{"segments": [{"id": 1, "seek": 2038, "start": 1.28, "end": 20.38, "text": "بسم الله الرحمن الرحيم تحياتي لكم مجددا في المحاضرة الأولى اتكلمنا عن ال history taking و اتكلمنا عن ال general concepts و ال general principles of history taking و اليوم ان شاء الله راح نتكلم عن ال general physical examination plan of conduction and recording", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 6055, 5016, 1829, 9307, 1829, 5296, 24793, 3714, 7435, 3215, 28259, 8978, 9673, 5016, 46958, 25720, 16247, 12610, 7578, 1975, 2655, 4117, 19528, 8315, 18871, 2423, 2503, 1940, 4032, 1975, 2655, 4117, 19528, 8315, 18871, 2423, 2674, 10392, 4032, 2423, 2674, 9156, 295, 2503, 1940, 4032, 45595, 20498, 16472, 13412, 16606, 21984, 12602, 39319, 8717, 2655, 4117, 19528, 18871, 2423, 2674, 4001, 23874, 1393, 295, 43842, 293, 6613], "avg_logprob": -0.07121394479121917, "compression_ratio": 1.748792270531401, "no_speech_prob": 8.58306884765625e-06, "words": [{"start": 1.28, "end": 1.84, 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patient general health and general condition هل المريض looking ill, looking well, looking sad, looking happy, looking confident or not confident", "tokens": [9566, 3555, 3615, 995, 2423, 3224, 3215, 5172, 23032, 3555, 3615, 3224, 34892, 19986, 1829, 3794, 1829, 9687, 295, 264, 4537, 2674, 1585, 293, 2674, 4188, 8032, 1211, 9673, 16572, 11242, 1237, 3171, 11, 1237, 731, 11, 1237, 4227, 11, 1237, 2055, 11, 1237, 6679, 420, 406, 6679], "avg_logprob": -0.19371811224489796, "compression_ratio": 1.4758620689655173, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 310.31, "end": 310.73, "word": "طبعا", "probability": 0.80670166015625}, {"start": 310.73, "end": 311.09, "word": " الهدف", "probability": 0.975341796875}, {"start": 311.09, "end": 311.45, "word": " طبعه", "probability": 0.71044921875}, {"start": 311.45, "end": 311.93, "word": " الرئيسي", "probability": 0.92373046875}, {"start": 311.93, "end": 312.31, "word": " assessment", "probability": 0.5322265625}, {"start": 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هذه الشغلات بكون عنها فكرة من خلال ال general examination وطبعا هذا بيشمل three components زي ما قلنا ال general physical examination ال history taking which has a clue for symptoms and a clue for how the patient is thinking او how the patient thinks بالاضافة لل physical examination اللي هو can illustrate the signs ال sign عبارة عن physical finding بينما ال symptom عبارة عن history finding او history data", "tokens": [16129, 3273, 420, 35948, 28242, 29538, 25124, 17082, 1211, 9307, 4724, 30544, 18871, 11296, 6156, 4117, 25720, 9154, 16490, 1211, 6027, 2423, 2674, 23874, 4032, 9566, 3555, 3615, 995, 23758, 4724, 1829, 8592, 42213, 1045, 6677, 30767, 1829, 19446, 12174, 1211, 8315, 2423, 2674, 4001, 23874, 2423, 2503, 1940, 597, 575, 257, 13602, 337, 8332, 293, 257, 13602, 337, 577, 264, 4537, 307, 1953, 1975, 2407, 577, 264, 4537, 7309, 20666, 46958, 31845, 3660, 24976, 4001, 23874, 13672, 1829, 31439, 393, 23221, 264, 7880, 2423, 1465, 6225, 3555, 9640, 3660, 18871, 4001, 5006, 49374, 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"word": " how", "probability": 0.91796875}, {"start": 344.33, "end": 344.49, "word": " the", "probability": 0.8974609375}, {"start": 344.49, "end": 344.75, "word": " patient", "probability": 0.92822265625}, {"start": 344.75, "end": 345.25, "word": " thinks", "probability": 0.95556640625}, {"start": 345.25, "end": 346.25, "word": " بالاضافة", "probability": 0.9569091796875}, {"start": 346.25, "end": 346.41, "word": " لل", "probability": 0.37939453125}, {"start": 346.41, "end": 346.71, "word": " physical", "probability": 0.83837890625}, {"start": 346.71, "end": 347.35, "word": " examination", "probability": 0.94921875}, {"start": 347.35, "end": 347.59, "word": " اللي", "probability": 0.946044921875}, {"start": 347.59, "end": 347.73, "word": " هو", "probability": 0.9697265625}, {"start": 347.73, "end": 347.95, "word": " can", "probability": 0.89208984375}, {"start": 347.95, "end": 348.51, "word": " illustrate", "probability": 0.91943359375}, {"start": 348.51, "end": 348.79, "word": " 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"word": " patient", "probability": 0.87646484375}, {"start": 378.04, "end": 378.48, "word": " منها", "probability": 0.830810546875}, {"start": 378.48, "end": 378.84, "word": " إنه", "probability": 0.525146484375}, {"start": 378.84, "end": 379.08, "word": " يكون", "probability": 0.986572265625}, {"start": 379.08, "end": 379.48, "word": " فينا", "probability": 0.55419921875}, {"start": 379.48, "end": 380.16, "word": " ensuring", "probability": 0.83056640625}, {"start": 380.16, "end": 380.42, "word": " of", "probability": 0.96044921875}, {"start": 380.42, "end": 380.62, "word": " a", "probability": 0.89892578125}, {"start": 380.62, "end": 381.04, "word": " private", "probability": 0.89990234375}, {"start": 381.04, "end": 381.76, "word": " environment", "probability": 0.93994140625}, {"start": 381.76, "end": 381.92, "word": " في", "probability": 0.890625}, {"start": 381.92, "end": 382.5, "word": " البداية", "probability": 0.9903971354166666}, {"start": 382.5, "end": 383.9, "word": " طبعا", 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"word": " signs", "probability": 0.8798828125}, {"start": 621.57, "end": 622.13, "word": " temperature", "probability": 0.94482421875}, {"start": 622.13, "end": 622.77, "word": " pulse", "probability": 0.7861328125}, {"start": 622.77, "end": 623.69, "word": " respiratory", "probability": 0.83935546875}, {"start": 623.69, "end": 624.31, "word": " rate", "probability": 0.9580078125}, {"start": 624.31, "end": 624.63, "word": " and", "probability": 0.767578125}, {"start": 624.63, "end": 625.09, "word": " blood", "probability": 0.95556640625}, {"start": 625.09, "end": 625.77, "word": " pressure", "probability": 0.92431640625}], "temperature": 1.0}, {"id": 29, "seek": 65170, "start": 626.14, "end": 651.7, "text": "كل هذه ال components of the general physical examination وبالتالي ال general appearance of the patient how does the patient look like? general state of health is he looking healthy? is he looking ill? is he looking comfortable or looking distressed? distressed بمعنى يعني يعني okay is he looking happy or looking sad?", "tokens": [28820, 29538, 2423, 6677, 295, 264, 2674, 4001, 23874, 46599, 6027, 2655, 6027, 1829, 2423, 2674, 8967, 295, 264, 4537, 577, 775, 264, 4537, 574, 411, 30, 2674, 1785, 295, 1585, 307, 415, 1237, 4627, 30, 307, 415, 1237, 3171, 30, 307, 415, 1237, 4619, 420, 1237, 1483, 3805, 30, 1483, 3805, 4724, 2304, 3615, 1863, 7578, 37495, 22653, 37495, 22653, 1392, 307, 415, 1237, 2055, 420, 1237, 4227, 30], "avg_logprob": -0.17011443703946932, "compression_ratio": 1.8263157894736841, "no_speech_prob": 0.0, "words": [{"start": 626.14, "end": 626.5, "word": "كل", "probability": 0.88037109375}, {"start": 626.5, "end": 626.9, "word": " هذه", "probability": 0.90966796875}, {"start": 626.9, "end": 627.46, "word": " ال", "probability": 0.69677734375}, {"start": 627.46, "end": 627.98, "word": " components", "probability": 0.453857421875}, {"start": 627.98, "end": 628.5, "word": " of", "probability": 0.96240234375}, {"start": 628.5, "end": 628.68, "word": " 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كل هذه أشياء بنعلق عليها في ال general status of the patient أو ال general state of health ال body built في عندنا و ال nutritional status", "tokens": [271, 415, 1237, 16029, 712, 420, 1237, 7151, 8032, 18513, 4587, 34051, 3714, 14851, 12984, 9640, 34051, 43242, 3224, 6296, 1287, 28242, 29538, 5551, 8592, 1829, 16606, 44945, 30241, 4587, 25894, 11296, 8978, 2423, 2674, 6558, 295, 264, 4537, 34051, 2423, 2674, 1785, 295, 1585, 2423, 1772, 3094, 8978, 43242, 8315, 4032, 2423, 34707, 6558], "avg_logprob": -0.13344029097684793, "compression_ratio": 1.5, "no_speech_prob": 0.0, "words": [{"start": 652.37, "end": 652.65, "word": "is", "probability": 0.5068359375}, {"start": 652.65, "end": 652.81, "word": " he", "probability": 0.95703125}, {"start": 652.81, "end": 653.09, "word": " looking", "probability": 0.92822265625}, {"start": 653.09, "end": 653.65, "word": " irritable", "probability": 0.975341796875}, {"start": 653.65, "end": 653.87, "word": " or", "probability": 0.93408203125}, {"start": 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ال height لازم نجيسه بال meters ال weight لازم نجيسه بال kilograms و لازم نحصل ال body mass index طبعا ال body mass index هو عبارة عن نسبة ما بين الوزن على المربع الطول", "tokens": [3224, 1211, 2423, 4537, 8032, 11622, 26895, 22807, 8032, 1211, 7251, 44510, 2407, 16472, 3224, 833, 12329, 22807, 8032, 1211, 7251, 44510, 2407, 16472, 3224, 37495, 22653, 9154, 8608, 30543, 6055, 17082, 8848, 10632, 1975, 2407, 20193, 22807, 2423, 6681, 5296, 31377, 2304, 8717, 7435, 1829, 3794, 3224, 20666, 8146, 2423, 3364, 5296, 31377, 2304, 8717, 7435, 1829, 3794, 3224, 20666, 30690, 4032, 5296, 31377, 2304, 8717, 5016, 36520, 2423, 1772, 2758, 8186, 23032, 3555, 3615, 995, 2423, 1772, 2758, 8186, 31439, 6225, 3555, 9640, 3660, 18871, 8717, 35457, 3660, 19446, 49374, 2423, 2407, 11622, 1863, 15844, 9673, 25513, 3615, 41950, 12610], "avg_logprob": -0.12621359946658312, "compression_ratio": 1.7877358490566038, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 670.15, "end": 670.35, "word": 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{"start": 679.09, "end": 679.37, "word": " لازم", "probability": 0.9835611979166666}, {"start": 679.37, "end": 679.75, "word": " نجيسه", "probability": 0.9927734375}, {"start": 679.75, "end": 679.89, "word": " بال", "probability": 0.9619140625}, {"start": 679.89, "end": 680.33, "word": " kilograms", "probability": 0.43994140625}, {"start": 680.33, "end": 680.73, "word": " و", "probability": 0.7763671875}, {"start": 680.73, "end": 681.01, "word": " لازم", "probability": 0.97412109375}, {"start": 681.01, "end": 681.57, "word": " نحصل", "probability": 0.9781901041666666}, {"start": 681.57, "end": 681.93, "word": " ال", "probability": 0.9453125}, {"start": 681.93, "end": 682.21, "word": " body", "probability": 0.90380859375}, {"start": 682.21, "end": 682.75, "word": " mass", "probability": 0.869140625}, {"start": 682.75, "end": 683.33, "word": " index", "probability": 0.896484375}, {"start": 683.33, "end": 684.01, "word": " طبعا", "probability": 0.9171142578125}, {"start": 684.01, "end": 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"end": 1117.71, "word": " ال", "probability": 0.98046875}, {"start": 1117.71, "end": 1118.75, "word": " hyperthyroidism", "probability": 0.9425048828125}, {"start": 1118.75, "end": 1119.63, "word": " بالاضافة", "probability": 0.910400390625}, {"start": 1119.63, "end": 1120.37, "word": " لبعض", "probability": 0.9688720703125}, {"start": 1120.37, "end": 1121.29, "word": " أنواع", "probability": 0.93115234375}, {"start": 1121.29, "end": 1121.41, "word": " ال", "probability": 0.90576171875}, {"start": 1121.41, "end": 1121.85, "word": " cancers", "probability": 0.9404296875}, {"start": 1121.85, "end": 1122.25, "word": " بالذات", "probability": 0.8463541666666666}, {"start": 1122.25, "end": 1122.37, "word": " ال", "probability": 0.9638671875}, {"start": 1122.37, "end": 1122.71, "word": " advanced", "probability": 0.9580078125}, {"start": 1122.71, "end": 1123.25, "word": " cancers", "probability": 0.95654296875}, {"start": 1123.25, "end": 1123.45, "word": " في", "probability": 0.931640625}, 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"داخل الفم وبالتالي بيصير عنده separation في ال teeth نتيجة ال acromegaly طبعا ال acromegaly هو عبارة عن growth hormone excess زيادة ال growth hormone بعد ما ال patient يبلغ سن البلوغ لو صاروا و ال patient طفل بيصير عنده gigantism اللي هي مرض العملقة", "tokens": [3215, 47283, 1211, 27188, 2304, 46599, 6027, 2655, 6027, 1829, 4724, 1829, 9381, 13546, 43242, 3224, 14634, 8978, 2423, 7798, 8717, 31371, 7435, 3660, 2423, 696, 11505, 70, 5222, 23032, 3555, 3615, 995, 2423, 696, 11505, 70, 5222, 31439, 6225, 3555, 9640, 3660, 18871, 4599, 24211, 9310, 30767, 1829, 18513, 3660, 2423, 4599, 24211, 39182, 19446, 2423, 4537, 7251, 36150, 17082, 8608, 1863, 29739, 1211, 2407, 17082, 45164, 20328, 9640, 14407, 4032, 2423, 4537, 23032, 5172, 1211, 4724, 1829, 9381, 13546, 43242, 3224, 8741, 394, 1434, 13672, 1829, 39896, 3714, 43042, 18863, 2304, 1211, 28671], "avg_logprob": -0.1157226557067285, "compression_ratio": 1.6621004566210045, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 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macroglossia للسان بيكون كبير بالاضافة لل generalized visceral enlargement a broadening and enlargement of the hands الأصابع بتكون عريضة وبتكون سميكة بالاضافة لإنه بيصير في توسع في ال spaces ما بين الأصابع", "tokens": [49747, 295, 7411, 964, 6689, 281, 257, 42079, 783, 18162, 1975, 2407, 4724, 1829, 38251, 2407, 3224, 447, 4568, 998, 1434, 37495, 22653, 4724, 32887, 11622, 8978, 9673, 7649, 3215, 36150, 341, 307, 1071, 696, 11505, 70, 5222, 18887, 7191, 772, 654, 24976, 3794, 7649, 4724, 1829, 30544, 9122, 3555, 13546, 20666, 46958, 31845, 3660, 24976, 44498, 1452, 47879, 31976, 48122, 257, 4152, 4559, 293, 31976, 48122, 295, 264, 2377, 16247, 9381, 16758, 3615, 39894, 30544, 6225, 16572, 11242, 3660, 46599, 2655, 30544, 8608, 2304, 1829, 4117, 3660, 20666, 46958, 31845, 3660, 5296, 28814, 1863, 3224, 4724, 1829, 9381, 13546, 8978, 33427, 3794, 3615, 8978, 2423, 7673, 19446, 49374, 16247, 9381, 16758, 3615], "avg_logprob": -0.16145833607828408, "compression_ratio": 1.6051660516605166, 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"probability": 0.873046875}, {"start": 1558.61, "end": 1559.77, "word": " الأصابع", "probability": 0.9644775390625}, {"start": 1559.77, "end": 1560.13, "word": " بتكون", "probability": 0.93603515625}, {"start": 1560.13, "end": 1560.73, "word": " عريضة", "probability": 0.9888916015625}, {"start": 1560.73, "end": 1561.81, "word": " وبتكون", "probability": 0.7967936197916666}, {"start": 1561.81, "end": 1563.15, "word": " سميكة", "probability": 0.95859375}, {"start": 1563.15, "end": 1563.75, "word": " بالاضافة", "probability": 0.9925537109375}, {"start": 1563.75, "end": 1564.05, "word": " لإنه", "probability": 0.7640380859375}, {"start": 1564.05, "end": 1564.39, "word": " بيصير", "probability": 0.870361328125}, {"start": 1564.39, "end": 1564.65, "word": " في", "probability": 0.68359375}, {"start": 1564.65, "end": 1565.83, "word": " توسع", "probability": 0.9192708333333334}, {"start": 1565.83, "end": 1566.01, "word": " في", "probability": 0.95849609375}, {"start": 1566.01, "end": 1566.09, "word": " ال", "probability": 0.95849609375}, {"start": 1566.09, "end": 1566.53, "word": " spaces", "probability": 0.90673828125}, {"start": 1566.53, "end": 1566.83, "word": " ما", "probability": 0.78662109375}, {"start": 1566.83, "end": 1567.05, "word": " بين", "probability": 0.98291015625}, {"start": 1567.05, "end": 1567.65, "word": " الأصابع", "probability": 0.990966796875}], "temperature": 1.0}, {"id": 70, "seek": 158522, "start": 1569.8, "end": 1585.22, "text": "This is the typical face of hyperthyroidism or thyrotoxicosis ومن أشهر الأمثلة عليها الـ Graves disease طبعا الـ ocular involvement أو الـ signs اللي موجودة في العين بتلاحظها مجرد ما نعمل general assessment للـ face", "tokens": [5723, 307, 264, 7476, 1851, 295, 9848, 28433, 6490, 1434, 420, 15196, 10536, 5230, 299, 8211, 4032, 27842, 5551, 8592, 3224, 2288, 16247, 2304, 12984, 37977, 25894, 11296, 2423, 39184, 8985, 977, 4752, 23032, 3555, 3615, 995, 2423, 39184, 10409, 1040, 17447, 34051, 2423, 39184, 7880, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 18863, 9957, 39894, 15040, 5016, 19913, 11296, 3714, 7435, 2288, 3215, 19446, 8717, 25957, 1211, 2674, 9687, 24976, 39184, 1851], "avg_logprob": -0.28103883765839244, "compression_ratio": 1.3537735849056605, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1569.8, "end": 1570.1, "word": "This", "probability": 0.0360107421875}, {"start": 1570.1, "end": 1570.24, "word": " is", "probability": 0.947265625}, {"start": 1570.24, "end": 1570.34, "word": " the", "probability": 0.72314453125}, {"start": 1570.34, "end": 1570.66, "word": " typical", "probability": 0.8173828125}, {"start": 1570.66, "end": 1571.06, "word": " face", "probability": 0.51171875}, {"start": 1571.06, "end": 1571.42, "word": " of", "probability": 0.9453125}, {"start": 1571.42, "end": 1572.86, "word": " hyperthyroidism", "probability": 0.9639892578125}, {"start": 1572.86, "end": 1573.1, "word": " or", "probability": 0.67724609375}, {"start": 1573.1, "end": 1574.18, "word": " thyrotoxicosis", "probability": 0.77685546875}, {"start": 1574.18, "end": 1574.42, "word": " ومن", "probability": 0.762939453125}, {"start": 1574.42, "end": 1574.82, "word": " أشهر", "probability": 0.9788818359375}, {"start": 1574.82, "end": 1575.28, "word": " الأمثلة", "probability": 0.9854736328125}, {"start": 1575.28, "end": 1575.6, "word": " عليها", "probability": 0.96630859375}, {"start": 1575.6, "end": 1575.78, "word": " الـ", "probability": 0.314697265625}, {"start": 1575.78, "end": 1576.08, "word": " Graves", "probability": 0.60546875}, {"start": 1576.08, "end": 1576.46, "word": " disease", "probability": 0.61181640625}, {"start": 1576.46, "end": 1576.84, "word": " طبعا", "probability": 0.9317626953125}, {"start": 1576.84, "end": 1577.02, "word": " الـ", "probability": 0.572021484375}, {"start": 1577.02, "end": 1577.4, "word": " ocular", "probability": 0.82763671875}, {"start": 1577.4, "end": 1578.06, "word": " involvement", "probability": 0.90966796875}, {"start": 1578.06, 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"end": 1584.32, "word": " assessment", "probability": 0.9208984375}, {"start": 1584.32, "end": 1584.82, "word": " للـ", "probability": 0.5052490234375}, {"start": 1584.82, "end": 1585.22, "word": " face", "probability": 0.77490234375}], "temperature": 1.0}, {"id": 71, "seek": 160617, "start": 1585.89, "end": 1606.17, "text": "بكون ال patients في عندهم بروز أو جحوظ في العينين و هذا الكلام بيسموه طبعا exophthalmos ال exophthalmos هو جحوظ أو بروز العينين بالاضافة طبعا لبعض ال findings الأخرى ف this is a typical face of exophthalmos طبعا hyperthyroidism لاحظوا ال facial expression في steer و في nervousness", "tokens": [3555, 30544, 2423, 4209, 8978, 43242, 16095, 4724, 32887, 11622, 34051, 10874, 5016, 2407, 19913, 8978, 18863, 9957, 9957, 4032, 23758, 2423, 28820, 10943, 4724, 1829, 38251, 2407, 3224, 23032, 3555, 3615, 995, 454, 404, 49123, 3415, 2423, 454, 404, 49123, 3415, 31439, 10874, 5016, 2407, 19913, 34051, 4724, 32887, 11622, 18863, 9957, 9957, 20666, 46958, 31845, 3660, 23032, 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space يعني كيف المريض ماسك نفسه و هو واقف و هو بيمشي و هو جاعد وبالتالي كيف محافظ على شكل جسمه طبعا بيشمل ال active و ال passive و ال compulsive", "tokens": [38078, 293, 18502, 23032, 3555, 3615, 995, 14942, 281, 264, 4537, 1772, 6558, 293, 264, 2674, 636, 5061, 264, 1772, 294, 264, 1901, 37495, 22653, 9122, 33911, 9673, 16572, 11242, 19446, 3794, 4117, 8717, 36178, 3224, 4032, 31439, 36764, 4587, 5172, 4032, 31439, 4724, 32640, 8592, 1829, 4032, 31439, 10874, 995, 22488, 46599, 6027, 2655, 6027, 1829, 9122, 33911, 3714, 5016, 31845, 19913, 15844, 13412, 28820, 10874, 38251, 3224, 23032, 3555, 3615, 995, 4724, 1829, 8592, 42213, 2423, 4967, 4032, 2423, 14975, 4032, 2423, 42773, 488], "avg_logprob": -0.1282327534823582, "compression_ratio": 1.5363636363636364, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1805.59, "end": 1806.01, "word": "position", "probability": 0.54931640625}, {"start": 1806.01, "end": 1806.33, "word": " and", "probability": 0.90869140625}, {"start": 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1.0}, {"id": 82, "seek": 184703, "start": 1824.07, "end": 1847.03, "text": "ال active position اللي هو المريض حر الحركة أو حر يعمل إيش ما بده the patient can move his or her body freely without any restriction مافيش قيود على حركة الجسم عنده بينما ال passive position المريض مابيكونش عنده ال free movement of the body وهد بتحصل كتير في اللي عندهم فقدان جزء أو فقدان كله للوعي", "tokens": [6027, 4967, 2535, 13672, 1829, 31439, 9673, 16572, 11242, 11331, 2288, 21542, 31747, 3660, 34051, 11331, 2288, 7251, 25957, 1211, 11933, 1829, 8592, 19446, 47525, 3224, 264, 4537, 393, 1286, 702, 420, 720, 1772, 16433, 1553, 604, 29529, 19446, 41185, 8592, 12174, 1829, 23328, 15844, 11331, 31747, 3660, 25724, 38251, 43242, 3224, 49374, 15042, 2423, 14975, 2535, 9673, 16572, 11242, 19446, 21292, 30544, 8592, 43242, 3224, 2423, 1737, 3963, 295, 264, 1772, 37037, 3215, 39894, 5016, 36520, 9122, 2655, 13546, 8978, 13672, 1829, 43242, 16095, 6156, 28543, 7649, 10874, 11622, 38207, 34051, 6156, 28543, 7649, 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1840.91, "end": 1841.29, "word": " بتحصل", "probability": 0.9591471354166666}, {"start": 1841.29, "end": 1841.65, "word": " كتير", "probability": 0.9767252604166666}, {"start": 1841.65, "end": 1841.77, "word": " في", "probability": 0.927734375}, {"start": 1841.77, "end": 1841.91, "word": " اللي", "probability": 0.9375}, {"start": 1841.91, "end": 1842.89, "word": " عندهم", "probability": 0.99267578125}, {"start": 1842.89, "end": 1844.57, "word": " فقدان", "probability": 0.9811197916666666}, {"start": 1844.57, "end": 1844.91, "word": " جزء", "probability": 0.94921875}, {"start": 1844.91, "end": 1845.15, "word": " أو", "probability": 0.66796875}, {"start": 1845.15, "end": 1845.67, "word": " فقدان", "probability": 0.9851888020833334}, {"start": 1845.67, "end": 1846.25, "word": " كله", "probability": 0.6431884765625}, {"start": 1846.25, "end": 1847.03, "word": " للوعي", "probability": 0.9495442708333334}], "temperature": 1.0}, {"id": 83, "seek": 186274, "start": 1847.42, "end": 1862.74, "text": "اللي بدخلوا في حالة كومة أو في حالة اغماء أو بيكون في عندهم تشوش في مستوى الوعي أو مستوى الصحيان وبالتالي هدول بيكونوا في passive position النوع التالت من ال positions اللي هو ال compulsive position", "tokens": [6027, 20292, 47525, 9778, 1211, 14407, 8978, 11331, 6027, 3660, 9122, 20498, 3660, 34051, 8978, 11331, 6027, 3660, 1975, 17082, 2304, 16606, 34051, 4724, 1829, 30544, 8978, 43242, 16095, 6055, 8592, 2407, 8592, 8978, 3714, 14851, 2407, 7578, 2423, 45367, 1829, 34051, 3714, 14851, 2407, 7578, 31767, 5016, 1829, 7649, 46599, 6027, 2655, 6027, 1829, 8032, 3215, 12610, 4724, 1829, 30544, 14407, 8978, 14975, 2535, 28239, 45367, 16712, 6027, 2655, 9154, 2423, 8432, 13672, 1829, 31439, 2423, 715, 32657, 2535], "avg_logprob": -0.12336034097789246, "compression_ratio": 1.7921348314606742, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 1847.42, "end": 1847.76, "word": "اللي", "probability": 0.787109375}, {"start": 1847.76, "end": 1848.14, "word": " بدخلوا", "probability": 0.8492431640625}, {"start": 1848.14, "end": 1848.26, "word": " في", "probability": 0.939453125}, {"start": 1848.26, "end": 1848.72, "word": " حالة", "probability": 0.9967447916666666}, {"start": 1848.72, "end": 1849.18, "word": " كومة", "probability": 0.7311197916666666}, {"start": 1849.18, "end": 1849.32, "word": " أو", "probability": 0.67529296875}, {"start": 1849.32, "end": 1849.44, "word": " في", "probability": 0.6533203125}, {"start": 1849.44, "end": 1849.74, "word": " حالة", "probability": 0.9977213541666666}, {"start": 1849.74, "end": 1850.3, "word": " اغماء", "probability": 0.8116455078125}, {"start": 1850.3, "end": 1850.94, "word": " أو", "probability": 0.66357421875}, {"start": 1850.94, "end": 1851.24, "word": " بيكون", "probability": 0.7369791666666666}, {"start": 1851.24, "end": 1851.38, "word": " في", "probability": 0.81005859375}, {"start": 1851.38, "end": 1851.88, "word": " عندهم", "probability": 0.986328125}, {"start": 1851.88, "end": 1852.84, "word": " تشوش", "probability": 0.9154052734375}, {"start": 1852.84, "end": 1853.0, "word": " في", "probability": 0.97607421875}, {"start": 1853.0, "end": 1853.4, "word": " مستوى", "probability": 0.9853515625}, {"start": 1853.4, "end": 1853.82, "word": " الوعي", "probability": 0.9383138020833334}, {"start": 1853.82, "end": 1854.02, "word": " أو", "probability": 0.62158203125}, {"start": 1854.02, "end": 1854.74, "word": " مستوى", "probability": 0.9482421875}, {"start": 1854.74, "end": 1855.5, "word": " الصحيان", "probability": 0.9788818359375}, {"start": 1855.5, "end": 1856.24, "word": " وبالتالي", "probability": 0.936328125}, {"start": 1856.24, "end": 1856.46, "word": " هدول", "probability": 0.8688151041666666}, {"start": 1856.46, "end": 1856.82, "word": " بيكونوا", "probability": 0.953369140625}, {"start": 1856.82, "end": 1856.94, "word": " في", "probability": 0.93359375}, {"start": 1856.94, "end": 1857.24, "word": " passive", "probability": 0.91748046875}, {"start": 1857.24, "end": 1857.88, "word": " position", "probability": 0.9755859375}, {"start": 1857.88, "end": 1859.02, "word": " النوع", "probability": 0.97119140625}, {"start": 1859.02, "end": 1859.44, "word": " التالت", "probability": 0.9803059895833334}, {"start": 1859.44, "end": 1859.58, "word": " من", "probability": 0.9931640625}, {"start": 1859.58, "end": 1859.72, "word": " ال", "probability": 0.9423828125}, {"start": 1859.72, "end": 1860.24, "word": " positions", "probability": 0.923828125}, {"start": 1860.24, "end": 1860.5, "word": " اللي", "probability": 0.944091796875}, {"start": 1860.5, "end": 1860.68, "word": " هو", "probability": 0.98974609375}, {"start": 1860.68, "end": 1860.8, "word": " ال", "probability": 0.9287109375}, {"start": 1860.8, "end": 1861.6, "word": " compulsive", "probability": 0.6412353515625}, {"start": 1861.6, "end": 1862.74, "word": " position", "probability": 0.9560546875}], "temperature": 1.0}, {"id": 84, "seek": 188027, "start": 1864.89, "end": 1880.27, "text": "و ال compulsive 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index fingers تبعته و ظهر ال window هذا اللي شكله زي ال diamond عامل بيكون طبيعي المريض بينما على الجهة التانية لما يكون في clubbing بيظهرش انها diamond shape", "tokens": [6455, 341, 307, 264, 6482, 4324, 295, 264, 7350, 23032, 3555, 3615, 995, 8978, 3224, 1500, 44945, 25957, 43761, 2423, 1500, 15844, 25724, 3224, 3660, 45595, 3794, 9640, 2710, 4724, 1829, 38251, 2407, 3224, 13412, 2304, 2288, 12984, 4910, 11933, 15730, 9673, 16572, 11242, 6225, 42213, 13504, 24976, 8186, 7350, 6055, 3555, 34268, 3224, 4032, 1357, 116, 3224, 2288, 2423, 4910, 23758, 13672, 1829, 13412, 28820, 3224, 30767, 1829, 2423, 16059, 6225, 10943, 1211, 4724, 1829, 30544, 23032, 21292, 3615, 1829, 9673, 16572, 11242, 49374, 15042, 15844, 25724, 3224, 3660, 16712, 7649, 10632, 5296, 15042, 7251, 30544, 8978, 6482, 4324, 4724, 1829, 19913, 3224, 2288, 8592, 16472, 11296, 16059, 3909], "avg_logprob": -0.2086148578841407, "compression_ratio": 1.7301587301587302, "no_speech_prob": 5.960464477539063e-08, "words": 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"temperature": 1.0}, {"id": 114, "seek": 254792, "start": 2523.06, "end": 2547.92, "text": "الـ P conjunctiva due to severe anemia ممكن نلاحظها في ال examination conjunctival color due to anemia and this is the jaundice بنشوفه في ال eyes بنقل المريض يتطلع لفوق و بنفحص ال sclera في الجفن السفلاني أو الجفن السفلي أو عند الجفن العلوي وبالتالي بنشوف إذا في jaundice أو لا ال normal", "tokens": [6027, 39184, 430, 18244, 349, 5931, 3462, 281, 8922, 364, 14058, 3714, 43020, 8717, 15040, 5016, 19913, 11296, 8978, 2423, 1139, 259, 399, 18244, 349, 3576, 2017, 3462, 281, 364, 14058, 293, 341, 307, 264, 2784, 997, 573, 44945, 8592, 38688, 3224, 8978, 2423, 2575, 44945, 4587, 1211, 9673, 16572, 11242, 7251, 2655, 9566, 1211, 3615, 5296, 5172, 30543, 4032, 44945, 5172, 5016, 9381, 2423, 795, 75, 1663, 8978, 25724, 5172, 1863, 21136, 5172, 1211, 7649, 1829, 34051, 25724, 5172, 1863, 21136, 5172, 20292, 34051, 43242, 25724, 5172, 1863, 18863, 1211, 45865, 46599, 6027, 2655, 6027, 1829, 44945, 8592, 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fat builds up under the surface of the skin، بالذات في منطقة الجفون، اللي هي fat deposition", "tokens": [39, 474, 20666, 2304, 4587, 9640, 1863, 3660, 20449, 2423, 39184, 2784, 997, 4233, 1011, 12399, 20193, 5016, 19913, 14407, 2423, 39184, 5566, 742, 2983, 401, 9357, 295, 264, 3178, 12399, 5566, 742, 1319, 295, 264, 1011, 2017, 12399, 2086, 341, 307, 264, 2784, 997, 573, 12399, 819, 3467, 295, 2784, 997, 573, 8978, 2423, 1851, 12399, 8978, 2423, 2575, 4032, 8978, 2423, 2377, 3457, 310, 327, 31976, 48122, 8978, 16247, 1829, 4117, 12610, 1829, 11622, 2304, 4032, 43242, 11296, 8717, 11622, 29399, 1211, 38251, 3660, 12399, 4046, 15182, 493, 833, 264, 3753, 295, 264, 3178, 12399, 20666, 8848, 9307, 8978, 9154, 9566, 28671, 25724, 5172, 11536, 12399, 13672, 1829, 39896, 4046, 1367, 5830], "avg_logprob": -0.22771739415500475, "compression_ratio": 1.6164874551971327, "no_speech_prob": 0.0, "words": [{"start": 2548.9, "end": 2549.4, "word": "Hand", "probability": 0.56365966796875}, {"start": 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"word": " ال", "probability": 0.8466796875}, {"start": 2617.59, "end": 2617.87, "word": " colon", "probability": 0.37353515625}, {"start": 2617.87, "end": 2618.59, "word": " بالإضافة", "probability": 0.86630859375}, {"start": 2618.59, "end": 2619.31, "word": " لإنه", "probability": 0.69940185546875}, {"start": 2619.31, "end": 2619.57, "word": " بيكون", "probability": 0.9021809895833334}, {"start": 2619.57, "end": 2619.73, "word": " في", "probability": 0.88330078125}, {"start": 2619.73, "end": 2620.07, "word": " عنا", "probability": 0.67431640625}, {"start": 2620.07, "end": 2621.55, "word": " pigmentation", "probability": 0.967529296875}, {"start": 2621.55, "end": 2621.83, "word": " of", "probability": 0.9775390625}, {"start": 2621.83, "end": 2622.01, "word": " the", "probability": 0.91259765625}, {"start": 2622.01, "end": 2622.29, "word": " skin", "probability": 0.96533203125}, {"start": 2622.29, "end": 2622.83, "word": " في", "probability": 0.85205078125}, {"start": 2622.83, "end": 2622.93, "word": " ال", "probability": 0.64501953125}, {"start": 2622.93, "end": 2623.21, "word": " gums", "probability": 0.6209716796875}, {"start": 2623.21, "end": 2623.39, "word": " في", "probability": 0.83642578125}, {"start": 2623.39, "end": 2624.21, "word": " الجينجيفيتس", "probability": 0.6993815104166666}, {"start": 2624.21, "end": 2624.33, "word": " و", "probability": 0.76513671875}, {"start": 2624.33, "end": 2624.39, "word": " ال", "probability": 0.9033203125}, {"start": 2624.39, "end": 2624.75, "word": " bleeding", "probability": 0.95263671875}, {"start": 2624.75, "end": 2625.05, "word": " ال", "probability": 0.5380859375}, {"start": 2625.05, "end": 2625.55, "word": " candida", "probability": 0.908935546875}, {"start": 2625.55, "end": 2625.75, "word": " و", "probability": 0.90966796875}, {"start": 2625.75, "end": 2625.83, "word": " ال", "probability": 0.95947265625}, {"start": 2625.83, "end": 2626.53, "word": " pigmentation", "probability": 0.9775390625}, {"start": 2626.53, "end": 2627.23, "word": " ال", "probability": 0.84716796875}, {"start": 2627.23, "end": 2627.51, "word": " tongue", "probability": 0.92919921875}, {"start": 2627.51, "end": 2628.09, "word": " atrophic", "probability": 0.9147135416666666}, {"start": 2628.09, "end": 2628.71, "word": " glucitis", "probability": 0.56158447265625}, {"start": 2628.71, "end": 2629.01, "word": " and", "probability": 0.5}, {"start": 2629.01, "end": 2630.03, "word": " leukoplakia", "probability": 0.64349365234375}], "temperature": 1.0}, {"id": 118, "seek": 265916, "start": 2632.26, "end": 2659.16, "text": "اللوكوبلاكيا طبعا هي عبارة عن بُقع بيضة على الإلسان بتكون قد يكون إلها علاقة بال cancer of the tongue أو بال inflammatory conditions of the tongue زي مثلا ال fungal infections atrophic glossitis and thrush ال thrush هو عبارة عن غشاء أبيض بيكون على الإلسان موجود في ال viral infections في ال neck and the chest we have to observe for", "tokens": [6027, 1211, 2407, 4117, 2407, 3555, 15040, 4117, 25528, 23032, 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2649.12, "word": " عبارة", "probability": 0.993896484375}, {"start": 2649.12, "end": 2649.36, "word": " عن", "probability": 0.9931640625}, {"start": 2649.36, "end": 2649.76, "word": " غشاء", "probability": 0.8611653645833334}, {"start": 2649.76, "end": 2650.08, "word": " أبيض", "probability": 0.9794921875}, {"start": 2650.08, "end": 2650.32, "word": " بيكون", "probability": 0.7954915364583334}, {"start": 2650.32, "end": 2650.48, "word": " على", "probability": 0.89306640625}, {"start": 2650.48, "end": 2650.96, "word": " الإلسان", "probability": 0.9437255859375}, {"start": 2650.96, "end": 2651.74, "word": " موجود", "probability": 0.9796549479166666}, {"start": 2651.74, "end": 2651.88, "word": " في", "probability": 0.9736328125}, {"start": 2651.88, "end": 2652.0, "word": " ال", "probability": 0.87841796875}, {"start": 2652.0, "end": 2652.32, "word": " viral", "probability": 0.91552734375}, {"start": 2652.32, "end": 2653.12, "word": " infections", "probability": 0.93115234375}, {"start": 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هل في كتل؟ هل في أي أسيمتري؟ جهة من الـ neck لا تشبه الجهة الأخرى؟ ال right side لا تشبه ال left side؟ أو في مشكلة موجودة على ال right مش موجودة على ال left؟ ال lift supraclavicular fossa اللي هي ال virtuose lymph node مهم جدا هذه lymph node موجودة في ال superclavicular region على ال left side", "tokens": [10721, 1829, 5551, 3794, 32640, 2655, 16572, 8978, 2423, 39184, 6189, 22807, 8032, 1211, 8978, 9122, 2655, 1211, 22807, 8032, 1211, 8978, 36632, 5551, 3794, 32640, 2655, 16572, 22807, 10874, 3224, 3660, 9154, 2423, 39184, 6189, 20193, 6055, 8592, 3555, 3224, 25724, 3224, 3660, 16247, 34740, 7578, 22807, 2423, 558, 1252, 20193, 6055, 8592, 3555, 3224, 2423, 1411, 1252, 22807, 34051, 8978, 37893, 28820, 3660, 3714, 29245, 23328, 3660, 15844, 2423, 558, 37893, 3714, 29245, 23328, 3660, 15844, 2423, 1411, 22807, 2423, 5533, 9331, 12080, 36243, 14646, 283, 9978, 13672, 1829, 39896, 2423, 4480, 84, 541, 31070, 9984, 3714, 16095, 10874, 28259, 29538, 31070, 9984, 3714, 29245, 23328, 3660, 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"word": " هي", "probability": 0.86962890625}, {"start": 2674.01, "end": 2674.11, "word": " ال", "probability": 0.84619140625}, {"start": 2674.11, "end": 2674.57, "word": " virtuose", "probability": 0.4135335286458333}, {"start": 2674.57, "end": 2674.81, "word": " lymph", "probability": 0.9296875}, {"start": 2674.81, "end": 2675.23, "word": " node", "probability": 0.931640625}, {"start": 2675.23, "end": 2675.69, "word": " مهم", "probability": 0.8544921875}, {"start": 2675.69, "end": 2676.11, "word": " جدا", "probability": 0.9736328125}, {"start": 2676.11, "end": 2676.45, "word": " هذه", "probability": 0.68603515625}, {"start": 2676.45, "end": 2677.13, "word": " lymph", "probability": 0.177490234375}, {"start": 2677.13, "end": 2677.39, "word": " node", "probability": 0.91796875}, {"start": 2677.39, "end": 2677.87, "word": " موجودة", "probability": 0.9586181640625}, {"start": 2677.87, "end": 2677.95, "word": " في", "probability": 0.9482421875}, {"start": 2677.95, "end": 2678.05, "word": " 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"word": " is", "probability": 0.96826171875}, {"start": 3116.28, "end": 3116.46, "word": " the", "probability": 0.8251953125}, {"start": 3116.46, "end": 3117.12, "word": " subcutaneous", "probability": 0.9822591145833334}, {"start": 3117.12, "end": 3117.76, "word": " hemorrhage", "probability": 0.8609619140625}, {"start": 3117.76, "end": 3118.22, "word": " bleeding", "probability": 0.9775390625}, {"start": 3118.22, "end": 3118.66, "word": " into", "probability": 0.7724609375}, {"start": 3118.66, "end": 3118.88, "word": " the", "probability": 0.91796875}, {"start": 3118.88, "end": 3119.16, "word": " skin", "probability": 0.9599609375}, {"start": 3119.16, "end": 3119.52, "word": " طبعا", "probability": 0.946044921875}, {"start": 3119.52, "end": 3120.12, "word": " subcutaneous", "probability": 0.9098307291666666}, {"start": 3120.12, "end": 3120.6, "word": " hemorrhage", "probability": 0.9427490234375}, {"start": 3120.6, "end": 3120.92, "word": " ممكن", "probability": 0.97998046875}, {"start": 3120.92, "end": 3121.22, "word": " يكون", "probability": 0.97802734375}, {"start": 3121.22, "end": 3121.46, "word": " انها", "probability": 0.6634521484375}, {"start": 3121.46, "end": 3121.78, "word": " شقة", "probability": 0.60693359375}, {"start": 3121.78, "end": 3121.98, "word": " عن", "probability": 0.908203125}, {"start": 3121.98, "end": 3122.08, "word": " ال", "probability": 0.394287109375}, {"start": 3122.08, "end": 3122.4, "word": " trauma", "probability": 0.955078125}], "temperature": 1.0}, {"id": 139, "seek": 313785, "start": 3123.65, "end": 3137.85, "text": "واحد أخله ضرب في وجهه أو أخله بوكس في وجهه ممكن تصير فيه أن زراعك في المنطقة و الدم يرشح تحت ال skin و يتجمع وبالتالي هذا بيكون سببها لل trauma أو بيكون سببها مشكلة في ال calculation mechanism أو مشكلة في ال platelet mechanism", "tokens": [14407, 24401, 5551, 9778, 43761, 48812, 25513, 8978, 49610, 3224, 3224, 34051, 5551, 9778, 43761, 4724, 2407, 4117, 3794, 8978, 49610, 3224, 3224, 3714, 43020, 6055, 9381, 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{"start": 3127.81, "end": 3127.93, "word": " و", "probability": 0.55126953125}, {"start": 3127.93, "end": 3128.25, "word": " الدم", "probability": 0.8974609375}, {"start": 3128.25, "end": 3128.63, "word": " يرشح", "probability": 0.9764404296875}, {"start": 3128.63, "end": 3128.89, "word": " تحت", "probability": 0.993896484375}, {"start": 3128.89, "end": 3129.03, "word": " ال", "probability": 0.8671875}, {"start": 3129.03, "end": 3129.29, "word": " skin", "probability": 0.88232421875}, {"start": 3129.29, "end": 3129.43, "word": " و", "probability": 0.97412109375}, {"start": 3129.43, "end": 3129.99, "word": " يتجمع", "probability": 0.893017578125}, {"start": 3129.99, "end": 3130.95, "word": " وبالتالي", "probability": 0.93193359375}, {"start": 3130.95, "end": 3131.11, "word": " هذا", "probability": 0.281005859375}, {"start": 3131.11, "end": 3131.39, "word": " بيكون", "probability": 0.8128255208333334}, {"start": 3131.39, "end": 3131.75, "word": " سببها", "probability": 0.9749755859375}, {"start": 3131.75, "end": 3131.87, "word": " لل", "probability": 0.591796875}, {"start": 3131.87, "end": 3132.11, "word": " trauma", "probability": 0.83203125}, {"start": 3132.11, "end": 3132.31, "word": " أو", "probability": 0.6845703125}, {"start": 3132.31, "end": 3132.61, "word": " بيكون", "probability": 0.9402669270833334}, {"start": 3132.61, "end": 3133.13, "word": " سببها", "probability": 0.9869384765625}, {"start": 3133.13, "end": 3134.11, "word": " مشكلة", "probability": 0.9720052083333334}, {"start": 3134.11, "end": 3134.19, "word": " في", "probability": 0.9560546875}, {"start": 3134.19, "end": 3134.29, "word": " ال", "probability": 0.875}, {"start": 3134.29, "end": 3134.65, "word": " calculation", "probability": 0.8740234375}, {"start": 3134.65, "end": 3135.31, "word": " mechanism", "probability": 0.927734375}, {"start": 3135.31, "end": 3135.57, "word": " أو", "probability": 0.6416015625}, {"start": 3135.57, "end": 3136.13, "word": " مشكلة", "probability": 0.9775390625}, {"start": 3136.13, "end": 3136.29, "word": " في", "probability": 0.9755859375}, {"start": 3136.29, "end": 3136.39, "word": " ال", "probability": 0.95263671875}, {"start": 3136.39, "end": 3136.99, "word": " platelet", "probability": 0.71044921875}, {"start": 3136.99, "end": 3137.85, "word": " mechanism", "probability": 0.966796875}], "temperature": 1.0}, {"id": 140, "seek": 316697, "start": 3138.65, "end": 3166.97, "text": "و في عندنا عدة أوصاف للموضوع هذا على سبيل المثال ال small hemorrhage او ال small blood under the skin اللي بيكون ال size تبعه اقل من اتنين ميلي متر بنسميه petechia بينما ال perpura من تلاتة لخمس ملي بيكون حجم بقعة الدم اللي تحت ال skin بينما ال ecchymosis بيكون اكتر من five ملي متر اذا كان ال lesion اكبر من هيك او التجمع الدموي اكبر من هيك بيعمل swelling و ممكن يقد لحاجة بيسموها hematoma", "tokens": [2407, 8978, 43242, 8315, 6225, 41891, 34051, 9381, 31845, 5296, 19528, 2407, 11242, 45367, 23758, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 2423, 1359, 8636, 24362, 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"probability": 0.84716796875}, {"start": 3294.06, "end": 3294.18, "word": " في", "probability": 0.82958984375}, {"start": 3294.18, "end": 3294.38, "word": " كل", "probability": 0.97412109375}, {"start": 3294.38, "end": 3294.8, "word": " أنحاء", "probability": 0.92822265625}, {"start": 3294.8, "end": 3294.94, "word": " ال", "probability": 0.88427734375}, {"start": 3294.94, "end": 3295.18, "word": " body", "probability": 0.94921875}, {"start": 3295.18, "end": 3295.84, "word": " وهذه", "probability": 0.66748046875}, {"start": 3295.84, "end": 3296.14, "word": " بتكون", "probability": 0.6473388671875}, {"start": 3296.14, "end": 3296.5, "word": " نتيجة", "probability": 0.8841552734375}, {"start": 3296.5, "end": 3296.88, "word": " غالبا", "probability": 0.92138671875}, {"start": 3296.88, "end": 3297.04, "word": " عن", "probability": 0.7578125}, {"start": 3297.04, "end": 3297.52, "word": " congestive", "probability": 0.987060546875}, {"start": 3297.52, "end": 3297.72, "word": " heart", 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pitting and severe pitting كلها بنعملها grading من خلال جديش صار في حفرة مع الدغط على ال skin وجديش طولت الحفرة هذه لما رجعت لوضعها الطبيعي", "tokens": [11176, 307, 264, 280, 2414, 1975, 16254, 46007, 20193, 5016, 19913, 14407, 39182, 6024, 114, 17082, 9566, 21542, 5172, 25720, 11778, 1211, 2655, 3714, 41361, 11296, 280, 2414, 4032, 41185, 2107, 280, 2414, 13672, 1829, 31439, 39894, 47341, 3615, 5296, 1863, 36178, 11296, 23032, 3555, 3615, 995, 28242, 19446, 25961, 2655, 2423, 280, 2414, 1975, 16254, 46007, 1975, 4117, 2655, 2288, 28242, 19446, 30767, 18513, 2423, 7204, 6055, 3555, 3615, 11296, 46599, 6027, 2655, 6027, 1829, 15154, 280, 2414, 18174, 280, 2414, 293, 8922, 280, 2414, 28242, 11296, 44945, 25957, 1211, 11296, 35540, 9154, 16490, 1211, 6027, 10874, 16254, 8592, 20328, 9640, 8978, 11331, 5172, 25720, 20449, 32748, 17082, 9566, 15844, 2423, 3178, 49610, 16254, 8592, 23032, 12610, 2655, 21542, 5172, 25720, 29538, 5296, 15042, 12602, 7435, 34268, 45164, 11242, 3615, 11296, 41950, 21292, 3615, 1829], "avg_logprob": -0.1335538355973515, "compression_ratio": 1.8368794326241136, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 3304.09, "end": 3304.39, "word": "this", "probability": 0.61865234375}, {"start": 3304.39, "end": 3304.53, "word": " is", "probability": 0.96435546875}, {"start": 3304.53, "end": 3304.67, "word": " the", "probability": 0.8486328125}, {"start": 3304.67, "end": 3304.93, "word": " pitting", "probability": 0.89892578125}, {"start": 3304.93, "end": 3305.23, "word": " اديمة", "probability": 0.4910481770833333}, {"start": 3305.23, "end": 3305.61, "word": " لاحظوا", "probability": 0.8485107421875}, {"start": 3305.61, "end": 3305.81, "word": " بعد", "probability": 0.9501953125}, {"start": 3305.81, "end": 3306.31, "word": " الضغط", "probability": 0.98095703125}, {"start": 3306.31, "end": 3306.85, "word": " الحفرة", "probability": 0.9651692708333334}, {"start": 3306.85, "end": 3307.27, "word": " دلت", "probability": 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"probability": 0.91904296875}, {"start": 3317.65, "end": 3318.01, "word": " mild", "probability": 0.79541015625}, {"start": 3318.01, "end": 3318.57, "word": " pitting", "probability": 0.928955078125}, {"start": 3318.57, "end": 3318.99, "word": " moderate", "probability": 0.6630859375}, {"start": 3318.99, "end": 3319.43, "word": " pitting", "probability": 0.905029296875}, {"start": 3319.43, "end": 3319.63, "word": " and", "probability": 0.830078125}, {"start": 3319.63, "end": 3319.93, "word": " severe", "probability": 0.86279296875}, {"start": 3319.93, "end": 3320.33, "word": " pitting", "probability": 0.94873046875}, {"start": 3320.33, "end": 3321.55, "word": " كلها", "probability": 0.938232421875}, {"start": 3321.55, "end": 3323.69, "word": " بنعملها", "probability": 0.82171630859375}, {"start": 3323.69, "end": 3324.21, "word": " grading", "probability": 0.826171875}, {"start": 3324.21, "end": 3325.17, "word": " من", "probability": 0.99267578125}, {"start": 3325.17, "end": 3325.57, "word": " خلال", "probability": 0.9939778645833334}, {"start": 3325.57, "end": 3326.05, "word": " جديش", "probability": 0.787109375}, {"start": 3326.05, "end": 3326.29, "word": " صار", "probability": 0.9814453125}, {"start": 3326.29, "end": 3326.41, "word": " في", "probability": 0.88525390625}, {"start": 3326.41, "end": 3326.79, "word": " حفرة", "probability": 0.962890625}, {"start": 3326.79, "end": 3326.95, "word": " مع", "probability": 0.9638671875}, {"start": 3326.95, "end": 3327.33, "word": " الدغط", "probability": 0.7936197916666666}, {"start": 3327.33, "end": 3327.49, "word": " على", "probability": 0.67724609375}, {"start": 3327.49, "end": 3327.61, "word": " ال", "probability": 0.92529296875}, {"start": 3327.61, "end": 3327.79, "word": " skin", "probability": 0.642578125}, {"start": 3327.79, "end": 3328.19, "word": " وجديش", "probability": 0.7975260416666666}, {"start": 3328.19, "end": 3328.63, "word": " طولت", "probability": 0.9637044270833334}, {"start": 3328.63, "end": 3329.01, "word": " الحفرة", "probability": 0.9905598958333334}, {"start": 3329.01, "end": 3329.23, "word": " هذه", "probability": 0.59814453125}, {"start": 3329.23, "end": 3329.45, "word": " لما", "probability": 0.93896484375}, {"start": 3329.45, "end": 3329.79, "word": " رجعت", "probability": 0.9889322916666666}, {"start": 3329.79, "end": 3330.17, "word": " لوضعها", "probability": 0.9339599609375}, {"start": 3330.17, "end": 3330.63, "word": " الطبيعي", "probability": 0.9468994140625}], "temperature": 1.0}, {"id": 149, "seek": 335657, "start": 3334.95, "end": 3356.57, "text": "yes this is periorbital edema found in a patient with thyrotoxicosis لاحظوا ال protrusion of the eyeballs بالاضافة لل periorbital edema اللي موجودة كأنه في small abdomen below the eyes او small fat او fat deposition below the eyes طبعا هذه typical face of Graves disease thyrotoxicosis", "tokens": [2346, 341, 307, 680, 1973, 65, 1686, 1257, 5619, 1352, 294, 257, 4537, 365, 15196, 10536, 5230, 299, 8211, 20193, 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"probability": 0.8935546875}, {"start": 3337.23, "end": 3337.61, "word": " in", "probability": 0.95849609375}, {"start": 3337.61, "end": 3337.87, "word": " a", "probability": 0.87890625}, {"start": 3337.87, "end": 3338.29, "word": " patient", "probability": 0.90283203125}, {"start": 3338.29, "end": 3338.69, "word": " with", "probability": 0.90576171875}, {"start": 3338.69, "end": 3339.93, "word": " thyrotoxicosis", "probability": 0.80517578125}, {"start": 3339.93, "end": 3340.43, "word": " لاحظوا", "probability": 0.85791015625}, {"start": 3340.43, "end": 3340.53, "word": " ال", "probability": 0.80322265625}, {"start": 3340.53, "end": 3341.21, "word": " protrusion", "probability": 0.82373046875}, {"start": 3341.21, "end": 3341.41, "word": " of", "probability": 0.970703125}, {"start": 3341.41, "end": 3341.59, "word": " the", "probability": 0.82568359375}, {"start": 3341.59, "end": 3342.13, "word": " eyeballs", "probability": 0.70458984375}, {"start": 3342.13, "end": 3342.85, "word": " بالاضافة", "probability": 0.9285888671875}, {"start": 3342.85, "end": 3343.01, "word": " لل", "probability": 0.53125}, {"start": 3343.01, "end": 3343.69, "word": " periorbital", "probability": 0.892822265625}, {"start": 3343.69, "end": 3344.05, "word": " edema", "probability": 0.969482421875}, {"start": 3344.05, "end": 3344.17, "word": " اللي", "probability": 0.716064453125}, {"start": 3344.17, "end": 3344.69, "word": " موجودة", "probability": 0.9793701171875}, {"start": 3344.69, "end": 3345.09, "word": " كأنه", "probability": 0.8966471354166666}, {"start": 3345.09, "end": 3345.29, "word": " في", "probability": 0.88427734375}, {"start": 3345.29, "end": 3346.57, "word": " small", "probability": 0.62939453125}, {"start": 3346.57, "end": 3347.11, "word": " abdomen", "probability": 0.96923828125}, {"start": 3347.11, "end": 3347.51, "word": " below", "probability": 0.87109375}, {"start": 3347.51, "end": 3347.77, "word": " the", "probability": 0.92919921875}, {"start": 3347.77, "end": 3348.15, "word": " eyes", "probability": 0.88134765625}, {"start": 3348.15, "end": 3348.93, "word": " او", "probability": 0.836181640625}, {"start": 3348.93, "end": 3349.33, "word": " small", "probability": 0.8212890625}, {"start": 3349.33, "end": 3349.85, "word": " fat", "probability": 0.94677734375}, {"start": 3349.85, "end": 3350.69, "word": " او", "probability": 0.775634765625}, {"start": 3350.69, "end": 3350.93, "word": " fat", "probability": 0.82421875}, {"start": 3350.93, "end": 3351.41, "word": " deposition", "probability": 0.7252197265625}, {"start": 3351.41, "end": 3351.63, "word": " below", "probability": 0.9140625}, {"start": 3351.63, "end": 3351.85, "word": " the", "probability": 0.93603515625}, {"start": 3351.85, "end": 3352.09, "word": " eyes", "probability": 0.8798828125}, {"start": 3352.09, "end": 3352.39, "word": " طبعا", "probability": 0.9837646484375}, {"start": 3352.39, "end": 3352.65, "word": " هذه", "probability": 0.61279296875}, {"start": 3352.65, "end": 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"probability": 0.7744140625}, {"start": 3429.91, "end": 3430.31, "word": " physical", "probability": 0.82666015625}, {"start": 3430.31, "end": 3430.77, "word": " examination", "probability": 0.9384765625}, {"start": 3430.77, "end": 3431.05, "word": " هذه", "probability": 0.424560546875}, {"start": 3431.05, "end": 3431.37, "word": " بعض", "probability": 0.9765625}, {"start": 3431.37, "end": 3431.81, "word": " الأنواع", "probability": 0.9771728515625}, {"start": 3431.81, "end": 3431.93, "word": " اللي", "probability": 0.9384765625}, {"start": 3431.93, "end": 3432.19, "word": " بصير", "probability": 0.9000651041666666}, {"start": 3432.19, "end": 3432.43, "word": " فيها", "probability": 0.975341796875}, {"start": 3432.43, "end": 3432.73, "word": " cervical", "probability": 0.759765625}, {"start": 3432.73, "end": 3433.87, "word": " lymphadenopathy", "probability": 0.8350830078125}, {"start": 3433.87, "end": 3434.67, "word": " massive", "probability": 0.5615234375}, {"start": 3434.67, "end": 3434.95, "word": " right", "probability": 0.947265625}, {"start": 3434.95, "end": 3435.27, "word": " sided", "probability": 0.7236328125}, {"start": 3435.27, "end": 3435.61, "word": " cervical", "probability": 0.84912109375}, {"start": 3435.61, "end": 3436.55, "word": " lymphadenopathy", "probability": 0.9515380859375}, {"start": 3436.55, "end": 3436.83, "word": " due", "probability": 0.95263671875}, {"start": 3436.83, "end": 3437.03, "word": " to", "probability": 0.9658203125}, {"start": 3437.03, "end": 3437.71, "word": " metastatic", "probability": 0.9300130208333334}, {"start": 3437.71, "end": 3438.31, "word": " disease", "probability": 0.9140625}, {"start": 3438.31, "end": 3439.09, "word": " وفي", "probability": 0.77001953125}, {"start": 3439.09, "end": 3439.27, "word": " هذه", "probability": 0.4189453125}, {"start": 3439.27, "end": 3439.61, "word": " الحالة", "probability": 0.9734700520833334}, {"start": 3439.61, "end": 3439.69, "word": " ال", "probability": 0.77880859375}, 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node Epitropial lymph node وهذا ال palpation of the axilla بالذات في ال patients اللي عندهم breast pathology أو breast mass We have to palpate the axilla very thoroughly يعني بعناية شديدة جدا This is the palpation of the axilla و طبعا هنا ال left axillary lymphadenopathy قد تكون ناتجة عن breast cancer و قد تكون ناتجة عن skin cancer في منطقة ال chest أو في منطقة ال upper abdomen", "tokens": [5723, 307, 264, 3984, 79, 399, 295, 264, 18507, 31070, 9984, 9970, 270, 1513, 831, 31070, 9984, 37037, 15730, 2423, 3984, 79, 399, 295, 264, 6360, 5291, 20666, 8848, 9307, 8978, 2423, 4209, 13672, 1829, 43242, 16095, 9934, 3100, 1793, 34051, 9934, 2758, 492, 362, 281, 3984, 79, 473, 264, 6360, 5291, 588, 17987, 37495, 22653, 45030, 8315, 10632, 13412, 16254, 41891, 10874, 28259, 639, 307, 264, 3984, 79, 399, 295, 264, 6360, 5291, 4032, 23032, 3555, 3615, 995, 34105, 2423, 1411, 6360, 46367, 31070, 14771, 404, 9527, 12174, 3215, 6055, 30544, 8717, 9307, 7435, 3660, 18871, 9934, 5592, 4032, 12174, 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palpate", "probability": 0.9798177083333334}, {"start": 3455.69, "end": 3455.85, "word": " the", "probability": 0.8662109375}, {"start": 3455.85, "end": 3456.25, "word": " axilla", "probability": 0.9345703125}, {"start": 3456.25, "end": 3456.57, "word": " very", "probability": 0.86181640625}, {"start": 3456.57, "end": 3457.37, "word": " thoroughly", "probability": 0.81005859375}, {"start": 3457.37, "end": 3457.73, "word": " يعني", "probability": 0.868896484375}, {"start": 3457.73, "end": 3458.39, "word": " بعناية", "probability": 0.8388671875}, {"start": 3458.39, "end": 3458.87, "word": " شديدة", "probability": 0.9641927083333334}, {"start": 3458.87, "end": 3459.25, "word": " جدا", "probability": 0.99169921875}, {"start": 3459.25, "end": 3460.01, "word": " This", "probability": 0.556640625}, {"start": 3460.01, "end": 3460.17, "word": " is", "probability": 0.96484375}, {"start": 3460.17, "end": 3460.33, "word": " the", "probability": 0.86279296875}, {"start": 3460.33, "end": 3460.81, "word": " palpation", "probability": 0.9850260416666666}, {"start": 3460.81, "end": 3461.01, "word": " of", "probability": 0.98095703125}, {"start": 3461.01, "end": 3461.13, "word": " the", "probability": 0.87939453125}, {"start": 3461.13, "end": 3461.55, "word": " axilla", "probability": 0.927490234375}, {"start": 3461.55, "end": 3461.69, "word": " و", "probability": 0.6181640625}, {"start": 3461.69, "end": 3461.93, "word": " طبعا", "probability": 0.85430908203125}, {"start": 3461.93, "end": 3462.13, "word": " هنا", "probability": 0.277587890625}, {"start": 3462.13, "end": 3462.25, "word": " ال", "probability": 0.7041015625}, {"start": 3462.25, "end": 3462.37, "word": " left", "probability": 0.8779296875}, {"start": 3462.37, "end": 3462.81, "word": " axillary", "probability": 0.97607421875}, {"start": 3462.81, "end": 3463.61, "word": " lymphadenopathy", "probability": 0.8955078125}, {"start": 3463.61, "end": 3463.83, "word": " قد", "probability": 0.992431640625}, {"start": 3463.83, "end": 3464.13, "word": " تكون", "probability": 0.98876953125}, {"start": 3464.13, "end": 3464.51, "word": " ناتجة", "probability": 0.9132080078125}, {"start": 3464.51, "end": 3464.65, "word": " عن", "probability": 0.978515625}, {"start": 3464.65, "end": 3464.91, "word": " breast", "probability": 0.4921875}, {"start": 3464.91, "end": 3465.29, "word": " cancer", "probability": 0.97314453125}, {"start": 3465.29, "end": 3465.45, "word": " و", "probability": 0.9150390625}, {"start": 3465.45, "end": 3465.59, "word": " قد", "probability": 0.812744140625}, {"start": 3465.59, "end": 3465.87, "word": " تكون", "probability": 0.99169921875}, {"start": 3465.87, "end": 3466.27, "word": " ناتجة", "probability": 0.994873046875}, {"start": 3466.27, "end": 3466.51, "word": " عن", "probability": 0.99560546875}, {"start": 3466.51, "end": 3467.23, "word": " skin", "probability": 0.93212890625}, {"start": 3467.23, "end": 3467.81, "word": " cancer", "probability": 0.9736328125}, {"start": 3467.81, "end": 3468.01, "word": " في", "probability": 0.6689453125}, {"start": 3468.01, "end": 3468.39, "word": " منطقة", "probability": 0.9889322916666666}, {"start": 3468.39, "end": 3468.57, "word": " ال", "probability": 0.87841796875}, {"start": 3468.57, "end": 3468.85, "word": " chest", "probability": 0.91259765625}, {"start": 3468.85, "end": 3469.03, "word": " أو", "probability": 0.68115234375}, {"start": 3469.03, "end": 3469.19, "word": " في", "probability": 0.87890625}, {"start": 3469.19, "end": 3469.63, "word": " منطقة", "probability": 0.98876953125}, {"start": 3469.63, "end": 3469.81, "word": " ال", "probability": 0.89453125}, {"start": 3469.81, "end": 3470.11, "word": " upper", "probability": 0.86767578125}, {"start": 3470.11, "end": 3470.93, "word": " abdomen", "probability": 0.97265625}], "temperature": 1.0}, {"id": 155, "seek": 349495, "start": 3471.95, "end": 3494.95, "text": "This is the vertial lymph node على ال left side اللي هي عبارة عن superclavicular lymph node و ال vertial rule بتقول كالتالي if you have vertial lymphadenopathy يعني lift superclavicular lymph node enlargement you have to suspect cancer below the diaphragm في منطقة ال abdomen بمعنى آخر و بالذات ال stomach cancer", "tokens": [5723, 307, 264, 6509, 831, 31070, 9984, 15844, 2423, 1411, 1252, 13672, 1829, 39896, 6225, 3555, 9640, 3660, 18871, 1687, 3474, 706, 14646, 31070, 9984, 4032, 2423, 6509, 831, 4978, 39894, 39648, 9122, 6027, 2655, 6027, 1829, 498, 291, 362, 6509, 831, 31070, 14771, 404, 9527, 37495, 22653, 5533, 1687, 3474, 706, 14646, 31070, 9984, 31976, 48122, 291, 362, 281, 9091, 5592, 2507, 264, 46711, 76, 8978, 9154, 9566, 28671, 2423, 36494, 4724, 2304, 3615, 1863, 7578, 19753, 34740, 4032, 20666, 8848, 9307, 2423, 9665, 5592], "avg_logprob": -0.24173851054290246, "compression_ratio": 1.5756302521008403, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3471.95, "end": 3472.31, "word": "This", "probability": 0.131591796875}, {"start": 3472.31, "end": 3472.49, "word": " is", "probability": 0.955078125}, {"start": 3472.49, "end": 3472.75, "word": " the", "probability": 0.75830078125}, {"start": 3472.75, "end": 3473.39, "word": " vertial", "probability": 0.214141845703125}, {"start": 3473.39, "end": 3473.69, "word": " lymph", "probability": 0.912109375}, {"start": 3473.69, "end": 3474.13, "word": " node", "probability": 0.818359375}, {"start": 3474.13, "end": 3474.33, "word": " على", "probability": 0.71826171875}, {"start": 3474.33, "end": 3474.47, "word": " ال", "probability": 0.662109375}, {"start": 3474.47, "end": 3474.59, "word": " left", "probability": 0.36669921875}, {"start": 3474.59, "end": 3475.09, "word": " side", "probability": 0.7900390625}, {"start": 3475.09, "end": 3475.35, "word": " اللي", "probability": 0.739501953125}, {"start": 3475.35, "end": 3475.77, "word": " هي", "probability": 0.85205078125}, {"start": 3475.77, "end": 3476.85, "word": " عبارة", "probability": 0.989013671875}, {"start": 3476.85, "end": 3477.01, "word": " عن", "probability": 0.99658203125}, {"start": 3477.01, "end": 3477.83, "word": " superclavicular", "probability": 0.70953369140625}, {"start": 3477.83, "end": 3478.13, "word": " lymph", "probability": 0.912109375}, {"start": 3478.13, "end": 3478.49, "word": " node", "probability": 0.89453125}, {"start": 3478.49, "end": 3478.61, "word": " و", "probability": 0.3623046875}, {"start": 3478.61, "end": 3478.73, "word": " ال", "probability": 0.5654296875}, {"start": 3478.73, "end": 3479.41, "word": " vertial", "probability": 0.8203125}, {"start": 3479.41, "end": 3480.15, "word": " rule", "probability": 0.751953125}, {"start": 3480.15, "end": 3480.65, "word": " بتقول", "probability": 0.9794921875}, {"start": 3480.65, "end": 3481.33, "word": " كالتالي", "probability": 0.858935546875}, {"start": 3481.33, "end": 3481.59, "word": " if", "probability": 0.39794921875}, {"start": 3481.59, "end": 3481.79, "word": " you", "probability": 0.9716796875}, {"start": 3481.79, "end": 3481.99, "word": " have", "probability": 0.95458984375}, {"start": 3481.99, "end": 3482.59, "word": " vertial", "probability": 0.906005859375}, {"start": 3482.59, "end": 3483.73, "word": " lymphadenopathy", "probability": 0.907470703125}, {"start": 3483.73, "end": 3484.33, "word": " يعني", "probability": 0.908203125}, {"start": 3484.33, "end": 3484.87, "word": " lift", "probability": 0.5107421875}, {"start": 3484.87, "end": 3485.89, "word": " superclavicular", "probability": 0.878173828125}, {"start": 3485.89, "end": 3486.21, "word": " lymph", "probability": 0.8955078125}, {"start": 3486.21, "end": 3486.53, "word": " node", "probability": 0.8486328125}, {"start": 3486.53, "end": 3487.27, "word": " enlargement", "probability": 0.972412109375}, {"start": 3487.27, "end": 3487.83, "word": " you", "probability": 0.76806640625}, {"start": 3487.83, "end": 3488.09, "word": " have", "probability": 0.96484375}, {"start": 3488.09, "end": 3488.23, "word": " to", "probability": 0.9677734375}, {"start": 3488.23, "end": 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