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Meld definition8/30/2023 ![]() if bilirubin is 0.8 a value of 1.0 is used) to prevent subtraction from any of the three factors, since the natural logarithm of a positive number below 1 (greater than 0 and less than 1) yields a negative value. ![]() Any value less than one is given a value of 1 (i.e.If the patient has been dialyzed twice within the last 7 days, then the value of serum creatinine should be 4.0 mg/dL.UNOS has made the following modifications to the score: MELD scores are reported as whole numbers, so the result of the equation above is rounded. It is calculated according to the following formula: MELD = 3.78×ln + 11.2×ln + 9.57×ln + 6.43 MELD uses the patient's values for serum bilirubin, serum creatinine, and the international normalized ratio for prothrombin time (INR) to predict survival. This score is now used by the United Network for Organ Sharing (UNOS) and Eurotransplant for prioritizing allocation of liver transplants instead of the older Child-Pugh score. It was initially developed to predict mortality within three months of surgery in patients who had undergone a transjugular intrahepatic portosystemic shunt (TIPS) procedure, and was subsequently found to be useful in determining prognosis and prioritizing for receipt of a liver transplant. The Model for End-Stage Liver Disease, or MELD, is a scoring system for assessing the severity of chronic liver disease. ![]() Send us feedback about these examples.Scoring system for assessing the severity of chronic liver disease Model for End-Stage Liver DiseaseĪssess the severity of chronic liver disease These examples are programmatically compiled from various online sources to illustrate current usage of the word 'meld.' Any opinions expressed in the examples do not represent those of Merriam-Webster or its editors. 2022 Written by Bryant with Jason Earley and Jonathan Gamble, this auspicious single melds conversational, ripped-from-the-diary lyrics with deft pop melody and rhythm. 2022 The conflict is a meld of small confrontations often at Ukrainian checkpoints, tit-for-tat artillery shelling and moments of heavy street battles. 2021 What is a meld in Mahjong? - Anna Kaufman, USA TODAY, 10 Sep. 2022 In some ways, the struggle is more complicated, as long-term physical consequences of what her body endured on 9/11 meld with the effects of aging or other health issues. New York Times, 3 June 2021 Viewers who speak multiple languages may be familiar with the meld a similar cultural phenomenon exists with the concept of Spanglish, for instance. 2021 Together, they’re meant to prompt audience reflection and interaction, to turn the museum into a social space, a meld of public forum, classroom and therapy session. Beltran Quan Kiu, Bon Appétit, 16 June 2023 This fragrance queues in on vanilla, saffron, almond, and suede leather meld in the air. Noun The buttery flakes from the croissant meld with the cheddar cheese, dissolving to reveal equally tender beef. Jack Fowler, National Review, 18 June 2023 David Wysong, The Enquirer, 2 June 2023 An exploration/investigation of John Wayne’s filmography concludes: A patchwork of scenes from two Wayne movies has likely melded together in the Biden brain clutter and produced the nonsensical, contrived line. Zheping Huang,, 8 June 2023 Each slice was chock-full of toppings that melded well together. and JD.com Inc., particularly after lockdown rules during the pandemic drove people to spend more time online. Amber Smith, Discover Magazine, 15 June 2023 That format - which melds entertainment with impulse buying - has already helped Douyin snatch a big portion of Chinese consumer spending from Alibaba Group Holding Ltd. Rasmussen, Baltimore Sun, 15 June 2023 This remarkable concoction seamlessly melds together warm, woodsy, and dry tastes, reminiscent of strolling through a sunlit winter forest. Baker stealthily entered a room and anonymously melded with the crowd. Tarot Astrologers, Chicago Tribune, 22 June 2023 With his trademark vest and two cameras slung around his neck and shoulder, Mr. Jenna Sims, Southern Living, 22 June 2023 Your 11th House of Social Networks is all lit up as the intuitive Moon and action planet Mars come into alignment and meld their energies. Jeff Ihaza, Rolling Stone, 27 June 2023 The base is made with navy beans, which don't have a lot of flavor on their own, but meld with the eggs, sugar, and warm spices to form a confection so delicious, no one will believe it was made with beans. Verb His sound was eccentric, spanning a range of influences and melding a deep musical history - from Parliament-Funkadelic to Techno visionary Juan Atkins to modern hip-hop and R&B - with an innately playful flair.
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Dottie at florida retina institute8/30/2023 ![]() Practices within the network will continue to drive all clinical decisions and remain highly involved in strategic operations.Ophthalmologists is a physician who specializes in eye and vision care. RCA’s business model enables retina specialists to retain autonomy and ownership, augmented by sharing best practices facilitated through the Medical Leadership Board and executive management support. Halperin, M.D., Retina Group of Florida.Īll 13 physicians at FRI are board certified medical doctors, fellowship-trained ophthalmologists, specializing in the treatment of retinal diseases, laser procedures and surgery, using state-of-the-art diagnostic testing equipment, lasers, surgical instruments, research and studies to further enhance each diagnosis, condition and treatment. With the addition of FRI, RCA now has a total network of more than 215 physicians across more thanģ00 locations in the United States. This partnership will enable our Florida physicians to provide retina care and access to clinical trials throughout most of the state,” said Larry S. Florida Retina Institute is passionate about providing exemplary patient care in Central and Northern Florida and beyond. FRI clearly shares these same guiding principles. ![]() As part of Retina Consultants of America, we are dedicated to excellence in patient care and cutting-edge research. “The physicians and staff of Retina Group of Florida are thrilled to welcome Florida Retina Institute. FRI’s retina services include the treatment of retinal detachments, diabetic retinopathy, macular degeneration, laser procedures, macular and vitreous surgery, pediatric retina and complex retinal conditions. Its renowned team of physicians are consistently recognized and selected by their peers as the top doctors, ranking best in the U.S. “FRI has enjoyed tremendous growth over the past several years, and RCA will elevate our ability to enhance our clinical research programs, invest in our infrastructure allowing for continued growth and improved patients access, ensure early availability of all clinical advancements, and facilitate collaboration amongst an incredible collection of retina specialists. We are truly honored to work with RCA to bring these amazing benefits to our communities.”įor more than 40 years, Florida Retina Institute has proudly delivered excellence in the treatment of vitreo-retinal diseases and surgery throughout Central Florida, North Florida and Southeast Georgia. Mavrofrides, M.D., Board-Certified, Fellowship Trained Vitreoretinal Specialist at Florida Retina Institute. “The physicians of Florida Retina Institute are extremely excited about the opportunity to partner with Retina Consultants of America, which we recognize as the largest and most impressive collection of retina specialists in the world,” said Elias C. With 13 board-certified physicians and 19 clinic locations, FRI’s partnership furthers RCA’s Florida footprint and expands its influence in innovative retina research across the U.S. ORLANDO, FL (November 15, 2022) – Retina Consultants of America (RCA), a comprehensive physician management services organization, announces today it is adding Florida Retina Institute (FRI) into its nationwide network of physicians. Above: Florida Retina Institute’s 13 physicians partner with Retina Consultants of America, providing care to approximately 40,000 patients across Central Florida, North Florida and Southeast Georgia
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Side mission skipped rebel cops8/30/2023 A lot of times these secondary objectives are far away on the battlefield and you'd have to divide your troops to manage to reach all of them in time.And then came the defining moment: the recklessness of youth, the passion of belief in a justice burning bright: “I jumped up on the fountain in the middle of the square, the one that is still there, and I began to shout: “Comrades, don’t disperse! Victory will be ours! Don’t leave. liberate a kidnapped daughter, recuperate an Arcade machine). The side quests that you're doing for the townsfolk aren't as easy as they might seem at first glance (i.e. ![]() Once you're spotted prepare for hell, as most of the time the criminals will ask for reinforcements, so keep it low profile as long as you can. Arresting an enemy makes it disappear from the battlefield completely, which is both ridiculous if you think about it, but also useful and simpler gameplay-wise. You can simply hit the guards and criminals with your baton and then “arrest” them. That offers your troops the upper hand and the possibility to choose how to approach every mission.Īs long as your troops remain invisible, you don't need to use your fire weapons. ![]() Criminals can't see your cops if they are behind cover unless they approach from an angle that's not 100% covered. In Rebel Cops, being a rebel cop has only one but crucial benefit: stealth. When you're hit in the leg, you will no longer be able to move, while a shot that pierces your hand will prevent you from using weapons. You have a minimum of three rounds to heal a cop hit in the chest, so it's recommended to keep your troops clustered rather than spread. If they don't wear protective equipment almost any injury means death.Ī shot in the head means instadeath while getting hit in the chest lets you save the cop if you have a medkit and reach him in time. Your rebel cops can be shot in the hand, leg, chest or head. ![]() There are no hit points in Rebel Cops, which makes the game simpler than the likes of XCOM, but more unforgiving. Money and resources aren't necessarily crucial for you troops, but having a helmet and a body armor greatly increases the survivability of you renegade cops. On the other hand, splitting the loot at the end of a mission or completing side quests will increase the favorable attitude of the townsfolk towards you. However, taking townsfolk quests and failing them will massively decrease their attitude towards your crusade and they will offer you fewer resources or nothing at all. Luckily, the townsfolk can help with that if you perform well in your campaign and do some of their quests. The road to victory is long and tedious, especially since your rebel cops are armed with the most basic weapons, and they have little financial resources to help improve their equipment. The last stand for justice is a group of incorruptible cops, who resign from the police force and take it to the woods to try and retake Ripton from Viktor Zuev's clutches. ![]() The premise of the game is as generic as a cop flick's scenario: a Russian crime boss takes over a rural town paying off all cops or eliminating those who oppose him. The moral choices are limited to using lethal or non-lethal force when taking down an enemy, but they are merely reduced to decisions related to how you want to approach a mission from a tactical point of view. If you've played This Is the Police, this is a similar game stripped down by all other aspects except for the turn-based combat. However, unlike either of the two This Is the Police games, Rebel Cops is a straightforward experience that doesn't require management skills, nor moral choices. Rebel Cops is Weappy Studio's latest game and a spinoff from This Is the Police, the series that made the developer known to the gaming industry.
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Local speech to text api8/30/2023 To handle ambient noise, we use the adjust_for_ambient_noise() method of the Recognizer class. The code allows for ambient noise adjustment.ĭepending on the surrounding noise level, the script can wait for a miniscule amount of time which allows the Recognizer to adjust the energy threshold of the recording of the user voice. Your system’s default microphone is used as the source of the user voice input. A KeyboardInterrupt (pressing CTRL+C on the keyboard) terminates the program gracefully. The while loop makes the script run infinitely, waiting to listen to the user voice. Python script code that helps translate Speech to Text Print("No User Voice detected OR unintelligible noises detected OR the recognized audio cannot be matched to text !!!")įigure 1. Print('A KeyboardInterrupt encountered Terminating the Program !!!')Įxcept speech_recognition.UnknownValueError: UserVoiceInput_converted_to_Text = UserVoiceInput_converted_to_Text.lower() UserVoiceInput_converted_to_Text = UserVoiceRecognizer.recognize_google(UserVoiceInput) UserVoiceInput = UserVoiceRecognizer.listen(UserVoiceInputSource) # The Program listens to the user voice input. UserVoiceRecognizer.adjust_for_ambient_noise(UserVoiceInputSource, duration=0.5) With speech_recognition.Microphone() as UserVoiceInputSource: UserVoiceRecognizer = speech_recognition.Recognizer() The Python script code looks like the one referenced below in Figure 1.įigure 1 Code: # Python Program that helps translate Speech to Text Save the file anywhere on your local Windows machine. Let’s name the Python Script file STT.py. pip install speechrecognition pip install wheel pip install pipwin pipwin install pyaudio Step 2: Code the Python Script That Implements a Very Basic STT Engine Open your Windows command prompt or any other terminal that you are comfortable using and execute the following commands in sequence, with the next command executed only after the previous one has completed its successful execution. We will start by installing the Python libraries, namely: speechrecognition, wheel, pipwin and pyaudio. Step 1: Installation of Specific Python Libraries NOTE: I worked on this proof-of-concept (PoC) project on my local Windows machine and therefore, I assume that all instructions pertaining to this PoC are tried out by the readers on a system running Microsoft Windows OS. Let’s go through the sequence of steps required. ![]() We can build a very basic STT engine using a simple Python script. One of the most important and critical functionalities involved with any voice technology implementation is a speech to text (STT) engine that performs voice recognition and conversion of the voice into text. Starting from voice shopping on Amazon to routine (and growingly complex) tasks performed by the personal voice assistant devices/speakers such as Amazon’s Alexa at the command of our voice, voice technology has found many practical uses in different spheres of life. The technology has grown, evolved and matured at a tremendous pace. In today’s world, voice technology has become very prevalent. |