![]() ![]() This dynamic has a measurable negative effect on patient centeredness and physician work-life balance. With increasing use of the medical record as an instrument for billing, and particularly with advent of the electronic health record (EHR), the medical note may seem as important as the actual patient care. In this test of a modified practice model, scribes supported greater patient throughput and improved provider perceptions of documentation burden with no decrement in high patient satisfaction.ĭocumentation, once a small part of the patient encounter, has grown to become a major driver of physician time. 1.91 p interaction < 0.001) and generated more wRVUs per hour (3.42 vs. Compared with the control providers, providers with scribes completed more visits per hour (2.29 vs. Average patient experience scores did not differ between the experimental and control groups (4.73 vs. A total of 6202 visits occurred during the study period. Providers with scribes were more likely to agree that work for the encounter would be completed during the visit then controls (3.58 vs. 3.40 respectively p time-by-group interaction = 0.26). Average provider experience scores did not differ between providers working with scribes and control providers working without (4.01 vs. Participating providers worked a total of 664 clinic sessions and returned 547 (82%) surveys. Provider experience and patient experience using 5-point Likert scale surveys from the AMA Steps Forward Team Documentation Module, and visits and wRVUs per hour during 4 weeks before and 12 weeks after initiation of a practice model that included use of scribes and a shortened visit template. Participantsįour attending physicians who worked with scribes, 9 control physicians who did not, and their patients in a large, hospital-affiliated academic general internal medicine practice. Quasi-experimental difference-in-differences longitudinal design. To measure the effect of medical scribes on patient satisfaction, provider satisfaction, and provider productivity. However, their acceptability to patients and effects on provider experience have not been tested in a real-world model of effectiveness. Medical scribes have been proposed as a solution to the problems of excessive documentation, work-life balance, and burnout facing general internists.
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![]() It is actually quite easy to make your own homemade vanilla extract by soaking split vanilla beans in vodka or bourbon. Cold extracted vanilla, like Neilsen-Massey, is typically more expensive but is also seen as higher quality and fuller in flavor. ![]() While other producers use heat in their process. Some vanilla manufacturers use cold extraction techniques which does take longer to produce but keeps more of the full flavor intact. Over time the complexities of the vanilla flavor become infused in the liquid creating vanilla extract. Vanilla extract is made by soaking vanilla pods in alcohol and water. This is why vanilla is among one of the most expensive spices in the world. The whole process of producing vanilla from start to finish is both labor-intensive and time-consuming. Tahiti is also a big producer of vanilla beans, and depending on the origin of the beans, it has a different flavor profile. While Mexico is known as “the birthplace of the vanilla bean,” currently Madagascar is the world’s leading producer of vanilla. This is a visual cue that the flavor is the real thing. Often when you buy something labeled as “vanilla bean” flavored you will notice all of the tiny little seeds throughout the product. Inside the vanilla pod, there are thousands of tiny seeds that are highly aromatic and contain most of the vanilla flavor. This orchid is native to central and northern South America. True vanilla comes from a pod, sometimes referred to as a bean, of a climbing orchid. But there are many other vanilla products available and they all have their best uses. If you’ve ever baked anything in your life then you likely have a little bottle of vanilla extract in your cupboard. Vanilla is one of the most popular flavors used worldwide and it is incredibly common to use it in baked goods. Today we are diving into arguably the most common flavoring used in baking, vanilla. “We are hopeful that Kena will be a success and if so, you can be sure we will develop more,” said Josh Grier. With the game already generating buzz ahead of its official release, expectations are high and the brothers realize the game’s success could open up doors for them – and others. The brothers pitched the concept of Kena to publishers in March 2017 and had partnered with Sony by October. The Rot ended up being the crucial element that helped us connect gameplay and story,” Mike Grier said. “We wanted to be able to go on adventures with the Rot and explore the world with them. But once the Rot became part of the story, they knew it had to be a game. When the brothers initially started developing story ideas for Kena, they thought it would wind up becoming an animated series or film. The reveal of Kena: Bridge of Spirits represents a huge step towards the realization of that vision.” “We founded the studio with the goal of creating immersive content through compelling characters and cinematic worlds. “It’s hard to describe the excitement and pride we felt for our entire team as the trailer of our first game streamed during the PlayStation 5 event,” said Mike Grier, 34, who spearheads design for the company as chief creative officer. The action-adventure game is presented through a third-person perspective. One of the most unique aspects of the game revolves around enhancing Kena’s abilities with the help of her Rot companions. ![]() Players take on the role of Kena, a young spirit guide, on a quest to uncover the mysterious story surrounding the demise of the village. Kena takes players on an adventurous journey of self-discovery as Kena restores balance to an ancient village that was once a thriving environment. The game, a first for Ember Lab, debuted during the Sony PlayStation 5 “Future of Gaming” event in June that showcased new PS5 games. The already coveted gaming console will feature a slew of new and original games, including Kena: Bridge of Spirits, which was developed by the Grier brothers. The Grier brothers hope they – and Kena: Bridge of Spirits – can change the gaming industry and possibly pave the way for more Black game developers as the new Sony PlayStation 5 gaming console launches on Thursday. So, as long as we are creating, we don’t have a lot of time to think about much else,” he said. We work really hard and we are extremely passionate about the process. “We are a small team and everyone carries a lot of responsibility. When we began developing Kena, we never really thought about ourselves as being one of the only Black-owned game studios,” Josh Grier, 36, said of the new game they created for Sony’s new PlayStation 5. “We are very proud of who we are and we always feel our work will speak for itself. Making games is hard and there is a sense of camaraderie and support that exists in the industry,” said Josh Grier, chief operating officer and co-founder with his brother Mike of Ember Lab, an independent studio based in Los Angeles that specializes in character development for animated commercials and film. “Our experience in the game development community has been overwhelmingly positive. We will delete it ASAP.Running one of the only Black-owned and -operated animation, digital and now-gaming studios has been quite the journey for brothers Josh and Mike Grier. If you see a title with a spoiler in it, downvote it as hard as you can and then message the moderators. PLEASE DO NOT POST SPOILERS IN YOUR SUBMISSION TITLE.
They are second hand licenses and sometimes, if you try to install and activate multiple times, it won't work anymore, but the licenses are 3 € and that's way cheaper than licenses you buy from Microsoft. And if it's not possible to activate, you can always buy a cheap license on ebay for example. Most of the time, it's still OK (even if it isn't supposed to be since the first days of Windows 10). Use and abuse of the backup feature.įor example, if I have a machine which was provided with Windows 7 or Windows 8.x, I can reinstall the same OS and activate it with the product key that is under the laptop (often in the battery compartment) or the activation can be done automatically if it's injected in the BIOS by Lenovo (and if it doesn't activate automatically and if you don't have a physical certificate of authenticity, then it's possible to retrieve the product key from the BIOS/EFI with a software (the simplest one is Produkey, but there are others, like ShowKeyPlus for example).Īnd on these 7 or 8.x machines, it's also possible to install Windows 10 and activate the OS with the original product key. Speaking of privacy, you can install a lot of softwares :īlackbird is very nice, but be careful, it's so powerful it can break some things, particularly network-related and it's not easy to fix. You can also install DISM++ (very ugly but very powerful) and Privazer (very nice for privacy concern). It can be completed with Glary Utilities. For the maintenance of the OS, I use CCleaner (and an add-on called CCEnhancer). There are nice softwares also on the net. I have developped scripts and that divided the installation time by two. It could take 5 hours just for tweaking Windows 10. :)įor my reinstalls, I don't do all the tweaks by hand anymore. The best is to test yourself and keep what you prefer (and I you prefer nothing, you can uninstall all). ![]() I have used ThinkVantage and there are nice things, not absolutely necessary for the laptop to run, but you can give it a try. And I install nothing from the manufacturer (except, of course, some drivers). ![]() I always do a clean install when I receive a machine. Lenovo Photo Library (including lots of wallpapers) Mirror of Hardware Maintenance Manuals for discontinued models Lenovo Windows Digital Download Recovery Images ![]() Lenovo Parts Removal and Replacement Videos (select ThinkPad tab) Specification guides for discontinued models When reinstalling Windows, try the Lenovo disc images, as longer battery times have been reported, probably due to custom drivers. A can of compressed air may be useful too, and a bottle of isopropyl alcohol and cotton buds are good for cleaning, but not on the screen. The only tools you need for servicing a ThinkPad are a set of small screwdrivers and a nylon spudger (for taking the screen and keyboard bezels off), and possibly a pair of tweezers. Corporate bulk purchasers don't usually go for it. Not only will it have better brightness, colour, contrast and viewing angles - you will most probably more than make up the investment when selling it. ![]() When buying a new ThinkPad, consider taking the IPS screen option if possible, as it doesn't cost much. When buying a used ThinkPad, remember to check that the BIOS is not locked with a supervisor's password and that Computrace is not enabled and activated. For IBM/Lenovo ThinkPad laptop enthusiasts. ![]() Jasmine Tookes, Lais Ribeiro and Sara Sampaio are among the Victoria’s. And keep an eye out for them on TV when the full show and behind-the-scenes footage airs on December 2. From tiny bikinis to stylish one-pieces, these sought-after top models know how to make anything look like a million bucks. Here, meet all the black models who will be strutting their stuff on the epic runway in just two short days. The lingerie retailer canceled the show in 2019 after criticism, scandal, and lagging sales. The impending return of the Victorias Secret Fashion Show. There's been some progress in recent years - specifically with the casting of the first Filipina model and first model with vitiligo, Kelsey Merritt and Winnie Harlow, respectively - but the brand has much further to go to truly be inclusive. Victorias Secret is bringing back its famous runway show this year after a four-year hiatus. Heres a compilation of Gigi Hadids catwalk from 2014 to 2020.TIMESTAMP:0:00 - Intro0:29 - 20141:17 - 20152:21 - 20163:58 - 20175:34 - 20187:52 - 201910:02. Gigi Hadid, Lourdes Leon and Emily Ratajkowski led beauties hitting the red carpet at the launch of Victorias Secret The Tour in New York City on Wednesday night. With the look and feel being 100 percent different, the show is being planned to take place this year. And, while it isn’t quite as diverse as the 17 in the cast who walked in 2017, the company has been vocal about trying to make the show more diverse, across all races and ethnicities, with each passing year. When will the Victorias Secret Fashion Show 2023 take place Although VS was out of the game for four years, it is time to return once again. Among the 66 models who have been confirmed thus far, we count 16 black girls in the mix. The models have been cast, Elsa Hosk was just announced as the wearer of the $1 million Swarovski Fantasy Bra, and all the girls have hit the New York City streets in their best fall fashion street style looks, heading to and from their fittings. The stage is set for filming not one, but two shows, on Thursday evening. 26, marks the company’s biggest marketing investment in the past five years and its latest bid to reverse its supercharged sexy image that left it irrelevant to many women, leading to several years of sales declines.The 2018 Victoria’s Secret Fashion Show is fast approaching. Victorias Secret uses the show to promote and market its goods in high-profile settings. The Victoria’s Secret World Tour, to be aired globally on Amazon Prime Video on Sept. The Victorias Secret Fashion Show is an annual fashion show sponsored by Victorias Secret, a brand of lingerie and sleepwear. 'The Tour '23,' a new take on the famous runway show, will. Celebrities and models hit the red carpet on Wednesday to celebrate the return of the Victoria's Secret fashion show or at least, a version of it. The event also showcased the creators’ looks on headless mannequins of all body types. It indicates the ability to send an email. The last time Victoria’s Secret had a fashion show was 2018. Top models like Winnie Harlow, who has vitiligo, a skin condition, showed up wearing some of the designs. It honored people with a variety of body types. NEW YORK: The Victoria’s Secret fashion catwalk extravaganza, where supermodels like Naomi Campbell strut down the runway in Swarovski-crystal covered wings, thongs, and million-dollar fantasy bras, has been a major annual event for the company for more than 20 years.Īfter a four-year absence, the lingerie brand returned Wednesday night with a total makeover that included both a fashion show and a sneak peek at a documentary-style movie involving 20 international creatives. ![]() r/AMD is community run and does not represent AMD in any capacity unless specified. But much like the custom Xbox designs that Microsoft periodically releases to celebrate new games, AMD (and whoever its partner is) appears to have spent a lot of detail work in polishing the card, with callbacks to the game all over the place. Welcome to /r/AMD the subreddit for all things AMD come talk about Ryzen, Radeon, Zen5, RDNA4, EPYC, rumors, reviews, news and more. To be fair, there doesn’t seem to be anything new and unusual in the Limited Edition offering’s engineering the CPU appears to be clocked at the standard speed, and the 7900 XTX looks like an ordinary three-fan design. Morgan Stanley thinks it's a buying opportunity. ![]() 31, 2023 (GLOBE NEWSWIRE) - AMD (NASDAQ:AMD) today announced revenue for the fourth quarter of 2022 of 5.6 billion, gross margin of 43, operating loss of 149 million, net income of 21 million and diluted earnings per share of 0.01. It’s this last configuration that you’ll be able to emulate if you score yourself one of these limited-edition bundles. AMD Reports Second Quarter 2023 Financial Results :: Advanced Micro Devices, Inc. AMD announced its 6nm Ryzen 6000 'Rembrandt' APUs at CES 2022, a pairing of the Zen3+ CPU architecture and RDNA 2 graphics engine that appears so impressive that we named it the best GPU. Record full year revenue of 23.6 Billion up 44 year-over-year SANTA CLARA, Calif., Jan. ( Similar deals are offered from other retailers.) AMD has also promoted various component configurations to optimize the Starfield experience, with a “Legendary” configuration using the 7800X3D and the RX 7900 XT in conjunction with an AMD motherboard. Additionally, AMD hiked its full-year revenue outlook by 4.8 billion, for guidance 7.1 billion higher than what Wall Street had been forecasting before the report. AMD has heavily promoted its ties to Starfield for weeks now on Amazon, AMD has offered a Starfield bundle that kicks in when you buy a specific AMD processor and/or GPU. ![]() Most of the technical specifications presented in this post are accurate. ![]() , oh, is that an LP, hmmm I’ll be dammmmned. More people made their own cassette tapes, another big acceptance factor. Some, not that many, made their own recordings.Ĭassette, 1/8" tape, only 4 tracks so essentially same track width as 8 track, but now only 1-7/8 IPS, Originally for dictation, offices, classrooms, not music.Ĭassettes benefited from very good transport mechanism, and noise reduction, and of course portability and the Sony Walkman revolution. The sound quality, beyond ’good enough’ not even considered. Inside: how do you put lots of tape on the larger outside circumference, and take small amount of tape off the smaller inner diameter? Tape constantly slip/sliding/compressing as it moves from the outside to the inside, then, to get out of the tightly compressed inside of the reel, the tape is pulled up, constantly wearing the edges of the tape.Ī small amount of tape for a single 1 minute AD, that’s one thing, but 40 minutes of tape, it’s incredible they didn’t stretch, or break, wait, I seem to remember, they did stretch and break, and the metal strip fell off, and the glue joint broke, and the pressure pads rotted, and the moving heads got misaligned, holy crappp indeed.Ĩ Track became extremely popular because they were a revolution of portability, take, share, play in car. I did have 15 IPS 2 track for a while as well as 15 IPS 4 forward tracks, but gave them to musician friends.Įver take one apart? 8 skinny tracks on the same 1/4" tape, running 3-3/4 IPS, using the cleverly hideous physical design of a slip sheet. I have some 2 tracks made from those masters, best sounding tapes I have. Magnificent masters were made on 35mm tape at 30 IPS (modified movie film). 1/4" wide 2 track (wider track width) beats my 4 track, and 15 IPS beats 7-1/2 IPS. 4 track, 3-3/4 IPS loses to LP and/or CD. ![]() My 1/4" wide tape 4 track tapes, at 7-1/2" IPS, can beat an LP which can beat the CD. Anything with narrower tracks than 1/4" tape 4 track and/or slower speed than 7-1/2 IPS cannot beat an LP. Wider tracks and/or faster speed simply uses more magnetic material to capture the content. End of AD campaign, toss it in the trash quickly. DJ just jammed that cartridge/ad in the player. For pre-packaged single advertising content. Not 8 track, not Cassette, not 3-3/4 IPS, not 1-7/8 IPS.ĨT was originally designed for only a small amount of tape inside (less weight, smaller ratio of inside/outside diameter, less slip/compression). Master Tape and tape copies played with excellent mechanical transport system, enough track width, fast enough speeds (IPS) can beat an LP. ![]() ![]() So when the two nitrogen atoms, who have 5 electrons in their outer shell, get a full shell of 8 electrons by sharing three electrons with the other, they have a much lower total energy than when they are on their own. The reason for these covalent bonds is that atoms lower their energy when they have full electron shells, and everything wants to be in the lowest energy state possible. Nitrogen gas is N2 - with a triple bond - even though two nitrogen atoms necessarily must have the same electronegativity. The general trend is that electronegativity increases as you go up and to the right on the periodic table. Oxygen and Nitrogen are also quite electronegative. If the atom has a smaller atomic radius, it means the electrons are being pulled close to its nucleus much more (generally)īecause of this, Flourine for example would be an electron "hog"- it is the most electronegative element on the periodic table and will gladly take away and hold onto an electron. For example, Caesium has a large atomic radius, whereas Flourine has a very small one. This results in some atoms having a larger atomic radius than others. The more electrons there are (and the more shells that exist between the nucleus and valence shell), the harder it is for this goal to be accomplished. The protons in the nucleus of an atom are positively charged, and want to draw in the electrons surrounding it. ![]() Thus, in the d-block you don't have a clear periodic trend for electronegativity as you do in the s and p blocks.Īs in, an atom wanting more to hog electrons? (I'm assuming this because this comment is on the electronegativity video) In the d-block, you have many competing factors such as then need to have a full s and p, to energetic nuances due to the d subshell being partially full, and all these affect the electronegativity. That is why electronegativity goes down as you go down a Group of the periodic table in the s and p blocks (the d block is different). The more electrons the element has, the less advantage there is to gaining an electron compared to other members of the same Group. One has to do with how many electrons (not valence electrons, all of the electrons) the element has. However, there are also competing factors. This need for being in an energetically favorable state gives rise to electronegativity. Thus, the closer an element is to completing both its outermost p and s subshells, the more energetically favorable it is to gain an electron to help that process along. I can give you some overly simplified basics though.Ītoms are particularly energetically stable if the s and p subshells of their outermost electron shell are both completely full. That is a complex issue and a bit of an advanced topic. My recommendation is the Gamers Nexus approved, totally unkillable EVGA 1000W PSU. I had a thermaltake 750W and it literally could not handle this RX 6900XT on star citizen, I had hit OCP twice. Although say if you have a 850W you won't hit Overcurrent Protection, the power going to the card for that boost isn't good power so that nanoboost could cause a game crash. I have metered up to 950W for a brief millisecond. This is because I literally sh!t you not, on my wall meter, the graphics card will at times peak well beyond its 350W power cap. Power Supply, if you are running a top end or kingpin card, you need 1000W MINIMUM. ![]() SC probably doesn't have great correction code built in since its Alpha state. If you have the option for DDR5, I would take it only for the SOLE reason of it now having ECC built in, to protect against flip bit scenarios (literally random cosmic radiation can cause a bit to flip).If you run into issues, disable XMP and just run stock clocks, remember its about stability and consistency with this game and less about peak performance. Star Citizen is EXTREMELY sensitive to memory stability. For instance to pass a XMP memory test on my GSkills I had to increase voltage to a whopping 1.45V (very bad bin). Your RAM XMP is ROCK SOLID STABLE (sometimes it actually isn't).I haven't crashed yet doing that exact process lasso config. Under load in games, Temps should never go above 90 on a boost. Only works on Z boards, B boards will offset voltage but also power limit, too.Īdjust cooling solution, CPU will stutter if nearing or hitting thermal max (100c). CPU Voltage Offset (Adaptive) = Set (usually for 12700K -0.050 is good). DDR5 Memory Tuning = Off (sets RAM to fixed speed/timing) MEMOC = If possible and prioritize latency over speed. Enable Virtual Super Resolution (use this to -Incrementally upscale your game resolution if CPU I/O bottleneck is still there. Create Gaming account that strips explorer.exe and set -RSI Launcher to boot (Scheduled tasks). Install Lossless Scaling (Steam, allows FSR 1.0 in SC) Enable Bitsum High Performance power profile ![]() Disable HPET (High precision event timer) So when you turn those two off, it's able to free some of the bottle neck and increase boost duration. Yeah, stupid 元 is spread far too thin, and the boost clock duration of the E-Cores is far less when under load. Video of perf gains (still may be processing HD): ĪMD Radeon RX 6900 XT 1160mw undervolt and 2650 Clock w/+12 Power and Fast Tuning on Memory.ġ000W EVGA Modular PSU Windows 11 w/Debloat script Gigabyte B660 GAMING AX DDR4 ![]() This is my setup and I haven't had a single stutter and a few days of gaming w/o crashing under my belt. You may want to set your game to borderless and play around with this for a bit, but eventually you'll find a configuration that works. Select and deselect the cores you want and click Ok. Right click and select "CPU Sets">"Always", then this will appear. Open Lasso and Star Citizen, you will see it appear. Install Lasso and make sure its set to always run as administrator. The OS will use cores 0-1-2-3 a lot so we will disable those too. The reason is the E-Cores have a shared 元, so you can only use probably 2 of those cores max to keep 元 not as saturated. If anyone is running an i5-12600 or above you can use this program called Process Lasso instead of disabling your E-Cores in BIOS. ![]() If you frequently use ForkLift, right-click the ForkLift icon in the Dock, and choose “Options” to select “Keep in Dock” for quick access, and “Open at Login” to start ForkLift automatically during login.Double-click ForkLift 4 in Finder to start it.Right-click the app and choose “Rename” from the context menu If you have kept both versions, rename one of them for easier identification.Choose “Keep both” to keep ForkLift 3, or “Replace” to replace it with ForkLift 4. If you have ForkLift 3 in your Applications folder, Finder will prompt you about conflicting names.In Finder, move the extracted ForkLift app from your Downloads folder to your Applications folder by dragging the ForkLift app over the Applications folder in the sidebar of Finder.In Finder, open the Downloads folder, and if the ForkLift.zip file wasn't extracted automatically, double-click it to extract it.You can have ForkLift 3 and ForkLift 4 installed together and use them both at the same time if you like. ![]() IMPORTANT: If you already have ForkLift 3 installed on your Mac and want to keep it, you don't need to remove it. ![]() Whether you're dealing with cloud services or more traditional FTP and SFTP servers, ForkLift streamlines your file management and transfers, making them smoother than ever.įorkLift 4 requires macOS Monterey (macOS 12) or later. We understand that accessing, organizing, synchronizing, and sharing your files should be hassle-free, especially as the landscape of file sharing evolves with the increasing importance of cloud service providers such as Dropbox, Amazon S3, Google Drive, and OneDrive.įorkLift combines the power of a robust file manager with versatile file transfer capabilities, seamlessly bridging the gap between your local and remote files. Welcome to ForkLift 4, your all-in-one solution for efficient file management and seamless file transfers, across multiple platforms and services. |
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