![]() ![]() While there are some acoustical benefits to the more expensive stethoscopes, there are many acceptable inexpensive stethoscopes. While there are many varieties of stethoscopes on the market, the differences in performance are often subtle and will vary with the individual using the stethoscope. The stethoscope is a relatively simple device consisting of a chest piece to collect the sound waves, tubing to transmit the sound, and earpieces to direct the waves into the examiner’s ears. By interpreting the intensity, pitch and quality of the sound heard upon auscultation, one can make inferences about the health and pathology of the underlying organs and tissues. However, when the acoustical properties of the tissues differ, such as air filled lung and muscular thoracic wall, much of the sound wave is reflected and sound intensity decreases. ![]() As an example, sounds produced by vibrations in the heart muscle and valves are readily transferred across the similar tissue of the chest wall. At interfaces with closely matched acoustical properties, there will be little attenuation of the sound wave. Reflection occurs at the interface of two media with different acoustical properties resulting in decreased intensity of the transmitted sound wave. Different media will dampen vibrations at different rates and over different frequencies. Dampening of the sound wave results in decreased amplitude and thus decreased sound intensity. The sound quality is determined by the complexity of the pressure wave.ĭifferent compressible media have different acoustical properties that affect the transmission of sound. The sound pitch is determined by the frequency (cycles per second or Hz) and the intensity or loudness is determined by the amplitude of the pressure waves. Sound is produced by vibrations in air or other compressible media that are transmitted as waves and provide the stimulus for the subjective sensation of hearing. In order to accomplish this goal, it is necessary to understand the basic principles of sound production and transmission. The goal of clinical auscultation is to relate the sounds heard to the underlying pathology of the tissues examined. Principles of Sound Production and Transmission Since then, the stethoscope has evolved into its current form and has become one of the most cost effective diagnostic instruments available to clinicians. It was not until the early 1800’s that the stethoscope was “discovered” by Rene Laennec (1781 to 1826) who used a rolled cylinder of paper to listen to a patient’s chest. Robert Hooke (1635 to 1703)Įarly auscultation was performed by placing one’s ear directly on the patient’s body. I have been able to hear very plainly the beating of a man’s heart… who knows, I say, but that it may be possible to discover the motions of the internal parts of bodies… by the sound they make. With each movement of the heart, when there is the delivery of a quantity of blood from the veins to the arteries, a pulse takes place and can be heard within the chest. You shall know by this that the chest contains water and not pus, if in applying the ear during a certain time on the side, you perceive a noise like that of boiling vinegar. There are several historical references to auscultation in medical literature. ![]() The intensity and character of breath sounds help determine the location and pathology of thoracic disease.Īuscultation, or listening to the sounds within the body, is a fundamental examination procedure in clinical medicine. Abnormal, or adventitious, sounds are classified as crackles, wheezes, stertor, and stridor. Normal breath sounds are classified as bronchial, bronchovesicular, and vesicular. The character of the sound that is heard at the surface is determined by the factors influencing the production of the sound, and acoustical characteristics of the intervening tissues. Breath sounds originate in the large airways due to turbulence in airflow. Differences in the acoustical density of tissues result in attenuation, reflection, and refraction of these sound waves. Auscultable sounds originate as mechanical vibrations within compressible media that are then transmitted through the tissues as sound waves. Differences in the intensity and character of sounds can be useful in distinguishing underlying thoracic pathology. Many clues as to both respiratory and cardiac function and disease can be obtained through proper auscultation. Thoracic auscultation and percussion are two of the most useful and economical procedures of a physical examination. ![]()
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![]() ![]() The breakout should be accompanied by an increase in volume. In a Falling Wedge, the price should break out to the upside and in a Rising Wedge the price should break out to the bottom. Entry SignalĪn entry signal is given when the price breaks out of the Wedge. However, the breakout from the Rising Wedge will occur when the price breaks below the lower support trendline. As with the Falling Wedge, the Rising Wedge pattern should have at least two test of both the upper resistance trendline and the lower support trendline. This indicates that buying pressure is drying up as buyers are not able to push the price up as effectively as they had done before. The two trendlines that contain the Rising Wedge formation will have an upward slope with the lower support trendline having a more acute, or a steeper, slope than the upper resistance trendline. It is a bearish pattern with the price action in the Rising Wedge being bullish. The Rising Wedge PatternĪ Bearish Rising Wedge with its price objectiveĪ Rising Wedge is the opposite of a Falling Wedge. ![]() The breakout from the Falling Wedge occurs when the price breaks above the upper trendline that was forming a resistance line. The pattern should have at least two test of both the upper resistance trendline and the lower support trendline. This indicates that selling pressure is drying up as sellers are not able to push the price down as effectively as before. The Falling Wedge is bound by two trendlines that have a downward slope with the upper trendline (the resistance line) having a more acute slope, or a steeper slope, than the lower trendline (the support line). The Falling Wedge PatternĪ Falling Wedge is a bullish pattern though the price action in the wedge itself would be bearish. In Elliot Wave theory, however, the wedge must be in the direction of the preceding trend, the motive wave, and cannot be corrective or reactionary. Wedge patterns are also part of the Elliott Wave Principle where they are seen as diagonal triangles. ![]() Volume is an important characteristic of a Wedge and should decrease during the formation of the Wedge and increase on the breakout. At least five pivot points (peaks or valleys) are required to form a wedge, with three pivots on the one trendline and two on the other. They, unlike the symmetrical triangle, are slanted either to the upside, making it a Rising Wedge, or to the downside, making it a Falling Wedge. The Wedge pattern is similar to the symmetrical triangle as they too have converging trend lines that meet at an apex. The pattern itself does not mark the reversal of the preceding trend the breakout from the pattern marks the reversal of the trend formed within the Wedge pattern. Similarly, a Falling Wedge is often preceded by an uptrend but it can also be found in a downtrend. It is important to note that while the Rising Wedge is often preceded by a downtrend, it can also be found in an uptrend. In either case, the breakout is often in the opposite direction of the trend that forms in the wedge itself. ![]() The Wedge formations are reversal patterns that can appear bullish, in the case of a Rising Wedge, or bearish, in the case of a Falling Wedge. ![]() ![]() Other times, your struggle to fill out a form on PDF is caused by an error in the software you use. Sometimes you may have an outdated version of the PDF form-filling software that prevents you from using the program to its fullest capacity. Moreover, not all editors allow filling out PDF forms, and even if they do, you may find that certain fields are unresponsive. ![]() Some documents are not designed to be edited or protected from changes. If you received a form, it does not automatically mean that it is one of the many fillable PDF forms that you can easily complete. Learning how to fill in forms in PDF enables them to quickly and accurately complete applications without wasting time or risking data loss. Overall, getting a program or familiarizing yourself with services for filling out PDF forms is an important skill for professionals across different industries. This means that regardless of what device users have, they can easily access and fill in a PDF form.
![]() Players must always have a total of 10 cards in their hand after their turn is over. The deck is then placed in the middle of the playing area this is the draw pile. Cards in the discard piles are fanned so each player can see all the cards. The dealer then places another card in front of each player, face up. Rules per number of players 4-Player Rules Įach player is dealt 10 cards (face down, clockwise) by the dealer. Each player is dealt their amount of money after each round. The score is kept with the pad of money notepad enclosed inside the box. If a player has a Chance card and someone else goes out, his or her entire hand is worth nothing and scores $0 for that round. 2 Chance cards may represent any card in the deck needed to complete a set however, these cards are only useful to the person who goes out at the end of the hand. Monopoly cards are included whoever has the most of these cards at the end of the hand gets $1000. The 6 bonus cards each double the value of a player's hand. Each token card pays off the value of one colour group (as stated on the cards). Hotels are worth $500 regardless of where they are built.Ħ are token cards. Each house is worth the same amount as the completed color-group upon which it is built. Houses cannot be built on railroads and utilities. Players do not need to have all 4 houses and a hotel to go out, but any houses must be built in sequence (house 2 cannot be used without first having house 1). ![]() Players may add these cards onto any complete color-group. The card also displays the property name, the number of cards in its "color-group," and the value of the complete group and of each house attached.ġ5 are house cards and 2 hotel cards. Each of these cards (except the railroads and utilities) have a distinct color band on the top and bottom, representing the "color-group" to which it belongs. ![]() The 28 property cards are the same as those in the standard Monopoly game. The game was produced and sold by Winning Moves Games under license from Hasbro. The first person to collect $10,000 wins. The value of each player's hand is then counted and they receive the amount of Monopoly money they have earned. Players take turns drawing and discarding cards until one completes a hand. The idea is to draw, trade and organize cards into "color-groups" along with bonus cards. Monopoly: The Card Game is loosely based on the board game Monopoly. to complete their hand and go out.ġ0-30 minutes (and longer with more people) Players draw property cards, token cards, house cards, etc. ![]() ![]() We live in a VERY small town, so, as I said, most people know about Leela and know it’s just the two of us here. She also LOVES the local firefighters who worked with me so she wouldn’t be afraid of them if something were to happen again-whenever she sees the lights or hears the sirens, she bounces from window to window & wakes me up if I’m asleep. Between her beginnings, (she STILL “asks” to be rocked sometimes), the fact it’s always me and her, AND I trained her to “help” me-in case I fall or need help in another room, she’ll bring me her phone. The kids all talk to her every morning, and some afternoons and most adults around here know Leela’s name, but not mine. Obviously, she made it and because I’m disabled and rarely leave the house, (although in warm weather, she LOVES putting her “pretty dress” on and going across the street to the park where she plays with kids.and drives local dogs NUTS! She LOVES giving kids hugs and kisses and I had to put a cat tree in my front window where there’s a bus stop. I was told Leela wouldn’t make it and basically lived in my rocking chair for over a month, giving her IV Fluids, tube feeding her, and rocking & singing to her. I think Leela is super special though because when a friend brought her to me as a VERY sick abandoned 3-4wk old baby-I had JUST been released from 4 weeks in the hospital, (heart attack), and had lost everything in a fire just 2 months before-including my 9yr old silver kitty. They had quite the childhood as I co-founded a wildlife rescue & rehab back home, long before they were even born. But my kids would be the first to tell you-I’ve ALWAYS had “strange” animals…to put it mildly. ![]() As a Vet Tech since 1978, I’ve known a LOT of cats over the years-although Leela is only my 2nd indoor only kitty. Leela is a VERY strange, but VERY LOVING Ginger. □□ (long story)Īnyways, back to mice.she also likes chipmunks (“big Mousey”) that got into the house last year and they batted nuts back and forth in my kitchen. ![]() ![]() I sent some of her Chinese friends pictures on twitter, but don’t remember if I posted them to her twitter yet-she has a LOT of fans in China and they send her things so often, my mailman knocks on the door to announce “Another delivery from China for Princess Leela”. We had this same argument a few days ago, after I first put it together, and I was FaceTiming my daughters-who were in hysterics. We’ve had some arguments about this-yes, Leela argues with me either audibly or whispering her mews & meows, and stomping her paw if it goes on for more than a minute.in fact, we just had one a little while ago when she wanted her dinner on my new over-the bed table. Leela is 5 and ever since she was a kitten I.’ve watched with awe at her playing with them, (she LOVES putting one in a small box and dragging the poor thing around the house!), feeding them-bringing them her cookies, napping with them.and I HAD to draw the line with her gently carrying them in her mouth like a baby, and hopping up on OUR (HER) bed. My Leela is the same way! In the winter, we have small field mice come into the house to get warm. ![]() ![]() ![]() If a column is empty, no cards can be placed there other than a King. Only Kings can move into empty columns.For example, a Queen of Spades can be played on a King of Hearts or Diamonds, but not on a King of Clubs or any card that has a lower ranking. ![]()
![]() ![]() I am a network security engineer, and today I also using the GNS3 network simulator. So, in case, if you need to connect your Routers or Switches with any operating systems, you can connect. In GNS3, you have a facility called, u-bridge, which can be used to connect any GNS3 appliance with other virtualization applications such as VMWare Workstation and Virtual Box. GNS3 supports virtual routers and switches in the IOU (IOS on Unix) and IOS (Internetworking Operating System) formats. However, to use different virtual products (i.e., Cisco/Juniper Routers, Switches, Firewalls) on GNS3, you just need to get a binary image of the devices. By default, you will get some pre-defined device templates. The GUI of the GNS3 network simulator is straightforward to use. Palo Alto, Cisco ASA, and FortiGate within the GNS3. So, you can able to run virtual firewalls directly on it. You will get an amazing experience of virtualization.Īnother best thing is that newer versions of GNS3 support QCOW files, which means you can run KVM virtual machines directly on it. CCNA, CCNP, or CCIE, you defiantly try it out. In case, if you are a networking student and preparing for any of the Cisco Certifications, i.e. GNS3 is also a cross-platform network simulator, so you can easily download and install it on Windows, Linux, and macOS-based systems. So, you can easily practice with different products to build your carrier in networking. Since it’s an open-source tool, so you can easily run different appliances belonging to different vendors. GNS3 is a Network Simulator that lets you run virtual network devices like Routers, Switch, and Firewalls. GNS3 stands for Graphical Network Simulator. If you are a beginner and don’t have any idea to download and install gns3 in your operating system, then don’t worry, I’ll explain to you the process of downloading and installing gns3. In this article, you can download gns3 for Windows / Linux and macOS. ![]() Interface PID Area IP Address/Mask Cost State Nbrs F/C The FA0/1 interface is currently doing the DR-BDR election process on as this interface isconnected to a multiaccess broadcast network segment. The following sample shows the command result on a Cisco ISR 1841 router with two OSPF neighbors. OSPF configuration is a topic of the 200-301 CCNA certification exam. ![]() Thanks to community reports, certain incompatible DLLs that caused crashes are now blocked from loading inside Packet Tracer.Ĭisco Packet Tracer 8.2 introduces the "show ip ospf interface brief" command which can be used to display which interfaces are enabled into the OSPF process. Thanks to community reports, many message boxes have been reworded for better clarity. Selecting the CLI tab will now auto focus onto the command line itself when not using any assistive technology tools.įor easier translations of the interface, the lupdate and lconvert tools are now part of the package. Proxy settings can now be set from the login window. New command "show ip ospf interface brief" and "show ipv6 ospf interface brief".Įdge scrolling while dragging has now returned. Packet Tracer 8.2 main new features are : ![]() ![]() He has affected to render the Military independent of and superior to the Civil power. He has kept among us, in times of peace, Standing Armies without the Consent of our legislatures. He has erected a multitude of New Offices, and sent hither swarms of Officers to harrass our people, and eat out their substance. He has made Judges dependent on his Will alone, for the tenure of their offices, and the amount and payment of their salaries. He has obstructed the Administration of Justice, by refusing his Assent to Laws for establishing Judiciary powers. He has endeavoured to prevent the population of these States for that purpose obstructing the Laws for Naturalization of Foreigners refusing to pass others to encourage their migrations hither, and raising the conditions of new Appropriations of Lands. He has refused for a long time, after such dissolutions, to cause others to be elected whereby the Legislative powers, incapable of Annihilation, have returned to the People at large for their exercise the State remaining in the mean time exposed to all the dangers of invasion from without, and convulsions within. He has dissolved Representative Houses repeatedly, for opposing with manly firmness his invasions on the rights of the people. He has called together legislative bodies at places unusual, uncomfortable, and distant from the depository of their public Records, for the sole purpose of fatiguing them into compliance with his measures. He has refused to pass other Laws for the accommodation of large districts of people, unless those people would relinquish the right of Representation in the Legislature, a right inestimable to them and formidable to tyrants only. He has forbidden his Governors to pass Laws of immediate and pressing importance, unless suspended in their operation till his Assent should be obtained and when so suspended, he has utterly neglected to attend to them. He has refused his Assent to Laws, the most wholesome and necessary for the public good. To prove this, let Facts be submitted to a candid world. The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute Tyranny over these States. But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security.-Such has been the patient sufferance of these Colonies and such is now the necessity which constrains them to alter their former Systems of Government. Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes and accordingly all experience hath shewn, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.-That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, -That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their Safety and Happiness. ![]() ![]() The unanimous Declaration of the thirteen united States of America, When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Nature's God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation. Note: The following text is a transcription of the Stone Engraving of the parchment Declaration of Independence (the document on display in the Rotunda at the National Archives Museum.) The spelling and punctuation reflects the original. ![]() ![]() Basal Metabolic Rate and Body Composition Predict Habitual Food and Macronutrient Intakes: Gender Differences. When navigating extreme cool temperatures for a prolonged period of time, the body has to work harder to maintain its core temperature, which requires more energy, elevating your BMR. Supporting the life of a growing fetus is directly related to a higher BMR, which is why pregnant people often need to eat more than they did prior to pregnancy. Someone who uses certain drugs and supplements that act as stimulants, such as caffeine, can have a higher BMR than someone who doesn’t use these substances. It’s also important to note that eating too little over a prolonged period of time can reduce BMR significantly, as it triggers the body’s instinct to store more energy rather than utilize it because the body anticipates a limited availability of incoming energy. People who usually eat multiple small meals throughout the day tend to have a higher BMR than those who eat less frequent, larger meals. Muscle requires more energy for maintenance than fat, so people with higher percentages of muscle mass can have higher BMRs. The older you are, the lower your BMR tends to be. In fact, there’s a handful of variables that can affect the accuracy of a person’s BMR calculation, including: ![]() Outside of controlled laboratory conditions, BMR isn’t an exact science. BMR Calculator: Calculate Your Basal Metabolic Rate While we work hard to provide accurate and up-to-date information that we think you will find relevant, Forbes Health does not and cannot guarantee that any information provided is complete and makes no representations or warranties in connection thereto, nor to the accuracy or applicability thereof. The compensation we receive from advertisers does not influence the recommendations or advice our editorial team provides in our articles or otherwise impact any of the editorial content on Forbes Health. Second, we also include links to advertisers’ offers in some of our articles these “affiliate links” may generate income for our site when you click on them. This site does not include all companies or products available within the market. The compensation we receive for those placements affects how and where advertisers’ offers appear on the site. First, we provide paid placements to advertisers to present their offers. This compensation comes from two main sources. To help support our reporting work, and to continue our ability to provide this content for free to our readers, we receive compensation from the companies that advertise on the Forbes Health site. The Forbes Health editorial team is independent and objective. ![]() ![]() ![]() Ssh Root Login Permission Denied on How To Allow SSH Root Login On Ubuntu 20.04.ubuntu ssh server root login – on How To Allow SSH Root Login On Ubuntu 20.04.root login ssh ubuntu - on How To Allow SSH Root Login On Ubuntu 20.04.DJI Mini 4 Pro Review: Ultra-Light Without Compromises.Insta360 Ace Pro Review: A GoPro Killer or Overhyped Hero?.Proxmox Cloned VM Has Same IP (Ubuntu): A Quick Fix.A Step-by-Step Guide to Install Rancher on Ubuntu 22.04.How to Install QEMU Guest Agent on Ubuntu/Debian for Enhanced Virtual Machine Management.Google Photos is advanced and has rich features but most of people find it complicated.Apache centos centos 7 CentOS 8 convert debian DJI Mavic 2 Pro DNS EPEL fdisk ffmpeg FreeNAS FreeSWITCH FusionPBX Hard drive hostname iptables java Linux mysql Nginx NTP server Nvidia password port proxmox Python rdp redhat RHEL root script SIP sox SSH tcpdump Ubuntu Ubuntu 18.04 vestacp VMWARE Windows Windows 10 yum Yum Update Zimbra Recent Posts Though Google has stopped working on Picasa and switched users to Google Photos, it is not dead! It has features which might keep it alive for years. Google Picasa is ideal for photo editing, sharing online via email or blogs, effects, albums and a lot more. ![]() It can be used for advanced editing and various attractive photo effects which give your pictures a whole new look in just a few moments. It is simple for its ease of use and user friendly simple user interface. Picasa should not be considered as a tiny and typical image editing tool, don’t underestimate it. You can upload and share your photos online and share them with friends, family or anywhere online. Picasa is an image/photo management suit which ensures maximum well arrangement of image files stored on your PC disk storage.Īs Picasa is a product of Google, it provides online image storage for your photos/images. It is a powerful software to search almost all image formats, edit, manipulate and share online or save to local computer storage. Picasa is a popular images and photo management software. And Picasa makes it a snap to share your pictures, you can email, print photos home, make gift CDs, instantly share your images and albums, and even post pictures on your own blog. Picasa also makes advanced editing simple by putting one-click fixes and powerful effects at your fingertips. Picasa makes sure your pictures are always organized. You can drag and drop to arrange your albums and make labels to create new groups. Every time you open Picasa, it automatically locates all your pictures (even ones you forgot you had) and sorts them into visual albums organized by date with folder names you will recognize. Picasa is software that helps you instantly find, edit and share all the pictures on your PC. Its easy to use features are highly optimized to give you the best possible experience of enjoying your present and past memories in pictures. Now you can walk like a boss through your photo gallery. This direct link allows high speed fastest full bandwidth download of Picasa (64 bit & 32 bit). Download Picasa – Windows 10 version Free | Latest Picasa for Windows 10 (64 bit/32 bit) Overviewĭownload Latest version of Picasa for Windows 10, 7, 8/8.1 (64 BIT/32 BIT) with the official direct download link with offline installer standalone setup. ![]() |
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