4/23/2024 0 Comments Cervical spine x ray ctl![]() ![]() These bone spurs or osteophytes can form along the ventral or dorsal margins of the cervical spine, which can then project into the spinal canal and intervertebral foramina. Progression of the kyphosis causes the annular and Sharpey’s fibers to peel off from the vertebral body edges, resulting in reactive bone formation. The result is a reversal of the normal cervical lordosis. With further disc desiccation, the annular fibers become more mechanically compromised under compressive loads, producing significant alterations in the load distribution along the cervical spine. As the nucleus pulposus loses its ability to maintain weight-bearing loads effectively, it begins to herniate through the fibers of the annulus fibrosus and contributes to the loss of disc height, ligamentous laxity, and buckling, and compression of the cervical spine. Desiccation of the disc causes the nucleus pulposus to lose its elasticity as it shrinks and becomes more fibrous. An increase in the keratin-chondroitin ratio prompts changes to the proteoglycan matrix resulting in loss of water, protein, and mucopolysaccharides within the intervertebral disc. doi: 10.The pathogenesis of cervical spondylosis involves a degenerative cascade that produces biomechanical changes in the cervical spine, manifesting as secondary compression of neural and vascular structures. Prevalence of Midline Cervical Spine Tenderness in the Non-Trauma Population. More investigation will be needed to see how some of these factors could potentially be used to improve the specificity of some of our commonly used CDRs. ![]() ![]() Only two examiners participated in this study, possibly not reflecting how other clinicians may palpate the c-spine. Limitations: This study population was from one tertiary care ED and one sports medicine clinic in the same city, possibly not reflecting the general population. Given these findings, it’s possible that a significant portion of the population may meet criteria for imaging of the c-spine by some CDRs even before ever sustaining any trauma. The middle and upper thirds of the c-spine were the areas that were more likely to have tenderness, while lower third c-spine tenderness was much rarer. Women and those with scaphoid tenderness were significantly more likely to have c-spine tenderness at baseline, while increasing BMI was associated with lower odds of c-spine tenderness. Of the 478 patients enrolled, 254 were women, and more than half (59.8%) of all participants had midline c-spine tenderness with both examiners, and 63.8% had tenderness with at least one examiner. There were several exclusion criteria, including any suspected trauma to the head or neck area, previous significant injury to these areas, any headache or neck pain on presentation or chronically, known neck osteoarthritis, recent alcohol or analgesics, and distracting injuries, to name a few. Other risk factors for tenderness that were also noted were gender, age, BMI, c-spine length, and neck circumference. They also palpated the scaphoid of each participant to determine who might be more sensitive to bony palpation. They divided the c-spine of each participant into an upper, middle, and lower segment, and then two separate examiners palpated for tenderness at least 5 minutes apart while being blinded to the findings of the other examiner. This was a prospective study of 478 patients enrolled in an urban Canadian ED and a university sports medicine clinic from August 2018 through March 2020. My neck, my back, hurts even when my car ain’t crashed… The question is, what is the prevalence of midline c-spine tenderness in patients who did not undergo any head or neck trauma, and could this be playing a role in the high sensitivity and low specificity of these CDRs (see comment on CCR from Dr. We rely on clinical decision rules (CDR), such as the Canadian C-Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (NEXUS) criteria, to decrease diagnostic testing, both of which use the presence of midline c-spine tenderness as one of the criteria in favor of obtaining further imaging. For this reason, clinicians often over-image these patients, increasing cost and radiation exposure. If missed, traumatic cervical spine injuries can potentially lead to catastrophic outcomes. Over half of the patients who had NOT undergone any head or neck trauma were found to have midline cervical spine tenderness to palpation, likely contributing to the high sensitivity but low specificity of clinical decision rules such as the NEXUS criteria. Post has been slightly modified from original based on this feedback. Stephen Smith about Canadian C-spine Rule below. Prevalence of Midline Cervical Spine Tenderness without Traumatic InjuryĮditor’s note, 11/30/21: Please see comment from Dr. ![]()
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Added support for metadata rotation flags.Īpple Warns that this software may cause your Mac to restart automatically.RTMP streaming now utilizes hardware encoder on Apple Silicon devices.All audio sources are now easier to access and manage (including audio feeds from layers).Audio and video playlists are now easier to access.Added the ability to rearrange objects such as Text, Time, and Effects.Added the ability to add more than one Text object per preset.Added the ability to assign individual Title (Lower Third) to a preset.Improved performance when running multiple (>20) presets simultaneously.Added new templates for the Time widget and improved its sharpness.Titles (Lower Thirds): added new templates, animations, and the ability to move/resize them.Added Twitch to the list of default social media streaming services. ![]() Implemented new UI design and added Dark mode.Added options to monitor sounds from audio playlist and video sources (enabled by default).Added a built-in collection of downloadable virtual background images and videos (updated regularly).Added the ability to select virtual background quality.Windows / Video / Capture / Man圜am / Download. Nowadays, if an application allows you apply effects to your webcam images. Added the ability to auto-play a video file when switching to its preset (disabled by default). Download the latest version of Man圜am for Windows.Added Global Layers that are visible across all Man圜am presets. ![]() 4/23/2024 0 Comments Zoom meeting backgrounds free![]() ![]() This is a great option for those who want to add some nostalgia to their virtual meetings. This background features the original opening scene of The Simpsons. Winter is coming, but you can escape to the sunny skies of King's Landing with this Game of Thrones background. Featuring two friends enjoying a drink and conversation in a cozy pub setting, this backdrop will transport you and your colleagues or friends to a fun and relaxed atmosphere perfect for socializing and unwinding after a long day. Take your virtual happy hour to the next level with this lively bar scene Zoom background. Who lives in a pineapple under the sea? 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Roel make sure you have a firm hand on the cake with your beloved bride. Now all of those taking pictures, be sure you’re ready for the photo opportunity. Friends please be up and standing for the cutting of the cake. Ninadith Scezny will round your tables later to make sure you all have your share. Cutting of the Wedding Cake Gentlemen and gentlewomen! Could we have your attention for a moment for the cutting of the cake? For those unfortunate souls who are on a diet, tonight’s not your night. Off they go!!! That was really beautiful. They are now ready so we will now release the doves. ![]() This is where they know that they will find love A dove always choose one mate for life, and signify love, faithfulness, joy, and hope. Like the two pairs of dove, whatever happens they will always try to seek the comfort of each other and their home together. The two doves signify Roel and Harline being released to start a new journey together. Then, they will make those lovely dove kiss each other. (Change Background Music - Slow) Kissing and Releasing of Doves This time let’s see Roel and Harline hold those two doves please take them out of the cage. Jessica Sanchez, they will be visiting each table for the traditional pictorial together with their guests. Pictorial with Guests (After a few dance moves) While Roel and Harline are enjoying the music of Ne-yo feat. I encourage everyone to stand and join our newlyweds in moving their body to the beat of the music. please make some noise and make the loudest cheer to our bride and groom: Harline and Roel. Put your hands together: _, _, _, _ (read all their first names only / after reading the last name, play music) Entrance of the Wedding Entourage And now the big moment you've all been waiting for. ‘And now please welcome the best man, the maid of honor, the groomsmen and the bridesmaids as they bring energy to the dance floor. Starting off with: Ninongs 1 2 3 4 5 Ninangs 1 2 3 4 5 4. …'And now we come to those people who are considered young at heart and spirit, the very gracious and generous Principal sponsors. Put your hands together for the mother and father of the bride: Mr. (Music starts playing – Tonight by Ne-yo feat Jessica Sanchez) 1. Please be on your feet as we welcome the bridal entourage. Are you all excited to see the couple? So am I. Let's offer a moment of silence to honor both parents. Dolores Lopez, father and mother of the groom on this special day. But before that, let us lovingly remember, Mr. Entrance of the Wedding Entourage At this point I assume that everyone has settled down and we are all ready to welcome the newlyweds. My name is Degee, and I have been asked by our lovely bride, the former Miss Caño, now Mrs Harline Lopez, to be your Emcee tonight and they would like to extend their deepest appreciation for attending their nuptial celebrations tonight especially to those who took a leave of absence from work or from school and to those who have traveled many miles just to be with us. So sit down, relax and enjoy the rest of the evening. And for those who just join in, Welcome! And so, here we are on top of the hills, here at the Chateau de Busay for the most exciting part - the Dinner Reception for our newlyweds in celebration of the beginning of their new life together. We are done with the solemn part of the celebration and we thank those people who were with us earlier at the Our Mother of Perpetual Help Redemptorist Church for the wedding ceremony. Lopez – Caño Nuptials Wedding Reception Emcee Script PART 1: ARRIVAL AND REGISTRATION Before the start of the program, GET the names of all single men and women play background music PART II: PROGRAMME Call To Order May I have your attention please? Dinner will commence very soon, so we ask that everyone make their way to their seats and make your selves comfortable Welcome Address Good Evening Ladies and Gentlemen…Friends… and Loved ones! Welcome to Roel and Harline’s Wedding Reception. ![]() ![]() You can add cost, administrative expenses, vendor payments, reimbursable employee costs, and more. Getting started with the Smartsheet APIĪ small business expense report template is a tool to track daily or weekly expenses.ENGAGE Smartsheet ENGAGE brings together our global customers, experts, and partners to share their experiences, ideas, and best practices.Smartsheet events Your hub for Smartsheet events, webinars, Q&As, and user groups.Partners Learn about the Smartsheet partner program and access our partner directory.Community Explore user-generated content and stay updated on our latest product features.Help and Learning A comprehensive knowledge base, including articles, tutorials, videos, and other resources that cover a range of topics related to using Smartsheet.Content Center Articles and guides about project management, collaboration, automation, and other topics to help you make the most of the Smartsheet platform. ![]() Tax: This includes any mandatory monetary contributions made to the government.Revenue: Calculate revenue by adding together the total amount of income made by sales and services.Net Income or Net Profit: This number reflects the amount earned from sales.Income: List anything that brings money into your business, such as sales and donations.Gross Revenue: The formula to calculate gross revenue is total revenue less the COGS.Gross Profit: Determine this number by subtracting the COGS from your total sales.Expenses: List anything on which you spend money to run your business, such as rent, advertising, equipment, insurance, phone, and employee salaries.Cost of Goods Sold (COGS): This is any money spent that is associated with your product, such as packaging and labor.Cash Flow: This is the amount of money that moves in and out of your business.Cash Ending Position: This refers to the money your business has at any specific point in time.Budget: A budget is a spending plan for your business based on your estimated income and expenses.An income statement template helps you to identify areas of risk and patterns in profit and loss, and to make educated decisions around your budget.Ī small business income statement template typically includes the following line items for tracking your business's financial status: If you are a current or prospective small business owner, it’s imperative that you track your income and expenses, as doing so will ensure you have accurate information regarding how your company spends and makes money. Templates include calculations for revenue, expenses, and overall profit and loss, and they are used to document, analyze, and project business finances. ![]() ![]() Old style contender barrels must use the old style forend. In addition, all of the 161⁄4″ and 21″ barrels made for the old style Contender will readily fit the new G2 frame. It features readily interchangeable 23″ barrels, enabling the shooter to select from several different cartridge options from 17 HMR and 22 LR Match, 330-30 Winchester, 6.8 SPC, 45/70 Gov’t., 45 cal muzzleloading, and 50 cal muzzleloading barrel. The G2 Contender rifle is very compact and weighs only about 6 pounds. See ODHA report on the muzzleloading barrel here. In addition, you can get a muzzleloading barrel in. Also, it allows shooters to cock the hammer, lower it, and re-cock it without the need to break the action open again. ![]() The New Features include easier opening, more clearance between the grip and the trigger guard and a patented automatic hammer block safety with built-in interlock. Last year TC announced the new version of the Contender, the G2 Contender with several improvements over the old model, 223 Rem has proven itself a capable hunting companion for vermin, varmints, and even medium-sized game.The Thompson Center Contender (TC) has been around for a long time in the form of a great hunting pistol and carbine. With a scope, I’d feel more comfortable shooting for groups at greater distances. 223 Rem ammunition from ranges between 25, 50, and 100 yards with ease and 100-percent reliability using a variety of factory ammunition weights and bullet types. Placing the dial in the center actuates the safety mechanism while shifting left or right swaps firing pins for either rimfire or centerfire depending on the barrel attached to the frame. To allow the modular design to fire either centerfire or rimfire rounds, the Contender’s hammer contains both the safety and selector for the firing pin. It’s important to note that regardless of aiming accoutrements, the sights or optics remain with the barrel and zeroed. Though many T/Cs are topped with scopes – a testament to their long-range accuracy potential – this one retains its adjustable iron sights. 223 Remington shows off a heavyweight 14-inch blued barrel. Regardless, this kitty has some bite, and our “Super 14” in. Though the earlier Contenders were built more for casual target shooting, the addition of longer range and heavier knockdown chamberings quickly opened up silhouette shooting, distance competitions, and the hunting market. Hunters gravitated to Warren Center’s brainchild, giving vibrant life to the single-shot handgunning world. Through the years, the listing of chamberings and barrel options grew exponentially, but one thing remained constant. The versatile platform initially allowed users a choice of calibers and barrels, from. ![]() When gun builder and designer Center joined forces with machinist Kenneth Thompson, history was set in motion. Thompson/Center’s Contender traces its roots back to Warren Center’s original design. A beefy hinge pin mates the barrel to the frame, with the only other attachment being the forend bolt, allowing for simple barrel – and caliber – swaps. The action is actuated by pressing forward on the curved trigger-guard flare. Shooters can easily switch between the two. It contains not one but two firing pins for use with both rimfire and centerfire barrels. That hammer shows off a unique mechanism. The Contender is a single-shot, single-action handgun with an exposed hammer. ![]() 4/22/2024 0 Comments Google maps satellite history![]() ![]() The lines on the timeline indicate the dates when images of your map are available. The time slider will appear at the top of the 3D viewer with a time range that corresponds to the data you selected. In the Places panel, select the data you imported. Import the GPS data or other time-related data. Import GPS tracks from a specific time period or other data that contains time information to view images in a timeline. If you select more than one data set, the time slider shows the collective time range of all the data sets. The time slider is not available when you record movies. You can zoom in or out to change the start and end dates covered by your timeline. To see how images have changed over time, view past versions of a map on a timeline.Ĭlick View and then Historical Imagery or, above the 3D viewer, click Time Time. Google Earth automatically displays current imagery. Reporting it brings it to our attention and will definitely be looked at by someone. If something is not reported, it will most likely slip past us. If you see anyone breaking the rules above, please report the post and/or message the mods. The mods also reserve the right to remove any particularly bad quality posts at their discretion. Attacking or being aggressive to others.These kinds of posts will be removed and the user BANNED No requests for, or offers of, medical advice (consult a professional) (NEW!!!).Tips for problems which affect only 1 in a million people.Memes, image macros, plain-text image posts.Basically, if there was no problem/issue in the first place then it's not a lifehack. r/lifeprotips are for all kinds of tips for life ( Text Posts Only). Software being used in the way it was designed to be used (that includes keyboard shortcuts).Commercial products with a specific purpose.Simple and practical tips that may not be obvious. ![]() Unusual ways of using everyday objects to make life easier.[New to Reddit? Click here and also visit /r/NewToReddit PLEASE READ THE SIDEBAR AND REPORT ANY POSTS WHICH DO NOT MEET THE GUIDELINES ![]() 4/22/2024 0 Comments Duplex sewage ejector system![]() ![]() We carry many brands of Sump/Effluent Pumps which include Little Giant, Liberty, Myers, and Ashland. These units are normally used to pump discharge from a septic tank or an aerobic system to a drain field, secondary treatment system, or surface discharging point. These pumps can handle smaller solids up to 3/4’’ in size. Most of our Effluent pumps have a 1-1/2’’ NPT discharge and some of the large units even have a 2’’ discharge. Our Sump and Effluent pumps are designed to handle wastewater with minimal solids or clear water. We only carry this model in the 20 GPM series. If this is the kind of set up you are replacing, the Sta-Rite Dominator is going to be your best choice. Although this is a more risky set up in an aerobic system design, some systems use the bottom suction units and elevate them off of the bottom of the tank using a PVC pipe spacer. This means the pump will intake water at the bottom of the unit. The Sta-Rite Dominator High Head Effluent pump is a bottom suction unit. The Franklin Electric Little Giant is available in both 10 GPM and 20 GPM models, however the 20 GPM model is by far the most commonly used. Generally this is the best design in an aerobic system, because it allows any solid material that makes it to the pump tank to settle on the bottom of the tank and prevents the intake screen of the pump from clogging up with debris causing eventually the pump to fail prematurely. This means the pump will intake water at the center of the unit. The Franklin Electric Little Giant High Head Effluent pump is a mid-suction unit. At Septic Solutions we offer two different pumps in this category. Most you will see will be rated from 10 to 20 Gallons per minute and dimensionally will be very similar. The High Head Effluent pumps that are used across the Aerobic Septic System industry are all fairly standard. These pumps are only designed to handle clear water or treated wastewater, so they are normally only installed behind an Aerobic Treatment System. They are primarily used in the septic system industry for spray irrigation or drip irrigation systems. High Head Effluent submersible pumps, also known as turbine pumps or deep water well pumps, are high pressure submersible pumps. Generally if the numbers are relatively close, going to the next size larger unit is highly recommended. The pumps are listed on our website as having a shut off at a certain feet of head, the Total Dynamic Head that your pump must overcome has be lower than that shut off number in order for the pump to work correctly. If you do not know the TDH for your application, our technicians will be able to calculate it for you simply knowing the vertical lift and the run distance. These two figures put together are what we call Total Dynamic Head (TDH). This number is figured by calculating the vertical lift (static head) along with pipe friction loss using the size of pipe, length of run, and flow rate of the pump. Head Pressure is simply the force that the pump must overcome to be able to push the water to its destination. If you can answer these three questions, then choosing a submersible pump will be a piece of cake! HEAD PRESSURE EXPLAINED What kind of flow rates will the pump need to handle? (Roughly how many GPM do you expect to run through the pump at MAX capacity)? What kind of head pressure will the pump be pushing against? (The numbers you need to know is how high vertically the pump need to push the water and the length of the horizontal run.) What is the application? (What is pump’s job? What kind of materials will the pump be asked to relocate? Raw Sewage or Clear Water) To make a decision on which type of pump will work best for any certain application there are four questions you will need to know the answer to: 3 THINGS YOU MUST KNOW IN ORDER TO CHOOSE THE CORRECT PUMP I will explain each one of these categories in much more detail below. The Sewage Ejector and Sewage Grinder pumps are both used to pump raw sewage. The Sump/Effluent submersible pumps are designed to pump relatively clean water usually behind an aerobic system or septic tank. High Head Effluent pumps are primarily used behind an aerobic system and pump to either a spray irrigation system or drip irrigation system. In this article I will discuss the differences between our many different styles of submersible pumps and help you decide which pump to choose for your application.Īlthough we have quite a large selection, our submersible pumps can be broken down into four main categories: High Head Effluent, Sump/Effluent, Sewage Ejector, and Sewage Grinder. The size, shape, and capabilities of a submersible pump can vary greatly from application to application. How To Choose The Correct Submersible Pump ![]() ![]() ![]() 【Quality Quality Bulb】High visibility bulb to indicate circuits’ signal, the brightness of the light will be different with the different measured voltages.Premium PU spring wire, heat insulation and oil resistance for safe use. Experience enhanced versatility with our assortment, from integrated probe designs to modular retractable leads with alligator clips and various lengths of. Constructed with high quality acetate fiber body, shatter-proof, more durable than others. 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In this mode, you also have the ability to set a multiplier factor, which can be slightly confusing if you are unfamiliar with the tool. findTop Professional Circuit Tester with Indicator Light, Extended Spring Test Leads, Long Probe with Alligator Clip for Continuity Car Voltage. To test for continuity, turn the dial or set the digital controls on the tester to the ohm setting. 4/22/2024 0 Comments Dreambox money hack![]() ![]() With my Dreambox alternative, I was able to organize based on craft categories and see everything together. I’m not including my art stuff because I like my paints in a different area. I have a lot of hobbies, but they can really be broken down into a few categories: sewing, Cricut, jewelry, paper stuff, and random craft stuff. Storage Based on CategoryĪs far as small objects go, I personally don’t like it when all of my stuff is separate. I have several cutting machines, Easy Presses, and sewing machines. We just downsized and we will downsize further in a few years, so a 9′ long cabinet probably wouldn’t work in a smaller home.Īnd although that sounds really big, a Dreambox really isn’t big enough to hold my many machines. While my room is big enough to fit a 9′ long cabinet, most people don’t have rooms large enough to fit one. (Which is also why I need closed storage!) The Size My most used vinyl colors are black and gold…Īnd so many of my craft supplies aren’t photogenic. I buy what I need as I need it and that’s not usually based on rainbow colors. ![]() It seems stupid to buy more just to make something look a certain way. Look, I love buying craft supplies, but I already have so many. I also knew that I would need to buy more craft supplies to make it look pretty. It kind of looks like a china cabinet (which would work great for craft storage by the way!) No Need to Buy More Supplies No one has to know what the cabinet holds. My new solution looks more like a piece of furniture than a storage cabinet. It would be open all the time and look messy because that’s my reality. I just don’t want to look at my stuff all the time. While I’m very grateful for the space, I’ve realized that I don’t really want it to look like a craft room. My craft area sits in the front of our home in an oversized living room. The longer I waited, the more regret I felt about spending that much money on craft storage. Reasons to Choose a Dreambox AlternativeĪfter waiting for 5 months for my Dreambox to be delivered (and being in my new house for 6 months) I realized that it wasn’t the right solution for me. Update: I wrote a new post with more affordable craft storage furniture options. So I canceled my order and came up with an alternative solution. And the version I wanted was going to be delayed by another 4-6 months. Yikes.Īfter months of hemming and hawing over it, I finally splurged and ordered a Dreambox cabinet in September 2021.Īfter 5 months of waiting, I still didn’t have it. We’ve all seen the ads for the Dreambox craft cabinet and fallen in love with it. As an Amazon Associate I earn from qualifying purchases. By purchasing an item through an affiliate link, I earn a small commission at no extra cost to you. ![]() |
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