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The word was also coined because of other connotations: liber also means child and free, independent, unrestricted. As the LibriVox forum says: "We like to think LibriVox might be interpreted as 'child of the voice', and 'free voice'. Finally, the other link we like is 'library' so you could imagine it to mean Library of Voice." [9]
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Still's murmur is detected via auscultation with a stethoscope.It has a peculiar "musical", "resonant" or "vibratory" quality that is quite unique. [1] [2] It is generally most easily heard at the left middle or lower sternal border and the right upper sternal border, often with radiation to the carotid arteries, although other locations are common.
Murmurs are of various types and are important in the detection of cardiac and valvular pathologies (i.e. can be a sign of heart diseases or defects). There are two types of murmur. A functional murmur is a benign heart murmur that is primarily due to physiologic conditions outside the heart.
A mnemonic to remember which way to turn common (right-hand thread) screws and nuts, including light bulbs, is "Righty-tighty, Lefty-loosey"; another is "Right on, Left off". [ 8 ] : 165 For the OSI Network Layer model P lease D o N ot T hrow S ausage P izza A way correspond to the Physical, Datalink, Network, Transport, Session, Presentation ...
A different mnemonic is used to remember the sequence of English and British royal houses or dynasties. No Plan Like Yours To Study History Wisely [5] The initial letters of which give the royal houses: Norman, Plantagenet, Lancaster, York, Tudor, Stuart, Hanover, Windsor. This list of royal houses differs from the views of many historians.
Late systolic murmurs start after S1 and, if left sided, extend up to S2, usually in a crescendo manner. Causes include mitral valve prolapse, tricuspid valve prolapse and papillary muscle dysfunction. Holosystolic (pansystolic) murmurs start at S1 and extend up to S2. They are usually due to regurgitation in cases such as mitral regurgitation ...
Therefore, right-sided heart murmurs generally increase in intensity with inhalation. The decreased (more negative) intrathoracic pressure has an opposite effect on the left side of the heart, making it harder for the blood to exit into circulation. Therefore, left-sided murmurs generally decrease in intensity during inhalation.
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