are subject to a restocking/processing fee of 10% of the order total (not including tax and shipping costs). If you wish to complete payment early and have your order shipped, you may contact us at any time during the 60 day period. A new payment schedule will be calculated based on when additional products are added. There is no penalty for prepayment.Īdditional products may be added to a layaway order without penalty. ![]() You will receive a reminder via email that a payment is due. If you need to change this for any reason, please contact us.įor payments made other than credit card, payment must be received within seven (7) days of the due date or the order is subject to cancellation. You will be reminded via email that a payment will be charged. If your initial payment is made by credit card, we will automatically process the 2nd and 3rd payments at the appropriate time using the same credit card information. If you select the layaway option, your payments would be: The first payment is made when the order is placed.Įxample: Your order total is $300 plus $12.75 shipping and handling. This fee is added to the first payment along with the shipping and any tax. There is a $15 non-refundable fee for layaway orders. The first payment is due with the order, the second payment is due 30 days later, and the final payment is due 60 days after the order. The total amount of the order excluding shipping, tax, or fees is divided into three (3) equal payments. Products that are eligible for layaway will show "Layaway Available: Yes" on the product page. We offer a layaway plan on select products so you may pay for your order over a period of 60 days. ![]() Checked the web, found many other similar complaints.Swapped out the OWC cable for an Apple cable. ![]() I discovered they have a Known Issues page and the issue is there:
![]() Why Choose this Best Graphing Calculator for Engineers: This is good because it means that you do not have to switch between multiple modes to solve problems. The calculator’s operations are all integrated.The TI-36X also comes with a simultaneous solver which will allow you to solve systems of equations.The calculator can perform a variety of functions, which include reduced echelon form, logarithms, trigonometric functions, prime factoring, integer extraction, and so much more.Exponents and fraction bars are shown without carrot notation but instead in superscription or bar form. It allows you to enter information as you would see it on your assignments or in a textbook.This means that it can run on solar power or battery power. This calculator option runs on dual power.This is an extremely inexpensive option to purchase that is great for use on your in-class exams if there are calculator restrictions and proctored engineering exams.Individuals massively love it in the math and science community for its simplicity and its ability to be used on a host of different exams. This Texas Instrument calculator is highly recommended for engineering students. Wrapping Things Up: The Best Graphing Calculator for Engineers Our Favorites for Best Graphing Calculator for Engineers Texas Instruments TI-36X Pro Engineering Scientific Calculator If you want to just get back to studying, get our top pick for graphing calculator for engineers here.ĥ. Aside from providing you this list, we will also help you learn how to choose the best one for you.Īll you have to do to get this information and so much more is keep reading. This article will provide you with some of the best graphing calculators for engineers that are highly recommended by individuals just like you. These are a great help when a computer is not accessible.Ĭhoosing a calculator depends a lot on the courses you will be taking, your course load, and your personal preferences. ![]() Some calculators offer programs and functions made explicitly for engineering. Though you must know how to compute problems by hand, calculators can be a great help. Are you an engineering student looking for a calculator to supplement your course work? Are you confused about what calculator to buy that will have the best life span? If any of these questions hold, then you have come to the right place.Ĭalculators can be an excellent tool for students no matter their discipline however, they are increasingly important for engineering students. The game also has some nice new concepts. The game world turned out to be nicer than I expected, and bigger, making for really interesting and fascinating exploration. The game world turned out to be nicer than I expected, and bigger, making for really interesting and fascinating I honestly liked this game. And you can play it in your own style: - Fill your basic needs (hunger, thirst, and sleep) to survive, - Learn how to interact with the other members of your society, and choose stealth, conformity or combat, - Encounter dozens of in-game unique events, - Conform to the specific local habits by learning to behave accordingly, and taking your Joy, - Collect recipes, scavenge items and craft dozens of weapons, tools and devices, fight with your bare hands or the crazy weapons you create, watch out for traps, or learn how to use them to your advantage. ***Features*** In We Happy Few, you will experience: - A procedurally generated world, meaning that everyones experience will be unique, - A range of difficulties for new and experienced players alike, - Permadeath, if you want to satisfy all your masochistic needs, - Three modes: sandbox, story and Wellie mode, - A unique soundtrack, and - A fully voiced, cinematic, first person story. Our stories are definitely not appropriate for children, but are laced with dark humour, hope, and even a spot of redemption. ![]() Each character has their own storyline that reacts to the events of the world around them, and their place within it. They are flawed and not particularly heroic, warped by the trauma their world has been through. ***A Mature Story*** We Happy Fews characters are not typical video game heroes. You will need to practice conformity, stealth and combat if you want to survive long enough to escape. If you act out of turn, or youre not on Joy (the local happy pills), the locals will become suspicious and will rapidly turn your frown upside down! Forcefully. ***Suspicion and Joy*** We Happy Few is about surviving in and escaping from a procedurally generated world, where you must learn to hide in plain sight. You will discover the history of this world, and how it came to be just so beguilingly happy. Everything appears to be happy in Wellington Wells, including the roads, the people, and its omnipresent television personality, Uncle Jack! However, its a beautiful world on the brink of collapse. ![]() ***1960s Dystopian England*** Set in a retrofuturistic 1960s, you will find a city ravaged by war and rebuilt by delusionally happy people. ![]() Set in a drug-fuelled, retrofuturistic city in an alternative 1960s England, youll have to blend in with its other inhabitants, who dont take kindly to people who dont abide by their not-so-normal rules. Set in a drug-fuelled, retrofuturistic city in an alternative 1960s England, youll have to blend in with its other inhabitants, who We Happy Few is the tale of a plucky bunch of moderately terrible people trying to escape from a lifetime of cheerful denial in the city of Wellington Wells. Summary: We Happy Few is the tale of a plucky bunch of moderately terrible people trying to escape from a lifetime of cheerful denial in the city of Wellington Wells. This is because not all the commercial Blu-ray discs are supported by VLC media player so that you might encounter the problem from time to time. Why VLC Failed to Play Your Blu-ray Disc? VLC keep Blu-ray loading but nothing presents.No valid processing key found in AACS config file.This blu-ray disc needs a library for aacs decoding, and your system does not have it.This blu-ray disc needs a library for bd+ decoding, and your system does not have it.What to do When VLC Won't Play Blu-ray?Įven you have successfully installed VLC 3.0 or above and follow all the steps above, you likely still encounter errors like: Tip: VLC does not yet support Blu-ray menus so you must manually select title to play. Run VLC and insert your Blu-ray disc into the Blu-ray drive, and open it with VLC, then your encrypted Blu-ray movie will start playing in VLC. Mac OS: right-click on VLC, choose "Show Package Contents" and put the "libaacs.dylib" file in " Contents/MacOS/lib/" (create it if it does not exist). ![]() Mac OS: put "KEYDB.cfg" in ~ /Library/Preferences/aacs/ (create it if it does not exist). Download and install the latest version of VLC for Mac OS X from. The steps about playing Blu-ray movies on Mac devices is almost the same as on Windows. Just need to click on "Media" > "Open Disc" > "Blu-ray". Now, you can easily launch VLC and use it to play Blu-ray disc on Windows for free. If running 64bit VLC, you will need to find your VLC directory in "C:\Program Files (x86)".:ģ. Go to "C:\Program Files\VideoLAN\VLC", then drop your downloaded "libaacs.dll" file into it. After that, place your downloaded "KEYDB.cfg" file into it.Ģ. Go to "C:\ProgramData", create a new folder in it and name it "aacs". Please notice that there are two different files of AACS dynamic library available at a Windows-based computer, and you should download the 32bit file for VLC 32bit, and 64bit file for VLC 64bit.ġ. ![]() Step 1: Go to, download, install and run the latest version of VLC for your Windows 10/11 system. How to Play Blu-rays with VLC on Windows 10/11 Please note that an external Blu-ray drive is necessary for playing Blu-ray on computer. In this following page, we've concisely listed the necessary steps to help you play encrypted Blu-ray discs with VLC on Windows and Mac. Without these, it cannot access the encrypted data on the disc, and thus displays the "This blu-ray disc needs a library for AACS decoding error" message. But for commercial Blu-rays which employ several DRM mechanisms such as AACS and BD+, VLC requires the decryption key data base and AACS dynamic library to play these encrypted Blu-ray discs. You can directly play homemade/burned and unprotected Blu-ray discs with VLC. Ultimate Solution to Play Any Blu-ray on VLC Without Error - Ripping |
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