Bruce tells him he understands but continues to stonewall him. Jim says he knows that Alfred has some kind of vigilante plan and that is dangerous for them both. Jim asks why he and Alfred lied about who attacked him. They make small talk in the library over comically large sandwiches that Bruce has made. He says it is where he is going to kill Don Maroni. Gabe is confused as to why Oswald wants the place. She agrees to let Cobblepot be her silent partner. He and his henchman Gabe make quick work of it, cutting off his fingers and sending Antonia back to grandma. Oswald says she'll be back by Sunday Mass. She says her granddaughter Antonia has hooked up with a devil: a musician. Lydia does not want to sell at any price. He is trying to buy into what very much looks like a dump of an Italian restaurant owned by a battle axe named Lydia. Meanwhile, Cobblepot is on a mission of his own. The security team dispatches with the knuckleheads at the gate and get off one shot at the chopper before Fish flies away and hit her on the side but she manages to suck it up and keep flying. Fish tricked the big guys into going to the gate and pulling the security team away from the chopper, which it turns out she can fly after all. Dollmaker says he knows she lied and is about to capture her when her original gang of friends from the basement attack him and put him down. She sends them out to the gate and goes back to get Kelly. She goes to her big guys and says it's time to go. He says if she lies to him again he will turn her into an unthinkable creature and will bring her back from the dead if he has to. She shows him the letter opener but claims she wasn't going to kill him, she was going to kill herself to stop the nightmares from coming about what he might do to her. He says he will shoot her until she tells the truth. Behind her back she picks up a letter opener and claims she wasn't trying to escape. Fish goes to steal the keys from the Dollmaker's office and he catches her almost red-handed. Her either, that's why the boat geniuses. They wonder why not the helicopter? She asks if any of them can fly it. She says things might go sideways out there and she needs stone cold killers at her side. They wonder why them and not the others she has been friendlier with. Fish goes to a group of the biggest, baddest dudes in the basement and explains she wants to bust out with her help. She heads down to the basement and tells her old right hand man Kelly that she is hatching an escape plan and they are going to get off the island or die trying. So, Fish was testing the security system. He tells her if she makes that mistake again she will pay with her life. She says she didn't realize she couldn't go outside. He says the water does most of the work but he handles the rest. He says she can do what she wants inside but can't come outside and he is the man who catches the poor souls who try to escape. She explains she is Dulmacher's new assistant and was just taking a stroll. Suddenly, a truck full of armed men pull up. She goes to a locked door and breaks the lock and calmly steps outside. She walks through the hospital greeting patients warmly. We open on Fish peering out the window first at a helicopter and further away a boat. "Gotham" - "Beasts of Prey" - ApThanks to the break we get a long "previously on" to get everyone back up to speed.
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Download the Ape & Canary App today to plan and schedule your appointments From this mobile App you can view schedules, book appointments, view ongoing promotions, as well as view our location and contact information. Our guide proudly explained that Sabah is the only state in Borneo where the orangutan population is actually growing, an amazing feat of wildlife conservation and a great sign for Borneo's great ape. Download Ape & Canary and enjoy it on your iPhone, iPad and iPod touch. They have purchased 50 hectares over the past six years, and with an eventual goal of 20,000 ha, their work is cut out for them, but it's encouraging to see this type of international concern for the welfare of these creatures and their habitat. I met a Japanese couple during the tour who work for the Borneo Conservation Trust, a Japan-based NGO that is working to establish a wildlife corridor along the Kinabatangan River. Get reviews, hours, directions, coupons and more for Ape + Canary at 566 East Ave, Rochester, NY 14607. Search for other Nail Salons on The Real Yellow Pages. Habitat fragmentation from logging and land conversion for agriculture, illegal hunting and animal trade have left the Bornean orangutan with a struggling population, but the efforts of the Sepilok Rehabilitation Center and its partners have helped immensely. Get reviews, hours, directions, coupons and more for Ape + Canary. Sadly, the Bornean orangutan is listed as endangered, with a population that has decreased more than 50% over the past sixty years. I was fully aware that this could be my only orangutan encounter. He took a seat, swung the banana backpack around, and within seconds the first orange, lanky orangutan came swinging onto the deck to greet him! This orangutan was soon joined by another five apes, ranging in size and hairiness but all eager to eat as many bananas as possible. Even though no one was making a sound, the anticipation was deafening, and you could almost feel our collective excitement peak as a short man in a blue uniform climbed onto the deck with a basket of bananas strapped to his back. Opened Main the heart of Downtown Rochester We are a full service spa and salon featuring hair. We arrived at a large viewing platform, about fifty meters away there was a small wooden deck built around a tree. Numerous "Quiet!" signs were posted along the way, and as we ventured farther down the path complete silence fell over our group. We were briefed on the center's work to return injured, captured, and orphaned orangutans to the wild, and then escorted along a winding wooden boardwalk into the forest. I have been lucky to see quite a few monkeys in the wild during my travels through Central and South America, but I had never seen one of the great apes. A bright-eyed guide from the Sukau Rainforest Lodge greeted me and seven other travelers at the tiny airport exit, ushered us into a gloriously air conditioned van and took us to the Sepilok Orangutan Rehabilitation Center. Looking for something to read? Try one of these 100+ recommendations, all chosen by r/DCcomics users.I wearily boarded a Malaysian Airlines flight, cut across the northern peninsula of Borneo and landed in the busy, eastern port city of Sandakan. If you are submitting a link, do not include the spoiler in your submitted link name. If a significant event has taken place within one year of its release, mark it as a spoiler. No memes or other low-effort content (see full rules).Indicate the source when submitting excerpts or artwork.No spoilers in title, mark all spoilers within 1 year of release.Please adhere to these few rules while interacting within the community.Ĭlick here for a detailed explanation for each of these rules. Weekly Discussion Thread: Comics, TV and More! - November 6 th, 2023 Reading Recommendations Welcome to /r/DCcomicsĪ place for fans of DC's comics, movies, fan creations, video games, and anything else related to one of the largest comic book publishers in the world, and home of the World's Greatest Superheroes! “Their dedication to providing excellent customer service, as well as their culture of honesty, quality, integrity and innovation mirrors the values we are committed to here at the McCoy Group. Transport as a good and healthy competitor,” McCoy Group President and CEO Greg McCoy said at the time of the acquisition. “Over the years, the McCoy Group has viewed W.W. Meanwhile, Truck Country and Stoops Freightliner-Quality, one of the nation’s leading Freightliner dealership groups, as well as McCoy Construction & Forestry, a top-selling John Deere construction and forestry equipment dealer, fall under the umbrella of McCoy Group-owned companies. The McCoy Group’s portfolio of companies also includes carriers Foodliner® and Quest Liner™, which together have been named as one of the nation’s top-100 for-hire transport carriers since 2014. Transport’s history was written in late 2020 when the organization was acquired by the McCoy Group, Inc., a transportation industry leader based in Dubuque, Iowa. The organization has earned several “carrier of the year” awards from various customers.Ī new chapter in W.W. Transport has been chosen as the house carrier for multiple mills due to its successful track record of dependability and timely service. Transport team also specializes in transporting sugar, oil, starch, as well as other related commodities. Transport is recognized as an industry leader, with one of the nation’s few tank wash facilities optimized to meet the high standards required to ensure the integrity of flour from the time it leaves the mill until it is delivered to customers. Since then, it has grown to become a national company, with nearly 500 units and operations in the United States stretching from the East Coast to Utah. Transport began its operations with two trucks and a regional hauling route. has been a fixture in the liquid and dry bulk food-grade hauling industry as an award-winning carrier. While you can play IndestructoTank via a web browser, it is possible to play Lavelle’s Flash ROMs on an actual Game Boy. It can also be used as a debug tool (as the name suggests), but the usefulness of that functionality will likely be limited to developers.Īgain, the functionality of this tool is limited in the grand scheme of things (and other programs offer easier access to individual games and programs), but it’s one of the more reliable ways to run “Flash files” outside of web browsers.ĭownload Flash Player Projector Content Debugger Hereįlash game creator Anthony Lavelle (perhaps best known for his work on IndestructoTank) has made the unusual decision to preserve his Flash games by porting them to the Game Boy. Once you have access to the appropriate files, you’ll be able to run them just as you would have been able to do via an embedded online Flash player. This simple program allows you to open SWF files or access them directly via web directories. The name leaves a lot to be desired, but this program is essentially Adobe’s official way to continue to access Flash files offline. While Ruffle isn’t necessarily the best “individual user” solution, it’s one of the more intriguing long-term options for the preservation of browser-based Flash content.ĭownload Ruffle Here Flash Player Projector Content Debugger Infamous Flash content website Newgrounds already announced their intentions to use Ruffle to preserve as much Flash content as possible. While Flashpoint isn’t exactly a complete collection of every Flash game and project ever made, it is an undeniably impressive effort and the best way to find some of the Flash games that defined an era of the internet best remembered for the sometimes humble contributions of a group of creators motivated largely by passion. Mac and Linux users can also access versions of these downloads, but because Flash support for those platforms is still in the experimental phase, you may find that not every file works as intended. While you will need to be connected to the internet during the initial downloads, you’ll be able to access the downloaded files offline after that. This option essentially allows you to download games on a case-by-case basis. This download (which currently sits at 530+ GB) contains the entire Flashpoint collection and allows you to access every file in that collection (even when you’re offline.)Īlternatively, there is the “Flashpoint Infinity” option. Well, if you’re a Windows user who is feeling bold and has space to spare, you can download what’s called Flashpoint Ultimate. In fact, it is so comprehensive that you may have some trouble figuring out where you’re supposed to start with it. It’s by far the most comprehensive preservation project of its kind. If you’re looking to (fairly) easily access as many Flash games as possible, then you have to check out BlueMaxima’s Flashpoint project.įlashpoint is a massive archive of over 38,000 Flash games and nearly 2,500 Flash animations. So if you just want to play Crush the Castle, Warfare 1917, Canabalt, or thousands of other memorable Flash games one more time, then here are the best options available to you for accessing them following the “death” of official Flash Players. While it’s true that Adobe has ended their official support of the platform and that many websites are unable to run Flash Player and Flash-based programs as easily as they may have done in the past, there are several viable ways to continue to access various Flash-based games, Flash-based videos, and other content that relies on what will likely be remembered as a rough foundational element of the internet that was nonetheless vital to its growth. The end of their official support cast serious doubt on our ability to easily access a legion of Flash games that have, in their own way, carved a piece of internet culture and history.Īs it turns out, the death of Flash was somewhat exaggerated. Though the news was understandably downplayed during what proved to be a turbulent year, December 31, 2020, marked the end of Adobe’s official support of the Flash Player. Scaling Le Serpent Rouge and navigating the Louvre's storm drains? That's a Tomb Raider to me! This was the first Tomb Raider game I ever owned having been gifted it as a birthday present as a kid, so it'll always hold a special place for me regardless of its many flaws. The classic Tomb Raider precision jumping controls are still in here somewhere, and I found myself having a blast whenever the level design had the good sense to occasionally focus on it. Diagonal movement and the ability to rock-climb at extreme angles are very welcome - the section where you cling for dear life while ascending the sheer ceiling of the Hall of Seasons genuinely surprised me. For all the bizarre blunders made in changing Lara's control scheme (the forced moment of walking before breaking into a run, and the utterly broken lock-on circle-strafing being the worst offenders), the improvements to her wall climbing system are actually excellent and objectively a step forward. Kurtis' nu-metal "cool" aesthetic is amusing, but his creepy first interaction with Lara has not weathered well. I'm also very charmed by how perfectly it acts as a time-capsule of the time it was released: particularly Lara's iconic casual double-denim streetwear and Le Serpent Rouge's Euro-house bops! Other aspects are dated rather than nostalgic. The music is fantastic, the environmental art direction is quite solid for its time, and some of the cutscene animation holds up impressively well. Her lines are well acted and wittily written - she's honestly iconic here with her frequent funny remarks, and she feels like a real person! Early on she seeks shelter in a rusty old tram car, and after a rough night's sleep she says "that was uncomfortable, I should complain to the concierge" - it's good writing, folks! I found myself compelled by Murti Schofield's story, and the bits of investigation and conversation in the early Paris areas added so much flavour and unique charm in spite of how rudimentary the dialogue tree system is (and despite its baffling randomised camera angles which constantly break the 180-degree rule). To be fair I played the fan-patched version that fixes the worst of the game's bugs and control issues, but I found a lot to love! The atmosphere is fantastic (the opening section's tone pleasantly reminding me of the first few hours of Half-Life 2), and Lara's personality and story are way more fully realised here than in any of Core's previous games. And even if that's not enough, we've got secret cheats to give you an edge.ĭrop your man's satchel and whip, and adopt the hip new backpack and machine guns-it may look like Indy on the outside, but once you've entered the heart of The Angel of Darkness you'll come to appreciate Lara Croft's own distinctions.23h PlayedI honestly enjoyed this a lot more than I expected to (given the game's reputation), and really feel there's a gem buried somewhere under the clunky controls, awful underwater spike traps, half-baked attempts to incorporate elements of Metal Gear Solid, and all the aggressive content-cutting needed to meet the game's impossible deadline. With advanced control techniques to help you through traversing these fantasy worlds and a detailed walkthrough taking you through all of The Angel of Darkness' levels, there's bound to be plenty here to get you through the daunting task of uncovering Lara's lost memory and foiling whatever evil may be afoot. Lucky for you, our brains work in mysterious ways and we've uncovered the solutions to all of Lara's puzzling situations. You can't be blamed if the downright illogical puzzle designs in Tomb Raider: The Angel of Darkness have you stumped. Through treacherous tombs and into the heart of Paris, Lara's adventures will at times bring you to tears with their challenge. In Lara's never-ending pursuit of Indiana Jones' sweet perfection you're about to experience first hand what it's like to be a Tomb Raider. National Health and Family Planning Commission of China.Ĭopyright © 2015 Elsevier Ltd. National efforts are needed to improve the care and outcomes for patients with STEMI in China. Quality of care has improved for some treatments, but important gaps persist and in-hospital mortality has not decreased. Adjusted in-hospital mortality did not significantly change between 20 (odds ratio 0♸2, 95% CI 0♶2-1♱0, ptrend=0♰7).ĭuring the past decade in China, hospital admissions for STEMI have risen in these patients, comorbidities and the intensity of testing and treatment have increased. The median length of hospital stay decreased from 12 days (IQR 7-18) in 2001 to 10 days (6-14) in 2011 (ptrend<0♰001). Despite an increase in the use of primary percutaneous coronary intervention (10♶% in 2001 vs 28♱% in 2011, ptrend<0♰001), the proportion of patients who did not receive reperfusion did not significantly change (45♳% in 2001 vs 44♸% in 2011, ptrend=0♶9). We noted significant increases in use of aspirin within 24 h (79♷% in 2001 vs 91♲% in 2011, ptrend<0♰001) and clopidogrel (1♵% in 2001 vs 82♱% in 2011, ptrend<0♰001) in patients without documented contraindications. Between 20, estimated national rates of hospital admission for STEMI per 100,000 people increased (from 3♵ in 2001, to 7♹ in 2006, to 15♴ in 2011 ptrend<0♰001) and the prevalence of risk factors-including smoking, hypertension, diabetes, and dyslipidaemia-increased. 12,264 patients were included in analysis of treatments, procedures, and tests, and 11,986 were included in analysis of in-hospital outcomes. We sampled 175 hospitals (162 participated in the study) and 18,631 acute myocardial infarction admissions, of which 13,815 were STEMI admissions. This study is registered with, number NCT01624883. We weighted our findings to estimate nationally representative rates and assess changes from 2001 to 2011. In the second stage we obtained case data for rates of STEMI, treatments, and baseline characteristics from patients attending each sampled hospital with a systematic sampling approach. In the first stage, we used a simple random-sampling procedure stratified by economic-geographical region to generate a list of participating hospitals. In a retrospective analysis of hospital records, we used a two-stage random sampling design to create a nationally representative sample of patients in China admitted to hospital for STEMI in 3 years (2001, 2006, and 2011). We aimed to assess trends in characteristics, treatment, and outcomes for patients with STEMI in China between 20. On July 29, 2008, it was announced that Tian would not be rejoining the national team and participating in the 2008 Beijing Olympics.Despite the importance of ST-segment elevation myocardial infarction (STEMI) in China, no nationally representative studies have characterised the clinical profiles, management, and outcomes of this cardiac event during the past decade. Finally on March 25, 2007, Tian announced his retirement as a diver. Vanness Wu, Wong Cho-lam, Ning Jing, Louis Fan, Liu Tao, Da Zhangwei. Tian has since then split his schedule between diving training and public activities. Since then, he and another gold medal winner, the Chinese female diver Guo Jingjing, often appeared together in public activities. Zhang Liang, Tian Liang 2: Francis Ng Chun-yu, Huang Lei, Lu Yi, Gary Chaw. Get known every word of your favorite song or start your own karaoke party tonight :-). List contains Yi shan yi shan liang jing jing man tian dou shi song lyrics of older one songs and hot new releases. Although there was great public interest in him rejoining the national team, it did not happen. Get lyrics of Yi shan yi shan liang jing jing man tian dou shi song you love. He maintained his diving standard and won a medal at the following National Games of China. In spite of this, Tian continued to practice diving with a provincial team. His involvement in commercial activities, and perhaps other disputes with the national team, have led the national team to fire him after repeated warnings. They were better known together as Liang Jingjing (亮晶晶, Tian and Guo's combined given names, synonymous with the word for 'sparkling').Īfter winning his multiple Olympic medals, Tian received numerous invitations to lend his name and face to corporate promotions. Since then, he and another gold medal winner, the Chinese female diver Guo Jingjing, often appeared together in public activities. In the Summer Olympics 2004, he won the bronze medal in the 10 m platform event and a gold medal in the synchronised platform event. Tian won gold in the 10 m platform event in the 2000 Sydney Olympics. Tian Liang ( Chinese: 田亮 pinyin: Tián Liàng born August 27, 1979) is a male Chinese actor and former diver. She was bumped off her feet just outside the top of the 18-yard box. Caroline McDonald took a lead pass and had a step on a pair of Gannon defenders. Despite going into a striff wind, the Golden Bears were able to score the lone goal of the game early in the second half. K was able to take advantage of an early second-half goal and hand the Golden Knights a 1-0 defeat in the NCAA Division II Atlantic Regional semifinals. Kutztown ended Gannon's season in the Atlantic Regional Semifinals on a cold and bitter day at McConnell Family Stadium. 13, 2022 – Kutztown 1, at Gannon 0 | RECAP Gannon last defeated the Golden Bears by a 1-0 score in 2015. Kutztown defeated Gannon 2-0 in the 2016 PSAC Tournament semifinals and a year ago edged Gannon in the NCAA Atlantic Regional semifinal by a 1-0 score. Gannon looks to snap a five-game losing streak to the Golden Bears, with two of those losses taking place in the postseason. Friday tickets are good for both semifinal games, while Sunday tickets cover the championship game.ģE East Stroudsburg at 2E West Chester 2, 3E East Stroudsburg 0ĢW Gannon (14-3-2) at Kutztown (14-0-5) – 6:00 p.m.ġW Mercyhurst (16-2-1) vs. Tickets can be purchased online by CLICKING HERE. Children who have not yet reached kindergarten (Pre-K) are also free. Students from PSAC institutions are free with valid student ID. Tickets are $10 for adults and $5 for students (K-12). STADIUM/LOCATION: Keystone Field l Kutztown, Pa. 2W GANNON GOLDEN KNIGHTS (14-3-2, 13-2-1 PSAC West) at 1E KUTZTOWN GOLDEN BEARS (14-0-5, 12-0-4 PSAC East) The ViewSonic ® M2 is a portable Full HD LED projector that is ideal for business travelers and home entertainment applications. So, while you can get a brighter “dumb” lamp-based projector for less, if you want all the Smart features, the upgraded sound system and the advantage of a laser light source, the Epson EpiqVision Mini EF12 Smart Streaming Laser Projector is an excellent option. While we have reviewed several lamp-based home entertainment projectors that are brighter and cost the same or less than the EF12, those models do not offer all of the Smart features, and they aren’t equipped with a high-quality sound system. The EF12 is a user-friendly plug-and-play machine with a compact design that makes it suitable for everything from binge-watching your favorite show in any room of the house to hosting an outdoor movie night. However, the Epson EF12 delivered more accurate colors, better black levels than most portable smart DLP projectors we have reviewed. While many DLP-based portable projectors can deliver 4K resolution, the EF12 is a 1080P unit. While the EF12 is compact, it has a custom-designed speaker system built by Yamaha that sounds better than most flat-panel TVs and can rival many small soundbars. READ THE REVIEW PHILIPS PICOPIX MAX PROJECTOR SPECS It would be a great starter projector for an enthusiast or someone looking for a better projector for a backyard theater. It delivers an excellent picture for its price and supports 3D. The BenQ TH585 is a small bright portable projector and has a built-in 10-watt speaker. The BenQ TH585 has a dedicated picture mode for gaming designed to not only reduce input lag, but improve clarity and enhance the dark scenes in video game content. BenQ is also promoting the TH585 as a gaming projector with a rated input lag of just 16ms. The BenQ TH585 delivers good color reproductions out-of-the-box. BenQ says it can produce 95% of Rec709 due to its RGBW color wheel. The BenQ TH585 is a Full HD 1080P DLP projector that has a rated brightness of 3500 lumens. If you’re looking for a great entry-level projector at a truly affordable price, the BenQ TH585 should be at the top of your list. Combine the BenQ TH585 with a decent screen to create a truly cinematic viewing experience for about $1,500. While the BenQ TH585 doesn’t have all the bells and whistles found on more expensive 1080P home theater projectors, it does deliver an excellent picture for its price.įor the price of a 65” TV you could have a 10-foot projection system. It contains several Konami icons from the likes of Castlevania’s Richter Belmont and Alucard to Metal Gear Solid’s Naked Snake and Raiden. Nevertheless, the main Battle 64 mode is a genuinely fun take on the battle royale genre that’s absolutely free to play, but is massively bolstered by a selection of excellent special characters if you’re willing to punt for the Premium Pack DLC. Of course, creating these matches means waiting for players to join, which at this point in the game’s life can take a fair amount of time. So if you wish you, can strip the game back to basics and just have a good old fashioned game of Bomberman with up to 16 players. After a certain amount of time, the game shifts into the ‘Movement Phase’ here, the game forces you to vacate to a safe arena as it gradually whittles the 16 arenas into just one, where the last remaining competitors battle for victory.Īside from the main Battle 64 mode, you can also create matches with a variety of different rules, including the number of players, time limit, number of rounds, and more. Each match starts off in familiar territory and feels very much like classic Bomberman titles it’s just you against three opponents in a phase known as ‘Battle Mode’. Super Bomberman R Online amps up the classic gameplay by incorporating 16 interconnected arenas enabling a total of 64 players to take part in the action. Pitted against your opponents, you must strategically drop bombs within the arena’s grid to both take out your opponents and clear pathways for better mobility. You play as one of several Bomberman characters (and a smattering of special characters that we'll explore in more depth later) dropped into a 11x13 gridded arena filled with an assortment of blocks. In terms of pure gameplay, anyone familiar with Super Bomberman R, or the series in general, will feel right at home with this free-to-play battle royale spin-off which debuted on Google's Stadia last year. It’s not the best Bomberman game to grace Nintendo platforms, but it’s certainly worth a look. 35, Super Bomberman R Online feels like the video game equivalent of a kid picked last for the sports team an altogether scrappier, less elegant battle royale title than its peers, but one that houses simple, compelling gameplay underneath the layers of jank. With an influx of incredible modern takes on classic titles such as Tetris 99, Pac-Man 99, and the short-lived Super Mario Bros. Sustained information processing is slower than others causing information gaps that inhibit execution Hesitative responses, doubt, and delayed execution due to inattention remembering informationĭifficulty finishing projects or completing assignments because many tasks are simultaneously on the goįorgetting to complete tasks and details after temporarily switching to more stimulating tasksĭifficulty finding misplaced tools after task switching due to bypassing adequate memory storage Hesitation to sustain concentration in planning and organizing for the completion of tasks Procrastination delaying or avoiding starting projects that require vigilant mental effortĭifficulty sustaining concentration in conversations or briefly losing attention on someone speaking Procrastination, inability to begin an activity, such as completing homework Trouble keeping attention focused during play or tasksĪppearing not to listen when spoken to (often being accused of "daydreaming")įailing to follow instructions or finish tasksĪvoiding tasks that require a high amount of longer-term mental effort and organization, such as school projectsįrequently losing items required to facilitate tasks or activities, such as school supplies Life periodįailing to pay close attention to details or making careless mistakes when doing schoolwork or other activities Lastly, the symptoms must not occur exclusively during the course of schizophrenia or another psychotic disorder, and are not better accounted for by another mental disorder (e.g., mood disorder, anxiety disorder, dissociative disorder, personality disorder). There must also be clear evidence of clinically significant impairment in social, academic, or occupational functioning. Īn ADHD diagnosis is contingent upon the symptoms of impairment presenting themselves in two or more settings (e.g., at school or work and at home). Is often forgetful in daily activities.toys, school assignments, pencils, books, or tools). Often loses things needed for tasks and activities (e.g.Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period (such as schoolwork or homework).Often has trouble organizing activities.Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).Often does not seem to listen when spoken to directly.Often has trouble keeping attention on tasks or play activities.Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities. The DSM-5 allows for diagnosis of the predominantly inattentive presentations of ADHD (ICD-10 code F90.0) if the individual presents six or more (five for adults) of the following symptoms of inattention for at least six months to a point that is disruptive and inappropriate for developmental level: Lethargy and fatigue are sometimes reported, but ADHD-PI is a separate condition from the proposed cluster of symptoms known as sluggish cognitive tempo (SCT).ĪDHD-PI is an attention-concentration deficit that has everything in common with other forms of ADHD except that it has fewer hyperactivity or impulsivity symptoms and has more directed attention fatigue symptoms. It differs in having fewer or no typical symptoms of hyperactivity or impulsiveness. The 'predominantly inattentive subtype' is similar to the other presentations of ADHD except that it is characterized primarily by problems with inattention or a deficit of sustained attention, such as procrastination, hesitation, and forgetfulness. In 1987–1994, there were no subtypes and thus it was not distinguished from hyperactive ADHD in the Diagnostic and Statistical Manual (DSM-III-R). Medical condition Attention deficit hyperactivity disorder predominantly inattentiveĪttention deficit disorder (ADD) (without hyperactivity) Īlpha2a agonists ( guanfacine XR, clonidine XR), CNS stimulants ( methylphenidate, amphetamine), Non-stimulants ( atomoxetine, viloxazine)Īttention deficit hyperactivity disorder predominantly inattentive ( ADHD-PI or ADHD-I), is one of the three presentations of attention deficit hyperactivity disorder (ADHD). |
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