3/2/2024 0 Comments GraphicConverter free downloadThis process involves detecting the shapes in the image, fitting curves to them, and exporting the result as a vector file. Get inspired and save time with expertly designed. Free Download Report It Download Problems Graphicconverter MacOS Mac App Store Graphics Software Apple Computer Software Image Editing Editing Mac OS X. The process of automatically converting bitmap images into vector art is called a variety of things, including vectorizing, vectoring, tracing, bitmap to vector, raster to vector, convert to vector, and probably many others. Download Pixillion Image Converter for Windows. Over 100,000 templates & assets to start from. Designed to be quick and intuitive, this high quality image converter can do batch conversion, add effects, rotate, add watermark and more. Open the Mac App Store to buy and download apps. Then, download your new image and use the SVG converter to turn it into a custom SVG file. Download GraphicConverter 12 for macOS 10.13 or later and enjoy it on your Mac. The officially free code presented by author for v5.9.5 also unlocks v4.x it. Quickly and easily upload your image to convert a JPG to a vector file. Download links are directly from our mirrors or publishers website, AppleMacSoft Graphic Converter for Mac 1.3.1 torrent files or shared files from free. Convert images to JPG, SVG, PNG, WEBP, PDF, BMP, GIF, ICO, EPS, TIFF, TGA, and more - Batch image converter (for free) - Super easy & intuitive image converter. Support converting more than 50+ image formats. Hackers can use this backdoor to take control of your computer, copy data from your computer or to use your computer to distribute viruses and spam to other people. Convert your JPG images to SVG with the Adobe Express free JPG to SVG converter. PixConverter Features: - Convert photos without losing quality. These infections might corrupt your computer installation or breach your privacy.ĪppleMacSoft Graphic Converter for Mac 1.3.1 keygen or key generator might contain a trojan horse opening a backdoor on your computer. While you are searching and browsing these illegal sites which distribute a so called keygen, key generator, pirate key, serial number, warez full version or crack forĪppleMacSoft Graphic Converter for Mac 1.3.1. Your computer will be at risk getting infected with spyware, adware, viruses, worms, trojan horses, dialers, etc Including AppleMacSoft Graphic Converter for Mac 1.3.1 Rapidshare, MegaUpload, HellShare, HotFile, FileServe, YouSendIt, SendSpace, DepositFiles, Letitbit, MailBigFile, DropSend, MediaMax, LeapFile, zUpload, MyOtherDrive, DivShare or MediaFire, Download links are directly from our mirrors or publisher's website,ĪppleMacSoft Graphic Converter for Mac 1.3.1 torrent files or shared files from free file sharing and free upload services, Using warez version, crack, warez passwords, patches, serial numbers, registration codes, key generator, pirate key, keymaker or keygen forĪppleMacSoft Graphic Converter for Mac 1.3.1 license key is illegal and prevent future development ofĪppleMacSoft Graphic Converter for Mac 1.3.1. Top 4 Download periodically updates software information of AppleMacSoft Graphic Converter for Mac 1.3.1 full version from the publisher,īut some information may be slightly out-of-date.
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3/2/2024 0 Comments Windows 10 product key torrentYou can get a Windows 10 key from Microsoft at around $200 which is generally called a retail license. If the free version of Windows 10 doesn’t cut for you or you are not a student anymore or you no longer have an old PC to upgrade then you can buy a new Windows 10 key at a cheaper price. Here I will share some authentic sources from where you can get a genuine Windows 10 key at a much cheaper price.īut before that, let me explain briefly the reason behind the low cost. This way you will save yourself from buying a new Windows 10 key.Ĥ. Get Windows 10 Key from Authentic Sources at a Cheaper Price Here, you will find the activation status. If you want to check the activation after updating to Windows 10, navigate to Settings-> Update and Security-> Activation tab on the left pane. The tool will download and upgrade your older Windows PC to Windows 10 without requiring a Windows 10 Key. Just choose “Upgrade this PC” option and click on “Next”. Microsoft has a dedicated OnTheHub website for students where you can find all the details about the offerings.ĭownload the Media Creation Tool from here and run it. If you are a student at any educational institute, you can get a Windows 10 key, Microsoft Office 365, Oracle software and access to many other Microsoft goodies. Under this partnership, students can avail many Microsoft products at a discounted price or even free of cost. To bring more students and researchers under the Microsoft ecosystem, the company has partnered with schools, colleges, and universities from many countries. Get Windows 10 Free or Cheap Through OnTheHub (For School, Colleges and Universities) If you want a step by step guide, follow our tutorial here.Ģ. After that, you can download the ISO file and create a bootable USB. To download the free version of Windows 10, head over to Microsoft’s official website and download the Media Creation Tool. Using the free Windows 10 seems a much better option than pirating Windows 10 Key which is most probably infected with spyware and malware. You are absolutely free to use it, any way you want. Let me make it clear, there is no difference between the free and paid version of Windows 10 other than visual customization and “Activate Windows” watermark. There are no intrusive prompts forcing you to buy a Windows 10 key or any sort of lockout from your PC. However, both these limitations are actually not much of a big deal. Also, an “Activate Windows” watermark always appears on the bottom-right corner of the screen. The only limitation is that you can’t personalize Windows appearance, but it hardly matters. It comes with all Windows functionalities and you will get feature and security updates too. Basically, everything works similar to the activated Pro version. If you are looking for a Windows 10 key, the better alternative will be to use the free version of Windows 10 instead of buying a new license key. However, the sad part is that users are still unaware of it. Two years back, Microsoft quietly made Windows 10 free to download, install, and use. Get Windows 10 Key from Authentic Sources at a Cheaper Priceĭownload Windows 10 Enterprise Evaluation The next time you’ll probably run it again is when you’ve lost the code once more and need to reinstall your operating system again.Get Windows 10 Through OnTheHub (For Educational Institutes) However, it doesn’t often bear a second use since it allows you to store the product key details somewhere safer and easier to access. For only one timeĪll in all, Windows Product Key Viewer is definitely a handy lightweight tool. It’s easy to use and there’s no need to install it. It will also give you other information, such as the full Windows version, service packs, product ID, installation date and time, the registered user, the VMWare and organization, and the current Windows uptime. The tool will simply retrieve the code and allow you to copy it to a text file or print it for a physical copy. Fortunately, the Windows Product Key Viewer was designed to fix this problem. This can be a huge hassle as Windows doesn’t actually display your code-it can be found on your installation disk or proof of purchase and losing that will be a pain in the neck. 3/2/2024 0 Comments Oath of loyaltyNever go back on an oath.ġst- wrath 2nd- aid 3rd- helping hand 4th- sending. Loyal Guardian (Su)Īt 8th level, whenever the target of the paladin’s loyal oath is hit with a melee or ranged attack, if the paladin is adjacent to the target, she can spend an immediate action to have the attack automatically hit her instead of the intended target.This ends the loyal oath. At 4th level and every three levels thereafter, the paladin may use her loyal oath one additional time per day. If the target is struck by an enemy and the paladin is adjacent to that enemy, as an immediate action she may make a single melee attack against that enemy making this attack ends the loyal oath. The loyal oath lasts 1 minute, or until the paladin dismisses it (a free action) or discharges it (see below), whichever comes first. When the paladin is adjacent to the target of her loyal oath, she grants the target a sacred bonus on saving throws and to Armor Class equal to the paladin’s Charisma bonus. Starting at 1st level, once per day as a swift action, an oathbound paladin can choose a willing creature within line of sight as the target of her loyal oath. She is careful with her words, lest she agree to something she cannot fully support. The oathbound paladin’s word is a promise, a sacred bond, and also greater power in the cause of law and good. Those who take this oath put that ideal to the test every day. or state constitutions and is not knowingly a member of any of a number of organizations held. typically affirming that the signer upholds the U.S. When they say something, it will be done. The meaning of LOYALTY OATH is a usually mandatory oath affirming the loyalty of its taker (as to a sovereign, government, or party principles) especially : an oath often required of public employees or applicants for public employment in the U.S. To most paladins, their word is everything. Mitch Rapp, the CIA assassin, faces a new kind of threat in this thriller by Vince Flynn and Kyle Mills. 3/2/2024 0 Comments Mcoc mr negative reviewNick Fury + Quake: Doubles the amount of dark energy + place +1 more Delirium. Ability will improve his Degen/Energy ResistanceĪnd immunity to all Nullify, Stagger and Fate Seal effects. Awakened: Will be much better because his Sig. UnAwakened: He's a good champion to play. He will gain 100% Evade chance against Basic Attacks. While Charging a Heavy Attack, if 1 or more Light Energy are active, It grants a Fury Buff increasing Attack Rating by +365.55 for 10 seconds. All Dark Energy is consumed, each dealing a burst of 2071.45 Direct Damage to the Opponent. All Light Energy is consumed, each Regenerating 380.43 Health (big amount of healing with a lot of L.energy). Best rotation for this special is get 8/9 light energy then charge heavy and wait for the opponent to attack you to convert them into D.Energy then do that again but this time with 11/12 light energy to get in total 19/20 dark energy to inflict massive degen damage and 2 petrify debuffs.Very important note: If 10 or more Dark Energy are active, he will inflict another Petrify. Last hit consumes all remaining D.Energy, inflicting 1 additional Degen for each Dark Energy. Inflicts a Degeneration Debuff, dealing up to 3289.95 Direct Damage over 10 seconds. Less than 10 Dark Energy inflicts a Petrify for 20 seconds. Increases Block Proficiency by +700 for each Light Energy, then convert all Energies into Dark Energy (His block proficiency can be increased by +14K max! and this can be applied to him twice).Īlso his sp1 inflicts an Exhaustion for 20 seconds. SPECIAL ATTACK 3 with a lot of dark energy stacks can deal insane Direct Damage. His best damage from his insane Degeneration Debuffs in SPECIAL ATTACK 2. Dark Energy will expire over 16 seconds! (Once reaching 10 stacks). Light Energy will expire over 6 seconds! (Once reaching 10 stacks). Until reaching 10 stacks (Max stacks 20). Both of Light Energy and Dark Energy lasts indefinitely All his damage and utility depends on his light & dark energy:.Heal/Power Gain Inversion, Bane, Vigorous/Armored Assault and Power Shield. No Retreat, Ebb and Flow - Intercept, Stun Immunity, Buffet, Lifecycle, Mighty Charge, Mister negative is an interesting champion with huge DPS and unique utility, this is my review for him □ If you're looking to join an alliance or recruit for you own alliance, please post in /r/ContestOfChampionsLFG.Ĭredit for the header/footer goes to u/deimutt and credit for the sidebar buttons goes to u/-JJW-! No how-to hack guides or links to hacking programs. No solicitation of any sort including attempts to buy or sell goods, accounts, or services (including mercing). This includes, but is not limited to, criticizing others for spending (or not) and verbal attacks, whether or not the other party is in the wrong or not. Let's attempt to encourage a well mannered community for this game. Subreddit RulesĪccount specific questions like rank up, awakening, sig stone use, team building, masteries, crystal openings, brag posts (unless informational), and battlegrounds fights go in the Account Advice and Discussion sticky, which can be found at the top of the feed when sorting the sub by "Hot".īe civil to one another, both here and in game. R/ContestOfChampions was created to share news, strategy, questions, boasts, wishful thinking, and any other discussion relating to Marvel's Contest of Champions mobile game. 3/2/2024 0 Comments White house tik tok videoIn the days thereafter, I was invited to. Benny Drama) that was intended to serve as a public-service announcement encouraging people to get. "I'm not going to get into the specifics on what he has legally to do so to not do so what I'm saying and we've been very clear, that TikTok, you know, poses a problem and an issue and so we have concerns about that as it relates to Americans data collecting Americans that as a potential national security risk," she said. white male entrepreneurs to masquerade as a Caribbean psychic in the 1990s. The White House is giving all federal agencies 30 days to wipe TikTok off all government devices, as the Chinese-owned social media app comes under increasing scrutiny in Washington over security. E arlier this month, the White House put out a TikTok video by comedian Benito Skinner (a.k.a. Jean-Pierre also wouldn't shed any light on whether Biden has legal authority to issue some type of nationwide ban. The White House said it backed legislation introduced on Tuesday by a dozen senators to give the administration new powers to ban Chinese-owned video app TikTok and other foreign-based. Outside of that, we know that CFIUS has an ongoing investigation or ongoing - looking at this, looking at this situation," White House press secretary Karine Jean-Pierre said during a press briefing on Wednesday, referring the Committee on Foreign Investment in the United States, a group of Cabinet officials that looks into foreign business activity in the U.S. they took action and put this into law, and clearly we're taking, taking those steps as, as it relates to the federal government. TikTok Influencer Kahlil Greene attended the press briefing Joe Bidens White House administration gave to TikTok influencers in March 2021. The White House, for their part, would not say on Wednesday whether they'd pursue a wider federal ban of the app. The White House has tapped into TikTok in the past few years by working with social media stars to promote access to Covid-19 vaccines and to brief viewers on the Russia-Ukraine war and the. 'I get to sit down with Joe Biden with Now This News, and I. Before we take the unprecedented step of banning an app used by over 100 million Americans, harming our national security and infringing on their freedom of expression and speech, Congress must first adequately consult with the Administration and other stakeholders." said Gregory Meeks, D-N.Y., the committee's ranking member, after the bill passed. P resident Joe Biden made good on his promise to host TikTok star Dylan Mulvaney at the White House Thursday. “The Republican instinct to ban things it fears, from books to speech, appears uninhibited. 3/1/2024 0 Comments Image unblur aiSuch image segments are sampled and processed to generate the spatially-varying noise map ( right) where red indicates more noise is present. The noise is more prominent in the bottom, darker crop and is unrelated to the underlying structure, but rather to the light level. The two segments on the left illustrate signal-dependent noise present in the input image ( center). This process is repeated at multiple scales, making it robust to artifacts that may arise from compression, image resizing, or other non-linear camera processing operations. To estimate this brightness-based noise level, we sample a number of small patches across the image and measure the noise level within each patch, after roughly removing any underlying structure in the image. That is, for each possible brightness level, the model estimates a corresponding noise level in a manner agnostic to either the actual source of the noise or the processing pipeline. The noise level is modeled as a function of the brightness of the underlying pixel. So, a camera-agnostic approach for noise reduction begins by formulating a method to gauge the strength of noise at the pixel level from any given image, regardless of the device that created it. In order to accurately process a photographic image and successfully reduce the unwanted effects of noise and blur, it is vitally important to first characterize the types and levels of noise and blur found in the image. These noise and blur reduction strategies are critical components of the recent Google Photos editor updates, which includes “ Denoise” and “ Sharpen” tools that enable users to enhance images that may have been captured under less than ideal conditions, or with older devices that may have had more noisy sensors or less sharp optics.Ī demonstration of the “Denoise” and “Sharpen” tools now available in the Google Photos editor. Both of these components are designed to maximize computational efficiency, so users can successfully enhance the quality of a multi-megapixel image in milliseconds on a mobile device. We developed a pull-push denoising algorithm that is paired with a deblurring method, called polyblur. Today, we present a new approach for camera-agnostic estimation and elimination of noise and blur that can improve the quality of most images. This interconnectedness increases the difficulty of developing image enhancement techniques that are computationally efficient to run on mobile devices. In most situations, these two problems are intrinsically related: noise reduction tends to eliminate fine structures along with unwanted details, while blur reduction seeks to boost structures and fine details. However, when presented with an image produced from an arbitrary (possibly unknown) camera, improving noise and sharpness becomes much more challenging due to the lack of detailed knowledge and access to the internal parameters of the camera. It is far easier to minimize the effects of noise and blur within a camera pipeline, where details of the sensor, optical hardware and software blocks are understood. Image blur can be caused by a wide variety of phenomena, from inadvertent camera shake during capture, an incorrect setting of the camera’s focus (automatic or not), or due to the finite lens aperture, sensor resolution or the camera’s image processing. The captured noisy signal is then processed by the camera image processor (ISP) and later may be further enhanced, amplified, or distorted by a photographic editing process. Noise can be associated with the particle nature of light ( shot noise) or be introduced by electronic components during the readout process ( read noise). These are particularly relevant when taking pictures in poor light conditions, where cameras may compensate by increasing the ISO or slowing the shutter speed, thereby exacerbating the presence of noise and, at times, increasing image blur. Posted by Mauricio Delbracio, Research Scientist and Sungjoon Choi, Software Engineer, Google Researchĭespite recent leaps in imaging technology, especially on mobile devices, image noise and limited sharpness remain two of the most important levers for improving the visual quality of a photograph. 3/1/2024 0 Comments Camera photo recovery softwareOnce this block size is known, PhotoRec reads the media block by block (or cluster by cluster). Otherwise, PhotoRec reads the media, sector by sector, searching for the first ten files, from which it calculates the block/cluster size from their locations. If the file system is not corrupted, this value can be read from the superblock (ext2/ext3/ext4) or volume boot record (FAT, NTFS). To recover these lost files, PhotoRec first tries to find the data block (or cluster) size. This means the data is still present on the file system, but only until some or all of it is overwritten by new file data. When a file is deleted, the meta-information about this file (file name, date/time, size, location of the first data block/cluster, etc.) is lost for example, in an ext3/ext4 file system, the names of deleted files are still present, but the location of the first data block is removed. The seek time of mechanical drives is significant for writing and reading data to/from a hard disk, so that's why it's important to keep the fragmentation to a minimum level. In general, most operating systems try to store the data in a contiguous way so as to minimize data fragmentation. The cluster or block size remains at a constant number of sectors after being initialized during the formatting of the file system. Want to know if PhotoRec can recover your files ? Upload a sample file via the PhotoRec online checker (BETA).įAT, NTFS, ext2/ext3/ext4 file systems store files in data blocks (also called clusters under Windows). The whole list of file formats recovered by PhotoRec contains more than 480 file extensions (about 300 file families). PhotoRec recognizes and recovers numerous file formats including ZIP, Office, PDF, HTML, JPEG and various graphics file formats. If there is no data fragmentation, which is often the case, it can recover the whole file. PhotoRec searches for known file headers. Olympus C350N, C860L, Mju 400 Digital, Stylus 300.PhotoRec has been successfully tested with various portable media players including iPod and the following Digital Cameras: PhotoRec works with hard disks, CD-ROMs, memory cards (CompactFlash, Memory Stick, Secure Digital/SD, SmartMedia, Microdrive, MMC, etc.), USB memory drives, DD raw image, EnCase E01 image, etc. Unfortunately, PhotoRec isn't able to deal with this - that's why it doesn't work well with ReiserFS. In order to increase performance, ReiserFS is able to store files inside the b*tree leaf nodes themselves, rather than storing the data somewhere else on the disk and pointing to it. ReiserFS includes some special optimizations centered around tails, a name for files and end portions of files that are smaller than a filesystem block. PhotoRec ignores the file system this way it works even if the file system is severely damaged. Windows 11/10/8.1/8/7/Vista/XP, Windows Server 2022/2019/2016/2012/2008/2003Īnd can be compiled on almost every Unix system.ĭownload TestDisk & PhotoRec File systems.This means that while using PhotoRec, you must not choose to write the recovered files to the same partition they were stored on. Important: As soon as a picture or file is accidentally deleted, or you discover any missing, do NOT save any more pictures or files to that memory device or hard disk drive otherwise you may overwrite your lost data. PhotoRec is a companion program to TestDisk, an application for recovering lost partitions on a wide variety of file systems and making non-bootable disks bootable again.įor more safety, PhotoRec uses read-only access to handle the drive or memory card you are about to recover lost data from. PhotoRec is free - this open source multi-platform application is distributed under GNU General Public License (GPLV v2+). PhotoRec ignores the file system and goes after the underlying data, so it will still work even if your media's file system has been severely damaged or reformatted. PhotoRec is file data recovery software designed to recover lost files including video, documents and archives from hard disks (Mechanical Hard drives, Solid State Drives.), CD-ROMs, and lost pictures (thus the Photo Recovery name) from digital camera memory. PhotoRec, Digital Picture and File Recovery You can make it competitive If you're prepared to put in the work. "The pricing can be relatively competitive, but sometimes you have to go back to VMware and ask for additional discounts.However, VMware Horizon View users report a positive ROI where Microsoft users do not. In contrast, VMware Horizon View users report a positive one.Ĭomparison Results: Microsoft Remote Desktop Services has an easier deployment then VMware Horizon View and a better experience with technical support. ROI: Microsoft Remote Desktop Services users do not mention ROI.VMware Horizon View users share mixed opinions. Service and Support: Most Microsoft Remote Desktop Services users are satisfied with the technical support. VMware Horizon View users consider the solution to be very expensive. Pricing: Microsoft Remote Desktop Services users share mixed reviews on the pricing. Users say the reporting could be improved and that they would like to see more useful monitoring. VMware Horizon View users like the solution’s desktop management and its remote virtual desktop interface. Reviewers say the solution could improve if it worked with other operating systems, and think it could benefit from an added notification feature. Microsoft Remote Desktop Services users like the solution’s multi-screen feature, smooth connectivity, and that it is user friendly.
3/1/2024 0 Comments Nimble storage star warsWhat are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis Organizational restructuring of Storage Whitney Strengths Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth | Internal Strategic Factors Making a Innovation & Entrepreneurship topic specific business decisionĦ. Improving business portfolio management of Storage Whitneyģ.Ěssessing feasibility of the new initiative in Innovation & Entrepreneurship field.Ĥ. Strategic planning using facts provided in Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth case studyĢ. SWOT analysis of Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth can be done for the following purposes –ġ. SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix At Oak Spring University, we believe that protagonist in Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Storage Whitney, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Storage Whitney operates in.Īccording to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc. SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats. Introduction to SWOT Analysis of Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth Increasing commodity prices, challanges to central banks by blockchain based private currencies, etc Some of the macro environment factors that can be used to understand the Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth casestudy better are - – increasing government debt because of Covid-19 spendings, increasing household debt because of falling income levels, geopolitical disruptions, central banks are concerned over increasing inflation, wage bills are increasing, cloud computing is disrupting traditional business models, increasing transportation and logistics costs, Some of the topics covered in Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth case study are - Strategic Management Strategies, Growth strategy, Human resource management and Innovation & Entrepreneurship. Swot Analysis of "Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth" written by Homa Bahrami includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Storage Whitney facing as an external strategic factors. The case study ends with the launch of the company's new leadership program, LEAD and raises questions about Nimble's future growth and international expansion, specifically how its growth plans might affect people initiatives going forward.Īuthors :: Homa Bahrami Topics :: Innovation & Entrepreneurship Tags :: Growth strategy, Human resource management, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis With lofty ambitions, such as transforming the world of storage through its hybrid storage system, and with the stated goal of becoming a billion dollar company in three years, Vasudevan, Whitney, and the senior team believed that Nimble's people strategy would be critical in helping achieve its ambitious goals and thus focused on short- and long-term people initiatives in order to scale. The case study describes the history of the company, the context in which Whitney was hired, and key people initiatives since Whitney's arrival. The key protagonists are CEO Suresh Vasudevan, along with the Vice President of Human Resources, Paul Whitney. The Nimble Storage case study tells the story of a rapidly growing storage startup in Silicon Valley. Case Study Description of Nimble Storage: Scaling Talent Strategy Amidst Hyper-Growth 3/1/2024 0 Comments Bagpipe player windows 10A HRCT follow-up scan from (day 73) of the thorax demonstrated regressive interstitial infiltrates bipulmonal, regressive ground glass opacities predominating in the right middle-lobe and unchanged markedly subpleural fibrotic changes on both lung fields ( Fig. These examinations were performed on day 0–4.Īn externally performed computed tomography of the thorax (day – 49) showed subpleural reticular bronchiectasis (DD fibrotic changes) and mosaic perfusion with nodular densities in the right upper lobe. There were no abnormal results in other blood analyses. Blood gas analysis breathing ambient air revealed the following results: pH = 7.41, pCO2 = 37.6 mmHg, pO2 = 67.5 mmHg, TLCO 23%, demonstrating a severe disorder of gas exchange. Microbiological examination of the BALF revealed no evidence of fungal growth, mycobacteria or disease-causing bacteria. Cytology of the bronchoalveolar lavage fluid (BALF) showed no malignant cells, a lymphocytosis of 17% was found with a CD4/CD8 quotient of 1:2.5 (normal: 0.7–2.8) and CD56-NK cells of 12.1% (normal: 5–29%). A bronchoscopy with bronchoalveolar lavage was performed. Transthoracic echocardiography and ECG were inconspicuous. The lung function test showed a moderate restrictive respiratory disorder: total lung capacity 4.18 L, 59% predicted, vital capacity 2.26 L, 57% predicted, FEV1 1.95 L, 68% and residual volume 1.92 L, predicted 68%. Oxygen saturation at rest was 97% with no dyspnea, after walking exercise significant drop of oxygen saturation to 91%, dyspnea of 3 on the Borg scale (range 0–10) and no muscular exhaustion. The six - minute walk distance was slightly reduced with 398 m. Apart from that, there were no abnormal results in physical examination. Physical examination yields in the auscultation of the lungs crackles. The patient was playing the bagpipe for 20 years. During his life he was a nonsmoker and worked in the office. His medical history revealed no previous pulmonary or autoimmune disease. A 79 - year old man presented to the pneumology outpatient department on (day 0) with a six months' history of exertional dyspnea and weight loss of seven kilograms. |
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