6/8/2023 0 Comments Shock & awe abigail roux![]() Septic shock is a subset of sepsis with severe circulatory, cellular, and metabolic abnormalities resulting in tissue hypoperfusion manifested as hypotension which requires vasopressor therapy and elevated lactate levels (more than 2 mmol/L) Sepsis is defined as life-threatening organ dysfunction resulting from dysregulated host response to infection. ![]() Undifferentiated shock means that the diagnosis of shock has been made however, the underlying etiology has not been uncovered.Ĭharacterized by peripheral vasodilatation. ![]() ![]() The wide range of etiologies can contribute to each of these categories and are manifested by the final outcome of shock. There are mainly four broad categories of shock: distributive, hypovolemic, cardiogenic, and obstructive. Shock is the final manifestation of a complex list of etiologies and could be fatal without timely management. It is a life-threatening condition of circulatory failure and most commonly manifested as hypotension (systolic blood pressure less than 90 mm Hg or MAP less than 65 mmHg). Shock is characterized by decreased oxygen delivery and/or increased oxygen consumption or inadequate oxygen utilization leading to cellular and tissue hypoxia. ![]()
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![]() ![]() ![]() and i already loved the first book, so that says a lot. I truly think all the tides of fate outdoes all the stars and teeth on so many levels. she can and will hurt your soul ‘till you can feel the pain in your bones. If there’s one thing i’ve learned today while reading the entirety of this book, it’s not to trust adalyn grace anymore. Please read only the material you're comfortable with <3 Grief and mourning is a prominent theme throughout the novel. There is on page drinking as well of mentions of alcohol throughout the novel. There are characters dealing with severe PTSD, who face several panic attacks throughout the book. There is also mourning and loss for deaths that happened in the previous book. There are several character deaths throughout the novel. Like the first book, here's a blanket statement on this book for on-page graphic violence, blood, and murder. ![]() The methods to obtain these are often violent and sometimes torturous in nature. One of the most commonly used ones is violent in nature, requiring blood/skin/bones, or other parts of the body. Violence and Death: There are 7 main forms of magic in this book. Skip now, if you don't want to read them: Now that ARCS will be circulating soon, I also wanted to hop on here and talk about some of the content warnings in this book. ![]() Signed and personalized copies are available through Mysterious Galaxy Bookstore ![]() 6/7/2023 0 Comments Grant personal memoirs![]() ![]() Recommending Grant’s trait of imperturbability to other leaders is the biographical equivalent of a “Keep Calm” poster. ![]() Reading Grant’s memoirs, however, made me realize that focusing on this aspect of Grant is unsatisfactory in the context of leader development. Sherman would always remember Grant’s steadiness after that first horrible day at Shiloh. The fact that he did not get agitated during the course of the war was a characteristic noticed by many of his subordinates. Grant provides leadership lessons that can be obtained nowhere else.Ĭivil War histories and Grant biographies give the impression that one of Grant’s most valuable qualities was his relative imperturbability. It offered strikingly unique insights into leadership because it was written by Grant himself. I recently went to Amazon’s book section and found, to my surprise, that it offers 23 different biographies of Ulysses Grant. ![]() ![]() ![]() The only daughter of George V and Queen Mary. ![]() They lived abroad until his death in 1972. After his abdication, he was named Duke of Windsor and married Simpson in 1937. Edward’s reign lasted just 326 days, one of the shortest in British history. Unable to marry Simpson and remain on the throne, Edward abdicated in December of 1936, and was succeeded by his younger brother Albert, Queen Elizabeth’s father, who would go on to become King George VI. ![]() As monarch, Edward was head of the Church of England, which at the time did not allow divorced people with a living former spouse to remarry in the church, and thus the government opposed the marriage. The eldest son of George V and Queen Mary, Edward became king after his father’s death in 1936, but threw the country into crisis months later when he proposed to Wallis Simpson, an American divorcée. ![]() ![]() ![]() ![]() Fun as it may be, it is hard not to long for a little adventure, a change of pace, before my true confinement begins when the baby comes. Now that I am feeling better, I have realized I am dreadfully bored! It seems that all my nearest and dearest are off leading their own busy lives while I sit at home and attempt to train our two adorably naughty puppies. ![]() What a delight it is to finally be able to enjoy a simple meal again! I have been in the throes of morning sickness for the last few months as Darcy and I prepare to welcome a brand-new addition to our little family. Lady Georgiana Rannoch and her dashing husband, Darcy, are awaiting a bundle of joy, but an unexpected trip to Paris will thrust them straight into a tangled web of international intrigue in this all-new mystery in the New York Times bestselling Royal Spyness series from Rhys Bowen. ![]() 6/6/2023 0 Comments Tonight tomorrow book![]() I was immediately bothered by the personality and attitude of the heroine. Mostly, it was was mediocre to frustrating for me. ![]() As it stands, I'm having a hard time finding things that I really liked. This should have been a slam dunk for me ~ enemies-to-love, Seattle setting, and a YA rom-com. But after learning a group of seniors is out to get them, she and Neil reluctantly decide to team up until they’re the last players lef. ![]() When Neil is named valedictorian, Rowan has only one chance at victory: Howl, a senior class game that takes them all over Seattle, a farewell tour of the city she loves. While Rowan, who secretly wants to write romance novels, is anxious about the future, she’d love to beat her infuriating nemesis one last time. Rowan Roth and Neil McNair have been bitter rivals for all of high school, clashing on test scores, student council elections, and even gym class pull-up contests. The Hating Game meets Nick and Norah’s Infinite Playlist by way of Morgan Matson in this unforgettable romantic comedy about two rival overachievers whose relationship completely transforms over the course of twenty-four hours. “Funny, tender, and romantic.” -Publishers Weekly (starred review) ![]() “A dizzying, intimate romance.” -Kirkus Reviews (starred review) ![]() 6/6/2023 0 Comments Absolute blackest night![]() ![]() Tomasi and many more! This box set also includes a set of nine rings from across the spectrum of the many Corps that are a part of this story! Includes these books:ġ. Then, once dead heroes Aquaman, Martian Manhunter, Firestorm, Hawkman, Hawkgirl, Deadman, Jade, Osiris, Hawk, Captain Boomerang and Zoom must discover the mysterious reason behind their return and uncover the secret that binds them! This eye-popping box set includes 12 brand-new hardcovers that collect this entire epic, featuring stories by top DC talent including Geoff Johns, Peter J. ![]() Putting aside old vendettas, it's up to Hal Jordan and the Green Lantern Corps to lead DC's greatest champions as well as their deadliest foes in a battle to save the universe from an army of the dead. But the real battle is yet to come: the undead Black Lanterns are coming and seemingly nothing can stop them. A war has been brewing between the different colored Lantern Corps, with the Green Lanterns fighting the Yellow, the Red trying to destroy everything, and the Blue attempting to broker peace among the tribes. ![]() Two of DC's most famous crossover events, Blackest Night and Brightest Day, are collected in 12 new hardcovers in a highly designed box set with nine collectible rings representing the many corps featured in this epic tale. ![]() ![]() ![]() ![]() But it's not to say that this is not inherently a useful and well-constructed book. Personally I would perhaps have preferred less illustrations and more meat on each philosopher's work. Makes for a nice coffee table volume (pity about the ugly cover, since the illustrations inside are quite nice) - perfect for a waiting room where anyone interested can while away their time leafing through.Īs I said, also very good for teens just starting to venture into the field, as well as for those totally unacquainted with the discipline of philosophy, since ideas are broken down into easy-to-digest diagrams. A very nice aspect of the book, is that it's not exclusively centred on Western thought, like so many anthologies on thinkers through the ages tend to be. It gives only a few paragraphs on each thinker.Īdmittedly it does give a very nice introduction into each 'group' of thinkers, or rather, each period in history, from a global perspective. Although pretty wide in scope, this book is basic in depth. It gives a comprehensive overview of global philosophical thought over the ages. A nice illustrated introduction to the idea of philosophy for students/young people/the still-to be-initiated into the rigors of the philosophical tradition. ![]() ![]() ![]() a pack of eight removable fortune-tellling cards a removable dragon pendant allowing the user to dowse for mythical beasts booklets explaining the proper use of spells, familiars, and potions tactile samples of a "fairy flag" with one wish remaining and a phoenix feather to aid in flying charms a world map showing locations of wizards around the globe a glittering crystal ball-like jewel on the front cover ![]() ![]() Lavishly illustrated by four delicate artists, Wizardology's intricate design even conceals a series of hidden symbols that spell out a secret message when their code is deciphered - if the reader is clever enough to find them.Īmong Wizardology's special features are: Merlin himself? Originally discovered in 1588, this remarkable text by history's most respected wizard is revealed to the world for the very first time. Aspiring wizards can tune in to the age-old wisdom of Merlin with this dazzling compendium of all things magical, unveiling novelty elements throughout.įor any apprentice determined to learn the arcane arts of wizardry, could there be a better teacher than. ![]() 6/5/2023 0 Comments Earth force shemer kuznits![]() ![]() ![]() AT LEAST THEY’RE SUPPOSED TO BE.Īn overlooked princess journeys to the edges of the realm to reclaim her stolen magic but discovers her entire world is at risk of destruction.Īt twenty, Lafia Ketonga has reached the age of eligibility. Genre: Black & African American Fantasy, Sword & SorceryĪS A PRINCESS, MAGIC AND DUTY ARE IN HER BLOOD. Light of the Dark Moon: A Royal Chosen One Epic Fantasy Adventure Tags: sports romance, snowboarding & outdoor fun, music, single father, travel for work, merging lives. Will the snowboarder let himself fall for the solid father or will he blow his turn? He can easily see Zane is making a rookie mistake. Griffin's not about to let Zane take the easy way out. Despite that, he's tempted to stick around and see what happens, but the reality is nothing is permanent. His friends might call him Big Mac, but inside he’s tiny and afraid. Griffin slips past his defenses faster than the downhill competition at the X-games. Zane figured Griffin would be fast and fun - exactly how he likes his lovers and his life. When Griffin is encouraged to pursue the vibrant man, he decides to go for it-he needs adult fun in his life. The snowboarder is charismatic and kind of adorable. Griffin had no idea how hot Zane McDonnell was until he witnesses the famous sports stringer interview him. ![]() I don't know, but it's bound to be a good time. What do you get when you mix a pro snowboarder with a music equipment salesman and his kid? Briefcases and Boards: MM Sports and Professionals Romance (Sports Stringer Book 2) ![]() |