Previous research efforts by the Resuscitation Outcomes Consortium found that paramedics who deliver defibrillator shocks within three minutes of arriving at the scene of a cardiac arrest can boost survival, and that the depth of chest compressions and the rate at which they were applied make a significant impact on survival and recovery of patients.Dr. Joglar, who holds the Elizabeth Thaxton and Ellis Batten Page Professorship in Cardiac Electrophysiology Research. #Heart rhythm doctor dallas trial#"The current trial showed an absolute survival benefit of almost 10 percentage points, eclipsing any effect of drug intervention," wrote Dr. Joglar, Program Director for Clinical Cardiac Electrophysiology, also noted the study's affirmation of the importance of timely cardiopulmonary resuscitation (CPR) by bystanders in such cases. "The rate of survival to hospital discharge was significantly higher with amiodarone (27.7%) or lidocaine (27.8%) than with placebo (22.7%)."ĭr. "The data do not support the use of amiodarone or lidocaine for all patients, but, although they are not absolutely conclusive, the data suggest that EMS personnel should consider these agents when the arrest is witnessed," he wrote in the editorial. Jose Joglar, Professor of Internal Medicine at UT Southwestern noted that more than 365,000 people die annually in the United States from out-of-hospital cardiac arrest. "Though seemingly small, a confirmed overall difference of 3 percentage points in survival with drug therapy would mean that 1,800 additional lives could be saved each year in North America alone after out-of-hospital cardiac arrest." "We don't really expect people who were in cardiac arrest without treatment for a long time to survive no matter what, but when we did the analysis of people who had witnessed cardiac arrest - they were seen to go down and someone called 911 - those patients definitely did significantly better when given the drugs," Dr. Neither drug resulted in a significantly higher rate of survival or better neurologic function in cases not witnessed (where the heart had been stopped for a longer time).Amiodarone had slightly better outcome than lidocaine in certain cases, but the two were fairly comparable.The drugs do work for witnessed cases when given by IV.The drugs aren't effective when given through an intraosseous line (directly into the bone marrow) in witnessed cases.When given earlier, the drugs are more effective in supporting survival than when they are not given.Idris, Director of the Dallas-Fort Worth Center for Resuscitation Research, sponsored by the National Institutes of Health (NIH). "We tested these drugs against each other and against placebo and we learned some very important information," said Dr. The study, which appears in the New England Journal of Medicine, examined records from more than 4,600 patients with out-of-hospital cardiac arrest involving paramedics from 55 emergency medical services (EMS) agencies at 10 North American sites participating in the North American Resuscitation Outcomes Consortium (ROC), to which UT Southwestern and the Dallas-Fort Worth ROC Network is the largest contributor. Ahamed Idris, Professor of Emergency Medicine and Internal Medicine at UT Southwestern, and Chief of Research in Emergency Medicine. Even though these drugs have been used for more than 30 years, we didn't have this important information on whether the drugs were valuable and in what circumstances," said Dr. "What the drugs do is stabilize the rhythm so that the shock actually becomes more effective in converting the heart to a normal rhythm with a pulse. Importantly, researchers found that the drugs are only effective when administered directly into a vein (intravenous), rather than the more commonly used technique of administering the drugs directly into bone marrow (intraosseous). The resuscitation drugs did not have an impact in cases not witnessed, where the heart had been stopped for a longer period of time. Given in conjunction with defibrillation shocks, the drugs - amiodarone or lidocaine - can help stabilize the heart beat after cardiac arrest in cases where the heart attack was witnessed and paramedics arrive in a timely fashion, the researchers found.
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He is shown to have sadistic sexual tendencies he mentions this to his fiance Livia, rather ashamed, that when they are married he will sometimes beat her with his hands or a light whip, citing that it's not out of anger, but that it gives him sexual pleasure. Despite this, he seems to be motivated by genuine benevolence for the Roman people and moral outrage at the corruption of Roman society. Atia herself personally admits privately that she is responsible for her son's cruelty, as after years of manipulating Octavian he changed from a good and honest child into a remote and scheming young man. He also orders, along with Mark Antony, the assassination of nearly a thousand senators and rich citizens, including Cicero and the father of Jocasta, primarily to obtain their wealth and also to eliminate his opponents in the Senate. In the second season, his opinions evolve it becomes obvious that he intends to establish a tyranny, and he sincerely advocates a harsh stance on issues of moral degeneration amongst the Roman elite - particularly his own family, with whom he shares a tense and manipulative relationship, frequently using them for political gain. Thus demonstrating a sense of compassion for the Roman people, but not so much for his own social class, the nobles. Upon Lucius Vorenus asking why should the Republic be changed and the nobles out placed, Octavian counters by saying "Because the Roman people are suffering, because slaves have taken all the work, because nobles have taken all the land, and because the streets are filled with the homeless and the starving". He has political beliefs favoring rule by the people rather than the elite. He is also well read in philosophy and is implied to be a monotheist and more specifically a deist (in contrast to his polytheistic society)-he does not believe in the Roman gods, but is open to the possibility of some kind of Prime Mover. His friendship with Pullo becomes a major plot point in the second season, with Octavian even entrusting to the soldier the assassination of the teenage Caesarion. He does however occasionally display his insecurities such as self-doubt in front of his sister (for whom he has sexual feelings) and Titus Pullo, to whom he admits his mediocre skills in physical combat, "I dare say I can kill a man, so long as he's not fighting back." He has already demonstrated this upon Pullo's rescue of him from being kidnapped by bandits hired by Pompey, when he beats to death an already heavily wounded bandit. He also displays a cynicism which is most likely a product of exposure to his amoral mother and the morally corrosive nature of Roman politics. 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While engaged in combat, a grid will appear indicating how many spaces are around the area. Each character will be presented with a set of available Actions that will be affected by your positioning and surroundings. Basics start with moving each character while observing the environment. Traverse the different locations and complete quests while collecting new Armor and Weapons for the journey.Ĭombat in Solasta is done turn by turn for each character and requires strategy and constant tactical positioning into order to deal successful attacks. Original players can then apply the strategies they're used to and now have the choice to play a well-loved game and pre-established set of rules on an all new digital platform. Its turn-based play style and Class choices keep it reminiscent of the classic tabletop game, keeping true to the original elements and structure of a regular D&D campaign. With Solasta, fans of the game can now play on the go with friends online, Choosing the Classes and Subclasses of their choice or choose to play a solo campaign. This makes the game ideal for tabletop D&D fans who want a change of environment, but want to continue the adventure. Every ancestry, class and archetype is unlocked during Early Access, with the maximum level capped to 6.Ī turn by turn cRPG experience that abides by the Dungeons and Dragons 5E edition rule guide. The Early Access version of Solasta included Act 1 and a teensy bit of Act 2 – which should be more than 10h of content to go through. #Solasta crown of the magister caat licenseTrue to the Tabletop: Wizards of the Coast granted Tactical Adventures a license to use the Dungeons and Dragons SRD 5.1 Ruleset, furthering our vision of making the most faithful video game adaptation with the Tabletop Ruleset!Įarly Access for Solasta: Crown of the Magister is available on Octovia Steam.Position yourself on high grounds to start the fight with an advantage. Push them into chasms or drop things on their heads. Evade or surprise foes from above or below. Prepare to Think in Three Dimensions: The dungeons in Solasta are more than flat game-boards.Successful adventurers will learn to use it to their advantage. Some enemies have darkvision, some may flee from your torch. Discover a Mysterious & Dynamic World: Delve into long-forgotten dungeons to unearth ancient artifacts, but stay watchful of light and darkness: many dangers hide in the dark, but a light can attract monsters.Tailor your squad to your preferred strategy and maximize your party's abilities. Breathe life into your heroes, and see their personalities reflected in their dialogue. An Epic Team Adventure: Create your very own party of adventurers with our Character Creation Tool in the classic tabletop RPG tradition.Graphics: Radeon RX 590 / GeForce GTX 1060.Processor: AND Ryzen 3 1300X / Intel Core i5-7400.Sound Card: DirectX compatible sound card.Graphics: Radeon R9 285 / GeForce GTX 950.Processor: AMD FX 4300 / Intel Core i5-3570K.Players will create their heroes just as they would in a pen-and-paper game by choosing their race, class, personality, and rolling for their stats. You make the choices, dice decide your destiny. Every hero expresses themselves in the adventure, making each action and dialog choice a dynamic part of the story. Set yourself up for the finishing strike and possibly roll a natural 20 at that key moment of battle. In Solasta, you take control of four heroes, each with unique skills that complement one another. Roll for initiative, take attacks of opportunity, manage player location, and the verticality of the battlefield. On the walls one can see the head mask of the She-Creature, the It from It Conquered the World, one of the saucer men from Invasion of the Saucer Men, and many others. The rest of the actors are acceptable, and the ending scene where we see the works of the artist is a walk down memory lane. In the end, we see Harris for what he real was.not just an innocent artist but a monster obsessed with his works and his creations in much the same vein as Vincent Price's character in The House of Wax. step the Now really hollow 8) the it's This with build rest set me groove extra purple your to apart fill. He effectively captures the insanity that courses through his mind with great subtlety. Hollow groove STEP 9 from monster will blocks. Mild-mannered Robert Harris plays the vengeful artist with restrained aplomb. It has a pretty good story about a make-up man who gets the pink slip and then promises to kill the execs who fired him and bring the studio to its knees. It is not a great horror picture by any standards, yet it is fun to watch. Master of monsters iii movie#This film is in many ways an inside look at the workings of the movie business and its thinking in the 50s as well as the ending chapter in the Teenage Trilogy cycle at AIP. The book documents the life and film career of Eiji Tsuburaya and the some of the history of his company Tsuburaya Productions up to the production of Ultraman Max. Immediately following its heels came I Was a Teenage Frankenstein, and then this film. Eiji Tsuburaya: Master of Monsters is a 2007 American documentary book created by August Ragone. In 1957, American International Pictures had a big hit with their I Was a Teenage Werewolf. You should choose a medium or large pot for cooking pasta because it requires a generous amount of water. Let’s start with the pot, which must be deep with a cylindrical shape. That means the pasta shouldn’t be raw or overcooked, but served al dente. Raw pasta is not easy to digest because the body's digestive enzymes cannot adhere to it, whereas overcooked pasta tends to form a sticky dough in the digestive tract, which blocks digestion. The starch can also be digested in a gradual manner, which prevents blood sugar spikes. With this shorter cooking time, the starch granules are hydrated, but not so much that they release into the cooking water. Pasta boiled al dente has a lower glycemic index. These two components react differently on the chemical level: Gluten absorbs the starch granules, while the starch absorbs water and swells until dispersed in the cooking water if boiled for long enough - meaning that if you cook pasta for too long, the starch will release into the cooking water - resulting in a loss of nutrients. So - with this new frame of reference in mind, is pasta better al dente or cooked until soft? To appropriately answer this question, we must first understand what happens when we cook the pasta. You never know when Shelley or the pasta police are gonna come calling.There are differing schools of thought when it comes to cooking pasta - but there is one important element we should all consider: The longer you cook the pasta, the easier it is to digest. I gotta go now and clean the pasta off my ceiling. It’s a passion I miss in America.Īnd keep eating pasta. You’ll learn a lot about the passion Italians have for getting a simple thing exactly right. If you’re new to the idea of eating pasta in Italy, take a gander at What Italians Have Taught Me About Pasta. The water should be as salty as the sea around Naples (but not so, um, schifo, if you catch my drift). So, stop that gelatinazation you silly cooks! And puleeze add adequate amounts of salt to the water after it boils, just like it says in the post. If you overcook pasta it gets soft and swollen and you have fully “gelatinized” those starch granules and turned pasta into an energy drainer. The reason for its slow digestion and steady release of energy is “the physical entrapment of ungelatinized starch granules in a sponge-like network of protein molecules in the pasta dough.” That is something you don’t need to understand to get the good news that pasta can be good for your energy. Furthermore, pasta is unique in its physical make up. Aldente pasta cracked#Pasta made with semolina is made from cracked wheat and not finely ground flour so it has a moderate glycemic index. Well, here’s the most concise reference I’ve found to describe the health benefits of al dente pasta from, of all places, Disabled World. I’ve also heard many a time that pasta cooked al dente is easier to digest. 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