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EN_B00000_S05462_W000303 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Symptoms will manifest earlier if there are typical risk factors, so obesity and smoking, so they may even present in their late teens, early twenties if they're fat and they ... | EN_B00000_S05462_W000303.mp3 | [
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EN_B00000_S05462_W000304 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " They will usually develop symptoms by their 20s and 30s. So in other words, all this is, FH, is it's patients who have a mutation and it causes them to have the vasculature of a... | EN_B00000_S05462_W000304.mp3 | [
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EN_B00000_S05462_W000305 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000306 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, and these patients will have history of skin lesions, as can the heterozygous patients. This is just owing to the high cholesterol levels. And both parents will have eleva... | EN_B00000_S05462_W000306.mp3 | [
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EN_B00000_S05462_W000307 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So again, this is just little kids that come in with a picture like they're 70 year olds. They have, they've got, uh, really bad arteries.",
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EN_B00000_S05462_W000308 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Like I said, for more information on FH, you can go back to my lecture. I don't want to go into too great of detail here because I don't want to spend too much of your time tal... | EN_B00000_S05462_W000308.mp3 | [
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EN_B00000_S05462_W000309 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " That systolic ejection murmur of aortic stenosis is very common, but common in people in their 80s, not in people in their 30s.",
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EN_B00000_S05462_W000310 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " The treatment is statins and then lifestyle modifications. If you smoke, stop. If you're obese, lose weight. If you don't exercise, start. Pretty simple.",
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EN_B00000_S05462_W000311 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And we'll finish up with question 10. A 32 year old woman presents to the clinic complaining of left hand pain for the past week.",
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EN_B00000_S05462_W000312 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " It is primarily over the palmar aspect. Nothing relieves the pain or makes it worse. She's currently pregnant 20 weeks, two days and is on a multivitamin and acetaminophen for... | EN_B00000_S05462_W000312.mp3 | [
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EN_B00000_S05462_W000313 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " She works as a secretary and notes that her pain is somewhat worse when she leaves work.",
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EN_B00000_S05462_W000318 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000319 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000320 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000321 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000323 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So all of this together is a very classic history and presentation of carpal tunnel syndrome. Moving on to the physical exam.",
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EN_B00000_S05462_W000327 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Note that she does not have weakness, and so her hands and arms are fine for strength. Uh, so this is more than likely a peripheral issue. Uh, however,",
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EN_B00000_S05462_W000328 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000329 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " In particular here we're talking about the thenar eminence, uh, which is the, the, the, the muscle that, that goes to, uh, that allows your thumb, uh, to move. So cervical rad... | EN_B00000_S05462_W000329.mp3 | [
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EN_B00000_S05462_W000330 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Cervical radiculopathy can also give you some degree of weakness or pain, but usually cervical radiculopathy, uh, because it's a dysfunction of the cervical nerve root, uh, it... | EN_B00000_S05462_W000330.mp3 | [
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EN_B00000_S05462_W000331 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And usually it affects C6 and C7. And C6 and C7 is more the forearm and wrist, not so much the hand.",
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EN_B00000_S05462_W000332 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000338 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000339 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000340 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000344 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000356 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Massive muscle, uh, that goes to, uh, move your thumb.",
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"text": " The diagnosis, as, oh, as I mentioned, the risk factors, again, repetitive risk work, so like secretaries, pregnancy, obesity, female, gender, and rheumatoid arthritis.",
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EN_B00000_S05462_W000359 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Have them wear the splint at night, which puts their, their wrist in a slightly, uh, extended position. And then NSAIDs. And NSAIDs will help relieve the inflammation. That's y... | EN_B00000_S05462_W000359.mp3 | [
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EN_B00000_S05462_W000360 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " If that fails to work after a month or two, then you want to do electrophysiologic testing, so that's things like EMG and nerve conduction studies.",
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EN_B00000_S05462_W000361 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And this is useful if surgery is being considered, which would be something you want to consider if you don't get any improvement after a couple months. At that point, you'll ... | EN_B00000_S05462_W000361.mp3 | [
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EN_B00000_S05462_W000362 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000363 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000364 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And that's all I have for you for this set. If you have any questions, please write me a note below, otherwise I will see you next time.",
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EN_B00000_S05532_W000008 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Well, the other one can perform single, slightly less powerful attacks. However, you can also combine attacks. There are two main ones and essentially one of them won't hurt th... | EN_B00000_S05532_W000008.mp3 | [
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EN_B00000_S05532_W000009 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"speaker": "EN_B00000_S05532",
"text": " Combat goes a little deeper as you progress, but as per the developers design, they wanted to keep things relatively simple. And while yes, there will be items to use,",
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EN_B00000_S05532_W000010 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " For me this oversimplification is so contrasting to something like Atelier Ryza 2, which I've just played, that uses a turn-based combat system that relies predominantly on pl... | EN_B00000_S05532_W000010.mp3 | [
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EN_B00000_S05532_W000011 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Take a shower and even have a party. And the developers do a great job of making it feel like home. And you'll also need to return here when it's time to heal up or rest, as i... | EN_B00000_S05532_W000011.mp3 | [
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EN_B00000_S05532_W000012 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " It's something like when you first arrive at a campsite out in the wilderness and spend the next 10 minutes or so listening to the two main characters discuss star constellati... | EN_B00000_S05532_W000012.mp3 | [
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EN_B00000_S05532_W000013 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Quite intuitive, and depending on the quality of your relationship, decent enough in co-op. Control score 16 out of 20.",
"wav": "EN_B00000/EN_B00000_S05532/mp3/EN_B00000_S05... | EN_B00000_S05532_W000013.mp3 | [
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EN_B00000_S05532_W000014 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"speaker": "EN_B00000_S05532",
"text": " Is that I felt they didn't vary the soundtrack enough when the situation changed. Lastly to note on visuals and performance were a couple of anomalies. If you leave the game a... | EN_B00000_S05532_W000014.mp3 | [
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EN_B00000_S05532_W000015 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And the audio, particularly the voice work, is excellent and scores 18 out of 20.",
"wav": "EN_B00000/EN_B00000_S05532/mp3/EN_B00000_S05532_W000015.mp3"
} | EN_B00000_S05532_W000015.mp3 | [
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