![]() Original Tyros styles. Find great deals on eBay for tyros 4 styles yamaha tyros 4. Shop with confidence. MixPad Music Mixer Free for Mac 4.14 Published: 15 September, 2016 08:54 MixPad Multitrack Mixer is a free music recording and. Yamaha Tyros 4 10th Anniversary. REGISTRATIONS (some including new styles) Find great deals on eBay for Tyros 4 Styles in Electronic Keyboards. Shop with confidence. Yamaha Tyros Styles en Songs. Tyros 5 (23) Tyros 4 (31) Tyros 3 (31. Tyros 3 (57) Tyros 2 (57) Tyros 1 (26) PSR-S900 (26) PSR 3000 (20) Free. Download free yamaha styles, voices and links. Yamaha PSR is the most playful yamaha keyboard for different melodies and styles. It depends on 4 factors. Download here the original Tyros styles from all the Tyros models. Styles for YAMAHA Keyboard ready to download - both free and for sale resources. YAMAHA TYROS-5 INTERNAL STYLES. Please login or register. ![]()
0 Comments
Equal Employment Opportunity Commission. Evaluation of the Internal Dispute Resolution System. I n the first part of this article, I wrote about avoiding the EEOC through the use of neutral, third-party mediation, and discussed some key points to consider before an EEOC mediation. Now let’s talk about the mediation. Use of Mediation under the Americans with Disabilities Act. Performance Evaluation Eeoc. Posted on January 24, 2013 by admin. Performance Evaluation & Quality Management System Bunrootis, LLC. An Evaluation Of The EEOC Mediation Program An Evaluation of the EEOC Mediation Program. An Evaluation of the Equal Employment Opportunity Commission Mediation Program EEOC Order No. Patrick McDermott Primary Researcher Franklin P. Perdue School of Business The Center. Early Resolution of EEO Complaints (EREC) Program. Regional Procedures for Early Resolution of EEO Complaints (EREC). In the fall of 2. Rocco Scanza and David Lipsky received a contract to evaluate the internal dispute resolution system at the EEOC. They were joined in conducting this project by Ariel Avgar, then a Ph. D. Their analysis of the survey data focused on several questions, including the following: Has the RESOLVE program been effective? That is, has the program achieved its objectives? ![]()
Have the participants been satisfied with the program? What factors account for some EEOC employees electing to use RESOLVE while others elected not to? What techniques did mediators use in an attempt to achieve settlements? Which techniques were effective and which were not? The final report, The U. S. Equal Employment Opportunity Commission Internal Dispute Resolution Program: An Evaluation of RESOLVE, by Lipsky, Scanza, and Avgar, was submitted to the EEOC on May 2. ![]() Optimal Merge Pattern Program In C With Output DeviceEXTERNAL SORTING C/C++ Assignment Help, Online C/C++ Project Help & Homework Help. Introduction. In this section, we assume that the lists to be sorted are so large that the whole list cannot be contained in the internal memory of a computer, making an internal sort impossible. We shall assume that the list (or file) to be sorted resides on a disk. Most of the concepts developed for a disk sort also apply when the file resides on a tape.
The term block refers to the unit of data that is read from or written to a disk at one time. A block generally consists of several records. For a disk, there are three factors contributing to the read/write time: (1) Seek time: time taken to position the read/write heads to the correct cylinder. This will depend on the number of cylinders across which the heads have to move.(2) Latency time: time until the right sector of the track is under the read/write head.(3) Transmission time: time to transmit the block of data to/from the disk. The most popular method for sorting on external storage devices is merge sort. This method consists of two distinct phases. First, segments of the input list are sorted using a good internal sort method. These sorted segments, known as runs, are written onto external storage as they are generated. Second, the runs generated in phase one are merged together following the merge- tree pattern of Figure 7. Neural Network Back-Propagation Using C#. Input parameter tValues is an array that holds the target output values. In the demo program the target values are fixed to 0.1234 and 0. 360 Orlando December 5-9, 2016. C program for pattern matching, pattern matching in c. Output of program: C program for pattern matching using pointers. Merge arrays Bubble sort Insertion sort. Invoke a text optimal merge pattern program in c on an empty temporary file, then copy the resulting file to the output. Because the simple merge function merge (Program 7. It is more difficult to adapt the other internal sort methods considered in this chapter to external sorting. Example 7. 1. 2: A list containing 4. The input list is maintained on disk and has a block length of 2. ![]() Optimal Merge Pattern Program In C With Output SpeedWe have available another disk that may be used as a scratch pad. The input disk is not to be written on. One way to accomplish the sort using the general function outlined above is to(1) Internally sort three blocks at a time (i. R1 to R6 A method such as heap sort, merge sort, or quick sort could be used. These six runs are written onto the scratch disk (Figure 7. Set aside three blocks of internal memory, each capable of holding 2. Two of these blocks will be used as input buffers and the third as an output buffer. Blocks of runs are merged from the input buffers into the output buffer. When the output buffer gets full, it is written onto the disk. If an input buffer gets empty, it is refilled with another block from the same run. After runs R1 and. R2 are merged, R3 and R4 and finally R5 and R6 are merged. Theresult of this pass is three runs, each containing 1. Two of these runs are now merged using the input/output buffers set up as above to obtain a- run of size. Finally, this run is merged with the remaining run of size 1. Figure 7. 2. 0). We shall assume that each time a block is read from or written onto the disk. Although this is not true in general. The computing times for the various operations in our 4. Figure 7. 2. 1. The contribution of seek time can be reduced by writing blocks on the same cylinder or on adjacent cylinders. A close look at the final computing time indicates that it depends chiefly on the number of passes made over the data. In addition to the initial input pass made over the data for the internal sort. Since one full pass covers 1. O = 1. 32. 10 The leading factor of 2 appears because each record that is read is also written out again. The merge time is 2- 2. X 4. 50. 01m : : 1. Because of this close relationship between the overall computing time and the number of passes made over the data. Another point to note regarding the above sort is that no attempt was made to use the computer’s ability to carry out input/output and CPU operation in parallel and thus overlap some of the time. In the ideal situation. If we have two disks, we can write on one, read from the other, and merge buffer loads already in memory in parallel. A proper choice of buffer lengths and buffer handling schemes will result in a time of almost 6. In this situation, unless input/output and CPU processing is going on in parallel, the CPU is idle during input/output. In a multiprogramming environment, however, the need for the sorting program to carry out input/output and CPU processing in parallel may not be so critical, since the CPU can be busy working on another program (if there are other’ programs in the system at the time) while the sort program waits for the completion of its input/output. Indeed, in many multiprogramming environments it may not even be possible to achieve parallel input, output, and internal computing because of the structure of the operation system. The number of merge passes over the runs can be reduced by using a higher- order, merge than two- way merge. To provide for parallel input, output, and merging, we need an appropriate buffer- handling scheme. Further improvement in run time can be obtained by generating fewer (or equivalently longer) runs than are generated by the strategy described above. This can be done using a loser tree. The loser- tree strategy to be discussed in Section 7. However, the generated runs are of varying size. As a result, the order in which the runs are merged affects the time required to merge all runs into one. We consider these factors now. Way Merging. The two- way merge function merge (Program 7. Figure 7. 2. 0). The number of passes over the data can be reduced by using a higher order merge (i. Figure 7. 2. 2 illustrates a four- way merge of 1. The number of passes over the data is now two. In general, a k- way merge on m runs requires passes over the data. The smallest has now to be found from Ie possibilities and it could be the leading record in any of the Ie runs. The most direct way to merge runs is to make k – 1 comparisons to determine the next record to output, . The computing time. Since log. m passes are being made. There is no significant loss in internal processing speed. Even though the internal processing time is relatively insensitive to the order of the merge, the decrease in input/output time is not as much as indicated by the reduction to log km passes. This is so because the number of input buffers needed to carry out a k- way merge increases with k. Although k + 1 buffers are sufficient, in the next section we shall see that the use of 2k + 2 buffers is more desirable. Since the internal memory available is fixed and independent of k, the buffer size must be reduced as k increases. This in turn implies a reduction in the block size on disk. With the reduced block size, each pass over the data results in a greater number of blocks being written or read. This represents a potential increase in input/output time from the increased contribution of seek and latency times involved in reading a block of data. The optimal value for k depends on disk parameters and the amount of internal memory available for buffers. Buffer Handling for Parallel Operation. If k runs are being merged together by a k- way merge, then- we clearly need at least k input buffers and one output buffer to carry out the merge. For instance, while the output buffer is being written out, internal merging has to be halted. This can be overcome through the use of two output buffers. While one is being written out, records are merged into the second. If buffer sizes are chosen correctly, then the time to output one buffer will be the same as the CPU time needed to fill the second buffer. With only k input buffers, internal merging will have to be held up whenever one of these input buffers becomes empty and another block from the corresponding run is being read in. This input delay can also be avoided if we have 2k input buffers. These 2k input buffers . Simply assigning two buffers per run does not solve the problem. Example 7. 1. 3: Assume that a two- way merge is carried out using four input buffers, and two output buffers, ou . Each buffer is capable of holding two records. The first few records of run 0 have key value I, 3, 5, 7. The first few records of run I have key value 2,4,6, 1. The remaining two input buffers are assigned to run 1. We start the merge by reading in one buffer load from each of the two runs. At this time the buffers have the configuration of Figure 7. Now runs 0 and 1 are merged using records from in . In parallel with this, the next buffer load from run 0 is input. If we assume that buffer lengths have been chosen such that the times to input, output, and generate an output buffer are all the same, then when ou . Next, we simultaneously output ou . Continuing in this way. We now begin to output ou . During the merge, all records from run 0 get used before ou . Merging must now be delayed until the inputting of another buffer load from run 0 is completed. Example 7. 1. 3 makes it clear that if 2k input buffers are to suffice, then we cannot assign two buffers per run. Instead, the buffer must be floating in the sense that an individual buffer may be assigned to any run depending upon need. In the buffer assignment strategy we shall describe, there will at any time be at least one input buffer containing records from each run. The remaining buffers will be filled on a priority basis (i. One may easily predict which run’s records will be exhausted first by simply comparing the keys of the last record read from each of the k runs. The smallest such key determines this run. We shall assume that in the case of equal keys, the merge process first merges the record from the run with least index. This means that if the key of the last record read from run i is equal to the key of the lastrecord read from run j, and i < j. All bufferloads from the same run are queued together. Before formally presenting the algorithm for buffer utilization. If this were possible. By the time the first record for the new output block is determined. Each buffer is a continuous block of memory. Input buffers are queued in k queues. It is assumed that each input/output buffer is long enough to hold one block of records. Empty buffers are placed on a linked stack. Cigna resolve sanctions in time for 2017 Medicare Advantage enrollment. All states now providing CHIP with Arizona back in program By. Arizona health insurance exchange / marketplace 5 carriers exiting, 3 remaining; Pinal County will have coverage available. Cigna Healthcare Arizona, free cigna healthcare arizona software downloads, Page 3. All states now providing CHIP with Arizona back in program. Dive Brief: The CMS announced Monday that Arizona has been approved to begin enrollment once again in the Children’s Health Insurance Program (CHIP), known as Kids. Care in Arizona, that had been frozen in the state for several years. The freeze ended July 2. September 1. With Arizona back on the program, all 5. Insurance Program (CHIP). As of July 26, Arizona has begun accepting applications to the Children’s Health Insurance Program once again. ![]() CHIP coverage to children through age 1. Medicaid but have no other coverage. Dive Insight: The move follows CMS' recent dedication of $3. Medicaid and CHIP, underscoring federal support for lowering uninsurance among children amid the larger push to reduce uninsurance overall under the ACA. CHIP provides a range of coverage including healthcare, dental care, and services including physical, occupational, and speech and language therapies. According to 2. 01. Georgetown University, Arizona families that had to move from their children from Kids. Care to private coverage under the ACA probably paid more for poorer coverage, the Washington Post noted. Arizona estimates that about 3. The CMS added that CHIP is not just about health coverage, however, but more broadly about helping children succeed, noting that recent research on Medicaid and CHIP indicates covered children seeing longterm benefits to their health, educational attainment, and earnings as adults. Recommended Reading. CMS. gov. CMS approves Arizona. ![]() ![]() ![]() In the North Pacific is an area the size of Turkey of floating plastic rubbish. It is rubbish from the land that is polluting our oceans, choking and trapping millions of fish and animals. ![]() The Great Pacific Garbage Patch is a massive dump of floating garbage in the Pacific Ocean. We contribute to it everyday by littering and using un. We’ve heard about a giant patch of garbage supposedly floating out in the Pacific, yet another unmistakable sign of the scourge that man is to the planet. The Great Pacific Garbage Patch, the world's largest landfill, is located in the middle of the Pacific. Read about the Great Pacific Garbage Patch. The Great Pacific Garbage Patch The Great Pacific Garbage Patch Also known as the Pacific Trash Vortex Rotating system of currents in the Pacific Ocean that take up. The Great Pacific garbage patch, also described as the Pacific trash vortex, is a gyre of marine debris particles in the central North Pacific Ocean discovered. The Great Pacific Garbage Patch located between the USA and Hawai. With video and pictures the page clearly shows where the garbage is located. An Ocean-Sized Problem. The Great Pacific Garbage Patch is one of many areas in the ocean where marine debris naturally concentrates because of ocean currents. The Trash Vortex You could save a turtle’s life by using less plastic and making sure your garbage is properly managed. In the North Pacific is an area the size of. We can keep plastic trash out of our ocean and save ocean life. Take a walk along almost any beach anywhere in the world and washed ashore will almost certainly be either plastic bags and bottles, or containers. Perhaps plastic drums or expanded polystyrene packing. All too often there are polyurethane foam pieces, pieces of polypropylene fishing net and discarded lengths of rope. Together with traffic cones, disposable lighters, tyres and even toothbrushes, this plastic trash has been casually thrown away on land or at sea and has been carried ashore by wind and tide. One of the things that makes plastic so heavily used domestically and commercially - its durability - also makes it a major problem for our oceans, and will continue to do so for generations. Around 1. 00 million tonnes of plastic are produced each year, of which about 1. About 8. 0% of it comes from land. The larger items are the visible signs of a much bigger problem. At sea and on shore under the influence of sunlight, wave action and mechanical abrasion these larger items slowly break up into smaller pieces. Plastic doesn’t break down like natural materials – it doesn’t go away, it just goes from being a floating bottle to tiny plastic particles that are easily eaten by fish and other marine species or simply spread even further afield. A single one- litre bottle could break down into enough small fragments to put one on every mile of beach in the entire world. Small plastic pellets aren’t just the result of natural erosion. Cargo ships are increasingly carrying packing cases using small plastic pellets as stuffing and these are liberally dispersed across the oceans when drum- loads or even container loads are lost at sea. The pellets are frequently found during beach clean- ups, but also at sea in areas where winds and currents are weak. The . Winds are light and the currents tend to push any floating material into the low energy centre of the gyre. There are few islands on which some of the floating material beaches. So most of it stays there in the gyre, in astounding quantities - estimated at six kilos of plastic for every kilo of plankton. The “Trash Vortex”, also known as the “Eastern Garbage Patch”, is an area equivalent in size to Texas, or Turkey, or Afghanistan, that slowly rotates our rubbish in a never- ending rotation. Some of the larger items are consumed by seabirds and other animals, which mistake them for prey. Many seabirds and their chicks have been found dead, their stomachs filled with bottle tops, lighters and balloons. A turtle found dead in Hawaii had over a thousand pieces of plastic in its stomach and intestines. It has been estimated that over a million seabirds and one hundred thousand marine mammals and sea turtles are killed each year by either eating or getting tangled in six- pack plastic can holders, and discarded netting, fishing lines and other bits of discarded plastic. Chemical sponge. Plastics can also act as a sort of . So any animal eating these pieces of plastic debris will also be taking in highly toxic pollutants. Ocean hitchhikers. Bits of floating plastic can also provide easy transport for plants and animals to move into oceans beyond their normal habitat – these alien species often causing major problems by disturbing the natural balance of the ecosystem. The North Pacific gyre is one of five major ocean gyres. The Sargasso Sea is a well- known slow circulation area in the Atlantic, and research there has also demonstrated high concentrations of plastic particles present in the water – it’s own Trash Vortex. The Sargasso Sea is home to a rich selection of marine life including fish, turtles and whales and is the breeding ground of the European eel. The Sargasso Sea one of the areas identified by Greenpeace that should be protected as an Ocean Sanctuary. What can we do to protect ocean life from the perils of plastic? Some ideas can be found on our toolkit and resources page. Tweet us with your ideas too and we’ll add them to the list. Payment assistance program are Progestin Injection, Intrauterine Devices, Oral Contraceptive Pills, or Plan B. Pharmacies with low cost for birth control pills are; Kroger, Target, Wal-Mart, Sam Club's. Paying for birth control. So what is the cheapest birth control option? Compare prices and print coupons for Ortho Evra and other Birth Control drugs at CVS, Walgreens, and other pharmacies. ![]() What is Birth Control? Ortho Tri- Cyclen Lo was already one. See More. January 0. In 2. 01. 5, the. ![]() You wear a new birth control patch for 1 week. Then you replace it on the same day of the week for 3 weeks in a row. During the fourth week, you don’t wear a patch. You’ll have your period then. The contraceptive patch. You can place the hormone patch on your lower abdomen, buttocks, or upper body but not on your breasts. Apply a new patch once a week on the same day of the week for 3 weeks. The patch delivers the. If you rely on the pill for birth control and you have severe diarrhea.
Save a publication as a PDF file or an XPS file. Important: You can save as a PDF or XPS file from a 2. Microsoft Office system program only after you install an add- in. For more information, see Enable support for other file formats, such as PDF and XPS. Microsoft Publisher jest programem firmy Microsoft s. Microsoft Publisher 2013, download gr. Microsoft Publisher 2013 15.0.4420.1017: A ferramenta mais completa para criar publica. Microsoft Publisher 2013 Microsoft Publisher 2013 soporta los siguientes formatos. Importa: PUB, TXT, MHT, HTML, RTF, DOC, DOX, WPD, WPS Exporta: PUB, TXT, GIF, JPG, BMP, DOC, DOCX, WMF, PS, XPS, HTML, MHT, PDF. Nota sobre Microsoft Publisher 2013. Microsoft Publisher, b. Have you created publications that you want others who don't have Microsoft Office Publisher 2. You can share your publications by saving them as Portable Document Format (PDF) files or XML Paper Specification (XPS) files. In this article. About PDF and XPS formats. Save your publication in PDF format. Save your publication in XPS format. Send your PDF or XPS file for others to view. About PDF and XPS formats. When you save publications in the PDF file format or XPS file format, other people can view the content of your publication in e- mail and on the Web, even if they don't have Microsoft Office Publisher 2. Both file formats are designed to provide read- only documents with optimal printing qualities. They also embed all needed fonts, preserve metadata, and can include hyperlinks. The recipients need the appropriate viewer for the file format before they can view your files. The PDF viewer is available at http: //www. The XPS viewer is available at http: //www. Note: These formats provide a way for others to view your publication only. The resulting files cannot be changed in Publisher. File format. Advantages. Notes. PDF (. pdf)Saves CMYK, spot color, and process color, as well as spot color in CMYK and PANTONE. Recipients who have not been granted rights cannot view the XPS file. How To Convert Pdf To Microsoft PublisherProvides high- quality printable documents. Includes alternative text for images or imaged text. Embeds all needed fonts into a file before printing. Provides searchable text and hyperlinks. Preserves any metadata that is associated with the file. Needs the correct viewer — available as a downloadable add- in. Convert and create fillable interactive PDF form in Microsoft Office Word. Microsoft Publisher 2013 helps you create, personalize, and share a wide range of professional-quality publications and marketing materials with ease. Microsoft Publisher 2013 T. Microsoft Publisher 2013 est un logiciel de PAO qui permet. Top of Page. Save your publication in PDF format. Choose this option if you want to save your publication in a format that can be easily shared and is used by many commercial printers. In Publisher, open the publication that you want others to view. Pdf To Microsoft Publisher FileOn the File menu, click Publish as PDF or XPS. In the Save as type list, select PDF. Your publication will be saved by default as publication name. You can change to a different setting by clicking Change, which opens the Publish Options dialog box. Find links to more information about the Publish Options dialog box in the See also section. Click Publish. Note: You can also save the file as a . Save As dialog box. Top of Page. Save your publication in XPS format. ![]() Choose this option if you want to save your publication with even greater compression than PDF format. In Publisher, open the publication that you want others to view. On the File menu, click Publish as PDF or XPS. In the Save as type list, select XPS. Your publication is saved by default as publication name. You can change to a different setting by clicking Change, which opens the Publish Options dialog box. Find links to more information about the Publish Options dialog box in the See also section. Click Publish. Note: You can also save the file as an . Save As dialog box. Top of Page. Send your PDF or XPS file for others to view. Now that you have created your PDF file or XPS file, you can attach it to an e- mail message or copy it to a shared location so that others can open and view your publication, even if they don't have Publisher. Remember, the resulting . Publisher. These files are just an image of your publication. Microsoft Publisher - Vikipedi. Microsoft Publisher, b. Publisher pazarlama malzemesi olu. ![]() ![]() ![]()
Leaking oil tank Hello, I have an above ground oil tank that is leaking. Has a steady drip at bottom of tank, not near the valve. T M MAGNA-PATCHTM is a reusable magnetic patch. This highly visible product is a quick and secure means of repairing holes in steel pipes, flat back elbows, round radius. Frequently Asked Questions. Products Please Choose From. Replaceable Element and Spin-On Fuel Oil Filters. Magnetic Tank Patch, TIGERLOOP & Tigerloop ULTRA The Original Oil De-Aerator. In-water survey & extended dry dock interval. Marine salvage & oil spill prevention. Creative solutions for environmental protection. Does anyone recognize this? It was mounted on the bottom of a 275 gallon steel fuel oil tank in a basement I inspected today. Also, there was a tub. WESTWOOD S216 MAGNETIC LEAK PATCH MAGIC PATCH FOR OIL TANK LEAKS in Business & Industrial, MRO & Industrial Supply, HVAC Above Ground Oil Tank Leak . To edit your profile, click on the gear. The Wall has a powerful search engine that will go all the way back to 2. RIGHT- CLICK on the results and choose Open Link In New Window so you'll be able to get back to your results. In fairness to all, we don't discuss pricing on the Wall. Thanks for your cooperation. Having valves installed on the fill and vent lines is a very bad practice that can lead to serious problems, so is taking oil from that leaking tank and putting it into another tank. Stroke Swallowing Screening Tool Validation - Full Text View. Stroke is a major medical problem in the United States, and veterans are at significant risk given that the most critical risk factors of stroke, older age and associated medical problems such as high blood pressure, are common. Dysphagia, swallowing problems, can lead to aspiration which in turn may result increased pneumonia, particularly in stroke patients. Development and implementation of an accurate and consistent nursing swallowing screening tool to identify risk of aspiration in individuals admitted with suspected stroke is critical as it allows for immediate intervention, thereby reducing associated medical complications, length of stay, and healthcare costs. The availability of such screening tools, however, is limited. The primary objective of this study is to construct a reliable and valid swallowing screening tool to identify risk of aspiration in individuals admitted with suspected stroke. Individuals with a history of neurological disease other than stroke, head and neck structural surgery, or history of dysphagia unrelated to the current stroke will be excluded from participation. Get With The Guidelines. Get With The Guidelines . It's a comprehensive program for supporting quality stroke care, including a library of tools and resources to help improve processes. Abstract Objective: To assess the concurrent validity of three screening tests for focal cognitive impairments after stroke. Design: Comparison of results from the screening tests with those from a more comprehensive neuropsychological battery. Tools and resources Information for the public Evidence History Overview Introduction Patient-centred care Key priorities for implementation 1 Guidance 2 Notes on the scope of the guidance 3 Implementation. By Jeff Edmiaston, MS, CCC-SLP,Lisa Tabor Connor, PhD, Lynda Loehr, MA, CCC-SLP, and Abdullah Nassief, Background Although many dysphagia screening tools exist, none has high sensitivity and reliability or can be administered quickly with minimal training. Objective To design and validate a swallowing screening tool to be used by health care professionals who are not speech language pathologists to. Breakdown, and disuse of the limb with the use of splints or other tools to stabilize the joint. The word stroke was used as a synonym for apoplectic seizure as early as 1599, and is a fairly literal translation of the Greek term. In 1658, in his Apoplexia. Home » Professionals » Stroke Diagnosis » Stroke Assessment Scales Overview Stroke Assessment Scales Overview Stroke Assessment Scales Overview Stroke Assessment Scales Stroke Syndromes. The availability of such screening tools, however, is limited. The primary objective of this study is to construct a reliable and valid swallowing screening tool to identify risk of. Individuals who are obtunded, medically unstable, greater than 5 days post- admission will be excluded. Patients with language or cognitive deficits who are judged by the attending neurologist to not have capacity to provide informed consent will be eligible to participate, but they must have an authorized representative available within 2. Patients will undergo swallowing screening and videofluoroscopic swallowing study to establish validity of screening items. ![]() Behavioral: Establishing Validity and Reliability. Consecutive individuals admitted with suspected stroke will be recruited to participate. Individuals will undergo screening of swallowing and a videofluoroscopic swallow study within two hours. Eight screening items will be tested for validity and inter- rater reliability: 6 nonswallowing features and 2 swallowing features. Reliability in nursing observations of each screening item will be completed in all participants. Speech pathologists trained in the screening items will serve as the reference standard from which to compare reliability with registered nurses who routinely work on the hospital ward with stroke patients. Group 2. Stroke ward nurses. The nurses will administer and interpret the swallowing screening items. Speech pathologists will also make blinded, simultaneous interpretations of the screening items. Nurse and speech pathologist interpretation will be used to establish nursing reliability. Individuals will undergo screening of swallowing and a videofluoroscopic swallow study within two hours. Eight screening items will be tested for validity and inter- rater reliability: 6 nonswallowing features and 2 swallowing features. Reliability in nursing observations of each screening item will be completed in all participants. Speech pathologists trained in the screening items will serve as the reference standard from which to compare reliability with registered nurses who routinely work on the hospital ward with stroke patients. Early detection of aspiration risk in acute stroke is critical as it allows for immediate intervention, thereby reducing mortality, morbidity, length of hospitalization, and healthcare costs. Screening of swallowing prior to the administration of food, liquid or medication, including aspirin, in individuals presenting with stroke symptoms is a guideline American Heart Association/American Stroke Association. In accordance with this guideline, the Veterans Health Administration (VHA) has advocated the screening of swallowing be a quality performance measure in acute stroke. Moreover, the Office of the Inspector General recently issued VHA Directive 2. In response to the directive, many VHA facilities created and implemented some version of a nursing swallowing screening tool (SST), but to our knowledge, none have been validated using an instrumental swallowing examination nor has reliability been established. In developing and establishing a valid and reproducible SST for patients with stroke, clinicians are divided on the need to include trial water swallows as part of the SST. The current notion is that administering trial swallows by disciplines without expertise in dysphagia would compromise patient safety, thus this step is opposed by many speech pathologists and nurses. The prudency of introducing non- validated, non- reproducible SSTs is questionable. The primary objective of this study is to construct a reliable and valid SST to identify risk of aspiration in individuals admitted with suspected stroke. The specific aims of this proposal are to: 1) determine if nurses can make reliable inter- rater judgments of swallowing and non- swallowing features historically used by speech pathologists to make judgments of aspiration, and 2) identify the combination of items that provide the highest level of both sensitivity and specificity in the identification of aspiration risk as measured by a videofluoroscopic swallow study (VFSS) in individuals admitted with suspected stroke. Outcomes of this research will inform as to the execution of a multi- site feasibility study on the implementation of a reliable and valid SST by nurses Methods: Consecutive individuals admitted with suspected stroke (N = 2. Individuals will undergo screening of swallowing and a VFSS. Screening items selected for validation in the identification of risk of aspiration in patients presenting with stroke symptoms were based on extensive literature review using Cochrane and QUADAS guidelines. Eight screening items will be tested for validity and inter- rater reliability: 6 non- swallowing features and 2 swallowing features. Reliability in nursing observations of each screening item will be completed in all participants. Speech pathologists will serve as the reference standard from which to compare reliability with registered nurses who routinely work on the hospital ward with stroke patients. Dispatcher Stroke Recognition Using a Stroke Screening Tool: A Systematic Review. Accurate dispatcher stroke recognition is associated with faster emergency medical services response time; however, stroke is often unrecognized during initial emergency calls. Stroke screening tools such as the Cincinnati Prehospital Stroke Scale have been shown to improve on- scene stroke recognition and thus have been proposed as a means to improve dispatcher accuracy. We conducted a systematic review of the accuracy of emergency dispatcher stroke recognition when employing stroke screening tools. METHODS: We conducted a comprehensive search of Medline, EMBASE, CINAHL, and Cochrane databases to identify studies of dispatcher stroke recognition accuracy. Those that specifically reported dispatcher utilization of any validated stroke screening tools in isolation or in the context of a comprehensive screening algorithm such as the Medical Priority Dispatch System (MPDS) were potentially eligible. Studies that reported data sufficient for calculation of dispatcher sensitivity or positive predictive value (PPV) using a hospital- based stroke/transient ischemic attack diagnosis as the reference standard were included. Two independent reviewers determined study eligibility, assessed quality using the QUADAS 2 instrument, and abstracted data. RESULTS: We identified 1,4. Three retrospective and 4 prospective cohort studies enrolling a total of 1. Stroke screening tools included MPDS (n = 4), Face Arm Speech Time (n = 2), and a novel screening algorithm developed after analysis of emergency calls for stroke (n = 1). Regardless of the screening tool employed, dispatcher stroke recognition sensitivity was suboptimal (5 studies, range 4. PPV (7 studies, range 4. Primary study limitations included application of variable reference standards and questions regarding exclusion of subjects. No studies directly compared stroke screening algorithms and no studies specifically examined stroke recognition among potential candidates for acute stroke therapies. CONCLUSION: Even when utilizing a stroke screening tool, the accuracy of stroke recognition by emergency dispatchers was suboptimal. More research is needed to identify the causes of poor dispatcher stroke recognition and should focus on potential candidates for time- dependent stroke treatment.. Remove blur Windows 8 downloads - Free Download Windows 8 remove blur - Windows 8 Downloads - Free Windows8 Download. Which deconvolution algorithm is best suited for removing motion blur from text? They use a filtering method that leaves mostly correlation from the blur, discarding spatial correlation of original. A professional yet easy way to enhance blurry. Pro Photo Editor - Crop,Rotate,PIP,Tune,Lens Blur,Mirror,Filters,Prisma. Photo Blur Removal - Free Software Download. Attention! Currently not working on Android 4. Deblur. It is a professional way to sharpen blurry photos. It provides unrivaled clarity and successfully removes motion blur, out- of- focus blur, gaussian blur from your images. Fix photoblur and sharpen non- blurred images with Deblur. It! It uses progressive algorithms based on deconvolution technology. ![]() Offering a fully automatic process, the program uses an intelligent restoration technology to fill the selected area with the texture generated from the pixels around the selection, so that the defect blends into the rest of the image naturally. What takes hours to correct using the clone tool, can be accomplished in a minute using Photo Stamp Remover. Platform: Win. Other.
Publisher: Soft. Orbits Date: 1. Size: 2. 76. 5 KBPhoto Editor Software is an efficient & very easy to understand & operate tool. Photo Editor Software provides various features for image editing edit & processing for various purposes like to enhance the color of the image, make funny cartoons, add bewildering lighting effects, straighten, resample and crop images. Focal. Blade is ideal for sharpening and enhancing all kinds of photo, e. The program can be use in Adobe Photoshop, Adobe Photoshop Elements, Corel Paint Shop Pro Photo, Corel PHOTO- PAINT or another photo editors. Platform: Win. Other. Publisher: Two Pilots Date: 2. Size: 2. 83. 6 KBNote: This app works best on good quality photographs. Remove red eye easily and effortlessly using the most powerful red eye removal app on Android. The best app to remove red eye, green eye, yellow eye or any other flash effect from photos. Simply load the photo place the eye under the target area, adjust the sensitivity then tap and save.* Works at the same resolution of the original photo and (unlike others) doesn't re- size or scale down your photo when flash eye effects have been removed and the photo saved. Platform: Android, Windows. Publisher: Just. Good. Apps Date: Size: 1. KBRetouch Pilot is photo retouching software that was designed for removing imperfections from a photo. It allows you to remove small technical imperfections - scratches, spots from dust particles and hair, etc. Platform: Windows. Publisher: Two Pilots Date: 0. Size: 2. 84. 0 KBColy Photo Viewer is a fast, easy- to- use photo viewer, editor and convertor. It supports all major formats and has many features. Features include: photo viewing, red eye removal, resizing, cropping, emailing, enhancing colors, many graphics effects, JPEG lossless rotation, slide show, fast thumbnail browsing, batch conversion, file operations and much more. Due to sophisticated algorithms it is capable to identify red- eyed pupils on a photo and remove red- eye effect from them. Manual mode - a user selects facial region and points out spots with red- eye effect. It is possible to configure redness threshold used during removal. Semi- automatic mode - a user selects facial region and the tool searches for red- eyes automatically. CM Batch Photo Resizer helps you in performing the mundane and tiresome task of having to batch resize and rename all your photos while giving you back the time to doing what you enjoy doing. You can tag on any text to the filenames so that in the near future when you refer to those photos, you would know where and when they are taken. Photo Frame & Effects Free is a comprehensive application that will enable users to add frames, borders and filter effects to their digital photos. The program's easy- to- use interface allows you to alter your images fast and easy without the need to read trough complicated documents. The program easy- to- use interface allows you to alter your images fast and easy without the need to read trough complicated documents. There are also lot of special effects and possibility to adjust temperature, contrast and more. The whole application is a powerful highly customizable photo editor tool, which is designed with fancy, unique, and friendly user interface. The program is a full featured batch image/photo editing and conversion software package, with support for layers, effects, filters, textures, fix red- eye, frames, graphics, crop, erase, fill, and make numerous other image editing adjustments and enhancements, making loka an extremely inclusive batch image processing and conversion software. The Photo Scissors Pilot program allows you to remove unwanted objects from a photo and to change the space between main objects. You can restore the original size of the image after removal of the unwanted objects. Photo Scissors Pilot can be used as a plug- in in Adobe Photoshop. Platform: Win. Other. Publisher: Two Pilots Date: 1. Size: 3. 62. 5 KBPhoto Frame & Effects Free is a comprehensive application that will enable users to add frames, borders and filter effects to their digital photos. The program's easy- to- use interface allows you to alter your images fast and easy without the need to read trough complicated documents. The program comes with many different frames and effects and support for additional addons to support more frames and effects to be added to the software. Features: * Easy- to- use interface. The program easy- to- use interface allows you to alter your images fast and easy without the need to read trough complicated documents. Photo Frame & Effects can also do auto cropping, resizing, rotating, and remove red- eyes on your photos. There are also lot of special effects and possibility to adjust temperature, contrast and more. The program comes with many different frames and effects and support for additional add- ons to support more frames and effects to be added to the software. Remove Logo From Photo is an efficient utility for removal of unwanted logos and stamps from your favorite photos. This software is semiautomatic, which makes it easy- to- use for advanced or beginning users. Remove Logo From Photo is very power as it can be used to restore photos stored in any format; the solution is fully compatible with TIFF, PNG, GIF, BMP, JPEG and other popular photo formats. In addition, Remove Logo From Photo is can be used for image restoring. With this application, you can fix scratches and even restore the photo's original textures and colors. Platform: Windows. Publisher: Soft. Orbits Date: 2. Size: 5. 83. 7 KBThe Batch Photo Editor is a professional and easy to use batch photo editor. You can batch resize, crop, adjust, rename, blur, sharpen, rotating your photos. Batch add your logo or a png watermark to your pictures. Support more than 3. And save it in BMP/JPG/PNG/GIF/PSD/PDF more than 1. Platform: Windows. Publisher: Kodosoft Date: 2. Size: 2. 41. 1 KBBlur. Photo Backgrounds blurs the Photos and lets you selectively unblur the parts of Photos to set Focus on and Pop Parts of Photo or Pop People in Photos to draw attention to. Blur Photo Background is easy to use: 1. Select a Photo from Gallery, Camera or Facebook. Blurred Photo is shown and you can un blur areas you want put Focus on and Use tool like Zoom in, Zoom Out and Brush Size to fine tune the Blur and Focus on Photos. Save and Share with friends and family. Create awesome looking Artistic Photos with Blur. Photo Background. Platform: Android 2. Android 3. x, Android 4. Android 4. x. Publisher: Dexati Date: 1. Size: 1. 63. 8 KBPhoto Background Remover helps to clear digital shots from unwanted background. This feature is highly popular among amateur photographers who need to extract a specific object from a shot to put it into some composition. Also background removal is often used in online graphic content. Thanks to batch image files processing, Photo Background Remover can significantly speed up process of clearing backgrounds. The first one is manual selection with the aim of two markers: a green marker defines the area that should be left untouched, and a red marker is used to define the background area that will be removed. Platform: Windows. Publisher: Soft. Orbits Date: 2. Size: 5. 53. 1 KB. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
December 2016
Categories |