Journals

You are urgently called to the newborn nursery to evaluate a 3-day-old term male infant who is lethargic. The baby was taking formula well for the first 2 days but vomited after his last 2 feedings and has become increasingly difficult to arouse. A review of the record reveals that he was born at 36 weeks ' gestation to a 30-year-old gravida 2, now para 2 woman. The mother is Rh-negative and received Rh immune globulin during the pregnancy. Pregnancy, labor, and delivery were uneventful; Apgar scores were 8 and 9 at 1 and 5 minutes. Family history is noncontributory. On physical examination, the baby appears well developed, is very jaundiced, and has hypotonia and tachypnea. He responds with a grimace to sternal rubbing but does not arouse to voice or to touch. Findings on abdominal examination are normal. You order a series of laboratory tests, start intravenous fluids, and arrange for transfer to the neonatal intensive care unit. A laboratory technician subsequently notifies you of some critical laboratory values, including a platelet count of 35x103/mcL (35x109/L), serum carbon dioxide of 4 mEq/L (4 mmol/L), anion gap of 28 mEq/L (28 mmol/L), serum ammonia of 250 mcmol/L, and total bilirubin of 20 mg/dL (342 mcmol/L). There are large ketones in the urine.
Of the following, the MOST likely diagnosis is:

bilirubin encephalopathy

citrullinemia

hypoxic-ischemic encephalopathy

propionic acidemia

transient hyperammonemia of the newborn

A 2-week-old infant presents to the emergency department with a 1-day history of decreased feeding, pallor, diaphoresis, and increasing somnolence. He was born at term, and the delivery was uncomplicated. On physical examination, his heart rate is 190 beats/min, his respiratory rate is 80 breaths/min, his blood pressure is 50/30 mm Hg, and his extremities are cool and pale with poor pulses. You place the infant on a cardiorespiratory monitor and begin your assessment and management.
Of the following, the MOST appropriate pair of tests to consider in this child is:

complete blood count and bone scan

electrocardiography and echocardiography

electroencephalography and head ultrasonography

lumbar puncture and head computed tomography scan

serum electrolytes and chest computed tomography scan

Give this funny little game a go:

http://www.crypticsea.com/anewzero/index.html

Its a 3d shooter/battlefield/mechwarror/battlezone combination, its really fun to play!

Question 2 of 250

An 8-month-old infant presents with the primary complaint of irritability. He has been exclusively breastfed since birth. His mother was not interested in providing any supplemental foods because her milk supply has been adequate. Physical examination reveals a fussy infant who has frontal bossing and whose weight and height are both at the 25th percentile. The infant becomes irritable with movement of the left arm. Arm radiography reveals a humeral fracture and bowing of both radii. Chest radiography demonstrates enlargement of the costochondral junctions.
Of the following, the MOST likely diagnosis is ____________.

As I stated in an earlier journal, I was going to start mapping for TF2.

Needless to say, I have. I've probably been working on the following for around 60 hours over the past month or so.

The pictures are a little out of order, but there is a flow to the map, even if you can't see it.

Oh, and say hi to CP_Uranium:









As stated, it is a WIP. Lighting is not final, neither is detail.

You can also see that I don't have any cubemaps, either. Hence the purple and checkered board over displacements.

The gameplay is going to be capture point, but with a little twist. You'll see what I'm getting at in the future.

Still, I'm fairly please with what I have so far. Mapping is a lot less boring that I remember.

Feel free to comment / make suggestions.

Hi thar!

Jailbreak: Source is coming close to release and recently they've blessed us with some new screenshots and the announcement of a new gamemode, I quote;

"The concept of Deathball is simple, when the ball is in the goal, the enemy jail is locked. So keep the ball in the goal, and kill off the enemy team! If the ball is out of the goal, the enemy can let themselves straight out! And if the ball is in your goal, you best get it out quick, otherwise you're going to very rapidly find yourself on your own, or vapourised!"

I, being a beta-tester, can say that it's really fun to play and quite well polished.
So when it hits the 0.5 go download that mod; support the scene! Vote!

Just installed Mass Effect on my new computer.

Now I am re-playing it the way it's meant to be played--with highly detailed visuals and great sounds.

Just purchased new video card and motherboard! Hopefully they will all work together with my new system!

I forgot to make a journal post in 2008, so, I'll probably just make 2 posts this year to catch up...

From Newegg, I purchased:

XFX GeForce GTX 260 Black Edition Core 216
896MB 448-bit GDDR3 PCI Express 2.0 x16 Video Card

and

ASUS Maximus II Formula LGA 775
Intel P45 ATX Intel Motherboard

...together with my core 2 duo Intel processor and 4 GB of Corsair gaming memory, I should be able to get at least 30+ FPS playing Crysis and whathaveyou. I don't know if I trust myself to swap out motherboards, so I may just have my old buddy who built my last system do it. I can change the power supply, everything else, I just don't know if its too smart to mess with the motherboard if you don't know what you're doin.

In other news, I put in my two weeks at Domino's Pizza, THANK GOD. I will be working for the MinQuest mining company doing computer work instead. Two years at Domino's pizza is quite long enough.

My biggest worry right now, though, is applying for DigiPen Technical University. I'm so nervous that I won't get in. For those of you who haven't heard of it, it is located near Seattle, WA and is the first University to offer a degree in Game Design.

Part of the submission req's include at least SIX DRAWINGS! Son of a bitch! None of the drawings can be made up or from a 2D reference. At least 3 drawings of objects, and at least 3 drawings of environments.

So, other than being sick to my stomache that I will be rejected, everythings good, lol.

Oh, I also ordered this mouse from Buy.com on eBay:

Logitech MX1100 Cordless Laser Mouse.

That's all for now, journal!

I missed the Mega Millions..... again!

Me right now:Aw Awwwwww. ='( ' ' ' '

My source map will come pretty soon I guess.(the coop room project)

But in the mean time I want to show you something I saw while searching for something else :

http://www.thetwhl.com/Archives/TWHLAwardsHistory.htm

You foolish man.

I am a Jitorio master.

Grim kindly provided the soundclip. I had a load of fun with this Thanks Grimmeh!

I can safely say I've broken up for Christmas. Whut?

Yeah I had university work due after Christmas and I had to finish it all after the big holiday.

I just got back from the oh so boring 1 hour and 30 minutes train journey + delays and jams.

Anyway so far I've done an interactive greetings card with flash, two model projects (model a lamp and a 1930's scene with the theme of escape (no prisons))

Here's the final pics I submitted along with a nice 76 page report:I wasn't allowed to use VRAY sadly or the lighting would have looked a lot nicer.

So I have roughly a month off, I'll probably play a few games like Zelda OoT, Prince of Persia and I'm tempted to try Megaman as I hang around ScrewAttack a lot who idolise the game series.

Also Hunter I'll model you some props when I can.

So what is everyone else up to?

P.S. I would upload more L4D videos but a certain someone fucked a horse instead.

This Japanese Coke tastes substantially better than American Coke. Maybe it's the metals in the can.

It also has a disposable pull-tab and is dated 2007.

Back to work today after three short weeks for one more looong year.

Me this morning:Awwwww. :'[