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![]() ![]() Rheumatology – 13 credits/contact hoursĬME/MOC Availability Dates for the MKSAP 19 Audio CompanionĮxpiration Date: JanuMKSAP 19 Audio Companion Extension Questions.Pulmonary and Critical Care Medicine – 9 credits/contact hours.General Internal Medicine 2 – 12 credits/contact hours.Endocrinology and Metabolism – 9 credits/contact hours.Cardiovascular Medicine – 10 credits/contact hours.Nephrology – 10.75 credits/contact hours.Infectious Disease – 12.5 credits/contact hours.General Internal Medicine 1 – 10.5 credits/contact hours.Gastroenterology and Hepatology – 10.5 credits/contact hours.Oakstone Publishing designates this enduring material for a maximum of 120 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity. Oakstone Publishing is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.Ĭontact Hours: 120 Provided by Oakstone Publishing MKSAP 19 Audio Companion It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Successful completion of these CME activities, which includes participation in the evaluation component, enables the participant to earn up to 120 Medical Knowledge MOC points (Audio Companion) and 20 Medical Knowledge MOC points (5 for each of four sets of Extension Questions) in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Oakstone Publishing is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Determine when to refer patients for surgery or care by subspecialists.Diagnose disease states that are less common and sometimes overlooked and confusing.Describe clinical situations in which this new knowledge will improve quality of care.Discuss the most clinically relevant patient care information in all subspecialties of Internal Medicine based on the medical literature of the last 3 to 5 years.General internists and primary care physicians subspecialists who need to remain up to date in internal medicine residents preparing for the certifying examination in internal medicine physicians preparing for the recertification examination. Professor of Medicine, and Biochemistry and Molecular Pharmacology Philadelphia, PA Rheumatology Contributor Pittsburgh, PA Pulmonary and Critical Care Medicine ContributorĪssociate Program Director of PCCM Fellowshipĭivision of Pulmonary Critical Care MedicineĬhief, Section of Hematology and Medical OncologyĪbramson Cancer Center of Pennsylvania Hospital University of Pittsburgh School of Medicine Louisiana State University Health Sciences CenterĪssistant Director, Neurology Residency Training Program University of Colorado School of Medicineĭepartment of Medicine/Division of Hematology Rochester, MN General Internal Medicine 2 Contributor Public Health Consulting Physician, Isanti County, MNĬambridge, MN Cardiovascular Medicine Contributorĭurham, NC Endocrinology and Metabolism ContributorĬooper Medical School of Rowan UniversityĬamden, Nj Gastroenterology and Hepatology ContributorĪnn Arbor, MI General Internal Medicine 1 Contributor (Available only as a supplement to the 12-section Audio Companion.) MKSAP 19 Audio SamplesĬhief Medical Officer, Oakstone Publishingĭistrict Medical Director, Allina Medical Clinics Four FREE sets of extension questions - a $350 value that brings you incremental 20 AMA PRA Category 1 Credits™ and 20 MOC pointsĪdd the MKSAP 19 Audio Companion Q&A for even more questions and additional CME credits.The opportunity to earn 120 AMA PRA Category 1 Credits™ and 120 ABIM MOC points.Companion booklets - high-impact PDF learning aids to quickly review and retain key points (print booklets available for an additional charge).Flexible learning to fit your schedule - in your car, between appointments, while you work out.An easy way to prep for your ABIM certification or MOC exam.All-new advice and commentary - a reliable, and entertaining way to learn current oncology trends, the latest approaches to diabetes treatment, COVID updates, new tactics for managing patients with COPD, and so much more.With the MKSAP 19 Audio Companion, you get: Listen as experienced clinicians from some of the world's finest medical institutions share patient stories, insightful views of recent clinical advances, and more. Deye, MD, FACP, as he leads lively discussions with esteemed colleagues in 11 internal medicine subspecialties. In this comprehensive audio CME program, you’ll join host Donald L. The MKSAP® 19 Audio Companion sheds light on the latest diagnostic approaches, management strategies, and treatment guidelines. ![]() ![]() ![]() Users will need to have Mac OS X 10.6.8 or newer to run the app. NetSpot Pro is available for $149, and the Enterprise plan costs $499, offering additional zones, users, and features. It will let you see dead zones without coverage and place hotspots (Access Points. NetSpot Pro can visualize your wireless network by building a visual Wi-Fi map. 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NetSpot is a software tool for Wireless networks assessment, scanning and surveys, analyzing Wi-Fi coverage and performance.1 It runs on Mac OS X 10.6+. You'll be asked to load or draw a map of your home on the Survey screen, or you can choose to use a blank canvas. This information is displayed on the Discover view by default, but if you turn on the "Survey" feature, you can build a heat map of your network. The app, launched earlier this year for OS X, scans nearby WiFi networks revealing signal strengths, security types, channel information, and more as soon as you launch it. ![]() Mac users, rejoice! With the Mac app NetSpot, you can easily avoid WiFi dead zones. ![]() ![]() ![]() The first version of Thunderbird was released in 2004, receiving more than 1 million downloads in the first 10 days of release. Mozilla ThunderbirdĮven though Mozilla no longer actively develops Thunderbird, this free and open source email client is still one of the best email clients for Mac. 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Rolling Stone can re-rank the 100 greatest hip-hop songs of all-time ’til Snoop’s final mic-drop blows a fissure through the earth and triggers Armageddon, but they’re misleading the unknowing masses into thinking these are the greatest, most representative recorded moments in the genre’s history. ![]() “Yo, hold up, money grip! Get off that bullshucks…”įrom hip-hop’s infancy, the cool summer evenings in New York City parks where DJs mixed everything from Sesame Street records to James Brown, so long as there was a hot drum break pressed into the grooves, the genre was rooted in eclectic taste. Is he aware he’s in the process of creating one of the greatest works of music in human history? In a studio, maybe even a bedroom or living room, DJ Tony A “The Wizard” (N.W.A.’s forgotten member, their “fifth Beatle”), is catching wreck on two turntables, recording his auditory concoctions into a multi-track tape recorder. The place is undoubtedly Compton, California. After Easy explains he has the police on his drawls and a chilly 40-ouncer resting between his legs, the horns from “Second That Emotion” slot over the bumps with grainy analog bliss, and Smokey Robinson sings about the sweet kisses of a one-night stand, his voice dripping honey-sweet pathos while Syl Johnson moans and a woman giggles, call-and-response style, on the libido-satisfying opening break to “Different Strokes”. Easy E‘s pubescent-sounding voice is scratched amongst a barrage of samples before he’s freed to rap the opening lines of “8-Ball” with the drums doubled-up on Boogie Down Production’s beat. P.O.S (Stephan Alexander) brings it all down in ruin with his vocal flow while Turrentine’s alto sax cries over the Invitations’ tenor and some dude’s spoken-word snippet gets cut up in the left channel. The beat from Boogie Down Production’s “My Philosophy” (which is a beefed-up loop of Stanley Turrentine’s “Sister Sanctified”) and De La Soul’s “Plug Tunin'” (sampled from Manzel’s “Midnight Theme”) morph together like two perfectly-laid bricks on a brownstone, the overlapping drums cemented by a smooth plane of mortar. ![]() ![]() ![]() This cookie is set by GDPR Cookie Consent plugin. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Plus, we also rent a wide range of camping accessories such as folding chairs, grills, and coolers to ensure you have all you need. 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While not as luxurious as some of our motorhomes, campervans, or travel trailers, pop-up campers provide basic amenities that can make all the difference while you’re on the road. ![]() ![]() And, to make matters worse, if filtered phase images are grey-scale inverted they will look very similar. Windowing and greyscale inversionĪs if the variability in handedness was not sufficiently annoying, how phase images are presented is also variable. This will in turn affect whether paramagnetic and diamagnetic materials will appear as white or black. ![]() If clockwise, this is referred to as a left-handed system because when you curl your left hand into a fist the fingers curl in a clockwise direction. This is referred to as 'handedness' depending on the direction a positive change in phase is shown. Unfortunately, how phase information is shown is not uniform and varies from vendor to vendor and sequence 5. It can be helpful to reconstruct your images in the coronal plane to accentuate this effect 6. In this instance looking at the superior-most and inferior-most images is the key as they will be imaging not the lesion itself, but the magnetic dipole that matches the direction of phase shift of the central lesion, without the effect of aliasing. In many instances, however, the lesion will have both black and white components due to aliasing. If it is the opposite, then it will be diamagnetic and therefore most likely dystrophic calcification. If it is the same as veins it is paramagnetic and therefore contains blood products. If you are lucky it will appear uniformly either black or white, in which case you are finished. Once you have established this, then look at the lesion. If the patient has pineal or choroid calcification this can also be helpful, however, due to aliasing (see below) this can be more challenging. Generally, the internal cerebral veins are readily identified. Thus the first step is to find a reliable internal control to establish how paramagnetic (e.g. This does not, however, prevent the images being greyscale-inverted. Interpretationĭespite the aforementioned difficulties, there are a number of tricks that enable you to correctly interpret whether a lesion is composed of dystrophic calcification or blood products on phase images in most cases.įirstly, you will probably become familiar with your scanners and know if they are right or left-handed systems. These are discussed below in the "pitfalls" section. size and degree to which a lesion causes a phase shift (aliasing).This is, however, not without its own complications as whether a lesion appears black or white on phase imaging depends on numerous factors: veins/hemorrhage and calcification will appear of opposite signal intensity) 3. The filtered phase images are, however, able to (in principle) distinguish between the two as diamagnetic and paramagnetic compounds will affect phase differently (i.e. ![]() Radiographic features MRIĭistinguishing between calcification (made up primarily of calcium phosphate, but also contain very small amounts of copper (Cu), manganese (Mn), zinc (Zn), magnesium (Mg), and iron (Fe)) 3 and blood products is not possible on the post-processed SWI images as both demonstrate signal drop out and blooming. They are also well suited to assess veins as deoxyhemoglobin results in both a loss in magnitude and a shift in phase 4. The most common use of SWI is for the identification of small amounts of hemorrhage/blood products or calcium, both of which may be inapparent on other MRI sequences. Often a fourth set of images is provided, minimum intensity projection (minIP) which is just a thick slab of the conventional SWI images and is better able to demonstrate venous anatomy.
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