![]() The most commonly used scores are summarised in table 1. High scores in these are associated with adverse outcomes in elderly patient populations and may aid clinical management. 7 This article reviews the association between frailty and CVD, the impact of frailty on outcomes of cardiac interventions, how to incorporate frailty assessment in clinical practice and proposes future directions in this field.Ī number of frailty scores have been designed by geriatricians comprising a combination of functional tests, laboratory tests, questionnaires, descriptive scales, disability assessments and comorbidity assessments. 7 Incorporation of frailty in risk stratification may help distinguish older patients who may benefit from intervention from those who will gain little benefit or may even be harmed by aggressive intervention. Treating an elderly patient often involves high-risk, high-gain treatments. ![]() The need to include frailty assessment in decision-making is pressing. 6 They have suggested that trials should include improved characterisation of the elderly population and the evaluation of the influence of frailty and cognitive decline on outcomes. 3–5 The importance of frailty has been acknowledged by the American Heart Association (AHA) which has called for a better understanding of frailty in cardiac care. 2 Frailty assessment correlates well with quality of life (QoL), hospital admissions and mortality. ![]() Indeed up to 75% of patients over the age of 85 years are not frail. ‘Biological age’ is often taken as a crude index of frailty, while chronological age is a poor correlate. This article reviews the association between frailty and cardiovascular disease, the impact of frailty on outcomes of cardiac interventions and suggests ways in which frailty assessment could be incorporated into cardiology clinical practice. The need for a more accurate method of risk stratification incorporating frailty, particularly for elderly patients is pressing. Potentially, the incorporation of frailty into current risk assessment models will cause a shift towards more appropriate care. Frailty assessment has emerged as a measure of biological age that correlates well with quality of life, hospital admissions and mortality. Current risk scores designed to predict mortality in cardiac procedures are mainly based on clinical and angiographic factors, with limitations in the elderly because they are mainly derived from a middle-aged population, do not account for frailty and do not predict the impact of the procedure on quality of life which often matters more to elderly patients than mortality. Decisions to proceed to invasive interventions in elderly frail patients is challenging because they may gain benefit, but are also at risk of procedure-related complications. Inpatient Psychiatric Acute Care HospitalAverage life expectancy is increasing in the western world resulting in a growing number of frail individuals with coronary heart disease, often associated with comorbidities.Independent Diagnostic Testing Facility.SAINT PETERS UNIVERSITY HOSPITAL AND MEDICAL CENTER.ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON.ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL.PRIME HEALTHCARE SERVICES ST MARYS PASSAIC LLC.PRIME HEALTHCARE SERVICES SAINT CLARES LLC.MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS.If you are experiencing feelings of sadness, stress or are dealing with the struggle of substance use disorder, Horizon BCBSNJ has an extensive network of behavioral health professionals, counseling services and facilities that can help you live life to the fullest. Psychiatry APN - Substance Use Disorder.Pediatric Neurodevelopmental Disabilities.Office Based Addiction Treatment (OBAT). ![]() Licensed Marriage and Family Therapist (LMFT). ![]()
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![]() But with only three episodes remaining, Team Flash better figure out how to stop the future Barry - and fast! One solution that is likely off the table? Barry will not kill himself à la Eddie Thawne in season one. It appears that the solution will be getting rid of Barry's memories. How can you stop someone that is not only from the future, but has lived every decision you make? Savitar literally knows Barry's every move he's already made them. Within DC continuity, an immortal race of warrior women (the Zamarons) were depicted as having the ancient tradition of choosing physically identical mortals from across the cosmos to serve as the host body for their. Going forward, this is going to make Team Flash's job quite difficult. Star Sapphire is the name of several fictional characters in DC Comics many of them are villainous, and all connected in origin. Savitar speaking through Julian and saying that he is "the future Flash," now can be taken literally.Įverything else begins fall into place - like Wally West's catatonic state - and it is all about love. Love can be a powerful motivator, and Barry realizes that without his - Iris West - he will become his worst enemy. He remembers that Savitar said he created himself, with his thoughts quickly turning to the villain killing Iris (and thus creating his own despair). Like fans have been doing for months, Barry figures out the truth by replaying events in his memory, looking for hidden clues. And certainly more than whatever convoluted explanation would be used to justify a surprise. While the writers arguably (or definitely) forced fans to wait a tad too long to find out for certain that Barry is Savitar - even pushing the reveal until the final moments of episode 20 - the result makes quite a bit of sense. Rather than take a name out of left field like Ronnie Raymond or maybe Jay Garrick, The Flash has once again been beaten to the punch by its rabid fan base. This is what makes the reveal so shocking - it was so completely expected. Past teases from the cast, particularly Grant Gustin, made it seem like The Flash would go in an unexpected direction. ![]() In fact, the future Barry Allen was likely the most common name - along with Wally West ( my guess). Barry Allen has for some time been one of the more common names floated around the internet in discussions over Savitar's identity. The big reveal is both shocking and completely expected. With time running out for Barry, and The Flash's third season, Barry and the audience now know that Barry Allen and Savitar are one and the same. The tag to last week's episode of The Flash featured Savitar revealing himself to Caitlin Snow, but - much like I am doing in this recap - frustratingly extended the torture for fans. ![]() Fans may have even started to wonder if they would ever figure it out. ![]() Most recently, the Flash traveled to 2024 to solve the mystery of Savitar's identity, only to discover that his future self never figured it out. Barry even came close on several occasions to learning his adversary's identity, but always to no avail. It has been a long time coming, but The Flash finally answered the question fans have been scratching their heads over for months: Who the heck is Savitar? Prior to the big reveal, there had been hints on the CW series. ![]() ![]() ![]() keeps low overheads which allow this trusted ticket site to keep prices competitiveĬapitalCityTickets. Buy, preview and download over 30 million tracks in our store. 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Nathaniel Rateliff is happening on Friday, Maat 07:30PM MST at Boettcher Hall with tickets starting at 97.00. at Raising Cane’s River CenterĪpril 25 – Lincoln, Neb. at Von Braun CenterĪpril 22 – Baton Rouge, La. at Enmarket ArenaĪpril 19 – Huntsville, Ala. ![]() at Vystar Veterans Memorial ArenaĪpril 17 – Savannah, Ga. at Mountain Health ArenaĪpril 14 – Jacksonville, Fla. ![]() at Mohegan Sun ArenaĪpril 12 – Huntington, W.V. at Bryce Jordan CenterĪpril 10 – Wilkes-Barre, Pa. at Total Mortgage ArenaĪpril 8 – State College, Pa. Find upcoming concert times, concert locations, ticket prices, and David Geffen Hall at Lincoln Center information with seating charts.April 3 – Saginaw, Mich at The Dow Event CenterĪpril 4 – Cincinnati, Ohio at Heritage Bank CenterĪpril 7 – Bridgeport, Ct. 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DTG is a popular way to get your s.About UsThe origins on J's Silkscreens/Rhinoprint begins in 1981 in the. silkscreen synonyms, silkscreen pronunciation, silkscreen translation, English dictionary definition of silkscreen. As an Elite Dixie Belle Retailer, a Certified Fusion Fusionista Merchant, and a Miss Mustard Seed's MilkPaint Master Retailer, our experienced staff and fully-stocked retail area are just waiting to help you make your project "Easy Peasy", to "Paint It Beautiful", to "Move Mountains In Your Home", and to "Reclaim Your Furniture". Now offering Direct To Garment printing (DTG) This is an awesome method for when you have multiple colors in your logo. Gratefully Restored is your authorized Retailer for all Dixie Belle Paint, Fusion Mineral Paint, Miss Mustard Seed's MilkPaint, Redesign with Prima, Mango Paint, milk paint by Fusion, Silk All-In-One Mineral Paint, Terra Clay Paint, Staalmeester, Cling ON!, and Zibra products, supplies, and more. ![]() ![]() It also uses luminance masks to split the image into shadows, highlights and midtones, allowing each to be color-graded separately. The module prevents users from pushing colors outside of the valid working range when editing. The color balance RGB module introduces several innovations to improve color editing. It uses a rational polynomial, similar to the Michaelis-Menten equation, 'which prevents the under- and over-shooting that can sometimes occur with high contrast and latitude when using the 'hard' and 'soft' interpolation methods.' The legacy workflow can still be manually enabled in the preferences.' 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The latest update is the first of two planned feature releases, with the second intended to come out this winter. ![]() The darktable team has announced its second summer feature release, bringing darktable to version 3.6. ![]() ![]() Entries (files) can be shared to cloud storage, social media, other applications.Įvernote has been around for years as a catch-all note taking application. Notable features: Automatically opens a new file on app launch.While not a traditional journaling application, Drafts is a great place to capture ideas and thoughts quickly. Getting into journaling mode takes time and commitment, and the last thing anybody wants is to have an old entry disrupting their concentration. The second great feature of Drafts for journaling is the ability to have a fresh document ready almost any time you open the app. Drafts let’s you write whatever you need, and stays out of the way. This makes Drafts incredibly light weight and easy to use. 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Designed around a daily grid of topics, Grid Diary prompts you with questions or thoughts to write about each day. Grid Diary is the journaling app for people not sure what to journal about. Notable features: Captures location, weather, and other relevant information to give a more in-depth entry.If you’re looking for a way to go digital with your journaling, or want something with all the bells and whistles, you’re going to want Day One. Through bold fonts, varying colors, and a collection of your images, Day One is everything we would expect out of a modern digital journal. Outside of the writing experience, Day One is also designed to make revisiting your old journal entries a more visual experience. ![]() That said, once you’re settled in, it’s easy to let the writing flow into Day One. If you’re new to journaling or not sure where to start, Day One may be overkill. Getting started with Day One can be a little overwhelming since the app is so robust. It can pull in local weather information, daily step count, location data, and supports attaching media and links to entries. Instead of being a folder packed with plain text documents, Day One revolves around being modern. It features the ability to setup multiple journals, supports rich formatting, and is designed around a robust journal. I spent some time researching, and I found a few great apps that work well for keeping my journal on my iPhone or iPad.ĭay One has become somewhat synonymous with digital journaling. ![]() Journaling is also great for thinking through a problem by allowing a different part of your brain to work through an issue. Jotting down a short log of important moments helps to improve memory and creates a time capsule of life’s milestones. I read about it in an interesting article from the University of Rochester Medical Center. Did you know writing in a journal is a great for your mind? It’s true. ![]() ![]() ![]() Pour the sage and the butter into the pot with the bacon. Swirl them around in the pan for 45-60 seconds. When the butter melts and just starts to bubble, add the sage leaves. Butternut squash is an amazing vegetable that pairs beautifully with pasta, whether the squash is roasted or pureed. 1x 2x 3x 8 ounces rigatoni pasta, dried 3 cups butternut squash, -inch cubes 2 tablespoons extra-virgin olive oil 1 tablespoon. While the pasta is boiling, add butter to a medium pan over medium-high heat. Drain excess fat out of the pot, leaving just the bacon and drippings.Īdd 1/3 cup olive oil, garlic, shallot, salt, pepper, and hot pepper flakes to the pot with the bacon. Cook on the top shelf of the oven for 25 minutes or until the squash is tender and browned at the edges. Drizzle with the olive oil, season with salt and pepper and toss to coat. 2: Place the squash in the roasting tray. Line a large roasting tray with baking parchment. Set aside.Ĭook bacon in a large, dry pot until crispy. 1: Preheat the oven to 220☌/Fan 200☌/Gas 7. Spread out squash into a single layer on a baking sheet. Reserve about 1 to 1 ½ cups of the cubed butternut squash to the side for now and put the rest of the butternut squash in the large bowl of a food processor. Toss squash in 1/3 cup extra virgin olive oil, salt and pepper. Ingredients 2 cups chopped butternut squash (320g) 3 shallots, or a small onion 1 tsp salt, and pepper to taste 2 tbsp olive oil or butter. Add the broth, chili powder, nutmeg, red pepper flakes, kosher salt, and several grinds of. Add the butternut squash and saute 5 minutes. In a large skillet, heat the olive oil over medium-low heat. Garnish with fresh parsley and add salt and pepper to taste.Full instructions in the recipe card this is just an outline! When the pasta is done, drain it and return it to the pot. If it doesn’t look like it’s coming together well you can opt to add in small amounts of the reserve cooking liquid. Follow by stirring in the parmesan cheese. Next, you can add the cooked pasta back into the pot. Sauté for 10 minutes until tender, not mushy. Now, add one chopped onion to the pot along with your cubed squash and spices. The Best Rachael Ray Butternut Squash Pasta Recipes on Yummly Vegetarian Pasta E Fagioli, Butternut Squash And Spinach Pasta With Roquefort Cheese And. Remember that the chicken sausage we’re using is fully cooked, so it doesn’t need long. Sauté over medium heat for 5 minutes or until browned. Place the halves cut side down on a baking sheet. Roast the two halves for about 40 minutes, or till the flesh is soft and easily pierced with a fork. ![]() Scoop out the seeds after cutting the butternut squash in half lengthwise. Slice your chicken sausage and add it to your pot with olive oil spray. Set the oven’s temperature to 400F (200C). Instead of draining all the water from your pasta, reserve some of the cooking liquid for later to help bring together the dish. I used Gemelli pasta which cooks in about 12 minutes. Be sure to follow the directions on how long to cook your specific pasta shape. Start by cooking your pasta in salted water. 1 tablespoon olive oil or 1/4 cup water/broth (for water saute) 1 large shallot, diced 2 cloves garlic, minced (or 1 tsp. How to make this Healthy Pasta with Butternut Squash and Sausage It’s a great substitute as a side dish or to bulk up meals when you don’t want to go the potato route. When roasted, butternut squash gives you that sweet potato vibe that we all love. If you’re looking for another pasta dish be sure to try my Creamy Pasta with Butternut Squash and Prosciutto. Roasted butternut squash is the star of my Autumn Harvest Mason Jar Salads and boiled butternut squash is the star of my Healthy Butternut Squash Soup. In this recipe I opted to sauté the squash for about 10 minutes until tender. 1 lemon, zested (about 1 tablespoon) 1 cup low-sodium chicken or vegetable stock, plus more as needed. I use a high temperature oven, olive oil spray, and seasonings of choice. 2 pounds butternut squash, peeled, seeded and cut into -inch pieces. The squash in this recipe isn’t roasted, however: roasting butternut squash is similar to roasting any other veggie. Keep in mind that for this recipe you’ll only need 2 cups. One small squash or a 20-oz package of cubed butternut squash will yield about 4 full cups. Even though I love being in the kitchen, I love a good shortcut that will get me to my end product faster. You can always buy a full squash, but I am always looking for shortcuts in the kitchen. I always take the easy way out, and buy the pre-cut ones they sell in the produce section. 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