An AXR revealed acute gaseous distention of the stomach (Fig. He was started on intravenous (IV) insulin for the treatment of DKA and IV epinephrine for hemodynamic shock. Initial lab data revealed a blood glucose of 1,155 mg/dL and a pH of 6.97 with an elevated anion gap. On examination, his abdomen was notably distended and bowel sounds were sluggish. He denied the use of tobacco, alcohol, or illicit drugs and had no known drug allergies. His surgical history was significant for a right foot trans-metatarsal amputation. He denied any prior symptoms of delayed gastric emptying, such as nausea, postprandial fullness, or early satiety. His comorbidities included type 1 diabetes and end-stage renal disease. He was noted to be lethargic, hypotensive (76/49 mm Hg), and hypoxic (SaO 2 88%) on presentation and was emergently intubated for airway protection. This article was co-authored by Ni-Cheng Liang, MD.A 30-year-old male presented to our institute with complaints of nausea, vomiting, decreased oral intake, and diffuse abdominal pain for the past 3 days. include diabetic ketoacidosis, predominantly due to the accumulation of ketone. Ni-Cheng Liang is a board certified Pulmonologist and the Director of Pulmonary Integrative Medicine at Coastal Pulmonary Associates affiliated with the Scripps Health Network in San Diego, California. The chest Xray appearance is not a useful guide to the need for oxygen. She also serves as a Voluntary Assistant Professor of Medicine at the University of California San Diego School of Medicine while volunteering for the UCSD Medical Student-Run Free Clinic for uninsured patients. Liang specializes in pulmonary and respiratory medical concerns, mindfulness teaching, physician wellness, and integrative medicine. Liang received her Doctor of Medicine (MD) from the University of Maryland School of Medicine. Liang was voted as a San Diego Top Doctor in 20. She was also awarded the 2019 American Lung Association San Diego Lung Health Provider of the Year. There are 14 references cited in this article, which can be found at the bottom of the page. WikiHow marks an article as reader-approved once it receives enough positive feedback. This article received 15 testimonials and 88% of readers who voted found it helpful, earning it our reader-approved status. This article has been viewed 1,172,261 times.Ĭheck the heart and look for the cardiac silhouette sign. Examine the edges of the heart the silhouette margins should be sharp. Observe whether a radiopacity is obscuring the heart's border, in the right middle lobe and left lingula pneumonia, for example. Also, look at the external soft tissues for any abnormalities. the result of failure of pancreatic insulin production due to loss of beta cells in the pancreatic islets 1. The silhouette sign is basically the elimination of the silhouette or loss of lung/soft tissue interface, that occurs after a mass or flood in the lung. It is not uncommon to see blood sugars higher than 1000mg/dl in a diabetic coma. the etiology of this process is unknown but thought to be autoimmune 1. When your blood sugar gets this high, it means that the balancing act of drinking water and losing water in the urine has become unbalanced. Now you are losing more water than you are taking in. When this happens, it goes downhill fast. Look at the size of the cardiac silhouette (white space representing the heart, situated between the lungs).the result of increasing insulin resistance, where the body's cells do not respond sufficiently to produced. X Expert Source Ni-Cheng Liang, MDīoard Certified Pulmonologist Expert Interview. Look for water-bottle-shaped heart on PA plain film, suggestive of pericardial effusion.Note the lymph nodes, look for subcutaneous emphysema (air density below the skin), and other lesions.A heart with a diameter greater than half thoracic diameter is an enlarged heart.A normal cardiac silhouette occupies less than half the chest width. Get an ultrasound or chest Computed Tomography (CT) to confirm.
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Victoria is a native of Albion, New York and she currently resides in Laurel, Maryland. She continues to evolve on her journey and is happier finding answers along the way than she ever was in a place where she thought she had them all. Yet, behind closed doors, she was having very similar conversations as those held in those spaces with Black women who were secretly struggling with the same realities. Victoria's odyssey of self-discovery landed her in support groups, therapy offices and social settings where she was often the only, or one of few, Black women. No longer would she be taunted by thoughts and longing for a different life or teased by daydreams of missed opportunities. At the age of 34, Victoria divorced and acquiesced to her attraction to women. Withstanding the stagnation of her marriage and years of dealing with infertility, she was prompted to reflect on what she really wanted for her life. Victoria's book is now available on Amazon: Īfter 10 years of marriage to a man, restless and unfulfilled, Victoria began what would become the journey of a lifetime. Now is your time to get untangled from the things that are holding you back and holding you down so you can really be able to run your race." "The book is full of great tips that people can actually take action on. Steve Kidd, the Host of the Radio Show, encourages you to get Victoria's book. When you're getting untangled, it's about figuring yourself out and what's best for you whether that be your sexual identity, your job, career." There are ways to figure out how to be what you want to be. There are ways to configure relationships. In a recent interview on "Thriving Entrepreneur" radio show, Victoria said, "Know that there are options. Become Untangled from your struggle and embrace your own freedom. The real you might be tangled up inside of its cocoon, but you don't have to stay that way. Victoria wants you to know you are not alone. By becoming vulnerable, being true to herself, and finding freedom in her sexuality and spiritualism, she encourages you also to let yourself be free. In her new book, "Untangled: A Black Woman's Journey to Personal, Spiritual, and Sexual Freedom," Victoria shares her story of overcoming loss, hardship, racism, and adversity. Stubbs is a bestselling author whose passion is to provide visibility for women, and Black women in particular, who are struggling to find their sexual identity as part of their journey to personal, spiritual and sexual freedom. Stubbs Book Launch "Untabled: A Black WOman's Journey to Personal, Spiritual, and Sexual Freedom" This call recorder for Skype is developed by eCamm and provides an extremely simple solution to record Skype video calls.
This is very much a 'use the right tool for the job' situation, and D&D is not the right tool to emulate SR. View Shadowrun 5th Edition - Character Sheet as PDF for free. This version takes the basic templates off. Name/Alias Physical Attributes Body Agility Reaction Strength Mental Attributes SPECIAL ATTRIBUTES Charisma Intuition Logic Willpower Essence Edge Points. There's nothing wrong with enjoying D&D 5e, but it's scope is far narrower than most realize. Fill Shadowrun 5e Character Sheet, Edit online. Shadowrun is a puzzle game, disguised as a professional criminal heist simulator, with the puzzle being "how do we do the job?" with the usual twist of "and how do we do that without getting killed in the process?" It's a kind of genre and scenario that D&D cannot handle, no matter how much you kludge it in. This is a cheat sheet for Shadowrun 5th edition Combat, meant to be used by. It'd be one thing if you could disguise it as another genre and still fit the general scope, but Shadowrun isn't a combat-focused game. Shadowrun 5th Edition WeaponsSR5:Weapons:Misc Melee Weapons - Shadowrun Wiki. Outside of that realm, it's a complete dogshit game engine to use (and the 5e version is not any good at that either). Let's be real here - D&D at its core is about high fantasy adventures with a heavy focus on combat. This form-fillable character sheet is ready to go with characters from the Tales of the Valiant Preview PDF and Alpha Release. Nope! Burn it with fire! Nuke it from Orbit! "Watch your back, shoot straight, conserve ammo, and never, ever, cut a deal with a dragon." While the original adventure may be the earliest, and roughest of the 5E campaigns, Roll20 has steadily been refining their D&D 5e adaptation process, adding in. Living Community (Where you can play online) Subreddits SHADOWRUN CHARACTER SHEET EDITABLE PDF > READ ONLINE D&D (dungeons and dragons) 5E. For that please check out /r/ShadowrunReturns for help. My good friend Bob Iliff has created an editable character sheet form PDF for Shadowrun 5th Edition, based on the character sheet provided in the PDF. By now most Shadowrun players and fans know that Catalyst Game Labs. Sadly our nova hot community isn't the best place to discuss the mechanics discussion or troubleshooting the video games. Mostly the pen and paper role playing game, but also the deck building card game, video games, and literature of Shadowrun. Discussion is primarily aimed at exploring narratives found in the Sixth World. Here at /r/Shadowrun we talk shop about all things in the shadows. Lee Dempsey Posey and Addison Lynn Posey were born in January 2011. Caption: Buster Posey with his wife and kids (Photo: Twitter) How many children does the couple have?īuster along with his wife Kristen became the parents of four children. Then after some time the newborn’s baby was in good health and was still in the Neonatal Intensive Care Unit. After that Buster returned to the Giants for the first day of spring training. Both the twin girls were born prematurely, which is why Posey had missed four days of Summer Camp workouts thus far. They adopt the twin girls in the year 2020. Does Buster Posey have a Twin?īuster and Kristen had twins. At that time Kristen wore a sleeveless upper-body floral gown while the groom wore a black suit, white shirt with a blue tie. The marriage ceremony of Kristen and Buster was simple yet elegant. Kristen and Buster exchange their marriage vows in their hometown, Georgia on 10th January 2009. After dating for four years the couple decided to get married. Then the love bird continued to be each other’s forever date. He was so good at his play that he won the Johnny Bench Award in his college life.Caption: Buster Posey posing for a photo with his wife Kristen Posey (Photo: Player Wives & Girlfriends)Īt first, Posey asked Kristen to go to the senior prom and she accepted by saying yes. He used to play four sports including basketball but later mastered Baseball. He played as a Pitcher in his initial days but later transformed into a catcher. He grew up as a fan of the Atlanta Braves. He got his nickname Buster from his father. He has won awards like the Gold Globe Award, Silver Struggle Award, NL Rookie of the year, NL Hank Aaron Award, and many more throughout his career. Movies & Tv-series: N/A Some facts about Buster Posey As of 2023, Buster‘s total net worth is roughly around $200 million.įlorida State University, Lee County High School In 2013, He signed an $8 million contract for a year and later agreed to an eight-year extension for $167 million making him the most-paid player by the Giants. Buster Posey‘s Net Worth (2023)īuster Posey is a baseball player, the most-ranked sport in the United States so he must have made millions of dollars without a doubt. He loves his wife so much and lives together in East Bay. In July 2020, he has adopted two baby twin girls named Ada and Livvi. They have twins, a son named Lee Dempsey Posey and a daughter named Addison Lynn Posey. They dated each other from their high school days and finally got married on January 10, 2009. Relationships & Girlfriendīuster Posey is very much a sober and one-woman man as he has never been involved in any other love relationships except with his long-time Girlfriend Kristen. He has 3 siblings and he is the Oldest so he has maintained his responsibilities as a big brother. His nickname Buster was given to him by his father and he helped him arrange a good coach to boost his game. His mother Tracy Posey, on the other hand, wanted him to be a doctor or engineer but later supported him in his game. Buster Posey Familyīuster Posey‘s family has got a sporty background and his father Demp Posey was also a baseball player in his days. He then attended Florida State University where he was mainly centered as a player on his University team and helped win multiple titles to the team. His physique and stamina made him inclined towards sports and he played for his Baseball school team. He completed his high school education at Lee County High School where he ranked 4 out of 302 students which shows he was extremely talented at his educational studies. Educational Qualificationīuster Posey is a University Graduate and has a good educational background. San Francisco Giants Catcher Buster Posey announced that he and his wife adopted the prematurely born twins Ada and Livvi officially. He had an injury after the collision with Scott Cousins in 2011 so had to rest for almost a year after his return, he never looked back and posted a 336 batting average winning the 2012 NL batting title. He was born on March 27, 1987, in Leesburg, Georgia, USA.Īs of 2023, Buster is 36 years old with 6 feet 1 inch tall in height. He has been a professional baseball player since 2008 and has 140 home runs and a batting average of 302 in the 2019 season. Buster Posey is an American Baseball player who plays for San Francisco Giants in Major Baseball League( MBL) and is considered the best catcher in MBL history. Those attending an interest/rush meeting will receive financial information. All fees listed are on a semester basis- if a chapter has different fall and semester dues, the average cost between the two semesters is what is shown here.Īlpha Kappa Alpha, Delta Sigma Theta, Sigma Gamma Rho, & Zeta Phi Beta: Historically Black sororities do not publish their financial information however the average intake fee is $850 and the average active member dues are $200. Please contact chapters directly about billing after joining. Hazing is a violation of Texas A&M’s Student Code of Conduct, student organization policies and Texas state law.”Ĭopyright 2021 by KPRC Click2Houston - All rights reserved.Costs listed below were current as of Fall 2022. “We will continue our hazing prevention education programs, which includes outlining what constitutes hazing and the consequences for such poor choices. “Texas A&M will not tolerate actions or behavior that degrades, intimidates, humiliates or endangers students,” the university said in a statement. The suspension will be followed by two years of probation. Both students anticipate they will require additional medical treatment in the future.Įarlier this week, Texas A&M’s SAE chapter was suspended for two years, a university spokeswoman, Kelly Brown, confirmed. “Close and Figueroa are both permanently disfigured as a result of the burns they endured at the hands of the Defendants.”ĭue to the severity of their injuries, Close and Figueroa continue to suffer disfigurement, physical impairment, limitation of activities and “loss of enjoyment of life,” the lawsuit states. “As a result of the burns they endured, Close and Figueroa were transported to Houston, Texas, to undergo emergency skin graft surgery and eventually underwent a second skin graft surgery,” the suit states. Those who are exposed to the chemical are advised to thoroughly rinse their skin.Ĭlose and Figueroa suffered serious bodily injuries including severe burns as a result of the exposure to SC-200, the lawsuit claims. SC-200 is a high alkaline, solvent-based, extra heavy-duty industrial cleaner that can cause severe burns and serious eye damage, according to its manufacturer. “The substances poured on Close and Figueroa included human spit, raw eggs, paint, food condiments, and eventually the industrial strength cleaner known as SC-200,” the lawsuit states. At some point, they were “forced to do various kinesthetic activities” while at least eight of the fraternity’s members poured “various foreign substances on them,” according to the lawsuit. The students claim in the lawsuit that they were pledging the fraternity during the spring 2021 semester. The former fraternity pledges claim the fraternity members violated the Texas anti-hazing statute, Texas Education Code, Section 37.153,Ĭlose and Figueroa are seeking at least $1 million in damages and a jury trial. The students, Patrick Close and Jose Figueroa, filed a complaint against Sigma Alpha Epsilon Fraternity, its Texas Tau Chapter, and several of its members on Oct. Two students at Texas A&M University claim in a lawsuit that they were “permanently disfigured” when an industrial strength cleaner was poured on them during a fraternity hazing incident. Competitive Market Recapīelow is Figure 7.3a to remind us how the competitive firm operates. Rather, it exercises power to choose its market price. As a result, a monopoly is not a price taker like a perfectly competitive firm. While a monopoly must be concerned about whether consumers will purchase its products or spend their money on something altogether different, the monopolist need not worry about the actions of other firms. Some new drugs are produced by only one pharmaceutical firm-and no close substitutes for that drug may exist. While a monopoly, by definition, refers to a single firm, in practice, the term is often used to describe a market in which one firm has a very high market share.Įven though there are very few true monopolies in existence, we deal with some every day, often without realizing it: your electric and garbage collection companies for example. Since a monopoly faces no significant competition, it can charge any price it wishes. In the case of monopoly, one firm produces all of the output in a market. Whereas perfect competition is a market where firms have no market power and they simply respond to the market price, a monopolistic market is one with no competition at all, and firms have complete market power. Explain why monopolies cause deadweight loss.Calculate the profits of a monopolist and explain why profits do not cause entry.Describe how a monopoly chooses price and quantity. Understand the Marginal Revenue curve and its significance for a monopolist. The "storyline" just seems to be a guide to lead you towards the next house - I was 3 hours in and all I got was "hey man, can you smash the tv at this location? thanks" It's basically very early Elder Scrolls Stealth as an Alpha release without any interesting abilities or combat and you can only carry 5-6 items before you need to leave no idea, the sidewalks maybe? The gameplayloop consists of clicking on a tenant to learn their pattern (or buy the information online), come back at a certain time and just click on all doors and items you want to interact with/steal and then buy new equipment to do the same thing in a bigger house. The game feels like a 3-4/10 early access title, the stealth is horrible, the movement is awfully clunky and I kept getting stuck on. was something different.ġ5000 Reviews, 86% positive - I was expecting at least a decent 7/10 title with some clunky meme gameplay and decent ideas, but what I got was so much worse. I've had my good share of games being in the 95%+ steam category and ultimately left feeling very underwhelmed, especially if they are niche titles or have less than 1000 reviews. The old /r/patientgamers Essential Games List Please use flair to display what games you’re currently playing, not a punch line, username, tag, URL, or signature. New, mobile-friendly spoilers can be posted using the following formatting: Want to play online in a dead gaming community? We expect you to know these rules before making a post. Please click here to see our current rules. We no longer maintain our posting rules in Old Reddit. Join our Discord Join our Steam Group Follow us on Twitter Posting Rules Whether it's price, waiting for bugs/issues to be patched, DLC to be released, don't meet the system requirements, or just haven't had the time to keep up with the latest releases. In this case hide and wait till they stop looking for you or you can always leave the loot and run away as fast as possible.A gaming sub free from the hype and oversaturation of current releases, catering to gamers who wait at least 12 months after release to play a game. If they catch you in the act, they will call the police. Be careful! In some houses you can meet unexpected guests. Prepare phones and tablets before selling them in a pawn shop by removing their security. Disassemble a stolen car and sell parts on the internet. Use the flashlight at night to highlight all the valuables in sight and places where you can expect them to be. Be careful, cause some things can draw police attention to you! A real, experienced thief can spot places where there's most probability of finding some valuables on the fly. If you fill your backpack with worthless items, you may have to waste your time to throw stuff out just to make space for other things. If you're not sure that you can take some serious money for it, maybe a good idea would be to leave it behind and save space for some expensive goods. In every house you'll find tons of useless stuff, which can really slow you down. When it's about time you have to maintain cold blood. Remember that infinite backpacks don't exist. Find and steal as many valuables as possible in the shortest time possible. Many modern devices available in Thief Simulator might come in handy with gathering intel about your target and it's neighbourhood. Choose from lots of possible approaches to prepare the best plan. What's inside? Who lives there? What's your target day schedule? Find out when the house is empty and does it have nosy neighbours. Do anything that a real thief does! A good thief always observes his target. Buy some hi-tech burglar equipment and learn new thief tricks. Take the challenge and rob the best secured houses. Observe your target and gather information that will help you with the burglary. Steal in free roam sandbox neighborhoods. Gather intel, steal things and sell them to buy hi-tech equipment. Thief Simulator launches February 19 on #Xbox One! Become the best thief. Publisher: PlayWay SA Xbox Store: here Price: $19.99 Thief Simulator Following (2) Developer: Noble Muffins / Console Labs S.A. These early ANITAs sold for around £355 ($1,000), equivalent to around £4,800 ($8,000) in today's money. 8 for Britain and the rest of the world, with the latter soon becoming the only model. The illuminated 12-place display was provided by 'Nixie' glow discharge tubes.įrom 1962, two models were marketed ANITA Mk. All of the switching was done by semiconductor diodes and cold-cathode, gas-filled valves - two Decatrons and myriad thyratrons. Useful for working out your business marginsĪNITA used the same push button key layout as the company's mechanical calculators, but these were the only moving parts. Integrator And Computer) as a completely digital artillery firing table calculator also capable of solving "a large class of numerical problems", including the four basicĪNITA: First desktop all-electronic calculator. The application of this technology to the world's first general calculating computer had to wait until 1946 and the construction of the ENIAC (Electronic Numerical However, it did this using hundred of thermionic valves as electronic on/off switches, as well as an electronic display. But this was a specialised machine thatīasically performed "exclusive or" (XOR) Boolean algorithms. Kerrison Predictor AA fire control system.Īll were basically mechanical devices using geared wheels and rotating cylinders, but producing electrical outputs that could be linked to weapon systems.ĭuring the Second World War, the challenges of code-breaking produced the first all-electronic computer, Colossus. These were provided respectively by the Sperry-Norden bombsight, the US Navy's Torpedo Data Computer and the To calculate the trigonometry required to dropīombs 'into a pickle barrel' from 30,000 feet, to hit a 30-knot Japanese warship with a torpedo or to bring down a diving Stuka with an anti-aircraft gun requiredĬonstantly updated automated solutions. The story of the electronic calculator really begins in the late 1930s as the world began to prepare for renewed war. To take over, as we shall see in the next part of this series. Machines like this ensured that mechanical calculators dominated 20th century office life all the way through to the late 1960s. That had to wait until 1820 and the patenting in France of Thomas de Colmar's four function Arithmometer. Part of his life designing a four-operation mechanical calculator, based on his ingenious slotted 'Leibniz wheel,' but ultimately failing to produce a fully operational Pascal's machine used geared wheels and could add and subtract two numbers directly and multiply and divide by repetition. Perform all four arithmetic operations without relying on human intelligence." The first mechanical calculator appeared in 1642, the creation of French intellectual and mathematics whizz kid Blaise Pascal as "a device that will eventually Real Rocket Scientists used slide rules to send Man to the Moon - a Pickett model N600-ES was taken on the Apollo 13 moon mission in 1970. The problem was that these weren't portable while the slide rule fitted into the breast pocket Mechanical and electric calculating machines were well established. Slide rules evolved to allow advanced trigonometry and logarithms, exponentials and square roots.Įven up to the 1980s, knowing how to operate a slide rule was a basic part of mathematics education for millions of schoolchildren, even though by that time, The slide rule is basically a sliding stick (or discs) that uses logarithmic scales to allow rapid multiplication and division. Most notably, the development of logarithms by John Napier allowed Edward Gunter, William Oughtred and others to develop the It made addition and subtraction faster and less error-prone and may have led to the term 'bean counters' for accountants.īut that was where the technology more or less stuck for the next 3,600 years, until the beginning of the 17th century AD, when the first mechanical calculatorsīegan to appear in Europe. When all the beads had been slid across the first rod, it was time to move one across on the next, showing the number of tens, and thence to the next rod, showing hundreds, and so on (with the ten beads on the initial row returned to the original position). The principle was simple, a frame holding a series of rods, with ten sliding beads on each. Its expansion, Silent Threat, which comprised additional missions, was also released in 1998. Important battles in the story feature capital ships, which dwarf the fighters piloted by the player, and explode spectacularly on destruction.ĭescent: FreeSpace was well received as a single-player space simulation that integrated all the desired features of its genre, but its multiplayer mode was plagued by lag and inaccurate tracking of statistics. The player pilots a starfighter, and alongside competent AI wingmen, completes these missions to determine the fate of two races. Putting aside their differences, the Terrans and Vasudans form an alliance, and the player is assigned to missions to stop the Shivans' genocidal advance. This war is interrupted by the appearance of the enigmatic and militant Shivans, who begin slaughtering Terrans and Vasudans alike. The story places the player in the role of a human pilot in the Galactic Terran Alliance, as it engages in war with the alien Parliamentary Vasudan Empire. In 2001, it was ported to the Amiga platform as FreeSpace – The Great War by Hyperion Entertainment. Published by Interplay Entertainment, it is also known as Conflict: FreeSpace – The Great War in Europe. when it was split off from Parallax Software. 48 MB free) RAM, 8X CD-ROM drive, 3D accelerated graphics card (Warp3D supported)Ĭredits | Soundtrack | Codes | Walkthroughĭescent: FreeSpace – The Great War is a 1998 space combat simulation IBM PC compatible computer game developed by Volition, Inc. Silent Threat OctoBattle Pack JanuAmiga version December 2001 ġ33 MHz CPU, 32 MB RAM, 8X CD-ROM drive, DirectX 5.0, 240 MB available hard disk space, Windows 95 Template:Distinguish2 Descent: FreeSpace – The Great War |
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