text:
Rob Gronkowski is a match-up nightmare, the 6 ft 6 inch tight end moves like a locomotive and seemingly cant be stopped at the moment, the Denver Broncos attempted to double and triple team the 25-year-old on sunday but to no avail.
The New England Patriots demolished the Super-Bowl favourite Denver Broncos in Foxborough on Sunday and a large part of that tremendous victory was down to the combination of Brady and his favourite target Gronkowski.
Gronk tied Randy Moss for the 2nd quickest player in NFL history to reach 50 Touchdowns, he also became the quickest Tight End to achieve that feat after only playing 59 career regular season games. You can start to see why its perfectly fine to feel sorry for opposing players who's job it is to bring this goliath down.
During his press conference on Wednesday, the Patriots franchise quarterback Tom Brady showered his teammate in praise when he explained that Gronkowski is a matchup nightmare who creates a state of panic for opposing defenders:
"And I think they know that, too, so then they panic, and then when they panic, it's even more of an advantage to the offense, Sometimes when you get a bigger receiver on the perimeter and a smaller [defensive back] is matched up on him, the mindset of the DB might even change because they think, 'Oh my God, this guy is so much bigger and taller and stronger and what am I going to do?"
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Can't stop the Gronk
Brady wasn't the only Patriot to feel sympathy for the opposing players who are tasked with trying to bottle up the incredible talents of the most dominant tight end, and possibly receiver in football.
Even one of the best NFL cornerbacks, who currently plays for the New England Patriots in Darrelle Revis, understands the mammoth burden that is trying to stop the Gronk, Revis had to face his teammate in training camp and knows best the ordeal opposing cornerbacks are faced with.
"I wouldn't blame them for panicking, The guy is 6-foot-7, he can run, he's explosive. I mean, you put him in that category of Tony Gonzalez, they just have big bodies, hard to get around them, sometimes if you might break you might not know where the ball is going to be at, his wingspan, he will stick his hand in the air."
He continued:
"There's so many variables, it's just hard to cover a big receiver/tight end like that. You spread him out, he makes plays. You put him inside the core and put his hand in the dirt and he makes plays as well."
Revis is so established at his position that his nickname is a representation of his skill at locking players down, 'Revis Island' has been tasked throughout his NFL career of going one-on-one with the elite receivers in the game, he was asked how he would approach covering Gronkowski:
"That's over with, but I'm just giving a look, Coach told me to give him a look so I gave him a look. I have to keep [what I would do] to myself. I have to keep that in my bag."
Revis feels great sympathy to compatriots playing his position who have the misfortune of trying get a hand on Gronkowski let alone bring him to the ground, the cornerback now just counts his lucky stars that he doesn't have to face him on a Sunday.


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Multiple Parcels with over 250' road frontage! Brick home with outbuilding provide access to rear parcel of 24.78 acres of woods. Front parcel is not in city limits and is located in Benjamin Logan School District. Rear parcel is in the Joint Area of Bellefontaine and Ben Logan Schools and is within the city limits. The rear parcel is zoned R1, R2 and B3. Zoning maps, aerials, school district maps and more available. Many opportunities off the St Rt 540 corridor!
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subset: commoncrawl


text:
Melling and his wife Carol have promoted and organized the Thundersprint Festival of Motorcycling, which they also own, for the last 15 years.
One of the many challenges we motorcycling journalists face in qualifying as fully paid up members of the human race is that we tend to be good at telling others what, and how, to do things – but are somewhat less competent at achieving anything ourselves.
Over the years, I have written a number of articles urging MCUSA readers to reach out to the wider community and promote motorcycling and I followed the same theme in the last Single Track Mind column.
The very reasonable response from readers is to say something along the lines of, "It's okay for you to tell us to go out and spread the good word but what have you done, and how did you do it?"
Somewhat remarkably, in this case I have actually practiced what I preach because for the last 15 years my wife and I have promoted, organized – and actually own – the Thundersprint Festival of Motorcycling.
I have to be honest and admit that the original aim of the Thundersprint was not to act as a shop window for motorcycling. Sixteen years ago, I was disenchanted with being a Managing Director and very much enchanted with being a Dad. Since I wanted a job where I would be with my lovely little daughter, I resigned and decided to look for a job where I could work from an office at home. In the simplest possible terms this was the reason behind the Thundersprint.
There were some other minor bits and pieces before we could get the show on the road – such as persuading my wife to give up her job too so that we had no other income. Then we re-mortgaged our house to the point of oblivion to ensure that failure meant social housing and a pit bull, guarding a pile of interesting little foil packets, for a next door neighbor.
Faced with losing absolutely 100% of what we owned, and had worked all our adult lives for, making the Thundersprint a success had more than a passing interest.
The first thing which struck Carol and I was that, even 16 years ago, there was a shortage of motorcyclists. At the time if we had stood in a shopping mall and asked 100 adults how many owned a motorcycle even in bike-mad Britain, we would have been lucky to find 10 people out of 100 – and that's being generous. Now the situation is much worse.
Part of the reason was that of the 100 sample, 50 potential customers – give or take – would be female and only a very small proportion of this group were interested in motorcycles.
So, we were faced with the problem of selling our event to a predominantly male audience, aged between 25 and 65, when the math indicated that the majority of the population was not in this demographic.
We would had to have been utterly and completely stupid – and then some – to ignore the majority of the population and instead pursue a single, small, exclusive sub-group. Since we were teetering on the edge of the financial abyss, every customer counted and so we went chasing a mass market – Mum, kids, the elderly and infirm, people who didn't know the difference between a motorcycle and an armadillo wearing a bikini. Everyone was welcomed and as a byproduct we have done a lot to popularize motorcycling.
That our big idea was a good one has also proved to be correct. We are still in our house, there's food in the fridge and we own a couple of nice race bikes, so life couldn't get much better.
Our attendance figures have also been interesting. At a time when spectators have been staying away from bike events in droves we have consistently achieved attendances of 125,000 plus.
Part of the reason is that we have had a town center event, with free admission but, regardless, we have offered a product which 100,000 plus customers want to spend their Sunday enjoying. Maybe 60% of those customers are not motorcyclists but our exhibitors tell us that a significant minority become interested in bikes.
In short, there is an interest in motorcycles, and motorcycling, if only our sport is presented in a way which the general public finds enjoyable and acceptable.
Here is a Top 20 guide to putting on your own event aimed at bringing motorcycling to the general public in your town.
It may be that some of things I will list will not meet your approval. If so, then please accept that my comments are based on 16 years of running one of the biggest motorcycling events in the world and are not intended to be assertive or immodest.
If you want an event which is attractive to the general public then you cannot upset that customer base and accepting this is the key to success.
This means that you can't have exactly the event you would have purely for motorcyclists. The evidence is black and white clear. Hardcore motorcycle events are unattractive to the general public. If they were attractive, attendances at bike events would not be plummeting. Critics can argue until they are blue in the face but anyone inside the motorcycle event organizing business will tell you that everything from bike exhibitions to MotoGP is suffering from a massive fall in attendance: this is simply fact.
Here's how to spread the good word outside motorcycling.
First, do everything legally and by the book(s). Whatever event you intend organizing – from a bike show to an enduro – follow the regulations which apply to your state and nationally.
I know that this sounds achingly boring but it is the only way forward. The truth is that there are no problems until something goes wrong, at which point everyone looks for someone to blame – and sue. The idea of a genuine accident, or an honest oversight, belongs to the era when I was a young man.
The best way to ensure that you have all the legal boxes ticked is to run the event under the auspices of the AMA http://www.americanmotorcyclist.com/ who really are a switched on organization.
Try to work with a local school/charity/hospital. Does your local High School need new uniforms for its basketball team? Maybe your motorcycle event could help raise the funds for them? Perhaps a nearby hospital needs some donations for kids' toys for the children's unit. Help them along the way.
Try to link your event to organizations which the public like and respect.
So here we go:
1. Probably the best way to reach a general audience is a bike show. The general public like looking at motorcycles and this is an excellent way to bring new riders into the motorcycle fold.
2. First, and most important, smile and enjoy yourself. Showing off motorcycling is just amazing fun.
Being kind, courteous and softly spoken puts your visitors in their comfort zone and makes your exhibitors want to work with you.
If you are having a good time, then so will your visitors.
3. Let the media know what you are doing and why. Your local media is always desperate for news and will not expect a sophisticated media campaign. Instead, send them an e-mail which answers these questions:
Who, why, when, where? These four elements are the bedrock of any press release and are the four questions which the media need answering.
Look at the coverage of President Obama's inauguration and you will see that it followed the same four golden points – and his Press Officers are not too bad!
From media coverage comes attendance because everyone loves a free show.
4. Involve your local and state police from the outset. Explain what you are doing and why and invite them to bring down a police motorcycle or traffic patrol car to show everyone what a good job they do in keeping the highways safe.
Meet with your local and state police departments early on and explain that your event is supporting charity "x" and that you are properly insured and don't intend running wheelie and burnout competitions down Main Street or hosting a bad-ass outlaw party.
Remember that, at all times, your show is a recruiting exercise for motorcycling and so you need to evangelize gently, quietly and without risking upsetting the natives – i.e. the mainstream population.
The presence of police officers chatting with the public, and licking ice-creams, sets a lovely tone for a pro-motorcycling event.
5. A good bike show should have a range of motorcycles on show. Invite your local bike dealer(s), regardless of the marque they sell, to exhibit motorcycles.
If you know any dirt bike riders, or classic fans, get them to show their bikes too.
Make sure that there is as wide a range of motorcycles on display as possible.
6. Give exhibitors a really nice souvenir. Not a computer generated certificate but something solid and unique. Do you have a local sawmill? How about getting them to donate some wooden plaques made from local trees?
My own preference is to avoid, like the plague, awards to individual riders for best bike, shiniest gas tank or whatever. All that these awards do is cause friction and dissent – often public arguments – when the idea is to make non-motorcyclists feel welcome.
7. Work out how everyone involved in your event is going to interact with your visitors and ask, not tell, them to follow the guidelines you set. These are called service protocols and if you have ever been Disneyworld you will see customer greeting at its very best.
Here's an example: "Hi, I'm Jim and this here is my Harley Bagger which I ride every weekend in the summer. I can't think of anything I would rather do…"
Note that there is a complete absence of technical information, speed, capacity, cost, crashing or anything else. Let the visitor ask the questions and then bring them gently and kindly into the wonderful world of motorcycling.
Make sure that you have as wide a range of bikes on show as possible even they're not your personal favorites. Scooters appeal strongly to non-motorcyclists.
8. Have a standardized sign for every bike saying what it is and what it does. Have the sign contain key information plus any anecdotes. "Honda CT90 – 1972. I rode this bike from Oregon to New York last year and used only 30 gallons of gas."
The bore and stroke of the bike do not matter. What does matter is sharing the pleasure of motorcycling – customs, classics, Superbikes or whatever – with non-motorcyclists.
9. Have both male and female staff at the entry to your show. Make sure that these key people are smiling, friendly and welcoming.
Ensure that they have all the key information about the show. What is interesting at the show? Where can I get training to learn how to ride? Where is the AMA stand to get into racing?
10. Also, they should have the equally key information which sometimes comes better from female staff. Where can I nurse my baby discreetly? Where are the baby-servicing facilities? Is there anything for the kids to do while Dad salivates over the bikes?
Make sure that you have all these facilities and also a chill out area where Mum can sit on the grass with the little ones and have a break.
11. Another key female factor is the bathrooms. If they are immaculate then ladies will stay at the show – and so will their male partners. By contrast, direct girls to the hole in the ground behind the trees and they, with their men, will be off in short order.
Keep the women happy and then everyone will stay on site. Treat them like second-class citizens and the visit will be a short one.
12. Mum will be happy if the kids are smiling too. As soon as Junior starts screaming then the trip to the bike show is over. Have lots of kid friendly activities for little ones of all ages to do.
Give them pictures of bikes to color in and let everyone "win" a prize.
Don't forget that 50% of kids are female and make sure that they are catered for whether the activity is gender neutral – like riding a mini-bike – or something which might well have a male child bias.
Girls like bikes as much as boys but capturing their interest needs to be done in a slightly different way.
13. Sadly, have a lost child provision. This is another reason for working with your local police department. Ask them what they feel would be an appropriate method of addressing this issue because it is 101% certain you will have a lost kid at your show and you do need a method of dealing with the wayward child.
Once more, the last thing on God's earth that you want is a distressed mother going out of her mind to find young Jimmy who has gone AWOL again.
All these factors are aimed at providing a service to the general public at the same level they would experience at any other mass appeal event. Motorcyclists tend to be more durable and easy going but this show is not for the converted but rather those who have yet to sign the pledge.
14. Do not have scary staff as the meeters and greeters. A heavily tattooed gentleman, with a Bowie knife under his left-arm, is not the answer – nor is a young lady, no matter how attractive, wearing a micro bikini, a Screamin' Eagle necklace – and little else.
You have to make non-motorcyclists feel welcome and comfortable: Sturgis will come the following year!
15. Keep the music gentle and welcoming. A really nice Bluegrass band is fine – a heavy metal, 140 dB hardcore rock band isn't!
Remember, everyone – Mum, Dad, Grandparents and the kids – have got to feel welcomed and relaxed.
16. Have a raffle at the show with all the profits going to your charity partner. It is also a lot easier to get prizes for a raffle if the companies donating them approve of the end result.
17. Sell the food concession to cover your cost but stipulate service protocols. There is big money in food sales, even at a small show.
Food traders typically work on a 400% mark up and it is only right and proper that they share the profit to help with the running costs of the show.
Here are a couple of tips when it comes to appointing a food concessionaire. First, don't put the contract out to tender. You will get more money short term by having food vendors bid against each other but it will be bad in the long haul for your show.
Make sure that your chosen food vendor has all the appropriate insurance and that his/her food stand looks like something from which you would buy food for your family. The situation is really no more complex than this.
Having someone phone your local radio station complaining that they had food poisoning at your show is not good for motorcycling!
Next, make sure that the food vendor is comfortable with the price he/she is paying to you. If you take too much money the price and quality of the food on sale will suffer.
Your show needs to be remembered for having good value food served with a smile.
Charming though the ladies are, keep things mainstream if you want to attract the widest possible customer base.
18. Remember we talked about the media? Make sure that you produce a follow up press release post event and get a nice video clip posted on YouTube.
19. When you make the presentation to the good cause, arrive on your silenced bikes. Note the caveat silenced. Fifty cruisers on straight through pipes rocking up to the local hospital will undo all the good feelings which the show has engendered.
Try to think not like a motorcyclist but as a non-motorcyclist and work out what their reaction will be to you arriving at the school or hospital gate.
20. Finally, offer but do not press, to keep your visitors informed of other motorcycling activities. Do not, under any circumstances sell or pass on contact details to anyone selling anything but rather send information which directly and explicitly matches their request. For example, is there a motocross race on within 50 miles of your town? If the show visitor has expressed an interest in motocross then let them know.
Better still, tie in their visit with a rider who is participating. Now, the offer is really attractive. The first-time motocross visitor has a rider's van where he, and his girlfriend, can leave their jackets or have a coffee and someone they can cheer in the races. Now, how near are both of them to becoming competitors?
The same strategy would apply to any form of motorcycling from a group of friends having a ride on their cruisers to an AHRMA classic road race. Bring the people into the fold.
This has been a very brief introduction to evangelizing but I hope that it gets you thinking about how we can keep the motorcycling flame alive. Have fun and recruit!


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text:
- Review
- Open Access
Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review
- Abolfazl Najaf-Zadeh1, 2 and
- Francis Leclerc1, 3Email author
© Najaf-Zadeh and Leclerc; licensee Springer. 2011
- Received: 27 April 2011
- Accepted: 26 May 2011
- Published: 26 May 2011
Noninvasive positive pressure ventilation (NPPV) refers to the delivery of mechanical respiratory support without the use of endotracheal intubation (ETI). The present review focused on the effectiveness of NPPV in children > 1 month of age with acute respiratory failure (ARF) due to different conditions. ARF is the most common cause of cardiac arrest in children. Therefore, prompt recognition and treatment of pediatric patients with pending respiratory failure can be lifesaving. Mechanical respiratory support is a critical intervention in many cases of ARF. In recent years, NPPV has been proposed as a valuable alternative to invasive mechanical ventilation (IMV) in this acute setting. Recent physiological studies have demonstrated beneficial effects of NPPV in children with ARF. Several pediatric clinical studies, the majority of which were noncontrolled or case series and of small size, have suggested the effectiveness of NPPV in the treatment of ARF due to acute airway (upper or lower) obstruction or certain primary parenchymal lung disease, and in specific circumstances, such as postoperative or postextubation ARF, immunocompromised patients with ARF, or as a means to facilitate extubation. NPPV was well tolerated with rare major complications and was associated with improved gas exchange, decreased work of breathing, and ETI avoidance in 22-100% of patients. High FiO2 needs or high PaCO2 level on admission or within the first hours after starting NPPV appeared to be the best independent predictive factors for the NPPV failure in children with ARF. However, many important issues, such as the identification of the patient, the right time for NPPV application, and the appropriate setting, are still lacking. Further randomized, controlled trials that address these issues in children with ARF are recommended.
- Continuous Positive Airway Pressure
- Acute Respiratory Distress Syndrome
- Acute Respiratory Failure
- Invasive Mechanical Ventilation
- Status Asthmaticus
Acute respiratory failure in children
The frequency of ARF is higher in infants and young children than in adults. This difference can be explained by defining anatomic compartments and their developmental differences in pediatric patients that influence susceptibility to ARF [6]. In addition, respiratory failure often precedes cardiopulmonary arrest in children, unlike in adults where primary cardiac disease often is responsible. Therefore, prompt recognition and treatment of pediatric patients with pending respiratory failure can be lifesaving [6].
Respiratory failure is a syndrome in which the respiratory system fails in one or both of its gas exchange functions: oxygenation and carbon dioxide elimination. In general, patients with respiratory failure may be classified into two groups, depending on the component of the respiratory system that is involved: hypoxemic respiratory failure and hypercapnic respiratory failure [7].
Hypoxemic respiratory failure (known as type I)
Hypoxemic respiratory failure (type I) can be associated with virtually all acute diseases of the lung, such as status asthmaticus, bronchiolitis, pneumonia, and pulmonary edema, which interfere with the normal function of the lung and airway. The predominant mechanism in type I failure is uneven or mismatched ventilation and perfusion (intrapulmonary shunt) in regional lung units. This is the most common form of respiratory failure, characterized by a PaO2 < 60 mmHg with a normal or low PaCO2. The primary treatment of type I respiratory failure in children is to administer supplemental oxygen at a level sufficient to increase the arterial oxygen saturation (SaO2) to greater than 94%. In situations when a fraction of oxygen in inspired gas (FiO2) of greater than 0.5 is necessary to achieve this goal, this often is referred to as "acute hypoxemic respiratory failure" [7]. In this setting, NPPV may be considered.
Hypercapnic respiratory failure (known as type II)
Hypercapnic respiratory failure (type II) is a consequence of ventilatory failure and can occur in conditions that affect the respiratory pump, such as depressed neural ventilatory drive, acute or chronic upper airway obstruction, neuromuscular weakness, marked obesity, and rib-cage abnormalities. Alveolar hypoventilation is characterized by a PaCO2 > 50 mmHg [7]. The onset of type II failure may be insidious and may develop when respiratory muscle fatigue complicates preexisting disorders, such as pneumonia or status asthmaticus, which present initially with hypoxemia without hypoventilation. Aministration of oxygen alone is not an appropriate treatment for hypercapnic respiratory failure and can result in the patient retaining even more carbon dioxide, especially in situations where the child has adapted to chronic hypercapnia and is relatively dependent on oxygen-sensitive peripheral chemoreceptors to maintain ventilatory drive. In addition to supplemental oxygen, therapies to reduce the load on the respiratory muscles and increase the level of alveolar ventilation should be instituted in children with type II respiratory failure.
When to use NPPV for acute respiratory failure?
NPPV in pediatric ARF from different causes
Cause of ARF (n)
Location, Patients (n)
Age (yr)
NPPV type, Interface
Avoided ETI (%)
Other reported outcomes
ARF due to acute airway obstruction
Beers et al. [10]
Status asthmaticus
Nasal mask
Improved RR, SaO2
Avoided PICU admission: 22%
Major complication: 0%
Carroll et al. [11]
Status asthmaticus
Nasal mask
Improved RR, MPIS
Major complication: 0%
Needleman et al. [12]
prospective, physiological
Status asthmaticus
Nasal mask
Improved RR, thoracoabdominal synchrony, fractional inspired time: 80%
Akingbola et al. [13]
case reports
Status asthmaticus
Nasal mask
Improved RR, PaCO2, pH
Major complication: 0%
Till et al. [14]
prospective, randomized, crossover
Acute lower airway obstruction
4 (0.2-14)a,c
Nasal or facial mask
Improved RR, CAS, O2 requirement
Major complication: 0%
Yanez et al. [15]
multicentric, prospective, randomized, controlled (NPPV subgroup)
pneumonia (18), asthma (4), pneumonia (3)
1.3 (0.1-13)a,c
BIPAP, BiPAP
Facial mask
Improved RR, HR, PaO2/FiO2 at 1 hr
Major complication: 4% (interstitial emphysema)
Thia et al. [16] d
prospective, randomized, crossover
0.2 (0.1-0.4)c,e
Nasal prongs
Improved PaCO2
Major complication: 0%
Cambonie et al. [17] d
prospective, physiological
Nasal mask
Improved HR, PtcCO2 , O2
requirement, respiratory distress score, MABP at 1 hr
Major complication: 0%
Javouhey et al. [18]d retrospective (NPPV subgroup)
Nasal mask
Major complication: 7% (bacterial pulmonary coinfections)
Larrar et al. [19] d
prospective, noncontrolled (NPPV subgroup)
0.1 (0.01-1)a,b
Nasal prongs
Improved RR, PaCO2 at 2 hrs
Death: 0%
Major complication: 0%
Campion et al. [20] d,f
prospective, noncontrolled (NPPV subgroup)
0.1 (0.03-1)a,c
Nasal prongs,
facial mask
Improved PaCO2, pH at 2 hrs
Death: 0%
Major complication: 0%
Essouri et al. [21]
prospective, randomized,
Laryngomalacia (5), tracheomalacia (3), others (2)
0.8 (0.2-1.5)a,c
Nasal mask
Improved RR, respiratory effort in both types of NPPV
Patient-ventilator asynchrony with BiPAP
Padman et al. [22] f
prospective, noncontrolled (upper airway obstruction subgroup)
Inspiratory stridor
Nasal mask
Improved RR, HR, gas exchange, serum HCO3, dyspnea score at 72 hrs
Major complication: 0%
ARF due to parenchymal lung disease
Munoz-Bonet et al. [23]]f
prospective, noncontrolled (pneumonia subgroup)
Facial mask
Improved RR, HR, PaCO2, SaO2, pH, clinical score within the first 6 hrs
Death: 0%
Major complication: 0%
Bernet et al. [24] d
prospective, noncontrolled
(pneumonia subgroup)
2.4 (0.01-18)g
Nasal or facial mask
Improved RR, HR, PaCO2, serum HCO3 within the first 8 hrs
Death: 0%
Fortenberry et al. [25] f
retrospective, (pneumonia subgroup)
Nasal mask
Improved RR, PaCO2, PaO2, pH, SaO2, PaO2/FiO2 at 1 hr
Death: 5%
Major complication: 0%
Joshi et al. [26]
retrospective (primary
parenchymal lung disease subgroup)
Pneumonia, ARDS
Facial mask
Improved RR, PaCO2, O2 requirement
Major complication: 0%
Essouri et al. [27]
retrospective (primary
parenchymal lung disease subgroup)
8 (0.2-16)a,b
Nasal or facial mask
Improved RR, PaCO2 at 2 hr
Death: 4% (CAP), 22% (ARDS), 0% (ACS)
Major complication: 0%
Padman et al. [22] f
prospective, noncontrolled (primary parenchymal lung disease subgroup)
Pneumonia (13), ACS (5 episodes)
Nasal mask
Improved RR, HR, gas exchange, serum HCO3, dyspnea score at 72 hrs
Major complication: 0%
Padman et al. [28]
ACS (25 episodes)
Inpatient ward, 9
11.8 (4-20)a,b
Nasal mask
Improved RR, HR, SaO2, O2 requirement
Avoided PICU admission: 44%
NPPV in specific circumstances
Cause of ARF (n)
Location, Patients (n)
Age (yr)
NPPV type, Interface
Avoided ETI (%)
Other reported outcomes
NPPV in postoperative ARF
Stucki et al. [8] a
prospective, crossover (cardiac surgery)
Interstitial pulmonary oedema
0.4 (0.04-0.6)b,c
Nasal mask
Improved RR, PTPes, dPes, dyspnea score
Death: 0%
Bernet et al. [24] a
prospective, noncontrolled (cardiac surgery subgroup)
2.4 (0.01-
Nasal or facial mask
Improved RR, HR, PaCO2, pH, serum HCO3 within the first 8 hrs
Death: 0%
Joshi et al. [26]
retrospective (postoperative subgroup)
Facial mask
Improved RR, PaCO2, O2 requirement, SaO2
Major complication: 0%
Essouri et al. [27] a
retrospective (postextubation subgroup)e
3.2 (0.04-
Nasal or facial mask
Improved RR, PaCO2 at 2 hrs
Death: 11%
Major complication: 0%
Kovacikova et al. [29]
case reports (cardiac surgery)
Bilateral diaphragm paralysis
Facial mask, Nasopharyngeal tube
Improved RR, gas exchange
Major complication: 100% (respiratory tract infection)
Chin et al. [30]
retrospective (liver transplantation)
Atelectasis, hypercapnia +/-hypoxemia,
pleural effusion, pneumonia
Nasal or facial mask
Improved PaCO2, SaO2, atelectasis
Death: 13%
NPPV for facilitation of ventilation weaning/rescue of failed extubation (not postoperatively)
Lum et al. [31] a
prospective, noncontrolled (prior IMV subgroup)
Post-extubation failure (51), weaning facilitation (98)
0.5 (0.1- 2)b,g
Nasal or facial mask
75 (failure group), 86 (weaning group)
Improved RR, HR, FiO2 within the first 24 hrs
Death: 5%
Major complication: 11% (pneumonia)
Mayordomo-Colunga et al. [32] a,h
prospective, noncontrolled
Post-extubation failure (20),
weaning facilitation (21)
1.7 (0.04-
Nasal or facial mask, helmet
50 (failure group), 81 (weaning group)
Death: 5%
Major complication: 5% (hypercapnia), 12% (upper airway obstruction), 7% (apnea), 10% (other)
NPPV in immunocompromised patients
Munoz-Bonet et al. [23]
prospective, noncontrolled (immunocompromised subgroup)
Pnemonia (3), ARDS (5)
Facial mask
100 (pneumonia),
Improved RR, HR, PaCO2, SaO2, pH, clinical score within the first 6 hrs
Death: 0%
Major complication: 0%
Essouri et al. [27]
retrospective (immunocompromised subgroup)
8 (3-16)c,f
Nasal or facial mask
Improved RR, PaCO2 at 2 hrs
Death: 8%,
Major complication: 0%
Schiller et al. [33]
Pneumonia (5), ARDS (10),
pulmonary mass (1)
Facial mask
Improved RR, PaO2 at 1 hr
Death: 20%
Major complication: 0%
Piastra et al. [34]
prospective, noncontrolled
Facial mask, Helmet
Improved gas exchange at 1
hr (82%), sustained (74%)
Death: 35%
Major complication: 0%
Desprez et al. [35]
case reports
Pneumonia (1), ARDS (1)
Facial mask
Death: 0%
Major complication: 50% (upper and lower digestive hemorrhage)
Pancera et al. [36]
retrospective (NPPV
Nasal mask
Death: 22.5%
NPPV in pediatric ARF from primary respiratory disease
Acute lower airway obstruction
Lower airway disease is a common cause of ARF. Asthma accounts for the largest percentage of this group, but infections, such as viral bronchiolitis, also are common and predominantly impact the small airways. Physicians caring for acutely ill children are regularly faced with this condition. Both non-invasive and invasive ventilation may be options when medical treatment fails to prevent respiratory failure. ETI and positive pressure ventilation in children with lower airway obstruction may increase bronchoconstriction, increase the risk of airway leakage, and has disadvantageous effects on circulation and cardiac output. Therefore, ETI should be avoided unless respiratory failure is imminent despite adequate institution of all available treatment measures. NPPV can be an attractive alternative to IMV for these patients. Clinical trials in children with acute lower respiratory airway obstruction have suggested that NPPV may improve symptoms and ventilation without significant adverse events and reduce the need for IMV [10–20]. NPPV theoretically improves the respiratory status of patients with lower respiratory airway obstruction by several mechanisms [37]. During acute bronchospastic episodes, patients have an increase in airway resistance and expiratory time constant. The combination of prolonged expiratory time constant and premature closure of inflamed airways during exhalation results in dynamic hyperinflation, which causes increased positive pressure in the alveoli at end-expiration (auto-PEEP). Because the alveolar pressure must be reduced to subatmospheric levels to initiate the next breath, this auto-PEEP increases the inspiratory load and induces respiratory muscle fatigue. The EPAP delivered by NPPV may help to decrease dynamic hyperinflation by maintaining small airway patency and may reduce the patient's work of breathing by decreasing the drop in alveolar pressure needed to initiate a breath. In addition, inspiratory support, i.e., IPAP delivered by NPPV, helps to support fatigued respiratory muscles, thereby improving dyspnea and gas exchange. Needleman et al., in a physiological study, found that the NPPV use in children with status asthmaticus was associated with a decrease in respiratory rate and fractional inspired time and an improvement of thoracoabdominal synchrony in 80% of patients [12]. A few clinical studies of small size (3-73 patients) reported the use of NPPV for treatment of status asthmaticus in children (Table 1) [10, 11, 13, 14]. NPPV was well tolerated with no major complications and was associated with an improvement of gas exchange and respiratory effort (Table 1).
Viral bronchiolitis, mainly due to respiratory syncytial virus, represents the largest cohort of children treated with NPPV [15–20]. Use of NPPV in infant with severe bronchiolitis was associated with improved respiratory rate [15, 19] and PaCO2 [16, 19, 20], decreased work of breathing [17], and ETI avoidance in 67-100% of patients (Table 1) [17, 18].
Acute upper airway obstruction
In children, dynamic upper airway obstruction can present as an acute life-threatening condition and leads to severe alveolar hypoventilation. In 2006, a survey of French PICU group found that 67% of pediatric intensivists applied frequently or systematically NPPV in the management of dynamic upper airway obstruction in children [38]. However, there is a paucity of literature on the use of NPPV in the acute setting of upper airway obstruction in children. NPPV was associated with a significant decrease in respiratory effort [21] and a sustained improvement in gas exchange [22] in children with dynamic upper airway obstruction (Table 1).
Parenchymal lung disease
The main goals of NPPV in patients with parenchymal lung disease, such as pneumonia, acute lung injury (ALI), and acute respiratory distress syndrome (ARDS), are to improve oxygenation, to unload the respiratory muscles, and to relieve dyspnea. The first goal can usually be achieved by using EPAP to recruit and stabilize previously collapsed lung tissue [39]. Unloading of the respiratory muscles during NPPV with IPAP has been reported by L'Her et al. in adult patients with ALI [39]. The authors concluded that adding IPAP to EPAP may be indispensable in patients with ALI treated with NPPV [39]. Indeed, IPAP allows a better respiratory system muscle unloading, alveolar recruitment, oxygenation, and CO2 washout improvement.
Although NPPV seems disappointing in ARF owing to pneumonia in adult patients, with failure rates of up to 66% [40], several noncontrolled trials have suggested that NPPV could improve symptoms and ventilation without significant adverse events and reduce the need for IMV in children with ARF due to pneumonia [22–27]. Use of NPPV in this acute setting in children was associated with reduction in ETI rates ranging from 50-100% (Table 1) [23, 24].
The most challenging application of NPPV may be in patients with ARDS. Studies of NPPV for the treatment of ARDS in adult population have reported failure rates of 50-80% [40]. A meta-analysis of the topic in adult population concluded that NPPV was unlikely to have any significant benefit [41]. In children, the use of NPPV for the treatment of ARDS was associated with a failure rate of 78%, and 22% of them died (Table 1) [27]. Therefore, NPPV use in such a patient group is rarely justified. However, if a trial of NPPV is initiated, patients should be closely monitored and promptly intubated if their conditions deteriorate, so that inordinate delays in needed interventions are avoided.
Acute chest syndrome (ACS) is one of the leading causes of death and hospitalization among patients with sickle cell disease [42]. Approximately 70% of patients (adults or children) with ACS are hypoxic [43]. Indeed, patients with sickle cell disease are prone to infarctive crises. Thoracic bone infarction (usually in the ribs) in such patients leads to pain, splinting, hypoventilation, and the clinical signs of ACS. In situ red blood cell sickling in the lung vasculature is possibly a consequence of hypoventilation with subsequent infarction of lung parenchyma. NPPV has been proposed as a therapeutic option for patients with ACS. By improving patient oxygenation, NPPV could prevent progression from painful crisis to ACS, and ultimately to ARDS. Three retrospective studies reported favorable outcomes in children with ACS treated with NPPV (Table 1) [22, 27, 28].
NPPV in specific circumstances
Postoperative respiratory failure
Postoperative pulmonary complications are a major cause of morbidity, mortality, prolonged hospital stay, and increased cost of care [44]. It has been reported that 5-10% of all surgical adult patients experience postoperative pulmonary complications [45]. Atelectasis, postoperative pneumonia, ARDS, and postoperative respiratory failure have all been classified as postoperative pulmonary complications. Postoperative respiratory failure is most commonly defined as the inability to be extubated 48 hours after surgery [46], although some investigators have used 5 days [47]. NPPV has been successfully used to treat postoperative respiratory failure in both pediatric and adult patients. Compared with standard treatment, NPPV used after major abdominal surgery improved hypoxemia and reduced the need for ETI in adult population [48]. NPPV application in children with postoperative respiratory failure was associated with improved respiratory effort, gas exchange, oxygen saturation, and reduced the need for ETI (Table 1) [8, 24, 26, 27, 29, 30].
Facilitation of ventilation weaning/rescue of failed extubation
The need for reintubation after failed extubation is associated with increased morbidity and high mortality [49]. NPPV has been proposed as a means of "facilitating" weaning from IMV, and as a "curative" treatment for postextubation respiratory failure. Although several studies have shown the efficacy of NPPV in weaning from IMV in adult population [50], its application for postextubation respiratory failure is not supported by randomized, controlled trials [51]. In children, two noncontrolled trials assessed the efficacy of NPPV in these settings: the application of NPPV as a means of "facilitating" ventilation weaning, and as "curative" treatment for postextubation respiratory failure was associated with success rates of 81-86% and 50-75%, respectively [31, 32].
Immunocompromised children
ARF in immunocompromised patients most often results from infections, pulmonary localization of the primary disease, or even postchemotherapy cardiogenic pulmonary edema. Treatment of such patients often requires intubation and mechanical ventilation. Avoidance of the infectious complications associated with IMV is particularly attractive in these high-risk patients, in whom this could be devastating, if not fatal. Results of randomized, controlled trials have proven the beneficial effects of NPPV in immunocompromised adult patients [52, 53]. Some case series reported the use of NPPV in the treatment of respiratory failure in immunocompromised children (Table 2) [23, 27, 33–36]. The likelihood of NPPV success in immunocompromised children seems to be related rather to the type of pulmonary disease: the ETI avoidance rates varied from 40% for ARDS to 100% for pneumonia (Table 2).
Are there predictive factors of NPPV failure in children with ARF?
Predictive factors for the outcome of NPPV in children with ARF
Population (n)
Age (yr)
Success rate (%)a
Predictors of failure
Campion et al. [20] b,c
prospective noncontrolled
Bronchiolitis (69)
0.1 (0.03-1)d,e
Higher PaCO2 on admission
Higher PRISM score at 24 hrs
Bernet et al. [24] b
prospective noncontrolled
Pneumonia (14), bronchiolitis (4), postoperative ARF (11), other (13)
2.4 (0.01-18)d,e
FiO2 > 0.8 at 1 hr
Joshi et al. [26]
retrospective (primary parenchymal lung disease subgroup)
Pneumonia or ARDS (29)
Age ≤ 6 yr
FiO2 > 0.6 within the first 24 hrs
PaCO2 ≥ 55 mmHg within the first 24 hrs
Essouri et al. [27] b
CAP (23), ARDS (9), ACS (9), immune deficiency (12), postextubation ARF (61)
5.3 (0.04-16)e,f
High PELOD score
Lum et al. [31] b
prospective noncontrolled
Pulmonary diseases (129), postextubation ARF (149)
0.7 (0.3-2.8)d,g
Higher FiO2 needs at start of NPPV
Higher PRISM score on admission
Sepsis at start of NPPV
Munoz-Bonet et al. [54]
prospective noncontrolled
Pneumonia (20), ARDS (10), postextubation ARF (11), other (6)
7.1 (0.1-16)e,f
MAP > 11.5 cm H2O
FiO2 > 0.6
Mayordomo-Colunga et al. [55] b
prospective noncontrolled
Type I ARF (38), type II ARF (78)
0.9 (0.05-14)d,e
Lower RR decrease at 1 hr and 6 hrs
Higher PRISM score at start and at 1 hr
Type I ARF
During recent years, there has been an increasing interest in the use of NPPV for children with ARF. There are some promising studies supporting its use in this acute setting. NPPV was well tolerated with rare major complications and was associated with improved gas exchange, decreased work of breathing, and decreased need for ETI. Both critical care ventilators and portable ventilators have been used for NPPV. However, the vast majority of the available knowledge in this acute setting results from noncontrolled trials and case series of small size. As such, many important issues, such as the identification of the patient, the right time for NPPV application, and the appropriate setting, are still lacking. Further randomized, controlled trials addressing these issues in children with ARF are needed to define better the patients who are likely to benefit from this alternative method of respiratory support. Also, the respective place of NPPV and high flow oxygen therapy in children with ARF due to different conditions has to be determined [56].
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- Munoz-Bonet JI, Flor-Macian EM, Brines J, Rosello-Millet PM, Cruz Llopis M, Lopez-Prats JL, Castillo S: Predictive factors for the outcome of noninvasive ventilation in pediatric acute respiratory failure. Pediatr Crit Care Med 2010, 11: 675–680. 10.1097/PCC.0b013e3181d8e303PubMedView ArticleGoogle Scholar
- Mayordomo-Colunga J, Medina A, Rey C, Diaz JJ, Concha A, Los Arcos M, Menendez S: Predictive factors of non invasive ventilation failure in critically ill children: a prospective epidemiological study. Intensive Care Med 2009, 35: 527–536. 10.1007/s00134-008-1346-7PubMedView ArticleGoogle Scholar
- Schibler A, Pham TM, Dunster KR, Foster K, Barlow A, Gibbons K, Hough JL: Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery. Intensive Care Med 2011,37(5):847–52. 10.1007/s00134-011-2177-5PubMedView ArticleGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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Feels like oppression
At what point do you think we have exceeded the limits of police power? When will we have gone beyond the limit for free Americans to travel on open roads without harassment.
This kind of behavior by police is exactly why no one trusts them anymore.
Feels like oppression


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|Session Name:
|Automated Testing and Instant Replays in Retro City Rampage
|Brian Provinciano
|Company Name(s):
|Vblank Entertainment
|Track / Format:
|Every new build of your game could automatically play itself from the first level through the final boss, at the push of a button. Your community could record and share instant replays on leaderboards with mere kilobytes of data. Bugs could become 100% reproducible. Recording button input makes this all possible, and much more. This session outlines building a deterministic game engine with input recording and playback. With that foundation, further building blocks are introduced which build upon each other and open the doors to more and more possibilities.


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Redhill & Reigate Function Venue takes the privacy of its clients' data seriously and respects the right to confidentiality. The following information relates to how we treat your personal data.
Data collection:
We collect your data when you contact us, via our website enquiry form and when you make a booking with us. We will only use this information to contact you regarding your booking, to advise you of special offers, promotions and information about our company. We will only contact you with your consent.
Data storage and personal information:
We follow strict procedures regarding the storage and disclosure of the personal information that you have given us to prevent unauthorised access in accordance with UK Data Protection legislation: The UK Data Protection Act 1998, the EU Data Protection Directive 1995 and the EU General Data Protection Regulation 2018 (GDPR). No sensitive information is collected or stored except when you knowingly provide it. You can update or remove your personal details by contacting us at any time.
Internal Server and third parties:
Data is stored on an internal server which is secure, protected, backed-up and GDPR compliant. Where an external company is used, data is stored and processed in accordance with the regulations in this policy
Cookies are data files which are stored on your computer. These track the patterns of browsing on our website. This information is only stored to track your visits on our website. This information does not identify you personally and is standard business practice. If you do not wish us to store this information, please set your browser settings accordingly.
When you disclose your personal information to us by email, telephone or by using this website you are consenting to the storage, collection and processing of said information as set out in this Privacy Policy. We will not share this information with third parties or sell, rent or exchange this information.
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Newsletter subscribers have the option to opt-out of receiving further information from us. This can be done by sending an e-mail to firstname.lastname@example.com or by responding to an email with 'Unsubscribe in the subject line.
Amend details:
To amend your personal details, please email us with your new details to email@example.com
Data Protection Officer:
Contact: firstname.lastname@example.com or telephone 01737 244433
Changes to our Privacy Policy:
This Privacy Policy may change in accordance with changes in legislation. The policy details will be updated here and not specifically sent to website visitors. The Privacy Policy will be dated according to any changes.
Updated: May 2018
Our periodical newsletter will keep you up to date with all forthcoming events and latest offers at Redhill & Reigate...
Situated between Redhill and Reigate close to the M25 and Gatwick airport we are ideally placed as a Conference and Meeting facility south of London complete with an adaptable area, AV faciities and ample free parking.Click for more details
Redhill & Reigate Function Venue, Clarence Lodge, Pendleton Road, Redhill, Surrey, RH1 6LB
Switchboard: 01737 240777 | Fax: 01737 242117 Review for our GPDR complient Privacy Policy


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AORUS 15" X5 v7-CF2 Kabylake Core i7 GTX 1070 Gaming Laptop
15.6" AORUS X5 v7-CF2, UHD G-Sync, i7-7820HK, 16GB DDR4, 256GB M.2 PCIe SSD+1TB HDD, 8GB GTX 1070, Win10, Refurbished
By DPD
to your specified address. |
Receive SMS with one-hour delivery window
Weekend, timed and European delivery options are available at checkout
Have your parcel delivered by DPD to your specified address. Receive SMS with one-hour delivery windowWeekend, timed and European delivery options are available at checkout
Collect instore
Collect from our Bolton store, BL6 6PE |
Order online, collect from our Bolton store (25-28 Enterprise Park, Middlebrook, Horwich, Bolton, BL6 6PE)
The new NVIDIA® GeForce® GTX 10 series GPU features the latest Pascal™ architecture, breaking the limits of laptop performance. The new GPU delivers not only the ultimate performance and efficiency, but also easily provides an immersive Virtual Reality (VR) experience and smooth high-res gameplay. Hardcore gamers can now possess over-the-top performance on the mobile platform with crystal clear, captivating motion graphics, and jaw-dropping visuals.
RGB Fusion Keyboard | In The Dark There is Light
The all-new AORUS RGB Fusion features per-key RGB backlighting in 16.8 million color variations, delivering virtually unlimited customization. Each and every key can be customized to light up only the required keys for each application, allowing the user to instantly identify which keys to press. Users can go a step further and setup animated illumination effects like breathing, waves, and ripples. Per-key backlighting can achieve not only practical benefits of quick identification, but also a unique visual experience and endless customization. The Fusion app can combine audio, backlight, and macro settings to profiles, and switch automatically between games or applications.
Tear-Free, Super Smooth & Fast with G-SYNC
Equipped with NVIDIA® G-SYNC groundbreaking technology, X5 v6 delivers the smoothest and fastest gaming experience ever. The innovative G-SYNC can synchronize display refresh rates to the GPU in your gaming laptop, and eliminates screen tearing and minimizing display stutter and input lag.
M.2 PCIe SSD: The Next Storage Revolution
With mSATA technology limiting SSD's full potential; it's time to be out with the old, and in with the new! Perfected PCI Express SSD technology with the next generation form factor, M.2 is like a breath of fresh air to storage performance with its mind blowing speed! With a single drive reaching 2000 MB/s, game loading and system booting all happen in the blink of an eye. Being 4x faster than any traditional SATA SSD, the benefits are obvious: the faster it is, the better it is. All these are found in the X5 v6 which can house up to three 512GB M.2 PCIe SSD and one 2TB HDD, providing you a massive storage up to 3.5TB!
DDR4 RAM: Ultimate Memory for Ultimate Gaming
DDR4 RAM is a must have for any hardcore gamer. At a frequency of 2400 MHz, it runs high-resolution games faster and smoother than ever before. Not to mention with a single stick of DDR4, you can have a max capacity of 16GB, double that of DDR3. The X5 v6 houses four of these, reaching a maximum memory storage of 64GB. Using less power at only 1.2v, DDR4 in turn generates less heat in your machine, possessing the trifecta required of RAM for the ultimate gaming experience!
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The incorporation of HDMI 2.0 brings screen resolution to the next level. Unlike HDMI 1.4 which only supports 8-bit color up to 30 frames per second, HDMI 2.0 display is truly breathtaking. Supporting up to 18 Gbps transfer, the true potential of 4K resolution is realized through 12-bit color and up to 60Hz refresh rate! See videos, photos, and games how they were meant to be seen, in true high definition!
USB 3.1 Type-C: Quality of Life Upgraded
It is common to turn a USB a few times before it fits. But those days are over with USB 3.1 Type C! The Type C connector is universal, making connecting via USB no long a chore. Not only is it easier to connect, it's fast. USB 3.1 has twice the throughput of USB 3.0, transferring 100GB video in as little as 80 seconds. Through greatly improved data transfer speed and pluggability, USB 3.1 Type C puts a focus on the improvement of quality of life for a gamer's daily routine!
XSplit Gamecaster + Broadcaster: Cast your Game Anytime, Anywhere
Now set up your stage and share the greatest gaming moments with XSplit Gamecaster + Broadcaster! Fully optimized social media integration is ready for real-time chats—keeping you notified yet focused in the game. It takes just one click to stream your gameplay to Twitch. Host your game like a pro! The show starts wherever you flip open your AORUS X5 v6.
*Free 1-year XSplit Gamecaster + Broadcaster Premium License.
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To facilitate being the full streaming solution each AORUS includes TriDef® SmartCam software, you are now able to remove backgrounds without the hassle of using a green screen. Through the SmartCam application you can now apply live filters, and fully control your background, not only while streaming, but also through other video applications such as Skype.
Killer™ DoubleShot™ Pro | Full Bandwidth Utilization
Killer™ DoubleShot™ Pro provides unprecedented speed, intelligence, and control for systems with Killer™ Wireless adapter and a Killer™ Ethernet controller. DoubleShot™ Pro automatically picks the fastest network connection and sends all high priority traffic over that interface. All standard traffic is then sent over the other interface. This ensures the highest priority traffic will always be put on the fastest and most reliable link, giving you lag free gaming experience even while running multiple downloads the same time.
Super Thin & Lightweight: A Gaming Milestone
The flowing sculpted lines and quality matte black are scented with understated luxury without losing its original aggression.
The aerodynamic streamlines connect expanded vents, giving the ultimate gaming flagship a breath of speed. Squeezing such smashing performance into a slim chassis takes tremendous expertise and the best thermal know-how. Own this ultimate gaming flagship to find out the top-tier craftsmanship.
30-key Rollover Anti-Ghost Keyboard
The full-size backlit keyboard creates snappy and responsive typing experience. AORUS 30-key rollover anti-ghost keyboard has been tested with major top ranking titles to eliminate possible conflicts between key combinations. Execute every stroke free of error. The excellent cover rate (official combos only) gives you pure edge in every game.
*Anti-ghosting does not include F1~F12 fuction keys.
Immerse with AORUS Audio
Enhance your audio experience with AORUS Audio. With 4 modes (games, music, movies, meeting) to choose from, the AORUS Audio provides you lifelike sound which allows you to immerse yourself in any usage situation. For example, the Game mode includes 4 other modes such as first-person-shooter (FPS) and racing and role-playing games (RPGs). Each sound is produced with accuracy and clarity, bringing battlefield to life. Features • NVIDIA® GeForce® GTX 1070: The Ultimate Performance.
• Overclocked CPU, with only One Click.
• AORUS RGB Fusion Keyboard: Per-Key RGB Backlight.
• Thunderbolt 3.
• Tear-free, Super Smooth & Fast with G-SYNC.
• M.2 PCIe SSD: The Next Storage Revolution.
• DDR4 RAM: Ultimate Memory for Ultimate Gaming.
• HDMI 2.0: True 4K at 60Hz.
• USB 3.1 Type-C: Quality of Life Upgraded.
• XSplit Gamecaster + Broadcaster: Cast Your Game Anywhere, Anytime.
• SmartCam | Custom Stream Modding.
• Killer™ DoubleShot™ Pro | Full Bandwidth Utilization.
• Super thin & Lightweight: A Gaming Milestone.
• 30-key Rollover Anti-Ghost Backlit Keyboard.
• Immerse with AORUS Audio.
• System Gauge Readies You for Any Challenge.
Please note your statutory rights are not affected.
For further information regarding Scan's warranty procedure please see our terms and conditions
- Duration:
- 12 months
- Type:
- Return to base
- DOA Period:
- 28 days
- RTB Period:
- 12 months
- Manufacturer:
- Scan Computers International Limited
- Telephone:
- 0871-472-4747
Date Issued: 16th Oct 2017
Gaming on PCs used to be restricted to desktop computers equipped with a dedicated graphics card connected to a display, much in the same way that a games console works with a TV. Recent advances in technology have enabled manufacturers to equip laptops with increasing levels of graphics power without them being too bulky or heavy.
Date Issued: 16th Aug 2016
NVIDIA refreshed its range of graphics cards recently with the introduction of a number of new models for performance desktop PCs. Four new GeForces have been released in quick succession. The Titan X, GTX 1080, GTX 1070 and GTX 1060, all based on the new, efficient Pascal architecture, have set new levels of performance in each segment.


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Okay, so here is the result of my efforts on another Brightest Day page from issue 2. This time around I focused more on rendering through painting rather than cuts and grads; it provides a softer transition between values and, at least for me, seems to be more intuitive. I'm also making more of an effort to not be so locked into local color. Thanks to Scott Clark for the pencils, and Dave Beaty for the inks.
Coloring practice only. Colored for publication by Peter Steigerwald.


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Plaid & Polka Dots
Outfit: Old Navy Diva jeans| Wedges & scarf c/o SugarPair| Chambray shirt via JCPenney [similar here| Michael Kors watch| Thrifted clutch[Similar here]
I was so happy when the chambray trend started happening…it meant comfy basics that go with anything! Always thinking that denim on denim was reminiscent of a lumberjack; I was pleasantly surprised to find that when mixing shades it works well as a base to pops of color and print mixes.
This month, I've teamed up with the chic & affordable SugarPair to bring you a few casual and trendy looks that won't break the bank while you're shopping for others this season. When I saw this double-printed scarf I knew I had to have it. It's obviously really tough to find layering pieces that balance well with Floridian weather, but with a lightweight fabric like this, it's gotten a lot easier.
Wearing two prints at once is easy when they come paired together already; the only trick is to balance it all out with a good base that doesn't compete. These colorfully bold wedges work well to add some height and interest to an otherwise basic base as well.
I could live in this outfit with how easy and comfortable it is! Would you wear denim on denim? How would you style it?
23 Comments on Plaid & Polka Dots
Very pretty scarf!!
I love the "POP" of shoe"!
Your blog is awesome! Love your style too. I will be back!
This is an amazing and very stylish post! Thanks for sharing your insight on this look!
-Krystin Tysire
I love the shoes! And how you coordinated the polka dot pieces. So cute!
LOVE the pops of color in the scarf! The contrast is beautiful!
Love polka dot pieces as an accent to any outfit, plus I feel like they never go out of style ;o)
Love the mix of patterns and the pops of red! Just gorgeous! <3
Your shoes are SO cute! I love them!
I looooove that scarf, so cute!! This is such a fun outfit!
wow those shoes! what a great pop of color!
xo Jen – The Single Diaries
Super cute outfit, love the scarf
I've never thought about mixing polka dots and plaid, but it WORKS! I, too, was a little unsure about how to style a chambray shirt without it looking too much like a denim tuxedo, but I'm getting braver the more I see other people wear them. 🙂
Such a cute outfit! Love it!
Your shirt looks so cozy! I love the stripes.
Love this look! That scarf is the best!
I like the combination of the striped top and the gray scarf! Looks good!
I love this whole outfit. Your style is so on point and just so gorgeous. Love the shoes and matching lipstick!
Katie <3
That scarf is so cute!! I love it (:
Love the color of those shoes – so festive! The scarf is adorable too.