Distortion of the rib cage, associated with scoliosis, contributes to respiratory disorders occurring in SMA patients, while pelvic obliquity may affect the ability to maintain balance in a sitting position. An incorrect cervical and head alignment may lead to limitations in cervical spine mobility or difficulties in swallowing. These musculoskeletal impairments may affect the daily functioning of patients with SMA. The spinal deformity is usually accompanied by lateral flexion and rotation of the cervical spine and head, chest deformity and pelvic obliquity (Fig. Scoliosis, defined by the Scoliosis Research Society as a three dimensional deformation of the spine with the Cobb angle at least 10 0, occurs most often in SMA I, SMA II patients, as well as in individuals with type III who lost their ability to walk independently. Spinal muscular atrophy may lead to many complications: musculoskeletal (scoliosis, chest deformities, joint contractures, hip dislocation), respiratory (impaired cough reflex, respiratory distress), gastrointestinal (gastro-esophageal reflux, swallowing problems, malnutrition or obesity) and many others, depending on the type and stage. According the classification various clinical forms are distinguished: patients with prenatal onset (SMA 0, death within weeks), very week children unable to sit unaided (SMA I, the acute form), non-ambulant patients able to sit independently (SMA II, the intermediate form), ambulant patients, who may lose ability to walk (SMA III, mild form)) and ambulant adults (SMA IV, onset of symptoms in adulthood). The disease is characterized by great variability of the age of onset (from fetal age to adulthood) and severity of clinical symptoms (from lethal to asymptomatic). In its course, motoneurons of the spinal cord are lost, which leads to the generalized muscle weakness and limited motor function. Spinal muscular atrophy (SMA) is a progressive neurodegenerative disease of an autosomal recessive trait of inheritance. Treatment of patients with SMA and associated musculoskeletal disorders requires a multi-specialist approach. Special attention should be given to assessing postural parameters in non- sitters and sitters. Biomechanical relationships between disorders located in various skeletal structures should be taken into account in the treatment of SMA patients. The results of the study suggest that CR, SATR and PO tests may assist in the assessment of SMA patients in addition to the radiographic evaluation of the spine. Significant correlations between cervical rotation measurements, chest deformity, pelvic obliquity and Cobb angle were found in SMA individuals, depending on the type. Chest asymmetry and pelvic obliquity were bigger in SMA groups than in the control ( p < 0.05). Differences between cervical rotation ranges to the left and to the right were significantly larger in SMA I and SMA II groups than in healthy individuals ( p = 0.000). ResultsĬervical rotation ranges were significantly higher in the control group than in SMA patients ( p < 0.05). Cervical Rotation (CR), Supine Angle of Trunk Rotation (SATR) and Pelvic Obliquity (PO) tests were carried out. The study included 74 patients with SMA and 89 healthy individuals aged 2 to 18 years. The second aim was to review these measurements and Cobb angle values for correlations in SMA patients. The aim of the study was to assess passive ranges of rotation in the cervical spine, chest deformity and pelvic obliquity in SMA patients, and to compare these results to the norms obtained in the group of healthy individuals. doi:10.1016/j.mayocp.2016.06.007.Musculoskeletal disorders are often observed in patients with spinal muscular atrophy (SMA). Evidence-based evaluation of complementary health approaches for pain management in the United States. Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Management of non-radicular neck pain in adults. Cervical spondylosis and spondylotic cervical myelopathy. Treatment and prognosis of cervical radiculopathy. American Academy of Orthopaedic Surgeons. Cervical spondylosis (arthritis of the neck).Clinical features and diagnosis of cervical radiculopathy. Evaluation of the patient with neck pain. In: DeLee, Drez, and Miller's Orthopaedic Sports Medicine: Principles and Practice.
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I am wondering where I can find these posters? Thanks again. There were a lot of error pop ups, but it went throught. It's simple to fix, just let me know what characters you run into. I did a check for a few but not all of these. The XMl file uses html and converts some characters to &xxx code. The only problems I found was with certain non-alphanumeric characters in the filename. Let me know if you run into any problems. So if you run the script twice, it will not download anything the second time so you won't see the flickering, but you will get the Done message when it is finished. The program will only add the jpg if 1 doesn't already exist. Once done, it will give you a "Done" window to let you know. I ran it on my ~800 movies and it took a little over a minute. One you choose, you will see the screen flicker as it copies the files into their correct locations. You can then choose to just run it for 1 library or all. The first thing it does is look up all your movie libraries. If you did the above, double clicking on this file will run the script. It is just a text file so you can open it and view it if you'd like. SaveMoviePosters.mscr is the actual script. Just double click it to associate the extension. MortScript.exe is the program that reads and executes the script. In the attached zip file there are 2 files. I have also selected retro poster art for each one which was gathered by the metadata agents but was not the default option.Here is the script I came up with. So for instance for the James Bond movies, rather than have them all appear individually in the library alphabetically, I have assembled them in their own area in the library in chronological order. db file as backing that up takes less than a minute whereas the metadata backup is at least an overnight process that will be messed up if Plex is used and any of the metadata is changed during the timespan of the backup. The metadata folder backup is a really unwieldy process that I don't do as much as I realistically should so was curious what was actually stored in the. I have backed up the metadata folder before but it takes a long, long time and so large with so many thousands of tiny folders and files, to even delete it sometimes takes more than an hour. Thanks for the reply, that's what I assumed would be there. db as the basis for a new install of Plex would be appreciated. I am assuming that most of the metadata would have to be redownloaded, but would this backup be able to reconstruct changes that I made to things like movie title names and descriptions or would that be lost as well? I am assuming that any custom artwork that I added for specific movie entries would be lost as well and that is something that couldn't be redownloaded if it wasn't in the original metadata.Īny insight anyone has into this or if you've used this. Let's assume all of my media files are intact in their same locations but the Plex install on my server becomes totally corrupted and I have to uninstall it and start over with only this file at my disposal, how close to my previous setup would this get me? mp4 metadata, and use that as the artwork for the episode. mp4 file for the episode, Plex will read a 16:9 sample from the center of the first image of the embedded artwork, in the. However, I am curious what is actually contained within this file and how useful it would be in a worst case scenario. in 2022, using the 'Plex TV Series' Scanner and Agent, and check the library setting for 'Prefer local metadata', I noticed that if you have a. I run Plex off a QNAP server and have been in the habit of regularly backing up the .db database file that is found in the /Plex Media Server/Plug-in Support/Databases folder. You might need to rescan the library or refresh metadata after you do both of those settings. Uncheck the one under that as well, 'use local assets'. Please go to the relevant subreddits and support forums, for example: Prefer local metadata has been turned off : (. Build help and build shares posts go in their respective megathreads No referral / affiliate links, personal voting / campaigning / funding, or selling posts Welcome to /r/Plex, a subreddit dedicated to Plex, the media server/client solution for enjoying your media! Plex Community Discord Rules Latest Regular Threads: No Stupid Q&A: Tool Tuesday: Build Help: Share Your Build: Submit Troubleshooting Post Files not showing up correctly? Then after that it will be ready to use as a strip or regular alpha. Select an obj model and 3DCoat will open a panel for you to adjust the model. Strips and Alphas can both use obj models as a base for you to use. Open up 3DCoat, Click on new and Select your PSD file. It helps to get rid of any jaggy edges when using the alpha or strip. Side Note: I normally slightly blur my color and height map layer. Then I rename the duplicate color layer to Color. Next I merge the bottom color layer to the heightmap layer. In Video, in this example, when midvalue has a value of 0 in ZB it has the same result as FallOff of 3D-Coat with a high value, which results in the out. Please watch and if you want to speed up the video so you do not get bored, just be aware of Midvalue values. What I do is first create my alpha image on the color layer and after I am done, I duplicate the color layer. In the video, I show the difference of this function between ZBrush and 3D-Coat. This set is a perfect addition to any print or digital project. Make sure the layers names are correct as shown in my image. This is a set of 70+ ART-DECO alphas that you can add to your 2D or 3D artwork in software such as Substance Painter, 3D Coat, Photoshop, etc. Any lighter grey will be height and any darker grey will be negative height (intrusions) HeightMap layer. That is the convention that 3DCoat uses for all it's alphas and strips.ģDCoat uses 127,127,127 grey for zero depth. It is very easy to create alphas for 3DCoat.įirst, you will need any paint program that will save PSD files like Gimp, Krita or Photoshop itself.Ĭheck the image I uploaded and look at the 4 layers. Till then the below will get you started. If I have time in a week or so, I will make alpha and strip making tutorial. Together several other ingredients, like eggs, oil, sugar, and flour ( hold ingredients up, if using).Īnd after I mix it together, I’ll put this blob into a super hot oven…then, ( Pull out a piece of cookie or cake dough/batter) Object Lessonĭo you know what this is? It kind of looks likeĪ funny blob, doesn’t it? Well, actually, this is the product of putting Pray for it to get better, but seem to hear nothing from God. Mean, or perhaps you got sick or hurt in some way. Have you ever experienced something that wasĭifficult? Maybe something bad happened at school, or someone said something Optional: bring along some cooking supplies for this one! Open up the idea of going through challenges… Sermon: Jesus Raises Lazarus from the Dead (John 11:1-45) Message at home with one or two kids, or share it with a group! Use your judgment and ideas to best serve students. With most messages, the details of how you choose to communicate this areĪdaptable and should cater to timing as well as to your audience and student Jesus and Lazarus Science Lesson (Future Flying Saucers).Jesus Raises Lazarus Lesson (Mission Bible Class).Sunday School Lesson (John 11:38-44) Lazarus is Raised by Jesus.Bible Lesson: The Resurrection of Lazarus for Kids. Optional Materials / Object Lesson Props: Baked treat (or picture of one) optional ingredients or cooking tools/materials. □ 234-Week Curriclum Bundle Free Kids' Bible Lessons PDF □ □52-Week Curriculum for 2024 As Lazarus came to life, so all will one dayīlessing that message is! It may not be within our timetable, but it will bring Lazarus to life, after he has died and been laid in the tomb. Sort of foreshadows the miracle of the Resurrection in this story. Gives, but we can know that He is still in control, loves us, and will work Sometimes things are challenging and uncertain. The message for kids, then, is more than just an exciting death-to-life story. Jesus promised that all things would work out to glorify God, and so they did. To life! What could be more impressive than that, right? But what we sometimesįorget in visiting this tale is how devastating things seemed prior to the Jesus took someone who was dead, and brought him back Main Objective: The Lazarus story seems likeĪn amazing success story. “Jesus Raises Lazarus” Children’s Sermon Object from John 11:1-45 The adorable and child-friendly clipart has transformed my teaching materials, capturing the attention of my little learners. "Finding age-appropriate clipart for my preschool classroom used to be a challenge until I discovered this website. You are free to edit, distribute and use the images for unlimited commercial purposes without asking. cdr formats.To the extent possible under law, uploaders on this site have waived all copyright to their vector images. It would be wonderful to have a section highlighting famous artists and art movements, accompanied by relevant clipart for educational purposes." , offers copyright-free vector images in popular. 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I really appreciate your suggestions and hope that maybe I'll see one of you in a game one day soon.Stealth, loud action, and even moments where you don't even have a gun in your hand are all here and they all work fantastically well. Has anyone found a fun game to hop on and play with people a few nights a week and still be able to have a reasonable time? I don't want to quit gaming but also know that with the amount I play I will never be able to get good enough at a game like FortNite to really enjoy it that much (not to mention all the people screaming on voice comms all the time). The trouble is that there aren't too many communities I've found lately that aren't pretty toxic and I find the more of a ranking system there is the more true this seems to be. I enjoy the social aspect of gaming otherwise I would just play single player games. If there are MMORPG type games that you can be effective by simply logging on for a an hour or two a few days a week I'd love to hear about them.įor me, games are an escape, and increasingly I find that I am drifting away from mainstream gaming culture because most of the people I encounter online are investing huge amounts of emotion and time into these games and yet seem to be mostly angry about it rather than having fun. I get that the grind is the fun of it for some people, but collecting bug carapces and long drawn out uninspired questing is legitimately less fun than doing my actual job. People mine asteroids for hours every night just to pay for their subscription etc. I am not just into FPS games but have found that similarly a lot of MMORPGs end up basically becoming second jobs. In order to be decent, you need to play several hours almost every night and because of the time people invest they get frustrated with any setbacks. Most lobbys are full of angry people who seem like they mostly play out of habit rather than because they're having fun. Beyond that, this hyper competitive environment seems to make people more angry than anything. I would say most of the people I played with or against were playing for many hours each day and that's a level of committment I can't justify. I used to be very highly ranked in CS:GO (Supreme) but eventually just got sick of how much time it required. I have been a PC gamer for decades now but am struggling to find my niche in a world where so many people are playing CS:GO and FortNite for several hours or more every day. Previous sticky threads (Good resources for finding games to play): r/lowendgaming - Game suggestions for yesterday's hardwareĪcclaimed Video Games - Aggregated list of the most highly critically acclaimed games. This includes key resellersįor more information about these rules click here This includes referral links.ĭon't enable, encourage, or link to piracy. State your request/suggestion in the post title.ĭon't insult, harass, threaten, or stalk users. Please ensure that you include a platform in your post if you are looking for a specific platform. Everyone asking a question just wants advice. To give and get advice on games, gaming equipment, consoles, hardware, software, board games, gaming books, paraphernalia- anything gaming related.ĭon't bash what people want suggestions on - just point them in the right direction and be helpful. Perhaps you’re someone who really loves charts and graphs (more on those later). Additional features: While most spreadsheets use a common cell-based organization system, some of them offer unique additional features that may be worth considering.Highly stylized templates may look cool, but can become distracting and difficult to work with from a practical standpoint. Layout and legibility: If you’re going to use and update this spreadsheet regularly, it helps to ensure that its layout lets you easily track your data.Are features you need to use hidden away in hard-to-find places? Are the menus overly complicated? Choosing a program or template that’s confusing to use or requires advanced knowledge from novice users can frustrate your budgeting efforts. User-friendliness: You’ll need to update your data regularly for your budget spreadsheet to be effective at tracking your finances.When choosing your spreadsheet program or template (PDF), it can be helpful to consider a few things: You may also be able to find pre-made templates you can use with some of the most popular spreadsheet programs. There’s a plethora of spreadsheet software to choose from, as well as several online budget planning apps. Choose a spreadsheet program or templateĪ logical starting point to building a budget spreadsheet would be to choose a program or template for this purpose. Consider visual aids and other features.ġ.Enter your numbers and use simple formulas to streamline calculations.Set your budget period (weekly, monthly, etc.).Create categories for income and expense items.Choose a spreadsheet program or template. 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