Hi Bird,
The output type of an LM358 opamp is a complementary push-pull emitter-follower stage like most other opamps. See its schematic attached. The LM358 and its big sister, the LM324 quad opamp, is unique in that it can operate with a single supply voltage as low as 3V, and has a very low idle current. In this circuit it operates at 5V.
Opamp A operates as an ordinary AC non-inverting amplifier, with its gain adjusted by the sensitivity pot.
Opamp B operates as a comparator, with an adjustable trigger level.
I guess the sensitivity and trigger level pots allow the circuit to match the enormous difference between different fingers. Probably when a finger is cold, it has low blood-flow.
For its display, you need a counter circuit with a timebase measuring pulses per minute.
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