Disease states that create venous admixture or low V/Q states include mild pulmonary edema, post-op atelectasis, and COPD. Other disease states that represent an absolute shunt include acute lobar atelectasis, ARDS, advanced pulmonary edema and consolidated pneumonia. The arterial hypoxemia that arises from hepatopulmonary syndrome also represents an intrapulmonary anatomic shunt secondary to pulmonary AV malformations. Normally, a small percentage of venous blood from the pleural, bronchiolar and thebesian veins bypasses the right ventricle and empty into the left atrium this represents a true anatomic shunt, which is 2-5% of cardiac output. Because these areas still participate in gas exchange, albeit small, arterial hypoxemia improves with supplemental oxygen. Shunt effect (venous admixture or low V/Q) is the more common clinical scenario in which areas of lung have poor alveolar ventilation compared to the degree of alveolar perfusion ( 0 < V/Q < 1). Blood passing through areas of absolute shunt receives no oxygen (V/Q = 0), therefore, arterial hypoxemia resulting from intrapulmonary shunt is minimally responsive to supplement oxygen.
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That can include posts or comments on other posts. For 1 self promoting link or post posted by a user, they must have 6 non self-promoting contributions to the sub. This sub uses a 6:1 guideline for self promoting content. Users posting YT & Twitch links must have 20 link karma & 20 comment karma and must be compliant with the sub’s rules. This will only happen in extreme cases, such as for the departure of prominent community members 3. "I'm leaving the game" posts are not allowed under this rule, unless they are deemed to have merit by the moderators. This includes anything that brings minimal value to the subreddit and/or has limited activity. Low effort posts will be removed at moderators discretion. Off topic posts loosely related to the game such as history, model kits, anime ships and the like are allowed on Sundays.Īll memes, macros, reaction gifs and rage comics, etc, must be related to World of Warships.Ĭrossposting memes is allowed only if the content of the meme is related to World of Warships. The only exception may be mega threads at certain times of the year that will only be posted by mods. Scorecard posts are only allowed to be posted on Saturdays for exceptional games, or to showcase rare in-game moments.Īll lootbox, container and bundle results are prohibited, paid or free. In this subreddit we share World of Warships news, strategy, tips, discussions and other content, as well as sharing our passion for historical warships. We're Redditors with a passion for warships, gaming and the World of Warships video game on PC. Please mark leaks with spoiler tags, like this: Smolensk is balanced!. And I remember somebody said, “What if we try to make that into a moment that happens in the game?” And then we were talking about, like, “What if you stick this needle into his brain somehow to extract information?” And I remember one day - if I remember correctly, I might not be right about this - but there was a producer, I think John Calhoun, who threw out the idea of the old children’s saying, “Cross my heart and hope to die, stick a needle in my eye.” That came up. I remember that there were some folks working on trying to figure out how some of the final scenes played out in the game. But the guys who were working on the story and the writing, they came up with this thing where they were incorporating children’s nursery rhymes into the game, as part of Isaac’s hallucinations and journey into insanity. Wright Bagwell: So I wasn’t heavily involved in writing the dialogue or the story. Polygon: Why don’t you start by telling me the conception of this scene? In honor of Halloween, I reached out to Dead Space 2 creative director Wright Bagwell to ask him to explain why he and the rest of the designers at Visceral Games did this to Isaac’s brain and to mine. I played Dead Space 2 when it came out in 2011, and this scene has haunted me ever since. During this horrifyingly interactive scene, the player must guide that needle into Isaac’s pupil while he’s strapped into the machine, twitching in barely contained agony. This data has to be inserted through his eye into his brain via a needle, because sure. Near the end of the game, protagonist Isaac Clarke climbs into an eye surgery contraption so he can receive some data about the monsters he’s been fighting. If you’ve played through Dead Space 2, you remember the “stick a needle in your eye” scene. Otherwise the “syspreped” image hangs at first start for about 1h in “Getting ready” screen. 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