Intravascular ultrasound (IVUS) confirmed the burden of calcification (Panel Bi) especially at the ostium. Moderate to severe in-stent restenosis was found in the mid segment of the native ungrafted left circumflex artery (LCX) and further severe calcified disease in the proximal LCX (A and B). Patient with a previous history of coronary artery bypass graft and percutaneous coronary intervention (PCI) with stable angina was admitted for elective coronary angiography. Stent Failure Secondary to Severe Calcification and Neo-atherosclerosis in Left Circumflex Artery Final IVUS confirmed well-apposed stent at ostium (Bi) and at distal edge (Bii). The lesion was then further dilatated using a 3 × 10 mm Angiosculpt (Philips) and stented using a 3 × 38 mm DES, which was post-dilatated with 3.5 mm and 4.0 mm NC balloons. This confirmed a new lesion at LAD ostium (Aii and green *), area of bridging distally to the old stent, area of unstented segment between the two stents (Aiii and yellow *) and undersized stents, which were well apposed to the atheroma (Ai and Aiv purple *). After pre-dilatation using 1 mm, 2 mm and 3 mm noncompliant (NC) balloons sequentially, intravascular ultrasound (IVUS) was performed. Contralateral biradial arterial access with lesion crossed easily anterogradely using a Sion Blue wire (Asahi) and Turnpike LP catheter (Teleflex). Previous drug-eluting stent (DES) to proximal LAD was inserted >10 years ago, with visible unstented segment present at point of CTO with further DES in LAD beyond this. Patient with stable angina and anterior wall perfusion defect admitted for percutaneous coronary intervention of the left anterior descending (LAD) artery with chronic total occlusion (CTO). This review highlights a simplified approach for identifying the mechanism of ISR and describe strategies to select devices for therapy and illustrate this with clinical cases ( Figures 1– 6).Ĭhronic Total Occlusion of Left Anterior Descending Artery Secondary to Stent Failure However, despite these major developments, the incidence of DES ISR remains between 5 and 10% and is an independent predictor of mortality, thereby making it the foremost adversary of an interventional cardiologist in the modern era. These improvements have certainly led to superior results with reduced target lesion failure and target lesion revascularisation, MI and stent thrombosis when compared with BMS or the earlier generation of DES. This promised to solve the spectre of in-stent restenosis (ISR) completely by preventing early tissue formation after stent deployment. However, it was soon realised that the benefits of deploying a metallic scaffold were still accompanied with a significant (17–41%) incidence of restenosis within the stented segment.įurther research and development in stent technology led to the emergence of drug-eluting stents (DES), with successive generations produced on platforms with different anti-proliferative drugs, advanced polymers, improved stent cell design and thinner metallic struts. The BMS prevented the elastic recoil and constrictive remodelling that was seen frequently with POBA (32–55% incidence). The advent of the bare metal stent (BMS) introduced a major shift and promised improved outcomes over percutaneous balloon angioplasty (POBA). However, despite significant progress in the techniques, equipment and pharmacotherapy, target lesion failure remains the Achilles heel of a PCI approach in patients with coronary heart disease. The reduction in risk of cardiac death offered by revascularisation in patients with moderate to large amount of stress-induced myocardial ischaemia has driven advancements in percutaneous coronary intervention (PCI) technology over the last four decades.
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![]() # Grilled longline Hake, with a choice of chips or a side salad, at R140 # Baby Chicken served with a choice of a lemon and herb sauce or a peri peri sauce, and a choice of chips or a side salad, at R140 # A beautiful Prawn Linguini with tomato and fresh chili, at R140 ![]() # The Wagyu Beef Burger, which is offered with a serving of chips or a side salad, costing R140 Chef Pavel has created six dishes which are offered as generous portions at special prices below those on the A la Carte menu: # The cherry on top is the Créme Brûlée dessert, its vanilla-baked custard and seasonal fresh berries as colourful as the view is onto Bo-Kaap from one of the seating sections of the restaurant, facing Table Mountain and Lion’s Head.įor the first time, Utopia offers a special Family-orientated menu for Sunday Lunch. # Sautéed beef, served with Lyonnaise onions, wild mushrooms, and a veal jus. # Springbok fillet, pan-roasted, served with parsnip purée, and a Port wine jus. # Spicy Prawns, sautéed with chili, and with garlic, tomato, capers, and flambéed with white wine. # Ceviche of Cape Salmon, cured with lime juice, and seasoned with red onion, red peppers, olive oil, and fresh chili, a refreshing and colourful start to the meal. The five courses making up the Tasting Menu are the following: Utopia Restaurant towers above all other restaurants in Cape Town, excellent elevated dining!Įarlier this week Utopia launched its new Tasting Menu, offering two seafood starters, two meat courses, and an exquisite dessert, all beautifully designed and presented by Chef Pavel Dimitrov and his team. Last month I ate at Utopia for the first time, and was impressed with the location of the restaurant, as well as with the quality of its food offering. Utopia towers above all other restaurants in Cape Town in being the highest, located on the 15th floor of the Mirage building in De Waterkant, offering magnificent 360 degree views of Cape Town. It has introduced new dishes to its À la carte menu. It has also introduced a Family-friendly Special Sunday Lunch Menu, accompanied by live entertainment. ![]() Utopia Restaurant has launched its first ever Tasting Menu, offering five beautiful courses on Monday to Thursday evenings, at an amazingly low cost of R195, the lowest in Cape Town for a Tasting Menu. This is an OpenGL graphic issue that occurs on some Windows-based hardware when the Windows Taskbar has been customized to either auto-hide, or is set to not-visible on a secondary display running Sketchbook Pro.
![]() Originally posted by Sid1701d:*Update* In case you do not know, shure you can build a custom engine, I found it out the hard way though, but here is my story. you then use the engine hoist to remove the whole engine from the car and can then place it on the engine crane. Go to it, click it, select option to install motor, choose appropriate motor from the list of available ones in your inventory-this assumes you've taken it off the engine stand so it's in your inventory. All Discussions Screenshots Artwork Broadcasts Videos Workshop News Guides Reviews. So engine blocks come with a dipstick, and oil pans come with a oil plug. Click it, select move, chose the lift where the vehicle is. Now use the crane take the engine out of the car and drag the engine over to the engine stand and that is how you get a new engine from a engine block. I went to the car that had no engine in it, click on the bar to enter remove engine parts mode, and click on the green add egine parts to change modes now click and hold the outline of the engine block and choose the engine block it will be added to the car and as soon as it is added a dipstick will spawn. So I went to the work bench and tried to repair the block I just got, I repaired it twice and it went from orange 30 condiction to yellow and I did it again and it went to 90%, So I decided to use that engine block as a engine this is how I did it.: When I got back to the shop I was disappointed because the engine block was in the exast same condiction as the otherone I had, I took it out to resemble it to see what parts needed replacing, so I removed the old engine from the egine stand I thought I could just place the block thure from inventory, but no engine to be found. Build and expand your repair service empire in this incredibly detailed and highly realistic simulation game, where attention to. ![]() Our Wiki currently has 240 articles and 435 files. You can even add your self-made car in the Car Editor. Car Mechanic Simulator 2018 is a simulation video game depicting the work of an automotive mechanic. Find classic, unique cars in the new Barn Find module and Junkyard module. Nope so I got a little more creative and went to some more barns and one of the last few bars I seen my cars engine block, I old myself I just got to have it. Car Mechanic Simulator 2018 challenges players to repair, paint, tune and drive cars. ![]() So I took it home and the body parts I collect they are worth a hefty sum no matter what condiction because they are body parts, the engine parts degrade, so I bought a car with a lemon as a engine, it was missing a air filter, air filter cap and starter, so I added that hoping it would start. I had 20,000 went to the barn and got me a junk car for 16,000 seemed like a bargin right, not really everything was pretty munch shot except for a few, things I think the guy had teh same thoughts I did but never finished it, so painted it really nice to sell it. *Update* In case you do not know, shure you can build a custom engine, I found it out the hard way though, but here is my story. But don't give your cue too little power, as you may not be able to score points that way. Make sure your shot is not too forceful as that will mean you lose control over the arrangement. You can freely choose the angle and the force with which you hit the white cue ball. Be the first to sink your set of billiard balls into the table's pockets. Like most pool games, the challenge lies in beating your opponent to the punch. Can you handle a game based on the coolest sport of them all? Show off your billard skills by shooting balls into one of the six pockets of the pool table. Move it toward the direction that you want it to spin.□ Grab a cue and rush over to the lush green table covered in felt. To change the spin of the ball, simply click on the cue ball icon at the top of the game screen to adjust the spin. This means that you will have to hit the cue ball into a pocket while hitting the 8 Ball in at the same time to lose. A player can only lose by scratching on the 8 Ball if they hit the cue ball in on the same turn. What happens if I scratch on the 8 Ball?Īnother popular misconception about Billiards is that players automatically lose if they scratch on the 8 Ball. We highly recommend not scratching on the break if you can avoid it though, it is a considerable advantage to be the one to break. ![]() If a player scratches on the break, the opponent simply gets to break instead. It is a common misconception that players automatically lose if they scratch on the break. What happens if you scratch on the break? Some versions only allow players to place the ball behind the line on the table, often called the head line or baulk line.Īnother penalty often enforced when players commit a scratch is that they must take one of their own balls and place it back onto the table. We would like to make note that there are many variations to what happens when players scratch in Billiards. When a player commits a scratch, the opposition may place the ball wherever they want on the table in our Coolmath Games version of Billiards. If a player either hits the cue ball into a pocket, does not make contact with any of the balls on the table, or hits the opponent’s ball first, it is considered a scratch. To learn more, check out our Coolmath Games blog all about the history of Billiards. Another possibility is that its’ origins are from ‘Bille’, meaning ball in French. According to the Billiard Congress of America, Billiards either comes from the French word ‘Billart’, which is what the sticks are called in French. There are two possible origins for the name. Great question! Billiards is a game that was likely derived by the European nobles who played it several centuries ago in Northern and Western Europe. All of these games fall under the Billiards family. Other games that fall under this term include 9 Ball Pool, Snooker, and One Pocket. There are various games that can be classified under the term Billiards, including 8 Ball Pool. Traditionally, Billiards has been a blanket term that refers to any kind of sport that involves using a cue. Just make sure not to hit in the 8 Ball before all of your other balls are sunk, or else it is game over for you! What is the difference between Pool and Billiards? When all of the balls of one player are sunk, they must hit in the 8 Ball to win the game. If the first player hits in a solid ball, their objective from then on will be to hit in all of the other solid balls, and vice versa. ![]() This is done by hitting the white ball, also known as the cue ball, against the other balls.Įach player is trying to hit in either all of the striped or solid balls. The objective of Billiards is pretty simple – sink all of your balls in any of the six pockets before the opponent sinks theirs first. Then, just take the shot and watch the cue ball redirect back toward you after it hits another ball. For example, if you want to put backspin on the ball, click on the cue ball icon and move it to the very bottom of the ball. ![]() Move it toward the direction that you want it to spin. It can be very helpful for setting up your next shot by getting a better position. This will affect how the cue ball will move after it makes contact with another one of the balls. Oftentimes, players may want to change the spin on the ball. This only happens when you're breaking or when your opponent commits a foul. ![]() When you see arrow icons around the cue ball, this means you can click and drag on the ball to move it. Release the mouse button to take your shot. Move your mouse to aim your billiard cue, and click and drag to set your shot power. Want to try 8 Ball Pool with online multiplayer? Play it now. ![]() If multiple types are still equally valid, Judgment will change to the type that best resists the target's secondary type, if any.Although Fairy is immune to their secondary Dragon typing, it does not resist Water or Ghost. Since Giratina’s primary type is Ghost, Judgment will always become Dark. Since Palkia’s primary type is Water, Judgment will always become Dragon.If multiple types are equally effective, Judgment will change to a type that best resists the target's primary type, prioritizing immunities, regardless of what the target's secondary type may be.Judgment will become a type that is super effective against the target, prioritizing any double weaknesses of dual-type targets.This is similar to Unown's signature move Hidden Power. While selecting a move, Judgment displays the type that it will become against the selected opponent, if used that turn. In battle, Arceus gains the ability to change type when using Judgment, based on the selected opponent's type. The move's function drastically changes if the last plate Arceus interacted with is the Legend Plate. Unlike in other games, Judgment's animation is slightly different depending on which of the eighteen types it is currently using. When used by another Pokémon through Mimic, Judgment will always be Normal-type regardless of what type it was when copied by Mimic. Judgment's type is now determined by which Plate Arceus last interacted with, and thus the move will match Arceus's current type. Reason: Double check mechanics for how Judgment selects a type. Please feel free to edit this section to add missing information and complete it. ![]() Judgment cannot be selected in a battle in Pokémon Sword and Shield. Judgment's type is unaffected by Z-Crystals held by the user, remaining a Normal-type move. However, it is affected by Ion Deluge (if the move would be Normal-type) and Electrify. Judgment is unaffected by Normalize, Pixilate, Refrigerate, and Aerilate. If Magic Room is in effect, Judgment's type will always be Normal regardless of the Plate held. The type of Judgment depends on the type of Plate held by the user, being Normal-type if there is no held Plate. Judgment inflicts damage and has no secondary effect. Pokémon Brilliant Diamond and Shining Pearl.Flamethrower for some random coverage/Thunder wave incase i need to trick off the scarf, it can still then outspeed.Īny suggests on EV spreads, move set changes, pokemon suggestions/substitutions? Im still in the planning stages of this and only have Noivern and Lanturn bred and trained thus far. ![]() It also carries Hyper Voice for the spread Electric. Heal Pulse to help other pokemon stay around. Hyper voice to be either Electric or Fairy. Psyshock to do damage physically when i need to. It can Mega if there are, or not incase there isn't any. It is there when my opponents team is just filled with dragon pokemon. Was thinking of changing this pokemon with Mega Venusaur, as its bulkier, can hit hard, has sustain, and has sleep powder, one of my favorite moves.Ĭurrent Mega. Will O Wisp to provide attack drops with 2 pokemon being special walls. Leaf Storm to help deal with the ground types and also to be used against single targets incase Lanturn is no longer in the picture. Discharge to combo with Lanturn once again. Power Whip can hit for SE damage once soak is up. It can Sword Dance/Belly Drum when it can find the time to hit even harder (might need to be changed). Lickilicky's main draw is Explosion that can also wipe out ghost types and heal Lanturn. Draco Meteor to straight up destroy something when it needs to. Protect to stall a turn while Lanturn soaks a pokemon. Noivern uses Boomburst along side of Ion Deluge to not only hit both opponents for electric damage (hopefully at least one of them water type due to soak) and it heals Lantern thanks to Volt Absorb. ![]() And protect to use when a ground type attack is headed its way. It can follow up with Ion Deluge on to its partners normal type moves to make them electric and hit for weakness. Lanturn uses Soak to both make pokemon water type to hit for weakness, and to remove STAB. The idea behind this team is to use Soak in combination with Ion Deluge to both remove stab and to allow any normal attack to hit for weakness on any pokemon that has been previously soaked.Ģ52 Hp 160 Def 92 SpD (something like that) MyPlayer is mentored by Los Angeles Clippers head coach Doc Rivers, who will either praise or admonish the player based on their gameplay. 2K implemented their voices providing for a more in-depth user experience.Ī new coach satisfaction system has been introduced that provides real-time feedback based on the MyPlayer’s court performance. The player’s MyPlayer speaks to the leader of the team before and after games. Players need to get very close (6-12 inches) to the camera and slowly turn their heads 30 degrees to the left and right during the scanning process.įor 8th-Gen systems (PC, PlayStation 4, and Xbox One), M圜areer Mode has been revamped with new additions such as the mentor and upgrading system. Create a unique player, choose the appearance, name, position of the field, play style, and so on. The process of scanning the face will take about 30 seconds. NBA 2K15 participate in NBA basketball championship. The 3D mapping process creates a realistic rendition of the gamer’s face to make their gaming experience as real as possible. ![]() NBA 2K15 allows players to scan their faces into the game for created players, using the PlayStation Camera on PlayStation 4 or the Kinect on Xbox One. Kevin Durant of the Oklahoma City Thunder, one of the three cover athletes of NBA 2K13, is the solo cover athlete of NBA 2K15. In the game, players can experience the thrill of dunking and enjoy the intense competition of NBA. In the game, players can bring themselves to the NBA scene through their own game equipment, choose their favorite team or player, and engage in live NBA competitions. Featuring 2013-14 NBA MVP Kevin Durant on the cover, NBA 2K15 hits the court with. A live NBA series of sports masterpieces launched by 2K Sports. It was released in October 2014 for Microsoft Windows, Xbox One, Xbox 360, PlayStation 3, and PlayStation 4. Nominated for 70 Game of the Year Awards, NBA 2K is the ultimate basketball simulation experience. It is the sixteenth installment in the NBA 2K franchise and the successor to NBA 2K14. NBA 2K15 is a basketball simulation video game developed by Visual Concepts and published by 2K Sports. Just Click On Download Button And Follow Steps To Download and PlayGames For Free. We Provide Direct Google Drive Download Links For Fast And Secure Downloading. This Game is based onĭroid Gamer is The Best Website/Platform For Android, PSP, PC-Games, Dolphin Wii, Pcsx2 Games In Highly Compressed Size. You Can Easily Download This NBA 2K15 Game With Any Three Servers of Google Drive, Media Fire, and 2Upload.io Server. Download NBA 2K15 Game Apk For Android In 1.6GB. Adhesives, inks, and coatings are excluded from our calculations of plastic content and packaging weight. Fees are determined by the roadside assistance provider, and can vary based on your location and the type of assistance provided.Requires a cellular connection or Wi‑Fi calling. iPhone 15 and iPhone 15 Pro can detect a severe car crash and call for help.Connection and response times vary based on location, site conditions, and other factors. Roadside Assistance and Emergency SOS via satellite are included for free for two years with the activation of any iPhone 15 model.See /batteries and /iphone/battery.html for more information. Battery life and charge cycles vary by use and settings. Battery has limited recharge cycles and may eventually need to be replaced. All battery claims depend on network configuration and many other factors actual results will vary.For details on 5G support, contact your carrier and see /iphone/cellular. Speeds vary based on site conditions and carrier. 5G is available in select markets and through select carriers. Use of an eSIM requires a carrier that supports eSIM and a wireless service plan (which may include restrictions on switching service providers and roaming, even after contract expiration). iPhone 15 models are activated with an eSIM and do not support a physical SIM.Ultra Wideband availability varies by region.Charge time varies with settings and environmental factors actual results will vary. Fast-charge testing conducted with drained iPhone units. Testing conducted by Apple in August 2023 using preproduction iPhone 15, iPhone 15 Plus, iPhone 15 Pro and iPhone 15 Pro Max units and software and accessory Apple USB-C Power Adapter (20W Model A2305).The included USB‑C Charge Cable is compatible with AirPods Pro (2nd generation) with MagSafe Charging Case (USB‑C).Wi‑Fi 6E available in countries and regions where supported.USB 3 cable with 10Gb/s speed required.Apple Vision Pro is available early 2024 in the U.S.Liquid damage not covered under warranty. Do not attempt to charge a wet iPhone refer to the user guide for cleaning and drying instructions. Resistance might decrease as a result of normal wear. Splash, water, and dust resistance are not permanent conditions. iPhone 15 Pro and iPhone 15 Pro Max are splash, water, and dust resistant and were tested under controlled laboratory conditions with a rating of IP68 under IEC standard 60529 (maximum depth of 6 meters up to 30 minutes).When measured as a standard rectangular shape, the screen is 6.12 inches (iPhone 15 Pro) or 6.69 inches (iPhone 15 Pro Max) diagonally. Display size: The display has rounded corners that follow a beautiful curved design, and these corners are within a standard rectangle.See /kb/HT211204 for information about upcoming changes to ACMI financing. ACMI financing is subject to change at any time for any reason, including but not limited to, installment term lengths and eligible products. The last month’s payment for each product will be the product’s purchase price, less all other payments at the monthly payment amount. ACMI is not available for purchases made online at special storefronts. Additional iPhone Payments terms are here. Additional Apple Card Monthly Installments terms are in the Apple Card Customer Agreement. Taxes and shipping are not included in ACMI and are subject to your card’s variable APR. Subject to credit approval and credit limit. An iPhone purchased with ACMI is always unlocked, so you can switch carriers at any time. You’ll need to select AT&T, T‑Mobile, or Verizon as your carrier when you check out. Available to qualified customers and requires 24‑month installment loan when you select Citizens One or Apple Card Monthly Installments (ACMI) as payment type at checkout at Apple.More details are available from Apple’s trade-in partner for trade-in and recycling of eligible devices. Apple or its trade-in partners reserve the right to refuse or limit quantity of any trade-in transaction for any reason. Some stores may have additional requirements. Offer may not be available in all stores, and may vary between in-store and online trade-in. In-store trade-in requires presentation of a valid photo ID (local law may require saving this information). ![]() Sales tax maybe assessed on full value of a new device purchase. Actual value awarded is based on receipt of a qualifying device matching the description provided when estimate was made. Trade-in value may be applied toward qualifying new device purchase, or added to an Apple Gift Card. ![]() You must be at least 18 years old to be eligible to trade in for credit or for an Apple Gift Card. * Trade-in values will vary based on the condition, year, and configuration of your eligible trade-in device. ![]() I’d ask him what parts a tree has and we would break it down and draw each part (trunk, branches, leaves) one at a time, thinking about the general shape of each part. Shapes for Kindergarten and preschool, These worksheets help students learn the basic shapes, Trace Shapes, Color Shapes, 2D and 3D shapes, Match shapes. I tried to encourage him by getting him to break things down into shapes that he see. He would tell me “I don’t know how to draw _” for almost every one. So I tried to turn the tables on him and have him draw some of the things he was asking me to draw. I think he needs a little direction to give him the confidence to get started. Kindergarten Worksheets: Basic Shapes Basic Shapes Teach young students about basic shapes, including circles, squares, triangles, trapezoids and rectangles. ![]() Each pack contains simple to advanced shapes. However, he’s one of those kids who is reluctant to try things that he thinks he’s not good at. Teach shapes easily with these fantastic shape flashcards As usual, the flashcards come in more than one version, offering flexible customization for teachers and parents. I wasn’t tired of drawing them for him, and I obliged him some. This particular day he kept asking me to draw things for him and I wanted to encourage him to draw them for himself. ![]() His drawings are basically developmentally appropriate for his age but he’s never really relished drawing, particularly drawing the details. Generally I load him up with materials and let him go without any sort of direction and he enjoys himself. You will also discover the learning objectives and standards for 2D shape recognition and some assessment and feedback strategies to monitor your students progress. My 5 year old son and I were drawing together recently and he was having some difficulty in drawing. In this article, we will share some of our favorite 2D worksheets and activities that we constantly use in the classroom to help kinders recognize, name, and describe 2D shapes. Verdict: Free for Android users to download music from YouTube to MP3 320Kbpsįor a more convenient music streaming experience on mobile devices like your Android, VideoHunter for Android is a free and reliable YouTube to MP3 converter app you can consider trying. Support video downloads from YouTube and more popular sites like Facebook, Instagram, and Twitter.Built-in search option to access YouTube content.However, because B圜lick Downloader only supports Windows computers, if you want to process YouTube to MP3 320Kbps download on Mac, check the best recommended Mac video downloaders here. Also, this converter offers batch conversion, enabling you to convert YouTube playlists to MP3 or other common audio formats at one click. ![]() With it, you can easily convert your YouTube music videos, playlists, and other videos to MP3 in various audio quality ranging from 64kbps to 320kbps. Verdict: Best for Windows users to download YouTube music playlists to MP3ī圜lick Downloader also excels in downloading videos from YouTube to MP4 and extracting their audio to MP3 as one of the best YouTube playlist to MP3 downloaders.
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