![]() ![]() ![]() I then calculated the sedation lag time and anesthetic awareness time for each simulated patient receiving rocuronium first and again receiving ketamine first. I assumed that each medication would be given sequentially and that administration would take 20 seconds for each medication. To assess the risk of anesthetic awareness, I simulated the onset times for ketamine and rocuronium 5000 times using Microsoft Excel to create random values with a normal distribution around each mean onset time. In a separate study, the onset of ketamine 2mg/kg IV was 46.05 seconds with a standard deviation of 1.93 seconds. In one of the most commonly cited papers comparing the onset of rocuronium to succinylcholine, the average onset of paralysis from rocuronium 1.2 mg/kg IV was 55 seconds with a standard deviation of 14 seconds. To determine the risk of anesthetic awareness from pushing rocuronium before ketamine, I performed a Monte Carlo analysis using 5000 simulated patients. The major risk that comes from giving rocuronium before ketamine is the risk of “anesthetic awareness.” That is, the risk the rocuronium kicks in before the ketamine does and the patient is paralyzed but not yet sedated. In this scenario, 50% of the safe apnea time is used up waiting for the rocuronium to work, leaving the physician with a very narrow window of time to place the airway without a risk of anoxic injury.īy reversing the usual order and giving rocuronium first, Josh points out that this sedation lag time should be minimized, assuming an onset of 50-60 seconds for rocuronium, an onset of 30-40 seconds for ketamine, and a few seconds to complete the administration of each drug.Īs some comments in Josh’s post point out, these onset times for rocuronium and ketamine are only averages – there are standard deviations that may make a difference in the calculation of the sedation lag time. This is problematic because the patient may become apneic from a fast ketamine push 1 minute before the intubating conditions are rendered ideal by rocuronium. With the traditional approach of giving ketamine before rocuronium, Josh estimates a 1 minute “sedation lag time” where the ketamine will kick in before the rocuronium. Such a patient has a very short “safe apnea time” of perhaps 2 minutes, beyond which if their airway is not secure they will likely suffer anoxic injury. In his post, Josh uses the example of a morbidly obese patient with hypoxic respiratory failure and an oxygen saturation of 96% despite maximal preoxygenation efforts. This is the reverse of the more common RSI practice of giving the sedative followed by the paralytic. Josh Farkas at wrote an excellent post discussing whether in certain scenarios rocuronium should be administered before ketamine in rapid sequence intubation. Subscribe on iTunes, Android, or Stitcher ![]()
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![]() ![]() Many of them were overdose victims who unwittingly took black-market painkillers or recreational drugs laced with the lethal synthetic opioid that are being mass-produced by Mexican drug cartels.īy some estimates, there are scores, or even hundreds, of these federal efforts to counter the manufacturing, smuggling and sale of fentanyl and related problems, including human trafficking, in which the cartels are also engaging in at increased levels. is facing intensifying urgency to stop the worsening fentanyl epidemic.ĭrug deaths nationwide hit a record 109,680 in 2022, according to preliminary data released by the Centers for Disease Control and Prevention. The hearing was particularly timely, because the U.S. Some of the more exotic and offbeat names of major Department of Homeland Security operations were revealed this week in a high-profile House of Representatives hearing on fighting the flow of fentanyl coming through the southern border. Preferably, the names sound pretty cool, and they're often a closely held secret until the operation is over and the suspects are in custody. When the federal government recently announced it had stopped 10,000 pounds of fentanyl from entering Arizona and Southern California from Mexico, the special name attached to the counternarcotics initiative was somewhat confusing: Operations Blue Lotus and Four Horsemen.īut this kind of cryptic labeling is not uncommon in federal law enforcement, where agents like to show they are serious about tackling drug traffickers and other criminals by giving their efforts an intriguing code name. Please be noticed that, your visa application may be declined if your photo does not satisfy the requirements, and all the responsibilities should be taken by yourself.Watch Video: DEA warns of 'rainbow fentanyl' as overdoses surge across the US The specific requirements mentioned above will come into effect from December 1 st ,2016. Please be noticed that, your visa application may be declined if your photo does not satisfy the requirements, and all the responsibilities should be taken by yourself. Please refer to the following image to check if your photo meets these requirements. Background should be in white, and with no edge frame. Photo should be in natural tone, but not over or under exposed, red-eyed or distorted.Ħ. There should be no damages or impurities on the photo, no permeation or shadow over the face. Hat or other head wears are only permitted due to religious reasons, but any facial features should not be obscured.ĥ. Eyeglasses are allowed except thick-rimmed, tinted or glare glasses. Facial features should be complete and clearly visible, with the head centered in the photo. Head position: ≤ 20° left or right tilt, and ≤ 25° up or down tilt. There should be no extra movement or objects visible in the photo.Ĥ. The facial expression should be neutral with eyes open, lips closed and ears visible. ![]() While taking the photo,please face the camera with the entire head and face clearly visible. Photo size: 48mmx33mm, width of head: 15mm to 22mm, height of head: 28mm to 33mm. It must be a color photo with white background, taken recently within the last 6 months.Ģ. The following detailed requirements of the photo should be satisfied:ġ. In accordance with the instruction from Chinese Embassy in Singapore, Applicant is required to submit one photo while applying for Chinese visa. ![]() ![]() ![]() « These eight images came to have manifold meanings. The eight trigrams therefore are not representations of things as such but of their tendencies in movement. » Attention centers not on things in their state of being – as is chiefly the case in the Occident – but upon their movements in change. The eight trigrams are symbols standing for changing transitional states they are images that are constantly undergoing change. Here we have the fundamental concept of the Book of Changes. At the same time, they were held to he in a state of continual transition, one changing into another, just as transition from one phenomenon to another is continually taking place in the physical world. « These eight trigrams were conceived as images of all that happens in heaven and on earth. In this way the eight trigrams came into being. » To each of these combinations a third line was then added. However, the need for greater differentiation seems to have been felt at an early date, and the single lines were combined in pairs. “Yes” was indicated by a simple unbroken line, and “No” by a broken line. This type of oracular pronouncement is likewise the basis of the Book of Changes. In antiquity, oracles were everywhere in use the oldest among them confined themselves to the answers yes and no. « At the outset, the Book of Changes was a collection of linear signs to be used as oracles. Thus increasingly hairsplitting cabalistic speculations came to envelop the Book of Changes in a cloud of mystery, and by forcing everything of the past and of the future into this system of numbers, created for the I Ching the reputation of being a book of unfathomable profundity. Combining a rigorously consistent, dualistic yin-yang doctrine with the doctrine of the "five stages of change" taken from the Book of History, it forced Chinese philosophical thinking more and more into a rigid formalization. ![]() The Ch'in and Han dynasties saw the beginning of a formalistic natural philosophy that sought to embrace the entire world of thought in a system of number symbols. « In the course of time, owing to the great repute for wisdom attaching to the Book of Changes, a large body of occult doctrines extraneous to it – some of them possibly not even Chinese in origin – have come to be connected with its teachings. Small wonder then that both of the two branches of Chinese philosophy, Confucianism and Taoism, have their common roots here. Therefore it may safely be said that the seasoned wisdom of thousands of years has gone into the making of the I Ching. Nearly all that is greatest and most significant in the three thousand years of Chinese cultural history has either taken its inspiration from this book, or has exerted an influence on the interpretation of its text. Its origin goes back to mythical antiquity, and it has occupied the attention of the most eminent scholars of China down to the present day. Extracts from the Wilhelm's I-Ching translation's introductory : « The Book of Changes – I Ching in Chinese – is unquestionably one of the most important books in the world's literature. ![]() ![]() ![]() The cars and drivers - like the series’ iconic ice cream truck, Sweet Tooth, and Axel, a muscle-bound man straddling two truck tires - ooze personality even in the early polygonal days of 3D. Players take the wheel of various over-the-top armed and armored vehicles in a demolition derby taken to a post-apocalyptic extreme. One of the most influential action-RPGs of all time, Castlevania: Symphony of the Night is still just as satisfying to play now as it was 20 years ago.īefore leading the team behind God of War, designer David Jaffe rose to prominence for his work on the PS1 vehicular combat series, Twisted Metal. It used the CD format to make a massive game filled with rich, 2D sprites, rejecting the crude, early 3D the rest of the industry pursued at the time. Symphony of the Night stood out immediately for bold choices like hiding more than half of the game behind a false ending. To protect humanity from his father, Alucard sets out to slay the castle’s monstrous inhabitants. Symphony of the Night, however, revolves around Alucard, the lazily-named son of Dracula. In previous Castlevania games, you controlled members of the vampire-hunting Belmont family. It was the franchise’s defining moment, as the game radically expanded the series’ platforming with RPG loot, progression and non-linear exploration, lending its suffix to the subsequent “ Metroidvania” genre as a result. The Castlevania series was over a decade old by the time Symphony of the Night arrived. In this list, we’ll go through 50 of the best PS1 games of all time. The system’s library might not hold up as well as you’d remember, but there’s no denying its importance. With the launch of PlayStation Plus, Sony’s new subscription service designed to rival Xbox’s Game Pass, many of these classic PS1 titles are going to be making their way to current-gen consoles. ![]() It paved the way for the PlayStation brand, leading to millions of consoles sold worldwide and three more successful home consoles thereafter. Many of these beloved series began on the original PlayStation and still feature new entries to this day. It featured some of the most important and influential games of all time, from Metal Gear Solid to Spyro the Dragon, Crash Bandicoot, Gran Turismo, and Final Fantasy VII. Ranging from novel-length, narrative-driven RPGs to fast and furious races to mind-bending puzzles, games for the original PlayStation offered a wildly diverse lineup over its 11-year production run. And we all know that the success of this console has now led to the PS4 and PS5. Not only was it home to some of the most impressive games at the time, but it also offered a convenient way to play music using CDs, which was quite novel in the mid-90s. In 1995, the system was released worldwide, and it took gamers by storm. In 1994, the PlayStation launched in Japan, giving its players a way to enjoy beautiful (at the time) 3D games using discs instead of the expensive price tag that came with cartridges. It was the result of a canceled collaboration between Sony and Nintendo, leading to somewhat of a feud in the mid-90s. The original PlayStation almost didn’t happen. ![]() ![]() ![]() This will be particularly true should there be a high demand for seats on the 24 passenger shuttle. Just note that the Downtown Grand may, at some point, require you to be a registered guest to ride the free shuttle. Similarly, the Sam’s Town Hotel & Casino Shuttle is a free service provided to hotel guests, but in reality, anyone can ride. Presumably the Downtown Grand has no problem taking visitors from the Strip, and dropping them off at the front door of their casino. However, as of this writing, there is no requirement to show a room key or otherwise prove you are a registered guest at the Downtown Grand in order to take advantage of this free service.Īnd that makes sense. (They call it an “Experience Fee” instead of a resort fee). The Downtown Grand says that the shuttle is for guests and is one of the amenities included for hotel guests as part of the nightly resort fee they charge. Who Can Ride the Downtown Grand Strip Shuttle? It leaves the Fashion Show Mall every hour, on the half-hour, from 10:30 AM to the last run at 7:30 PM. The shuttle leaves the Downtown Grand every hour, on the hour, from 10 AM to 7 PM. The shuttle will depart from the Forever 21 location every hour, on the half-hour, beginning at 10:30 AM and going up and to a 1:30 PM departure.īeginning at 3 PM (there is no 2:30 PM shuttle), the shuttle will leave the Fashion Show Mall ever hour, up until the last shuttle leaves the Mall, at 9 PM. ![]() Rinse and repeat, with the shuttle leaving downtown every hour, on the hour, until 1 PM.īeginning at 2:30 PM (there is no 2 PM shuttle for some reason), the shuttle will leave the Downtown Grand every hour on the half-hour, with the last shuttle leaving downtown at 8:30 PM. ![]() ![]() The first shuttle arrives at the Fashion Show Mall at approximately 10:30 AM.įrom there, the shuttle will leave the mall at 10:30, and arrive back at the Downtown Grand at 11 AM. The shuttle leaves from the Downtown Grand at 10 AM. The pick-up/drop off point on the Strip is just outside the Forever 21 store on the northern end of the Fashion Show Mall.įree Strip Shuttle to Fremont Street Times As of this writing however, it is on Ogden. Watch for the sign indicating the shuttle shop, as the exact pick-up location may change. The pick-up/drop off at the Downtown Grand is on Ogden Avenue, which is the street directly in front of the Downton Grand, in-between the resort and Fremont Street. Fremont Street to Las Vegas Strip Shuttle Schedule & Locations The shuttle is air-conditioned, of course, and seats twenty-four passengers. Wynn/Encore, Venetian/Palazzo, T.I., Mirage and others), the Downtown Grand shuttle is a nearby, cheap, and very convenient way to get down to Fremont Street.Īnd with zero stops between Las Vegas Boulevard and Downtown, you won’t be bogged down by a bus making stop after stop picking up passengers. On the bright side, for people on the northern end of Las Vegas Boulevard, (i.e. If you only have a limited time in Sin City, you may just want to go ahead and take the SDX Strip to Downtown Express, or pony up for a Lyft or Uber, rather than make a trek to the north end of the Strip just to catch a free ride. What that means is that for those of you staying on the south end of the Strip, the inconvenience factor of getting to the Fashion Show Mall may make this free shuttle a moot point. The Fashion Show Mall is the massive shopping complex located on the northern part of the Strip, directly across Las Vegas Boulevard from the Wynn Las Vegas, and across the street from Treasure Island (or T.I.). There are only two stops on this free shuttle: The Downtown Grand and the Fashion Show Mall. Their new free shuttle to and from the Las Vegas Strip may provide a chance for some people who wouldn’t ordinarily wander off Fremont, to check out the modern décor, low limits, and overall fun vibe of the Downtown Grand. The entire resort was newly remodeled and re-branded in 2013, but due to being slightly off of Fremont Street, it doesn’t get the attention it may deserve. The Downtown Grand is located one block north of Fremont Street in downtown Las Vegas. It’s all thanks to the Downtown Grand Hotel and Casino, the just-off Fremont Street casino/hotel who began operating the free, seven-day-a-week shuttle service in May 2019. The Downtown Grand has a free shuttle to the Las Vegas StripĪ $15 Uber ride? Twenty-five taxi fare? Or long city bus ride with confusing schedule and innumerable stops?įortunately for us there is now a free shuttle that goes straight from downtown Las Vegas to the Strip and back. ![]() ![]() ![]() Although Dark Souls series doesnt look that much active anymore but still much better than this, at least I enjoy even I die by invasions or in duels but in Elden Ring its usually like ''Haha Corpse Piler goes brrr'' in short the game seems to be played by 1IQ people not only this but also Ive seen multiple people spamming Corpse Piler and bleed to Crucible Knights, Deathbirds, Gargoyles, Radagon and Elden Beast. Each player builds their own spell deck and battles together against. Find co-op news, reviews, and more info about this game. ![]() Fight alone or with a friend in co-op as you cast powerful spells on the fly, battle evolving enemies, and collect game-changing artifacts. Literally I dont enjoy both pve and pvp (in this case the whole Elden Ring) after gaining all these achievements and 1000s of hours Im done here. Co-Op gameplay information about One Step From Eden on PlayStation 4. One Step from Eden combines strategic deck-building and real-time action with rogue-like elements, allowing your character the chance to carve a path of mercy or destruction. However, with all that's been happening as of late in the world, its difficult to have friends come over. Online Multiplayer (Co-op and PvP) I was playing this game and enjoyed it a lot, especially with friends over so that we can play together. Tired of seeing the same weapons and people, its getting annoying after a while you know? from my experience (especially right now) Elden Ring is all about weapon skill spamming, also invasions and summonings became way worse. One Step From Eden is a spell-slinging deck-building roguelike. One Step From Eden > General Discussions > Topic Details. 0:00 / 1:00 How to Play One Step From Eden Online Parsec 16.5K subscribers Subscribe 3.1K views 2 years ago Download Parsec for FREE: INSTRUCTIONS. Dear so colled ''Elden Ring'' community, I just wanted to say that both you and this game became garbage, there are several reasons but the most important is pvp. ![]() ![]() ![]() Moon: Shining in the Sky - Clannad, Trees.Love Lockdown: Flying Battery Zone (Act 2) (NTSC Version) - Sonic the Hedgehog 3 & Knuckles, Just Can't Get Enough - The Black Eyed Peas Experience.Lift Yourself: Circus (Poop Mix) - Five Nights at Freddy's, Dance D - Spore Creatures.Adele Givens): Rude Buster (OST Version) - Deltarune, Circus (Chex Mix) - Five Nights at Freddy's, Aurora Palace - Rabi-Ribi, Lord Crump's Theme - Paper Mario: The Thousand-Year Door, BIG SHOT (Alternate Route) - Deltarune I Am a God: Grace and Glory (Alpha Mix) - Jet Set Radio.The Weeknd & Lil Baby): Dark Cave/Ice Path (OST Version) - Pokémon HeartGold & SoulSilver Chris Martin): Menu Theme 5 (Online) - Gran Turismo 4 Heartless: Just Can't Get Enough - The Black Eyed Peas Experience.Adam Levine): Super Mario 3D All-Stars Music SMS Welcome to Isle Delfino (OST Version) God Breathed: Card Castle (Beta Mix) - Deltarune, Wario's Gold Mine - Mario Kart Wii.The Weeknd): Tangotronic 3000 (Beta Mix) - Rhythm Heaven Megamix Feedback: Encounter With Gulliver - Animal Crossing: The Movie.1: Let's Play: 7 Grand Dad - Episode 2, Sidon's Theme - The Legend of Zelda: Breath of the Wild Fade: Rage of the Champions - Toss the Turtle.Teyana Taylor): Once Upon a Time (Trailer Version) (Unused Version) - Undertale, Philips CD-i Startup - Console/BIOS Music Come to Life: To the Same Heights (Alpha Mix) - Clannad.Bound 2: Remix 10 - Rhythm Heaven Fever.Black Skinhead: Remix 10 - Rhythm Heaven Fever, oRE No IMoUTo - Ore no Imouto Portable, Create 1 (Champ'd Up) - The Jackbox Party Pack 7, 0² Battle - Super Smash Bros.Amazing: The Gift of Thought - Jet Set Radio Evolution. ![]()
![]() ![]() are all using Splashtop today to enable work-from-home. I do know many Hollywood studios, architecture firms, game development houses, TV broadcasts, etc. we hope to move much faster than all the bigger companies. Splashtop continually improve and enhance our solution. If PCoIP cannot take advantages of NVIDIA/ AMD / Intel hardware assist technique, Splashtop should be higher performance than pure-software based PCoIP implementation. I don't know the exact performance of a pure software-based PCoIP solution when remoting into a standard workstation without Teradici hardware inside. ![]() PCoIP performance is amazing if you use Teradici hardware at the servers (tend to be VDI oriented usage model). My understanding is PCoIP came from a hardware company called Teradici and they licensed the protocol to VMware. ![]() What I can say is that Splashtop works closely with NVIDIA, AMD, and Intel to optimize for hardware acceleration (encode and decode) so reducing CPU utilization (allowing more headroom to run other intensive applications) and as we capture display in video RAM framebuffer directly, we reduce the latency significiantly. My understanding is performance is more impacted by what optimization vendor does in screen capturing, encoding, and then decoding technologies to ensure low latency / high frame rate / different resolution & also based on available bandwidth (4G, wifi, GB ethernet), and the various tradeoffs depending on usage models (ie., graphics designer might need higher resolution over frame-rate if people are playing 3D games, frame-rate & latency are more important than resolution.). Same question for Maxime regarding Wayk Now? Opens a new windowĭon't hesitate if you have any questions! ThanksĬurrently how does Splashtop compare to protocols like PCoIP, or HP RGS or TGX? Here's the link for more information about this deal. Will automatically be granted an unlimited number of Wayk Now Enterprise subscriptions to connected clients, completely free, for the next 6 months. With features like unattended access, file transfer and more, it's a very great team work tool.ĭepending on the number of users you have, we announced that with every private Wayk Den Opens a new window deployments (our centralized server for Wayk Now that can be hosted on-premises or self-hosted within your cloud infrastructure) No installation is needed, so it's easier for your users. Wayk Now is an easy to use, flexible and lightweight remote desktop solution. If they are doing stuff on mainly 3D static then literally what they need is RDP or remote software (splashtop or teamviewer) else they may need to use PCoIP for motion picture (the refresh rates are much better, including more screens etc).įor a smooth and easy experience for your users, Wayk Now Opens a new window would be a great secure and efficient solution for you, mostly if your users will have access via their home pc's. Then does the users need WYSIWYG (what you see is what you get) ? If they are connecting to local workstations (should get Mobile Workstations unless they need extreme performance), then literally all the processing is done on the workstations and all use user will get is "screenshots" at a fast refresh rates (unless they know how to set up PCoIP). I am looking for the best connection protocol or software for this type of use case. They would be connecting from their home pc's which might and might not have decent gpu's. They will be connecting to their workstations in the office which are very high end with graphics cards. I am looking for a smooth experience for the users who are working from home. ![]() ![]() ![]()
![]() ![]() If you don't do this, you may lose data on the hard drive and it may get damaged. Before disconnecting your drive, right click on the WD QuickView icon in the system tray (near the clock in the task bar) and select Safely Remove My Book.WD SmartWare backs-up your files in a folder on the My Book drive called "\WD SmartWare.swstor\YourComputersName.However it doesn't backup your whole computer. It allows you to backup your data files which are very important. The WD SmartWare is included on the hard drive itself.There is also a manual available for the the Acronis True Image application. It allows you to backup your whole computer and restore it, even if restoring it is to a new hard drive. You can download The Acronis® True Image (ATI) WD Edition software for free.Because the drive is hardware encrypted using this circuit board, only the exact same model will unlock it. If it fails, the only way to regain access to the information on the drive might be to replace the circuit board in the enclosure with one of the exact same model. If you've encrypted the drive, it will only work in its enclosure.If you lose the password, even WD won't be able to help you regain access to the drive.Once the drive is unlocked, it will appear under Hard Drive Devices. Open this drive by double clicking on it and then double click "WD Drive Unlock". This is a partition on the My Book drive that contains the software that will allow you to unlock the drive. If you aren't, open My Computer and look for a CD drive called "WD Unlocker". If you set the security password on the drive, you will be prompted for it if you connect the drive to a different computer.The user manual is on the My Book drive in \User Manuals\ENG\UserManual.pdf.Just follow the prompts to install the software.Ībout the My Book drive (Things they don't tell you up front).This will start the installation process for the backup software. If you don't see the "WD Apps Setup", look for a folder called "WD Apps for Windows", if you are using Windows or "WD Apps for Mac" if you are using OS X to find the application installer for your operating system. Double click on it and then on "WD Apps Setup".Look for the new hard drive in My Computer.After a few seconds (up to a few minutes), the drive will appear in your "My Computer". If you have a USB 3.0 port (usually blue) on your computer, use that as it will make a huge differences in the speed at which your computer gets backed up. ![]() Plug the USB cable between the computer and the drive.Don't worry if it doesn't turn on right away. Plug in the power supply to the wall/powerbar and to the drive.The instructions are for Windows users and may be different if you are using a Mac/OS X or using a newer/different version of the software. This article will provide you with additional information will hopefully answer some of your questions regarding the My Book drive. There isn't a lot of documentation that comes in the box with the WD My Book drive. ![]() |
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