Stridor is louder on inspiration than expiration and much louder than wheezing. It tends to occur when the upper airways are narrowed to 5 mm or less and is associated with any condition that leads to narrowing of the extra-thoracic airway. Stridoris a high-pitched, unremitting sound heard over the trachea. Typically, rhonchi are cleared when a patient coughs. They are associated with the presence of secretions, whether increased production or reduced clearance. Rhonchiare low-pitched, continuous, rattling breath sounds that often sound like snoring. Regardless of the diagnosis, research has been unable to link disease severity with the quantity of crackles heard on exam. Conditions associated with crackles include cardiac disease, fibrotic lung disease, COPD, and pneumonia. Whereas the sudden opening of closed airways triggers a fine crackle, a coarse crackle is associated with the presence of secretions. A fine crackle has an increased frequency rate and quicker duration than a course crackle. These sounds are most often heard at the base of the lungs. Crackles can be categorized as coarse or fine and may occur during either, or both, inspiration and expiration. Unlike a wheeze, it is not musical in nature. Of note, healthy patients can often produce a benign wheeze during forced expiration.Ĭrackleis an explosive short sound. Wheezing may be a single sound or a multitude of sounds, and although its presence may be diagnostic for airflow obstruction, its absence does not rule anything out.Ĭonditions associated with wheezing include viral illnesses such as bronchiolitis, croup, and whooping cough asthma chronic obstructive pulmonary disease (COPD) cystic fibrosis bronchiectasis pulmonary edema foreign body aspiration or tracheal or laryngeal tumors. The timing of an adventitious sound within the respiratory cycle is a diagnostic identifier and should be noted during an exam. A wheeze may occur during either, or both, of the inspiratory and expiratory phases of the respiratory cycle. The fluctuation of opposing airway walls being tightened nearly to a point of contact generates the sound. Wheezingis often described as a musical note. Because each of these adventitious breath sounds may be present with one or more diagnoses, it is important to make note of the abnormality in context with the patient’s history and clinical exam. Bronchial sounds are best heard over the body of the sternum.Ībnormal breath sounds are often indicators of pathology in the airways and include wheezing, crackle, rhonchi, stridor, and plural rub. Bronchovesicular breath sounds are best heard between the first and second intercostal spaces of the anterior chest. Tracheal sounds are heard best over the trachea and typically are louder and have a higher pitch than vesicular sounds. In airfilled lungs, vesicular breath sounds are commonly heard over the majority of the lung fields. Normal breath sounds can be heard throughout the lung fields in a healthy patient and are most often classified as 1 of 4 types: vesicular, tracheal, bron- chosvesicular, and bronchial. There is often confusion between breath and voice sounds breath sounds generate in the lungs whereas voice sounds generated in the larynx. During this process, Laënnec invented the stethoscope.īreath sounds are categorized as normal or abnormal and have 3 characteristics: intensity (soft, medium, loud, very loud), pitch (low, medium, high), and duration. René Théophile-Hyacinthe Laënnec established the link between a breath sound and an identifiable pathological change in the lungs. Auscultation, a technique that requires both clinical experience and a good stethoscope, dates back to the early 1800s. “Breath sounds” refer to the movement of air through the respiratory system and can be evaluated through auscultation of the lung fields.
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BESSt starts from the true net corneal power as calculated with the Gaussian optics formula, but then it makes crucial adjustments based on the actual measured postoperative corneal radii and the altered anterior/posterior radius relationship. This can therefore yield inaccurate results, especially in postrefractive surgery eyes where the relationship between the anterior and posterior corneal radii is no longer constant. It is not possible to use values obtained from the Gaussian optics formula in most current IOL power formulas because they are calibrated using a standard keratometric index of 1.3375, which does not take true posterior corneal curvature into account. BESSt AND BESSt 2īased on direct anterior and posterior corneal curvature and corneal thickness measurements using the Pentacam and a modified Gaussian optics formula, the BESSt algorithm estimates corneal power in eyes after laser refractive surgery for myopia or hyperopia. These formulas can be used for eyes that have previously undergone myopic or hyperopic excimer laser treatments, even if there is a lack of prerefractive surgery information. 1 The second approach, the more recently developed Borasio Myopic Regression and Borasio Hyperopic Regression (BMR-BHR) formula, requires direct measurements from the IOLMaster (Carl Zeiss Meditec). I use two approaches to calculate IOL power following laser refractive surgery, the first of which, the Borasio Edmondo Smith and Stevens formulas (BESSt and BESSt 2), is based on direct anterior and posterior corneal surface measurements and requires the Pentacam (Oculus Optikgeräte GmbH). In these cases, instead of using a pseudophakic IOL power calculation that incorporates preoperative data, which can result in refractive surprises, I prefer to use direct corneal measurements. Using standard keratometry and raw data taken from corneal topography to calculate refractive corneal power in postrefractive surgery eyes can result in an inaccurate representation of the true corneal power. These formulas are useful for eyes that have previously undergone myopic or hyperopic laser treatments. Intraoperative Aberrometry for Postrefractive Surgery IOL Calculationsĥ Questions With Elisabeth Patsoura, MD, MRCOphth The Creator’s Forum: IOL Power Calculations for Postrefractive Surgery EyesĪchieving Better Outcomes Using Free Online Post-LASIK IOL CalculatorsĪppropriate IOL Calculations in Postrefractive Surgery Patients Pearls for Improving Standard Cataract Outcomes and Workflowīasic Error Sources in IOL Calculation AfterRefractiveSurgery Intrastromal Astigmatic Keratotomy Using a Femtosecond Laser Yum! Brands had over 55 thousand units worldwide in 2022, with Pizza Hut operating the second-most restaurants behind KFC. Pizza Hut is owned by Yum! Brands, a parent company that also operates leading quick service restaurants KFC and Taco Bell. Pizza Hut delivers more restaurants than rivals Pizza Hut saw a drop in number of restaurants worldwide in 2020 most likely as a result of the coronavirus (COVID-19) pandemic. The ten percent rise in the number of restaurants between 20 was the largest year-on-year increase in recent years. In late 2009, Domino's debuted its "Inspired New Pizza" - a permanent change to its hand-tossed product, reinvented from the crust up.In 2022, Pizza Hut accounted for 19,034 restaurants worldwide, an increase over the previous year's total of 18,381. Helped by the launch of its Domino's Smart Slice school lunch pizza in late 2010, Domino's is collaborating with the Alliance for a Healthier Generation to serve healthier school foods and beverages in the United States. In 2011, Domino's was ranked #1 in Forbes Magazine's "Top 20 Franchises for the Money" list. In May 2011, Pizza Today named Domino's its "Chain of the Year" for the second straight year - making the company a three-time overall winner, and the first pizza delivery company to receive the honor in back-to-back years. Domino's Pizza had global retail sales of over $6.2 billion in 2010, comprised of over $3.3 billion domestically and over $2.9 billion internationally. During the second quarter of 2011, Domino's had global retail sales of over $1.6 billion, comprised of nearly $793 million domestically and over $810 million internationally. Domino's is listed on the NYSE under the symbol "DPZ." As of the second quarter of 2011, through its primarily locally-owned and operated franchised system, Domino's operated a network of 9,436 franchised and Company-owned stores in the United States and over 70 international markets. The new owners have hired or offered positions to the existing team members at the stores.įounded in 1960, Domino's Pizza is the recognized world leader in pizza delivery. Of the original 40 company-owned stores, eight of the remaining are currently being run by Domino's Pizza with plans to potentially sell to qualified franchisees at a later date and two (in Hiram and Hampton, Georgia) have been closed. The Atlanta area is home to 118 Domino's Pizza stores, and has for years featured a mix of franchisee and company ownership. Tim Garrett, formerly a supervisor for Orcutt's Cowabunga Pizza Inc., is now a two-store franchisee owner-operator with his purchase. Franchisee Todd Dyrda has purchased five stores, bringing his total to seven stores. He owns stores in Georgia, Alabama and South Carolina.įranchisee Greg Fox has purchased nine stores, bringing his total to 38 stores. store operations for Domino's Pizza in the 1990s), has purchased 14 stores, bringing his ownership total to 93 stores, making Orcutt the second-largest Domino's Pizza franchise owner in the United States. We're looking forward to these great operators taking their expertise and applying it in these stores."įranchisee Mike Orcutt (who led U.S. Local, hands-on leadership is crucial to our success worldwide, and Atlanta is an important market for us. "There are terrific, proven operators in Atlanta, and this is an opportunity for them to grow. "We're primarily a franchise company, and we see strength in our locally-owned operations," said Scott Hinshaw, Domino's Pizza executive vice president of franchise operations and development. The change of ownership took place today. 29, 2011 /PRNewswire via COMTEX/ -ĭomino's Pizza (NYSE: DPZ), the recognized world leader in pizza delivery, today announced that it has refranchised 30 company-owned stores in Atlanta to four local owner-operators. PDF Version Four local franchisees purchase company-owned units in GeorgiaĪNN ARBOR, Mich., Aug. The two hit it off well and soon became good friends. Clapton and Allman, already mutual fans, were introduced by Tom Dowd at an Allman Brothers concert on 26 August 1970. ĭuring the recording of the Layla album, Duane Allman joined Clapton's fledgling band as a guest. Naming themselves Derek and the Dominos, the band "made our bones", according to Clapton, while backing Harrison on his first post-Beatles solo album, All Things Must Pass. Seizing the opportunity, Clapton formed a new group with Whitlock, Radle and Gordon. In the spring of 1970, he was told that some members of Delaney & Bonnie's back-up band, including bassist Carl Radle, drummer Jim Gordon and keyboardist Bobby Whitlock, were leaving the group. Writing and recording Īfter the break-up of Cream, Clapton tried his hand with several groups, including Blind Faith and the husband-and-wife duo Delaney & Bonnie. During their relationship, Clapton wrote another love ballad for Boyd, " Wonderful Tonight" (1977). Harrison was not bitter about the divorce and attended Clapton's wedding party with his former bandmates Ringo Starr and Paul McCartney. īoyd divorced Harrison in 1977 and married Clapton in 1979 during a concert stop in Tucson, Arizona. Nizami's tale, about a moon princess who was married off by her father to a man she did not love, resulting in Majnun's madness, struck a deep chord with Clapton. The title of "Layla" was inspired by the story of Layla and Majnun, which Clapton had been told by his friend Ian Dallas, who was in the process of converting to Islam. However, between his tenures in Cream and Blind Faith, Clapton fell in love with Boyd. Clapton contributed uncredited (although openly acknowledged) guitar work on Harrison's song " While My Guitar Gently Weeps" on the Beatles' self-titled double album (also known as the White Album), and Harrison co-wrote and played guitar on Cream's " Badge" from Goodbye. During the late 1960s, Clapton and Harrison became close friends. In 1966, Beatles guitarist George Harrison married Pattie Boyd, a model he met two years before during the filming of A Hard Day's Night. In 2004, "Layla" was ranked number 27 on Rolling Stone 's list of " The 500 Greatest Songs of All Time", and the acoustic version won the 1993 Grammy Award for Best Rock Song. Two versions have achieved chart success, the first in 1972 and the second 20 years later as an acoustic Unplugged performance by Clapton. "Layla" has since its release experienced great critical and popular acclaim, and is often hailed as being among the greatest rock songs of all time. After Harrison and Boyd divorced, Clapton and Boyd eventually married. The song was further inspired by Clapton's secret love for Pattie Boyd, the wife of his friend and fellow musician George Harrison. The book moved Clapton profoundly, because it was the tale of a young man who fell hopelessly in love with a beautiful young girl, went crazy and so could not marry her. The song was inspired by a love story that originated in 7th-century Arabia and later formed the basis of The Story of Layla and Majnun by the 12th-century Persian poet Nizami Ganjavi, a copy of which Ian Dallas had given to Clapton. The piano part has also been controversially credited to Rita Coolidge, Gordon's girlfriend at the time. Its contrasting movements were composed separately by Clapton and Gordon. " Layla" is a song written by Eric Clapton and Jim Gordon, originally recorded with their band Derek and the Dominos, as the thirteenth track from their only studio album, Layla and Other Assorted Love Songs (1970). "Layla" by Derek and the Dominos on YouTube From the album Layla and Other Assorted Love Songs I did a quick spin test at home with a torch and can verify that they do indeed create a continuous, Tron-like effect of a "solid" wheel. So, 20 minutes all in being very methodical: less time than it takes to watch a stupid soap! I also put each reflector at the end of each spoke towards the outside of the wheel my reasoning was the centrifugal force of spinning tends to push things outwards (like in a washing machine) and they would all end up there anyway, though it's a tight fit and there's no rattling. My method was to wipe down each spoke first (about 10 minutes), then line up each reflector on its spoke and pull it towards me until it clicked, then rotate 180 degrees so the join was on the inside (about another 10 minutes). With this being 72 pieces, there was enough for both wheels plus 8 left over as spares. I bought exactly the same item from this Seller for £8.99 for 72 pieces with free delivery! If you're going to try it, then buy from here! They also came in two boxes of 36, identical to the ones pictured in the other listing. Reviewed in the United States on November 13, 2022įirst of all, let me point out that this item is available from another Seller on Amazon for £7.99 for 36 pieces and delivery is extra. Improved night riding visibility is a quick click install away The sheer volume of reflective items on each wheel improves overall visibility a great deal. If you, or someone you know, rides at night and would like to improve your visibility from side angles, I highly recommend this product. Time will tell if this affects the longevity of the product. I assume this to be a byproduct of the manufacturing process when the plastic tubes are cut to length. I would give these a 5-star rating, except for the fact that several out of the 216 reflectors had the 3M reflective tape peeling up at the end. At night, with light shining on them, the wheels LIGHT UP very well. The genuine 3M reflective tape being used gave me confidence in the quality and reflective luminosity of the product. Included is a single, not flash enhanced picture of the 26-inch wheel for comparison. The pictures were taken during the day and show the reflective quality of the product with the camera flash. I'm including photos to show the installation on a 20-inch and 26-inch wheel. Our wheels have 18 spokes each and needed three packages of these 72 count reflectors. After looking around, I decided to go with these 3M spoke reflectors. Our trikes are manufactured in the UK by Ice Trikes, and they don't install wheel reflectors like most bikes made in the US. My wife and I have recently purchased recumbent trikes, and justifiably are concerned with visibility, especially at night.
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Alde 24-hr multi-programmable central and water heating system.Electrically heated adjustable wing mirrors with direction indicators.Height adjustable passenger seat headrests.Door panel with 4 different size storage areas and new speaker design with improved audio performance.12V DIN socket - for 12V power supply from the cab.Power steering with adjustable steering wheel position.ABS brakes with emergency braking assistance.Electrically operated tinted cab windows.Power Steering - Power supply technology adapts to steering effort to vehicle speed, Increased steering precision, Higher driving pleasure and reduces effort during parking manoeuvres, Improves fuel consumption and CO2 emmissions thanks to the adaptive energy technology.Double USB in Cab - NEW Double USB in Cab.5" Colour display as standard with Bluetooth, USB Connection, Audio streaming and DAB Radio.3.5" Display Cluster with new white backlighting.Best-in-class for fuel consumption and emissions.140 BHP as standard - 140 BHP & NEW 180 BHP upgrade optional.Fiat Ducato series 8 chassis cab called Fiat MultiJet 3 Euro 6D Final.The clubhouse has an extensive fitness room, Play Zone, restaurant, bar and ample sports courts for burning off those BBQs! 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Minion’s Mansion has 4 more bedrooms upstairs including a king-size master with ensuite with shower room, a Queen-size bedroom with ensuite shower and bath combo and a queen-size bedroom with shower. There’s also a flatscreen TV for keeping on top of your favourite sports matches. The ground floor games room has a pool table, basketball shooting nets and a ping-pong table for burning off energy. Sliding doors open directly onto the pool area for your morning dip! The king-size master suite on this level is huge with a walk-in closet and luxury bathroom with shower and twin vanities. As well as a 3-seater breakfast bar for quick snacks and drinks before heading out. There’s a full dining table with seats for 8 and a fabulous granite kitchen with island. The comfortable sectional seating allows everyone to gather and watch favourite TV programs together. Minion’s Mansion has a spacious living area with immaculate cream tile flooring. All bedrooms are tastefully furnished with ensuite bathrooms and TVs in each. The spacious Great Room is perfect for evenings at home. Minion’s Mansion has an enviable granite kitchen with island, breakfast bar and ample stainless appliances. Minion’s Mansion is the perfect home for Minions fans with an outstanding themed bedroom from bedding to decor, but there are plenty more reasons to love this spacious 5 bed home which accommodates up to 10 guests. Please note that any SAS accommodations for captioning will go through the Student Accessibility Offices for professional captioning. Any instructor can request machine captions just make sure that you remember to edit the captions for accuracy. Kaltura REACH also provides an editor to revise and improve the accuracy of your video captions. Kaltura REACH captions are typically 75-85% accurate and can improve over time as the program adapts to learn your voice. Kaltura REACH uses automated speech recognition (ASR) to recognize words spoken in your video and provide machine-based captions for your video. When you embed Kaltura videos in your Canvas courses using the Kaltura Embed Mashup, you can view analytics to see who has watched your video, number of views, and how much they watched. Kaltura has a feature that allows media to be turned into an Interactive Video Quiz. Videos may be set to private or unlisted. You can adjust the permissions at the video level to select who has access to view your video. This will also integrate the quiz results into your Canvas gradebook. You can embed your Kaltura Videos Quizzes in your Canvas courses. You can easily embed your Kaltura videos in your Canvas courses anywhere you have the Rich Content Editor, including in Pages, Assignments, Discussion posts, etc. Embed a Kaltura Video in the Canvas Rich Content Editor.You can upload digital video files of various formats to Kaltura () for viewers to stream online. You can combine multiple source inputs, including audio, webcam(s), and screen-recording. Kaltura Capture is a desktop recording application that allows you to record your own video content via your computer. Visit the Kaltura Video quiz you wish to copy. Video tutorials can be found on the Kaltura homepage at .īefore you can record, you must download and install their desktop recording application, Kaltura Capture. you create copies of your Kaltura video quizzes for your new course.Kaltura is also integrated into Canvas so you can easily link to your videos in your courses. You can log into the system using your FlashLine credentials. canvas kaf interactive video quiz gallery Recommended Audience Users Product Version 5.86. A new window will appear, you can cancel and upload a different video or ‘Embed’ the video you have selected.Kaltura is a video recording, hosting, and streaming application provided for all Kent State University faculty, staff, and students. This video describes how to create an assignment that uses Kaltura's Interactive Video Quiz's feature and integrates with the Canvas Grade Book. Step 8: ‘Select’ the newly created video quiz you would like to upload. Step 7: Click ‘Save’ then ‘Back to Browse and Embed’ The quiz is used for interactive purposes for students. The video quiz will not be assessed and will not be stored in Gradebook. You can also Add a hint or add an explanation for the correct answer. You can shuffle the answers by clicking on the shuffle button. Type the correct answer with some wrong answer(s) Step 4: Select a previously uploaded video and scroll the video to a point where you want to add the quiz questions. Step 3: Click ‘Add New’ and then select ‘Video Quiz’ Step 2: Select the topic where you would like your video quiz to be displayed and click ‘Add an activity or resource.’ As shown below: Learn how to setup and create the Interactive Video quiz features. Once you are in the course area click ‘Turn Editing On’ pencil icon on the upper right hand side of the page: From Customer Training 3,104 3,104 plays. Step 1: Log in to QMplus and go to the course where you wish to upload the video quiz. Adding a Video Quiz to your QMplus course area – You will have to have uploaded this video to QMplus Media before you can make it into a quiz. Creating a Video Quiz In the External Tool settings, choose Kaltura Video Quiz from the list of Preconfigured tools Click Select Content Choose the. All you need is a video which you want to make into a quiz. Anyone, staff and students, can create a video quiz. This can break up your video and provide “thinking points” for your viewers at various stages. A QMplus Media video quiz simply allows you to define places in your video where you can stop and ask the viewer to answer questions. QMplus Media allows you to construct simple video quizzes out of recordings you have uploaded. |
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