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You will receive an email when your credits have been processed. Submissions are recorded in approximately 48 hours. Successful completion of a course examination is required. The approach to treating patients with symptomatic chronic venous disease and duplex ultrasound confirmed superficial vein reflux is reviewed. Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. Waveforms, which represent flow in each of the major vessels and in TIPS, have been well described. Your initial duplex venous scan takes approximately 20 minutes for a full, comprehensive scan of both the deep and superficial vein systems, and is completely. Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. Doppler ultrasonography (US) is usually the first-line modality for evaluating flow in native liver vessels and transjugular intrahepatic portosystemic shunts (TIPS). Conditions such as venous insufficiency or deep vein thrombosis can cause pain, swelling, and varicose veins in the affected limb. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Īmerican Board of Surgery - Maintenance of Certification (MOC) - Accredited CME - Vascular Surgery Your doctor may recommend a venous duplex ultrasound if they suspect an obstruction or clot is slowing or blocking blood flow back to the heart. *Ineligible companies are those whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.īaptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.īaptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies.* Keywords: Doppler Duplex ultrasonography nurse prolonged standing venous insufficiency. Muhammad Hasan, MBBCh, RPVI, RVT, RDCS, RDMS, has no relevant financial relationships with ineligible companies* to disclose.Īll of the relevant financial relationships listed for these individuals have been mitigated. Schiro, M.D., disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers’ bureau for Penumbra and Medtronic. Elias, M.D., disclosed that he is a member of the speakers’ bureau for Abbott Laboratories.īrian J. Medical Director, Interventional RadiologyĪlex Powell, M.D., faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage.Įlliott J. When I met him, he had just written an epic poem called “The Battlefield Where the Moon Says I Love You.” Here are the opening lines: The landscape and the culture of the rural South were in his blood, and they showed up in his poetry, which was suffused with a carnal sense of death, danger, and beauty. “How shitty white people were to them,” Frank said. Once an interviewer asked him what he learned by growing up with Black people. As a kid, Frank spent time in the levee camps, living with his family for months at a time among Black laborers. His adoptive father was an engineer who helped build the levees on the Mississippi River. He grew up in Greenville, Mississippi in Memphis and then, in his teen years, in Subiaco, Arkansas, where he attended a Catholic high school on the grounds of an abbey. He was born in 1948 in rural Richton, Mississippi, and was immediately put up for adoption. It was a pretty weird situation, married to one and living with the other, but Frank had lived a weird life. Carolyn helped with the publishing company he started in Fayetteville. He was also living, on the side, with another beautiful, smart woman, the poet Carolyn (C. A land surveyor who wrote poetry-my kind of man.įrank was twenty-nine years old and married to a beautiful, smart woman named Ginny Crouch, who was a painter. When I met him, he was working as a land surveyor to make ends meet. He was a legendary figure in Fayetteville’s literary scene, though he never quite made a name outside of town. If the mood was right, I would get out my guitar and play songs.įrank had studied poetry at the university, but I don’t think he finished his degree. He loved Chet Baker and John Coltrane and Bessie Smith and Lightnin’ Hopkins. He’d break out his Southern-soul records-Wilson Pickett, Ray Charles. Dad was a poet who taught at the University of Arkansas, and he’d often host raucous literary parties. I had been living in Houston and Austin, plying my trade in the music scenes, working odd jobs in restaurants and health-food stores to pay my bills, but I often went to Fayetteville to visit my father and stepmother, and sometimes I would stay there for weeks or months at a time. I met Frank sometime in the spring of 1978. For me, the epitome of this kind of man was the poet Frank Stanford. The way I’ve often described this kind of man is “a poet on a motorcycle.” These were men who could think very deeply and have very deep feelings, but who also had a kind of blue-collar, roughneck quality to them. Very often a good conversation is more memorable than fucking.Īs I was growing up, I began to be attracted to a certain kind of man, and I would maintain that kind of attraction for the rest of my life. I realized early in my adult life that talking-real, honest, substantive conversation-could be superhot, and it didn’t have to result in anybody taking their clothes off for it to be erotic in a lasting way. The brain is the real erogenous zone, at least for me, so I have to connect with somebody intellectually and almost spiritually in order to be attracted to them physically, and that rarely happens immediately. I don’t disagree, but even though I had plenty of sex when I was younger, I was never promiscuous. I don’t sound like I did when I was younger it’s different, but just as good. (The beds were cheap back then, at least the ones we were using.) I never did take to cigarettes, which I’m glad about, because not smoking has helped my singing voice mature. You’d just go and go and go until the bed broke or something. After I started the pill, though, I didn’t waste much time. They are bad for you.” We had a little deal, and I stuck to it. “I know a lot of teen-agers are having sex already, but if you hold off on having sex until you are eighteen, then we’ll get you the pill,” he said. In my teen years, in the late nineteen-sixties, my father was adamant about cigarettes and sex. As a result, the tool’s strength lies in the ability to critically examine the GPU and other main hardware components, such as the CPU and drive. Additionally, CPUID Hardware Monitor simplifies these details by displaying degrees Celsius and Fahrenheit temperatures. This GPU monitoring program is unique in that users can check CPU, motherboard, GPU temperatures, fan speed and even GPU memory consumption. On the other hand, the downsides of utilizing CPUID Hardware Monitor include the absence of additional capabilities, a cluttered interface and a gloomy initial setup interface. Additionally, the software is entirely free to use. The software’s features include ease of use, regular updates, brief analysis and overview of the PC’s primary health sensors, and analysis of information regarding the GPU, CPU and hard drive. Additionally, the software delivers real-time data with minimum and maximum readings. This software can monitor the temperature of the CPU’s on-die core thermal sensors, the hard drive and the graphic card GPU. CPUID scans and analyzes the primary components of a computer’s health, including the GPU, CPU and hard drive. The CPU section, divided into multiple sections, provides information such as the number of CPU loads and clock frequency.Īdditionally, there is a GPU section where users can access information on the GPU’s brand name, model number and fan speed, among other things.ĬPUID Hardware Monitor is one of the best monitoring tools available. The software then continuously alerts the user about the performance of the PC and graphics card, even while working on the computer. Users may readily locate the software on right-side PCs as a sidebar application. Additionally, Sidebar Diagnostics is safe to use.ĪrcadeRenegade, the company that created this program, makes the software available to all PC users for free. However, the tool’s main strength is deep analysis, particularly in the graph components. Note: Sidebar Diagnostics is unique in that the software is only compatible with Windows 10 and 11 PCs, has distinct sections for detailed analysis and performs a real-time analysis. With the Geeks3D GPU Shark, users may monitor GPU memory capacity, boost and base clock speeds, and view vendor details, GPU temperature and BIOS versions. This monitoring tool is optimized for Windows and is only compatible with GeForce and Radeon graphics cards. This software tool allows users to quickly obtain all of the facts about a computer’s graphic card with a single click. Geeks3D GPU Shark is one of the best free GPU monitoring software programs available. On the other hand, the Expanded mode displays hardware specs and statistics. The Basic mode briefly displays GPU and CPU data, while the Advanced mode displays GPU and other components of a computer’s statistics. To start using CAM, users can navigate to the dashboard and choose between Basic, Advanced or Expanded mode. The software is developed by California-based computer hardware firm NZXT. The application provides three different levels of performance information, including “Basic,” “Advanced” and “Expanded.” This GPU monitoring tool is secure, and users have the option of customizing the application.ĬAM is a free application that allows PC gamers to perform extensive monitoring. Additionally, this application is the best value for gamers since CAM monitors the performance of the user’s PC concurrently with gaming.įurthermore, as one of the best free GPU monitoring applications for Windows, CAM enables users to adjust settings and information. On the other hand, CAM is uniquely able to analyze other types of personal computer hardware. CAM lets users view information about the graphics and data about computer hardware components, such as the CPU, RAM and motherboard.ĬAM’s downsides include sluggish loading times and the difficulty for beginners to grasp the technology fast. Apart from that, CAM provides solutions to all problems through the message box. The benefits of using CAM include quick tracking, in-game monitoring, smart scheduling, a night mode option, an intuitive interface that is free to use and the ability to customize the interface.ĬAM also notifies users when the system’s performance degrades. And finally, the most dramatic of all was in the spring of 1963, under the leadership of Dr. PURDUM: Well, beginning early in his administration with the sit-ins at lunch counters around the South, and then the freedom rides to integrate interstate transportation of buses and so forth. GROSS: What were some of the actions of the civil rights movement that were most effective in pushing President Kennedy to move forward with civil rights legislation? So in a very important way, this law, which is often called the most important law of the 20th century, created the world we live in today. It's hard to remember that just 50 years ago, they were anything but taken for granted, and people were literally fighting and dying for them. TODD PURDUM: In a very real sense, the Civil Rights Act of 1964 created modern America - the things we take for granted today - people in restaurants and hotels and motels and transportation, enjoying it regardless of race - the things my children take absolutely for granted. What would you describe as the biggest changes that were brought about by the Civil Rights Act? The book will be published in paperback next month. I spoke with Purdum last year, a few weeks before the book was published. Our guest, Todd Purdum, is the author of the book, "An Idea Whose Time Has Come: Two Presidents, Two Parties, And The Battle For The Civil Rights Act Of 1964." The two presidents are Kennedy and Johnson. The Civil Rights Act outlawed discrimination in public accommodations, including restaurants, hotels and motels, ending the era of legal segregation in those places. Martin Luther King didn't have a vote in Congress, but the bill wouldn't even have been introduced without him and the movement that he helped lead. On this Presidents' Day, we're going to hear about the legislative and political battle to pass the Civil Rights Act of 1964. The film "Selma," which is nominated for an Oscar for best picture, has reawakened interest in the relationship between Martin Luther King and President Lyndon Johnson and the pressure the civil rights movement exerted on the president and Congress to move forward with civil rights legislation, including the Voting Rights Act of 1965. This app lets you record, edit, enhance, and export your audio files just like other traditional digital audio workstations (DAW) like ProTools or Logic Pro. Ferrite: Best for Editing on iPad (Free)įerrite is a free mobile podcast editing app that is best for editing on iPad but works on smartphones as well.
Joint issues because the baby wasn’t able to move around enough.A greater chance of needing a Cesarean section (also called a C-section).The baby to breathe their first bowel movement (meconium) into their lungs, which can cause breathing issues.If it’s squeezed, the baby doesn’t get enough food and oxygen. The umbilical cord carries food and oxygen from the placenta to the baby. Problems during labor and birth, such as the umbilical cord being squeezed.In some cases, oligohydramnios that happens in the third trimester of pregnancy can cause: In general, babies who develop oligohydramnios after 23 to 24 weeks (6 months of pregnancy) usually don’t have breathing issues or other long-term problems. Infection if the bag of waters is leaking.Stillbirth, which is when a baby dies after 20 weeks of pregnancy.Preterm birth, which is birth before 37 weeks of pregnancy.Miscarriage, which is when a baby dies before 20 weeks of pregnancy.If oligohydramnios happens in the first 2 trimesters (first 6 months) of pregnancy, it is more likely to cause serious problems than if it happens in the last trimester. If you notice fluid leaking, tell your health care provider right away. Your uterus is smaller than expected compared with how far along you are in your pregnancy or if you’re not gaining enough weight.You’re leaking amniotic fluid, which may mean your sac has broken.The baby isn’t growing as fast as they should.Other signs of oligohydramnios can include: You may need a special kind of ultrasound (Doppler flow study) to check blood flow through your baby’s kidneys and the placenta. It can show the growth of your baby’s kidneys and urinary tract, and show urine in your baby’s bladder. Ultrasound also shows how well your baby is growing. Ask your provider if you have questions about these measurements If your MPV is less than 2 centimeters, you have oligohydramnios. The MPV measures the deepest area of your uterus to check the amniotic fluid level. If your AFI is less than 5 centimeters, you have oligohydramnios. The AFI checks how deep the amniotic fluid is in four areas of your body. There are two ways to measure the fluid: amniotic fluid index (AFI) and maximum vertical pocket (MPV). If not enough amniotic fluid is seen on the ultrasound, you may have oligohydramnios. Your health care provider uses ultrasound to measure the amount of amniotic fluid. How do you know if you have oligohydramnios?Īmniotic fluid levels are checked regularly during pregnancy. In general, the earlier it happens during pregnancy, the higher the risk to the baby. This is because the amount of amniotic fluid usually decreases by that time. The risk of having oligohydramnios increases for people who are at least 2 weeks past their due dates. Oligohydramnios can happen at any time during pregnancy, but it’s most common in the last trimester (last 3 months). This can cause breathing problems at delivery. If the amniotic fluid is too low during this time, your baby may not make enough lung tissue. Your baby’s lungs grow a lot in the middle of the second trimester (16 to 24 weeks). The fluid pushes the air sacs in the lungs open and helps them grow. The baby also “breathes” the fluid into their lungs. Your baby swallows the fluid and passes it out as urine (pee). The fluid is made by your baby’s lungs and kidneys. It’s very important for your baby’s development. Amniotic fluid also helps your baby’s lungs, kidneys, and gastrointestinal (GI) tract grow. This helps protect your baby and allows them to move and kick during development. Your baby stays in this fluid throughout your pregnancy. This watery fluid is inside the amniotic sac (membrane). Amniotic fluid is the fluid that surrounds your baby while they’re in your body before birth. Oligohydramnios is when you have too little amniotic fluid. Improved interaction with BD ® Research Cloud (BD RC)- BD RC is a new tool for collaboration, experiment and data management, panel design and more.The facility manages a site license for data analysis (FlowJo) and provides cloud. Spectral similarity scores-Calculate the cosine index for your actual data to evaluate reagent choices you made in panel design. FlowJo license and is always available to facilitate with data analysis.Built-in ClusterExplorer-Display line charts, bar charts, heat maps and dimensionality reduction plots of clustered data in FlowJo ™ Software without the use of a plugin.Our license is renewed annually on March 1st and. The cost for a FlowJo Portal license is 221 per year. FlowJo can be used with both Mac and Windows OS. Who: This site license is available to investigators from the Salk Institute or from the Sanford Consortium for Regenerative Medicine. You can use FlowJo on up to 4 independent devices with a single FlowJo Portal account.
“The best of all leaders is the one who helps people so that eventually they don’t need him.”.Keep sharpening your knife and it will blunt.” “Fill your bowl to the brim and it will spill.“What is a good man but a bad man’s teacher.“I do not concern myself with gods and spirits either good or evil nor do I serve any.”.“A man with outward courage dares to die: a man with inner courage dares to live.”.To say “I don’t have time,” is like saying, “I don’t want to.” “It is better to leave a vessel unfilled, than to attempt to carry it when it is full.”.“When there is silence one finds the anchor of the universe within oneself.”.“The softest things in the world overcome the hardest things in the world.”.“Nothing is softer or more flexible than water, yet nothing can resist it”.“The ruler attains wholeness in the correct governance of the people.”.“The more laws that are written, the more criminals are produced.”.“Wasting energy to obtain rare objects only impedes one’s growth.”.“Violence, even well intentioned, always rebounds upon oneself.”.“When a nation is filled with strife, then do patriots flourish.”.“The soft overcomes the hard and the weak the strong.”.“Respond intelligently even to unintelligent treatment.”.“Who acts in stillness finds stillness in his life.”. “Stop thinking, and end your problems.”.Lao Tzu was famous for his words of wisdom and inspiring power words which are life-changing. Whether it’s on the topic of love, wisdom, or personal growth, Lao Tzu’s quotes are a valuable source of wisdom and inspiration for anyone seeking a deeper understanding of life and the human experience.īest known for his reputed ancient classic text Tao Te Ching and the founder of philosophical Taoism, Lao-Tzu was of one the best poet and philosophers of ancient China. Lao Tzu’s words are simple and profound, and they offer guidance for living a life that is centered, peaceful, and harmonious. His quotes offer insight into the nature of wisdom, spirituality, and the human experience, and continue to inspire and influence people around the world. Lao Tzu’s teachings focus on the importance of living in harmony with the Tao, or the natural order of the universe, and the idea of non-action, which means letting events unfold without resistance or interference. He is considered the founder of Taoism and is revered as one of the greatest sages in Chinese history. Lao Tzu was a Chinese philosopher, poet, and the author of the Tao Te Ching, one of the most widely-read works in Chinese literature.
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