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118-512: Wooloo ( / ˈ w uː l uː / ; Japanese : ウールー , Hepburn : Ūrū ) is a Pokémon species in Nintendo and Game Freak 's Pokémon media franchise . First introduced in the video games Pokémon Sword and Shield , they were inspired by the large amount of sheep native to Britain , the location on which Sword and Shield ' s Galar region is based. Since their initial appearance they have appeared in both Pokémon GO and

236-427: A cervical collar may be placed if there is suspicion of trauma to the neck. Evaluation of blunt trauma to the head continues with the secondary survey for evidence of cranial trauma, including bruises, contusions, lacerations, and abrasions. In addition to noting external injury, a comprehensive neurologic exam is typically performed to assess for damage to the brain. Depending on the mechanism of injury and examination,

354-441: A hemicraniectomy , in which part of the skull is removed. Injury to extremities (like arms, legs, hands, feet) is extremely common. Falls are the most common etiology , making up as much as 30% of upper and 60% of lower extremity injuries. The most common mechanism for solely upper extremity injuries is machine operation or tool use. Work-related accidents and vehicle crashes are also common causes. The injured extremity

472-770: A pulse oximeter . The goal is to maintain greater than 90% oxygen saturation in the blood. If the patient cannot maintain appropriate blood oxygen levels on their own, mechanical ventilation may be indicated. Mechanical ventilation will add oxygen and remove carbon dioxide in the blood. It is also critically important to avoid low blood pressure in the setting of traumatic brain injuries . Studies have demonstrated improved outcomes in patients with systolic blood pressure greater than or equal to 120mmHg. Lastly, healthcare professionals should conduct consecutive neurological examinations to allow for early identification of elevated intracranial pressure and subsequent implementation of interventions to improve blood flow and reduce stress to

590-412: A CT scan of the skull and brain may be ordered. This is typically done to assess for blood within the skull or fracture of the skull bones . Traumatic brain injury (TBI) is a significant cause of morbidity and mortality and is most commonly caused by falls, motor vehicle crashes, sports- and work-related injuries, and assaults. It is the most common cause of death in patients under the age of 25. TBI

708-624: A benefit from the in-group to the out-group) means "[I/we] explained [it] to [him/her/them]". Such beneficiary auxiliary verbs thus serve a function comparable to that of pronouns and prepositions in Indo-European languages to indicate the actor and the recipient of an action. Japanese "pronouns" also function differently from most modern Indo-European pronouns (and more like nouns) in that they can take modifiers as any other noun may. For instance, one does not say in English: The amazed he ran down

826-622: A blunt chest injury will likely undergo a focused assessment with sonography for trauma ( FAST ) which can reliably detect a significant amount of blood around the heart or in the lung by using a special machine that visualizes sound waves sent through the body. Only 10–15% of thoracic traumas require surgery, but they can have serious impacts on the heart , lungs , and great vessels . The most immediate life-threatening injuries that may occur include tension pneumothorax , open pneumothorax, hemothorax , flail chest , cardiac tamponade , and airway obstruction/rupture . The injuries may necessitate

944-589: A complex system of honorifics , with verb forms and vocabulary to indicate the relative status of the speaker, the listener, and persons mentioned. The Japanese writing system combines Chinese characters , known as kanji ( 漢字 , ' Han characters') , with two unique syllabaries (or moraic scripts) derived by the Japanese from the more complex Chinese characters: hiragana ( ひらがな or 平仮名 , 'simple characters') and katakana ( カタカナ or 片仮名 , 'partial characters'). Latin script ( rōmaji ローマ字 )

1062-414: A distinct language of its own that has absorbed various aspects from neighboring languages. Japanese has five vowels, and vowel length is phonemic, with each having both a short and a long version. Elongated vowels are usually denoted with a line over the vowel (a macron ) in rōmaji , a repeated vowel character in hiragana , or a chōonpu succeeding the vowel in katakana . /u/ ( listen )

1180-485: A fist or a bat in an assault), acceleration or deceleration (such as that from a rear-end automotive crash), shear force (a combination of acceleration and deceleration), compression (such as a heavy object falling on a person), and blasts (such as an explosion of some sort). Common signs and symptoms include something as simple as bruising , but occasionally as complicated as hypoxia , ventilation-perfusion mismatch , hypovolemia , and reduced cardiac output due to

1298-419: A glide /j/ and either the first part of a geminate consonant ( っ / ッ , represented as Q) or a moraic nasal in the coda ( ん / ン , represented as N). The nasal is sensitive to its phonetic environment and assimilates to the following phoneme, with pronunciations including [ɴ, m, n, ɲ, ŋ, ɰ̃] . Onset-glide clusters only occur at the start of syllables but clusters across syllables are allowed as long as

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1416-479: A listener depending on the listener's relative social position and the degree of familiarity between the speaker and the listener. When used in different social relationships, the same word may have positive (intimate or respectful) or negative (distant or disrespectful) connotations. Japanese often use titles of the person referred to where pronouns would be used in English. For example, when speaking to one's teacher, it

1534-444: A procedure, most commonly the insertion of an intercostal drain , or chest tube. This tube is typically installed because it helps restore a certain balance in pressures (usually due to misplaced air or surrounding blood) that are impeding the lungs' ability to inflate and thus exchange vital gases that allow the body to function. A less common procedure that may be employed is a pericardiocentesis , which, by removing blood surrounding

1652-415: A punch, or compression against a non-yielding object such as a seat belt or steering column. This force may deform a hollow organ, increasing its intraluminal or internal pressure and possibly leading to rupture. Deceleration, on the other hand, causes stretching and shearing at the points where mobile contents in the abdomen , like the bowel , are anchored. This can cause tearing of the mesentery of

1770-408: A sentence need not be stated and pronouns may be omitted if they can be inferred from context. In the example above, hana ga nagai would mean "[their] noses are long", while nagai by itself would mean "[they] are long." A single verb can be a complete sentence: Yatta! ( やった! ) "[I / we / they / etc] did [it]!". In addition, since adjectives can form the predicate in a Japanese sentence (below),

1888-587: A sheep" were correct, he argued their recognizability served as an example of the strengths of character design in the Pokémon franchise. Examining their design and the reasons behind their popularity, Michael McWhertor of Polygon described Wooloo as "perfect in every way", attributing their appeal in part to their round shape but also their innate friendliness, two aspects he noted that people would naturally enjoy. Paste writers Kevin Slackie and Moises Taveras called it

2006-564: A sign future games would provide further multilayered partners, "true Pokémon friends, resonant of our actual emotions, that Trainers worldwide will fall in love with". Japanese language Japanese ( 日本語 , Nihongo , [ɲihoŋɡo] ) is the principal language of the Japonic language family spoken by the Japanese people . It has around 123 million speakers, primarily in Japan ,

2124-428: A single adjective can be a complete sentence: Urayamashii! ( 羨ましい! ) "[I'm] jealous [about it]!". While the language has some words that are typically translated as pronouns, these are not used as frequently as pronouns in some Indo-European languages, and function differently. In some cases, Japanese relies on special verb forms and auxiliary verbs to indicate the direction of benefit of an action: "down" to indicate

2242-462: A stronger Pokémon species, Dubwool . First introduced in the 2019 video games Pokémon Sword and Shield , Wooloo appear in multiple locations, some as wild Pokémon for the player to capture, but also occasionally acting as a roadblock to temporarily prevent the player from certain paths. In addition, the game's "rival" character, Hop, will challenge the player with his pet Wooloo from time to time, while early game boss Gym Leader Milo will require

2360-481: A traumatic injury is highly variable and depends upon the specific intracranial injuries that occur. However, there is a significant correlation between the severity of the initial insult as well as the level of neurologic function during the initial assessment and the level of lasting neurologic deficits. Initial treatment may be targeted at reducing the intracranial pressure if there is concern for swelling or bleeding within this skull. This may require surgery, such as

2478-453: A wide range of injuries including contusions , concussions , abrasions , lacerations , internal or external hemorrhages , and bone fractures . The severity of these injuries depends on factors such as the force of the impact, the area of the body affected, and the underlying comorbidities of the affected individual. In some cases, blunt force trauma can be life-threatening and may require immediate medical attention. Blunt trauma to

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2596-624: Is compressed rather than protruded , or simply unrounded. Some Japanese consonants have several allophones , which may give the impression of a larger inventory of sounds. However, some of these allophones have since become phonemic. For example, in the Japanese language up to and including the first half of the 20th century, the phonemic sequence /ti/ was palatalized and realized phonetically as [tɕi] , approximately chi ( listen ) ; however, now [ti] and [tɕi] are distinct, as evidenced by words like tī [tiː] "Western-style tea" and chii [tɕii] "social status". The "r" of

2714-430: Is "yes", an injured extremity index or ankle-brachial index may be used to help guide whether further evaluation with computed tomography arteriography . This uses a special scanner and a substance that makes it easier to examine the vessels in finer detail than what the human hand can feel or the human eye can see. Soft tissue damage can lead to rhabdomyolysis (a rapid breakdown of injured muscle that can overwhelm

2832-481: Is a serious concern due to its tremendous infectious potential. In these cases, it is essential to perform exploratory surgery to assess the internal damage, drain infected fluid in the abdomen, and clean the wound with saline. Prophylactic antibiotics are often necessary. In the case of multiple holes or significant damage to the blood supply of the intestines , the affected segment of tissue may need to be removed entirely. The treatment of blunt cranial trauma

2950-445: Is also seen in o-medetō "congratulations", from medetaku ). Late Middle Japanese has the first loanwords from European languages – now-common words borrowed into Japanese in this period include pan ("bread") and tabako ("tobacco", now "cigarette"), both from Portuguese . Modern Japanese is considered to begin with the Edo period (which spanned from 1603 to 1867). Since Old Japanese,

3068-519: Is also used in a limited fashion (such as for imported acronyms) in Japanese writing. The numeral system uses mostly Arabic numerals , but also traditional Chinese numerals . Proto-Japonic , the common ancestor of the Japanese and Ryukyuan languages , is thought to have been brought to Japan by settlers coming from the Korean peninsula sometime in the early- to mid-4th century BC (the Yayoi period ), replacing

3186-643: Is an agglutinative , mora -timed language with relatively simple phonotactics , a pure vowel system, phonemic vowel and consonant length, and a lexically significant pitch-accent . Word order is normally subject–object–verb with particles marking the grammatical function of words, and sentence structure is topic–comment . Sentence-final particles are used to add emotional or emphatic impact, or form questions. Nouns have no grammatical number or gender , and there are no articles . Verbs are conjugated , primarily for tense and voice , but not person . Japanese adjectives are also conjugated. Japanese has

3304-440: Is appropriate to use sensei ( 先生 , "teacher"), but inappropriate to use anata . This is because anata is used to refer to people of equal or lower status, and one's teacher has higher status. Japanese nouns have no grammatical number, gender or article aspect. The noun hon ( 本 ) may refer to a single book or several books; hito ( 人 ) can mean "person" or "people", and ki ( 木 ) can be "tree" or "trees". Where number

3422-635: Is associated with comedy (see Kansai dialect ). Dialects of Tōhoku and North Kantō are associated with typical farmers. The Ryūkyūan languages, spoken in Okinawa and the Amami Islands (administratively part of Kagoshima ), are distinct enough to be considered a separate branch of the Japonic family; not only is each language unintelligible to Japanese speakers, but most are unintelligible to those who speak other Ryūkyūan languages. However, in contrast to linguists, many ordinary Japanese people tend to consider

3540-462: Is better documentation of Late Middle Japanese phonology than for previous forms (for instance, the Arte da Lingoa de Iapam ). Among other sound changes, the sequence /au/ merges to /ɔː/ , in contrast with /oː/ ; /p/ is reintroduced from Chinese; and /we/ merges with /je/ . Some forms rather more familiar to Modern Japanese speakers begin to appear – the continuative ending - te begins to reduce onto

3658-437: Is concern for life-threatening bleeding, patients should receive an X-ray of the pelvis. Following initial treatment of the patient, fractures may need to be treated surgically if significant, while some minor fractures may heal without requiring surgery. A life-threatening concern is hemorrhage , which may result from damage to the aorta , iliac arteries, or veins in the pelvis. The majority of bleeding due to pelvic trauma

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3776-509: Is correlated with the sex of the speaker and the social situation in which they are spoken: men and women alike in a formal situation generally refer to themselves as watashi ( 私 , literally "private") or watakushi (also 私 , hyper-polite form), while men in rougher or intimate conversation are much more likely to use the word ore ( 俺 "oneself", "myself") or boku . Similarly, different words such as anata , kimi , and omae ( お前 , more formally 御前 "the one before me") may refer to

3894-421: Is dependent on the extent of the injury. A discussion between the patient and healthcare professionals will take place in order to carefully assess the patient's condition and determine the best approach for treatment. When considering the management of cranial trauma, it is crucial to ensure that the patient can breathe effectively. Effective breathing can be monitored using the patient's blood oxygen content via

4012-559: Is due to injury to the veins. Fluid (often blood) may be detected in the pelvis via ultrasound during the FAST scan that is often performed following traumatic injuries. Should a patient appear hemodynamically unstable in the absence of obvious blood on the FAST scan, there may be concern for bleeding into the retroperitoneal space , known as retroperitoneal hematoma . Stopping the bleeding may require endovascular intervention or surgery, depending on

4130-407: Is examined for four major functional components which include soft tissues , nerves , vessels , and bones . Vessels are examined for expanding hematoma , bruit , distal pulse exam, and signs/symptoms of ischemia , essentially asking, "Does blood seem to be getting through the injured area in a way that enough is getting to the parts past the injury?" When it is not obvious that the answer

4248-457: Is graded from mild to severe, with greater severity correlating with increased morbidity and mortality. Most patients with more severe traumatic brain injury have a combination of intracranial injuries, which can include diffuse axonal injury , cerebral contusions , and intracranial bleeding, including subarachnoid hemorrhage , subdural hematoma , epidural hematoma , and intraparenchymal hemorrhage . The recovery of brain function following

4366-417: Is important, it can be indicated by providing a quantity (often with a counter word ) or (rarely) by adding a suffix, or sometimes by duplication (e.g. 人人 , hitobito , usually written with an iteration mark as 人々 ). Words for people are usually understood as singular. Thus Tanaka-san usually means Mx Tanaka . Words that refer to people and animals can be made to indicate a group of individuals through

4484-548: Is known of the language's prehistory, or when it first appeared in Japan. Chinese documents from the 3rd century AD recorded a few Japanese words, but substantial Old Japanese texts did not appear until the 8th century. From the Heian period (794–1185), extensive waves of Sino-Japanese vocabulary entered the language, affecting the phonology of Early Middle Japanese . Late Middle Japanese (1185–1600) saw extensive grammatical changes and

4602-722: Is less common. In terms of mutual intelligibility , a survey in 1967 found that the four most unintelligible dialects (excluding Ryūkyūan languages and Tōhoku dialects ) to students from Greater Tokyo were the Kiso dialect (in the deep mountains of Nagano Prefecture ), the Himi dialect (in Toyama Prefecture ), the Kagoshima dialect and the Maniwa dialect (in Okayama Prefecture ). The survey

4720-420: Is often called a topic-prominent language , which means it has a strong tendency to indicate the topic separately from the subject, and that the two do not always coincide. The sentence Zō wa hana ga nagai ( 象は鼻が長い ) literally means, "As for elephant(s), (the) nose(s) (is/are) long". The topic is zō "elephant", and the subject is hana "nose". Japanese grammar tends toward brevity; the subject or object of

4838-489: Is preserved in words such as matsuge ("eyelash", lit. "hair of the eye"); modern mieru ("to be visible") and kikoeru ("to be audible") retain a mediopassive suffix - yu(ru) ( kikoyu → kikoyuru (the attributive form, which slowly replaced the plain form starting in the late Heian period) → kikoeru (all verbs with the shimo-nidan conjugation pattern underwent this same shift in Early Modern Japanese )); and

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4956-433: Is significant enough to require evaluation by a healthcare provider, treatment is typically aimed at treating life-threatening injuries, such as maintaining the patient's airway and preventing ongoing blood loss . Patients who have suffered blunt trauma and meet specific triage criteria have shown improved outcomes when they are cared for in a trauma center . The management of patients with blunt force trauma necessitates

5074-471: Is sometimes given the mnemonic " SAMPLE ". The amount of time spent on diagnosis should be minimized and expedited by a combination of clinical assessment and appropriate use of technology, such as diagnostic peritoneal lavage (DPL), or bedside ultrasound examination (FAST) before proceeding to laparotomy if required. If time and the patient's stability permit, a CT examination may be carried out if available. Its advantages include superior definition of

5192-526: Is suspected, emergency medical services personnel may place a pelvic binder on patients to stabilize the patient's pelvis and prevent further damage to these structures while patients are transported to a hospital. During the evaluation of trauma patients in an emergency department, the stability of the pelvis is typically assessed by the healthcare provider to determine whether a fracture may have occurred. Providers may then decide to order imaging such as an X-ray or CT scan to detect fractures; however, if there

5310-402: Is the version of Japanese discussed in this article. Formerly, standard Japanese in writing ( 文語 , bungo , "literary language") was different from colloquial language ( 口語 , kōgo ) . The two systems have different rules of grammar and some variance in vocabulary. Bungo was the main method of writing Japanese until about 1900; since then kōgo gradually extended its influence and

5428-474: Is to complete the Pokédex , a comprehensive Pokémon encyclopedia, by capturing, evolving, and trading with other Trainers to obtain individuals from all Pokémon species. When developing Pokémon Sword and Shield , the development team researched what creatures were native to Britain, the real world location upon which Sword and Shield ' s Galar location is based on. Discovering the large amount of sheep in

5546-471: Is used for the present and the future. For verbs that represent an ongoing process, the -te iru form indicates a continuous (or progressive) aspect , similar to the suffix ing in English. For others that represent a change of state, the -te iru form indicates a perfect aspect. For example, kite iru means "They have come (and are still here)", but tabete iru means "They are eating". Questions (both with an interrogative pronoun and yes/no questions) have

5664-405: Is why some linguists do not classify Japanese "pronouns" as pronouns, but rather as referential nouns, much like Spanish usted (contracted from vuestra merced , "your ( majestic plural ) grace") or Portuguese você (from vossa mercê ). Japanese personal pronouns are generally used only in situations requiring special emphasis as to who is doing what to whom. The choice of words used as pronouns

5782-472: The Pokémon Trading Card Game , as well as various merchandise related to the franchise. In addition, they appear in manga and anime adaptations of the Pokémon franchise, with their appearances in the latter being voiced by Rikako Aikawa in Japanese, and Erica Mendez in English. Classified as a Normal-type Pokémon, Wooloo appears as a short, round sheep with white wool that is used heavily in

5900-495: The Heimlich maneuver , attempts at CPR and manual thrusts to clear an airway . Although these are rare examples, it has been suggested that they are caused by applying excessive pressure when performing these life-saving techniques. Finally, the occurrence of splenic rupture with mild blunt abdominal trauma in those recovering from infectious mononucleosis or 'mono' (also known as 'glandular fever' in non-U.S. countries, specifically

6018-505: The Japonic language family, which also includes the Ryukyuan languages spoken in the Ryukyu Islands . As these closely related languages are commonly treated as dialects of the same language, Japanese is sometimes called a language isolate . According to Martine Irma Robbeets , Japanese has been subject to more attempts to show its relation to other languages than any other language in

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6136-504: The Philippines , and various Pacific islands, locals in those countries learned Japanese as the language of the empire. As a result, many elderly people in these countries can still speak Japanese. Japanese emigrant communities (the largest of which are to be found in Brazil , with 1.4 million to 1.5 million Japanese immigrants and descendants, according to Brazilian IBGE data, more than

6254-716: The United States (notably in Hawaii , where 16.7% of the population has Japanese ancestry, and California ), and the Philippines (particularly in Davao Region and the Province of Laguna ). Japanese has no official status in Japan, but is the de facto national language of the country. There is a form of the language considered standard : hyōjungo ( 標準語 ) , meaning "standard Japanese", or kyōtsūgo ( 共通語 ) , "common language", or even "Tokyo dialect" at times. The meanings of

6372-516: The axillary , radial , and median nerves in the upper extremity as well as the femoral , sciatic , deep peroneal , and tibial nerves in the lower extremity . Depending on the extent of injury and involved structures, surgical treatment may be necessary, but many are managed nonoperatively. The most common causes of blunt pelvic trauma are motor vehicle crashes and multiple-story falls, and thus pelvic injuries are commonly associated with additional traumatic injuries in other locations. In

6490-794: The de facto standard Japanese had been the Kansai dialect , especially that of Kyoto . However, during the Edo period, Edo (now Tokyo) developed into the largest city in Japan, and the Edo-area dialect became standard Japanese. Since the end of Japan's self-imposed isolation in 1853, the flow of loanwords from European languages has increased significantly. The period since 1945 has seen many words borrowed from other languages—such as German, Portuguese and English. Many English loan words especially relate to technology—for example, pasokon (short for "personal computer"), intānetto ("internet"), and kamera ("camera"). Due to

6608-417: The kidneys ) or may potentially develop compartment syndrome (when pressure builds up in muscle compartments damages the nerves and vessels in the same compartment). Bones are evaluated with plain film X-ray or computed tomography if deformity (misshapen), bruising, or joint laxity (looser or more flexible than usual) are observed. Neurologic evaluation involves testing the major nerve functions of

6726-405: The "immediate 'Wooloo is our baby' vibe" amongst its users. Wooloo placed second on it, right behind series mascot Pikachu . IGN ' s Janet Garcia called them the cutest Pokémon from Sword and Shield , stating, "I don’t know if there’s such a thing as a perfect Pokémon but this might be it," adding that while she acknowledged they could easily be disregarded as just sheep, she disregarded

6844-518: The 1.2 million of the United States ) sometimes employ Japanese as their primary language. Approximately 12% of Hawaii residents speak Japanese, with an estimated 12.6% of the population of Japanese ancestry in 2008. Japanese emigrants can also be found in Peru , Argentina , Australia (especially in the eastern states), Canada (especially in Vancouver , where 1.4% of the population has Japanese ancestry),

6962-476: The Galar region. Their woolly body also protects them from bodily harm, causing them to bounce instead. Naturally anxious, instead of walking or running they tend to roll forwards and backwards. Once they have acquired enough experience, they can evolve into a stronger form, Dubwool . Upon reveal, Wooloo became extremely popular, with a multitude of Internet memes and fan art following suit, and has been described as

7080-482: The Japanese language is of particular interest, ranging between an apical central tap and a lateral approximant . The "g" is also notable; unless it starts a sentence, it may be pronounced [ ŋ ] , in the Kanto prestige dialect and in other eastern dialects. The phonotactics of Japanese are relatively simple. The syllable structure is (C)(G)V(C), that is, a core vowel surrounded by an optional onset consonant,

7198-724: The Old Japanese sections are written in Man'yōgana , which uses kanji for their phonetic as well as semantic values. Based on the Man'yōgana system, Old Japanese can be reconstructed as having 88 distinct morae . Texts written with Man'yōgana use two different sets of kanji for each of the morae now pronounced き (ki), ひ (hi), み (mi), け (ke), へ (he), め (me), こ (ko), そ (so), と (to), の (no), も (mo), よ (yo) and ろ (ro). (The Kojiki has 88, but all later texts have 87. The distinction between mo 1 and mo 2 apparently

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7316-488: The Ryūkyūan languages as dialects of Japanese. The imperial court also seems to have spoken an unusual variant of the Japanese of the time, most likely the spoken form of Classical Japanese , a writing style that was prevalent during the Heian period , but began to decline during the late Meiji period . The Ryūkyūan languages are classified by UNESCO as 'endangered', as young people mostly use Japanese and cannot understand

7434-446: The UK) is well reported. The supervised environment in which most sports injuries occur allows for mild deviations from the traditional trauma treatment algorithms, such as ATLS , due to the greater precision in identifying the mechanism of injury. The priority in assessing blunt trauma in sports injuries is separating contusions and musculo-tendinous injuries from injuries to solid organs and

7552-402: The ability to breathe properly on their own, encourages the excretion of pulmonary secretions, and decreases the aggravation of inflammation and low oxygen levels in the blood. Nonsteroidal anti-inflammatory drugs , opioids , or regional pain management methods, such as local anesthetic , can be used for pain control. Worldwide, a significant cause of disability and death in people under

7670-543: The addition of a collective suffix (a noun suffix that indicates a group), such as -tachi , but this is not a true plural: the meaning is closer to the English phrase "and company". A group described as Tanaka-san-tachi may include people not named Tanaka. Some Japanese nouns are effectively plural, such as hitobito "people" and wareware "we/us", while the word tomodachi "friend" is considered singular, although plural in form. Verbs are conjugated to show tenses, of which there are two: past and present (or non-past) which

7788-503: The best approach, tailored to the patient's specific condition and injury. Conservative measures such as maintaining a clear and open airway, oxygen support, tube thoracostomy , and volume resuscitation are often given to manage blunt thoracic trauma. Oftentimes, pain control is the most basic and effective treatment approach because the presence of severe pain may lead to impairment of proper breathing, further exacerbating impaired lungs. Pain management in thoracic trauma patients improves

7906-447: The body. Of note, patients taking anticoagulant or antiplatelet therapy during the time of blunt cranial trauma should undergo rapid reversal of anticoagulating agents. Nine out of ten patients with thoracic trauma can be treated effectively without a surgical operation . If surgery is indicated, there are numerous options available. A comprehensive discussion between the patient and the surgeon will take place to carefully evaluate

8024-469: The bowel and injury to the blood vessels that travel within the mesentery. Classic examples of these mechanisms are a hepatic tear along the ligamentum teres and injuries to the renal arteries . When blunt abdominal trauma is complicated by 'internal injury,' the liver and spleen (see blunt splenic trauma ) are most frequently involved, followed by the small intestine . In rare cases, this injury has been attributed to medical techniques such as

8142-428: The collaboration of an interpersonal healthcare team, which may include but is not limited to; a trauma surgeon , emergency department physician, anesthesiologist , and emergency and trauma nursing staff. In cases of blunt abdominal injury, the most frequent damage occurs in the small intestines , and in severe situations, this can result in small intestine perforation . Perforation of the small or large intestines

8260-445: The country, the team wanted to create a Pokémon based around it, though game director Shigeru Ohmori noted this was complicated by the existence of Mareep , a similar sheep-inspired Pokémon already present in the franchise. Standing 2 ft (60 cm) tall and classified as a "Normal" type species, Wooloo appears as a short, round sheep with white wool, and has a dark brown face with matching hooves. In addition, two dark brown horns poke from

8378-479: The criticism and enjoyed Wooloo's round body and braids. Hirun Cryer of VG247 noted that while it was one of the first Pokémon seen in the games, "it's a testament to Wooloo's loveable design that we're still infatuated with it even after having seen tons of other new creatures", attributing some of the appeal to how it moved by rolling instead of walking. Nadine Manske of Dot eSports stated similar sentiments, further adding that in comparison to previous titles in

8496-564: The effect of changing Japanese into a mora-timed language. Late Middle Japanese covers the years from 1185 to 1600, and is normally divided into two sections, roughly equivalent to the Kamakura period and the Muromachi period , respectively. The later forms of Late Middle Japanese are the first to be described by non-native sources, in this case the Jesuit and Franciscan missionaries; and thus there

8614-512: The episode "Buddy", it appears alongside Hop as the latter is watching his brother's Pokémon battle on television. While Hop gushes over his brother's dragon-like Charizard Pokémon, his Wooloo gets jealous and tries to imitate its fire breath and flight and fails quickly at both. Dejected, Wooloo runs away, and after trying in vain to fly again it crashes into Pokémon trainer Milo's field as he's tending to his own Wooloo. After Milo sends Wooloo back home, it reflects on Hop's affection towards it along

8732-423: The first appearance of European loanwords . The basis of the standard dialect moved from the Kansai region to the Edo region (modern Tokyo ) in the Early Modern Japanese period (early 17th century–mid 19th century). Following the end of Japan's self-imposed isolation in 1853, the flow of loanwords from European languages increased significantly, and words from English roots have proliferated. Japanese

8850-578: The franchise's long development as a whole. Wooloo is a species of fictional creatures called Pokémon created for the Pokémon media franchise. Developed by Game Freak and published by Nintendo , the Japanese franchise began in 1996 with the video games Pokémon Red and Green for the Game Boy , which were later released in North America as Pokémon Red and Blue in 1998. In these games and their sequels,

8968-558: The franchise, "being met with a herd of fluffy sheep is a memorable way of starting off the generation eight games." Patricia Hernandez in an article for Polygon stated that while she recognized the species' popularity, it wasn't until the Twilight Wings episode that she felt the same appeal, feeling it humanized Wooloo while drawing comparisons to fellow Pokémon Mimikyu 's characterization. And while Tim Rogers of Kotaku acknowledged that people criticizing Wooloo as "literally just

9086-609: The genitive particle ga remains in intentionally archaic speech. Early Middle Japanese is the Japanese of the Heian period , from 794 to 1185. It formed the basis for the literary standard of Classical Japanese , which remained in common use until the early 20th century. During this time, Japanese underwent numerous phonological developments, in many cases instigated by an influx of Chinese loanwords . These included phonemic length distinction for both consonants and vowels , palatal consonants (e.g. kya ) and labial consonant clusters (e.g. kwa ), and closed syllables . This had

9204-533: The gut. It is also crucial to recognize the potential for developing blood loss and to react accordingly. Blunt injuries to the kidney from helmets, shoulder pads, and knees are described in American football, association football, martial arts, and all-terrain vehicle crashes. The term blunt thoracic trauma, or, more informally, blunt chest injury , encompasses a variety of injuries to the chest . Broadly, this also includes damage caused by direct blunt force (such as

9322-513: The head and/or severe blood loss are the most likely causes of death due to blunt force traumatic injury. Blunt abdominal trauma (BAT) represents 75% of all blunt trauma and is the most common example of this injury. Seventy-five percent of BAT occurs in motor vehicle crashes, in which rapid deceleration may propel the driver into the steering wheel , dashboard , or seatbelt, causing contusions in less serious cases, or rupture of internal organs from briefly increased intraluminal pressure in

9440-407: The heart, permits the heart to regain some ability to appropriately pump blood. In certain dire circumstances an emergent thoracotomy may be employed. The primary clinical concern with blunt trauma to the head is damage to the brain, although other structures, including the skull, face, orbits , and neck are also at risk. Following assessment of the patient's airway, circulation, and breathing,

9558-505: The initial assessment. These algorithms take into account the mechanism of injury, physical examination , and patient's vital signs to determine whether patients should have imaging or proceed directly to surgery. In 2011, criteria were defined that might allow patients with blunt abdominal trauma to be discharged safely without further evaluation. The characteristics of such patients include: To be considered low-risk, patients would need to meet all low-risk criteria. When blunt trauma

9676-664: The initial evaluation and stabilization of traumatic injury follows the same general principles of identifying and treating immediately life-threatening injuries. In the US, the American College of Surgeons publishes the Advanced Trauma Life Support guidelines, which provide a step-by-step approach to the initial assessment, stabilization, diagnostic reasoning, and treatment of traumatic injuries that codifies this general principle. The assessment typically begins by ensuring that

9794-480: The injury, leading to grading of the injury and sometimes the confidence to avoid or postpone surgery. Its disadvantages include the time taken to acquire images, although this gets shorter with each generation of scanners, and the removal of the patient from the immediate view of the emergency or surgical staff. Many providers use the aid of an algorithm such as the ATLS guidelines to determine which images to obtain following

9912-503: The issue with player perception towards Normal-type Pokémon in the context of the games: while some were loved for how they appeared, the typing was often seen as unremarkable and overshadowed by the implications and appeal of the others. Discussing newer Pokémon in comparison to earlier generations, Fanbyte ' s Dylan Bishop argued that some like Wooloo were designed with a different goal in mind, intended to connect to players on an emotional level. In particular, he felt Wooloo's anxiety

10030-453: The languages of the original Jōmon inhabitants, including the ancestor of the modern Ainu language . Because writing had yet to be introduced from China, there is no direct evidence, and anything that can be discerned about this period must be based on internal reconstruction from Old Japanese , or comparison with the Ryukyuan languages and Japanese dialects . The Chinese writing system

10148-449: The languages. Okinawan Japanese is a variant of Standard Japanese influenced by the Ryūkyūan languages, and is the primary dialect spoken among young people in the Ryukyu Islands . Modern Japanese has become prevalent nationwide (including the Ryūkyū islands) due to education , mass media , and an increase in mobility within Japan, as well as economic integration. Japanese is a member of

10266-427: The large quantity of English loanwords, modern Japanese has developed a distinction between [tɕi] and [ti] , and [dʑi] and [di] , with the latter in each pair only found in loanwords. Although Japanese is spoken almost exclusively in Japan, it has also been spoken outside of the country. Before and during World War II , through Japanese annexation of Taiwan and Korea , as well as partial occupation of China ,

10384-592: The location and severity. Blunt cardiac trauma, also known as Blunt Cardiac Injury (BCI), encompasses a spectrum of cardiac injuries resulting from blunt force trauma to the chest. While BCIs necessitate a substantial amount of force to occur because the heart is well-protected by the rib cage and sternum , the majority of patients are asymptomatic. Clinical presentations may range from minor, clinically insignificant changes to heartbeat or may progress to severe cardiac failure and death . Oftentimes, chest wall injuries are seen in conjunction with BCI, which confounds

10502-416: The more serious, depending on the force applied. Initially, there may be few indications that serious internal abdominal injury has occurred, making assessment more challenging and requiring a high degree of clinical suspicion. There are two basic physical mechanisms at play with the potential of injury to intra-abdominal organs: compression and deceleration . The former occurs from a direct blow, such as

10620-545: The only country where it is the national language , and within the Japanese diaspora worldwide. The Japonic family also includes the Ryukyuan languages and the variously classified Hachijō language . There have been many attempts to group the Japonic languages with other families such as the Ainu , Austronesian , Koreanic , and the now-discredited Altaic , but none of these proposals have gained any widespread acceptance. Little

10738-425: The only strict rule of word order is that the verb must be placed at the end of a sentence (possibly followed by sentence-end particles). This is because Japanese sentence elements are marked with particles that identify their grammatical functions. The basic sentence structure is topic–comment . For example, Kochira wa Tanaka-san desu ( こちらは田中さんです ). kochira ("this") is the topic of the sentence, indicated by

10856-470: The out-group gives a benefit to the in-group, and "up" to indicate the in-group gives a benefit to the out-group. Here, the in-group includes the speaker and the out-group does not, and their boundary depends on context. For example, oshiete moratta ( 教えてもらった ) (literally, "explaining got" with a benefit from the out-group to the in-group) means "[he/she/they] explained [it] to [me/us]". Similarly, oshiete ageta ( 教えてあげた ) (literally, "explaining gave" with

10974-415: The particle wa . The verb desu is a copula , commonly translated as "to be" or "it is" (though there are other verbs that can be translated as "to be"), though technically it holds no meaning and is used to give a sentence 'politeness'. As a phrase, Tanaka-san desu is the comment. This sentence literally translates to "As for this person, (it) is Mx Tanaka." Thus Japanese, like many other Asian languages,

11092-430: The pelvis specifically, the structures at risk include the pelvic bones , the proximal femur , major blood vessels such as the iliac arteries , the urinary tract , reproductive organs , and the rectum . One of the primary concerns is the risk of pelvic fracture , which itself is associated with a myriad of complications including bleeding, damage to the urethra and bladder , and nerve damage . If pelvic trauma

11210-419: The player assumes the role of a Trainer whose goal is to capture and use the creatures' special abilities to combat other Pokémon. Some Pokémon can transform into stronger species through a process called evolution via various means, such as exposure to specific items. Each Pokémon have one or two elemental types, which define its advantages and disadvantages when battling other Pokémon. A major goal in each game

11328-532: The player to corral several Wooloo before he can be fought. Outside of Sword and Shield , Wooloo also appears in Pokémon Go , on cards for the Pokémon Trading Card Game , and on a variety of merchandise including plushies, figurines, sweaters, and Funko Pops . Several Wooloo appear in anime and manga of the Pokémon franchise, most prominently in Pokémon: Twilight Wings alongside Hop. Featured in

11446-564: The presence of chest pain experienced by most patients. To evaluate the spectrum of cardiac injury, the American Association for the Surgery of Trauma (AAST) organ injury scale may be used to aid in determining the extent of the injury (see Evaluation and Diagnosis below). BCI may be broken down into pericardial injury, valvular injuries, coronary artery injuries, cardiac chamber rupture, and myocardial contusion . In most settings,

11564-477: The proposed larger Altaic family, or to various Southeast Asian languages , especially Austronesian . None of these proposals have gained wide acceptance (and the Altaic family itself is now considered controversial). As it stands, only the link to Ryukyuan has wide support. Other theories view the Japanese language as an early creole language formed through inputs from at least two distinct language groups, or as

11682-459: The same structure as affirmative sentences, but with intonation rising at the end. In the formal register, the question particle -ka is added. For example, ii desu ( いいです ) "It is OK" becomes ii desu-ka ( いいですか。 ) "Is it OK?". In a more informal tone sometimes the particle -no ( の ) is added instead to show a personal interest of the speaker: Dōshite konai-no? "Why aren't (you) coming?". Some simple queries are formed simply by mentioning

11800-797: The state as at the time the constitution was written, many of the elders participating in the process had been educated in Japanese during the South Seas Mandate over the island shown by the 1958 census of the Trust Territory of the Pacific that found that 89% of Palauans born between 1914 and 1933 could speak and read Japanese, but as of the 2005 Palau census there were no residents of Angaur that spoke Japanese at home. Japanese dialects typically differ in terms of pitch accent , inflectional morphology , vocabulary , and particle usage. Some even differ in vowel and consonant inventories, although this

11918-476: The street. (grammatically incorrect insertion of a pronoun) But one can grammatically say essentially the same thing in Japanese: 驚いた彼は道を走っていった。 Transliteration: Odoroita kare wa michi o hashitte itta. (grammatically correct) This is partly because these words evolved from regular nouns, such as kimi "you" ( 君 "lord"), anata "you" ( あなた "that side, yonder"), and boku "I" ( 僕 "servant"). This

12036-515: The subject's airway is open and competent, that breathing is unlabored, and that circulation—i.e. pulses that can be felt—is present. This is sometimes described as the "A, B, C's"—Airway, Breathing, and Circulation—and is the first step in any resuscitation or triage. Then, the history of the accident or injury is amplified with any medical, dietary (timing of last oral intake) and history, from whatever sources that might be available such as family, friends, and previous treating physicians. This method

12154-700: The top of their heads through the wool, while a pair of slightly grey braids dangle from the sides of their heads. A rarer, "shiny" variation also exists with the color scheme inverted: white on the body, while the wool is near black. Wooloo's wool protects it from blunt force trauma , causing it instead to bounce, and is used as a commodity in the Galar region due to its durability. Highly anxious, Wooloo try to avoid conflict, and tend to move by rolling forwards and backwards. Unlike other Pokémon species, their speech patterns are not based on saying variations of their names, but instead communicate similarly to actual sheep. After obtaining enough experience, Wooloo can evolve into

12272-565: The topic with an interrogative intonation to call for the hearer's attention: Kore wa? "(What about) this?"; O-namae wa? ( お名前は？ ) "(What's your) name?". Negatives are formed by inflecting the verb. For example, Pan o taberu ( パンを食べる。 ) "I will eat bread" or "I eat bread" becomes Pan o tabenai ( パンを食べない。 ) "I will not eat bread" or "I do not eat bread". Plain negative forms are i -adjectives (see below) and inflect as such, e.g. Pan o tabenakatta ( パンを食べなかった。 ) "I did not eat bread". Blunt force trauma Blunt trauma can lead to

12390-419: The two consonants are the moraic nasal followed by a homorganic consonant. Japanese also includes a pitch accent , which is not represented in moraic writing; for example [haꜜ.ɕi] ("chopsticks") and [ha.ɕiꜜ] ("bridge") are both spelled はし ( hashi ) , and are only differentiated by the tone contour. Japanese word order is classified as subject–object–verb . Unlike many Indo-European languages ,

12508-577: The two methods were both used in writing until the 1940s. Bungo still has some relevance for historians, literary scholars, and lawyers (many Japanese laws that survived World War II are still written in bungo , although there are ongoing efforts to modernize their language). Kōgo is the dominant method of both speaking and writing Japanese today, although bungo grammar and vocabulary are occasionally used in modern Japanese for effect. The 1982 state constitution of Angaur , Palau , names Japanese along with Palauan and English as an official language of

12626-472: The two terms (''hyōjungo'' and ''kyōtsūgo'') are almost the same. Hyōjungo or kyōtsūgo is a conception that forms the counterpart of dialect. This normative language was born after the Meiji Restoration ( 明治維新 , meiji ishin , 1868) from the language spoken in the higher-class areas of Tokyo (see Yamanote ). Hyōjungo is taught in schools and used on television and in official communications. It

12744-422: The unofficial mascot of Sword and Shield due to their heavy presence in the titles and popularity, furthered by its appearance in the related anime. This reaction not only surprised the games' director, Shigeru Ohmori , but caused Tumblr to change its year end examination of discussed subjects to now account for Pokémon. Further media discussions have examined its design in light of this, and also in regards to

12862-455: The unofficial mascot of Sword and Shield , considering their high presence in the title but also their "cuteness", which they noted was "not necessarily true of all Pokémon, but is integral to some of the very best of them", and helped make them one of the best Pokémon in the franchise in their eyes. In contrast, Hannah Collins of Comic Book Resources argued that Wooloo's depiction, more specifically that in Twilight Wings , helped illustrate

12980-407: The verb (e.g. yonde for earlier yomite ), the -k- in the final mora of adjectives drops out ( shiroi for earlier shiroki ); and some forms exist where modern standard Japanese has retained the earlier form (e.g. hayaku > hayau > hayɔɔ , where modern Japanese just has hayaku , though the alternative form is preserved in the standard greeting o-hayō gozaimasu "good morning"; this ending

13098-431: The way the thoracic organs may have been affected. Blunt thoracic trauma is not always visible from the outside and such internal injuries may not show signs or symptoms at the time the trauma initially occurs or even until hours after. A high degree of clinical suspicion may sometimes be required to identify such injuries, a CT scan may prove useful in such instances. Those experiencing more obvious complications from

13216-487: The way. Meanwhile Hop has been frantically searching for it. After the two catch sight of each other they are reunited and return home together. In Japanese, all Wooloo are voiced by Rikako Aikawa , while in English they are voiced by Erica Mendez . Wooloo was positively received since their introduction, with a large amount of fan art and memes following their reveal trailer. The reaction in particular took Ohmori by surprise, who had considered them "just another Pokémon that

13334-548: The world. Since Japanese first gained the consideration of linguists in the late 19th century, attempts have been made to show its genealogical relation to languages or language families such as Ainu , Korean , Chinese , Tibeto-Burman , Uralic , Altaic (or Ural-Altaic ), Austroasiatic , Austronesian and Dravidian . At the fringe, some linguists have even suggested a link to Indo-European languages , including Greek , or to Sumerian . Main modern theories try to link Japanese either to northern Asian languages, like Korean or

13452-560: Was "relatable" for players with similar personalities, stating that "there's something comforting about a little sheep that wants to run away from its problems just like you do." Bishop further argued that the Pokémon was designed to be "your perfect partner, just as you're its complement", made to draw the player in with an appearance and personality that was instantly memeable and encouraged players to state their affection for it on social media. He concluded by stating that designs like Wooloo's were

13570-535: Was based on 12- to 20-second-long recordings of 135 to 244 phonemes , which 42 students listened to and translated word-for-word. The listeners were all Keio University students who grew up in the Kanto region . There are some language islands in mountain villages or isolated islands such as Hachijō-jima island , whose dialects are descended from Eastern Old Japanese . Dialects of the Kansai region are spoken or known by many Japanese, and Osaka dialect in particular

13688-718: Was imported to Japan from Baekje around the start of the fifth century, alongside Buddhism. The earliest texts were written in Classical Chinese , although some of these were likely intended to be read as Japanese using the kanbun method, and show influences of Japanese grammar such as Japanese word order. The earliest text, the Kojiki , dates to the early eighth century, and was written entirely in Chinese characters, which are used to represent, at different times, Chinese, kanbun , and Old Japanese. As in other texts from this period,

13806-465: Was lost immediately following its composition.) This set of morae shrank to 67 in Early Middle Japanese , though some were added through Chinese influence. Man'yōgana also has a symbol for /je/ , which merges with /e/ before the end of the period. Several fossilizations of Old Japanese grammatical elements remain in the modern language – the genitive particle tsu (superseded by modern no )

13924-429: Was there in the mix" when developing the games. In 2019, animal rights group PETA utilized Wooloo's image on social media website Twitter to make a statement against sheep shearing, resulting in a backlash and heavy criticism towards the group. Later that year, social media website Tumblr released its end of year lists examining most discussed subjects on the website, which now included a list of Pokémon in response to

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