The Enterprise-only feature of including subpages in PDF format is available to everyone in CSV and HTML file formats. Other than the page format and scale percentage, the other options are familiar across all formats. Notion allows you to export pages in CSV and HTML formats in addition to PDF. What Other Formats Can You Export a Notion Page In? Let's look at what all other file options are available. That's it! Isn't easy to export Notion pages in PDF format? Apart from PDF, you can export the page in other formats too. ![]() When done select all the options, click the Export button and the Notion page will be downloaded as a PDF file on your device.If you have an Enterprise plan, you can also include all subpages of your main Notion page in the PDF document.You can also define the page scale percent that you want or keep it at 100% as default. Next, you can select the page format between different page sizes such as A3, A4, Letter, and others.Next, you can select if you'd like to include images and files in your PDF, If you want those, select Everything from the dropdown for Include content or change it to No Files or Images if you don't want them.Another pop-up will open where you need to select the Export format as PDF.Scroll down to the bottom and click on the Export option. ![]() This will open up a popup menu on the sidebar.Open the Notion page that you want to export as PDF and click the hamburger menu (three dots) at the top right.Follow the steps below to export a Notion page to PDF: The steps for exporting a Notion page to PDF are the same whether you are using it on the web browser, a desktop, or a mobile phone. Also, no matter if you have a database table or a kanban board, everything that's on the Notion page will be included in the PDF. If you use Notion in dark mode, the pages will automatically render in a light background. ![]() The export Notion to PDF functionality is built into Notion and you don't have to rely on any external tool to do it. In this tutorial, I'll show you how to quickly and easily export Notion pages to PDF in a neat and customizable format. However, sometimes you may want to export the content or data you create in Notion as a PDF file for printing or to keep a physical record. Are you looking to export a Notion page as PDF?īecause Notion is so flexible, anyone can use it for a variety of purposes and store a wide range of data.
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![]() ❕ Note: Apple regularly permanently deletes deleted photos from its servers, so we recommend acting ASAP. CopyTrans Cloudly can restore it from there in just one click. When you delete an iCloud photo, it’s moved to an Apple server trash can of a sort which is not accessible for users. Refer to the next solutions if you haven’t found your missing photos in the Recently Deleted album.įix 4: Restore lost iCloud photos without a backup If the needed photos are there, tap Select in the upper right corner, select the photos and videos you want to restore, then tap Restore to confirm. How to view recently deleted photos on iPhone: Open the Photos app, go to the Albums tab, scroll down, and tap Recently Deleted. It is initially moved to the Recently Deleted album and will remain there for 30 days before being permanently deleted. If you accidentally delete an image or video, that file does not disappear immediately. Wait till photos stored in iCloud appear in the iPhone Photos app. Open the iPhone Settings app > Apple ID > iCloud > flip the Photos toggle on. To get the missing photos back to your device, you need to reset the sync. If you accidentally disable iCloud Photos, iCloud photos are deleted from your device (but remain in iCloud). You will need to enter a verification code if two-factor authentication is enabled.Īfter a while, your photos will be downloaded to your iPhone. ![]() Enter your Apple ID email address and password. Navigate to the iPhone Settings app and click Sign in to your iPhone. In that case, you need to log in to your iCloud account again. Pictures disappeared from iPhone solutionsįix 1: Log in to your iCloud account againīy default, iPhone photos are saved to iCloud, but you may get logged out of your iCloud account when updating iOS. You can free up space on your iPhone to solve the issue, but there is no way to recover unsaved photos. If your iPhone doesn’t have enough free space, pictures you take will not be saved. ![]() Photos were not saved because you don’t have enough space To re-download your photos, log back in to your iCloud account. When you log out of your iCloud account, photos synced with iCloud get deleted from your device. You might have signed out of iCloud and lost photos that way. iCloud photos are not included in the backup, but you can try to restore deleted photos from Apple’s servers. ✓ If iCloud Photos are turned on, the photos you take with your device are stored on iCloud’s servers. If you deleted such photos, you can restore them only from backup. ✘ If iCloud Photos are turned off, the photos you take with your device are saved to your device’s internal storage. Navigate to Settings > Apple ID > iCloud > Photos. If you can’t find your photo in the Recently Deleted folder, check whether iCloud Photos are enabled. How to get photos back on iPhone? Check the Recently Deleted album that has been designed for such cases. You or your kids may have accidentally deleted a photo or video. After that, you can safely turn off iCloud Photos - your photos won’t disappear. If you don’t want to use iCloud anymore, you can download your iCloud photos to the device. To restore the missing photos on iPhone, you need to turn on iCloud Photos back. When you disable iCloud Photos in your settings, photos synced with iCloud disappear from your device’s storage. To get your lost iPhone photos back, just log back in to iCloud. In that case, iCloud photos will disappear from your device. Photos disappeared from iPhone after updateĪfter updating iOS on your device, you may get logged out of your iCloud account. Why did my photos disappeared on my iPhone main reasons 1.
![]() Starry Night will be installed in the macOS Applications folder. Wait for the installer to finish the installation.Ĥ. Please click on the icon to start installing Starry Night Pro, and follow the steps listed below. If you are having difficulty downloading Starry Night, please be sure to cancel any other torrents/downloads/streaming running in the background.ģ. Note, you can download the installer onto any computer and from any location and transport it to your computer of choice by disk or usb drive (if your internet is slow, this may be advisable). archive corrupted), then the download was not successfully completed and you must re-download the installer. If you double click the starrynightpro8.dmg file and it does not run for any reason (or you get any error message, i.e. Once the download is completed, you can double click the starrynightpro8.dmg file to run the installer. ![]() The Mac installer will by default be found in your Downloads folder. Note: the error message seen above can also be displayed when Starry Night is Initialing OpenGL during start up. If after setting your home location you receive the following "Starry Night.needs to close" error message please see this graphics card KB article here: If you are having any trouble with this, please see this article: ġ0. Enter your registration information in the registration window. exe file in the default installation location C:/Program Files (x86)/Starry Night Pro 8/starrynight.exeĩ. The Starry Night Pro 8 app icon may be located on your desktop screen (right-click > and OPEN it), or you can search for Starry Night Pro 8 in your Search Menu. If you are a more advanced user, go ahead and choose the other options as suitable.Ĩ. Please check the button next to I agree the terms in the License Agreement, and then click on Next.ĥ. When the Starry Night installer starts click on Next.Ĥ. If you encounter a message that says Windows Defender protected you PC by preventing Starry Night from starting, please choose " More Info" and then choose " Run Anyway". If you are having difficulty downloading Starry Night, please be sure to cancel any other torrents/downloads/streaming running in the background. Note, you can download the installer onto any computer and from any location, and then transport it to your computer of choice by disk or USB drive (if your internet is slow, this may be advisable). archive corrupted), then the download did not successfully complete ,and you must re-download the installer. If you double click the starrynightpr7.exe file, and it does not run for any reason (or you get any error message, i.e. Once the download is completed, double click the starrynightpro8.exe file to run the installer. If you are using Internet Explorer and encounter any difficulty downloading (i.e too slow, stops, incomplete, etc.), try Firefox or Google Chrome instead. ![]() On Windows, the installer will be called starrynightpro8.exeĢ. If given the option, choose "Save" and save to your desktop (so you know where the installer will be once the download is complete) or remember that the default downloads location is into your "Downloads" folder. WINDOWS PC DOWNLOAD & INSTALL INSTRUCTIONS:ġ. Inside the Registration and Download Details email, you will find the following: The email is called "Registration and Download Details." If you cannot find the email, please check your spam/junk folders.ĭownloading and installing Starry Night - instructions are different for PC and Mac. After purchasing a downloadable version of Starry Night, you will receive an email from the Starry Night Store. ![]() Night Owl’s Hybrid Security DVR can connect to wired and wireless cameras. 6-Channel 4K W2 Fusion Hybrid Security DVR With 1 TB Local Storage Night Owl’s 4K Ultra HD cameras are wired, which take longer to install, but offer a better signal compared to the wireless cams. It’s more expensive than lower resolution models (as it should be), but the 4K video is crystal clear. If you have a 4K Ultra HD TV or monitor, this package is worth considering. 8-Channel 4K Ultra HD Wired Smart Security DVR With 2 TB Hard Drive The cameras are good for indoor/outdoor use, covering every angle of a single-family home with little trouble. You can connect up to eight wireless cameras and enjoy remote viewing using the Night Owl app. This package gives you an NVR with a 1 TB hard drive and four 1080p wireless cameras. But I do think the 100-degree field of view could be improved. The 1080p image quality was crisp and clear during the day, and the night vision worked as expected. This camera works as either an add-on or stand-alone device. Indoor/Outdoor Wireless 1080p AC Powered Camera Although this is not an exhaustive list of their 50-plus camera options and surveillance kits, it should give you an idea of what to expect from Night Owl. See below for Night Owl’s most popular equipment and cameras. Also, on some cameras, you can customize motion zones to reduce false alarms (from trees swaying, cars passing by, etc.). You might notice that the dual sensors can get triggered by bugs flying into the camera lenses, but otherwise, it’s nice to have dual heat and motion sensors in one. ![]() Dual Sensorsĭual motion and heat sensors add a little pizzazz to Night Owl’s motion detection. The company claims that you can see up to 100 feet at night with select cameras. You can watch footage of the darkest corner of your yard, and you should be able to see up to 40 feet out without a problem. Night Owl security cameras shoot in full color during the day and switch to night mode effortlessly. Some devices use micro SD for storage, which can be changed out as you wish. Since local storage is the way to go with Night Owl these days, you can simply use the 1 TB hard drive in the NVR to store your recordings. Voice control is a nice feature it would be nice if Night Owl also worked with Amazon Alexa and other automation platforms like IFTTT, though. And thankfully, Night Owl’s compatibility with Google Assistant allows you to see what the cameras are seeing on pretty much any screen. Google Assistant is designed to make your life easier. It’s always important to have a good two-way talk feature. For instance, you can give a delivery driver instructions on where to leave your packages, and even tell a would-be burglar to scram. Night Owl cameras can capture audio, but you can also use certain models as an intercom of sorts. Also, the DVR’s 1080p HD video was clear enough to make out details when angled just right. The NVR can deliver 4K Ultra HD playback, but be warned, it’s a lot more expensive. I prefer Night Owl’s DVR over their NVR since you can still access remote live viewing when you plug in the Ethernet cable. Overview of Night Owl’s Features and Tech DVR and NVR While the cameras aren’t as easy to install as Blink’s wire-free cameras, in my experience, it was easy enough. If you’re intimidated by DIY projects, you’ll like Night Owl. It’s also worth mentioning that hiding wires on the wired cams was the most time-consuming part. Thankfully, each side is labeled with its appropriate home: “to camera” or “to DVR or NVR.” I recommend connecting the cameras and making sure there’s a signal before mounting them. Once the DVR is connected, you’ll then connect the BNC cables. The wired options were only slightly more complicated, but watching Night Owl’s setup video helped. If you don’t hear the camera say it’s in pairing mode when you plug it in, just press the reset button until it says “resetting.” And adding the camera to your NVR is no sweat its built-in Wi-Fi quickly found the new camera and added it to an empty channel since everything runs over Wi-Fi. All I had to do was plug in the power adapter to hear that the camera was in pairing mode. Learn about more devices out there with hassle-free installation in our roundup of the best wireless cameras.Īs far as setup goes, Night Owl wireless security cameras are simple, but you’ll want to follow their quick online setup guide just to be sure. Did You Know: It’s a race to the top for home security companies to see who can offer the fastest and easiest installation in the industry. ![]() ![]() Harry's cell phone accepts calls and messages from both the real and the supernatural, and a camera function is used to uncover hidden ghosts and their messages. The Wii Remote controls a flashlight aimed in real-time. Characters can be approached but offer different responses and be found in different places, while new clues and gameplay paths can be. Product Details Is Discontinued By Manufacturer: No Product Dimensions: 4.13 x 0.59 x 7.05 inches 0.67 Ounces Item model number: 4012927064016 Date First. The aim of the game find Cheryl, and uncover the often disturbing history of the town. During a blizzard, he crashes his car and wakes up with his daughter missing, and many memories knocked out of his head. The game will then alter itself based on your responses, changing characters and lines of dialog to something intended to be more personally uncomfortable.Īs you search for Cheryl, you will come across objects and recordings that tell some of the history of Silent Hill. Summary: While the game shares its twisting plot with the original PlayStation game, Silent Hill: Shattered Memories takes a different path in many, many ways. For those completely new to the series- you play Harry Mason, a resident of the town of Silent Hill. (i think its autosave funtions off/on) after press buttons, it goes menu but above screen is not disappear.-fin. the screens size is 4:1 and 'this games supports you'is visible. Billed as a re-imagining of the original Silent Hill, Shattered Memories once again casts you as Harry Mason searching across the haunted town for his missing daughter Cheryl. New to the series are a depiction of Silent Hill's demonic alter-dimension as a world of ice, and the removal of weapons from the game - when the monsters come out, Harry must literally run for his life.īetween scenes, the game will cut to a psychiatrist's office, who asks you personal questions about yourself and your past experiences. few seconds after start emulating, it shows psp notice screen. Billed as a re-imagining of the original Silent Hill, Shattered Memories once again casts you as Harry Mason searching across the haunted town for his missing daughter Cheryl. ![]() Macaroni Kid received tickets for The Angry Birds 2 in 4DX for this review/feature. LIVE: A Barco Innovation Center is located at 1000 West Olympic Boulevard, Los Angeles, CA If you haven’t had a chance to check out a 4DX theater for yourself be sure and catch a movie at one of these local theatres: It’s like spending over an hour on your favorite amusement park ride without any of the lines! Definitely a mind-blowing experience the whole family can enjoy together. So what is 4DX? It is an immersive multi-sensory experience where the auditorium incorporates motion-based seating that is synchronized with more than 20 different effects which allow the audience to connect with movies through motion, vibration, water, wind, snow, lightning, scents, and other special effects that enhance the visuals on-screen. LIVE is now home to the first 4DX theater in the United States! Experience the biggest blockbusters like never before with 4DX technology! The 4DX auditorium features motion seats and special effects including wind, fog, mist/rain, scents and more that perfectly synch to the on-screen action. Brown) to forge an unsteady truce and form an unlikely superteam to save their homes. In Angry Birds 2 the flightless angry birds and the scheming green piggies take their beef to the next level in The Angry Birds Movie 2! When a new threat emerges that puts both Bird and Pig Island in danger, Red (Jason Sudeikis), Chuck (Josh Gad), Bomb (Danny McBride), and Mighty Eagle (Peter Dinklage) recruit Chuck’s sister Silver (Rachel Bloom) and team up with pigs Leonard (Bill Hader), his assistant Courtney (Awkwafina), and techpig Garry (Sterling K. I highly recommend seeing Frenemies the Angry Birds Movie 2 and I encourage you to go to see it in 4-DX if at all possible. We loved the movie but it was so much better with all the effects. The lead antagonist is also a female character who is also quite brilliant and eventually overcomes her evil inclinations. It takes Red a while to appreciate her and finally accept her ideas, but he does come around. They introduced a new character, Silver who is brilliant and comes up with many of the ideas which are critical to the team’s success. The second theme involved female empowerment. Through the film he grew and realized that teamwork was important to resolving issues by being part of a team he would be just as appreciated as he was being the primary hero. He felt that the only reason people liked him was because he was their chief defender so he was threatened by the truce with the old enemy (the pigs) and felt he had to be the primary savior against the new one. The first was about Red the main character learning to overcome his self-esteem issues. There were two basic themes in the movie. We hadn’t seen the original Angry Birds Movie but the movie stood up well on its own. Additionally there were several instances where we got sprayed with water. They really played a huge role as we moved a bit during the flying and fight scenes, especially the parachute scene. Then there was a live action chase scene to demonstrate the 4-DX experience and the special effects really made the movie come to life. It was not just a visual experience as the chairs moved and along with the action and we got sprayed with a little water (there is a button which allows you to turn off the water if you want). LIVE: A Barco Innovation Center in Los Angeles.Īs the movie starts we got our first taste of what was to come with a short virtual roller coaster. Last week we had a great time as we checked out the NEW Angry Bird Movie- Frenemies: Angry Birds Movie 2 at the 4-DX Regal L.A. ![]() That’s to say, users can obtain a perpetual license without extra payments. Nitro PDF Pro is another free alternative to Adobe Acrobat for those Windows users who don’t want to join in any ongoing subscriptions. It supports multiple languages and is very lightweight, so you don’t have to worry about any high disk usage issues. Moreover, it can convert HEIC and Office files to images, scanned copies to editable PDFs, etc.Īs a professional PDF editor, MiniTool PDF Editor can not only create/edit PDFs but also merge, compress, split, encrypt/ decrypt, extract, annotate, read, and translate PDF files. The MiniTool software is also a powerful PDF file converter that can easily convert Word to PDF, PNG to PDF, Excel to PDF, CAD to PDF, image to PDF, and other formats to PDF, and vice versa. MiniTool PDF Editor Click to Download 100%Clean & Safe With this software, you can rotate, deskew, crop, and set up PDF pages or reverse page orders to fit your preference. It can be used to do almost all PDF editing works, including “remove/ add text, links, images, watermarks, pages, themes, and signatures to PDFs”. MiniTool PDF Editor is a feature-rich and trustworthy PDF manager for Windows PCs. What’s the alternative to Adobe Acrobat in 2023? Here we list the top 6 Adobe PDF alternatives that you can choose from them. So, what’s the best free Adobe Acrobat alternative in 2023? Let’s keep reading. In these cases, an Adobe Acrobat alternative is a good choice. However, this app sometimes runs into various issues, such as “ Adobe Acrobat can’t open PDFs”, “Adobe Acrobat keeps crashing”, and other error codes. In a word, it is a professional and comprehensive PDF manager.Īs one of the earliest published PDF editors, Adobe Acrobat has attracted a large number of users around the world. It even can import a scanner’s output, a website, or the contents of the Windows clipboard. In addition to these basic features, Adobe Acrobat can import many popular document and image formats and save them as PDFs. The commercial version can also convert, encrypt, export, crop, digitally sign, and publish PDF files on Windows and macOS. It can be used to create, view, print, annotate, edit, and manage PDF files. Best Adobe Acrobat Alternatives in 2023Īdobe Acrobat is a series of application software and web services released by Adobe Inc.What’s the best Adobe Acrobat free alternative? In this post, MiniTool will introduce the top 6 Adobe PDF alternatives in 2023. The user interface of Acrobat is really quite ridiculous in terms of usability (at least as of Acrobat 8), but there's a bit of power hidden under the hood there.If some issues occur with Adobe Acrobat, you may need to use an Adobe Acrobat alternative. ![]() There are lots of options for markup and overlay of the source document, but because the sources that created the underlying PDF are so varied, it's a crapshoot trying to make anything other than the most minor text edits and graphic substitutions, assuming the PDF was properly created and isn't just a scanned image of a document.Īlso, the editing functions of Acrobat Pro can be quite hidden, and I'd recommend searching the help files and Google for the kinds of actions you are trying to perform because often you need to access some super secret tools menu that can only be brought up with a specific combination of key strokes. That's the primary purpose of the format, although it's been extended in many useful ways now, including fillable forms. What you see on your Windows XP machine is what I see on my OS X machine. The thing is is that PDF is not intended to be an editable format, at least not more than basically so, and Acrobat wasn't designed as an authoring application. So what are my options? I have to be able to make fillable forms that are able to be opened, filled, and saved using Adobe Reader. It seems like there should be features included that aren't there, and it's just a bad experience all around. One time I had to change the logo on one of the documents, and I had to import an image of a white rectangle to place over the old logo, then import the new logo on top of that.Īdobe Acrobat seems extremely limited and bloated. Then I have to be VERY VERY careful when I'm making changes, otherwise the text may start to fly all over the place and I'll have to keep hitting undo several times until the text gets back to where it was before. Then open up that copy so I can make changes to the text. I'm using Adobe Acrobat X Pro and whenever I need to make changes to a fillable form, I have to save a copy of the PDF. Sometimes I have to use Adobe Acrobat to make some changes to fillable forms, and it's a pain. ![]() There is the occassional curse word, but truly on a few in the whole movie. I can't tell you how it ends because it woudl spoil it for you, however this is great movie for all and if you ever find yourself not having enough time for your kids or tif you think you need money to have fun with them, watch this movie. ![]() Holly (1992) Rammi C 29 Undercover Angel YasmineBleethFan 30 The Yarn Princess. This time it works and he gets a book deal. Watch selected Christian Movies for free on Youtube with your family The. Jenny has been recording the bedtime stories that Harrison has been telling her and she gets her new friend Holly to transcribe them for her so she can send them and her fav stuffed animal to a pulishing company to try and help her father get a book deal since he's been turned down so many times. Undercover Angel Lszl Boromisza 147 subscribers Subscribe 51 46K views 9 years ago Director: Bryan Michael Stoller Writers: Bryan Michael Stoller, Bryan Michael Stoller (original story and. Undercover Angel Import: Amazon. See reviews & details on a wide selection of Blu-ray & DVDs, both new & used. Jenny has befriended a nice lady at the coffee shop that they eat at for breakefast. Amazon.ca - Buy Undercover Angel at a low price free shipping on qualified orders. Just before her mother comes back to get her, Harrison learns that he is Jenny's father and he tried hard to find a job in order to fight for custody of her since her mother is taking her to Canada to live. Harrison and Jenny warm up quickly to each other and he has plentky of time to spend with her doing activities that don't cost much since he's a stuggling writer. Jenny is dropped at teh home of her mothers friend/former boyfriend "Harrison" while her mother goes to Canada to take the bar exame in order to practice law theer as well in the US. Hes attracted to Bleeth and the little moppet charges into the womans life in order to get the duo together. Six-year-old Young is left in the care of struggling writer Winters, her moms old boyfriend. List is made up of films like Baywatch: Hawaiian Wedding and The Force.The precious little girl from the Welch's grape juice commercial play the adorable little girl Jenny. Predictably cheesy but still entertaining movie that features the chubbycheeked blonde girl from the Welchs Juice TV commercials. The greatest Yasmine Bleeth performances didn't necessarily come from the best movies, but in most cases they go hand in hand. With Yasmine Bleeth, Dean Winters, Emily Mae Young, Lorraine Ansell. I was an extra in the movie Flipper with Elijah Wood and you actually can. If you think the best Yasmine Bleeth role isn't at the top, then upvote it so it has the chance to become number one. Undercover Angel: Directed by Bryan Michael Stoller. John Donovan ( undercover angel) Yasmine Bleeth, Casey Kasem,James Earl Jones. If you and a friend are arguing about this then use this list of the most entertaining Yasmine Bleeth films to end the squabble once and for all. Yasmine Bleeth has been in a lot of films, so people often debate each other over what the greatest Yasmine Bleeth movie of all time is. The order of these top Yasmine Bleeth movies is decided by how many votes they receive, so only highly rated Yasmine Bleeth movies will be at the top of the list. Yasmine Bleeth's highest grossing movies have received a lot of accolades over the years, earning millions upon millions around the world. List of the best Yasmine Bleeth movies, ranked best to worst with movie trailers when available. ![]() With Keep you cannot drag and drop images into a Note – Evernote allows you to do this.Ģ. Evernote has unlimited ability to add many types of media to Notes. You can do one or the other, but not both. With Keep, you cannot add multiple images and audio notes to a Note. With Keep you cannot format text, and you cannot use it to work offline. You cannot share your Notes with others – but you can do this with Evernote. With Keep, you can color code your Notes, you can dictate a Note and your note gets converted to text, but you cannot save the audio as audio. I have to admit that keeping it simple might have it’s advantages, but actually, I want to be able to do much more than ‘just make notes’ – I can ‘just make notes’ using typing, taking screen shots, copying and pasting using Microsoft Word, and organize my Notes using My Documents with unlimited depths of sub-folders. Keep’s big advantage, according to Keep, is that it is simple and easy to use. So one advantage of Keep is that it synchs easily across the Google platforms. This is an app owned by Google, and it is therefore worth considering, since Google rules the world. Who Are Evernote’s Note Taking Competitors?ġ. Other Note Takers offer one or two of the same features as Evernote, but not the large number of other tools that Evernote includes in its software, free of charge.Įvernote is great way to help people get more out of everything they do, every day. Some Note Takers are so simple that they don’t offer anything more useful than your own Word ‘My Documents’ on your hard drive. You can even use it to organize all your different Affiliate Programs so you can see at a glance where to focus your attention, week after week.Įvernote easily beats all of the other Free Note Takers in every department. Result: they can’t! No other Note Taking Software app can compete with the many powerful Evernote Features – it has the ability to be synched across different platforms and devices, email integration, sharing with others, the ability to work off line, and the many tools that are provided to collect, sort and organize anything you like: text, images, affiliate links, audio, speech…etc I started with Evernote because they have been the market leader in Note Taking Software, and then I checked out the others to see if they could compete. This last week, I’ve spent more time than I care to admit to, in checking out several Free Note Taking apps to see which one is the best one for me. Personally, I need help to organize my daily ‘To Do’ Tasks, my ‘Things to Fix’ tasks, and also to Collect and Save text, images and audio when researching new topics to write about – and a dozen other things I need to do, to organize my day – home and office, and become efficient, and more productive.Įvernote : Simply the Best! By far. There are many free Note Taking software apps available today. Estimates of Clinicians and Staff Burnout 10 The item originated from a study of burnout in HMOs 11 and has subsequently been included in several major studies. The self-defined burnout measure is one of the ten survey questions on the “Mini-Z” work experience instrument developed by Linzer and colleagues. 9 MBI instruments require a license fee to administer. The 16-item General MBI survey uses the terms cynicism and personal accomplishment while the 22-item Health Services Personnel survey uses the analogous terms depersonalization and professional efficacy, with results consistent across survey versions. It is composed of three dimensions: emotional exhaustion, cynicism (or depersonalization), and personal accomplishment (or professional efficacy). The MBI, considered an industry standard, has been fielded across large samples of diverse occupations in multiple countries. Two common measures are the Maslach Burnout Inventory (MBI) and a five-choice, single item based on self-defined burnout. Within this context of heightened attention to clinician and staff well-being, greater understanding of the instruments used to measure burnout is essential. 6 The American Board of Family Medicine added work experience questions to its 2016 recertification registration to better understand and track burnout, 7 and CEOs of leading healthcare organizations have issued a call to action that argues for regular measurement of physician well-being. 5 The Society for General Internal Medicine made burnout a theme of its 2017 Annual Meeting. 4 The American Medical Association’s “STEPS Forward” modules offer guidance on practice transformation and clinician and trainee well-being. Several burnout-related initiatives aim to support the “quadruple aim” of a sustainable clinician and staff work experience in addition to improved patient experience, quality, and lower costs. A burntout workforce may adversely affect clinical quality, patient experience, and costs of care. High levels of burnout are concerning not only for clinician and staff well-being. The National Academy of Medicine 1 and Agency for Healthcare Quality and Research 2, 3 have spotlighted concerning levels of burnout among clinicians and healthcare staff, particularly in primary care. ![]() However, the self-defined burnout and MBI measures are not interchangeable. The self-defined burnout measure has a low response burden, is free to administer, and yields similar associations across two burnout predictors from prior studies. Compared to the MBI, the self-defined burnout measure misses half of high-burnout clinicians and more than 40% of high-burnout staff. Point estimates of burnout notably differ between the self-defined and MBI measures. Team culture and atmosphere were significantly associated with both self-defined burnout and the MBI, confirming concurrent validity. Area under the receiver operator curve was 0.82 for clinicians and 0.81 for staff. The self-defined measure’s sensitivity to correctly identify MBI-assessed burnout was 50.4% for clinicians and 58.6% for staff specificity was 94.7% for clinicians and 92.3% for staff. In contrast, 29% of clinicians (95% CI: 25–33%) and 31% of staff (95% CI: 28–35%) reported “definitely burning out” or more severe symptoms on the self-defined burnout measure. Similar to other nationally representative burnout estimates, 52% of clinicians (95% CI: 47–57%) and 46% of staff (95% CI: 42–50%) reported high MBI emotional exhaustion or high MBI cynicism. (J Am Board Fam Med 27(2):229–38, 2014) and a standard question about workplace atmosphere as reported by Rassolian et al. Concurrent validity was assessed using a validated, 7-item team culture scale as reported by Willard-Grace et al. The MBI measure, calculated from a high score on either the emotional exhaustion or cynicism subscale, and a single-item measure of self-defined burnout. Participantsįour hundred forty-four primary care clinicians and 606 staff from three San Francisco Aarea healthcare systems. DesignĬross-sectional survey (November 2016–January 2017). To identify the sensitivity, specificity, and concurrent validity of the self-defined burnout measure compared to the more established MBI measure. Relatively little is known about how the measures compare. ![]() Two common burnout assessments are the Maslach Burnout Inventory (MBI) and a single-item, self-defined burnout measure. Clinicians and healthcare staff report high levels of burnout. |
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