Bottom Less Party Harold And Kumar

Before writing any vowel or consonant give credit to my teacher degree in Kinesiology Claudia Delpodio, which in my opinion and I think also that of many, is what is eminence in the field of action of physical therapists in the Respiratory and Cardiovascular Area. Week ago a reader asked me a training input MMII, sorry for the delay, but these days I will publish it, I have not forgotten the request. Having said that I proceed to develop the theme, today is a cloudy, rainy, means "depression", so 0 introduction, little inspiration.

Swallowing is the business of transporting solids, liquids and saliva from the mouth into the esophagus. When this activity, loss of coordination, synchronization and effectiveness in one of their trips is presented dysphagia caused by structural abnormalities, anatomical or physiological.

neurogenic dysphagia predisposes to poor management of secretions and aspiration pneumonia, the main complication and is responsible for significant morbidity and mortality.

swallowing participate in the cortex, brainstem and cranial nerves as follows:

• trigeminal sensory and motor
• Facial: motor, sensory and parasympathetic
• Glossopharyngeal: sensory, motor, sensory and secretory taste vasodilator
• Vago: motor, sensory and vegetative life
• Espinal
• Hypoglossal motor: motor

Swallowing involves the following steps:

school
• Oral Oral pharyngeal
• Esophageal

Swallowing Clinic works in an interdisciplinary way in the study, diagnosis , prevention and treatment of swallowing disorders. It is worth mentioning that today is interdisciplinary artillery many but few use it in their patients, sometimes for personal reasons and others for lack of hierarchical organization in hospitals and health centers.

With this interdisciplinary approach is achieved in our patient continuing medical education for the prevention of aspiration in patients fed by mouth and maintain an artificial airway: tracheostomy based on sound management of the upper airway. Also be weekly meetings for the group's membership Prevalence exchange of views and / or development of treatment guidelines and protocols.

Outcomes are the following:

• aphagia
• Weak
• language impairment of the oral stage
• Aspiration
swallowing apraxia
• Condition of the pharyngeal phase
• oropharyngeal muscles atrophy Weakness
• m.
• Impaired pharyngeal phase of swallowing esophageal
• premature food drop
• Retention of food in places of stagnation as vallecula and pyriform sinuses.

For the prevention and treatment of swallowing disorders is needed:

• Power characteristics and consistency.
• Sound Management respiratory secretions.
• proper posture of the head and body during feeding.
• techniques Using multiple swallows.

Grades of dysphagia:

• Normal: safe chewing and swallowing.
• Mild: occasionally present difficulties. Management of specific techniques.
• Moderate: reliable soft diet. Difficulty with solids and liquids. Requires supervision.
• Moderately Severe: oral intake is not successful. Primary method of ensuring food and eat only in the presence of the therapist.
• Severe: nutrition is performed by alternative methods. Do not eat food by mouth.

dysphagia assessment is done at the bedside of the patient, x-ray with barium swallow, videofluoroscopy and videofibrolaringoscopía.

Evaluation "Bed Side"

Evaluation I:

- Level of consciousness

- cranial nerves V, VII, IX, X, XI, XII

- head control, mobility

cervical

- motility:

; facial lingual

veil

lingual and nasal pharyngeal

Assessment II - oropharyngeal sensitivity
- phonation
- Lake pharyngeal
- voluntary cough
- laryngeal ascent
- tracheostomy


Evaluation III

- means of artificial feeding (enteral, parenteral, nasogastric tube, gastrostomy, yeyunostomía)
- reflujo gastroesophageal
- Opening and closing valves
- trigger reflex swallowing
- coordination (power, valves, RDD, respiration).


Evaluation IV

- protective reflex cough and gag
- swallowing reflexes, and pharyngeal palatoamigdalino

other publication Hare soon treatment.

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[SOM] GamesDay Promos: Tempered Steel and Memnite + SCANS

(Source: MTGSalvation, Users: Dwiz, Iron Chef, Nal2 [image cleanup])

As

you know, we are closed as a blog because I and Almi we left the Magic for many reasons that most already know, but I leave the blog active for those who want to see your content stored and others and also to leave the door open If in some distant future back to the load from a single platform to just talk about Magic. However

'm talking with a few buddies to assemble a multidisciplinary blog around a bit. As you curdled this idea will keep you informed through this blog, which is kind of an initial platform stable enough to be able to communicate with you @ s, dear readers.

And now the chicha, the 2 scans (uno mas regulero que otro) de las cartas textless promocionales del Games Day de Scars of Mirrodin. (alguna excusa tenía que poner para comunicarme con vosotr@s, no? xD)

Tempered Steel, el cual por su nuevo arte ya se estan considerando mas de 3 y mas de 4 hacer alteraciones con el Falcon's Punch.

Y este que se ve peor, Memnite el nuevo bichito de coste 0 de moda y amigo íntimo del ornitóptero.

Saludetes y hasta el próximo comunicado xDD


-NTK-

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mini episodes from the animated series of the Avengers

That's right, October 20 U.S. premieres in the animated series The Avengers, on the Disney Channel XD (Guacala), so in promoting mini episodes have been released by introducing a character, so far are two, Iron Man and Hulk.
In Iron Man, this is faced with giant robots and other enemies (mmm, I was wrong, I put twice that of hulk)


While the Hulk, Bruce Banner have to get to Las Vegas and meet a super villain affected by gamma rays.

Updated:
One recent Ant-Man in Africa:


And the continuation of the Iron-Man mini

have to wait and watch the series to see if it manages to be a good series and not something worth forgetting as has happened a lot at Marvel Animation.
how about they found the videos? We read later.

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Messi's injury: A new old story. Ephemeris

At this point each of you should know what was the injury (Sprained internal and external lateral ligaments of the ankle) that left Messi, the best player in the world, off the court . This event brought many events that left chained Ujfalusi as the reincarnation of evil, poor, did not want to be him nowadays. Today this man is the prime target of criticism, and even calibrate their weapons by Maradona memory as the defenders tried to Maradona in his time, obviously, fondly.


face everything that this event resulted in the world I was oporrtunidad to read newsprint version Soledad a section of Calais, a correspondent of the newspaper "El País" (Eng.) where a different accent tells us this novel and wanted to share with you and I thought in my opinion, excellent.

"Photography has the same shiver clinical surgery: ankle Leonel Messi, the Barcelona star, it bends at an impossible angle, disjointed against the ground by the stamp of Ujfalusi Atletico Madrid defender. The image is part of a repertoire of horrors broken legs hanging by a thread and broken ankles accidents peculiar to football.

But Messi ankle picture comes with a virtual back office. Real Madrid coach Jose Maurinho, is asking for protection for Cristiano Ronaldo's ankle and the sports press in Madrid, which holds pages of respect for the Portuguese player, delighted his readers day in, day out, with neat graphics of your ankle punished. As circulated the photo of Messi injured, hundreds of exegetes parasitizing the football market is divided into two camps: those that could protect all the players and calling for respect for Messi eleva el fútbol a otra dimensión.



El debate público sobre la caza de los futbolistas resulta estéril porque la solución no hay que buscarla sólo en el arbitraje sino en la ética de los futbolistas y entrenadores. Los futbolistas saben causar daño en un campo de fútbol; los clubes y entrenadores- las instancias que tienen influencia sobre ellos- deben esmerarse en reprimir la irritación de sus jugadores cuando se pierde y castigar la violencia.



Pero hoy, hacen lo contrario, toleran sus arranques de furia y premian sus acciones antideportivas con palmaditas en la espalda (caso de Pepe contra el Getafe). Y los entrenadores tendrían que retirar sus pobres vocabularios la expresión "You have to stop as" to crack otherwise. A chafarrinón

trivial in that idealism that "arbitrators must protect all players." If Messi was not injured, Ujfalusi punishable entry scarcely exist. In the history of football infamy Goikoetxea input figure Maradona. But nobody remembers as Cesar Jimenez, a modest Zaragoza player, had to retire from football after a feral input Madrid star Figo. Competition or even sanctioned the Galaxy. "






Actually I really liked the reflection is today because the injured Lionel Messi with all that that implies, marketing, money, fame, among many other things, but this is a long time, but as nobody ever does anything to change things. Today, this injury is a media war between Mourinho and Guardiola, DT respective Real Madrid and Barcelona, \u200b\u200bthis injury now write a new page in this new old history. Gentlemen ....

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has long had heard good references in this movie zombies, and taking advantage that I had some free time this week, take to see it.

English is a film that has all the typical elements with a band of zombies, but adding a great sense of humor, and is directed by Edgar Wright, director of Scott Pilgrim vs. the world.

The story focuses on Shaun an electronics store employee who is not respected by his colleagues, hates his padrastropero must endure at the behest of her mother, has problems with his roommate because his best friend Ed and who recently ended his girlfriend Liz because she was tired of his monotonous lifestyle, especially the act of going daily to the bar The WINCHESTER.

While all this is shown, also see that a strange disease begins to affect the population, the infected begin to bite the other people and one day, most of the people and is a zombie, so Shaun and Ed made a plan to rescue Shaun's mother and Liz and take the safest place they know : the winchester . But when they go by the mother of Shaun and Liz, complete with new companions unwanted Shaun's stepfather and friends of Liz.

tape is very entertaining, has some very funny moments, some about friendship, and of course not be a good zombie movie without moments of casings and bullets.

I personally recommend them if you like zombie movies I want to see a movie before seeing Edgar Wright Scoot Pilgrim (do not worry, because of the idiots Universal [Distributor] have until November).

and here I leave the tail of the movie that dare to see

and taking advantage of zombies is a post I give you this video of the movie would have been great to do for the bicentenary, instead of the bug: the bicentennial zombies

If they see or saw and read then comment on and

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My favorite: 2 years blog! Traumatized Mendoza

I think that I've never had to perform many times (write-erase-write-erase) , it seems that now I'm undecided, it seems that I got a little nervous today, looks like a very special day for me, and of course it is !. Today we do not put that did not put in my driveway when I turned 1 year my blog, in expressing myself very well and if re-read today feel the same multiplied by 2.

Then a lack of creativity and words, I sit in front of my pc, acomodaré my chair, a fee of cereal on hand and that whatever happens inside me dictates.

This This height is badly burned to tell THANKS to each of my daily readers accompany me, I feel I have given thanks and the giving to each entry will continue to do, with every word you write with seriousness, respect and providing that grain of sand so that our race is much better. Do not believe unequivocally that this is the best form of gratitude, making a professional input but made with passion, a vocation, virtues that make things simple, special.

I tell them that this blog is very important to me are the 4 wheels of my car, I feel that writing on it, plasmo something from me on this path without so called "life." I do it willingly, without fear of failure, error, on the contrary, is that they will be my teachers to go every day to be a better professional. This blog was the emergency exit on days when I wanted to raise and a VIP invitation to those days that never hit me legs to jump for joy.

These two years have been of continuous learning, I met so many different opinions to mine that looked wrong, BUT I WAS FOOL!, Such views enriched me, opened my mind and made me think differently . I also met amazing friends, that when it was all just a roll of paper on the table gave me a hand to initiate all this, were with me all the time, I was robbed smiles and reflections that branding.

could not have thought years ago and have a space on the web, for me the internet was quite a dark picture of a little knowledge and a neighborhood I generated many questions, but no, I realized I was missing to turn on the light to see with more clarity around what was in store for me.

Sometimes when I read some entries say noooo ... as I will put that !!!.... or will I have those errors of expression ...!!! but if we speak up, I do not regret anything.

This is my blog, this is my space, my habitat, which to be authentic and only has to have something I've fulfilled to the letter, and that is my essence gentlemen, something like my perfume, my personality, my being.

If I stand on this chair in which I sit, I go out and look to the horizon, the looming question is what tomorrow will bring for me? "I bring the sun back out?. And the truth do not know, nobody knows, but each is a trainer and creator of his own destiny, and in this respect, this is my destiny .... follow my blog, making each word a translation of my essence, and each entry or publication as if it were the first with the same joy and passion.

HAPPY 2 YEARS FOR ME BLOG, NO OTHER WORD with more appropriate to say: I AM VERY HAPPY!.

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to be happy gentlemen, every day demonstrates that Mendoza expanded both nationally and internationally is not vain. For several years my province and bounds grow at rates in tourism, agriculture, among many others, but it seems that the health professionals have saved us a great gift, which if it is within the capabilities of each one would have to use it not?? As they say ..... gift horse is not looking teeth.

These days it is developing various activities in the only laboratory cadaver de Cuyo, which operates in the Central Hospital. This is an activity that combines a review of anatomy, surgical approaches and surgical techniques specific modern.


Mendoza is still home to III Update Course in Surgical Fixation and Members Exhibition.

This is an activity that combines a review of the anatomy of modern surgical approaches and surgical techniques specific directly applicable to the line of Smith & Nephew trauma.

Using theoretical presentations, the dissection of anatomical specimens and conducting workshops on cadavers, course attendees will receive an update on the latest techniques of treatment of Orthopaedic Trauma.

The course is being conducted in the cadaver lab operating in the Central Hospital. It is the only surgical training bodies fresh in the region of Cuyo.

activity began Thursday and continues through Saturday. For information and registration, contact the 011 4765 5409 or 5028 011 1238.


Meeting arthroscopy orthopedic surgeons and specialists in


September 24 at 14 will start in the Central Hospital of the Interior Scientific Meeting of the Country of the Association of Argentina Sports Traumatology and Arthroscopy Association

Argentina will include topics such as:



• Patología fémoro-patelar:  abordaje semiológico y diagnóstico por imágenes - Dr. Matías Roby



• Reconstrucción plástica ligamentaria LCA: cómo lo hago paso a paso - Dr. Guillermo Sagasta



• Rodilla multi-ligamentaria: cómo la manejo - Dr. Jorge Santander 



• Presentación y discusión de casos problema 



• Tendinopatías: presente y futuro - Dr. Federico Torrengo

• Evaluation and prognostic factors for arthroscopic Bankart repair: the score ISIS - Dr. Matias Villalba

• redislocation plastic post: how to resolve it - Dr. Maximilian Ranalletta




Source: MDZOL

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Physiotherapy century? Where are we going? An intelligent prosthesis

just 4 days shy of TWO years my blog, I will quote in 3rd person to publication that left me red hands worthy of applause because this time I decided to move a debate initiated by another blogger on one of the most amazing blogs that have been lucky to read, either by their subject matter, and if the content; qualities that make this a blog first. A no nail biting or grabbing the head of course tell you who I mean and leave the appropriate appointment for you for a ride out there, obvious and clear is: not neglect my blog! .

The blog is called "RHB" and its author in his entry útltima a problem that probably everyone at some point we pass through the head, but ... who threw the first stone in this regard? you? the? I? ... yyy we were hiding ... rescued so much the courage of its author.

He raises the problems outlined in a question with a myriad of responses: Why are there so many methods, concepts, theories and techniques in physiotherapy? Following this "question" develops the theme, which I will try to explain with my words because the "copy and paste" any publication and does not my essence.

When you're a student and is paying for materials to be received untold numbers teach us about methods, techniques, theories etc. Bobath either for the neurological, Cyrax, Kabat among many others. One study them as a good student, but at some point we say, because so many? where applied in truth? how efficient are our patients? few quality studies and research have gone to become a guideline to follow? .. I? I think there are many questions that would fill the post, and not blame them if they believed that these words were written by the Riddler (Batman) and not by me. Our fellow blogger

presents us with this, if these techniques most renowned and prestigious they are, how many of them have passed the checks and requirements for having the originality and quality in other things of everyday life we \u200b\u200boften see?. For example: I go to the supermarket and buy a box of Kellogs brand cereals ( hopefully the company I pay for the goat ), this insurance product has gone through many scientific studies to reach the necessary quality to a mass consumption does that same, we see in our techniques and study methods? yeah right, yes. mmmmm.

Not to mention of course not? It would seem that it was serious and well regarded, they have to be expensive, famous, famous used by physiotherapists, which has published, having a seal of the odd school in their posters for approval and will last a long time. Again raises the question .... Do these courses passed the necessary studies as did the cereal box?

Okay, sure many will wonder ... What do you have to do a cereal box with methods and courses in physiotherapy? but .. what is understood about it?. I am not a doctrinaire
of physiotherapy to be the reason my word gala dress, but I think more than one will be with the same doubt and uncertainty when reading this as well as a few days ago I was reading the publication our neighbor. That

washing hands and be a Pilate quoting others and not to give any opinion sympathizes so I think that today we, the twenty-first century physiotherapy and student call you and call you kinesiologist junior and physio call you with years of experience or a degree in Kinesiology , no matter nomenclature or as the vocabulary of vulgar street ... no matter what race, religion or color; ALL but ALL must fight for a better, more scientific, with more quality.

With this I am not saying that cling to Kabat, Bobath and many more and make them a roll of paper and throw them into oblivion completely refounding, NO! just have to see which is better, more efficient, which have gone through worthy scientific studies attesting to the same and so found a twenty-first century Physiotherapy for clear, precise, and with many more charitable our patients, that after all, are the main victims of our mistakes and benefit from our strengths. Which way would you choose for your patient? ...

Where Can I Watch Operation Repo Free

Each day that passes the prosthetic elements found in the technology's best ally, with one end ... welfare and quality of human life. Most say no? On this Monday morning I bring you a publication of the newspaper Clarín , which says the creation of a bionic arm that moves the mind, and feel. If yes sir ... is not fiction or video game like it is the reality and welcome is that this happens, I think 5 years from now we'll be talking about prosthetic and orthotic equipment very seriously and with excellent performance. I leave the transcript of the note and the corresponding appointment.

"It so easy that there is nothing to explain. " That said, a young Christian Kandlbauer who lost both arms in an accident, of his new prosthesis. And although the definition may seem scarce and needed to understand how it works, it is uniquely placed to understand the perfection of this new bionic arm. Is that this is how humans act, without explanation or awareness of what muscles you use when they want to make a move. Just do it.

One of the main innovations is that bionic arm is coupled to an artificial hand . "They have built a microsensor in the index finger of the hand prosthetic record temperature, grip strength and nature of the object's surface has been taken, "he told Clarin Hubert Egger, director of the" Arm with mind control, "the company Otto Bock.

whole project was developed by the German firm specializing in the creation of prosthetic-founded by Otto Bock, creator of prostheses from the time of the First World War, which also received the collaboration of specialists at the Rehabilitation Institute of Chicago and Vienna General Hospital. According to Egger, the prosthesis moves "with the mind, moving it only is in its report, the phantom arm. It is thought that they acknowledge this as a will and carries out. "

The key to this new arm is the technique of targeted muscle reinnervation, also known as TMR (English abbreviation of "Targeted Muscle reinnervation). This process uses the motor nerves are still present in the patient's stump, and the piece uses to interpret the order given by a person's brain. This is perhaps one of the most mysterious aspects of this type of prosthesis, it has not yet been accurately identified the extent of the brain stimulation.

electrical nerve impulses that the brain sends processed and powerful microcontrollers in the prosthesis transmitted in near real time the motor commands of impulses . This is how to generate equivalent orders of prosthetic joints.

"In the prosthesis is a 'minicomputer' by analyzing the current 500 million operations per second and transmits the movement which the patient imagines himself in the brain almost simultaneously, in less than 80 milliseconds. "In all three planes can be controlled with a prosthesis joint mental control: open and close the hand, rotate the wrist in supination and pronation, flex and extend elbow. As movements of these planes of joints can be carried out simultaneously, it is possible to intuitively rapid movement patterns and selective, "said Egger.

The official launch of this new model was in May 2010 in Leipzig. There, he showed how Christian Kandlbauer the first artificial mind control for everyday use. Before the official launch, scientists from the company Otto Bock had to reduce the weight of the prosthesis: the first prototype weighed 6 kilos and this final version weighs 2.5.

however, is still in a testing phase.

is not known exactly how took it, but usually manage budgets exceeding 50 million dollars for its development. According to Hans Dietl, chairman of the Board of Directors of Otto Bock, could begin to be sold within 4 years, when finished tune some details. The prototype was made specifically for Christian Kandlbauer and trials are still missing so you can use anyone.

Meanwhile, the innovations continue: "We have already successfully tested a prosthetics laboratory with seven joints," says Egger. "In addition to the motor fibers may be used sensory nerve fibers led back. This will allow the development of sensitive prosthetic hand capable of feeling as real. "

"I have the same ability"

All Kandlbauer Christian reminiscent of the accident in which he lost both his arms after receiving an electric shock of 20 thousand volts is when a psychologist told what had happened. "I did the world over," he recalls. But now he lives a different reality: "I have almost the same ability and independence it had before the accident," he says in his chat. It also gives a hopeful message: "At first I was not going through my head after the amputation of both arms would be able to return to work or drive a car. " And the prosthesis is so perfect, she says, most people do not even notice. "Not seen. Anyway, I learned to accept myself as I am, which is very important, "says this young Austrian today.

Source: Diario Clarin Argentina

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urinary incontinence and pelvic floor exercises

If any of you thought that physiotherapy can only be ordered and take precedence in areas of medicine such as cardiovascular, respiratory, neurological or trauma, then let me say that is very wrong, of course I have to refute something to prove, so I decide to hold the next entry on how we can have some impact and role in urological conditions. My readers right?? I hope so, they are 10! or as my neighbor when I ask how are you? I always answer "I kid 10 to 20."

Urinary incontinence is the presence of involuntary leakage of urine, which may be due to many factors, either by diseases that carries or certain physiological states that have at that time.

There are countless types of urinary incontinence, I just name some:

• Female Stress Incontinence: is the case of pregnant women by weak sphincter, here intravesical pressure exceeds urethral if ( coughing, straining, sneezing) and giving himself such involuntary leakage. It goes without pelvic floor weakness related to cystocele, rectocele or uterine prolapse.
• incontinence or urgency Hyperactivity: Given by involuntary contractions of "detrusor (muscle responsible for emptying the bladder) and gives the" triad-frequency-urgency incontinence " . The frequency is found in more than 8 voids per day.
• Male Stress Incontinence: Very weird ... only occurs in iatrogenic sphincter injuries.
• Overflow or paradoxical This occurs in people who have urinary retention in 3rd age persons is rare.
• extraanatomic Incontinence: is due to Ectopic ureters or bladder fistulae (not to complicate it a lot, are like species provoking such malformations incontinence). S

pelvic floor dysfunctions, such as urinary incontinence, are often hidden health problems that impair quality of life, limit the autonomy and psychosocial impact on the environment, labor, emotional and sexual increased use of healthcare resources and family, leading a large economic cost. Epidemiological data confirm that this condition is becoming a real public health problem.

Increased life expectancy of the population and maintaining a high state of health is causing a growing demand attention health in developed countries. It is estimated that one of the three most common pelvic floor disorders, urinary incontinence, fecal incontinence and pelvic organ prolapse can affect up to one third of adult women. However some problems are addressed from primary care because it asks little about them, no etiological diagnosis can be offered only palliative measures (pad) also are not usually the reason for visiting rehabilitation services. For these reasons it is worth noting the physical therapy care in the field of pelvic floor rehabilitation, their diseases and dysfunctions, working methodology and techniques which includes physiotherapy treatment.

The techniques applied in the treatment of incontinence are:

1. hyperlordosis Correction if any
2. diaphragmatic unlocking if you have
Calendar
4. urinary bladder
5. Training Techniques kegel
6. Gymnastics abdominal and pelvic
7. Pharmacotherapy under medical supervision
Biofeedback
by external behavioral therapies
10. technique exercises on Gay-Laroche

Well some videos, which can serve as a practical guide to the theory developed. There is talk of a Doctor, fairly widespread but believe me it is worth it because it explains very well and thoroughly. I apologize to the English-speaking ... is in English.

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[TRM] Dream Card Contest III.

(Fuente: Comunidad TRM)

already here, and was the result of the third contest invented letters, with their top 3 winners. Some complained in the comments of the anonymous and should not have and so on. Well, considering that the competition has no prize, it seems completely absurd that someone voted anonymous target itself thousand times. But come on, absurd nonsense. If somebody would do it by luck, but considering that almost here and everybody knows everybody and rule card makers often have something called "Honor Geek", it seems quite unnecessary to delete any voting or things to be anonymous the style. (And who does not want to vote because they do not vote here does not force anyone to participate, this is for fun).


And then the winners of this third edition are:

TRIPLE TIE IN THE FIRST PLACE! (LOL I've missed to finish counting the votes)
- Wintern: 14 Points
- Javier Mateo: 14 Points
- Flarens: 14 Points

SECOND PLACE:

- Ezekiel: 9 Points

THIRD PLACE:

- Djinn: 8 Points


Give my congratulations to the winners, so reñidísimo contest, which have won 250 XP to spend on skills of creativity and ingenuity, or luck to get 1 point or 1 point in intelligence permanent).

Thanks again to everyone s to participate and have fun!


-NTK-