![]() While critics might argue that supraorbital ridge pressure could cause the patient to grimace and keep the eyes closed, finger tip pressure could lead to misinterpretation of the eye opening response due to other complicating factors such as hemiparesis and high spinal cord injury. These guidelines recommend that eye opening to pain is assessed by applying supraorbital ridge pressure to stimulate the supraorbital nerve, increasing the pressure until a response is obtained. ![]() Eye opening to pain is recorded when a patient opens his eyes to a painful stimulus: finger tip pressure and supraorbital ridge pressure are the two most commonly used methods of applying a painful stimulus. There is no eye opening to loud, clear commands. ![]() Eye opening to speech is allocated a score of 3. If there is no spontaneous eye opening, this is recorded when a patient opens his eyes to loud, clear commands. Spontaneous eye opening is allocated a score of 4. This observation is made without any speech or touch. ![]() This is recorded when a patient is observed to be awake with eyes open. It is important to exclude the fact that a patient is asleep before proceeding to assess eye opening. Eye opening is then meaningless under these circumstances. If a patient's eyes are closed as a result of swelling or facial fractures this is recorded as ‘C' on the chart. As well as calculating a total GCS - a score for each of the three components must be calculated and recorded as a separate score. A score is applied to each category and totalled to give an overall value ranging from 3 to 15. The Glasgow coma scale is based on three aspects of a patient's behaviour - eye opening, verbal response and motor response ( see Table 1). A deterioration of one point in the ‘Motor Response' or one point in the ‘Verbal Response' or an overall deterioration of two points in the GCS is of clinical significance and must be reported to medical staff. recovery, ICU), a GCS must be assessed by both the nurse escorting the patient and the nurse receiving the patient (at the same time) in order to avoid misinterpretation and facilitate continuity of assessment.Ģ.9 Although the Glasgow coma scale should be communicated using its individual components, a score from 3 to 15 may be used to summarise the scale. Changes in a patient's neurologic function, pupil responses, or the GCS must be recorded in relevant nursing documentation including the date, time, and signature.Ģ.4 As the GCS is an assessment of conscious level, it cannot be determined with accuracy in the patient who is receiving anaesthetic agents neurological assessment then focuses on pupillary responses.Ģ.5 Some drugs may affect pupillary reaction and the effects of any prescribed medication must be considered when assessing the pupils.Ģ.6 A GCS can still be determined in a patient who is sedated although it must be noted that the score obtained might not be an accurate reflection of what the patient is capable of.Ģ.7 Within the neurosurgical intensive care and high dependency units, a GCS must be assessed at verbal handover/beginning of the shift by both nurses (at the same time) in order to avoid misinterpretation and facilitate continuity.Ģ.8 When a patient with an impaired level of consciousness is transferred to another ward/department (e.g. If the motor response is different on each side, the better response is incorporate within the Glasgow coma scale.Ģ.3 Responses must be recorded on the relevant observation chart in black ink. Spinal reflexes may cause the arms/legs to flex briskly in response to pain and must not be interpreted as a response.Ģ.2 Always record the best arm response. The following are important points to note when assessing a patient's level of consciousness using the Glasgow coma scale and calculating a Glasgow coma score (GCS).Ģ.1 The arms give a wider range of responses and for this reason are always observed using the Glasgow coma scale. Recommendations for assessing eye opening, verbal response and motor response are specified. The guidelines focus on the practical aspects of carrying out and interpreting the Glasgow coma scale and pupil responses. It is the method favoured by The Leeds Teaching Hospitals NHS Trust and these guidelines have been developed to standardise practice so that the Glasgow coma scale and pupil responses can be assessed in a consistent manner to minimise misinterpretation. The Glasgow coma scale developed by Teasdale and Jennett (1974) is the most widely used assessment tool to measure a patient's level of consciousness. Introduction and BackgroundĪssessment of conscious level is an essential component of neurological examination and is usually performed together with assessment of pupillary size and reaction, vital signs, and focal neurological signs in the limbs. Guidelines for Assessing the Glasgow Coma Scale and Pupil Responses in Adultsĥ.
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![]() The whole point of leveling cards up is to unlock their new attacks when they get more powerful, the problem is that it's so time-consuming. ![]() I'll happily eat my words if my Flower Fairy takes 100 cards to level up into something that would literally turn a demi gorgon into a scorched mark on the playing field, but the incremental upgrades are almost pointless for most of the lower level cards. This is a good way of managing your card space, but depending on the card, some of them take so many duplicates it seems pointless to make them stronger. When you enchant a card, you select a card you want to improve and then select the number of cards you want to improve it with. In fact, the prices of the micro-transactions may well put people off, as it feels like a blatant cash-grab. With crystal prices from $6 to $400, of course, it's up to you what you do with your money, but I wouldn't be sinking too many hard earned pennies into Lies of Astaroth just yet - especially with a distinct lack of PvP mode, which is when you're going to desperately want those hardcore cards. You could choose to buy more, but the selection takes you to an empty page on the Xbox store. Crystals are much rarer and are mostly received as rewards. They are bought with in-game gold, or you can buy better ones with crystals. However, the in-game opponents' cards are more leveled than yours, and the likelihood of getting your cards as strong as theirs so soon are pretty low without paying out for card packs. Once you have multiples of the same card, you can enchant them to make a more powerful version of that card. If you log in every day for the month, you're rewarded with a powerful card the only problem is, the login tracker doesn't seem to work, so I've gained no progress toward gaining it despite regular check-ins. Daily login rewards grant gold, and sometimes tickets which can be traded in for more powerful cards. Lies of Astaroth is one of those games that requires constant checking in. ![]() It's at this point that I started to ask, why bother even playing the game if you can just auto-battle everything? And if you're feeling super lazy, you can even skip the battle to the end and get your rewards. Starting off, you only have a couple of spaces to have a few cards in your deck, but as you level up, you will unlock new slots.Įven if you're feeling like you don't fully have the mechanics down, you can let the battle play out automatically. If you're not a card-battle Yu-gi-oh wizard, the tutorial is brief enough for you to get a grasp of the basics. When you complete a stage once, another two sub-stages are unlocked with their own requirements to pass, allowing you to potentially unlock new cards. Massively multiplayer online role-playing games usually involve more than one player, so releasing it before the one feature that would actually grip players is even available seems like either a gross oversight or a "release now, patch later" scenario, neither of which are particularly endearing to their potential fan-base.įor now, Lies of Astaroth is a single-player campaign set across different maps as your character drags their tag-along pals with them on what is essentially a never-ending task of delivering notes to far-flung places and battling for entry into forbidden places.Įach map has a number of areas that you investigate along your journey, but you can't move on until you've got at least one star on each stage. Lies of Astaroth is advertised as an MMORPG, implying there would be a PvP element. If either all of the cards in your opponents deck end up in the graveyard (where defeated cards go), or the their life reaches zero, you win. If either of you have cards on the playing field, they will take damage before the hero does. Or if depending on what gets killed, the chain attack is going to be hitting the wrong targets.You and your opponent both taken turns drawing cards with their own attack and health stats. If not dodge, then definitely Arctic Freeze. If it's the Chain Attack part, that's what Im hoping the dodge will block out. Assuming MM dies to reflection, there should still be enough valkyries and paladins swinging away (or stray MMs). Considering each MM that can summon a Valkyrie that gives +200 hp to all other Kingdom cards, that's like 2000 hp to everything. I actually don't mind a reflection Bellona or reflection Winged Snake. I think reflection Bellona and reflection Winged Snake is possible, but I'm not sure what's faction locked. ![]() Reflection is a choice, as long as it doesn't ruin the criteria above. "A card may only posses 1 of the protection skills (Dodge, Ice Shield, or Parry) or 1 of the spell defense skills (Immunity, Evasion, Reflection, or Magic Shield)."Ĭonsidering a Frost Treant can have Resistance, I'm assuming Resistance can have whatever it shuffles. ![]() ![]() The Proteus PCB Design products include both schematic capture and PCB layout modules and are designed to be easy to use and powerful. With nearly 800 microcontroller variants ready for simulation straight from the schematic, one of the most intuitive professional PCB layout packages on the market and a world-class shape-based autoroute included as standard, and Proteus Design Suite 8 delivers the complete software package for today and tomorrow's engineers. Proteus combines ease of use with powerful features to help you design, test, and professional layout PCBs like never before. Overview of Proteus Professional 8 Benefits You can also FREE download Altium Designer. It comprises several modules for schematic capture, firmware IDE, and PCB layout that appear as tabs inside a single, integrated application. Oke sekarang Proteus 8 sudah berhasil Full versionĭocument.Free Download Proteus Professional 8 full version offline installer for Windows PC is a complete software solution for circuit simulation and PCB design.Buka Folder CRACK kembali lalu copy folder MODELS ke C:\ProgramData\Labcenter Electronics\Proteus 8 Professional.Buka drive C:\ pastikan pada tab VIEW -> Hidden Items terceklis.Jika ada peringatan, timpa saja agar tercopy semuanya. ![]() Buka Folder CRACK hasil ekstrak tadi lalu copy folder BIN ke C:\Program Files (x86)\Labcenter Electronics\Proteus 8 Professional.Tutup (Close) dulu aplikasi Proteus 8 (jika terbuka).Biasanya suruh install Microsoft VC .Klik Typical untuk mulai prsoes install.Klik Close jika semua license sudah terpasang.Cari di folder CRACK kemudian pilih LICENSE.kyk dan Open.Klik Next untuk mulai menginstall produk license key.Pilih use a locally installed license key.Ceklist I Accept the terms of this agrement.Jendela proses install Proteus 8 akan dimulai.Buka hasil ekstraksi dan klik 2x pada file setup.exe, jika ada peringatan, klik YES.Caranya klik kanan|Klik 7zip|Klik extract to. Ekstrak Proteus 8 menggunakan aplikasi 7zip.Download aplikasi proteus 8 dari alat dan bahan.Cara install Proteus 8 full di Windows 10 2.1. Aplikasi ini dikembangkan di Yorkshire, Inggris oleh Labcenter Electronics Ltd dan tersedia dalam bahasa Inggris, Prancis, Spanyol, dan Cina. Perangkat lunak ini digunakan terutama oleh insinyur dan teknisi desain elektronik untuk membuat skema dan untuk pembuatan papan sirkuit tercetak (PCB). Proteus Design Suite adalah perangkat lunak berlisensi yang digunakan terutama untuk otomatisasi desain elektronik. Proteus 8 harus di ekstrak menggunakan aplikasi winzip, rekomendasi: 7zip.Sumber belajar: Buku, Modul dan LKS Komputer dan jaringan dasar, Internet.Mempraktikan cara menginstall proteus 8 di Windows 10.Setelah praktik cara install Proteus 8 full di Windows 10, saya dapat: Proteus ini juga menyediakan contoh-contoh desain skema rangkaian elektronika mulai dari gerbang logika hingga rangkaian rumit lainnya sehingga kita bisa belajar dari contoh yang sudah ada.Ĭara Install Proteus 8.9 profesional Full version di Windows untuk siswa SMK Kompetensi Keahlian TKJ,TEI,TAV dan Mekatronika Proteus juga baik untuk belajar elektronika seperti dasar-dasar elektronika dan kelistrikan sampai pada aplikasi mikrokontroller. Kedua software ini sangat bisa diandalkan untuk belajar desain rangkaian mikrokontroller seperti Arduino. Proteus menggunakan program ISIS untuk membuat skema diagram desain rangkaian, dan program ARES untuk membuat layout PCB dari skema yang kita buat tadi. Cara install proteus 8.9 profesional di windows - Proteus pada awalnya adalah sebuah aplikasi untuk mendesain PCB ( Printed Circuit Board), kemudian dilengkapi dengan program simulasi pspice dimana dari skematik diagram kita dapat mencoba rangkaian sebelum dipindah ke PCB sehingga sebelum PCB di cetak kita akan tahu apakah PCB yang akan kita buat sudah benar atau terjadi error. The Beretta APX can be best carried outside the waistband. Cartridge or Gauge: 9mm Finish: Nitride Stock Color: Black Description The APX Semi-Auto Pistol from Beretta® utilizes a striker-fired mechanism and outstanding ergonomics to deliver rapid shots on target, with precision accuracy and unfailing reliability. The Beretta APX A1 Full-size is an optics-ready handgun, meaning you can easily mount a red dot, RMR, or reflex sight on it. 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The centers bring together researchers from multiple disciplines at MIT to engage with companies, governmental agencies, and other stakeholders to further research and promote clean energy technologies to mitigate climate change. Our Aramco Research Centers in Detroit, Houston, and Boston have a collaboration with the MIT Energy Initiative (MITEI) to support research by two Low-Carbon Energy Centers designed to address climate change challenges. The center works on collaborative research projects with the nearby Massachusetts Institute of Technology (MIT ) faculty, with a focus on modeling, visualization, simulation, and advanced materials. ![]() The strong capabilities provided in downstream areas are complemented by our FUELCOM collaboration with the KAUST Clean Combustion Research Center.Īramco Research Center-Boston supports development in the areas of computational modeling, advanced materials, and nanotechnology. 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In addition, YASREF represents a continuing step forward in the strategies of Saudi Aramco and Sinopec to drive growth further downstream to capture additional value along the hydrocarbon chain. Both companies bring commercial and technical expertise to the joint venture to enhance trade of transportation fuels between a significant energy producer and its consumer. YASREF is a significant addition to the impressive downstream portfolio of Saudi Aramco, while building on and cementing the strategic partnership with Sinopec, Saudi Aramco’s largest crude oil partner and buyer. High-value refined products for both international and domestic markets. Of Arabian heavy crude oil to produce premium transportation fuels, as well as YASREF uses 400,000 barrels per day (bpd) That covers about 5.2 million square meters in the Yanbu Industrial City, and Petrochemical Corporation (Sinopec), is a world-class, full-conversion refinery Refining Company (YASREF) Ltd., a joint venture between Saudi Aramco and China 46% of the project’s materials and services were sourced and manufactured in Saudi Arabia.Ī unique feature of Fadhili is that its multiple downstream treated gas pipelines enhanced the connectivity, reliability, and responsiveness of Saudi Aramco’s Master Gas System (MGS), as those pipelines are connected to the northern and central sections of the MGS. The development of Fadhili added billions of dollars to the local economy through IKTVA. 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Main articles: Nuclear reactor physics, Passive nuclear safety, Delayed neutron, Iodine pit, SCRAM, and Decay heat However, in some reactors the water for the steam turbines is boiled directly by the reactor core for example the boiling water reactor. ![]() Most reactor systems employ a cooling system that is physically separated from the water that will be boiled to produce pressurized steam for the turbines, like the pressurized water reactor. The heat is carried away from the reactor and is then used to generate steam. ![]() The fission of one kilogram of uranium-235 releases about 19 billion kilocalories, so the energy released by 1 kg of uranium-235 corresponds to that released by burning 2.7 million kg of coal.Ī nuclear reactor coolant – usually water but sometimes a gas or a liquid metal (like liquid sodium or lead) or molten salt – is circulated past the reactor core to absorb the heat that it generates. This decay heat source will remain for some time even after the reactor is shut down.Ī kilogram of uranium-235 (U-235) converted via nuclear processes releases approximately three million times more energy than a kilogram of coal burned conventionally (7.2 × 10 13 joules per kilogram of uranium-235 versus 2.4 × 10 7 joules per kilogram of coal).
I love a tortured, moody and broody, in desperate need of a hug King of the Underworld. This version of Hades…phew…like, if he were to show up and say to me “you’re my queen” I’d be gone in a heartbeat. I was also wondering if all the recommendations were leading me wrong, but I didn’t have anything else downloaded to listen to, so I stuck with it. This book is a tad slow building up to it – so I was a little bored in the beginning. This book has a slow start – and to be fair, I just wanted to get to the part where Hades and Persephone were actively interacting. I will say that I wasn’t initially hooked or all that impressed. It wasn’t A Court of Silver Flames graphic, but I still probably shouldn’t have been listening to it while at work. I should also mention that I wanted a little spice, a little steam – and this delivered pretty well in that regard. Well, it worked and now I just want to binge this whole series. I was in the mood for H&P and something that would take my mind off real life and the stuff I didn’t want to emotionally deal with last week. I’d seen this book recommended on TikTok (more specifically BookTok) and I’ve seen it on various other platforms as well. ![]() I kind of fell down a Hades & Persephone rabbit hole, and I’m not mad about it. I listened to the audiobook via Audible and really enjoyed it. ![]() As she struggles to sow the seeds of her freedom, love for the God of the Dead grows – and it’s forbidden. The bet does more than expose Persephone’s failure as a goddess, however. Hades, God of the Dead, has built a gambling empire in the mortal world and his favorite bets are rumored to be impossible.Īfter a chance encounter with Hades, Persephone finds herself in a contract with the God of the Dead and the terms are impossible: Persephone must create life in the Underworld or lose her freedom forever. After moving to New Athens, she hopes to lead an unassuming life disguised as a mortal journalist. The truth is, since she was a little girl, flowers have shriveled at her touch. Persephone is the Goddess of Spring by title only. |
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