I was too sick to ingest the barium required for a CAT scan, so the attending physician ordered an abdominal x-ray. This time I knew I was not going home with antibiotics. No food or liquid would stay down and I found myself back in the ER. Three days later my body could take no more. I missed my daughter’s birthday party after spending the night before in the ER when the pain was so intense only to be sent home with a strong course of antibiotics and told I must have some colitis as a result of the surgery. I knew in my gut – literally and physically – that something was very wrong. My doctor dismissed my complaints and told me it would take more time for my intestines to heal. I had chills and extreme pain after I ate and often ran a low grade fever. The pain after this surgery grew worse instead of better. In hindsight, what happened over the next several weeks should have been our alert. I was discharged from the hospital 10 days later when my bowels ‘woke up’ from surgery and all systems seemed to be functioning. When I awoke from surgery, the report was that all went well. No real explanation was given, but the solution was emergency surgery to cut out the blocked part of the intestines and put me back together. My husband rushed me to the ER where a cat-scan revealed a kink in my intestines. I made my way to the bathroom floor with intense abdominal pain that took my breath away. One week later I woke up in the middle of the night in excruciating pain. At 38, I was in the best shape of my life. January 12, 2013, I ran the Disney half marathon. March 13, 2013, my body went into septic shock.
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Remember that a burned-out bulb can get you a very easy-to-avoid ticket! Be sure to change any light bulbs that are performing poorly. Have someone stand outside your vehicle as you flash each turn signal (have them check back and front lights), brake lights, headlights, and fog lights. Turn Signal Lights & Headlightsįor this, you’ll need a partner. If anything seems out of whack, take it to a shop to get checked. When testing your brakes: listen for any abnormal noises (squealing, scarping), note if the vehicle is erroneously pulling to one side or the other, and make note of the pedal feel as you press it. If you already did the fluid check (above) then you’re ahead of the game. Typically, the brake warning light on the car console will come on if there is an issue however, it’s always good to do a quick self-lead check. Battery problems are one of the top reasons AAA listed for emergency intervention on the road, so make sure you are ready. 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It also ensures that you are only traveling with your “close-knit” crew, be it friends or family, and not exposing yourself outside of your social bubble.īefore you through a weekend bag in your trunk and pick a travel playlist, we recommend doing a once-over inspection of your vehicle of choice. If you want to avoid packed airports, and the germ-spreading potential of recycled plane air, driving yourself to your vacation destination is the way to go. Road trips are a great alternative to traditional plane, train, or bus-based travel right now. Does your vehicle pass the road trip checklist? Keep reading to find out. Such a scoring system has never before been developed in patients who suffer a pathological fracture, and has the potential to guide surgical management and provide a more evidence-based patient expectation.Īll records from patients admitted with a pathological fracture over a 10-year period (2002–2012) to Fremantle, Sir Charles Gairdner and Royal Perth Hospital in Western Australia were retrospectively analysed. In response to this, we sought to develop a novel scoring system based on the statistically significant variables identified at the time of pathological fracture that can be utilised to more accurately predict prognosis and overall survival. Īlthough important, the documented ability of clinicians to predict prognosis in patients with metastatic bone disease is poor, with reported accuracy of only 18% reported in the literature. The chosen implant and construct should be able to withstand the patient’s expected level of activity and appropriately match their expected survival. When considering surgical management of a pathological fracture, the key operative goals include pain relief, early mobilisation and minimal morbidity and complications. However, this study differs by identifying the significant variables at time of pathological fracture, which is often the point at which the surgical team are first involved. Ī number of studies have identified significant variables in patients with metastatic lesions and how they relate to patient prognosis. The literature suggests a 1-year survival rate in the range of 30–40%. Pathological fractures have significant implications for patient morbidity and mortality and are often considered a marker of end-stage cancer. Approximately 10% of patients with bony metastases will suffer a pathological fracture at some point during their clinical course. Recent advances in diagnostic and therapeutic capabilities have resulted in a better prognosis in many cancer patients. This can guide specialist management and offer patients a more accurate expectation of functional outcome and survival time.Īs the average life expectancy has increased, so too has the prevalence of cancer. ConclusionĪ novel scoring system has been developed that offers a survival probability based on patient’s individual circumstances. There was a statistically significant association between patient survival and primary cancer type, physical functional score, spinal metastatic burden and use of chemotherapy or radiotherapy. Median time from cancer diagnosis to pathological fracture was 14.2 months. Median survival from fracture to death was 4.1 months. ResultsĪ total of 233 patients were included. Variables assessed were primary cancer type, fracture site, fixation method, cement augmentation, pre-morbid level of physical functioning, complication rate, treatment with chemotherapy or radiotherapy and appendicular, spinal and visceral metastatic load. The records of all patients that presented with metastatic pathological fractures over a 10-year period from the only tertiary orthopaedic departments in Western Australia were retrospectively examined. The aim of this study was to identify the variables that influence prognosis and utilise these to develop a novel scoring system to better predict life expectancy post-pathological fracture. The most appropriate treatment of pathological fractures from metastatic disease depends on several factors, one of the most important being predicted life expectancy. The sorcerer Shang Tsung is often seen as his subordinate, serving him for over a millennia. Through his tyrannical rule of Outworld, Shao Kahn has made many enemies, but also many allies throughout the series. After his past self is brought to the present timeline, he is later betrayed by Shang Tsung after the sorcerer became the Keeper of Time, using Shao Kahn and his forces to storm Kronika's Keep, only to absorb his and Sindel's souls after seizing the Hourglass. In the current timeline, he was killed by the Elder Gods for his invasion of Earth and violating the rules of Mortal Kombat, allowing for the Netherrealm invasion of Earthrealm being headed by Quan Chi and Shinnok, the former assisting his attempted conquest of Earthrealm. This arrogance and naïveté also allowed for his downfall by his allies on many occasions, such as being betrayed by his allies in the original timeline leading up to Armageddon. He also possesses a blinding lust for conquest that can sometimes overwhelm his better judgment, allowing him to be manipulated by those that are cunning enough to exploit this weakness. Shao Kahn has often underestimated mankind, and therefore tried to conquer Earthrealm many times, with or without a consort, to no success. However, his greatest weakness is his arrogance and overconfidence. Perhaps Shao Kahn’s greatest strength lies in his ability to work towards his goals with great tenacity and his ability to organize. He would later defeat Blaze in the original timeline, ascend to God-hood with Blaze's powers, kill Raiden and win Armageddon as the remaining kombatant in the original timeline. It is revealed in Mortal Kombat: Deception that Shao Kahn was an advisor to Outworld as Raiden was to Earthrealm, which would suggest the possibility of him being a God, as well as being the former protector of Outworld during Onaga's rule. His knowledge of dark arts have made him a powerful and dangerous kombatant, along with producing some of Outworld's most deadly adversaries, such as Ermac and Skarlet. Like his subordinate Shang Tsung, he has the power to consume and manipulate souls. However, his true power that has served him well and allowed him to rise above the image of a mere warlord is his high intelligence and profound knowledge of the black arts. He has also spared the lives of other victims such as Sindel and Kitana, raising the latter like his own daughter and treating the former like his own wife. He is also known for his extreme callousness, brutality, and ferocity in battle, as well as his fondness for personal executions, although he has occasionally spared the lives of his subordinates after proving their worth to him. In many respects, he resembles a large Asian warrior, and is well known for his God-like strength which rivals, if not outright exceeds, that of Raiden and other Godly characters. Shao Kahn the Konqueror is the former Emperor of Outworld, and has served as the main antagonist for most of the series. 8.3 Mortal Kombat 3/ Ultimate Mortal Kombat 3/ Mortal Kombat Trilogy.7.10 Mortal Kombat Legends: Battle of the Realms.7.9 Mortal Kombat Legends: Scorpion's Revenge.7.7 Mortal Kombat Mobile (Feats of Strength).He reprises his role as a secondary antagonist in the Aftermath Story Mode expansion, serving it alongside Sindel. Shao Kahn returned in Mortal Kombat 11 as a pre-order bonus character while also having a role as a secondary antagonist in the game's Story Mode, in addition to being one of the announcers for the game's Arcade. He later returned as the non-playable final boss in Mortal Kombat (2011), serving as the main antagonist of the game's Story Mode. Shao Kahn made his debut in Mortal Kombat II as the final boss, a role he also served in Mortal Kombat 3 and in later games. He serves as the main antagonist of the franchise alongside Shinnok. A powerful tyrant of the Outworld throne, he is one of the most celebrated villains in not only the fighting game genre, but the video game genre as a whole. Shao Kahn is a character in the Mortal Kombat fighting game series. Shao Kahn during Kotal Kahn's execution in Mortal Kombat 11. All realms will tremble before me! Outworld will again be conquerors, never the conquered! In any case, when progressing for a longer fight, riddles will be gradually unpredictable, for example, new vehicles and materials, such as a water-driven pillar. Related Game: Poly Bridge 2 Game Download It presents different materials and conditions that guide how to move towards each design. Material sciences are energized with ingenuity with each distinctive form and have the opportunity to change the structure on the fly, for example, through over 100 crusade puzzles Poly Bridge game Download. 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And event notifications have been available since SQL Server 2005. The automated generation of Deadlock Graph (*.xdl) files is convenient. I think most would agree it's better to know something (bad) happened before the customers start calling. On the plus side, I really like the proactive nature: an event occurs, I get an email. (The first time I got deadlock alerts, there were more than 500 of them waiting for me in my Inbox.) Lastly, there's the XML issue: it's not everyone's cup of tea. Additionally, you might get hit with an unexpected deluge of emails. There is an authorization issue for _send_dbmail that will need to be addressed for logins without elevated permissions. The approach presented here may have some drawbacks compared to others. The REPLACE function is used to double up any single quotes that may exist.Īs noted, there are other ways to handle deadlocks in SQL Server. This "query" will be the parameter value for _send_dbmail. Next, we create a "query" that does nothing more than select the data as a string literal. This data will become the contents of a file attachment for an email message. The element and all of its data is assigned to the variable. The XML data returned by the EVENTDATA() function that was written to the QUEUE is assigned to the variable: RECEIVE TOP ( 1 ) - just handle one message at a = CAST ( message_body AS XML ) On the queue AND the response wouldn't be sent.ĪLTER QUEUE dbo. At any point before this, weĬould roll back - the received message would be back value ( '(/EVENT_INSTANCE/SessionLoginName)', 'VARCHAR(128)' ) + '' + value ( '(/EVENT_INSTANCE/EventType)', 'VARCHAR(128)' ) SET = 'SET NOCOUNT ON ' + CHAR ( 13 ) + CHAR ( 10 ) + SET = REPLACE (, CHAR ( 39 ), CHAR ( 39 ) + CHAR ( 39 )) query ( '/EVENT_INSTANCE/TextData/deadlock-list' ) AS NVARCHAR ( MAX )) value ( '(/EVENT_INSTANCE/StartTime)', 'VARCHAR(128)' ) ĭECLARE DATETIME = NVARCHAR ( 255 )= 'Deadlock Graph ' + value ( '(/EVENT_INSTANCE/IsSystem)', 'VARCHAR(8)' ) ĭECLARE VARCHAR ( 128 ) =. value ( '(/EVENT_INSTANCE/LoginName)', 'VARCHAR(128)' ) ĭECLARE INT =. ), TIMEOUT 1000 - if the queue is empty for one second, give UPDATE and go awayĭECLARE SYSNAME =. RECEIVE TOP ( 1 ) - just handle one message at a = CAST ( message_body AS XML ) Receive the next available message FROM the queue * Purpose : Handles deadlock events (activated by QUEUE queDeadlockNotification) TO SERVICE 'svcDeadlockNotification', 'current database' Create the event notification for Deadlock events on the service. Create a service just for Deadlock events. Create a queue just for Deadlock events. |