![]() You can start advertising for just $150/month, and you can choose how you spend your monthly budget. Yelp charges on a cost per click (CPC) basis. Now that you know how Yelp works, it’s time to understand how the advertising platform charges local businesses. ![]() This article primarily covers the advertising packages, but the information contained here applies to the upgrades program as well. However, the results of Yelp advertising are mixed, and for every business that reports success on the platform, you will find another that labels Yelp’s advertising program as a scam. This includes the number of ad clicks, ad impressions, cost per click, total ad spend, and more. You also get historical metrics to show you how your campaign is doing. When you sign up for advertising, your ad gets impressions on the profiles of your competitors and other companies. With these ads, you get the opportunity to target potential clients as they are deciding which business they want to spend their money on. Yelp ads work in much the same way as Google Ads and Facebook Ads in that business owners can pay to get preferential rankings and placements. This can send visitors to any page of your choosing, such as an order form, coupon, and so on. It starts with a photo chosen by you and then cycles through the rest.Ĭall to Action: You have the option to add a call to action on your profile page. However, if you advertise, your business will show up when potential customers search for other local businesses in your niche, while your competitors’ ads will be restricted on your profile.Įnhanced Slideshow: This feature lets you organize the images from your business in any way you like. They include:Ĭompetitors’ Ads Restriction: A free profile on Yelp shows your competitors’ ads on your profile page. These are premium features that allow you to enhance the way your Yelp profile page looks and functions. Here’s a quick rundown of what each entails: Business Page Upgrades Maybe you know and maybe you don’t, but Yelp offers two types of paid features to businesses: Business Page Upgrades and Yelp Ads. So read on to find out whether Yelp advertising is worth the cost or not.įirst, let’s take a look at the fundamentals of how Yelp works. The information in it will help you make better-informed decisions about where to allocate your business’s digital advertising spend to get the best return on your investment. This article offers you an unbiased objective insight into Yelp’s advertising platform. While these offers may sound attractive – especially if you already have many customers telling you they found your business on Yelp – there are a few important things you need to know before you commit your advertising dollars. Once you set up a free Yelp profile for your business, you get calls from Yelp sales agents offering you premium features and advertising packages to help you generate even more leads. ![]() The platform helps businesses connect with customers through free profiles and paid advertising. Yelp is one of the most popular local search and reviews online services. ![]()
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![]() ![]() "Uh, hello? We're still here." Zane informed them, a little annoyed. Asch turned to Rhys furiously: " You were supposed to cast a spell, Rhys!" Zane cleared his throat loudly. "She doesn't sound like Ava." the orange one muttered. Aphmau finally decided to speak up, saying, "I'm sorry, but I don't even know who you are!" The five boys all went silent, perhaps starting to notice that this wasn't Ava. Anyways she is my girlfriend.” There was a huge gasp that echoed through the 5 boys. Aaron usually doesn’t get too jealous but Aphmau turning bright red made him feel that way. "Well, She's also mine." Asch said angrily. "She's my princess, but her name is Aphmau, not Ava." Aaron informed them, which made the orange one look disappointed. ![]() Aphmau blushed from the compliment of 'princess', which made Aaron feel slightly jealous. "Erm, we are deamos! You must be humans, but you look like princess ava?" The orange one pointed to Aphmau. "WHO THE HECK ARE YOU?!" Aaron hollered as Zane swerved on the road, trying not to crash but also trying to see who was back there. ![]() The orange-haired one began to speak, "Hi there, where are we?". 5 different, weirdly dressed men all came up from the back seat. The three looked back, frightened, but nobody was there either. He sometimes doesn't know how to use E-arth terms," somebody different said from the same place. “It will be okay if we don’t die trying to get home safely.”, Aaron stated and looked at Zane. Aph looked behind her once again, but nobody seemed to be there. Zane was too focused and turned to see who it was. Zane quickly jumped and slammed on the brakes sending almost everyone forward. The three looked back, confused as to why somebody had merely said yes, and saw somebody in the back seat, unbothered and seeming to not care about the other people in the car. Aph tried to scoot away, but Aaron scooped her up into a big warm hug. Aphmau shot upwards, "It-it just look it, I don't know, we've called and texted, we should go home." “Okay…”, Zane uttered and started driving home. “How do you know that? we have only visited a couple of our friends.”, Zane said. It's pointless, none of our friends are going to be there." “Sounds good to me”, Aaron sighed. 3 | Fandom Welcome to part Three, once again I'll give a… Īph got into the car. ![]() ![]() This version of the RadCity features a step-through frame, eliminating the top-mounted frame bar and helping make mounting and dismounting even easier. The RadCity Plus 5 Step-Thru is another variant of the premium-grade RadCity Plus 5 family of commuter e-bikes. This model has a rear-mounted rack and a front rack with a combined maximum carry weight of 275 lbs., enabling it to double as a cargo e-bike.Īll RadCity Plus 5 e-bikes come with fully adjustable handlebars, a comfortable upright seat, a 750 W, 58 Nm electric motor, and a custom RadPower 672 Wh battery pack rated to provide up to 50 miles of range. While the RadCity Plus 5 High Step is ideal for daily riding or commuting to and from work, this e-bike aims to be as versatile as possible for dedicated e-bike riders. The manufacturer recommends this model for riders between 5’4” and 6’5”. ![]() The High-Step version features a standard high-step frame reminiscent of the type used in standard non-powered bikes. The RadCity Plus 5 is a premium-grade model designed to make daily rides as comfortable and effortless as possible. RadCity electric bikes are Rad Power Bike’s award-winning family of dedicated city commuter models. When powered using the throttle only, the rear-mounted motor can propel riders at up to 20 mph. ![]() It is rated to power the 80 Nm electric motor for up to 45 miles on a full charge, ensuring you have plenty of energy for commuting, weekend rides, or off-road fun.Īssist features include both pedal-assist and an all-electric throttle mode. The RadMini 4’s battery pack features a capacity of 750 Watt-hours. These tires let you ride your RadMini through more challenging terrain, such as dirt and gravel paths, damaged asphalt, and rocky areas. While its intended purpose is cruising on city streets and roads, the RadMini’s 20” CST fat tires feature versatile, all-terrain treads. This folding hybrid e-bike features fat tires and a fast, easy-to-use folding mechanism.Įlectric bike enthusiasts appreciate the RadMini 4 for its versatility and convenience. The RadMini 4 is Rad Power Bikes’ fourth-generation RadMini folding e-bike. Discover some of the most popular Rad e-bike models currently available at Upway. While Rad electric bikes are primarily known for their fat-tire models, the company produces a diverse range of e-bikes capable of satisfying the needs of any electric bike enthusiast. Find Certified Pre-Owned Rad Electric Bikes at Upway Each successive new generation brings its own changes and improvements to Rad’s electric bike families, ensuring e-bike enthusiasts continue benefiting from the latest e-bike technologies and advancements year after year. Today, Rad Power Bikes claims over 550,000 e-bikes sold worldwide, with most of its original product lines still in production. It resulted in the creation of new product lines, such as the RadWagon fat-tire cargo e-bike, the RadMini folding e-bike, and the RadCity commuter e-bike. The RadRover was the company’s first fat-tire electric bike and was a commercial success. With the help of crowdsourced funding, the company officially established itself to release its first e-bike product for sale on the market - the first-generation RadRover. He retrofitted home-designed battery packs and electric motor systems to regular bicycles to convert them into e-bikes. In 2007, Rad Power Bikes was started as a garage project by Mike Radenbaugh during his teenage years. Upway carries a large selection of certified used Rad electric bikes, allowing you to benefit from the innovations and unique features of the Rad brand for up to 60% off the price of a brand-new bike. ![]() Today, it is the largest e-bike brand in the United States and North America, offering quality electric bikes to biking enthusiasts for an affordable price. Some of which are amongst our favorite e-bike models for urban commutes.Rad Power Bikes is a Seattle-based company founded in 2007. Right now, you can save $350 on the RadRover 6 Plus and $200 on the RadRunner Plus, RadRunner 2, RadCity 3 and RadCity 4. Modular construction allows you to attach tons of accessories and features, while fat tires soak up bumps and blast through obstacles. The Seattle-based company has made a line of affordable e-bikes that is also incredibly practical. But with prices that can rival a used motorcycle, many e-bikes are (arguably) too expensive for common use. They’re also great for anyone who wants a little more torque to climb hills or power past other cyclists on the trail. Electric bikes can be a great substitute for motorcycles when it comes to urban commutes, as we learned through firsthand testing not too long ago. ![]() One drawback to the recent surge in electric bike sales is the high cost. Save $400 on the RadRover 6 Plus and $200 on four RadRunner models from Rad Power Bikes from now until August 29. ![]() ![]() These vibrant blue birds embark on remarkable journeys twice a year, navigating vast distances between their breeding and wintering grounds. Indigo bunting migration is an awe-inspiring natural phenomenon that captivates bird enthusiasts around the world. These combined factors shape the indigo bunting’s distribution and highlight its adaptability to a range of environments. One crucial factor is the presence of suitable nesting sites, such as dense shrubs or low trees that offer protection and concealment.Īdequate food sources, including seeds, berries, and insects, are also vital considerations for the indigo bunting’s habitat selection.Īdditionally, the availability of water sources, such as streams or ponds, plays a role in determining the bird’s habitat preferences. Several factors influence the indigo bunting bird’s choice of habitat. Factors Influencing the Bird’s Habitat Selection This broad distribution allows birdwatchers and nature enthusiasts across North America the opportunity to observe the indigo bunting in its natural habitat. Its range stretches from southern Canada, including Ontario and Quebec, down to the Gulf Coast states of the United States.ĭuring the breeding season, indigo buntings extend their reach as far west as the Great Plains. The indigo bunting bird is native to North America, primarily found in the eastern and central parts of the continent. Indigo Bunting Range and Distribution in North America These diverse habitats offer a mix of resources, allowing the bird to meet its dietary and nesting needs. The indigo bunting also shows a fondness for edges of woodlands, as well as roadsides and powerline clearings. It is commonly found in grasslands, meadows, and brushy areas, where it can easily forage for seeds and insects. The indigo bunting bird thrives in a variety of habitats, with a preference for open areas that provide ample vegetation cover. Preferred Habitats of the Indigo Bunting Bird Habitat and Distribution of the Indigo Bunting Bird A. Together, the distinct physical characteristics of both male and female indigo buntings contribute to the allure and diversity of this remarkable bird species. While the male indigo bunting’s vivid blue plumage captures attention and admiration, the female’s understated beauty is no less captivating. In particular, the female indigo bunting’s earth-toned plumage helps her blend into the surrounding vegetation, ensuring the safety of her nest and young. Female Indigo Buntingįemales have a combination of brown feathers, providing effective camouflage during nesting and incubation periods. The male indigo bunting showcases the species’ characteristic vibrant blue plumage, while the female exhibits a more subtle appearance. One notable distinction lies in the appearance of male and female indigo buntings. Notable Differences Between Male and Female Indigo Buntings With its graceful form and delicate features, the indigo bunting embodies elegance in the bird world. The indigo bunting’s wings are short and rounded, allowing for agile flight and intricate aerial displays during the breeding season. Its beak is pointed, perfectly adapted for its feeding habits. In terms of size and shape, the indigo bunting measures around 4 to 5 inches (10.1-12.7 cm) in length, with a compact and slender body. Size, Shape, and Distinctive Features of the Indigo Bunting Bird This stunning coloration sets the indigo bunting apart from other birds, making it a remarkable sight in North America’s avian landscape. Its feathers exhibit a brilliant shade of indigo blue, radiating a mesmerizing iridescence that catches the eye. The indigo bunting bird is renowned for its vibrant plumage, which is a true marvel to behold. Description of the Indigo Bunting’s Vibrant Plumage Physical Characteristics of the Indigo Bunting Bird A. Join us as we unravel the beauty and wonder of this remarkable species and gain a deeper appreciation for the indigo bunting’s role in our natural environment. In this article, we will delve into the captivating world of the indigo bunting bird, exploring its physical characteristics, habitat preferences, nesting habits, and the significance of its enchanting song. The Secret World of Flamingos: Insights into Their Mysterious Habitsįound predominantly in North America, the indigo bunting is renowned for its melodious song and remarkable aerial displays during the breeding season. ![]() ![]() ![]() Hipster Whale: When you a whale floating in the river instead of on a log, jump on it. While playing, you may encounter a small gold ring spinning just above the ground. Halfling: Play as any New Zealand character. Run into the Christmas Tree in the center of the plain to cause gifts to fly out. Gifty: Play as Festive Chicken until you find a snow plain. When playing, the Gingerbread Man will appear and you must jump on him. Gingerbread Man: Play as the Wolf mascot. Go to the tree and the Drop Bear will jump on you. Thanks to our reader, EnmadokairosxTsuki for providing this information!Ĭlown: Play as the Hand and obtain about 15-20 coins (can be multiple runs).Ĭlyde: Play as Pac-Man and eat seven or more ghosts in one power pellet session.Ĭoconut Water: Play as the Tourist and collect five coconut waters in one runĬrab: While you play, every time you enter a new area, swipe left and right about 50 times.ĭragon Rider: Play as Snow King (from Pecking Order challenge) about 10 rounds.ĭrop Bear: Play as any Australian character and at some point, you will encounter the Drop Bear sitting on a tree. Then, jump off the log or lily pad.īen Weatherall: Unlock and play as The Dark Lord and score 85 percent or greater than your current high score.īest in Show: Play as any dog character and eat all the dog food you can find (can be multiple runs).īig Fancy Pig: Play as Blue and collect five of the floating green and white packs.īones: Play as Paleontologist and collect fossils of each kind (head, neck, body, leg, and tail).īlinky: Play as Pac-Chicken, Pinky, Clyde, or Inky and get crushed by Pac-Man.Ĭai Shen: Play as Fortune Chicken, The Three Deities, Fire Monkey, Xi, New Year's Doll, Hot pot, or the Chinese Monster and collect 20 red envelopes (can be multiple rounds).Ĭat Lady: Play any cat except Scaredy Cat and eat nine fish (can be multiple runs).Ĭhinese Monster: Catch up with Chinese Monster while playing as New Year's Doll.Ĭhoc Mallard: Play as the Jelly Bear on the Jelly Bear level and get at least four Jelly Bears to follow you. Here they are, listed in alphabetical order.Īce: Collect 50 burgers as Rocky (can be multiple runs).Īndy Sum: Play as the Mallard and score 85 percent or greater than your current high score.Īngler fish: Cross a trench using any ocean character, and go back two logs or one lily pad. Luckily, we've found out how to unlock every secret character that is currently in the game. How to Unlock Crossy Road Secret CharactersĬrossy Road may be a fun mobile game, but getting the secret characters without help can be a pain. If you'd like to see how to get all the secret characters to date, this guide can help. Some of these characters are much easier to obtain than others, and some of them happen completely by chance. Crossy Road has many secret characters for a mobile game. ![]() ![]() ![]() Send a welcome email to the new hire, including essential information such as the start date, time, and location (if applicable).That is why we wanted to provide you with alternative checklists that you can use as you are welcoming new hires to your organization. The perfect way to onboard new hires changes from organization to organization. As you might have seen through all the different onboarding checklists on this list, there is no one right way. We all know that variety is the spice of life. Free new hire onboarding checklist template From introducing the company’s values and mission to assigning mentors or buddies, the template helps foster connections and engagement, making new hires feel welcomed and supported.Ĩ. ![]() Using a checklist template, you can create a structured onboarding journey that covers not only the logistical aspects but also the cultural and social aspects of joining the company. By reducing errors and oversights, you can streamline the onboarding experience and focus on providing a positive first impression to new hires.Įnhancing Employee Experience and EngagementĮffective onboarding sets the stage for a positive employee experience right from the start. , The onboarding checklist template acts as a reminder, preventing the omission of important tasks or information. Instead of reinventing the wheel for each new hire, you can simply follow the checklist to ensure a consistent and swift onboarding process. Time is of the essence during onboarding, and a checklist template helps you save valuable time. From completing employment forms to setting up equipment and introducing company policies, the checklist keeps everything organized and on track. An onboarding checklist template serves as a comprehensive guide, ensuring that no crucial steps are missed or overlooked. Onboarding involves numerous tasks, paperwork, and training sessions that need to be completed within specific timelines. It helps create a sense of structure and reliability, making the onboarding process more efficient and effective. This consistency ensures that every new hire goes through the same essential procedures, eliminating any guesswork or confusion. With a checklist template in hand, you can establish a standardized onboarding process that covers all the necessary steps and tasks. Streamlined and Consistent Onboarding Process What are the benefits of using onboarding checklist templates? With a checklist template in hand, you’ll be able to streamline the onboarding process, set clear expectations, and create a positive first impression for new hires. They provide a roadmap, a step-by-step guide that ensures no essential task is missed and no valuable information slips through the cracks. They are essentially a checklist of onboarding tasks that can be checked off the throughout the onboarding process. Free new hire onboarding checklist templateĮmployee onboarding checklists are tools that enable organizations to guide their new hires through their early days with the organization. 10 Best Free Onboarding Checklist Templates.What are the benefits of using onboarding checklist templates?. ![]() ![]() ![]() ![]() He is seen pouring milk and Alpha Bits into his mouth. This cereal appears in Diary of a Wimpy Kid where Greg rushed to breakfast in the beginning.In season 2 episode 24, of That '70s Show, the words "Post Alpha Bits" appears stamped on the side of a box that Eric is moving in the office of Price Mart with Red looking on.In the Eric's Depression episode of That '70s Show, Eric is eating Alpha-Bits and as he takes the first bite, he notices the letters spell out " DONNA".In the All Grown Up! episode "Interview With a Campfire", Tommy says "Coming from the man who communicates with aliens through the Alpha-Bits cereal".This cereal can be seen in the 2003 movie Anger Management.In an episode of The Simpsons called " Co-Dependents' Day", there was a scene where Cosmic Wars creator Randall Curtis gives Bart and Lisa a "Jim-Jam" cereal, saying that "It's just Alpha-Bits with extra Js".A visibly annoyed Brian looks up from his newspaper and points out that they are actually Cheerios. An episode of Family Guy features a cutaway gag in which Peter and Brian are sitting at the kitchen table Peter is eating a bowl of breakfast cereal and suddenly tells Brian that there's a message in his Alpha-Bits which simply says "Ooooo".In a sponsor spot for the TV sitcom The Andy Griffith Show, Andy advertises Post Alpha-Bits through a swearing-in of deputy Barney Fife before saying his famous trademark line "I appreciate it and goodnight.".Alpha-Bits, you know you want them, come and have some!. ![]() And O G, they simply happen to be a little bit better!) They're A-B-C-Delicious! (Alpha-Bits spell energy from A to Z with a capital E.Tastiest cereal you've ever met-it's just like eating up the alphabet! The TV show Super Why! later was the mascot and endorsed this cereal. Post Alpha-Bits cereal was also a sponsor of Arthur on PBS. ![]() In the 1990s the mascots are the anthropomorphic cereal bits. Michael Jackson and The Jackson 5 starred in a series of Alpha-Bits musical TV commercials in 1973. In the 1980s there was yet another mascot named "Alfie the Alpha-Bits Cereal Wonder Dog". The Canadian "Alpha" at first resembled IBM PCs, but recent versions resemble a 2006 iMac. In Canada, the last Alpha-Bits mascot was "Alpha", a computer who "makes bits". Since then, mascots have included the "Alpha-Bits Wizard", who appeared near children in kitchens. Loveable Truly was also a character in the 1960s cartoon show Linus the Lionhearted on CBS, along with other Post Cereals mascots at the time (including Sugar Bear of Golden Crisp, then called Sugar Crisp). Alvin and the Chipmunks were also early pitchers for Alpha-Bits, as Post's then-parent General Foods was the sponsor of The Alvin Show for its sole season beginning in 1961.īeginning in 1964, the mascot for Alpha-Bits was a postman, possibly a pun on " Post Man" named "Loveable Truly", who was originally voiced by insult comic Jack E. One of the first advertisers of the cereal was the Ruff and Reddy cartoon show in 1957. In some regions, such as the southeast, Marshmallow Alpha-Bits were removed from shelves by 2000. In August 2005, Post Cereals introduced sugar-free Alpha-Bits cereal. Peterson, the latter of whom was a chef at a local restaurant in upstate New York. Marshmallow Alpha-Bits were invented by a small-time entrepreneur named Andrew R. Beginning in 2004, Marshmallow Alpha-Bits began disappearing from various markets, before finally being discontinued altogether in 2011. Over time, the marshmallows underwent changes such as super-swirls and splits in their colors. This variation of the original Alpha-Bits cereal contained marshmallow vowels: pink A's, yellow E's, purple I's, orange O's, green U's, and, later, blue Y's. "Marshmallow Alpha-Bits", introduced in 1990, contained frosted alphabet-shaped corn cereal bits and marshmallows. The cereal was substantially reformulated in 2017, with the "new and improved" Alpha-Bits having larger shapes than its predecessor. The old recipe was reintroduced later in 2008. However, Alpha-Bits reappeared for sale in January 2008 with a new formulation, touting "0% Sugar!" as a "Limited Edition" cereal. The cereal was introduced in 1957 and was taken off the market in 2006. Post Cereals also started producing "Marshmallow Alpha-Bits" in 1990.Īlpha-Bits cereal was invented by Thomas M.
![]() ![]() Former Daily Show correspondent Hasan Minhaj will make the sixth, returning to the program Monday night.īut before Minhaj kicks off another round of well-known guest hosts - Comedy Central's response to Trevor Noah's surprise resignation back in September - its worth considering who performed best among the five comics who have tried it so far.Īnd, most importantly, what their successes and failures might say about the future of Comedy Central's landmark news satire show. Noah’s departure from the popular late-night show comes ahead of that of British host James Corden, who announced in April he would be leaving The Late Late Show in 2023.So far, five well-known comics have taken over as guest host at Comedy Central's news satire The Daily Show. Noah took over as host of The Daily Show from fellow US comedian Jon Stewart in September 2015, continuing the strong focus on political and news-based satire.ĭuring his own tenure he made stylistic changes and increased more millennial-based references, impersonations and characterizations for his comedy on the show. He added that there was “another part of my life that I want to carry on exploring” and that he wanted to go back to “being everywhere doing everything”. “We’ve laughed together, we’ve cried together… but after seven years I feel like it’s time you know?”Ī special message from Trevor Noah /lMM8ll51fu “I found myself filled with gratitude for the journey, it’s been absolutely amazing, it’s something I never expected. “I remember when we first started, so many people didn’t believe in us – it was a crazy bet to make,” he said. ![]() Noah revealed the news of his departure from the show personally in September, telling audiences he felt “like it was time”. “I’m so grateful to them and I’m grateful to every single one of you. They are a lot of the reason that I’m here. If you truly want to know what to do or how to do it, or maybe the best way or the most equitable way – talk to black women. He added: “I’ll tell you now, do yourself a favour. “I always tell people if you truly want to learn about America, talk to black women, because unlike everyone else, black women can’t afford to f*** around and find out.” “And I’m like, ‘who do you think teaches me? Who do you think has shaped me, nourished me, informed me’ – from my mum, my gran, or my aunt, all these black women in my life. Noah is stepping down from his role as host after seven years at the helm of the US talk show, which is broadcast on Comedy Central (Ian West/PA) Speaking about those who had had specific influence on him, he continued: “I’ve often been credited with these grand ideas, people are like ‘oh Trevor you’re so smart’. “Even the people who hate-watch – we still got the ratings, so thank you, I’m eternally grateful to you.” “Everyone who has had an opinion, people who have been kind enough and gracious enough…even if it’s a critique, it doesn’t even have to be praise. “So thank you, thank you to the people who watch. “And then, when I look at this now I don’t take it for granted, every seat that has ever been filled to watch something that I’m doing I always appreciate because I know the empty seat that sits behind it. ![]() “I remember, when we started the show, we couldn’t get enough people to fill in the audience. “I am grateful to you, every single one of you,” he said. ![]() Trevor gives thanks to the fans who supported him over the last seven years and the Black women who shaped his life. He told audiences it had been “an honour” to host The Daily Show and that he did not take it for granted. Noah, 38, is stepping down from his role as host after seven years at the helm of the US talk show, which is broadcast on Comedy Central. He also gave special thanks to the black women who had “shaped and nourished me” throughout his life and career. The South African television host and comedian appeared to get emotional as he delivered one of his final monologues on the US talk show. Trevor Noah has thanked his viewers -“even the people who hate-watch” – as he presented his final episode of The Daily Show. ![]() ![]() ![]() However, the preferred provocation maneuver is the use of a cuff inflation-deflation technique with rapid cuff deflation in the standing position. Prolonged reversal flow after augmentation suggests venous reflux. Downward pressure is transmitted down and through the dysfunctional valves until it reaches the functioning valve. ![]() ![]() The primary goal of this test is to evaluate the flow characteristics and valve functions in the central vessels. The Valsalva maneuver increases intra-abdominal pressure. Although reverse flow can be detected without the provocation maneuver, the Valsalva maneuver or augmentation by compressing the calf can be used to confirm venous reflux. Venous reflux is assessed in the reverse Trendelenburg position. Any significant reverse flow toward the foot is considered venous reflux ( Fig. Venous reflux is detected by the direction of flow. Diagnosis of venous reflux Diagnosis of venous reflux Iliac vein non-thrombotic stenosis can be seen by the increased blood velocity from DUS at the iliac veins ( Fig. Compressibility is the most reliable way of diagnosing an intraluminal thrombus and this technique is performed in a short-axis view. However, the major limitation of this maneuver is the variability of the force of the compression. Blunting of augmentation suggests obstruction. This maneuver is used to confirm the patency of the vein segment. When performing a compression, it is best to squeeze and hold for approximately 0.25 second and then release. Augmentation by applying a moderately firm squeeze over the calf to increase flow moving centrally can be evaluated in normal veins. Spontaneous flow should be evaluated in a supine or slight reverse Trendelenburg position, not standing position. In addition, nearly constant high velocity flow without significant respiratory changes indicates a proximal stenosis or occlusion ( Fig. An absence of spontaneous flow may indicate an obstruction either proximal or distal to the area of examination. Small veins, such as calf veins, usually do not show spontaneous flow because of their size. Normal flow stops during inspiration and returns during expiration because of the increased intra-abdominal pressure during inspiration. This flow reflects respiratory changes ( Fig. Large veins such as the inferior vena cava, iliac, femoral, and popliteal vessels show spontaneous blood flow at rest. The diagnosis of venous obstruction can be inferred from the absence of flow, blunted augmentation, the presence of an echogenic thrombus within the vein, or failure of the vein to collapse by a compression maneuver ( Fig. Pelvic CVI, defined as retrograde flow in the gonadal and internal iliac veins, is the underlying cause of pelvic congestion syndrome, a common cause of disabling chronic pelvic pain in women of child-bearing age, and endovascular embolization has become the treatment of choice for this syndrome. Even though such lesions can be found in half of the asymptomatic population, the clinical sequelae, such as DVT or CVI, are only observed in approximately 3% to 5% of patients. An Iliac vein compression syndrome (or May-Thurner syndrome) is a clinical condition that occurs as a result of compression of the left iliac vein between the right iliac artery and the fifth lumbar vertebrae. In contrast, non-thrombotic iliac vein lesions, such as stenosis, can also cause CVI. This can be treated with a stent, but the patency of this type of lesion is inferior to that of non-thrombotic occlusion. This type of occlusion is categorized as a thrombotic occlusion. After DVT, only 20% to 30% is fully recanalized, and residual obstruction is associated with severe CVI. Obstruction in the iliac vein plays a significant role in CVI. The veins of the pelvis consist of three major vessels: the external iliac vein, the internal iliac vein, and the common iliac vein. VENOUS ANATOMY AND ITS VARIATIONS VENOUS ANATOMY AND ITS VARIATIONS Postthrombotic syndrome after deep vein thrombosis (DVT) also causes venous hypertension due to the remaining obstruction of the venous flow and valvular reflux due to valve damage. This is called ambulatory venous hypertension. If valves in the perforator veins are incompetent, the high pressures generated in the deep veins by calf-muscle contraction can be transmitted to the superficial system and to the microcirculation in skin. However, in a patient with CVI, the decrease in venous pressure with leg movements is attenuated. In a subject with competent venous valves, this pressure decreases to less than 30 mmHg during ambulation. The venous pressure of the foot vein in the standstill position without skeletal muscle contraction is as high as 80 to 90 mmHg. The main pathophysiological cause of the clinical manifestation of CVI of the lower extremities is ambulatory venous hypertension, which is caused by venous valve reflux, venous flow obstruction, or both. ![]() ![]() ![]() ![]() Head to the location you stored the macOS virtual machine. On the next screen, select your language of choice, then Continue.Ĭlose VMware. You will see a long stream of text, followed by the Apple logo. Double-click your macOS virtual machine to start it. VBoxManage setextradata "macOS Monterey" "VBoxInternal/Devices/smc/0/Config/GetKeyFromRealSMC" 1Īfter the completion of the commands and presuming you encountered no errors, close the Command Prompt. VBoxManage setextradata "macOS Monterey" "VBoxInternal/Devices/smc/0/Config/DeviceKey" "ourhardworkbythesewordsguardedpleasedontsteal(c)AppleComputerInc" VBoxManage setextradata "macOS Monterey" "VBoxInternal/Devices/efi/0/Config/DmiBoardProduct" "Mac-AA95B1DDAB278B95" VBoxManage setextradata "macOS Monterey" "VBoxInternal/Devices/efi/0/Config/DmiSystemVersion" "1.0" VBoxManage setextradata "macOS Monterey" "VBoxInternal/Devices/efi/0/Config/DmiSystemProduct" "iMac19,1" Here are the commands: VBoxManage.exe modifyvm "macOS Monterey" -cpuidset 00000001 000106e5 00100800 0098e3fd bfebfbff ![]() For instance, my virtual machine name is macOS Monterey. Adjust the command to match the name of your virtual machine. Now, enter the following commands, one by one. Use the following command to locate the Oracle VirtualBox directory: cd "C:\Program Files\Oracle\VirtualBox\" The code snippets that an AMD system requires to boot a macOS Monterey using VMware on AMD hardware differs from the Intel code, but you can find the tutorial and the code snippet in the sections below. ![]() This tutorial will focus on installing macOS Monterey in a virtual machine running on Intel and AMD hardware, using either VirtualBox or VMware Player. Monterey is the latest stable macOS version at the time of writing, although macOS Ventura is just around the corner, You can find the download links for macOS Monterey in the next section.įREE CHEAT SHEET: The Ultimate List of Helpful Windows Alt Codes
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