12 Matching Annotations
  1. Aug 2020
    1. you could imagine my extreme disappointment after i came back after a year and a half to find that the entire exploration map was about 80% smaller, every different island was within clear view of your starting island completely decimating any sense of adventure or exploration you could have had.Almost all materials could be collected and all items built within four and a half hours. Islands are literally numbered one to five to display they're level of danger.not only that but you were practically spoon fed each advancement in the game, it feels like it was taken from a greatly ambitious open world, exploration survival game that would take months to finish and achieve everything in. To now being an arcade style iphone app game catered to ten year olds that would foolishly enter their parents card details in order to buy 10,000 roblox coins.
    1. I have over 689 hours into this game and would like to talk about the changes made to the Exploration. In my opinion the Exploration which made this game amazing now stinks!. You know longer need a ship to hit the islands. The exploration has pretty much been removed. One of the things that made this game so amazing was grinding to make your ship and heading out to Explore and find the other islands. Now all the islands are really close to the spawn point, there are not that many and well they stink. There is no reason or need to make a ship because you can easily reach all the island with a raft.
  2. Jul 2020
  3. Jun 2020
  4. Apr 2020
    1. In either scenario, a massive hemothorax is an indication for operative intervention, but tube thoracostomy is critical to facilitate lung reexpansion, which may improve oxygenation and cardiac performance as well as tamponade venous bleeding.

      improving oxygenation cardiac performance tamponade venous bleeding

    1. Chest radiography was repeated on day 4 and showed no thoracic abnormalities. Transthoracic echocardiography, performed on day 6, revealed a significant reduction of LV wall thickness (interventricular septum, 11 mm; posterior wall, 10 mm), an improvement of LVEF to 44%, and a slight decrease of pericardial effusion (maximum, 8-9 mm). At the time of submission, the patient was hospitalized with progressive clinical and hemodynamic improvement.
  5. Jul 2017
  6. Jun 2017
  7. Oct 2016
    1. On-Site Work

      This work was in schools with teachers, right? When foundations and funders of after school programs ask about how to "spread and scale" the work, it baffles me that they don't begin to answer their questions by turning to how to effectively bring the innovative after school work to teachers and students in schools. Working on the connections between in school and out of school learning is important!

    1. He who was living is now dead We who were living are now dying

      The circle of life, revolves around death and life but also the in-between and what we don't know about the after life is a big mystery, which takes us back to the unseen, the living dead, or just the dead. It reminds me of the lilacs that bloom from dead land, which could possibly signify that even though we lose people, we also gain new life.