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CSCSA Network Glasgow

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Poj 2


7. Use Primordial Ashes in Kanai's Cube with the new Curiosity of Lorath Nahr recipe to obtain a free Crafted Primal Ancient. Since you can only equip one of them, choosing the right item to focus matters! Great candidates are Weapons, Offhands, Jewelry or any item with an important multiplier. With that in mind, we recommend getting one of the following items:

Rooting its powers firmly in the dedicated Patterns of Justice set, Tempest Rush gains a new way to achieve endgame viability in the Monkpantheon of builds. This is a sustained damage, very fluid and relaxingplaystyle, that still has some room for calculated and skillful play at thehigh end. It is available in both Greater Rift solo progression and regular Rift farming variations,explained in that order.

The required gear setup for the Patterns of Justice Tempest Rush Monk islisted below. Check the Gear page fordetailed information on choices, alternatives, gemming, Kanai's Cube andParagon distribution.

Note that while they require reaching them with a Seal, Legendary PotionPowers are not part of the Seal cost system; Potions unlock with a separateresource called Primordial Ashes, obtained from salvaging Legendary or Setitems of Primal (red bordered) quality. Upgrade them as soon as possible, andin the order shown below (courtesy of Caleko's Altar of Rites planner).

This build is presented to you by Deadset,one of the very few professional Diablo 3 players.Deadset regularly publishes video guides onYoutube andstreams on Twitch, where you cansee how this and other builds play out in practice.

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Introduction: The ultrasound measurement of inferior vena cava (IVC) diameter change during respiratory phase to guide fluid resuscitation in shock patients is widely performed, but the benefit on reducing the mortality of sepsis patients is questionable. The study objective was to evaluate the 30-day mortality rate of patients with sepsis-induced tissue hypoperfusion (SITH) and septic shock (SS) treated with ultrasound-guided fluid management (UGFM) using ultrasonographic change of the IVC diameter during respiration compared with those treated with the usual-care strategy.

Methods: This was a randomized controlled trial conducted in an urban, university-affiliated tertiary-care hospital. Adult patients with SITH/SS were randomized to receive treatment with UGFM using respiratory change of the IVC (UGFM strategy) or with the usual-care strategy during the first six hours after emergency department (ED) arrival. We compared the 30-day mortality rate and other clinical outcomes between the two groups.

Results: A total of 202 patients were enrolled, 101 in each group (UGFM vs usual-care strategy) for intention-to-treat analysis. There was no significant difference in 30-day overall mortality between the two groups (18.8% and 19.8% in the usual-care and UGFM strategy, respectively; p > 0.05 by log rank test). Neither was there a difference in six-hour lactate clearance, a change in the sequential organ failure assessment score, or length of hospital stay. However, the cumulative fluid amount given in 24 hours was significantly lower in the UGFM arm.

Conclusion: In our ED setting, the use of respiratory change of IVC diameter determined by point-of-care ultrasound to guide initial fluid resuscitation in SITH/SS ED patients did not improve the 30-day survival probability or other clinical parameters compared to the usual-care strategy. However, the IVC ultrasound-guided resuscitation was associated with less amount of fluid used.

Your friend, Jackson is invited to a TV show called SuperMemo in which the participant is told to play a memorizing game. At first, the host tells the participant a sequence of numbers, A1, A2, ... An. Then the host performs a series of operations and queries on the sequence which consists:


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