![]() ![]() Ībout AACN Advanced Critical Care: AACN Advanced Critical Care is a quarterly, peer-reviewed publication with in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. ![]() The American Association of Critical-Care Nurses (AACN) publishes the journal.Īccess the issue by visiting the AACN Advanced Critical Care website at. Each issue includes a topic-based symposium, feature articles and columns of interest to critical and progressive care clinicians. Decreasing the stress of medication management during cardiac arrestĪACN Advanced Critical Care is a quarterly, peer-reviewed publication with in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators.The article is one of several published in the winter 2021 issue of the journal that address issues related to improving cardiac arrest care. The researchers looked at specific data from medical records and cardiopulmonary arrest forms for patients who sustained an IHCA, underwent attempted resuscitation on an inpatient unit, for whom this was the first IHCA for this hospital admission and for whom complete data were available. Other variables associated with increased mortality at the four patient outcome milestones included higher patient acuity, requiring defibrillator shocks and experiencing IHCA during the night shift. For compression rates, more than half were too fast, while 37% were at the target rate. For compression depth during each code, 63.9% was within the target depth, with 34.7% too shallow. The mean overall compression adherence to CPR guidelines, as calculated by the ZOLL device – combining the rate of 100 to 120 compressions per minute and a depth of at least 2 inches – was 27.4%. The pad contains sensors that calculate chest compression rates and depths, and the ZOLL device is able to provide real-time audio and visual feedback during compressions. All nurses and nurse technicians are trained annually on device operation, which includes placing a pad between the patient’s sternum and the rescuer’s hands. The ZOLL device has been the standard defibrillator on all of the hospital’s inpatient units since 2013. Key to the data collection was the hospital’s use of the ZOLL R Series monitor/defibrillator and RescueNet Code Review software. “By improving CPR quality, hopefully we can also improve IHCA survival.” “When seconds count, clinicians can use the enhanced feedback technology that’s now integrated into cardiac monitors and defibrillators to adjust their compressions,” said study co-author Roberta Kaplow, PhD, APRN-CCNS, AOCNS, CCRN, a critical care clinical nurse specialist at Emory University Hospital, a part of Emory Healthcare. A quarter of the participants were discharged from the intensive care unit alive, with 47 leaving the hospital alive. Of the 200 participants, 125 attained return of spontaneous circulation, with 94 of them alive 24 hours after resuscitation. The study appears to be the first to assess participants at four points following resuscitation efforts. The study is published in AACN Advanced Critical Care. “ Impact of CPR Quality and Adherence to Advanced Cardiac Life Support Guidelines on Patient Outcomes in In-Hospital Cardiac Arrest” describes an observational study of prospectively collected data from a convenience sample of 200 patients at Emory University Hospital, Atlanta. In addition, the researchers looked at the influence of patient acuity, quality of chest compressions and other factors on survival rates. Mortality remains about 85% for patients who experience in-hospital cardiac arrest (IHCA) and even higher when cardiac arrest happens outside the hospital.Īn analysis of CPR interventions after IHCAs at an Atlanta hospital found the sole factor that consistently impacted survival was the number of pauses in chest compressions greater than 10 seconds during resuscitation efforts. Newswise - Cardiac arrests are high-stress and high-stakes events, with prompt, high-quality CPR a vital element on the path to survival.ĭespite advances in healthcare technology, treatment and training, survival for individuals who experience cardiac arrest has improved only slightly over the past decade. ![]()
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![]() ![]() If you use any ad-blocking or security software, please disable it temporarily.Make sure that the date on your computer is set correctly.If the security is set too high, you might be blocked from accessing our server. Please check the security zone setting of your Internet browser's preferences. ![]() Be sure you are connected to the Internet before opening the program.Please review the following list of helpful troubleshooting tips: The "Failed to contact " message indicates that your browser or computer's security settings are not allowing the downloaded game to communicate with our server during the unlock process. I'm receiving a "Failed to contact " message when entering my key information. Under "Contact Shockwave regarding", be sure to select 'Questions about a game I bought' from the menu. If you need further assistance registering your game, please send us a message using the contact us form. If you have installed a different version of the same game (from a different Website), please delete it, then download and install the Shockwave version. Shockwave license keys will only work on Shockwave games. Please make sure that you are entering your license key into the correct game. A license key for one game will not work for other games. Important! - Punctuation and hidden spaces are not permitted - make sure there are no leading or trailing spaces in either your registration name or license key.Īlso note that many games have similar titles. To paste: Click in the box where the registration name or license key is to be entered, then press the Ctrl and V keys simultaneously. To copy: Use your mouse to select your registration name or license key, then press the Ctrl and C keys simultaneously. To avoid errors when entering your license key or registration name, the best thing to do is copy and paste them directly into their respective fields: Your name and code must be spelled, spaced, and capitalized exactly as they appear in the email - no matter how you regularly spell, space, or capitalize your name. Please double check that you are entering the license key and registration name (if applicable) EXACTLY as they appear in your registration email. When I try to register my game it doesn't unlock. ![]() ![]() ![]() Firehouse has only 7 primary parts! Features include: 3/8"MDF clapboards milled into exterior wallsįirepole Full staircase Rooftop bracing Working doors Fire engines shown are available at most toy stores. This traditional Firehouse arrives completely finished inside and out with easy-to-follow instructions for simpleĪssembly. Imported from USA (Sizes ![]() ![]() The game is headed to both Steam and Epic Game Store in Q4 of 2022 – the first time we’ve learned of that date. published 10 December 2021 Will Karan Sjet save us yet again Comments Blackbird Interactive and Gearbox served up our first look at Homeworld 3 gameplay during tonights Game Awards pre-show. It’s not much information to go on, but it is exciting to see the return of such a classic real-time strategy sci-fi franchise. “Homeworld 3 is the realization of the vision of what we set out to create in the Homeworld series, with modern technology allowing us to push beyond our wildest dreams of large-scale dynamic space combat packed with emotional sci-fi storytelling,” says Rob Cunningham, CEO of Blackbird Interactive. Homeworld 3 will release in the first half of 2023, according to the most recent Gamescom trailer. We know from an accompanying press release that the game is set generations after the original games as a standalone release, and set in a galaxy that has enjoyed long year years of success thanks to a large Hyperspace Gate Network, but that those gates are now failing. Interspersed with the footage are glimpses of a long-haired woman seemingly suspended in some sort of chamber, ably recalling imagery from the earlier games – very possibly an appearance of Karan from the original games. We see a lot of beauty shots of a variety of ships, but we also are treated to a variety of battle shots that include larger capital ships and smaller fighters blowing each other into space debris. We are inviting content creators attending gamescom 2022 to an exclusive Homeworld 3 experience including a first look at never-before-seen gameplay and Q&A. As the music plays, we’re treated to a bevy of different spacecraft, moving both through atmospheric conditions as well as in deep space. ![]() The series stars McBride and Goggins, plus Adam DeVine, the. In the video, we’re greeted by a remixed version of Samuel Barber’s "Adagio for Strings," a piece of music renowned for high-drama appearances in a variety of media. The Righteous Gemstones last aired new episodes back in February of 2022 the series is set to return for its third season on June 18. Today’ Game Awards pre-show presentation brought us a new look at the mysterious title, in the form of a new trailer. It’s been a long time since Homeworld 2’s release way back in September of 2003, but fans have hung their hopes on the exciting prospect of a new game on the way from Blackbird Interactive. A lot of mystery surrounds the previously announced Homeworld 3. ![]() ![]() ![]() In Europe, a net importer of nutmeg, mace and cardamom, it is also used as a spice, being added to local dishes, sauce bases and marinades. Nutmeg, mace and cardamom enjoy the most popularity in the countries of Asia and the Middle East: here it is used as a key ingredient in a variety of traditional dishes. Grated nutmeg spice is used to flavor everything from many desserts to cream sauces, in meat rubs, eggs, over veggies (like squash, carrots, cauliflower, spinach, and potatoes) as well as a dusting over morning coffee. ![]() Today, most of the premium nutmeg spice comes from Grenada and Indonesia. The main destinations of Grenada exports on Nutmeg, mace and cardamons were United States ($1.37M), Netherlands ($1.06M), Germany ($1.03M), Argentina ($475k), and Austria ($450k). In 2020, Grenada exported $6.12M in Nutmeg, mace and cardamons. Production in 2020-21 stood at 10.7 million tonnes growing at an 8% CAGR since 2014-15. The production of different spices has been growing rapidly over the last few years. It is also the largest consumer and exporter of spices. India India is the world’s largest spice producer. Other nutmeg producing regions in the nation include Sulawesi, Aceh in Sumatra, and Java. Indonesia is the world’s top producer of nutmeg, making up about 50% of the world’s production. Grenada is the second largest producer and exporter. Indonesia is the largest world producer of nutmeg and mace and accounts for three-quarters of world production and export. Which Caribbean country grows the most nutmeg?.Who is the largest exporter of cardamom?. ![]() ![]() For example, a dog who is frightened about being in the consultation area might also be frustrated that they are contained, restrained on a lead, and unable to escape to a position of perceived safety.Īnother common example is a dog who would really like to eat the treat offered to them but is at the same time worried about approaching the person who is offering it. Especially if it is someone unfamiliar and in an unusual or worrying place, such as the veterinary team in the clinic. It is important to remember that several emotions may be expressed, to varying degrees, at the same time. ![]() The aggressive behaviour of lunging, growling, and snapping is performed without any emotional component, but instead as a learned and now habitual response within this setting. The dog now has a behavioural strategy that can give them confidence when vets approach in the consult room. The aggressive response may well have been emotionally driven initially, but over time the emotional component of the behaviour has reduced until what manifests is a learnt habitual response to the stimulus.įor example, a dog who initially lunged, growled, and then snapped when touched by a vet in the consult room, due to pain, might learn that this works well to keep vets safely at bay. It is possible, however, for aggressive behaviour to become a habitual response to a stimulus if the response results in a predictable outcome for the dog. This can lead to an individual viewing aggression as a successful behavioural strategy for times when they feel threatened.Īggressive behaviour is usually functional and serves a purpose for the individual. ![]() The pain associated with the restraint is alleviated when the person holding them lets go. ![]() For example, an arthritic dog being held tightly or in an uncomfortable position for a blood sample might respond aggressively, perhaps growling or even snapping.
![]() (ANI)Īs per TechCrunch, this content would likely consist of workout and meditation playlists. And whether you want a low-key night or a heart-pounding dancefest, we have you set with featured playlists to match the vibe you're channeling," the blog post read.The streaming app further mentioned that starting from January 1, users can find content to help them set their resolutions.Īs per TechCrunch, this content would likely consist of workout and meditation playlists. At this one-stop destination you can find classic party playlists and special takeovers from artists like Charli XCX, Rita Ora, N-Dubz, and Madame Canada herself, Celine Dion. "We've got plenty of music to kickstart your celebration, and it's all in our freshly launched New Year's Hub. I have been playing prodigy since 2017 and have. ‘Amazing Love’ is his testimony of how God turned his life around and gave him a new purpose. Since his debut, the burgeoning music artist has gained a following for his inspiring messages and soulful sound. Spotify took to its official blog to make the announcement for the upcoming New Year's special feature. Digital Music News is the music industrys leading source for news on developments, technology, and trends. Mike Kesse, whose full name is Michael Kesse Frimpong, has been making gospel music for a while. Some special numbers were also included from a host of pop artists like Celine Dion and Charli XCX. ![]() It is available for both free and premium users of the streaming app across iOS and Android devices.Įarlier, the streaming platform launched 'New Year's Hub', a one-stop spot for users to access their favourite party tunes contained in a number of playlists. ![]() The feature shall be available starting today in 27 markets, which include Australia, Argentina, Brazil, Canada, Chile, Colombia, Czech Republic, Denmark, Egypt, France, Germany, Indonesia, Italy, Japan, Mexico, Morocco, New Zealand, Philippines, Poland, Portugal, Saudi Arabia, Spain, Sweden, Turkey, U.A.E., U.K. This feature shall only last till January 31, after which users would no longer be able to create a 'Playlist in a Bottle'. On Wednesday, the streaming platform announced that the brand-new experience feature will help users capture the moment by the time January 2024 arrives. Talarek zabawa mp3skull, Musical prodigy in new york, Convertire file da flac. Los Angeles, January 5 (ANI): Music app Spotify has brought out yet another new feature for users to go down a nostalgia trip.Īccording to a report by US-based tech portal TechCrunch, the music service launched a new in-app experience called 'Playlist in a Bottle', which will capture users' current musical tastes and revisit them after a year. Red gate software internships, Sasu song dj babu, Techcrunch 2014 mobile. ![]() ![]() ![]() But Democrats have said any changes to work requirements for government aid recipients are nonstarters. The GOP additionally wants new cuts to food aid by restricting states’ ability to waive work requirements in places with high joblessness. Republicans also want to beef up work requirements for government aid to recipients in the Medicaid health care program, though the Biden administration has countered that millions of people could lose coverage. “There’s absolutely no reason to do this and we all know it,” he said.Īs the negotiators focus on the $100 billion-plus difference between the 20 spending plans as a place to cut, other priorities Republicans are pushing as part of the deal remain on the table. Perry suggested the Treasury Department is going to be “flush with cash” come June 15 when quarterly tax payments are due. He and others are growing skeptical of the June 1 deadline that Treasury Secretary Janel Yellen said is when “it is highly likely” the government will be unable to pay all the nation’s bills. But again, it’s sticking together around the right thing.” Scott Perry said, “We all want to stick together. On Tuesday, the leader of the conservative House Freedom Caucus Rep. ![]() McCarthy faces a hard-right flank in his own party that is likely to reject any deal, and that has led some Democrats to encourage Biden to resist any compromise with the Republicans and simply raise the debt ceiling on his own, an unprecedented and legally fraught action. financial markets turned down last week after negotiations paused amid a jittery economy. The Senate would also have to pass the package before it could go to Biden’s desk to be signed.Īfter a weekend of start-stop talks, both Biden and McCarthy have declared a need to close a compromise deal. The House speaker promised lawmakers he will abide by the rule to post any bill for 72 hours before voting, making any action doubtful until the end of the week - just days before the potential deadline. “What I sense from the White House is a lack of urgency,” McHenry told reporters.īut on the Senate side, Republican leader Mitch McConnell said, “Look, I think everybody needs to relax.” He said that “the last 10 times we raised the debt ceiling, there were things attached to it” - as the White House has opposed this year. Talks resumed Monday night at the Capitol for two hours, and picked up again midday Tuesday. Patrick McHenry of North Carolina who joined the speaker at the Oval Office Monday evening, said there needs to be more urgency. Typically, the debt ceiling has been lifted for the duration of a budget deal, and in this negotiation the White House is angling for a two-year agreement that would push past the presidential elections.Ī top Republican negotiator Rep. The negotiators are now also debating the duration of a 1% cap on annual spending growth going forward, with Republicans dropping their demand for a 10-year cap to six years, but the White House offering only one year, for 2025. The White House continues to argue that deficits can be reduced by ending tax breaks for wealthier households and some corporations, but McCarthy said he told the president at their February meeting that raising revenue from tax hikes is off the table. Republicans insist that next year’s government spending be less than it is now, but the White House instead is offering to freeze spending at current 2023 numbers.Īgreement on that topline spending level is vital - to enable McCarthy to deliver spending restraint for conservatives while not being so severe that it would chase off the Democratic votes that would be needed in the divided Congress to pass any bill. Negotiations are focused on finding agreement over a 2024 budget year limit. But the newly elected speaker, McCarthy, R-Calif., visited Biden at the Oval Office in February, urging the president to come to the negotiating table on a budget package that would reduce spending and the nation’s post-COVID ballooning deficits in exchange for the vote to allow future debt.īoth men said late Monday after a crucial meeting at the White House - after the president returned from the Group of Seven summit in Japan - that talks were productive.īut with time short to strike a deal, they are laboring to come up with a compromise that could be approved quickly by the Republican House and the Democratic Senate and be signed into law. ![]() ![]() ![]() NOTE: We welcome any feedback during your experience to improve the game. Works with: iPhone SE, 6S, 6S Plus, 7, 7 Plus, 8, 8 Plus, X, XS, XR iPad Mini 4, 5 iPad Air 2, 3 iPad ProĬALL OF DUTY®: MOBILE does not support: iPhone 5S, 6, 6 Plus iPad Air, Mini 2, 3 iPod Touch What are you waiting for?! Download CALL OF DUTY®: MOBILE now! ![]() As part of an effort to make CALL OF DUTY®: MOBILE more accessible, the initial app download size has been reduced and additional options allow players to choose what is downloaded to experience the full game such as HD resources, maps, weapons, and operators. It's fun to shoot with others!ĭownload and play CALL OF DUTY®: MOBILE without the barrier of storage space. Join a clan for a sense of community and earn unique rewards for participating in Clan Wars. Gather your friends and test your mettle in competitive ranked mode or sharpen your aim in social play. Drop into the battle today!Īs you play CALL OF DUTY®: MOBILE you will unlock and earn dozens of iconic operators, weapons, outfits, scorestreaks and new pieces of gear that can be used to customize your loadouts, allowing you to play your way. 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The CALL OF DUTY® you know and love now on your mobile device. The Veiled Uprising is upon us all as worlds collide in Call of Duty®: Mobile’s Season 4. ![]() ![]() ![]() RELATED: Pro Tips For Subnautica You Need To Know There are a couple of things to look out for if the life pod is hard to spot: Thus, it is probably a good idea to have a defense module for the vehicle the player is using. During the descent, there are a number of dangerous creatures roaming. This pod is quite deep, so it can be annoying to locate. Life pod 7 is on the south end of the map in a zone called Crag Field, west of the Aurora and east of the Grand Reef. This one, however, floats on the surface of the water. Many gamers have trouble finding life pod 4, because every other life pod is sitting on the ocean floor. Players need to be careful in this area because Reapers roam everywhere. Explorers will find the destroyed life pod toward the front of the ship, directly on the border between the two zones. ![]() The proper way to find life pod 4 is to take the Seamoth and ride along the edge of the crash site and Mushroom Forest, on the east side of the map. Life Pod 6: Easter Grassy Plateaus Zone (363, -110, 309).Life Pod 4: North Edge Of Crash Zone (717, -7, 161).Life Pod 3: Eastern Kelp Forest Zone (-33, -17, 408).RELATED: Subnautica Below Zero: How To Survive The Crystal Caves See below for each life pod, zone, and coordinates (X, Y, Z). Life pods 4 and 7 will be covered in more detail because they can be tricky to find on the map, and require a bit of puzzling within the game to determine their location. Rather than go in depth about how to get to each location, this guide will provide coordinates, as well as the map above to make spotting them easier. ![]() |