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If you're looking for less extreme options, check out our other build guides on the right. Intel's Kaby Lake and AMD's Ryzen processors are great CPUs, but we're pulling out all the stops. That means the new Skylake- X Core i. X gets the nod as the fastest CPU that's currently available, particularly when it comes to gaming. Best Software Measure Cpu Temps RecommendedBest Software Measure Cpu Temps WindowsHere are the latest articles published on Tom’s Hardware. See the latest news, reviews and roundups and access our tech archives. Intel CPU at 4. 5. GHz will easily beat AMD's 8- core Ryzen at 4. GHz. You can see the regional pricing for the components we selected in the above table, which will update in real time. Remember that you'll need two GTX 1. Ti cards for SLI, which puts the price tag at the time of writing at a bit north of $5,0. Note that a display, keyboard, and mouse are not included in our build guides—but those links give our recommendations for each category. Extreme Gaming Components. CPU: Intel Core i. XFor most gamers, we shy away from Intel's so- called 'enthusiast' platforms, sticking instead with the mainstream offerings. While you can usually get everything you need from a Skylake / Kaby Lake build, the one area where you come up short is in PCI Express lanes. Z1. 70/Z2. 70 tops out at 1. Gen. 3 lanes from the processor, with four more DMI 3. If you want to run multiple GPUs, they'll end up using x. PLX chip, but that doesn't fully overcome the PCIe lane limitation. A high- end 'enthusiast' processor on the other hand will double the number of PCIe lanes. The X2. 99 platform also more than doubles the number of CPU cores, thanks to the i. X. Is this a reasonably priced upgrade over a Ryzen 1. Hell no, but nothing about this build is reasonable! But looking at Ryzen performance with a single 1. Ti, I wouldn't want to spend over three grand only to come up short on the CPU. While AMD's Threadripper should arrive soon, clockspeed is still a big factor in games and the i. X can hit 4. 7. GHz on all cores (with the right motherboard and cooler). We've argued both sides of the X9. X2. 99 vs. Z1. 70/Z2. Skylake- X platform. With 1. 0 CPU cores and 4. PCIe lanes from the CPU, you'll be set for the next several years at least. And there's definitely a benefit in some games—we've seen differences of up to 2. Kaby Lake platform when running GTX 1. Ti SLI, and the additional cores are even more useful when it comes to other tasks. Do you want to live stream a game without dropping frames? Or are you a budding videographer with a decent camera? Maybe you're hoping to become the next indie gaming sensation and you need a good PC for software development. Whatever your plan, the i. X can outperform an i. K by over 1. 00 percent in applications that put the extra cores to good use. It's no surprise that our own PC gaming benchmark system uses hardware very similar to this build. If you want to save some cash but still get some extra cores, the i. X or Ryzen 7 1. 70. Don't forget the X3. AMD route. Motherboard: Gigabyte X2. Aorus Gaming 9. If the CPU is the brains of your new PC, the motherboard is the nervous system and other vital organs that actually keeps things running smoothly. Skimp on a motherboard at your own peril—especially when using multiple graphics cards. The Gigabyte X2. 99 Aorus Gaming 9 is the proverbial everything- plus- the- kitchen- sink approach to motherboards, with a sweet set of features. I had mixed feelings about the 'auto- overclocking' with my initial testing, but if you're building an enthusiast PC, getting stock performance of 4. GHz on all 1. 0 cores is great, and 4. GHz with a good cooler was also possible. The X2. 99 Aorus Gaming 9 also includes three M. Wi. Fi, dual gigabit Ethernet, RGB lighting, five reinforced x. PCIe slots (though you'll need to pay attention to lane allocations, depending on your CPU choice), and more. The only catch is the sticker shock, as this is a $5. Gigabyte's X2. 99 Aorus Gaming 3/5/7 motherboards drop a few of the features, with the Gaming 3 coming in at $2. Asus and MSI also offer multiple X2. Gigabyte Aorus board is an impressive tour de force. Graphics Cards: 2 x Ge. Force GTX 1. 08. 0 Ti. Titan alternative. There have been enough high- profile games with lackluster multi- GPU support during the past year that some people will prefer running a single GPU. The 1. 08. 0 Ti is the fastest card, and it can mostly handle 4. K ultra at 6. 0 fps. Drop the second GPU if you don't want to deal with SLI headaches and non- supported games, and don't even think about 3- way or 4- way SLI. More than anything else in an extreme gaming PC, the graphics card—or cards—matter. In sticking with my 'not entirely insane' mantra, I've elected to go with the GTX 1. Ti rather than the Titan Xp, since the latter costs nearly twice as much and is only about 5 percent faster. If you really want an SLI Titan Xp build, though, have at it! I've intentionally left the specific model of GTX 1. Ti up to the user, because all of the 1. Ti cards fall within a narrow performance spectrum. For an SLI build, some people prefer blower coolers that vent heat out of the case, while others are fine with large open air coolers, and still others like liquid cooling and will want a hybrid card. All of those are viable options, though the larger open air coolers often keep temps and noise lower than blowers (provided you have a large case with other fans helping out). Overclocking is definitely possible with any of the 1. EVGA's Precision X OC software or MSI's Afterburner to increase the power limit of your GPU to the maximum—it's a quick and easy way to add an extra 5- 1. If you want to increase clock speeds, most 1. Ti cards top out in the 1. GHz range, unless you go with liquid cooling. You'll also need an HB SLI bridge if you want to get the most out of a GTX 1. Ti SLI build. The high- end GP1. GP1. 02 Pascal GPUs support two SLI connectors and can use both concurrently. In testing, using two of the old ribbon cables or one of the hard SLI bridges drops performance 5- 1. HB SLI bridge (slightly more at 4. K). Just make sure you get the appropriate spacing on the HB SLI bridge—2- slot (no gap between dual- slot graphics cards), 3- slot (one extra slot between the cards) or 4- slot (two extra slots between the cards) bridges are available. For the Gigabyte board, that means you'll want to use the first and third PCIe slots with a 4- slot bridge. That provides more breathing room for the top card, though it leaves only the bottom PCIe slot easily accessible. What about 3- way or 4- way SLI? Forget about it. Nvidia appears to have abandoned such configurations, and only a few games and benchmarks ever worked well with 3/4 GPUs. Memory: Corsair Vengeance LPX DDR4- 2. GB Kit (4x. 8GB)You could definitely put more memory into this build (up to 1. GB), but for gaming 4x. GB DDR4- 2. 66. 7 is more than sufficient. Corsair makes good memory, and G. Skill, Kingston, and Crucial are safe picks as well. RAM has reached the point where most modules work well, so it's often a question of price—and color, if that's your thing—rather than miniscule performance differences. Higher clocked DDR4 might add a few percent to the overall performance, but the money would be better spent on a faster CPU or GPU, or a larger SSD. Unfortunately, RAM prices have jumped quite a bit since last summer, due to increased demand from the smartphone industry (and perhaps some collusion among RAM manufacturers to increase profits). The net result is that memory kits that cost $1. Ouch. 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Housing in the Santa Clara region of California is insanely expensive. Tech companies have taken to building modern day versions of mill towns just so their employees. ![]() ![]() ![]() Microsoft | ZDNet. If you want to take a walk round the shop of the future, a good place to start is a supermarket located in the Bicocca district of Milan, Italy. View and Download Alcatel One Touch Spop 4030X user manual online. Alcatel Mobile Phone User Manual. One Touch Spop 4030X Cell Phone pdf manual download. There, thanks to a blend of gaming technologies, Io. T and cloud computing, you can seamlessly interact with the products that interest you and make better buying choices. May 2. 6, 2. 01. 7. Raffaele Mastrolonardo in Innovation. Alcatel IDOL 4 Pro review: The best Windows phone available is still too little too late. Alcatel finally launched its Windows 1. Mobile flagship in Europe under a different name. 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I'm inclined to agree, but considering the only other Windows 1. Mobile flagship available in Europe right now is the Elite x. Alcatel IDOL 4. S with Windows 1. Review. Alcatel IDOL 4 Pro tech specs. Category. Features. CPUSnapdragon 8. 20, Quad Core CPU @ 2. GHz. Display. 5. 5- inch FHD AMOLEDDragontrail 2. D Glass. Memory. 64. GB ROM4. GB RAMmicro. SDCamera. 21 MP rear camera. MP front- facing camera. Battery. 3,0. 00 m. Ah. Quick Charge 3. Continuum. Yes. Windows Hello. Yes (fingerprint)Audio. Dual speakers with Hi- Fi surround sound. Dimensions. 15. 3. Weight. 15. 2g. HD Voice. Yes. Wi- Fi. 80. 2. Wi- Fi Calling 1. Bluetooth. BT 4. 1. A2. DP, OPP, HFP, AVRCP, PBAPAlcatel IDOL 4 Pro hardware. The IDOL 4 Pro is essentially identical to the IDOL 4. S with Windows 1. Mobile. There are a few small differences, however, mostly for regional purposes. For example, the IDOL 4 Pro supports different cellular and LTE bands for the EU market and also doesn't come bundled with a VR headset. It turns out, Alcatel isn't pushing the VR aspect of the U. S. version in European markets. That's not much of a problem, however, because the addition of VR with the Idol 4. S in the U. S. was mostly a gimmick. So in the EU, the IDOL 4 Pro comes with a pair of high- quality JBL in- ear headphones, a USB- C charging cable, and instructions. Differences on the phone's exterior include the "IDOL 4. S" logo being switched out for a logo that simply says "IDOL," and that's pretty much it. Everything else is exactly the same, including the still- somewhat- relevant Snapdragon 8. GB RAM and a 1. 08. AMOLED display. As we noted in our original IDOL 4. S review, all of those specs are great with Windows 1. Mobile. It's the best- feeling Windows 1. Mobile device out there. The phone itself is probably the best- feeling Windows 1. Mobile device to date. It's all glass with a metal frame, which feels premium in the hands. It's definitely more premium feeling than the Lumia 9. Lumia 9. 50 XL. It's also extremely thin. Its thinness, combined with how light it is and the glass materials, make this device incredibly difficult to grip in your hand. It's also easily damaged. If you drop this device on a hard floor, you will absolutely end up with scuffs, or a broken screen. I hate phone cases, I never use them, but on this device, I am, because I've already dropped it twice with the case on. The buttons are very clicky, which I like. I dislike the positioning of the buttons, however. The lock button is at the top left of the phone, directly opposite the volume rocker meaning you're going to accidentally take screenshots often. Also, the camera button is essentially in the middle of right side the phone and isn't a two- stage button. It works, but it's in an odd place. Alcatel IDOL 4 Pro software. Not much has changed in regards to performance since our original IDOL 4. S review. Since then, Microsoft has launched the Windows 1. Mobile Creators Update, which includes its own performance improvements and other changes. The issue with that is the IDOL 4 Pro in the EU isn't receiving that update yet. This phone comes bundled with the Anniversary Update, not the Creators Update. This wouldn't be much of a problem if the Creators Update were a ready and waiting update for the IDOL 4 Pro, but it isn't. It's not receiving the Creators Update officially, at least not yet. Now considering the U. S. variant of the device supports the Creators Update, this is frustrating. Luckily, you can still get the Creators Update by joining either the Insider Slow or Fast rings, which is what we did for this review. It has a clean Windows 1. Mobile image with basically no preloaded apps. Once on the Creators Update, you can reset the device or leave the Insider Program, and your phone will continue to be serviced like normal with production builds for the Creators Update. Our handset is now running 1. We just hope Microsoft and Alcatel work together to get the update rolling out officially without the need of the Insider Program. Windows 1. 0 Mobile itself is a great performer on the Snapdragon 8. Continuum is quick, apps open fast and rarely do I encounter any lag. I say rarely, because I have encountered lag while using this phone, but it was only the once. I like how the phone rarely gets hot, unlike my Lumia 9. Lumia 9. 50 XL that get hot all the time. The Snapdragon 8. One issue I have with the software involves the way the OS scales the UI. UI scaling on this device is either too small or too large. There's no middle ground. By default, the phone is operating at 2. I find to be too small on a 5. The next step up is 3. It definitely doesn't make the phone unusable, but it's unfortunate. The thing I like the most about the IDOL 4 Pro with Windows 1. Mobile is that Alcatel has bundled a basically 1. Windows 1. 0 Mobile image on the device. There's only one preloaded third- party app on this phone out of the box, and it's the Uber app. There are no silly VR apps pre- installed or apps that automatically download in the background. Alcatel IDOL 4 Pro and Windows Hello. The IDOL 4 Pro supports Windows Hello via a fingerprint reader located on the back of the device. This is great, except the fingerprint reader on this device is flawed in many ways. The fingerprint reader on this device is incredibly small and really hard to find when you're not looking. As a result, you'll often find that the fingerprint reader misreads your fingerprint and as a result locks you out of the device. This isn't helped by the fact that Alcatel has done little optimization to make it easier to detect. On the HP Elite x. ID sensor, but on the IDOL 4 Pro? No such feedback. It only vibrates if it fails to recognize your fingerprint. It doesn't vibrate at all if it successfully authenticates you. It's very frustrating. Some of these problems can be solved in two ways. First, buy a case that more prominently outlines the fingerprint reader. The other way to do this is to force Windows Hello to take multiple readings of the same finger. Windows Hello has a check built- in that will refuse to register a finger that's already registered, meaning you can't improve its recognition, but there is a way to force it. If you keep trying, at some point, the fingerprint reader will detect a different fingerprint, even though it's still the same. The fingerprint sensor with Windows Hello needs some serious work. This vastly improves ID recognition with the sensor, reducing the likelihood of the device failing to recognize you and forcing you to use a PIN to log in. There's still another problem with the fingerprint sensor, however; it's just so slow. It's the slowest fingerprint reader I've ever seen or used on a smartphone. When the device is locked, with the screen off, it can sometimes take three or four seconds before the display is on and you're welcomed back to the Start screen. Touch ID on the i. Phone takes a second, usually less. The same goes for any of the Android devices on the market with a Snapdragon 8. This might be less to do with Alcatel and more to do with Windows 1. Mobile, however. The fingerprint ID sensor on the Elite x. It appears the ID sensor takes longer to function when the device is sleeping. The fingerprint reader on this phone is the weakest point of the device. There's no iris recognition to back it up, so you have to use the fingerprint or a standard PIN. Alcatel IDOL 4 Pro camera and sound. If I had to describe the relationship I have with the camera on this device on Facebook, I'd describe it as, "it's complicated."The camera on this thing is great when it behaves. It's s 2. 1MP sensor, which is more than enough for me, and in daylight it takes clear and bright photos. ![]() Computer security training, certification and free resources. We specialize in computer/network security, digital forensics, application security and IT audit. ![]()
Teaching and Assessing Professionalism in Medical Learners and Practicing Physicians. Rambam Maimonides Med J. Apr; 6(2): e. 00. Guest Editor: John H. Davidson, M. D., M. A. H. L. Consultant, Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA; Professor of Medicine and Professor of Biomedical Ethics at the Mayo Clinic College of Medicine, Rochester, MN, USA; Associate Editor of NEJM Journal Watch General Medicine. Conflict of interest: No potential conflict of interest relevant to this article was reported.*Portions of this article were published previously in The Keio Journal of Medicine (Keio J Med 2. ![]() However, this article is a completely updated review with new content and references. This is an open- access article. All its content, except where otherwise noted, is distributed under the terms of the Creative Commons Attribution License (http: //creativecommons. Abstract. Professionalism is a core competency of physicians. Clinical knowledge and skills (and their maintenance and improvement), good communication skills, and sound understanding of ethics constitute the foundation of professionalism. Rising from this foundation are behaviors and attributes of professionalism: accountability, altruism, excellence, and humanism, the capstone of which is professionalism. Patients, medical societies, and accrediting organizations expect physicians to be professional. Furthermore, professionalism is associated with better clinical outcomes. Hence, medical learners and practicing physicians should be taught and assessed for professionalism. A number of methods can be used to teach professionalism (e. Because of the nature of professionalism, no single tool for assessing it among medical learners and practicing physicians exists. Instead, multiple assessment tools must be used (e. Data should be gathered continuously throughout an individual’s career. For the individual learner or practicing physician, data generated by these tools can be used to create a “professionalism portfolio,” the totality of which represents a picture of the individual’s professionalism. This portfolio in turn can be used for formative and summative feedback. Data from professionalism assessments can also be used for developing professionalism curricula and generating research hypotheses. Health care leaders should support teaching and assessing professionalism at all levels of learning and practice and promote learning environments and institutional cultures that are consistent with professionalism precepts. Keywords: Assessment, ethics, medical education, medical professionalism, professionalism. INTRODUCTIONThe practice of medicine is an art, not a trade, a calling, not a business—a calling in which your heart will be exercised equally with your head. In a well- arranged community, a citizen should feel that he can at any time command the services of a [doctor] who has received a fair training in the science and art of medicine, into whose hands he may commit with safety the lives of those near and dear to him. Imagine you are in an unfamiliar city—as a tourist, a business traveler, etc.—and you suddenly experience chest pain, light- headedness, and sweats. Worried, you call “9. You know nothing about the hospital, its physicians, or its staff. What attributes and behaviors do you desire and expect in the physician who will be caring for you? Most people would have the same expectations as expressed by Osler: a competent and trustworthy physician who is called to act for the benefit of patients and manifests accountability, altruism, excellence, and accountability—a physician who manifests professionalism. WHAT IS PROFESSIONALISM? The word profession derives from the Latin professio, or public declaration. A profession is “a calling requiring specialized knowledge and often long and intensive preparation including instruction in skills and methods as well as in the scientific, historical, or scholarly principles underlying such skills and methods, maintaining by force of organization or concerted opinion high standards of achievement and conduct, and committing its members to continued study and a kind of work which has for its prime purpose the rendering of a public service.”3 Medicine is a profession. The attributes, behaviors, commitments, values, and goals that characterize a profession constitute professionalism, and its members are professionals. However, professionalism is an abstract concept. Definitions used by medical societies typically list attributes and behaviors associated with professionalism. For example, the Accreditation Council for Graduate Medical Education (ACGME) lists “professionalism” as one of six core competencies that physicians- in- training (i. The ACGME’s definition of professionalism includes a list of attributes and behaviors such as accountability, altruism, commitment to excellence, compassion, integrity, respect, responsiveness, sensitivity to diversity, and sound ethics. Calling professionalism the “foundation of the social contract for medicine,” the American Board of Internal Medicine Foundation, the American College of Physicians–American Society of Internal Medicine Foundation, and the European Federation of Internal Medicine, in the “Physician Charter,” list three “fundamental principles” and 1. Table 1). 6,7. Going further, the American Board of Medical Specialties, which represents 2. Medical professionalism is a [normative] belief system about how best to organize and deliver health care, which calls on group members to jointly declare (“profess”) what the public and individual patients can expect regarding shared competency standards and ethical values and to implement trustworthy means to ensure that all medical professionals live up to these promises. In other words, professionalism is the reason medical learners and practicing physicians should manifest the aforementioned desired attributes and behaviors. Overall, definitions of professionalism underscore the importance of scientific, procedural, interpersonal, and ethical competencies; these competencies are equally important (e. These definitions also underscore the physician’s fiduciary duties to the patient. An ill or injured patient is inherently vulnerable. In contrast, a physician has specialized knowledge and skills, access to diagnostic and therapeutic interventions (e. Hence, a patient must trust his or her physician is acting in the patient’s interest. Indeed, trust is an essential feature of the physician–patient relationship. Society expects physicians will be competent, skillful, ethical, humanistic, altruistic, and trustworthy—professional—and that physicians and the medical profession will promote individuals’ and the public’s health and well- being. In exchange, society allows the medical profession to be autonomous (i. The relationship between the medical profession and society—the “social contract”—is formalized through licensure. A FRAMEWORK FOR PROFESSIONALISMArnold and Stern have proposed a framework for professionalism (Figure 1). The foundation of this framework is clinical competence, effective communication skills, and a sound understanding of ethics. Being a physician requires specialized knowledge and skills that require continuous maintenance and good communication skills. Physicians—regardless of specialty—must be able to discern patients’ health care- related concerns, goals, and preferences and work in multidisciplinary teams (e. Being a physician also requires a sound understanding of ethics. Because of the nature of their work, physicians inevitably encounter ethical dilemmas (e. Built on this foundation are key attributes—or pillars—of professionalism: accountability (the physician [and the profession] takes responsibility for his or her behaviors and actions), altruism (patients’ interests, not physicians’ [or the profession’s] self- interests, guide physicians’ behaviors and actions), excellence (the physician commits to continuous maintenance of knowledge and skills, lifelong learning, and the advancement of knowledge), and humanism (compassion, empathy, integrity, and respect). The totality of the framework—or capstone—is professionalism. 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Scavalcando le famiglie mafiose e rifornendosi di eroina direttamente nel sud- est asiatico, Lucas accumula una fortuna e attira l’attenzione di Richie Roberts. I loro percorsi, opposti e paralleli, si incontreranno sotto il ring del match del secolo: Alì- Frazier. Soltanto uno resterà in piedi, vincendo ai punti. Dentro una fotografia livida e bluastra, sotto un cielo che piove pioggia e neve, si fronteggiano due eserciti: da una parte i gangsters e i poliziotti corrotti della Unità Speciale della Narcotici, dall’altra gli agenti di Roberts, “puri” come l’eroina spacciata da Lucas. Da una parte il caos, dall’altra l’ordine. Come nel Gladiatore la disposizione degli “eserciti” prima della battaglia esprime una diversa visione del mondo: la pianificazione di un dominio (controllare il mercato dell’eroina sulla 1. Anche questa volta Ridley Scott ha l’urgenza di raccontare la storia di due antagonisti che, come accade spesso nel suo cinema, sono l’uno il doppio dell’altro: Frank e Richie come Commodo e Maximus, o più indietro nel tempo e nella filmografia del regista, come i cavalieri duellanti D’Hubert e Féraud. Due destini incrociati, due percorsi chiasmici: Frank scende nell’arena (o sale sul ring) per diventare protagonista e rivendicare per sé il “sogno americano” di Luther King, Richie, spettatore diligente, assiste alla sua rappresentazione su un palcoscenico diventato universale. Ridley Scott si porta dietro dall’Europa e porta avanti negli States il progetto di cinema d’intrattenimento colto, di mainstream che si nutre di arte, di letteratura hard- boiled, di fumetto, di spot pubblicitari e di riviste di architettura. Il film sceglie di presentare una storia senza nulla di mistico o divino, come a voler raccontare la realtà dei fatti prima della nascita del mito. Lucy, Edmund, Peter e Susan Pevensie entrano in un armadio e scoprono che è l’ingresso per il mondo incantato di Narnia. Su questa terra una malvagia strega ha. Watch Movies Online. Watch your favorite movies online free. Discover thousands of latest movies online.![]() Mutuati i fendenti metallici dei Duellanti e del Gladiatore coi colpi sibilanti di pistole e fucili automatici, American Gangster è il tentativo di mostrare il microcosmo di Frank Lucas come la metafora di un macrocosmo: la società statunitense nata dalla violenza della frontiera, dallo sterminio degli indiani e dal lavoro schiavistico. Violenza che resta una costante di questa società. Siamo negli anni ’7. Storia irrompe nel film di Scott restituendo l’allucinazione del Vietnam, la temperatura del conflitto e gli interessi intorno al conflitto. Frank Lucas è un nero del Sud che costruisce una versione personale e anomala di una storia americana di successo, che sostituisce il “padre” al comando e che rappresenta l’ascesa di una generazione contro un’altra: vecchia- nuova America, vecchia- nuova “mafia” (Lucas acquisisce il modus operandi della struttura mafiosa, impiegando nel suo business i cinque fratelli e i tanti cugini). Lo stesso Frank subirà, nell’ultimo e significativo fotogramma, l’affiorare aggressivo della next generation, la generazione successiva rappresentata (ma disincarnata) dal rampante hip- pop. Il “sipario” del carcere si chiude dietro al vecchio criminale rigettato nell’arena per farsi vampirizzare dalle nuove orde di enfants terribles. Russell Crowe e Denzel Washington sono Richie e Frank: corpi pesanti e massicci in contrasto coi volti in cui l’espressione passa per accenni lievissimi, per impercettibili increspature, per linee che si muovono appena colmando l’inquadratura senza muovere un muscolo. 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