![]() ![]() ![]() The creeps and units controlled by hero are unaffected in here. ChronosphereĬhronosphere creates a void in real spacetime, which enables the hero to move at an incredible speed and damage the enemy units inside. Time Lock, is a passive magical ability that freezes the enemy and attacks it for a second time via a timed faceless void. During this period, the movement speed and attacking speed are slowed down. The trap is held for 8 seconds, while the victim keeps on getting damages per second. Here is a list of the top five in-meta carry heroes that players should draft in DOTA 2 to pose a threat to the enemy team. Time Dilation ability enables the faceless void hero to trap enemy heroes in Time Dilation. There is Scepter and Shard Ability Upgrade of Time Walk allows the hero to go back for 1.5 seconds back to the time with all resources and health it gained after using Time Walk. By using this ability, the hero is able to teleport to the target location, undermining the damage that it took 2 seconds ago. Time walk is a type of teleportation plus time traveling ability, kind of blend. Dota 2: Abilities of Faceless Void Time Walk Let us make ourselves comfortable with the abilities of Faceless Void. Dota 2 officially states that he is best suited for the role of Initiator, still some prefer him to play as a carry, durable, disabler, and also escape hero. Just don’t get left hanging, as it starts a minute cooldown.Faceless Void is an agility class melee attack type playable hero in the game Dota 2, who is well known for freezing foes. Throw some out at the end of a match to make easy progress. High fives are easy to spam and, as the title, implies, completely universal. This mission requires players to dap each other up 125 times over the course of multiple matches. I already played 4 games on void for the arcana progress but it didn't record anything even though I got kills during crono and I can even see the progress after I got a killed, however after game it wasn't recorded or whatsoever. While most of the battle pass trinkets have been forgotten, high fives still reign supreme. ![]() ![]() It’s a great week to grind his ghastly-white arcana style. We are the best in the world with 33000 positive reviews. Suppose you need some help, don’t take to check out the Dota 2 Guides. My name is Librarian Husky your constant pro gaming friend in Dota 2. Darkterror the Faceless Void is a visitor from Claszureme, a realm outside of time. I hope the guide will be helpful for you. Special mention goes to Faceless Void, who can bash multiple times on the same hit. I told you everything that I wanted to tell you about Faceless Void. Slardar and Spirit Breaker can get this done quickly, as can Troll Warlord or Ursa with a Skull Basher. Regardless of their takes, players will need to bash enemy heroes 20, 60, and 125 times to earn three stars. When you buy a Skull Basher, it’s a stat item. When the enemy picks Spirit Breaker, it feels guaranteed. Their first game in season 2 is on the 15 th of April against the newly promoted team, The Cut. 100% Effectiveīashes are one of the most divisive mechanics in all of Dota 2. Undying finished third in the Upper Division of the NA DPC League last season and are quite close to being a tier 1 Dota 2 team. With Time Dilation, Faceless Void is able to fight together with the team in the early. Hes ready to take instant damage thanks to the Time Walk ability, and Time Lock allows him to trade blows more efficiently. The character performs quite well at the laning stage. When they meet on the battlefield they each have a statistical. Example: Let's take two heroes, Superman, with a general winrate of 53, and Lex Luthor, with a general winrate of 47. Your 1 HP mid would very much appreciate that regeneration rune. Faceless Void can break any enemy’s advantage with the Chronosphere ability. Advantage (Adv) - The difference between the actual winrate of the heroes and the expected winrate from their base winrates. Just remember that you actually have to win the game for it to count. Repeat the process nine times across matches and it’s done. Supports can make a quick trip to secure the bounties every three minutes in the lane. It’s a simple task made even simpler by the fact that bounty runes are included. This mission requires players to pick up runes in winning games. ![]()
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![]() ![]() Guests can join in on slow flow yoga, guided meditation, or classes on mandala painting and intentional vision boarding.ĭowntown, stop in at local shops like Good Flower Farm, a small batch skincare company and apothecary lab, or Penny Print Studio, a boutique that supports local artists and illustrators. The impressive $10 million renovation includes sleek modern Scandinavian lodging designed by award-winning architect David Salmela, plus a spacious yoga studio, “nourishment center,” and a new sauna with a rain room and cold plunge pool. Wild Rice Retreat, a year-round arts and wellness center, opened last year on the lush 100-acre forested lot that was once home to the beloved Wild Rice Restaurant. The food program will focus on ingredients from local purveyors, like Lake Superior Chippewa–run Red Cliff Fish Company, and include a wood-burning pizza oven with freshly made sourdough pies-a welcome addition in the land of fish fries and cheese curds. James Hotel is getting a full rehab with a large lobby bar with oversized banquettes, eight beautifully appointed guest rooms, and a lake view rooftop bar. The 140-year-old building and former home of the historic St. In summer 2023 one of the original developers behind Minneapolis’ Hewing Hotel will open St. The renovation of historic The Rendon Hotel, which currently houses The Rendon Gallery, is also hopefully coming to fruition in 2023. Soon, an old firehouse will transform into Kensho Ryokan Hotel (set to open spring 2023). Down the street, the eight well-worn buildings and vibrant murals of ROW DTLA has helmed the flourishing Arts District for years, and is now home to more than 30 independently owned boutiques, open-air markets, an eclectic roster of weekly activations and events, and two Michelin-starred restaurants, Hayato and Kato. Mandolin boutique in Soho Warehouse, Spanish tapas at Flor y Solera, and Let’s Go Disco and Cocktail Club that promises a rollick. Crossing it from the I-10 freeway offers access to a dozen galleries and rich fare, from Bestia, Enrique Olvera's Damian, and newly beloved Yangban Society, to upcoming notable openings like Greek-inspired Mandolin Taverna & Mrs. The historic Sixth Street Viaduct, which reopened in July 2022 after a six-year, $588 million rebuild, is the Arts District’s crown jewel. ![]() ![]() While the neighborhood isn’t entirely walkable (the sprawl doesn’t stop hyper-locally), lively pockets are minutes from each other by car. Over the years, it ebbed and flowed, but returned as a creative hub in the past decade. But, if you're looking for trailblazing restaurants, breweries, designers, artists, cafes, and bars, downtown’s Arts District is worth a visit. Once cloaked in vineyards and orange groves, railroads and factories, the Arts District found its name in the 1970s when artists fled the increasingly expensive communities of Venice and Hollywood to occupy the area’s vacant buildings. In all its sprawl, Los Angeles can be a beast to navigate. The ROW has helmed the flourishing Arts District for years, but hits a new high with forthcoming hotels and galleries. ![]() ![]() The Furbies at the end are just the sprinkles on top of my ice cream! Got me feelin so nostalgic! Even as I write Furby, my spellchecker is telling me there’s no such word! But when I type iPhone there are no other spelling suggestions! What’s that all about?! Take me back to the 90’s □ Anyway to summarise I predict big things for her in 2012! Check out the mixtape “ Crown Gold” to hear more of Phlo.Taken from the forthcoming Poster Girl EP from Phlo Finister. No Katy Perry polka dots or Lady Gaga obsurd telephone headpieces in sight, just pure street styling, baggy pants, crop tops, basically every thing I love about fashion! Might not be to everybodies taste but Phlo has definatley won me over with this video. No one will ever take Aaliyah’s place, but Phlo Finister is looking like she’ll be the one to reintroduce us to soulful R&B with a street edge. I love the 90’s decade so much which is probably why I appreciate the video, we get to see 90’s style again! Let’s face it how often do we get to see Aaliyah’s music videos on TV these days, usually it’s Rihanna, Beyonce or Lady Gaga (no disrespect but zzzz.) I think it’s a good way to educate the later 90’s babies and 00’s babies on what REAL music and REAL style is! I think Phlo does Aaliyah justice in the video, and I have to be honest, if I close my eyes and just listen to her voice the likeness is uncanny. At least Phlo’s dedication to Aaliyah is so blatant it is more of a tribute than a theft of creative style. At first watch I can sort understand why Aaliyah fans accused Phlo of “stealing her style” but after watching the video a few times, I love it! I don’t see it as Phlo copying Aaliyah, I see it as her taking huge influence from Aaliyah’s style and paying homage to the artist missed by millions worldwide.Īrtists these days take inspiration from everyone, most of the time without admitting it (cough cough that’s you Rihanna, we all saw M.I.A’s “BOYZ” video long before “RUDEBOY” □ and then reclaim it as their own. In the video, Phlo had clearly taken huge inspiration from Aaliyah (who would have celebrated her 30th birthday on Jan 16th, Rest in Peace) which shows her in almost idential outfits to Aaliyah’s iconic video costumes. ![]() After watching the video, I realised what they were talking about. ![]() ” Recession Pack Aaliyah, damn times are hard!!!!!!” says one commentor who seemed fond of exclamation marks. While I was waiting for the video to load (I swear I have the slowest internet connection in the history of internet connections) I scrolled down to read the comments and noticed the video had been getting lots of attention, especially by hardcore Aaliyah fans. One in particular stood out to me, a mellow R&B song called “ Shades“. I read the small article about her in SuperSuper and then YouTubed her videos. The kinda scruffy, boyish style with an urban 90’s edge, something I hadn’t seen for a while (since Vashtie, the queen of dressing like a guy but looking hotter than any girl in the room). I came across her in SuperSuper magazine and her style really caught my attention. She’s L.A born and bred but moved to London to pursue her singing career. Her name is Phlo Finister, real name Elijah. (!!) Anyway like I was saying, no other female can take Rita’s place in my eyes… however I have found my next girl crush. Somebody even went as far as saying im her “Stan” – Rita if you ever read this I’m not that weird don’t worry. My original girl crush & obsession which has gone so extreme its had my friends worried I’ll have a restraining order taken out on me (yes someone actually said that to me)…I’m mesmerised by her. First of all let me make this clear… no one… I repeat… NO ONE will ever take Rita Ora‘s place in my heart. ![]() ![]() Embassy in Moscow complained to the Russian Foreign Ministry about a fake sex video it said was made to damage the reputation of a U.S. ![]() He called for government leaders and politicians to clearly say it has no place in civilized political debate.Ĭrude videos have been used for malicious political purposes for years, so there's no reason to believe the higher-tech ones, which are more realistic, won't become tools in future disinformation campaigns. "This technology, I think, will be irresistible for nation states to use in disinformation campaigns to manipulate public opinion, deceive populations and undermine confidence in our institutions," Grotto said. ![]() "Within a year or two, it's going to be really hard for a person to distinguish between a real video and a fake video," said Andrew Grotto, an international security fellow at the Center for International Security and Cooperation at Stanford University in California. For instance, people's blinking in fake videos may appear unnatural. "It's a weapon that could be used - timed appropriately and placed appropriately - in the same way fake news is used, except in a video form, which could create real chaos and instability on the eve of an election or a major decision of any sort," Rubio told The Associated Press.ĭeepfake technology still has a few hitches. leader - or an official from North Korea or Iran - warning the United States of an impending disaster. official supposedly admitting a secret plan to carry out a conspiracy. soldier massacring civilians overseas, or one of a U.S. Marco Rubio, R-Fla., one of several members of the Senate intelligence committee who are expressing concern about deepfakes.Ī foreign intelligence agency could use the technology to produce a fake video of an American politician using a racial epithet or taking a bribe, Rubio says. So far, deepfakes have mostly been used to smear celebrities or as gags, but it's easy to foresee a nation state using them for nefarious activities against the U.S., said Sen. If you have enough video and audio of someone, you can combine a fake video of the person with a fake audio and get them to say anything you want. The computer program learns how to mimic the person's facial expressions, mannerisms, voice and inflections. They are made by feeding a computer an algorithm, or set of instructions, lots of images and audio of a certain person. ![]() ![]() It's unclear if new ways to authenticate images or detect fakes will keep pace with deepfake technology.ĭeepfakes are so named because they utilize deep learning, a form of artificial intelligence. Right now, it takes extensive analysis to identify phony videos. Defense Advanced Research Projects Agency is already two years into a four-year program to develop technologies that can detect fake images and videos. Realizing the implications of the technology, the U.S. People may dismiss as fake genuine footage, say of a real atrocity, to score political points. When an average person can create a realistic fake video of the president saying anything they want, Farid said, "we have entered a new world where it is going to be difficult to know how to believe what we see." The reverse is a concern, too. ![]() ![]() ![]() Open a link in a current tab (mouse only)ĭrag a link to a blank area of the tab strip Return everything on the page to default size Save all open tabs as bookmarks in a new folder Reload the current page, ignoring cached content Log in a different user or browse as a Guest Jump to the previous match to your Find Bar search Jump to the next match to your Find Bar search Open the Find Bar to search the current page Reopen previously closed tabs in the order they were closed ![]() Hence, we have listed both sides to get a glance. The shortcut keys vary for Windows OS/Linux OS machines compared to the macOS computer. One can quickly learn these shortcut keys and become a master of the Google Chrome browser. ![]() If you learn and memorize all these keyboard shortcuts, you will be more productive and faster than ever. Instead, we have listed selected shortcut keys and actions useful for every beginner and professional user. We have not listed every Chrome shortcut here it might confuse you and make learning hard. Google Chrome supports plenty of keyboard shortcuts that can help perform actions without using the mouse or clicks. Many of these commands may be combined with ⇧ Shift to select a region of text.If you haven’t installed Google Chrome, you should consider downloading and trying it. GNOME Ĭtrl+ ⇧ Shift+ Show Windows then select the Screen Record button on the toolbar ⇧ Shift+ Print Screen click "Copy to Clipboard". GNOME Ĭtrl+ ⇧ Shift+ Show Windows then click+drag mouse over required areaĬopy screenshot of arbitrary area to clipboard (Snip)Ĭtrl+ ⇧ Shift+ ⌘ Cmd+ 4 then click+drag mouse over required area ⇧ Shift+ Print Screen set the name and click "Save". ⇧ Shift+ ⌘ Cmd+ 4 then click+drag mouse over required area Save screenshot of arbitrary area as file GNOME Ĭtrl+ Alt+ Show Windows then move mouse and clickĬtrl+ ⇧ Shift+ ⌘ Cmd+ 4 then Space then move mouse and clickĪlt+ Print Screen click "Copy to Clipboard". ⇧ Shift+ ⌘ Cmd+ 4 then Space then move mouse and clickĪlt+ Print Screen set the name and click "Save". (KDE no confirmation, restart is immediate)Ĭopy screenshot of entire screen to clipboardĬopy screenshot of active window to clipboard (KDE no confirmation, shutdown is immediate) (GNOME there is no default shortcut) Ĭtrl+ ⌘ Cmd+ Eject or Ctrl+ ⌘ Cmd+ Power Sleep (available on some keyboards, configurable in Control Panel ➢ Power Options ➢ Advanced tab dialog box) Switch window without dialog (next/previous)Īlt+ V, then H, then H again, while in File Explorer, will toggle setting ⌘ Cmd+ Space, enter executable name or ⌘ Cmd+ ↓ (If "Require password after sleep or screen saver" is enabled in "System Preferences - Security & Privacy") Or Ctrl+ ⇧ Shift+ Eject or MBR Ctrl+ ⇧ Shift+ Pwr Windows 10: Ctrl+ ⇧ Shift+ ⊞ Win+ B Ĭtrl+ ⌘ Cmd+ Q ( macOS High Sierra and greater) The latter displays a menu with the currently selected input method highlighted, and debuted in Windows 8.Ĭonfigure desired keypress in Keyboard and Mouse Preferences, Keyboard Shortcuts, Select the next source in Input menu. to copy all the text, use :%yĬycle through installed keyboard languages / input methods % means "all in focused windows" here so e.g. GgVG, unlikely ever needed as most commands take an optional range parameter. Or "ap to paste the content of the "a" register or "+p to paste the content of the system clipboard Or "ax to cut in register "a" or "+x to cut in system clipboard Move the cursor after one or more undos, and further undos will be redos.Ĭut the selection and store it in the clipboard Same as undo, when undo is exhausted, it redoes. Some software (such as KDE) allow their shortcuts to be changed, and the below list contains the defaults. For example, in a non-English version of Windows, the Edit menu is not always bound to the E shortcut. ![]() Some of the combinations are not true for localized versions of operating systems. Not all applications follow (all of) these conventions, so if it doesn't work, it isn't compatible. Whether such commands are implemented (or not) depends on how an actual application program (such as an editor) is written. Many shortcuts (such as Ctrl+ Z, Alt+ E, etc.) are just common conventions and are not handled by the operating system. Whether used as a matter of personal preference or for adaptive technology, the pervasiveness of common conventions means that a meaningful comparison of keyboard shortcuts can be made across various widely used operating systems. Their use is pervasive enough that some users consider them an important element of their routine interactions with a computer. Keyboard shortcuts are a common aspect of most modern operating systems and associated software applications. ![]() ![]() ![]() pyenv works by inserting a directory of shims at the front of your PATH: $(pyenv root)/shims:/usr/local/bin:/usr/bin:/bin I'm quoting them at length again because I really can't explain this better myself. In this example, the /usr/local/bin directory will be searched first, then /usr/bin, then /bin.Īnd here is their explanation of what a Shim is. This list of directories lives in an environment variable called PATH, with each directory in the list separated by a colon: /usr/local/bin:/usr/bin:/binĭirectories in PATH are searched from left to right, so a matching executable in a directory at the beginning of the list takes precedence over another one at the end. ![]() When you run a command like python or pip, your operating system searches through a list of directories to find an executable file with that name. This is a long explanation of how PATH works in MacOS (and Unix), straight from the pyenv GitHub repo. How to Set Up Your MacOS PATH for pyenv (Bash or ZSH)įirst you need to update your Unix path to pave a way for PyEnv to be able to interact with your system. Just re-run the above pyenv install 3.9.2 and it should now work. I had to do this after upgrading to MacOS Big Sur, but once I did, all the following commands worked fine. You can get the latest version of Apple's Xcode here. You may want to run this while you're sleeping. Xcode is a whopping 11 gigabytes, but you'll want to be up-to-date. Xcode is a tool created by Apple that includes all the C libraries and other tools that Python uses when it runs on MacOS. ![]() If you encounter an error that "C compiler cannot create executables" then the simplest way to solve this is to reinstall Apple's Xcode. For example, once Python 4.0.0 comes out, you can run this: pyenv install 4.0.0 Troubleshooting pyenv Installation Note that you can substitute 3.9.2 for whatever the latest version of Python is. Now you just need to run the following command: pyenv install 3.9.2 How to Use pyenv to Install Python or Update Your Python Version Now you can install the latest version of Python. Run this command: brew install pyenv PyEnv installing This library will help you switch between different versions of Python (in case you need to run Python 2.x for some reason, and in anticipation of Python 4.0 coming). Now let's take a moment to install PyEnv. (Or press any other key if you get cold feet.) How to Install pyenv to Manage Your Python Versions Homebrew will ask you to confirm you want to install the following. Your terminal will probably look different from this. A screenshot of my heavily customized terminal. This is the same password you type when you log into your Mac. You will need to type your password to run this command. Your terminal will ask for Super User-level access. Now that you're in a command line, you can install the latest version of Homebrew by running this command: /bin/bash -c "$(curl -fsSL )" You can do this by using MacOS spotlight (command+space) and typing "terminal". How to Install Homebrew on Macįirst you need to install Homebrew, a powerful package manager for Mac. By the way, if you're wondering why I keep referring to Python 3.x – the x is a stand-in for sub-versions (or point releases as developers call them.) This means any version of Python 3. Have a fun day and happy coding.īut if you want a proper Python version control system to keep track of various versions – and have fine-grain control over which version you use – this tutorial will show you exactly how to accomplish this. You can run Python 3 using this command (with the 3 at the end). A Single Command to Run Python 3įor some of you reading this, this command may be enough. Until Apple decides to set Python 3.x, as the default you're going to have to install it yourself. Instead, it is recommended that you transition to using 'python3' from within Terminal. Future versions of macOS will not include Python 2.7. This version is included in macOS for compatibility with legacy software. If you try to run Python from your MacOS terminal, you'll even see this warning: WARNING: Python 2.7 is not recommended. And Python 4.x will be out soon, but it will be completely backward compatible. The entire Python community has now moved on to using Python 3.x (the current version as of writing this is 3.9). ![]() But it's Python Version 2.7, which is now deprecated (abandoned by the Python developer community). ![]() ![]() ![]() He didn’t record a point and had terrible possession metrics. He played an average of 9:55 minutes in three games of action. McFarland ended up making it to the NHL with the Florida Panthers in 2015-16. Not only didn’t he become a notable name in the league, but he played less than 30 total minutes there. While both Tavares and Stamkos followed up their time in Major Junior being drafted first-overall in the NHL, O’Reilly and McFarland dropped down the ranking, both going 33rd overall.ĭespite his potential and hype, the winger from Richmond Hill, Ontario never realized his ultimate goal of becoming a star player in the NHL. An interesting note is that in the 15th and final round of that 2008 OHL draft, the Soo Greyhounds picked Bryan Rust who just finished his 10th season with the Pittsburgh Penguins. Balisy ended up being drafted 80th overall. Canadiens crew being selected ninth that year. Seventh was Toffoli and eighth was Smith-Pelly. The first to come off the board was defenseman Ryan O’Connor. Three of of McFarland’s teammates were drafted in order into OHL. He went ahead of all three of his teammates who later played in the NHL. It was McFarland’s turn to be the first-overall pick of the OHL draft in 2008. In 2005, Tavares was the first-overall pick in the OHL Priority Selection. (Note: all statistics are from Elite Prospect.) He was a step ahead of his teammates Chase Balisy, who played eight games in the NHL, Devante Smith-Pelly, who played 395 career NHL games, and Tyler Toffoli, who has played 733 games. McFarland played his minor hockey in the GTHL for the Toronto Junior Canadiens. McFarland was unable to achieve anything close to those heights despite being believed to be on equal footing as the trio that preceded him. O’Reilly was no slouch, winning the Conn Smythe Trophy as the 2019 Playoffs MVP when he and the St. The Star Hockey Player That Never Wasīoth Tavares and Stamkos went on to become NHL superstars. It appeared that a generational talent was coming through the ranks for a fourth year in a row. Ryan O’Reilly kept the hype going in 2007. One year later, the same was true about a young Steven Stamkos who played for the Markham Waxers in the OMHA. At the time, while playing AAA minor hockey for the Toronto Marlboros in the GTHL, he was far better than the rest of his cohort. In 2005, scouts in the Greater Toronto Area (GTA) were abuzz about current Leafs captain, John Tavares. Growing up wishing to play for the Toronto Maple Leafs, there was a time where many believed he would have opportunity to make his dream come true. A huge Toronto Maple Leafs fan looked like he was on pace to be the next big name in the game. ![]() ![]() This does not alter our adherence to PLOS ONE policies on sharing data and materials. OA and RSH declare no competing interests. He is an officer of the International Union against Sexually Transmitted Infections (treasurer), and a charity trustee of the Sexually Transmitted Infections Research Foundation. He is an NIHR Journals Editor and associate editor of Sexually Transmitted Infections journal. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: All relevant data are within the paper and its Supporting Information files.įunding: The authors received no specific funding for this work.Ĭompeting interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: JDCR reports personal fees from GSK Pharma, Hologic Diagnostics, Mycovia and Janssen Pharma as well as ownership of shares in GSK Pharma and AstraZeneca Pharma and is author of the UK and European Guidelines on Pelvic Inflammatory Disease is a Member of the European Sexually Transmitted Infections Guidelines Editorial Board is a Member of the National Institute for Health Research Funding Committee (Health Technology Assessment programme) was previously a Member of the National Institute for Health Research HTA Primary Care, Community and Preventative Interventions Panel (2013-2016). Received: AugAccepted: ApPublished: May 3, 2021Ĭopyright: © 2021 Ayinde et al. ![]() ![]() PLoS ONE 16(5):Įditor: Mª Ángeles Peña Fernández, University of Alcalá, SPAIN Limitations included considerable heterogeneity, poor reporting of randomisation, and possible bias in outcome measures from unblinding of assessors or participants.Ĭitation: Ayinde O, Hayward RS, Ross JDC (2021) The effect of intramuscular injection technique on injection associated pain a systematic review and meta-analysis. The effect of changing the needle after drawing up the injectate on injection pain was conflicting and warming the injectate did not reduce pain. There was insufficient evidence on the benefits of the ‘Z track technique’ (2 studies, SMD = -0.20) and the cold needle technique (2 studies, SMD = -0.73) on injection pain. Acupressure techniques which mostly involved applying sustained pressure followed by intermittent pressure (tapping) to acupressure points local to the injection site reduced pain (4 studies: SMD = -1.62), as did injections to the ventrogluteal site compared to the dorsogluteal site (2 studies, SMD = -0.43). Of these, applying manual pressure (4 studies, SMD = -0.85) and Helfer (rhythmic) tapping (3 studies, SMD = -2.95) to the injection site reduced injection pain, whereas the use of a plastic device to apply local pressure to the skin (ShotBlocker) did not significantly reduce pain (2 studies, SMD = -0.51). ![]() 10 studies applied local pressure to the injection site. Evidence-based nursing practice is pivotal in ensuring patient safety, and regular updates, monitoring, and intervention mapping strategies may help improve practitioners' adherence to clinical recommendations.29 studies were included in the systematic review and 20 studies in the meta-analysis. Some of the current nursing practices pertaining to IM injections seem to evolve more like a tradition passing from one generation to the next and based upon Schön’s and Benner's learning concepts. Vial breakage by neck wrapping with a cotton ball from an outward direction results in low glass particles than the entire ampoule neck wrapping with a gauze pad from an inward direction method. The risk increases with larger bore, unfiltered needles (safe with 23G). However, economic constraints, time consumption, and workforce shortages are significant hindrances to its routine practice. The syringe filters significantly minimize the risk of glass particle contamination. Aspiration is unnecessary and is now reserved only for dorsogluteal site injections. The World Health Organization and Centers for Disease Control and Prevention do not recommend it. Blood aspiration is observed mainly in the dorsal gluteal (15%) and deltoid (12%) injections. Though nurses continue practicing aspirations, most do it for a short duration than the recommended time of 5 to 10 seconds. The Practice of Aspiration Prior to Drug Administration However, there is still ongoing debate over this point. ![]() Ultrasound guidance and proper needle length are key factors in ensuring true IM injections among patients with increased body mass index. Female sex, obesity, subcutaneous fat thickness, and injection site play significant roles in governing the same. True intramuscular injections are observed only in 32 to 52%, with the incidence even falling to 8% among females. Nursing, Allied Health, and Interprofessional Team Monitoring ![]() ![]() ![]() Frequently monitor patients during the entire infusion is recommended. Patients should be pre‑medicated with antihistamines, antipyretics and corticosteroids. Approximately half of all patients in clinical trials experienced an infusion reaction. The median response duration had not been reached in the DRd group and was 34.7 months (95% CI: 30.8, not estimable) in the Rd group.ĭaratumumab can cause severe and/or serious infusion reactions, including anaphylactic reactions. ![]() The median time to response was 1.05 months (range: 0.2 to 12.1 months) in the DRd group and 1.05 months (range: 0.3 to 15.3 months) in the Rd group. The median PFS had not been reached in the DRd arm and was 31.9 months in the Rd arm (HR 0.56 95% CI: 0.43, 0.73 p<0.0001). The trial demonstrated an improvement in progression-free survival (PFS) in the DRd arm compared with the Rd arm. On June 27, 2019, the Food and Drug Administration approved daratumumab (DARZALEX, Janssen Biotech, Inc.) in combination with lenalidomide and dexamethasone for patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant.Īpproval was based on MAIA (NCT02252172), an open-label, randomized (1:1), active-controlled phase 3 study, comparing dartumumab (16 mg/kg) in combination with lenalidomide and low-dose dexamethasone (DRd) to lenalidomide and low-dose dexamethasone (Rd), in 737 patients with newly diagnosed multiple myeloma who were ineligible for autologous stem cell transplant. ![]() ![]() ![]() It’s tempting to equate a good plan with one that gets through this list the fastest.īut remember - your best shot at impressing employees comes at the start of their journey. For many, an onboarding plan helps get the paperwork out of the way so you can build connections.įrom benefits to taxes, direct deposits, NDAs and employee handbooks, HR teams have a long list of onboarding documents to sort through. The first few days at a new job can be nerve-wracking, intimidating and (let’s face it) boring. How to build a people-driven onboarding plan Build an onboarding packet with login details and instructions to access HR tools, company portals and internal communication channels.Create a checklist of workplace equipment they’ll need for the first day.Have direct managers and executives send out a welcome email.Invite existing employees to connect with them on LinkedIn and congratulate them on the offer.Send over a welcome kit through direct mail.Here are a few steps to add to that list that build trust and excitement in both remote and in-person settings: Your pre-onboarding checklist should inform new hires of what to expect and what you expect of them. In the weeks or days leading up to their start date, create a cadence of email interactions to show new hires what their employee experience will look like. ![]() Your onboarding plan has to clearly define how you’ll prepare new hires for their first day. “That’s where a well-thought-out onboarding plan will really help you understand what you need to communicate and when.” But when these new hires get there, they don’t know where to go, and information is all over the place,” said Davis. “Sometimes you have new hires come in thinking ‘Oh, I’m going to get a nice orientation and some cool treats’ just because they’ve been sold a world-class expectation by recruiters. This is why the world’s best companies invest heavily in a preboarding experience that builds on the momentum gained during the initial hire. The first 45 days of employment make up 20 percent of employee turnover, with new hire enthusiasm dwindling even more after that period passes. Why? Because the window of time to build a good first impression is surprisingly short. Monique Davis, talent strategist, believes that preboarding is a critical phase to include in your onboarding plan. Onboarding starts before day one “Yes, it’s all about the experience you’re building for your talent, but that experience doesn’t just start on the first day - it starts before that,” Monique Davis, talent strategist (interviewed by author) To make an onboarding plan that sets employees up for success, here are some things you need to know. We’ve learned consistency and accountability are essential at every phase of a new hire’s learning curve. We’re here to help you avoid those common errors.Īt Scribe, we’ve helped HR teams of all sizes create documentation to support great onboarding plans. Heavy emphasis on standardization and not building relationships.Stakeholders are brought in late or not at all.Lack of alignment with the recruiting process.But if companies don’t allocate time to build a formalized onboarding plan, they make common mistakes: Your plan should outline employee milestones and supportive measures the company will take throughout their journey.Ī successful employee onboarding plan helps businesses achieve the not-so-secret formula to workforce productivity: higher retention, lower turnover, and longer tenure. What is an onboarding plan?Īn onboarding plan equips new hires with the tools and resources to confidently perform early responsibilities and achieve goals. By tracing these concerns back to the source, HR teams can empower themselves to increase retention and new employee satisfaction. Still, an employee could decide to leave as soon as they walk through the door.Ī poor onboarding experience accounts for 25 percent of employee turnover within the first year of employment. Companies have finally decided to increase salary caps, embrace remote work and double down on diversity and inclusion. Mass resignations have sent HR leaders and executives flocking to improve the employee experience. Replacing one employee costs between 16 to 20 percent of that person’s pay. Companies cannot ignore that over a fifth of the workforce today has voluntarily resigned. Regardless of what we call it in the next six months, one fact remains. The job market has been in a frenzy since the pandemic began, and HR teams are still trying to make sense of it - the Great Resignation, the Great Reshuffle, what’s next? Here’s the hard truth: you haven’t secured your new hires just because that offer letter is signed. ![]() |
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