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As Steven Jobs, cofounder of Apple,Inc., succinctly explained, design is “not just what it looks like and feels like,” but “how itworks” (Walker, 2003). Althoughthe accuracy of pulse oximeters has been demon-strated repeatedly, there are serious issues with theongoing precision and reliability of the readingsproduced.

McGlone,1971, Journal of Speech and Hearing Research, 14, p. However,such devices and techniques may not be readilyavailable on ICU ventilators and in the ICU set-ting

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A crucial step in two-stage exchange, especially with long intervals, is the dead space management betweenimplant removal and reimplantation.

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