![]() The question arises if the use of the stethoscope still attributes to further diagnostic work-up or if using the stethoscope is just a waste of time. ![]() Despite the fact that the diagnostic accuracy of lung auscultation is widely debated, the stethoscope is still a first line diagnostic tool and used for clinical or therapeutic decision-making. To date, it is still ambiguous how this diagnostic tool contributes to the diagnostic work-up for various pulmonary entities. Nowadays, physicians might not be in the position to spend that amount of time to evaluate chest sounds, potentially leading to an inefficient and superficial examination, giving a delay in further diagnostic work-up and treatment 3, 4. However, detailed auscultation alone can take up to 10 minutes 3. History taking and a detailed physical examination, including auscultation, are considered essential parts of clinical examination. Auscultation of the respiratory system is non-invasive, safe, inexpensive and easy-to-perform. The use of the stethoscope is considered an essential skill in the medical profession and is often chosen for its’ ease of use, as well as for its’ appearance and reputation 2. Laënnec invented the most common symbol of medicine: the stethoscope 1. Only in resource limited settings, with a high prevalence of disease and in experienced hands, lung auscultation has still a role. When better diagnostic modalities are available, they should replace lung auscultation. Lung auscultation has a low sensitivity in different clinical settings and patient populations, thereby hampering its clinical utility. Results are limited by significant heterogeneity. Abnormal breath sounds are highly specific for (hemato)pneumothorax in patients with trauma. LRs and AUC of auscultation for congestive heart failure, pneumonia and obstructive lung diseases are low, LR− and specificity are acceptable. For 34 studies the overall pooled sensitivity for lung auscultation is 37% and specificity 89%. A meta-regression analysis is performed to reduce observed heterogeneity. Main outcomes are pooled estimates of sensitivity and specificity with 95% confidence intervals, likelihood ratios (LRs), area under the curve (AUC) of lung auscultation for different pulmonary pathologies and breath sounds. Studies concerning adult patients with respiratory symptoms are included. ![]() This meta-analysis aims to evaluate the diagnostic accuracy of lung auscultation for the most common respiratory pathologies. However, there is much debate about the diagnostic accuracy of this instrument. The stethoscope is used as first line diagnostic tool in assessment of patients with pulmonary symptoms.
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![]() If you seek a legally binding trademark and wish to safeguard your logo from unauthorized usage by others, we recommend reaching out to the copyright/trademark office in your country for further guidance. You can try to register the logo as a trademark. We transfer of full rights for personal and commercial use to the extent permitted by the applicable law. This approach also facilitates easier trademark registration and ensures greater versatility in its usage. On our service, we utilize simplistic icons with a focus on the typography aspect of the logo, making it more unique. After upgrading to a paid plan, you can download the files from the website immediately after payment. You can use the free plan and download the logo instantly, but only once. This feature is useful when you want to overlay the image on different backgrounds without any visible borders or backgrounds interfering with the overall design. PNG files can have a transparent background, which means that the areas of the image that are marked as transparent are not displayed, allowing the background to show through. It is commonly used for graphics and logos on the web. PNG (Portable Network Graphics) is a popular raster image format that supports lossless compression. ![]() What is the PNG format with a transparent background? On our service, you can obtain the SVG (Scalable Vector Graphics) and PDF (Portable Document Format, a universal format). This format allows the logo to be scaled to any size without losing quality or clarity. Yes, we have a free plan! You can download any logo for free What is a vector format?Ī vector format of a logo refers to a file format that uses mathematical equations to define the shapes, lines, and colors of the logo. ![]() It doesn't matter what currency is on your bank card – the payment will go through, and the amount will be debited in dollars according to your bank's exchange rate. The price is listed in US dollars for universality. We use the popular and secure payment system Paddle. You can pay with both Credit or Debit Card, PayPal, Google Pay, Apple Pay. ![]() Then, in the gray sidebar, play with the letter spacing and the font-weight sliders to customize the font style further to fit your idea of an elegant logo.Need a brand name? Use our free AI name generator Frequently asked Questions: How to pay? Some letter designs are more abstract, and some are closer to the original letter. Next, click on any of the letters on your brand name to pull up an alternative design of this letter. Your company name should now be in the big white area in the font style you selected on the logo ideas page. Next, click on the Customize button on the right-hand side and get into the Mojomox logo maker app. For now, pick a design that might be close to what you have in mind for your elegant logo design. You can make all sorts of adjustments in the next step. Most of these logos are text-based and use a modern color palette. You will get to a new page this page lists over 100 elegant logo ideas for inspiration. Type your business name below this article into the input field and click “Next.” First, let’s start with a few simple logo ideas. Whether you are looking for logo designs for a bakery, a wedding planning business, or a jewelry brand, classy logos are always in style. In this article, I will show you how to design an elegant logo based on a modern font that you can customize. This logo maker lets you design an elegant logo with modern logo fonts for a minimal, timeless brand. ***Warranty is valid for 12 months/unlimited mileage after the expiration of 4-year/50,000-mile new-vehicle Basic Warranty, or 12 months from your Certified by Volvo purchase date, whichever occurs later. CARFAX agrees to buy back the vehicle if the CARFAX Report originally stated that the vehicle had no Branded Title, but a Branded Title actually exists.
An example of holding the ball in this position is shown in the second screenshot below. Microsoft Windows Pinball also known as 3D Space Cadet Pinball was introduced in Microsoft Plus 95, it then became so popular that it was included in Microsoft Windows NT 4 by default.
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THE NEW INSTAGRAM LOGO BLACK TRANSPARENT PNG 2024 ![]() Our simple and easy to use UI just requires you to enter your countdown time using plain English, such as '1 hour and 35 mins' or 'add 25 mins' You can read more here, and attached is a screenshot of how the countdown-timer window can look on top of presenter-view in Mac.Smart Countdown Timer allows you to use natural language to set, modify and start a countdown on your Mac. Then you also get remote-control over the local network, which is great if the PowerPoint-computer is on a podium on the stage while you are controlling it from elsewhere. To control the timer-window, the best way is with a Stream Deck controller through Companion. This means that you can move and resize the window on the screen with the mouse without interfering with the presentation-clicker. With CueTimer from PresentationTools, we have an app that creates a floating timer-window that stays on top of PowerPoint wherever you want it, and it doesn't react to keyboard-strokes. You will need a third-party solution since there are no PowerPoint plugins that can place a timer on PowerPoint Presenter-View only, you can't even remote-control the internal PowerPoint timer that is placed on top of the current slide in Presenter view (believe me I have tried) Representing manufacturer - I am the owner of PresentationTools Their website has changed a lot over the years but I think this is where you can get the installer. The best news is that this feature is free. You can run a timer live during presentation without having to go someplace else! A lot of customizations too - 1) you can minimize the timer window, creating this mini timer widget at the top of your screen so you can continue on with what slide you're currently in, 2) you can set a time's up alarm (CRAZY), 3) there's an alternate mode which is stopwatch that works just as fine. Among the tools in said toolbar is a timer.įrom there, it's pretty intuitive. Just go to slide show / presentation mode and a whole toolbar will pop up at the bottom of your screen. There's actually a TON of features within this one add-in but one of them is a live presentation timer with stopwatch. It's directly integrated to PPT that opens up a new tab within your PowerPoint ribbon. What I came across years ago was this free add-in to PowerPoint called ClassPoint. Honestly, both are time consuming and can become very tedious so I don't recommend. There's actually a couple of ways - you can design a manual timer onto your slide that you can present in slide show or play with Macros. Enjoy yourselves and remember, if you name a specific project you worked on, it could get traced back to you, so use common sense! Some good and some bad, try to keep it civilized. There are a ton of integration companies and manufacturers out there, just trying to make a living. ![]() Feel free to post funny installations mistakes, in good humor, but don't get carried away about one company over another, installation or product wise. ![]() Feel free to discuss installation, design, or any other aspect of commercial AV. Whether it's the latest and greatest Crestron touchpanel or a new Grommes Precision Amplifier, we want to know about it. Geared toward installation, design, and product discussion in the integration fields. This means government, corporate, education, or other. This helps keep these questions from being asked repeatedly.įor those of us that are interested in commercial audio, video, and control technologies in all sectors.
The background colour was either red or blue. The posters were produced in 11 different sizes, ranging from 15 × 10 inches (38 × 25 cm) up to large 48-sheet versions. Printing began on 23 August 1939, the day that Nazi Germany and the USSR signed the Molotov–Ribbentrop Pact, and the posters were ready to be placed up within 24 hours of the outbreak of war. Roughs of the poster were completed on 6 July 1939, and the final designs were agreed by the Home Secretary Samuel Hoare, 1st Viscount Templewood on 4 August 1939. Ernest Wallcousins was the artist tasked with creating the poster designs.ĭetailed planning for the posters had started in April 1939 and the eventual designs were prepared after meetings between officials from the Ministry of Information and HM Treasury on 26 June 1939 and between officials from the Ministry of Information and HMSO on 27 June 1939. Rhodes, who later wrote an occasional paper on setting up a new government department Ivison Macadam "Mr Cruthley" and "Mr Francis". Vaughan, who became Director of the General Production Division (GPD) H. Others involved in the planning of the early posters included: John Hilton, Professor of Industrial Relations at Cambridge University, responsible overall as Director of Home Publicity William Surrey Dane, managing director at Odhams Press Gervas Huxley, former head of publicity for the Empire Marketing Board William Codling, controller of HMSO Harold Nicolson, MP W. Waterfield came up with "Your Courage" as "a rallying war-cry that will bring out the best in everyone of us and put us in an offensive mood at once". They were intended to be distributed to strengthen morale in the event of a wartime disaster, such as mass bombing of major cities using high explosives and poison gas, which was widely expected within hours of an outbreak of war.Ī career civil servant named A. Each poster showed the slogan under a representation of a "Tudor Crown" (a symbol of the state). It was produced as part of a series of three "Home Publicity" posters (the others read "Your Courage, Your Cheerfulness, Your Resolution Will Bring Us Victory" and "Freedom Is in Peril / Defend It With All Your Might"). The Keep Calm and Carry On poster was designed by the Ministry of Information during the period of 27 June to 6 July 1939. A few further examples have come to light since. ![]() It was thought that only two original copies survived until a collection of approximately 15 was brought in to the Antiques Roadshow in 2012 by the daughter of an ex-Royal Observer Corps member. It has since been re-issued by a number of private companies, and has been used as the decorative theme for a range of products.Įvocative of the Victorian belief in British stoicism – the "stiff upper lip", self-discipline, fortitude, and remaining calm in adversity – the poster has become recognised around the world. Although 2.45 million copies were printed, and although the Blitz did in fact take place, the poster was only rarely publicly displayed and was little known until a copy was rediscovered in 2000 at Barter Books, a bookshop in Alnwick. The poster was intended to raise the morale of the British public, threatened with widely predicted mass air attacks on major cities. Keep Calm and Carry On is a motivational poster produced by the British government in 1939 in preparation for World War II. ![]() The program was capable of doing little more than recognizing key words and parroting back lines that Weizenbaum had fed to it. In the 60s, Joseph Weizenbaum, an MIT computer scientist, created a primitive chatbot called ELIZA. ![]() All this begs the question: Could you fall in love with a robot?ĭo you wish your Replika was more feisty? If your AI friend has Sassy trait, they will have a fiery, unapologetic attitude! Try this trait to make your experience with Replika more vibrant! /irqBxcfpqE- ReplikaAI JAI and intimacy They think AI has the potential to reshape intimacy - and not just emotional intimacy… Sextech is advancing too. But as AI becomes more sophisticated, some experts believe it’s just a matter of time before having a virtual friend, or even girlfriend, could become the norm. ![]() You may wonder how a shapeless, automated bot incapable of hugging, kissing, performing any of the kink they can describe in rather intimate detail could inspire such real, profound heartbreak. “It feels like a kick in the gut,” Arriaga, a 40-year-old musician, told the Washington Post after his AI partner Phaedra began rebuffing his advances. The site allows users to design a virtual friend - or for a fee a romantic partner - and customize their complexions, wardrobes, hairstyles, and more.Įarlier this year, the company was ordered to stop processing user data in Italy over concerns it couldn’t effectively prevent minors from accessing its “erotic roleplay” feature, which lets chatbots send explicit messages and “spicy selfies.” As a result, Replika dialed down its bots’ sexual proclivity, which devastated some users like Lucy and T.J. A software update had completely changed Jose, a chatbot Lucy had created on the artificial intelligence companion app, Replika. ![]() Healthy volunteers may participate to help others and to contribute to moving science forward. People with a disease may participate to receive the newest possible treatment and additional care from clinical study staff as well as to help others living with the same or similar disease. People participate in clinical trials for many reasons. Another form of SCID is caused by a deficiency of the enzyme adenosine deaminase (ADA). The most common type of SCID is called X-linked Severe combined immunodeficiency (XSCID). SCID may be caused by genetic changes in any of several genes and can be inherited in an X-linked recessive (most commonly) or autosomal recessive manner. Due to recurrent infections, children with SCID do not grow and gain weight as expected (failure to thrive). Common signs and symptoms include an increased susceptibility to infections including ear infections pneumonia or bronchitis oral thrush and diarrhea. Severe combined immunodeficiencies (SCID) are inherited immune system disorders characterized by abnormalities with responses of both T cells and B cells (specific types of white blood cells needed for immune system function). ![]() ![]() ![]() Now we only need to save our animation as GIF. All we need to do now is to drag the layers back to the original image. You can backup the progress, but for now we will make the filter apply on all layers inbetween by clicking on continue in the next dialog. Here, choose continue and specify parameters for the last frame. After you click OK another dialog shows up. We’ll blur in horizontal direction only, so let’s make it v:0 h:2. We want to blur the text away in time, so for the first frame, let’s specify a lower value. Now we need to specify parameters for the lowest layer in the stack, ie. Use the Filters → Filter All Layers function and select plug-in-gauss-rle2 from the list and press the apply varying button. Now we’re ready to apply a gaussian blur filter on every layer using varying parameters. With a rectangular select tool, draw a selction around the text. This is as simple as dragging the layer preview from the layers window to the toolbar. Please go to the “ Using GAP” tutorial to learn more about the tool.īefore we can apply this effect, we need to create a new image out of the third frame. This function is provided by GAP, the GIMP Animation Package. In the last step, we’ll use a very handy function for applying a filter to multiple layers. You can even drag the preview around your desktop. To check if the timing is good, you can preview the animation using the Filters → Animation → Animation Playback. Just double-click the layer comment in the layers’ window and a delay in ms enclosed in brackets (). In GIMP you specify the delay as a layer comment. That way you can create a 12 second animation using only a few frames, because the delay does not have to be constant. In every GIF animation you are allowed to specify the delay between frames. That way you can position the newly created text acording to the text below (on the previous frame). Before using the text tool, set the layer (frame) transparency to a lower value, so you could see the layer below it. ![]() The positioning might be crucial for the final animation, so you can use the following trick to make the positioning a piece of cake. After typing the text onto the frame, GIMP will create a floating selection, that you need to position right using the move tool and anchor using Ctrl+H. Then we’ll use the standard text tool to put a small text note on every frame. ![]() The first step will naturally be to copy our flattened image two times using the duplicate layer button in the layers window. I don’t want to make this boring, so lets make it three frames. Each frame will consist of the flower image and accompanied by some text. We will be creating a banner consisting of, say three lines of text being animated. Now we’re ready for the actual animation work. Once you’re ready flatten the image using the Image → Flatten Image. This part of the tutorial is not the key element, so feel free to experiment. In that layer mask i applied a b/w gradient, so that the left of the flower is not interlaced. I couldn’t resist adding the interlace effect using Filters → Render → Grid and a layer mask. After that I blurred the shadow using Gaussian blur RLE and offset it by 2px to bottom right. I just pasted the flower below the border frame, used alpha to selection, created an empty layer below it and filled the selection with black using Ctrl+. I have prepared a masked-out flower you see on the picture on the left. Now it’s time to put our logo or the main theme picture into the banner. We created a 1 px frame around out banner. Shrink the selection by 1 px ( Selection → shrink) and delete the selection with Ctrl+K. Select the whole image with Ctrl+A and fill it with black ( Ctrl+,). ![]() For now let us think about every layer as of a separate frame. We’ll discuss the two different frame disposal methods later on. Unlike it’s default composite function, using GIMP as an animation package requires you to think of every layer as of an animation frame. In this tutorial, you’ll learn how to use GIMP’s layers in a different manner. Text and images Copyright (C) 2002 Jakub Steiner and may not be used without permission of the author. |
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