![]() ![]() If you do not plan to sell the modkit, or don't have the weapon, don't bother picking them up. These modifications are only for only one weapon and one weapon only. 357 from the video game Deus Ex: Human Revolution a futuristic metal Revolver. ![]() Restricted weapon mods take up 2x1 inventory space. Team Fortress 2 Mods Skins The Spy Revolver Portal 2 gun with glados. Large-bore double-barreled shotgun that dishes out incredible damage at close range. Well buddy, The Double Barrel shotgun Cant be unmodded. Unlike general modifications, these appear as red boxes (but take up less space in the inventory). By sng-ign, Troll Unhappy, Mike Nelson, +34.4k more. How good is the Double Barreled Shotgun compared to the regular shotgun Both modded and unmodded. Some weapons can use them, others cannot. These modifications are only for certain weapons. Hi guys, I only want to use the pistol for headshots, and Ive read that a fully upgraded pistol can kill almost anything with a single shot to the head when fully upgraded. 'The Country was in peril he was jeopardizing his traditional rights of freedom and independence by daring to exercise them.'-Yossarian (Catch 22) detnom 11. These consist of Damage, Reload Speed, Ammo Capacity and Rate of Fire. That gun is a beast, with the anti armor upgrade, laser sight and damage boost. Throughout the course of Deus Ex: Human Revolution you will acquire many upgrades for the guns that you carry. All general weapon mods take up 2x2 inventory space. I like the Assualt Rifle more, but dont forget about the 10mm Pistol. Potential growth in an area is represented by a grayed-out "bars" in the stat. You can install as many general weapon mods as a weapon can allow, so long as it has potential to grow in one of the four statistics: Rate of Fire, Reload Speed, Damage Increase, and Ammo Increase. After several unsuccessful efforts to create a third Deus Ex game prior to Ion Storms 2005 closure, a prequel to the first game, Deus Ex: Human Revolution. ![]()
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![]() ![]() How to Rim the Glass: Pour a thin layer of salt onto a small plate. But if you're looking for a quality tequila that will make your spicy margaritas taste great, here are a few brands I recommend trying:Ģ ounces (good quality) Blanco Tequila or Silver Tequilaġ ounce Triple Sec (for this recipe, I used Cointreau Orange Liqueur)ġ Jalapeño Pepper - cut into thin round slices (use additional jalapeño slices to bring a bit more heat and spice to your margarita) Well, that all depends on your personal preference. Tell Me, What Are the Best Brands of Tequila to Shake Up With These Spicy Margaritas? Amber in color, aged for 11 months, and with notes of butter and vanilla, it'll upgrade your classic margarita in a heartbeat. Aged for 45 days, it has a hint of vanilla.įor a stronger, spicier flavor, choose a Reposado tequila. It mixes well with other ingredients and doesn't overpower the drink. When it comes to margaritas, Blanco (or "Silver" or "White") tequila is the perfect choice for its light flavor and maximum versatility. What's the Difference Between Blanco and Reposado Tequila? What Type of Tequila is Best For Spicy Margaritas?Īs for the tequila, Blanco tequila (or "Silver") and Reposado tequila are both good choices because they are slightly sweet and light in flavor and mix well. Looking for more margarita recipes? Be sure to try The Best Tequila Cocktails to Make, Spicy Jalapeno Margarita, Watermelon Margarita, and Blueberry Basil Margarita too! I'm going to teach you how to make the best damn good jalapeño margarita around! Throw away all of your margarita mixes because you don't need them anymore. Don't forget the salt, a beautiful margarita glass, and some lime wedges and cilantro to finish! This perfect spicy margarita recipe also has fresh ingredients and includes triple sec orange liqueur, fresh lime juice, agave nectar, fresh orange juice, and fresh jalapenos. The key ingredient here starts with a good quality tequila -a must-have in every damn good margarita. The best part? You don't need to be an experienced bartender or mixologist to throw one together! This spicy marg is perfect for any occasion: from happy hour with friends after work to a summer barbecue in the backyard, girls' night, and beyond! ![]() The best DAMN GOOD spicy jalapeno margarita is like a fiesta in your mouth. ![]() ![]() ![]()
![]() ![]() Getting clinical experience is important to confirm that medicine is the right career for you, and to build your application to medical school, but it doesn’t necessarily have to include shadowing. What if I can't find a shadowing opportunity? Reflect on what you’ve learned from your shadowing experience and write down anything you may want to remember later. Don’t wait until you need it because the experience may not be fresh in the doctor’s mind by that time. If you think it went well, ask for a letter of recommendation right away. Write a thank you note to give the doctor on your last day that thanks them for their time. You may be required to sign a HIPAA compliance document stating that you will not disclose any patient information or details that could lead to patient identification. In either case, it’s important that you keep all patient information private. Other patients may ask you questions about yourself, school or your plans to become a doctor. Some people may be uncomfortable having you in the room during an examination or the entire appointment, so you may be asked to step out. The doctor is required to introduce you to each patient and explain that you are a premedical student, so expect to talk to patients. Ask questions and take notes in between patients, not in front of them, and prepare some questions ahead of time. What should I wear and what should I bring?ĭress professionally and comfortably: dress pants and a tie for men, dress pants or a dress for women, and closed-toed shoes you can walk in all day. Find out what the doctor is comfortable with or what has worked well in the past. If you have the time in the summer or over a break, you may want to shadow full time for an entire week. You may only want to spend one day with them, or you may want to shadow a few hours a week for several weeks or months. How long should I shadow?Īrrange something that fits both the doctor’s schedule and your level of interest. Many doctors welcome opportunities to talk to students, so if you get turned down, ask other doctors. Briefly tell them where you go to school, any medically related experiences you’ve had, and your goals. Maybe someone recommended them or maybe they practice a specialty that interests you. How should I ask them?Įxpress why you want to shadow this person specifically. Call their office or email them at least a few weeks before you’d like to begin shadowing. It’s also okay to contact hospitals through their volunteer office, or search online for local doctors with specialties that interest you. If you’re in college, leverage any relationships your school may have with a medical school or hospital on campus. You can also ask your teachers, professors, and premed or academic advisors if they know any doctors that other students have shadowed in the past. If you have a relationship with your own doctor(s), or know any doctors, start by asking them. It’s also a great way to gain familiarity with different specialties and medical environments. It will give you a better understanding of what a doctor’s typical day is like, and give you good experience to talk about in your applications and interviews for medical school. Shadowing a doctor is a great way to find out if a career in medicine might be right for you.
![]() ![]() 1366x768px Interstellar Endurance HD wallpaper.1920x1200px space, Spaceship, Planet, Stars, Artwork, Science fiction, Interstellar, endurance HD wallpaper. ![]()
![]() Fix #2: Run as an administrator when launching Steam. This action will prevent any conflict or interference that would potentially occur during the process. The majority of players have eliminated the error message “Failed to add new Steam library folder” by simply pausing any ongoing updates in the default Steam library before creating a new folder or downloading a new game. Fix #1: Pause any Steam downloads or updates when adding a new library folder. ![]() Most of these solutions are from other players who were successful in resolving the error message. The remedies listed below should be able to help you get rid of the issue “Failed to add new Steam library folder” when installing a game or creating a new library folder. How to fix failed to add new Steam library folder error It appears that downloading the new game or establishing a new library folder interferes with an update that is already running in one of the games in the existing Steam library. What causes the error “Failed to add new Steam library folder”Īccording to our research, the problem most usually occurs when users try to install a new game in the default Steam library or create a new Steam folder on a different drive. In this troubleshooting guide, we will show you the efficient solutions that you can use to fix it. Are you seeing an error “Failed to add new Steam library folder” when attempting to install a new game? If so, then you are not alone as we have received several players complaining for the same problem on Steam. ![]() ![]() ![]() Clyde Yancy, chief of cardiology in the department of medicine at the Northwestern Feinberg School of Medicine, said the findings of the study may reflect an “absence” of medication’s efficacy rather than “a true signal of harm.” The researchers recorded both blood pressure variation as well as the blood pressure medication used by each participant.ĭr. The participants were enrolled between 20 and were followed for at least five years, through June 2016. Over 10,500 people who had at least seven blood pressure readings participated in this study. ![]() But that research didn’t associate these fluctuations with the type of medication being used to treat high blood pressure. Prior research had already revealed a link between large variation in blood pressure with mortality risk. Clements, the lead researcher, told Healthline. “The less variation in your blood pressure as you visit your doctor’s office over time means you will do better long term,” Dr. The researchers from the Intermountain Medical Center Heart Institute in Utah are encouraging physicians to prescribe other blood pressure medications to decrease mortality risk for their patients. New research presented today at the American College of Cardiology Scientific Session pointed out that two types of high blood pressure medications - alpha-blockers and alpha-2 agonists - are associated with blood pressure variability.Īnd these fluctuations are linked to an increased risk of death. ![]() ![]() Moreover, the WHO itself has launched an international campaign called “Managing the COVID-19 infodemic: Promoting healthy behaviors and mitigating the harm from misinformation and disinformation” to sensitize states to contrast the spread of misinformation ( WHO, 2020). Dr Tedros Adhanom Ghebreyesus-director of the World Health Organization (WHO) - claimed that the battle we are fighting does not only concern the epidemic but also its infodemic ( UNS, 2020). In this scenario, fake news and inaccurate information circulated widely on the web creating severe issues to public health and economy all over the world ( Pennycook et al., 2020 Rovetta and Bhagavathula, 2020 Tagliabue et al., 2020 Tasnim et al., 2020). Such pandemic has put a strain on health systems and economies of countries worldwide, causing more than 3 million deaths and forcing governments to implement very restrictive lockdowns ( Askitas et al., 2021). Despite attempts by governments and the scientific community to contain the infection, COVID-19 has spread beyond the Chinese borders and was declared a pandemic by the WHO on Ma( Cascella et al., 2021). The virus, formerly reported as 2019-nCoV, was subsequently named SARS-CoV-2. This was responsible for a severe respiratory disease named COVID-19 by the WHO on February 11, 2020. Further research is needed to evaluate the effectiveness of this method.Ī novel coronavirus was identified in Wuhan (Hubei province, China) in late 2019 ( Wu et al., 2020). ![]() Since RSVs values showed a high dependence on the day they were gathered, it is essential for future research that the authors collect queries’ data for several consecutive days and work with their RSVs averages instead of daily RSVs, trying to minimize the standard errors until an established confidence threshold is respected. Finally, the large amount of anomalies registered in Italian and international cities’ RSVs made these datasets unusable for any kind of statistical inference.Ĭonclusion: In the considered timespans, Google Trends has proved to be reliable only for surveys concerning RSVs of countries worldwide. Furthermore, only RSVs of countries worldwide did not exceed confidence threshold. However, the correlations between RSVs and COVID-19 cases underwent significant variations even in these two datasets ( M a x | Δ | = + 625 % for Italian regions, and M a x | Δ | = + 175 % for countries worldwide). Results: Google Trends has been subject to an acceptable quantity of anomalies only as regards the RSVs of Italian regions (0% in both periods 1 and 2) and countries worldwide (9.7% during period 1 and 10.9% during period 2). The percentage increase Δ was used to quantify the difference between two values. A dataset was deemed unreliable if the confident data exceeded 20% (confidence threshold). Two RSVs were considered statistical confident when t < 1.5. Welch’s t-test was used to assess the statistical significance of the differences between the average RSVs of the various countries, regions, or cities of a given dataset. Pearson and Spearman correlations between RSVs and the number of COVID-19 cases were calculated day by day thus to highlight any variations related to the day RSVs were collected. When the anomalies exceeded 20% of the sample size, the whole sample was excluded from the statistical analysis. When a missing value was revealed (anomaly), the affected country, region or city was excluded from the analysis. To do this, by calling i the country, region, or city under investigation and j the day its RSV was collected, a Gaussian distribution X i = X ( σ i, x ¯ i ) was used to represent the trend of daily variations of x i j = R S V s i j. Each dataset was analyzed to observe any dependencies of RSVs from the day they were gathered. ![]() The search category was set to all categories. The survey covered Italian regions and cities, and countries and cities worldwide. Methods: RSVs of the query coronavirus + covid during February 1-Decem(period 1), and February 20-(period 2), were collected daily by Google Trends from December 8 to 27, 2020. In particular, the paper focuses on the analysis of relative search volumes (RSVs) quantifying their dependence on the day they are collected. Objective: The aim of this study is to test the reliability of a widely used infoveillance tool which is Google Trends. In this context, the use of infoveillance tools has become a primary necessity.
![]() ![]() Changing needleless connectors and administration sets can sweep this debris into the catheter lumen.Īlthough numerous reports cite the catheter hub as the source of infection, no studies have examined the best method for cleaning the threads. Blood, drug precipitates, and tape residue can accumulate in the luer-lock threads and provide a medium for organisms to grow. Microorganisms can be transferred into the catheter lumen from the luer-lock threads of the catheter hub and from the surface of the needleless connector used for attaching syringes and administration sets. These dressings reduce the risk of catheter colonization, exit-site infections, CRBSI, and costs of care. But in general, never apply alcohol-containing agents directly to a CVAD's external portion unless you know it's acceptable for that brand of catheter.Ĭhlorhexidine also can be applied to the insertion site in the form of a round dressing impregnated with chlorhexidine. Because of this variation, your facility's policies and procedures for cleaning insertion sites should be based on instructions for the specific brands of catheters in use. However, this isn't true of all polyurethane CVADs. The available chlorhexidine products also contain isopropyl alcohol, which can be problematic because some brands of CVADs made of certain types of polyurethane may not tolerate alcohol exposure. 4 Although whether chlorhexidine should be used on nonintact skin is somewhat controversial, clinical evidence points to a lower risk of CRBSI when this antiseptic is used to clean the skin during dressing changes. Chlorhexidine gluconate is the preferred agent for skin preparation at the insertion site. If a catheter tip's intended location is distal to the diaphragm, it's not considered a CVAD. If a CVAD is inserted via the femoral vein, obtain a chest X-ray to confirm placement in the inferior vena cava above the diaphragm. 1īesides tip location, you need to document the CVAD insertion site-most often an upper extremity vein, subclavian vein, or jugular vein. 2 The Infusion Nursing Standards of Practice recommends that all members of the healthcare team collaboratively address CVAD tip location if the superior vena cava isn't used. Guidance documents from the FDA state that the intracardiac tip location isn't recommended. So far, no research has established which site is better however, national standards of practice, Food and Drug Administration (FDA) guidelines, studies, and CVAD manufacturers' instructions recommend placement in the superior vena cava. Others prefer to place it in the right atrium, as it may cause less fibrin formation, but this position also raises the patient's risk of dysrhythmias. Most practitioners prefer to place it in the distal end of the superior vena cava, at or near its junction with the right atrium. ![]() 1Įxactly where the CVAD tip should rest is controversial. If the patient has been transferred from another facility with a catheter in place, confirm tip placement with a chest X-ray. Although a written report may take days to appear on the patient's medical record, obtain and document verbal confirmation of the tip's correct anatomic location. If it was inserted in the radiology department, fluoroscopy may be used to confirm tip location.Ī statement from the radiology department that the CVAD is in a good location isn't sufficient. If the CVAD was inserted at the bedside, obtain a chest X-ray. After a CVAD is inserted and before anything is infused through it, verify and document the anatomic location of the CVAD tip. ![]() ![]() ![]() Spider-Man has also nearly caught Disney’s The Little Mermaid, which came in third with another $22.7 million, bringing its domestic total over $228 million. 3, Across the Spider-Verse is a new favorite to become the highest-grossing film of the summer. As it is also outpacing Guardians of the Galaxy Vol. Toy Story 3 reached $226.8 million in 10 days after posting a $59.3 million second weekend and found itself passing $415 million. It also bested Raimi’s second weekend by more than $10 million, putting it on pace to also best its $373 million total with a shot at reaching $400 million. That gives it nearly the same 10-day total as Sam Raimi’s Spider-Man 2, whose $225.1 million was the tenth-highest ten-day total this month until Across the Spider-Verse displaced it. But second place hardly matters when it arrives with over $55 million, the ninth-best second weekend ever in June. It took only nine days to outgross Into the Spider-Verse and came close to staying atop the box office for another week. Spider-Man: Across the Spider-Verse is now over $390 million worldwide. The Top 10 and Beyond: Spider-Man Holds at No. A new DC movie and a new Pixar film could equal a similar drop for Beasts next week, and that could put it on a path closer to $150-160 million. Age of Extinction was faced with Tammy, Deliver Us from Evil, and Earth to Echo (which grossed $39.6 million combined), and it still fell 63% to $37 million. The Last Knight fell 62% when it was beaten by Despicable Me 3 and Baby Driver. That would give Rise of the Beasts a very optimistic final projection of $193 million domestic… except it faces a lot of competition next week and is likely headed down to third place. Together they averaged a 54.2 percent drop in their second weekend and a final multiple of 3.20. The weekend fluctuations from day-to-day for Rise of the Beasts closely resembled the percentages of Jurassic World: Fallen Kingdom, Hobbs & Shaw, Sonic the Hedgehog, Guardians of the Galaxy, and The Amazing Spider-Man. ![]() Paramount would like to keep the weekend estimate above $60 million since the last film to open below that number in June and reach $200 million was Seth MacFarlane’s Ted, all the way back in 2012. To put it in perspective, $60 million is the sixth-best opening for the second weekend in June, just behind Madagascar 3 ($60.3 million) and the original Cars ($60.1 million), but this is also no guarantee that $200 million domestic is in its future. Rise of the Beasts grossed $110 million internationally this weekend. The Last Knight’s $217 million budget could not be saved, even with $475 million of international receipts, thanks to its paltry domestic total. Bumblebee’s $340 million overseas is the lowest of the previous six films, and it benefited from having the smallest budget of the lot. Thankfully these films have rarely had a problem, thanks in part to their international hauls. This is the fourth Transformers production to tip the scale at $200 million, and it will need three times that to start turning a profit. Paramount should be thrilled with the $60 million start for Beasts as it will help boost its potential to come out on the positive side of the ledger. Steven Caple Jr.’s Transformers: Rise of the Beasts registered at 53% on the Tomatometer, but at the box office, it opened to nearly as much as Bumblebee and The Last Knight combined. The original had the highest score among the Michael Bay films with a 58%. The spin-off Bumblebee did not do any better with $127 million, but its Certified Fresh 92% with critics was unheard of for a Transformers movie, given that the previous four films could only muster an 88% combined. Exit LaBeouf, enter Wahlberg, and things began to get funky on the domestic side with grosses dropping to $245 million for Age of Extinction (with a $100 million opening) and $130 million (total) for The Last Knight. ![]() The first three films grossed over $300 million, $350 million, and $400 million. The Transformers films are not what they once were. ![]() |
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