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A Voice Over Internet Protocol receiver, operating in conjunction with a transmitter receives a sequence of voice packets representing a speech utterance transmitted over a VOIP wireless interface. The interface, a central communication network, performs Class 5 switching between the PSTN and the IP network, besides providing enhanced services. The dual gate lateral MOSFET further comprises a first gate and a second gate formed adjacent to the source region, wherein the first gate and the second gate are stacked together and separated by a dielectric layer. The command causes only the atrial fibrillation detector to be activated resulting only in the detection for atrial fibrillation without committing to atrial fibrillation cardioversion should atrial fibrillation be detected. As such, enhanced reliability for subsequent actuator firing based on the flow signaling may be achieved. a tab with an opening may be provided integral with one of the side areas for hanging the tray for storage or display.