Note the points at which you hear the first appearance of Korotkoff sounds (systolic blood pressure) (OER 1) and the point at which the Korotkoff sounds go silent (diastolic blood pressure) (Hypertension Canada, 2020). Swishing sounds as the blood flows through blood vessels as the cuff is deflated. See Film Clip 5.3 which focuses on the speed of the needle when deflating the blood pressure cuff. CG is no longer recommended for use because it has not been expressed using standardized creatinine values. It is not adjusted for body surface area. This sound provides the systolic pressure reading. Cox regression analysis was used to estimate hazard ratios (HR) with 95 confidence intervals (CI) for the outcomes comparing the five groups with normal weight, light overweight, heavy overweight, obesity and prominent obesity, using normal weight (BMI 18.524.9 kg/m 2) as reference. The Cockcroft and Gault formula (CG) was developed in 1973 using data from 249 men with creatinine clearance (CCr) from approximately 30 to 130 mL/m2. This is the first sound heard as the cuff pressure is released. An alternative strategy is to record both phases in all gravid women beginning at the first prenatal visit so that baseline phase 4 values are available in the event that phase 5 becomes indeterminate. There are five distinct phases of Korotkoff sounds: Phase 1: A sharp tapping. Por exemplo, em um determinado paciente, observou-se K1 em 150mmHg, K4 em 70mmHg e as pulsaes persistiram at o 0mmHg, sendo assim, devemos. Ao registrar a presso arterial no pronturio do paciente, o profissional deve tomar o cuidado de registrar o valor das trs fases. In this video mechanism of production of korotkoff sounds and how it helps in measuring systolic blood pressure and diastolic blood pressure is discussedTo f. In those few patients having very low or indeterminate phase 5 determinations, both phase 4 and phase 5 should be recorded and the former used to guide patient management. Sons de Korotkoff: orientaes para o profissional. We conclude that available evidence supports recommendations for the use of Korotkoff phase 5 as the preferred end point to estimate diastolic blood pressure during pregnancy. ![]() Moreover, there appears to be greater observer variability in the measurement of phase 4 compared with phase 5. However, studies examining this issue indicate that Korotkoff phase 5 is determinable in more than 90% of gravid women and that the incidence of an indeterminable phase 4 is at least as great as that for phase 5. Definition of Korotkoff in the dictionary. Nonetheless, it has been suggested that phase 5 is unmeasurable in a significant number of gravid women, making this end point less desirable. Available data indicate that Korotkoff phase 5 more closely approximates true intraarterial diastolic pressure in pregnant women. Controversy exists regarding which Korotkoff phase should be used to estimate diastolic blood pressure during pregnancy, some authorities recommending phase 5 (disappearance of sounds) and others suggesting phase 4 (muffling).
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![]() It highlight the current sentence (in black) while the rest of the ![]() So the effect I am looking to achieve can be seen in this video. Path (/usr/local/sbin /usr/local/bin /usr/sbin /usr/bin /sbin /bin /usr/games /usr/local/games /mnt/c/ProgramData/Oracle/Java/javapath /mnt/c/Program Files (x86)/Intel/iCLS Client/ /mnt/c/Program Files/Intel/iCLS Client/ /mnt/c/Windows/system32 /mnt/c/Windows /mnt/c/Windows/System32/Wbem /mnt/c/Windows/System32/WindowsPowerShell/v1.0/ /mnt/c/Program Files (x86)/Intel/Intel(R) Management Engine Components/DAL /mnt/c/Program Files/Intel/Intel(R) Management Engine Components/DAL /mnt/c/Program Files (x86)/Intel/Intel(R) Management Engine Components/IPT /mnt/c/Program Files/Intel/Intel(R) Management Engine Components/IPT /mnt/c/Program Files (x86)/NVIDIA Corporation/PhysX/Common /mnt/c/Program Files/Git/cmd /mnt/d/Dropbox/programmes/emax26.2/bin /mnt/c/WINDOWS/system32 /mnt/c/WINDOWS /mnt/c/WINDOWS/System32/Wbem /mnt/c/WINDOWS/System32/WindowsPowerShell/v1.0/ /mnt/c/WINDOWS/System32/OpenSSH/ /mnt/c/Program Files/texlive/2018/bin/win32 /mnt/c/ProgramData/chocolatey/bin /mnt/c/ProgramData/Anaconda3/Scripts/ /mnt/c/Program Files/Intel/WiFi/bin/ /mnt/c/Program Files/Common Files/Intel/WirelessCommon/ /mnt/c/Users/CLEVO/ema圆4ver26.3.7/bin /%CYGWIN% /mnt/c/cygwin64 /mnt/c/cygwin64/bin /mnt/c/Program Files/Git/usr/bin /mnt/c/Program Files (x86)/QuickTime/QTSystem/ /mnt/c/Program Files/LLVM/bin /mnt/d/Dropbox/programmes/emax191229/bin /mnt/c/ProgramData/Anaconda3 /mnt/c/Users/CLEVO/AppData/Local/Microsoft/WindowsApps /snap/bin /usr/lib/x86_64-linux-gnu/emacs/26.So I played with tweaking my emacs configuration again. fstack-protector-strong -Wformat -Werror=format-security -no-pie' 'CPPFLAGS=-Wdate-time -D_FORTIFY_SOURCE=2' 'LDFLAGS=-Wl,-Bsymbolic-functions -Wl,-z,relro -no-pie')īuild HEAD -> develop 4b20c7206 17:34:44 -0400 ![]() I want to have a custom theme based on a doom themes, which keeps its nice properties like solaire mode and has some different color choises and I am not sure how to achieve this.įeatures XPM JPEG TIFF GIF PNG RSVG IMAGEMAGICK SOUND GPM DBUS GSETTINGS GLIB NOTIFY LIBSELINUX GNUTLS LIBXML2 FREETYPE M17N_FLT LIBOTF XFT ZLIB TOOLKIT_SCROLL_BARS GTK3 X11 XDBE XIM MODULES THREADS XWIDGETS LIBSYSTEMD LCMS2īuildopts (-build=x86_64-linux-gnu -prefix=/usr '-includedir=$/lib/x86_64-linux-gnu' -disable-maintainer-mode -disable-dependency-tracking -prefix=/usr -sharedstatedir=/var/lib -program-suffix=26 -with-modules -with-file-notification=inotify -with-mailutils -with-x=yes -with-x-toolkit=gtk3 -with-xwidgets -with-lcms2 'CFLAGS=-g -O2 -fdebug-prefix-map=/build/emacs26-TP6iDo/emacs26-26.3~1.git96dd019=. Placing some themes in my ~/.doom.d/themes and invoking them by (add-to-list 'custom-theme-load-path "~/.doom.d/themes") in my config file resulted in having wrong background and other artifacts when using this theme, which is why I would like to do it the "proprietary" doom way. I am not sure however, if this is how it is intended to be done and if it will be automatically recognized. My guess is that I could copy an doom-acario-light-theme.el file. ~/.emacs.d/.local/straight/repos/emacs-doom-themes/themes. I looked at the destination of doom-themes. ![]() Or, to be more specific, the background in the ivy buffer has almost the same color as the highlighting, I would really like to change it. Let's say I want to take doom-acario-light theme as a base and change the background under the cursor either by having an extra theme selectable doom-mycustomtheme or by (less preferable) changing doom-acario-light theme. Good day, I come from spacemacs and would like to create a custom theme based on some doom-theme. You’ll find the ATS resume format is professional and minimal. 6 ATS Design Resume ExamplesĮach of the design resumes listed is optimized for bypassing the resume scanners. Don’t forget to check the company’s job description too and match the requirements to beat the applicant tracking system (ATS). If you have a website URL that contains your portfolio or published pieces of work, include this in your resume header.įor aspiring designers, it’s key to translate your professional values into a hirable job document. ![]() For example, the following sections will apply: Some things about the resume itself won’t change and are still the same. Some of the main attributes of a skilled designer include: In these cases, it’s good to have a portfolio to show to your potential client.Įven so, everyone in the workforce should have a resume ready. There may be exceptions where resumes aren’t always necessary for the job application process, e.g. ![]() That being said, most job opportunities require a resume so the company can assess your professional background which mainly includes: “The entire experience is focused on the user, and it helped me craft the resume that ultimately landed me 5+ interviews, a few offers, and one full-time job!” - Ryann.GĪnother option to speed up the job search is to get started with Rezi’s online resume builder! Do Graphic Designers Need a Resume?Īs job seekers, you need to sell your value and skills to your prospective employers. Our templates that we’re about to go through are all proven to overcome the resume scanners and get applicants hired. We’re trusted by over 120,000 job seekers and have helped candidates get their foot in the door for big companies including Amazon, Facebook, and Spotify. With the 6 design resumes in this article, we’ll look at what makes each of these examples work so you can seize your next career opportunity. You’ll need to sum up your professional background and mention the essential skills on your application to present yourself as the best applicant on the list. Professionals seeking a job in the design industry require good creativity and an understanding of aesthetics.īut because job postings in this space are competitive, it’s important to stand out. ![]() Īmmirati E, Cipriani M, Lilliu M, Sormani P, Varrenti M, Raineri C, Petrella D, Garascia A, Pedrotti P, Roghi A, Bonacina E, Moreo A, Bottiroli M, Gagliardone MP, Mondino M, Ghio S, Totaro R, Turazza FM, Russo CF, Oliva F, Camici PG, Frigerio M (2017) Survival and left ventricular function changes in fulminant versus nonfulminant acute myocarditis. Ĭaforio AL, Pankuweit S, Arbustini E, Basso C, Gimeno-Blanes J, Felix SB, Fu M, Heliö T, Heimans S, Jahns R, Klingel K, Linhart A, Maisch B, McKenna W, Morgensen J, Pinto YM, Ristic A, Schultheiss HP, Seggewiss H, Tavazzi L, Thiene G, Ylmaz A, Charron P, Elliott PM (2013) Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial diseases. Ĭooper LT Jr, Onuma OK, Sagar S, Oberg AL, Mahoney DW, Asmann YW, Liu P (2010) Genomic and proteomic analysis of myocarditis and dilated cardiomyopathy. īelkaya S, Kontorovich AR, Byun M, Mulero-Navarro S, Bajolle F, Cobat A, Josowitz R, Itan Y, Quint R, Lorenzo L, Boucherit S, Stoven C, Di Filippo S, Abel L, Zhang SY, Bonnet D, Gelb BD, Casanova JL (2017) Autosomal recessive cardiomyopathy presenting as acute myocarditis. Furthermore, we explore myocardial inflammation in genetic cardiomyopathies, its role in driving clinical variability and the potential of transcriptomic and proteomic analysis in our understanding of these complex interrelations.Ĭampuzano O, Fernández-Falgueras A, Sarquella-Brugada G, Sanchez O, Cesar S, Mademont I, Allegue C, Mates J, Pérez-Serra A, Coll M, Alcalde M, Iglesias A, Tiron C, Gallego MÁ, Ferrer-Costa C, Hospital A, Escribano C, Dasí C, Borondo JC, Castellà J, Arbelo E, Medallo J, Brugada J, Brugada R (2015) A genetically vulnerable myocardium may predispose to myocarditis. We here review the elements supporting an aetiology-driven diagnostic work-up in myocarditis, emphasizing the importance of integrating pathologic studies with clinical features and information derived from multimodality imaging. Unfortunately, the correlation of histopathologic patterns, clinical presentation and disease course in myocarditis is still largely unresolved, due to limited availability of bioptic samples at specific stages of disease and impracticality of serial sampling. Active vasculitis, when present, completes the inflammatory spectrum. ![]() Diverse histopathologic substrates generally reflect different aetiologies and pathogenetic mechanisms and may be critical to clinical decision-making. The broad spectrum of myocarditis can be categorized according to the prevalent histopathologic pattern including lymphocytic, lympho-histiocytic, eosinophilic and neutrophilic forms, giant cell myocarditis and myocarditis with granulomata. Myocarditis is an inflammatory disease of the myocardium, which may occur in isolation or as part of systemic infectious/immune/autoimmune conditions, characterized by vast aetiologic, clinical and histopathologic heterogeneity. It accurately identified every K-cup variety I tried.) (I had a hard time figuring out how to test or verify this feature. It also reads the QR code that comes printed on most K-cups and adjust its brew settings to fit that specific coffee. The K-Cafe Smart has a single-serve brewer, a detachable water reservoir and a milk frother. If you want the convenience of K-cup coffee, but also want to customize brew recipes and create unique drinks from what you make, the K-Cafe Smart gets you. (You can also check out how to clean your Keurig coffee maker.) You'll find everything from simple machines with one function to app-connected options that adjust to any pod and allow you to create custom recipes. This roundup focuses on Keurig brand machines but also includes K-cup compatible coffee makers from other brands. If you love a Keurig coffee maker for its convenience, capacity (check out other small portion options like French presses or pour-over cones), or you just love the overwhelming variety of available K-cup flavors, there's an option for you on this best list. Plus, if you switch the single-use K-cups for a compatible reusable one, you'll avoid the plastic waste that's been the biggest mark against this style of coffee maker. That being said, not everyone will love these single serve coffee makers - they don't brew coffee as richly as drip machines do, especially top-tier brands.īut it would be tricky to find a way to brew coffee that's easier or more convenient. However, it is simple, budget-friendly and, because it outperformed its competitors in our brewing tests, seems to be the best Keurig coffee maker. The Keurig K-Mini is our top option for a Keurig machine despite it not having the ingenuity of some other models on our list. Keurig-style coffee is brilliant for anyone who wants a quick and easy cup of coffee. Find out moreįind out more What is the best overall Keurig-style coffee maker? Pay only $12/month + tax for 3 months, then $25/month + tax after that. ![]() Try comprehensive home device insurance covering defects, failures and normal wear and tear. ![]() The Houzz app isn’t as sophisticated as Autodesk HomeStyler, but it gives you access to thousands of photos and an easy way to get an idea of how your renovations will look. This is especially convenient for people who want to remodel. You can take a picture of your kitchen and superimpose new appliances, cabinets, sinks, and more. Users can submit their suggestions, ask questions, and shop for appliances and decor. It’s filled with kitchen photos and ideas, and you can specify the styles and colors you want. The Houzz app works with Apple and Android phones and tablets. However, the app could be sluggish for people who have computers without enough capacity. The website has several video tutorials and an FAQ section, and you can adjust dimensions by clicking and dragging. ![]() This app is simple to use, and it can generate first-person views of detailed floor plans. It can even add small appliances and decor like a coffee maker or a fruit bowl and let you share designs through email or social media. Autodesk HomeStyler can also analyze the positions of the windows and the ideal materials for walls. You can upload files to examine any design, choose where appliances will go, change the placements of doors, and convert a separate kitchen to one with a more open floor plan. You can also choose the colors and patterns of your floor, counters, and walls. Several common refrigerator, dishwasher, sink, and microwave designs are available. You can zoom and turn the camera to get a good view of your new kitchen layout and check out a variety of styles. It’s a two- and three-dimensional room planning app that’s powered by Flash, a program most people already have on their computers. Autodesk HomeStylerĪutodesk HomeStyler can work in almost any browser, and most people don’t need any downloads. Here are some of the best apps for helping you design your kitchen. Since kitchens often have limited space for storage and appliances, an excellent design is especially important. An app can help you search for great design ideas and see what furniture and materials look best before starting your project. However, it can be costly and time-consuming. We continuously update the range of features offered to our users in order to provide you with more capabilities.Building a welcoming new kitchen or renovating an existing space can increase the value of a new or older home. At the same time, it is crucial to maintain the same style of all of the furniture elements.ĭownload “My Kitchen: 3D Planner”, experiment with your house renovations and enjoy the process together with all of your family members. In order to achieve the best result, all ingredients must be in place: tabletops of the right height, the exact amount of cabinets and shelves. Free trial 1 + 3 (1 day after application installation and 3 after subscription purchaseĮvery housewife knows that a kitchen should be spacious, practical and well-thought through. Try PRO version to unlock features to do your best work: import different colours into the app to make a design as similar to real-life as possible selecting of cabinet door and handle model undo of the action for more convenient work send drafts of your design projects to your friends, share ideas and receive advice on furniture arrangement room configuration, floor and wall color settings adjustment of the content of the kitchen (cabinets, appliances, hoods, windows, doors and other modules) The FREE version includes features, such as: Now you can become the designer of your own apartment - choose between various modules, take out the unnecessary components and create the ultimate range of helpful features. The app is equally demanded by housewives and professional designers. Are you looking for new kitchen furniture and want to find the perfect interior design? Now you can effortlessly select the right plan with this useful application called “My kitchen: 3D Planner”. ![]() Our job is not only to treat your pet when he or she isn't feeling well, but also to help you learn how to keep your best friend happy and healthy. Harmony Animal Hospital specializes in small animal health care for dogs, cats, rabbits, ferrets, hamsters, and other small, furry creatures. Harmony Animal Hospital is a 24 hour general and emergency veterinary practice located in Warren County, in Phillipsburg, NJ. Harmony Animal Hospital's facility includes a well-stocked pharmacy, in-hospital surgery suite, in-house x-ray & bloodwork capabilities, a closely supervised hospitalization area, and indoor boarding kennels with outdoor walking areas.Īt Harmony Animal Hospital we strive to offer not only sound advice, but also optimal veterinary care, thus allowing you the enjoyment of your companion for a maximum number of years. Your Veterinarian in Phillipsburg, NJCall us at (908) 454-5600. We are proud to have highly experienced veterinary professionals here to serve you and help your horses live life to the fullest. We also work closely with local practices when special diagnostic procedures or a specialist's care are required. Furlong & Associates is an equine-focused veterinary practice in New Jersey offering a wide range of ambulatory services, reproductive services, surgical services, sports medicine, rehabilitation, and much more. We provide a broad spectrum of diagnostic procedures through in-house testing and the use of external laboratories. The majority of our staff has been employed at the hospital longer than ten years, a fact that demonstrates their loyalty to our pursuits, and they contribute greatly to the air of professional courtesy you receive as our client and to the compassionate care your pets receive when in our facility. Those ideals have undergirded Harmony Animal Hospital's philosophy ever since, have attracted clients from all over the northern New Jersey and eastern Pennsylvania locales, and have allowed our hospital to grow into a 4 doctor practice staffed by caring, competent personnel ready to assist the needs of your pets. Dr Epple VMD graduated from the University of Pennsylvania School of Veterinary Medicine in 1969 and practiced as an associate veterinarian for 3 years before founding Harmony Animal Hospital with the ideals to provide the highest quality small animal medical care available while also facilitating clients' education of health and wellness in our domesticated species. Our hospital's reputation for excellence originated in 1973 when Dr William B Epple VMD and his wife, Ruth Epple, constructed the hospital, hung a sign out front, and opened the doors to the community to indicate their willingness to care for our domesticated small animal species. Harmony Animal Hospital is a well-established, full-service, small animal veterinary hospital providing comprehensive medical, surgical, dental care, and after hours emergency services. The final option is a versatile text tool. But the Zoom tool is more interesting, allowing you to set up a custom zoom area for each image (zoom out from a face to the full screen, say). The Animation effects are also a little gimmicky, spinning your image around or adding water-like ripples. They’re not much use and we’d generally prefer to work on any issues in a real editor, but PhotoStage Slideshow Producer supports that too, with an "Edit in external editor" command. Individual images may be customized with simple image editing tools (Brightness, Crop, Rotate), and a few effects (Oil Painting, Negative, Sepia, more). ![]() There are 35+ fades, wipes, dissolves and so on, and while they’re a little basic, the program has enough for most purposes. There are also transition icons in between every image, and you can use these to change the transition type and duration. They’ll appear on the timeline, and can be dragged again to reorder them.Įach timeline thumbnail has its duration clearly visible, and this can be changed to anything from one second to an hour. ![]() Just as you’d expect, you can drag and drop your source images onto the program. Timeline at the bottom of the screen, two audio tracks (music plus narration), assorted effects and transitions library top left, preview window on the other side, it’s all very straightforward. If you’ve ever used a video editor then the PhotoStage interface will feel very familiar. We politely declined the bundled Google Toolbar, and a few seconds later the program launched. ![]() I’m not going to lie, I was one of those people, but with reading, and probably because I’m maybe just a tad bit more mature now, I don’t see it like that. People will say the s-type is unable to function on their own and can’t be a very good s-type if their dominant is always having to tell them what to do, how to do it, and when to do it. Usually, when someone in the lifestyle hears about a slave or submissive being micromanaged, the s-type being discussed is usually talked about in a not so nice and rather judgemental manner. Like everything else in life, both have their pros and cons and not only that but depending on how your dynamic is, one is not better than the other. I realized that micromanaging and macromanaging are more leading styles versus being types of service, like proactive, which is why macromagement is a better fit as the opposite of micromanaging. All you need to do is substitute dominant for “manager or management” and sub/slave for “subordinate and support staff” and the definition then fits a lot better. Even though these terms do appear quite a bit in the business world, they do still apply to the BDSM lifestyle. With only having an idea as to the definitions of these words, I had to turn somewhere to find something a little more concrete. Okay, I know that definition makes no sense, so let me hopefully make it a little clearer-macromanaging means the support staff are competent in their job duties and require little to no supervision to complete their assigned tasks. : anything very large scale, scope or capability, large controlling strategy. ![]() : Management or control with excessive attention to minor details where a manager closely observes or controls the work of subordinates. ![]() Today will be the differences between micromanaging and macromanaging and later will come the article about reactive vs proactive service.īefore I go any further, I want to define what micromanagement and macromanagement is. So, I’m breaking this down into something more manageable. I found a lot and read a lot and realized that I couldn’t fit everything into just one article without having an article that would be about the size of War and Peace. With the reading I have done, I have also learned that micro/macromanaging is more of how the master leads while re/proactive service is more what the slave does. Micromanaging vs macromanaging and reactive service vs proactive service. With that, I always considered proactiveness being the opposite of micromanaging and in a way it is, but I found a better match, for both words. Let me just say, but the various answers I received, I realized this wasn’t going to be as easy of a topic as I had thought.Įver since I have started out in the lifestyle, I always heard of micromanaging and being proactive. I figured it would be a rather easy topic to write about, but before I started writing, I posted a question in a group on Fetlife asking both masters and slaves(as this is a Masters and slaves group)whether they preferred to be micromanaged or proactive and asked the masters what they prefer from their slaves. I got super excited because it’s an awesome topic. Awhile ago, I was talking to a friend of mine and asked her if she had any good topic ideas because it’s good to have outside influences and she suggested micromanaging vs proactivity. |
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