![]() ![]() PART 483-REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES.PART 482-CONDITIONS OF PARTICIPATION FOR HOSPITALS.PART 460-PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE).PART 441-SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES.COVID–19 Reporting Requirements for LTC Facilities COVID–19 Testing Requirement for LTC Facilities § 483.80(h) COVID–19 Vaccine “Educate and Offer” Requirements for LTC Facilities and ICFs–IID Residents, Clients, and Staff (§§ 483.80(d), 483.430(f), 483.460(a)(4)) Analysis of and Responses to Public Comments COVID–19 Testing Requirement for LTC Facilities COVID–19 Vaccine “Educate and Offer” Requirements for LTC Facilities and ICFs–IID Residents, Clients, and Staff Additional Requirements in the Staff Vaccination IFC for Specific Provider and Supplier Types Common Requirements in the Staff Vaccination IFC Omnibus COVID–19 Health Care Staff Vaccination Provisions of the Interim Final Regulations Enforcement of Staff Vaccination Provisions ![]() COVID–19 Vaccine “Educate and Offer” Requirements for LTC Facilities and ICFs–IID This repetition of headings to form internal navigation links Headings within the legal text of Federal Register documents. This table of contents is a navigational tool, processed from the Provide legal notice to the public or judicial notice to the courts. Rendition of the daily Federal Register on does not Until the ACFR grants it official status, the XML Legal research should verify their results against an official edition of The official SGML-based PDF version on, those relying on it for The material on is accurately displayed, consistent with While every effort has been made to ensure that Regulatory information on with the objective ofĮstablishing the XML-based Federal Register as an ACFR-sanctioned The OFR/GPO partnership is committed to presenting accurate and reliable Register (ACFR) issues a regulation granting it official legal status.įor complete information about, and access to, our official publications Informational resource until the Administrative Committee of the Federal This prototype edition of theĭaily Federal Register on will remain an unofficial Each document posted on the site includes a link to theĬorresponding official PDF file on. The documents posted on this site are XML renditions of published Federal Register, and does not replace the official print version or the official It is not an official legal edition of the Federal This site displays a prototype of a “Web 2.0” version of the dailyįederal Register. ![]()
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![]() ![]() With the use of some Bold Mathematical Unicode Characters, the tool By using these Unicode Characters Gothic Text is made which can also be called Fraktur Text or Blackletter Text. It looks like Old English Fonts, the symbols used to generate this text are Mathematical Fraktur Characters and some Black Letter Characters which include ℭ, ℌ, ℑ, ℜ, and ℨ. Gothic Text is another cool-looking text. Mathematical Script Characters and Some Script Characters that include the tool generates this style by using the ![]() Script Text is one of the fanciest text styles we have here. Below are some of the fancy text styles available at the Please note that we have given names to these text styles as per Unicode characters used or by their appearance. But let us discuss a few like script text, small text, circle text, etc. Though we have a lot of different amazing text styles. Wish someoneĪ Good Evening, Morning, or Have a Good Day in style using this cool Such as □□□□ □□□□□ (Good Night) written in a fancy manner. Send fancy SMS, messages to your friends and family Some websitesĪnd apps have a bio or info option too. Of your name to fancy symbols and make your name stylish. For example, you can change simple alphabets that supports Unicode Characters, youĬan use fancy text there. You can use our stylish text maker for many different purposes. If you want to Download Fonts or want to use fonts for your website then we will suggest you visit The "Fancy/Stylish Texts" are not fonts that one usually downloads as a file rather each letter is a Unicode character and that's why you can copy and paste it. A screen reader might not be able to read them correctly. Note that these (Fancy Texts) are not actual fonts rather these are made using various Unicode characters that can have different meanings but a similar look to simple letters on your keyboard. The moment you type a text in the box above you will see a lot of different styles below that can be copied swiftly without redirecting you to a different page. Within a few clicks, you will have the text with stylish letters ready to paste. This Font Generator is super easy to use. Stylish Text Generator is an online tool by Stylish Text Maker that can convert simple text to Fancy Text "fonts" having over 80 cool text styles that you can copy and paste. ![]() ![]() ![]() So I would really like to know what I should do to help us all get through this really difficult phase? Yesterday we started gradual cry it out going in a 5,10,15 mins. ![]() There has been no other change to her routine - although my husband, who is a teacher, recently went back to school after the summer holidays and this is when the problems started - so I can only think that she is now experiencing seperation anxiety either as a result of him going back to work after spending 6 weeks at home with us ( he is very involved in her care) or just as a change in our day,or just that she is going through normal seperation anxiety with me at this time. She also seems to be off her solid food lately and only picks at things and mainly eats her snacks and still has breastmilk four times a day. During the day, she is absolutely fine and happy and cheerful, although the lack of sleep is making her look tired and I am worried about her getting chronic exhaustion. She doesn't show signs of teething - no fever, pink cheeks, drooling etc (although she did teeth her two front teeth not long ago) but we have given her nurofen just in case but it has made no difference to her. Her naps, when I have finally rocked her to sleep, have gone from 1.5 hours to 30 minutes. It used to be the case that we would put her to bed drowsy and she would roll over and then fall asleep, or she would sit up and play for a bit and then would lie down to sleep. She is waking in the night and it has taken us nearly two hours for her to go back to sleep by rocking her into a very deep state and then putting her back in the cot. She cries as soon as she is put down in the cot and will now scream for as long as it takes for one of us to go in and get her. The last few days she no longer self settles herself to sleep. She did wake during bouts of teething, but we were always able to soothe her back to sleep and it was never a problem. As horrible and traumatic to us as it was, she responded well to it and has been able to self settle following a wind down routine for both her naps and bedtime. We sleep trained her at seven months using full CIO method for both naps and bedtime. She has previously been a good sleeper - would take 2 1.5 hour naps in the morning and afternoon and would sleep around 7pm- 5.30-6.30am. If you’re struggling with sleep but it’s not a regression, or you’re not sure if it’s a regression, take our simple 6 question sleep quiz to find out WHY your baby keeps waking up at night.Please could i have some advice please as I am at my wits end! Know that this too shall pass eventually. Stick to your regular routines and timing. Try to address the root cause to eliminate what is distracting them. Sleep regressions can happen at any age if your child is growing physically or neurological and is distracted. Teething: Can you offer any pain relief before naps or at 3 am to help with those early wake ups? Summary Motor leaps: Offer plenty of time to practice during the day and practice helping your baby to learn to sit from standing. How can you help distract your child from what’s distracting them? Consider the root cause of the regression - teething or motor leaps. Continue with your bedtime and nap time routines but offer more attention as needed. Just because your baby is distracted at sleep time, it doesn’t mean that they are not capable. What Can You Do To Ease the 10 Month Sleep Regression? This chart from the American Dental Society shows the average ages of tooth eruptions. Your baby surfaces from a sleep cycle and is then distracted by the discomfort in her gums and can’t relax back down into sleep. ![]() If one tooth takes 1 to 2 weeks you can imagine that if you have multiple teeth erupting this could take even longer! Many parents report 4 week of on and off disrupted sleep and the most common sign with teething is 5 am wake ups. This can be very confusing to parents, but is completely normal. You might have a terrible day but then have a fine day the next day. During that time the pain might ebb and flow. For one tooth coming through it could take 1 to 2 weeks for that tooth to protrude once you have the first signs of teething pain. So teething is often a hind sight diagnosis of what’s been happening. Once you can see the teeth the pain has receded. The pain with teething occurs before the teeth have cut through the gums. ![]() Upper and lower lateral incisions are often erupting and for late teethers the upper central incisors. Teething can be more challenging at this age since there is often an eruption of teeth at the 10-11 month age. ![]() ![]() ![]() No you didn't you idiot you ran for 50 metres and then stopped and you're talking loudly, of course you didn't lose her. You run and to be fair, they ran for like a minute and then kept on stopping asking each other " did we lose her?". One issue I have with it, as soon as they realize that the marksman is actually a single woman, armed with a scoped bolt action rifle, they should have taken her on when they still had the numbers, before they started dying. The film is decent for the first 15 minutes, then it becomes incredibly bad. However from the get go, you just cannot relate to the characters, they are just so dull, uninspiring and you really can't root for them. The film actually starts with some breathtaking shots of the mountains, the woodlands and the nature. This review contains spoilers, click expand to view. It's evident that the script did not give for more and the film tries to fill in gaps with totally useless flashbacks, and ends abruptly with nothing resolved when there's obviously no other place to move forwards. This type of film shamelessly mocks the viewer, because it's more than clear that the creators know in advance what they're doing with their story, and continue to believe when assembling it, that their poor tension built from having their characters running and escaping over and over again This type of film shamelessly mocks the viewer, because it's more than clear that the creators know in advance what they're doing with their story, and continue to believe when assembling it, that their poor tension built from having their characters running and escaping over and over again without sense, knowing that most of them will die, will be enough to justify what they're doing, when in reality the whole thing is just completely boring. ![]() ![]() ![]() Xplore reporter Stephen Meyers covers the outdoors and recreation for the Coloradoan. The Santa Monica Backbone Trail follows the crest of the Santa Monica Mountains for 68 miles from Point Mugu to Will Rogers State Park. This spring, the Devil's Backbone trailhead was remodeled and expanded.įurther improvements coming to Devil’s Backbone this summer include: The new trail is one of several projects Larimer County has completed this year at Devil's Backbone Open Space west of Loveland. TRAILS: RMNP, Roosevelt Forest scars slow to heal from fire, flood The BBT (Backbone Trail) climbs 19,000 feet (and descends 18,500 feet) over a collection of dirt trails, gravel roads and even some rock scrambling. This should help solve that problem," said Teddy Parker-Renga, Larimer County spokesman. The Santa Monica Backbone Trail follows the crest of the Santa Monica Mountains for 68 miles from Point Mugu to Will Rogers State Park. "Most bikers, runners and equestrians are looking to do a long jaunt on the trail and end up getting bogged down in all the hikers on the Wild Loop. The Swamp Rabbit Trail in Laurens County would form a backbone trail to which other trails in the county may connect to link communities and places of. The Wild Loop Trail will now be open to hiking only. Signs will be placed to alert visitors on which trail to use for which activity. ![]() The 1.8-mile Hidden Valley Trail, which begins from the Devil's Backbone trailhead, is designated for mountain biking, horseback riding and trail running use only. The new trail roughly runs parallel to the Wild Loop Trail to the east, connecting back to the main trail where the Wild Loop ends and becomes the Blue Sky Trail. A new trail built to ease congestion at busy Devil's Backbone Open Space opens on Saturday, Larimer County Natural Resources announced Friday. ![]() ![]() The Spitfire should climb at the beginning of battle in order to utilise its very good climb rate. 8 x 7.7 mm Browning machine guns, wing-mounted (350 rpg = 2,800 total).The Spitfire has a relatively good ammo count- the 4-digit ammo can be deceiving, since there are 8 guns on the aircraft, making only around 400 rpg- these can be used to ground attack light or unarmoured targets, usually with stealth or omni-purpose belts, but this job should be left to dedicated gun-platforms, like the Hurricane and Hellcat General info Flight performance A sensible opponent will try to energy fight the Spitfire- to avoid destruction, climb quickly away from them, then dart back into their trajectory arc, normally underneath them the Spitfire can do that, since it has good lift rate- eventually, either the opponent will miss and overshoot, allowing the Spitfire to destroy them, or will dive, which the Spitfire can follow, but be careful- the Spitfire will wing rip at around 500 km/h or less, so don't pull too hard or the wings will fly away. Do not head-on in the Spitfire: it can destroy the engine and the gun convergence won't help at all, avoid head-ons and go for turn fights. The Spitfire is fast, with a top speed around 600 km/h, although in a straight line, it normally reaches around 460 km/h. This same logic can be applied to War Thunder Realistic Battles- the Spitfire should first climb, using its excellent climb rate, then intercept high patrolling fighters, if possible, bringing them lower. It was introduced in Update 1.35.įor those who don't historically know much about the Spitfire, in 1940 in the Battle of Britain, the Spitfire flew to intercept enemy fighters because of its speed and agility- the Hurricanes were sent to destroy Heinkel Bombers. With a battle rating of 2.7 (AB) and 3.0 (RB/SB). The Mk 22 is pretty awful for 6.3 and the Mk XVI is catasrophically bad at 5.0.The Spitfire Mk IIa is a rank II British fighter 120rpg for 2 sparkle cannons doesn't get you very far, especially with bombers like Me 264 being around the place now. Quad hispano armaments, despite being pretty unreliable, are better than the mixed armaments a lot of spitfires get. You just have to put up with it i'm afraid if you want to play tier 3 and tier 4 props in Britain. But since about after a month after that the SAPI round has been busted ever since and just deflects off a target when it hits (hence the sparks you see). There was a brief time of bliss when air target ammo was first added back in like 2014. "Hisparkles" are the same as they've always been for years. It can get to 6000m very quickly but once it is there, it will be out performed by most things it faces, 190Ds and 109Ks especially. The LF MK.IX is probably the best example. Mainly due to being "spacefires" as they have great time to altitude, which got axis and soviet pilot's goats as the Spitfire also happens to turn fairly well. ĭo you see the winning rate of Spitfire F MkIX & MkXVI ? Is this what you called "balance" ?Ī YouTuber Adam514 made a video for Spitfire Mk22 weeks ago and the "Hitpano" sucks unless killing the pilots.Īll the spitfires got uptiered around the time all the 109s, 190s, 152s, etc got downtiered to around 5.3-5.7 (Despite some like the D-13 being more than capable enough to compete at BR's 6.0). ![]() The MG151/20 can kill my Spitfire Mk22 within 5 rounds most times while I can do that in my dream. To be frank, the spark is beautiful but we players feel upset and annoying. ![]() What about nowadays ? Just hit, hit, hit and hit. Before 1.71 we can kill a fighter within 30 rounds and about 60 for a bomber like B29. We call them "Hitpano" for their "amazing" performance. No matter Merlins or Griffons are great engines but they don't perform decent for "balance". Repair cost is not a way to make a balance.) Someone says that Spitfires have high repair cost while nobody cares about that because we have Spitfires and they are reliable and powerful ! (PS: G56&Ta152 have higher repair cost but they are not abandoned. ![]() ![]() Spitfires are so popular in WT for years but they has been destroyed again and again. ![]() ![]() Android developers using Kotlin can now write their app features once, and use WebAssembly to deploy it to the web, Google says. WebAssembly now supports managed memory languages like Kotlin and Dart, which allows developers to bring their Android codebases to the web. The newly available WebGPU API makes the web AI-ready by unlocking the power of the local GPU for web apps ML libraries can run up to 100x faster, and WebGPU expands on the speed of WebGL by 3x. Webįor web developers, Google revealed hundreds of new APIs and several interesting initiatives. Compose for TV gives developers Material 3 UI capabilities, TV design guidelines, and TV-optimized components, and it comes with a ton of documentation and codelabs. And Android Studio Hedgehog will add emulator support for the newly announced foldable and tablet devices, a new Espresso API for handling rotation changes, folds, and other configuration changes on virtual devices, and of course the new Studio Bot.Īnd Google is releasing Compose for TV in alpha, bringing the power of its Jetpack Compose UI framework to developers targeting the 150 million Android TV devices out in the world. Android Studio Giraffe will add live edit capabilities so you can quickly iterate code changes in an emulator or real device without having to rebuild the app. The current release, Flamingo, includes Compose and Material 3 templates by default, and it supports Material 3 dynamic colors. Google has also partnered with Samsung on a new Watch Face format for WearOS 4 that uses declarative XML to build watch faces.Īndroid developers who use Jetpack Compose UI development framework will see numerous improvements over the current and next two Android Studio releases as well. And Android Studio Hedgehog will support WearOS 4, the coming Android 13-based version of Google’s wearable platform, via a WearOS 4 Developer Preview emulator. It’s available in Tools > Android SDK Upgrade Assistant. We encourage you to try it out for yourselves, and help it improve by sharing your feedback directly with Studio Bot.”Īndroid Studio Giraffe also includes a new Android SDK Upgrade Assistant, which helps developers upgrade the API level that an app targets. “Studio Bot is in its very early days,” Google explains, “and we’re training it to become even better at answering your questions and helping you learn best practices. You can also ask it questions to learn more about Android development or help fix errors in existing code, without having to leave Android Studio. Studio Bot leverages Codey, Google’s foundation model for coding, and it helps you generate code for your app, making you more productive. And the version coming after that, Android Studio Hedgehog, will feature an AI-powered conversational experience called Studio Bot that Google describes as “a key breakthrough.” It’s available now in Canary. In the Android space, Google has put the next version of its integrated development environment (IDE), Android Studio Giraffe, into the beta channel. WebAssembly should enable dramatic performance improvements in web apps, with Google citing up to 3x gains in execution speeds. Looking ahead, Flutter now supports WebAssembly in pre-release channels, and the WasmGC garbage collection capability for WebAssembly is nearly stable and available as an extension for Chromium-based browsers. ![]() It’s nice to see Google using its own frameworks unlike a certain software giant I could name. We’re so glad to see that Flutter is proving valuable!”Īs notable to me, Google’s recently-released Nearby Share app for Windows was also written in Flutter, as was the Google Cloud and Classroom mobile apps and the new Play Console app for Android. “They come from all over the world: from SNCF Connect, the train travel app for the French railway to Apple App of the Day winner SO VEGAN from the beautiful, newly-redesigned Global Citizen app to the new Ubuntu Linux installer. “With Flutter support on six platforms-Android, iOS, web, Windows, macOS, and Linux-there are over one million published apps using Flutter,” Google’s Time Sneath noted. And Dart 3 delivers on null safety, which protects against a whole class of programming bugs. The big updates this time include element embedding in the web version, so that Flutter web apps can be contained in any custom element and not need to take over an entire page improved design capabilities with new Material 3 widgets and improved graphics performance. Google’s Flutter UI toolkit as been updated to version 3.10 while the Dart programming language advances to version 3. It’s not just devices and AI: with all eyes on Google I/O this week, the online giant also announced advances for Flutter, Android, Web, and Firebase Developers. ![]() ![]() ![]() They are not combinable – only one $10 coupon can be applied toward one bottle of wine. $10 coupons for wine can be used at any of the restaurant on property. Romantic dinners are subject to availability and must be scheduled with concierge in advance. Coupons for romantic dining are combinable up to $60 per romantic dining experience, but not valid for bottles of wine. Only one coupon can be redeemed per spa treatment. Resort coupons for spa treatments are not combinable or valid for spa products at the Spa Boutique or 25-minute massages and treatments. Coupons for wine purchases are broken down into four $10 coupons. Romantic dining coupons are broken down into one coupon worth $20 and one coupon worth $40. Spa treatment coupons are broken down into one coupon worth $20 and two coupons worth $40. Of these coupons, $100 can be used for spa treatment, $60 for romantic dining, and $40 for wine purchases. $200 resort coupons include four coupons worth $10 each, two coupons worth $20 each, and three coupons worth $40 each. Upgrade to Preferred Clubīook now for travel through Decemand receive US$200 in Resort Coupons - per room, per stay! Note: Sip, Savor & See may be limited due to private events and resort buyouts. Guests can utilize the facilities at the resort they are visiting from 6 p.m. ![]() Special restrictions may apply for Christmas and New Year’s Eve dinners, and special events. A maximum of 4 people are allowed per seating. Guests are responsible for cost of transportation to and from the resort. ![]() Guests may choose to dine at any of the restaurants that are serving dinner. Guests must make arrangements through the resort concierge by 3 p.m. The Sip, Savor & See Dining Experience is only good for dinner. Enjoy dinner and live entertainment at neighboring sister resorts including sipping complimentary cocktails, savoring delicious cuisine at the restaurant of your choice and the opportunity to see that evening’s entertainment. Meal & beverage plansĪs part of the privileges of Unlimited-Luxury®, guests of Secrets Aura Cozumel have the chance to Sip, Savor & See at participating sister properties in the region. Indulge in specialty treatments at the Secrets Spa by Pevonia®, located right next door at Sunscape Sabor Cozumel, take a dip in one of three sparkling pools, dive into the Caribbean at nearby world-renowned dive sites and explore famous reefs, or simply spend time with the ones you love. Light up the night with live nightly entertainment and activities or visit nearby participating resorts with the Sip, Enjoy limitless gourmet dining without reservations and top-shelf spirits throughout the resort, and pool and beach wait service. Sitting just 12 miles off the coast of Mexico’s Yucatan Peninsula, Secrets Aura has it all. Bask in a world of Unlimited-Luxury® while staying in one of 266 contemporary, stylish non-smoking suites complete with private terraces or swim-up access, stunning views, 24-hour room service, daily refreshed mini-bar and more. In a perfect blend of luxury and excitement, Secrets® Aura Cozumel is the ultimate romantic, adults-only, all-suite resort located on the island of Cozumel. ![]() ![]() I had pleasant dreams & bad ones as well but it was ok. I usually have a “normal” sleep pattern where I would dream almost every night. Linking psychological need experiences to daily and recurring dreams. Weinstein, N., Campbell, R., & Vansteenkiste, M. ![]() Borderline personality disorder and emotion dysregulation, 2, 3. Nightmares affect the experience of sleep quality but not sleep architecture: an ambulatory polysomnographic study. There are many different things that can factor into the quality of your sleep, so feel free to reach out to ASMS if you’re curious about how you can improve your sleep quality today! Sleep deprivation can cause an increase in nightmares. Nightmares are a negative type of dream that causes one to wake abruptly and is associated with the REM sleep cycle. They do not wake up due to the night terror, although it may last 10-30 minutes. Night terrors show up as someone thrashing or groaning in the middle of their sleep due to a negative dream and are associated with non-REM sleep. Night terrors and nightmares are two different types of dreams. Regardless, trying to think positively during the day may help the types of positive or negative dreams that occur at night. Though, it’s difficult to know the cause. ![]() Likewise, those who have positive dreams are less likely to have sleep disorders. It seems to be that those who have negative dreams also have higher rates of stress during the day and are more likely to have sleep disorders. Not dreaming may mean you are not reaching REM sleep and therefore may cause higher rates of sleepiness, depression and health issues. Dreaming can also aid in a person’s ability to process others’ positive emotions, making the individual have a higher level of social competence. Frequent nightmares may impede a person’s ability to fall asleep and then cause sleepiness during the day. Good and bad dreams can impact daily life. 2 This can make a person drowsier during the day. The way they influence sleep is that it can make it more difficult to fall asleep and cause difficulty in moving between sleep cycles. ĭreams do not typically negatively impact sleep, but nightmares can. For example, if you experience vivid dreams immediately after you have fallen asleep, it could be a sign of a sleep condition called narcolepsy. While dreaming is normal, there can be some abnormal parts of dreaming that interfere with sleep or overall mental health. Whatever the case, what should be of particular importance to an individual is not necessarily what they dream about but how it impacts sleep quality. There are many theories about what we dream and why. They help with cognition and your ability to process events – “…dreaming is a natural extension of waking conscious experience. There are now some studies that suggest dreaming helps the brain with its memory function. If one has something stressful or particularly sad happen to them during the day, they are more likely to dream about it at night. They seem to be a response to an experienced environment. It seems that often, dreams occur as a way for us to play out events that happened during the day. The brain is very active at this point and that is when the more memorable dreams happen. The REM sleep happens approximately 90 minutes after you have fallen asleep and lasts around ten minutes. ![]() The dreams that you remember happen during the REM cycle of sleep. Dreams are a series of images, stories, emotions and feelings that occur throughout the stages of sleep. Dreaming is normal and a healthy part of sleeping. It’s important to have an understanding of ideal sleep and how our sleeping patterns may impact overall health and wellness.Įveryone dreams anywhere from 3 to 6 times each night. ![]() Many Americans are chronically sleep-deprived. We all dream each night, whether the dreams are remembered or not. Dreams may not be so sweet if they are impacting your quality of sleep. ![]() ![]() ![]() ![]() Tarnished Bronze-finish Horse Head Bookends - Traditional. or in the living room with the Bronze Horse Head Bookends. Shop the latest bronze bookends on the world's largest fashion site. Bronze Bookends - Shop for Bronze Bookends on Polyvore MO Fabulous pair of bronze horse head Bookends. Shop the Gold Bookends Collection on Chairish, home of the best vintage and used furniture, decor and art. Explore Horse Head, Bookends, and more! Horse head Horse Head Bookends Bronze. 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Find great deals on eBay for bronze horse head bookends and horse head bookends. ![]() |