11/29/2023 0 Comments Bandicam full version free download![]() It supports different settings and frame rate as per user requirement. Bandicam 2019 Overviewīandicam 2019 is an impressive screen recording and capturing application offers users to record their screens with high quality and resolution. It is full offline installer standalone setup of Bandicam 2019 v4. ![]() This would be working perfectly fine with compatible version of Windows.Bandicam 2019 Free Download Latest Version for Windows. This is complete offline installer and standalone setup of Bandicam 5 for Windows. If you are having trouble please get help from our contact us page.Ĭlick on below button to start downloading Bandicam 5.Remember to check _Fix folder and follow instructions in text file.Open Installer and accept the terms and then install program.Extract the zip file using WinRAR or WinZip or by default Windows command.Application version updated: Bandicam 5.Compatibility Architecture: 64Bit (圆4).Application Type: Offline Installer / Full Standalone Setup.(Because of constant update from back-end file size or name may vary) Download File Name: _Bandicam_5_圆4.rar.Processor: Intel Pentium i3, Multi-core GHz or higher.īandicam 5 Free Download Technical Setup Details.Hard Disk Space: 200 MB of free space required for full installation.System Requirements for Bandicam 5 Free Downloadīefore you install Bandicam 5 Free Download you need to know if your system meets recommended or minimum system requirements Make a chroma key video in real-time while recording your computer screen.Add a mouse click effect and animation while recording.Record the system audio and your voice at the same time.Start recording at a specific time on a daily/weekly schedule.Add a webcam video of yourself on the video that you are recording.Draw and outline on your video or screenshot in real-time.The features of Bandicam that help you get the best results.You can also download Videoscribe Pro 3.īelow are some amazing features you can experience after installation of Bandicam 5 please keep in mind features may vary and totally depends if your system supports them. ![]() Bandicam allows you to record external video devices such as a webcam, Xbox/PlayStation, smartphone, IPTV, etc. Bandicam makes it possible to record various 2D/3D games with 4K UHD Video and capture up to 480 FPS Video. You can also download Camtasia 2020.īandicam can record everything on your computer screen and save it as screencast video files(MP4, AVI) or image files. Bandicam will help you carry out a screen capture with high compression ratio, while preserving the video quality closer to the original work, and provide performance far superior to other screen capture software that provides similar functions. This app also makes it possible to record a certain area on a PC screen, or capture a game that uses the DirectX/OpenGL/Vulkan graphics technologies. Bandicam 5 Free Download Overviewīandicam is a lightweight screen recorder software for Windows that can capture anything on your PC screen as high-quality video. It is full offline installer standalone setup of Bandicam 5 Free Download for supported version of Windows. The program and all files are checked and installed manually before uploading, program is working perfectly fine without any problem.
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11/29/2023 0 Comments Play station 3 vs xbox 360It is unclear how they might react to reported problems in the Xbox 360 that cause it to crash in the middle of games. Japanese were also turned off by the first Xbox's tendency to scratch disks, a problem that didn't affect the game's performance but was viewed as a symptom of shoddy craftsmanship. She added that the new streamlined, off-white console was designed partly by Japanese teams to appeal to Japanese tastes. "We had missteps that we wont repeat," said Asako Miyata, an Xbox spokeswoman in Tokyo. 24 in South Korea and March 2 in Hong Kong, Singapore and Taiwan. It costs 399.99 euros in Europe, where it was released on Dec. ![]() The Xbox 360 will sell for 37,900 yen in Japan, or about $313, less than the $399.99 charged in the U.S. That means big money in a hardware and software market worth up to 600 billion yen, or $4.96 billion, according to Maeda. Given Xbox's paltry market share in Japan, there's only room to grow. Worldwide, the company is aiming to ship between 2.75 million and 3 million machines within 90 days of the U.S. But Microsoft Chief Executive Steve Ballmer said last month while visiting Tokyo he is "100 percent" sure the new model will outsell its predecessor. Redmond, Wash.-based Microsoft hasn't set an Xbox 360 sales goal in Japan. ![]() PlayStation accounts for about 80 percent of the Japanese market game console, Xbox around 5 percent. By contrast, Sony has sold 91 million PlayStation 2 consoles in the last five years, 21 million of them in Asia. Since the first Xbox went on sale three years ago, Microsoft has sold 21.9 million machines globally - but only 1.8 million in Asia, including Japan. 11/29/2023 0 Comments Ibs vs crohns![]() A more likely explanation is that IBS was present first (remember it is very common) and the IBD started later.įinally, both IBD and IBS may be mistaken for other diseases such as appendicitis, diverticulitis, and chronic gut infections. There are many reported instances where IBD has been “misdiagnosed” as IBS for years until finally the diagnosis is made. The powerful, often expensive, sometimes-toxic drugs employed to treat IBD will not improve IBS symptoms. It is therefore crucial that the IBS symptoms in these patients not be confused with those due to IBD. That is, they may occur in the same patient due to chance. Because so may people have IBS, it is not surprising that some will also acquire IBD. There are other important considerations. While both are chronic, the overall treatment and prognosis are very different. It is of vital importance to distinguish these two very different gut conditions. None of these terms is entirely satisfactory. While IBD is described as a structural or “organic” disease, IBS is said to be functional or a disorder of function. While many people with IBS complain of social inconvenience, embarrassment, fear of appearing in public, and work loss, these features are more universal and profound in IBD, as the foregoing comparisons imply. ![]() However, there is little evidence that this is true of IBS overall, and psychosocial difficulties are found in some people with IBD as well. Certainly, some patients who seek medical attention may also have psychosocial problems that require attention in their own right. Sometimes psychological disease is thought to be a part of IBS. While neither condition will shorten life expectancy, most of those with IBD will require surgery at some time during their illness. None of these physical disabilities result from IBS, and having IBS does not predispose one to IBD, nor any other structural condition such as cancer, celiac disease, nor diverticulosis. The resulting dermatitis, arthritis, and iritis (red, sore eye) can be as debilitating as the IBD itself. In IBD, inflammation may occur beyond the gut in the skin, joints, and eyes for examples. ![]() However, the structural damage of IBD may produce striking physical findings such as a mass in the abdomen, an abnormal communication of the gut with the skin (fistula), an anal abscess, or the physical features of weight loss and anemia. There are no findings on physical examination that are characteristic of IBS. The inability to eat during attacks, and wasting of energy caused by the inflammation, result in weight loss and malnutrition. The disrupted intestines may bleed and anemia (low blood) is common. This damage is resisted by the body’s defences, resulting in fever and malaise. In IBD, the gut is damaged by the chronic inflammation. More than half of people who have IBS symptoms seek no medical attention, while few IBD sufferers can avoid it. IBS appears to be a worldwide disorder, while IBD prefers the planet’s temperate zones. ![]() IBD has no gender preference and is most common in Jewish individuals and those with origins in Northern Europe. Females are more likely to have IBS, and it affects all races. Demographicsīoth affect people of all ages but they are particularly prominent in young people. We know IBS exists because patients have gut symptoms, and there is no other way to detect it. Examination of the gut of a person who has IBS will be unrevealing. In IBD, this damage is caused by an inflammation whose origins are poorly understood, but whose consequences may require hospitalization, heavy-duty medication, nutritional support, and often surgery. By “structural,” we mean that when we examine the gut by x-ray, endoscopy, surgery, or biopsy we can see structural damage to the gut. The fundamental difference between IBS and IBD is that IBD is structural, and IBS is not. For many reasons, which are not relevant to this discussion, these two inflammatory conditions are usually lumped together as IBD. The former affects only the lining of the large intestine or colon, while Crohn’s disease may affect any part and all layers of the gut. To add to the confusion, “IBD” is used to describe two distinct, but different structural diseases: ulcerative colitis and Crohn’s disease. It is unfortunate that the initials for these contrasting conditions are so similar. However, about the only features that they have in common are gut symptoms such as abdominal pain and diarrhea, a tendency to affect young people, chronicity, and our ignorance of their ultimate cause. Both are very common illnesses that affect the gut. People can be forgiven if they confuse irritable bowel syndrome (IBS) with inflammatory bowel disease (IBD). 11/29/2023 0 Comments Nxfilter ssl filter![]() But if we have several thousands users for NxFilter at least I think I can do something about it. Anyway NxFilter can be free as long as it uses free DB. So some of the people in this forum paying for them even though they're nothing better than NxFilter which is free.Ĭurrently I am working on building a new kind of security solution with some other company and it will have the biggest DB in the market but will not be free. Some of them are nothing better than Shallalist or URLBlacklist but they're still commercial. Coz I tested several commercial url-db these days. Jinhee200, the author of the program is also a member of Spiceworks and he should be able to give you the correct answer.įor you it might be too small but for other people it might be big enough. If I recall correctly, you have a script at logon that call the program required with the IP address of the system. ![]() I remember having some issues with the SSO also, but in the end I made it work for my test account. I tried it a few months ago, and It didn't fit with us because of the Blacklist db that was too small. It looks more like something I'd see in a Hotel/Airport/coffee shop. Honestly that DNS Redirector doesn't look like a cooperate solution. ![]() I'd rather use DNS filtering as presumably it would use less resources on my VM servers than something like a proxy server would, which can use a fare amount of resources to keep up with demand, DNS servers on the other hand are a lot more lightweight. I'm not paying for a web filter solution I will preferably use NxFilter or make my own Squid box. Why would I go for a paid solution just to get auto-updates? It's super easy to setup WGET on windows with a script to download files, move the correct file to the needed location and then cleanup when down, and it could even be run by the task scheduler. We're still using DNS Redirector Opens a new windowtoday - auto-updates categories, and doesn't require Java - not much AD integration beyond password bypass, but that's all we need. If you can't install it still then send me an email.I tried it - did not like that it didn't auto-update the blacklist categories, and technically the sources of which are for non-commercial use - did not like that it required Java on the server. I think in your home-router you can set NxFilter as your DNS easily. To read something about DHCP and DNS setup. If you have difficulties in client setup then I recommend you Maybe some other applications as long as they use DNS. Of course you can block https sites as well. You can have authentication with IP or password.Īnd you also can integrate it into Active Directory. ![]() Then you get the login prompt in your browser.Īnd the initial password for admin is 'admin'. You need to have Java 1.6 or higher installed first.Īfter you start NxFilter then click the icon to web-admin. One for starting NxFilter one for web-admin. Just click the exe file and you get several icons. There's a Windows installer for people not familiar with Linux.Īnd you can make it Windows service as well. If you are not familiar with Linux environment then you can try windows version of NxFilter. I thought I made it very easy to install NxFilter.īut you said that you have some difficulties in using it.Ĭan you tell me on what part you have the problem? This is Jinhee the developer of NxFilter. I cannot figure out from your request whom you're trying to filter, but a better method would be enforcing good behavior. I would not suggest any of this for newbie Linux users. This blocks HTTPS connections to one of Facebook's servers. You'd need to identify all the possible server addresses for each site, then write iptables rules like this: Many sites with heavy traffic loads have multiple servers listening on multiple IP addresses. If you're curious, do a search for "SSLBump".Īt one client site where I manage filtering we use iptables firewalling rules to block remote HTTPS sites. Squid 3.2 has some clever solutions for this problem, but they are not easy to implement. Putting a filter between clients and remote sites using SSL will generate repeated complaints by the client's browser that you are being subjected to a "man-in-the-middle" attack since the filter will disrupt the encrypted transaction between the browser and the server. You can write all sorts of rules that allow or deny connections to remote sites based on IP, domain name, or text in the URL. First, your best choice for a filter is Squid (). 11/29/2023 0 Comments Skim coat drywall compoundIt is used to embed and finish the joint compound, Laminate, and repair masonry and plaster that are not exposed to moisture with this product. This joint compound is a great way to spruce up an old wall without requiring too much work. It also can be applied by hand or with machine tools which makes this joint compound easy to work with, especially for beginners. The joint compound is hand-applied to plaster or brick for simple texturing. GYPSUM Joint Compound 380270072 is creamy in consistency and provides superior joining and skim coating properties without joint tape. Provide a smooth finish that is ready for final coats.Offers high quality, quick-drying, durable results.It can be sanded easily without striping or tackiness.USG 381466 joint compound is a lightweight joint compound.This joint compound will produce a smooth finish that is ready for final coats in one to two hours. Using joint compound for skim coating is simple as the joint compound provides high quality, quick-drying, durable results that can be sanded easily without striping or tackiness. This joint compound is an easy way to spruce up an old wall without requiring too much work.Ī skim coat is a thin coating of joint compound applied over drywall tape before final finishing coats are applied in order to provide an even textured finish. This joint compound weighs up to 35% less than conventional compounds. This joint compound has superior adhesion and meets ASTM C475 standards. It is not only lightweight but it can also be sanded with the ease of a joint compound and bonds like one as well. This joint compound can be used on all interior gypsum panel construction. The joint compound is formulated to provide low shrinkage, and it usually only requires two coats over metal (such as joint tape or staples). It has all the benefits of a joint compound and comes in a convenient ready-mixed tub, making it easy to use with metal taping as well as other protection and joint materials. USG 381466 joint compound is a lightweight joint compound that is specially designed for skim coating. Comes from trusted brands such as DAP products.High-quality product that is cost-efficient.This joint compound also has minimal odor and can be used to skim coating at any time of year. It has been proven to produce a high-quality product that is cost-efficient since this joint compound comes from trusted brands such as DAP products.īy using this joint compound for skim coating, the drywall mud can seal joint surfaces quickly with minimal shrinking, and it sands easily. Whether you hire professionals or do it yourself, the walls look great. The DAP joint drywall mud 12-pound tub is easy to apply, dries quickly, sands quickly, and minimizes shrinkage. It’s not very demanding, but it will provide you with the finishing touch on your home’s interior walls that will make any older room look like new. This drywall mud is used in combination with joint tape to fill gaps and joints surfaces. Wallboard Joint Compound Dap 10102ĭap drywall joint compound for skim coating is easy to use, sand and provides a nice finish on an old wall. Here are our top seven picks for the best joint compound for skim coating. ![]() Each with its own unique set of features and benefits that make it better suited for specific tasks than others. ![]() There are many different joint compounds available today. Top 07 Best Joint Compound for Skim Coating Reviews
11/28/2023 0 Comments Bitwarden android![]() ![]() Saved payment details work with autofill, but you’ll need to log in to find identity information like driver’s licenses and passports. The web portal and apps come into their own when it’s time to access the other types of information stored in the vault. Like many other apps, it monitors your password vault and lets you know if your information has been exposed in a security breach. It automatically fills forms, quickly syncs passwords and data across devices, and tests your passwords for strength levels. The browser extension resembles the web app and includes a password generator, which makes using the password manager on the fly even easier.īitwarden includes plenty of features to make life easier. We prefer using the web app, as it still includes complex authentication options and access to reports. While there are desktop clients for viewing and editing credentials and checking other account information, most will rarely use them in favor of the extensions that serve the password manager’s primary function: to automatically fill out login details and capture new ones.Īdding a new item is as easy as filling in a simple form, and you can attach notes and custom fields to each entry for total personalization. And while it’s not as slick-looking as some other tools, that doesn’t really matter when the app’s functionality is more important. A Data Breach Report can tell you whether an email address has been compromised in a known data breach.īitwarden has a sleek, straightforward interface that allows users to easily search and access their passwords and secure data. Also, advanced features are added, such as two-factor authentication (2FA) and emergency access. Premium plans include reports on your passwords that highlight weak passwords and unsecured websites. You’ll get all of this with the Enterprise plan, which costs $5 / £5 / AUD$8 per user per month, alongside custom roles, SSO integration, in-depth admin options, and self-host settings.Īll of Bitwarden’s features can be administered in the web application (Image credit: Bitwarden) Bitwarden: Interface and performanceīitwarden’s basic plans focus on the meat of password management, but even the free plans include multi-device sync, optional self-hosting, and unlimited cloud storage. It includes a wealth of added features such as user groups and API access – and you get better logging and unlimited sharing, too. Whether you need a more advanced plan for yourself or the whole family, these two paid plans are packed with features at a really attractive price point.įor companies, the Team Organization plan costs $3 / £3 / AUD$5 per user per month. It also includes all of the features you’ll get with the individual Premium account. The family plan includes up to six separate users, unlimited sharing and collections, and improved storage organization, which makes it easier to manage all of the passwords associated with business households. Paying customers can also send encrypted files, which is good for sharing sensitive information like bank statements and bills. Upgrading to the $10 / £10 / AUD$15 per year Premium plan adds emergency access, advanced 2FA, an authentication module and security reporting alongside priority customer support. Sharing passwords is also included in the free plan, as is a password generator and support for email aliases. Typically, rival companies’ free plans limit users to just one active device, so this is a real selling point for Bitwarden. For many, the free version will be more than sufficient, because it supports an unlimited number of passwords and device syncing. 11/28/2023 0 Comments Delete double photos iphone![]() ![]() I also noted that the app does not continue scanning if you switch to another app during the scan, as it says you can do, even though I have background app refresh set to ON. Especially for free! Five stars if developer can fix the pause because I’m sure most people would not wait that long, and quit the app thinking it was broken, like I did the first couple of times. Once scanned the duplicates were identified correctly and I could successfully delete what I wanted. Sometime between five and ten minutes later the scan resumed and completed. When it had scanned about 90% it stopped like before (not on a particular number, which seems likely be memory related, rather than quantity) and, instead of quitting after a couple of minutes like before, I just let the device sit there. I tried it again after developer contacted me asking for further details. I originally reported that it simply didn’t work because my observation was that it got to a point in the scan where there was no activity for several minutes, and I didn’t think waiting would make a difference. On big photo libraries, a long pause before finishing scan I figured out that the oldest files were on the left, but that would make it easier. It would be helpful to see the file type. As some background, I have a design business and often have an original jpeg graphic and a secondary png graphic that I’ve removed the background on so that it is transparent and can be put on shirts and the like. Being able to see a date is nice, but not always the only thing I need. I’d like to get some file details when going in to look closer at an individual picture in the compare screen after scanning. ![]() I started mine before going to bed and left it on and running. You’re supposed to be able to minimize, but that didn’t work on my iPad. A couple of points thought.įirst and most important, it does take time to scan your files. This tool is fantastic and the best thing I’ve found to help clean up my massive library better than any other ‘find dupes’ program I’ve tried. Thanks to the app developer of this app for making it simple and free for making an app that takes care of this task that would never get done otherwise. That’s unheard of now because greed has once again found a way again and instead of paying for the app once, you get to pay every month to keep using it so it’s like buying the same app every month. ![]() Not that I’m above paying for an app, which is how things used to be-pay for the app one time fee, get full access-period! No. in order to actually delete the dups the app found, guess what? Yup! Subscription needed!). scan and locate all dups, present them to you, and then whoa wait. Unlike those apps, this one actually wasn’t disappointing or only performed half the actual task (e.g. Not to mention, of the apps that I do use or have used more than once, the actual use is pitiful, within allowable functionality without having to commit to a flipping monthly subscription just to actually do anything worthwhile or justifiably important for the price. I haven’t had much time to really take this app out for a spin but, from the brief period of time I did, however, test it out, it actually seems quite useful and honestly, probably one of the most sensible apps I have on my iPhone amongst the umpteen hundreds of worthless, nonsensical, and disappointing other apps that most have never once been used. 11/28/2023 0 Comments Opera browserfor xp 32 bit![]() The history of Windows dates back to 1981 when Microsoft started work on a program called "Interface Manager". Main articles: Windows 1.0x, Windows 2.0x, and Windows 2.1x It was succeeded by Windows 10 Mobile, which is also discontinued. The first version was Windows Phone 7, followed by Windows Phone 8, and Windows Phone 8.1. Windows Phone: An operating system sold only to manufacturers of smartphones.The first version was called Pocket PC 2000 the third version, Windows Mobile 2003 is the first version to adopt the Windows Mobile trademark. Windows Mobile: The predecessor to Windows Phone, it was a mobile phone operating system.) Microsoft still caters to the consumer market with Windows NT. ( PC World called its last version, Windows Me, one of the worst products of all time. Discontinued because of suboptimal performance. Windows 9x: An operating system that targeted the consumer market.These Windows families are no longer being developed: Eventually, however, Windows CE was renamed Windows Embedded Compact and was folded under the Windows Compact trademark which also consists of Windows Embedded Industry, Windows Embedded Professional, Windows Embedded Standard, Windows Embedded Handheld and Windows Embedded Automotive. Windows IoT (previously Windows Embedded): Microsoft developed Windows CE as a general-purpose operating system for every device that was too resource-limited to be called a full-fledged computer.Windows PE: A lightweight version of its Windows sibling, meant to operate as a live operating system, used for installing Windows on bare-metal computers (especially on many computers at once), recovery or troubleshooting purposes.Usage share of operating systems § Market share by category) The main competitor of this family is Linux. ![]() Unlike its client sibling, it has adopted a strong naming scheme. The latest version is Windows Server 2022. Windows Server: The operating system for server computers.Usage share of operating systems § Market share by category). The main competitor of this family is macOS by Apple for personal computers and iPadOS and Android for tablets (c.f. Windows: The operating system for mainstream personal computers and tablets.It consists of three operating system subfamilies that are released almost simultaneously and share the same kernel: Windows NT: Started as a family of operating systems with Windows NT 3.1, an operating system for server computers and workstations.As of 2014, the following Windows families were being actively developed: Microsoft, the developer of Windows, has registered several trademarks, each of which denotes a family of Windows operating systems that target a specific sector of the computing industry. Īs of September 2022, the most recent version of Windows is Windows 11 for consumer PCs and tablets, Windows 11 Enterprise for corporations, and Windows Server 2022 for servers. However, Windows is not the most used operating system when including both mobile and desktop OSes, due to Android's massive growth. Windows is the most popular desktop operating system in the world, with a 70% market share as of March 2023, according to StatCounter. The first version of Windows was released on November 20, 1985, as a graphical operating system shell for MS-DOS in response to the growing interest in graphical user interfaces (GUIs). Defunct Windows families include Windows 9x, Windows Mobile, and Windows Phone. For example, Windows NT for consumers, Windows Server for servers, and Windows IoT for embedded systems. Each family caters to a certain sector of the computing industry. Microsoft Windows is a group of several proprietary graphical operating system families developed and marketed by Microsoft. Windows 9x and earlier: Monolithic ( MS-DOS).Windows Embedded Compact/Windows CE: Hybrid. 11/28/2023 0 Comments Sc dew address![]() Option 3 - Create a User Account Why Register? Workforce and Economic Development. Option 1 - Already Registered User Name: Password: If you have forgotten your user name and/or password, please click Retrieve User Name or Password. E-mail Questions or Concerns.Veteran's Portal - Login and Registration Options For help click the information icon next to each section. Claimants are now required to complete two weekly work searches in their SC Works Online Services (SCWOS) account in order to remain eligible for unemploymen.Welcome to South Carolina Ad-Hoc and Crystal Reports. If you have any questions about your new Money Network. Claimants with a balance left on a Bank of America card can still use the card until September 30, 2021. Instead, your benefits will be loaded to your Money Network debit card. July 27, 2021, weekly unemployment benefits will no longer be loaded to Bank of America debit cards. Your staff account has been inactivated, please contact your supervisor for assistance. For help click the information icon next to each section. ![]() SC Works Online Services – Login and Registration Options. You may also use your PIN number previously established by clicking the Authentication mode radio button below to use the EAN/PIN/FEIN feature. If you have created a username and password in SUITS you may use it here to login. Welcome to the benefits Employer Self Service (ESS) portal. After you register with ID.me, return to the MyBenefits Portal login page and click on the Register Now button and complete the remaining steps as prompted by the system. SUITS Employer Tax System ESS Employer Self Service Portal SC Works Explore free jobseeker and employer resources SCWOS Search For Jobs Near You If you currently have a MyBenefits account with DEW, but your identity has not been verified by ID.me, you must register with ID.me now. The Works application is a Web-based, user-friendly electronic card payment management service that automates, streamlines, and integrates existing payment authorization and reconciliation processes while providing management reporting and spending controls.MyBenefits Apply for and certify your claim here. Auxiliary aids and services available upon request to individuals with disabilities at. To report fraud, waste, abuse, mismanagement or misconduct, call the State Inspector General …An Equal Opportunity Employer/Program. Employers of PGA Professionals reap the rewards of unrivaled marketing and operational benefits thanks to a variety of tools, resource and cost-saving benefits.An Equal Opportunity Employer/Program. Selecting the best PGA Professional for your facility is one of the most important decisions you will make. › Scworks org log in › Scworks org jobs › Sc dew unemployment job search › Sc job search › Scworks org log my benefits Login Work in Golf. Allow us to help you discover more than 204 of jobs scworks log in so you can choose a career path with a sense of personal fulfillment. Jobs scworks log in get to make a difference every single time they go to work. 11/28/2023 0 Comments Als emg findings![]() ![]() A ultrassonografia apresentou taxas de detecção superiores à eletroneuromiografia, independentemente do tempo de sua avaliação e dos músculos avaliados. Já na ultrassonografia de 30 s, a acurácia nos pacientes foi de 82%. A acurácia da ultrassonografia de 10 s nos músculos foi de 70%, enquanto nos pacientes foi de 85%. A avaliação da taxa de detecção por pacientes não apresentou diferença significativa entre a ultrassonografia de 10 s e 30 s. A ultrassonografia, tanto de 10 s quanto de 30 s, apresentou taxa de detecção superior à eletroneuromiografia em todos os músculos avaliados. As ferramentas Quality Assessment of Diagnostic Accuracy Studies, versão 2, e RTI item bank foram utilizadas para avaliação da qualidade do método. Foram realizadas buscas nas bases de dados eletrônicas Cochrane Library, MEDLINE, Embase e Lilacs, para estudos que avaliam a acurácia diagnóstica e as taxas de detecção da ultrassonografia e eletroneuromiografia. O objetivo deste estudo foi determinar a acurácia diagnóstica da ultrassonografia e da eletroneuromiografia para o diagnóstico da fasciculação e comparar suas taxas de detecção. ![]() Ultrasonography Electromyography Fasciculation Amyotrophic lateral sclerosis Ultrasound provided detection rates superior to those achieved with electromyography, independent of the examination time and muscles evaluated. The accuracy of ultrasound for 30 s was 82% in patients. The accuracy of ultrasound for 10 s was 70% in muscles and 85% in patients. The overall detection rate (in patients) did not differ significantly between ultrasound for 10 s and ultrasound for 30 s. Ultrasound, for 10 s or 30 s, had a higher detection rate than did electromyography in all muscles evaluated. The Quality Assessment of Diagnostic Accuracy Studies, version 2, and RTI item bank tools were used for the evaluation of methodological quality. ![]() By searching the Cochrane Library, MEDLINE, Excerpta Medica, and Latin-American and Caribbean Health Sciences Literature databases, we identified studies evaluating the diagnostic accuracy and fasciculation detection rates of ultrasound and electromyography. Peak ratio interference pattern analysis is largely not helpful in detecting this involvement.The objective of this study was to determine the diagnostic accuracy of ultrasound and electromyography for the detection of fasciculation in patients with amyotrophic lateral sclerosis and to compare detection rates between the two methods. Subclinical bulbar involvement could be detected by quantitative MUAP analysis in six ALS patients without clinical bulbar signs, and by peak ratio interference pattern analysis in two.Ĭonventional needle EMG of the fifth, seventh, and eleventh cranial nerve innervated muscles shows subclinical bulbar involvement quite frequently. If a result of either EMG technique was neuropathic in at least one of the three investigated muscles, bulbar involvement was assumed. Peak ratio interference pattern analysis was interpreted as neuropathic if the peak ratio, the number of small time intervals, or both were below the mean (-2 SD). Quantitative MUAP analysis was interpreted as neuropathic if MUAP duration, MUAP amplitude, or both exceeded the mean (+2 SD). The normal mean (2 SD) peak ratio of the frontalis was 2.3 (1.1) milliseconds masseter, 1.2 (0.4) milliseconds and sternocleidomastoideus, 1.5 (0.7) milliseconds. The normal mean (2 SD) MUAP duration of the frontalis muscle was 7.4 (2.2) milliseconds masseter muscle, 9.3 (3.1) milliseconds and sternocleidomastoideus muscle, 10.9 (4.1) milliseconds. With both electromyographic (EMG) techniques, electrical activity was recorded via needle electrodes from the right frontalis, masseter, and sternocleidomastoideus muscles of nine ALS patients without clinical bulbar signs (Frenchay score >85%) aged 40 to 87 years 21 healthy subjects aged 27 to 74 years and five ALS patients with clinical bulbar signs (Frenchay score <85%) aged 53 to 69 years. To determine if quantitative motor unit action potential (MUAP) analysis and peak ratio interference pattern analysis of the fifth, seventh, and eleventh cranial nerve innervated muscles are helpful in the assessment of subclinical bulbar involvement in ALS. |
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