12/23/2023 0 Comments Supracondylar fracture of humerus![]() Posteromedial displacement is associated with a posterolateral periosteal tear, with preservation of the posteromedial periosteum. The direction of displacement of the distal fragment may indicate whether the medial or lateral periosteum remains intact and assists in planning the appropriate reduction manoeuvre. The fracture may progress to the posterior cortex with the posterior periosteum acting as a hinge, preserving stability and facilitating reduction. The relative ligamentous laxity predisposes to hyper-extension and results in the olecranon acting as a fulcrum against the olecranon fossa until the anterior periosteum tears and the cortex fails. This produces a dumbbell shape in the axial plane and the thin plate of bone acts as a stress riser that fails under excessive axial load. The olecranon and coronoid fossae form the centre of this triangle, with a thin area of bone proximal to the condylar masses and between the supracondylar pillars. The distal humerus is roughly triangular in the coronal plane, with a base formed by the transverse condylar masses (lateral epicondyle, capitellum, trochlear and medial epicondyle) and the sides formed by the medial and lateral supracondylar ridges. Īn appreciation of the morphology of the distal humerus is necessary to understand the high incidence of fractures in this region. Flexion type injuries are far less common, accounting for 1–3%, and open fractures are also rare, occurring in approximately 1% and more frequently in the older child. And falls from play equipment are frequently implicated. There is a higher incidence of injury over weekends and during the summer months. This produces an extension type fracture, which accounts for 97–99% of injuries and may be influenced by the ligamentous laxity that is common in this age group, predisposing to elbow hyper-extension. The mechanism of injury is usually a fall onto an outstretched hand, with axial transmission of body weight through the maximally extended elbow. This injury is reported to be more common in males but there is a lack of consensus, some reports indicating a higher incidence in females and a recent evaluation of a cohort of > 63,000 children over a five year period did not demonstrate a statistically significant difference. The median age of presentation is six years, and the incidence gradually reduces with age until age 15, when patients tend to present with an adult pattern. ![]() Supracondylar fractures of the distal humerus account for approximately 15% of all paediatric fractures. ![]()
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12/23/2023 0 Comments Kindle power cord![]() ![]() power and to give notice to any and all parties interested, when possible, of. Kindle Paperwhite and Kindle Paperwhite Signature Edition pre-orders start today and will start shipping October 27. cord wood, logs, bark or other forest product, fencing, bridges and. Compatible with All Fire Tablet and eReaders, Fire HD 8, Fire 7, Fire HD 10 Tablet, Fire Kids Edition Tablet, Paperwhite Voyage Oasis E-reader, Fire Phone, Echo Dot 2nd Generation,Fire TV Stick, Fire HD HDX 7 8. Starting at just $139.99, Kindle Paperwhite comes with a larger display, a new adjustable warm light, and increased battery life, while the new Signature Edition adds an auto-adjusting light sensor and is the first-ever Kindle to offer wireless charging. 10FT USB-C Charger Cable Power Cord Wire Compatible with All-New Kindle Paperwhite 8G, Paperwhite Signature Edition 32G & Paperwhite Kids 11th Generation or 2021 & Newer (Not for Older Version). 10W USB Power Adapter, with 6.6FT(2Meters)USB to Micro-USB and USB-C 2IN1 Nylon Braided Cable. (6) 21.99 Your price for this item is 21.99. User rating, 4.5 out of 5 stars with 6 reviews. USB Power Cable for Fire TV Stick (Eliminates the Need for AC Adapter) - Black. Rating 4.8 out of 5 stars with 1032 reviews. For years, Kindle Paperwhite has been the most popular Kindle, and the new generation combines premium hardware, faster performance, and a redesigned user interface for a more enjoyable reading experience. Amazon - Kindle Paperwhite (8 GB ) - Now with a 6.8' display and adjustable warm light - 2022 - Black. ![]() 21, 2021- (NASDAQ: AMZN)-Amazon today announced the next generation of Kindle Paperwhite with three new models: the all-new Kindle Paperwhite, the first-ever Kindle Paperwhite Signature Edition, and a brand-new Kindle Paperwhite Kids. ![]() 12/23/2023 0 Comments Collect call from jail prank app![]() ![]() ![]() There's a simple, easy rule to protect yourself from *72 scams - never agree to activate this call-forwarding service. If you have received phone call with a muffled recording asking you to press 1 to accept a collect call from a jail, you are probably the victim of a prison inmate phone scam. they're really trying to throw the book at me - i mean, ten years in federal prison for true housewives of san secuestro? I wanted to hear yours, too. Mail and they'll give you far more than an hour or so to resolve the problem. If you genuinely do owe back taxes, need to serve jury duty, or pay old utility bills, those notices will be addressed to you personally and arrive in the old-fashioned U.S. I can't drive or fly, but BALLARD: They want. Hundreds of people do things bad that they shouldn't. AdvancePay Service And it's 100% totally free. Well, I probably wouldn't need his address, 433 East Broad Street, PO Box 11217 Bethlehem, Allentown, Pa., I guess. So, ignore any emails or phone calls threatening immediate consequences unless you make immediate payment, and you'll avoid that scam. Press question mark to learn the rest of the keyboard shortcuts. That's probably why the scammers chose the name. In all such scams, the easy rule to remember is that, even when these agencies do take punitive measures such as the IRS going after tax scofflaws, or utility companies shutting off service for non-payment they'll never, ever contact you over email or your phone. ![]() Everyone receives three free calls a day. state senators announce bill that would crack down on distracted driving, Reading Mayor Eddie Moran announces reelection bid, Reading Planning Commission tables final plan for church campus, Police seeking suspect in Colebrookdale robbery, kidnapping, 69 News speaks with Pa. And here's how the phone scam works: holds hearing for developer Atiyeh's proposed trucking terminal, Whitehall couple celebrates 75th wedding anniversary, Voting begins March 1 in What's So Cool About Manufacturing Contest, Pa. We'll be there together in the after-life. ![]() 12/23/2023 0 Comments Substance alchemist save as![]() ![]() Create detailed scaled drawings in 2D, then add custom styles and materials that will bring your vision to the screen. With SketchUp Pro’s modeling suite, design professionals will find fast, easy 3D modeling for anything from passive buildings to contemporary furnishings. ![]() AutoCAD LT offers a free trial, followed by a monthly fee of $55. ![]() AutoCAD LT is compatible with both Mac and Windows operating systems, and the most recent version also offers cloud connectivity, an updated measurement functionality, and faster performance time. And, thanks to its share and trace settings, you can circulate a project with the rest of your team or offer feedback without accidentally altering an existing drawing. With the mobile app, users can view, edit, annotate, and create drawings anytime, even offline, on a smartphone or tablet. An integrated AutoCAD web application with a simplified interface-and no software installation required-lets you work on sketches online from almost any computer. A comprehensive suite of editing and annotation tools and an intuitive user interface are what make this a top designer pick. This reliable software allows professionals to design, draft, and document precise drawings with 2D geometry. Design software Autodesk AutoCAD LTĪutoCAD LT is one of the most popular interior design programs today, used by decorators, architects, engineers, construction professionals, and more. Whether you’re on the hunt for computer-aided design (CAD) tools or a client management app, there’s something here for everyone. So, how do you find the right one to match your business’s needs? Read on to discover the top interior design apps and software that should be on every decorator’s radar. AD Designers Share What's Next at the 2024 Trends Interior Design Forecast & Workshop Arrow ![]() 12/23/2023 0 Comments Stack ranking scholarly articles![]() When Chaol connected that it was Aelin who helped her, I sobbed. The most tear-inducing section of the book comes at the end, as the pair sail to help Aelin's army, and Yrene shares that a mysterious assassin gave her the funds to come to the Torre Cesme. Like "Queen of Shadows," "Tower of Dawn" is action-packed, though it has sadder overtones as Chaol struggles with the injury that left him paralyzed.Īs Yrene Towers heals him, he has to face darkness from his past, and his anger and despair permeate much of the book.īut as a whole, the text feels hopeful as Chaol and Yrene find love and hope in each other, and they discover how to rid a body of Valg possession. Many readers struggle to get through it after reading "Empire of Storms," which ends on a cliffhanger, and others even read the two books in tandem instead. It follows Chaol and Nesryn Faliq as they journey to the Southern Continent in search of a way to heal Chaol's spine during the same time frame "Empire of Storms" takes place - so it doesn't include anything about Aelin, Manon, Dorian, or any other characters readers have come to love throughout the series. "Tower of Dawn" is a controversial book for some Maas fans. ![]() Compared to other installments in the series, "ACOTAR" is downright cheerful, though that's only because the heartbreak gets heavier in later installments. "A Court of Thorns and Roses" certainly has cry-worthy moments, particularly when it seems that Feyre died during Amarantha's challenge, when she figured out the curse before Tamlin was taken under the mountain, and when she was forced to kill innocent fae.īut I was more in awe of the world Maas was building in "ACOTAR" than sad, giggling as Feyre learned more about the fae and got to know Tamlin (though this one gets some bonus points for the emotional damage that comes with eventually realizing you failed to spot all the red flags).įeyre is traumatized from her experiences under the mountain at the book's end - which Maas highlights through her final conversation with Rhysand - but on the other hand, she was reunited with Tamlin and is returning to the Spring Court with an immortal life ahead of her. ![]() "Queen of Shadows" leads with the same excitement and sense of adventure that "Throne of Glass" does.īy this point in the series, it's been revealed that Celaena is actually Aelin Ashryver Galathynius, the lost princess of Terrasen, and she has returned to using her real name after training with Rowan Whitethorn, who became her carranam after an intense battle with the Valg.Īs Aelin returns to Adarlan, Maas blends the best of Celaena's scheming with Aelin's newfound power, leading to exhilarating moments like Aedion's rescue from the king, her careful plots against Arobynn, an unlikely alliance with Manon, and the much-awaited freeing of magic.ĭorian's struggle against the Valg prince possessing him and Manon Blackbeak's discoveries about her grandmother's true nature and the abuses of the empire bring a darkness to the text, but the overall tone of the book is a bit lighter than other works from Maas, setting the stage for the second half of the "Throne of Glass" series. ![]() Account icon An icon in the shape of a person's head and shoulders. ![]() 12/23/2023 0 Comments Life church tv![]() ![]() The church aims at reaching 85 percent of the people around the world with the Bible app by the end of 2012. “If someone were to list cities that have influence on Internet technology, Oklahoma City might not have been viewed as an Internet hotbed, but here we see one of the largest apps being basically created by a team in Oklahoma City,” the pastor said.īut it’s just the beginning. The Bible app’s success should make the city celebrate. And now, in partnership with Joyce Meyer Ministries, YouVersion will offer daily devotional – in addition to numerous daily reading plans that users can subscribe to. The Bible app allows users not only to read the Bible on their mobile devices, but also listen to it. James Lankford (R-Okla.) read a Bible passage from the YouVersion Bible app as he was speaking on the House of Representatives floor. “This app means only small chunks – makes me want more Bible! Miracle.” “All my life I struggled with huge books,” the website quotes a user, Edward, as saying. However, the church cautions on its website, “It’s not about the tools we use, but about bringing Christ into people’s everyday lives, both near and far.” Gruenewald said he had learned that one in 17 iPhone, iPad and iTouch users and one in 17 Android users had downloaded the app. The motive behind all the effort is to help people engage with Scripture and have a deeper relationship with Christ. The church has also engaged more than 500 volunteers around the world to make it popular. Get Free Church Resources Take Your Ministry Online. Access the entire library of Life.Church sermons, graphics, kids lessons, resources, and apps for free. If you’re in ministry, we want to equip you. When churches work together, we truly can reach the world for Christ. Since July 2008, when the app was launched, ’s tech-savvy group called Digerati has worked hard to add more versions and languages to YouVersion. At Life.Church, we’re all about the capital C Church. “I was at O’Hare Airport and I thought, ‘What could today’s technology mean for the Bible? Could it spark revolution?’ That’s what I believe we are seeing happen today – a revolution,” the pastor said. The reach of the app in a little over three years is nothing less than a global revolution. “We are really excited because we see more people engaging in the Bible.” “The pace has been increasing and picking up,” he said. For the pastor, its global reach was in sight. The sharing of the app on Facebook and Twitter had created a viral effect, Gruenewald told The Christian Post in May when YouVersion reached a milestone of 20 million downloads. “We just think it’s possible we can accelerate and connect with tens of millions more.” ![]() “If we have the faith to believe we can see 500 million to 1 billion downloads, then 30 million seems pathetic,” Gruenewald was quoted as saying. “Obviously, from our perspective, what has happened is pretty incredible, but on the other hand, we now know what is possible,” said Pastor Bobby Gruenewald of in Edmond who helped create the app and who was listed in Fast Company’s 2011 “100 Most Creative People in Business” along with Conan O’Brien, Arianna Huffington, Oprah Winfrey, Tina Fey and Ryan Seacrest. And contributing to this jump are devices not just from America or Europe, but also from South America, Africa, Middle East, Oceania and Asia. The free app reached a milestone of 30 million downloads on mobile devices – iPhone, Android, BlackBerry and iPad – in October, and surpassed 34 million downloads in weeks, NewsOK reports. App creator, based in Oklahoma, hopes to see 500 million to 1 billion downloads by the end of next year. We meet in physical locations around the United States and globally online at YouVersion Bible app, available in multiple versions and at least 45 languages, has surpassed 34 million downloads from across the globe. That's how we're able to make a difference, and it's the driving force behind everything we do. Our mission is to lead people to become fully devoted followers of Christ. Life.Church wants to make a lasting difference in your life, in our community, and in the world. Download the Life.Church app today to be part of our Life.Church community as we take the next step in our journey with Christ together! I oversee a unique ministry that has combined the middle school ministry the high school ministry of Highland Park Baptist Church and the ministerial arm of. The latest version of the app has many updates to help you grow as a fully devoted follower of Christ.
12/23/2023 0 Comments Tags for hope vertical![]() ![]() Our mission is to create a world where everyone has equal access to knowledge, learning, and growth. Vision Loss Resources is a nonprofit provider of training, classes, social activities and support groups for people with vision loss living in the Minneapolis-Saint Paul area. James Almen, visually impaired Instructor I also know that it could be beneficial for apartments or houses, especially for identifying containers in your rooms.” “I found it to be a great way to get introduced to the building and get acclimated. Whether it’s locating a specific classroom, finding a resourceful area within the building, or accessing essential information, WayAround equips our attendees with the tools they need to engage fully in their learning journey. With WayAround tags in place, we are empowering our class attendees to navigate our building with confidence, enhancing their learning experience and fostering a sense of independence. Empowering LearningĮducation is a powerful tool that empowers individuals to reach their full potential. ![]() Inclusivity should extend beyond compliance, and with WayAround, we’re pushing the boundaries of what’s possible for our visually impaired community. Our introduction to WayAround allowed us to optimize the features of these tags, catering to people who use screen readers, rely on low-vision resources, and utilize refreshable braille displays. WayAround not only meets but exceeds our commitment to ensuring that all our attendees can participate fully in our classes and activities. We also believe all companies should consider their accessibility within their spaces. After all, we are an organization committed to assisting our clients with vision loss. Krista Doubek, visually impaired Instructor Beyond Accessibility StandardsĪt Vision Loss Resources, we take pride in going above and beyond accessibility standards. You can clearly describe everything around you, and I am very optimistic about WayAround’s future.” The amount of information and detail you can put into the app is amazing. Note: you must use a mobile device with the WayAround app for this link to work. When a visitor scans a WayAround tag, they gain instant access to pertinent information and resources.Įxperience WayAround at Vision Loss Resources. From classrooms to common areas, attendees can effortlessly interact with WayAround tags using their smartphones. Our visually impaired attendees can now navigate our spaces confidently, thanks to the convenience of NFC tags placed strategically throughout the premises. With WayAround, accessing location-specific details within our building has never been more user-friendly. ![]() 12/23/2023 0 Comments Halfbaked harvest pineapple chicken![]() ![]() Tips for Making Chinese Pineapple Chicken
12/23/2023 0 Comments Sentinel node biopsy breast cancer![]() Most patients resume regular activities within a few days and incisions generally heal within a few weeks. easier for the patient in terms of recuperation.A negative sentinel lymph node indicates a greater than 95 percent chance that the remaining lymph nodes are also cancer-free more accurate than the traditional axillary dissection in assessing whether breast cancer has spread to the lymph nodes.highly reliable in detecting cancerous cells.In less than five percent of sentinel node biopsies, the sentinel node cannot be identified and a full axillary dissection is done. Only the lymph nodes that have absorbed the radiotracer are removed. The surgeon makes an incision underneath the arm and passes a hand-held probe over the area to measure levels of radioactivity. Images may be taken to help the surgeon visualize the radiotracer’s ’s pathway as it leaves the breast. Prior to surgery to remove part of or the entire breast, a tiny amount of radioactive particles are injected in the area of the breast where the tumor is or around the nipple. In a sentinel node biopsy, only the sentinel nodes are surgically removed, which results in fewer complications and side effects for the patient, including lymphedema. Sentinel nodes collect the fluid draining from the tumor and are most likely to contain cancer cells if the tumor has metastasized, or spread. Molecular imaging is used to identify the first few, or sentinel, nodes into which a tumor drains. Because many sentinel node biopsies are followed by complete axillary dissections, the usefulness of the ability to more exhaustively evaluate the sentinel node for micrometastases may require further study.-r.s.A sentinel node biopsy is an established alternative to axillary lymph node dissection. They conclude that the question of whether sentinel node lymphadenectomy will eliminate elective axillary dissection should not be determined by the difference in morbidity rates. They noted minimal lymphedema, no range-of-motion difficulties, no prolonged pain, minimal numbness or parasthesias, and no recurrent disease in the axilla. ![]() Complications of level I and II axillary dissection in the treatment of carcinoma of the breast. Roses and associates studied a series of patients who received level I and II node dissections ( Roses DF, et al. ![]() Another option is level I and level II axillary node dissection with preservation of the pectoralis minor the incidence of level III micrometastases without abnormalities at the two lower levels is rare. One of the supporting arguments for sentinel node surgery is that full axillary node dissection causes significant complications. Sentinel lymph node biopsy (SLNB) was first introduced as a technique of axillary nodal staging for breast cancer by Giuliano and Krag in 19 2,3. The guideline also recommends that sentinel lymph node biopsy should be offered to people who are having a mastectomy for ductal carcinoma in-situ breast cancer. Sentinel node biopsy of breast cancer is becoming an increasingly popular topic. Sentinel lymph node biopsy (SLNB) at upfront surgery is the gold-standard surgical method for axillary lymph node staging in early stage breast cancer: the technique provides adequate information regarding axillary status, with similar oncological safety and lower morbidity compared to axillary dissection, despite the false negative rates. The use of sentinel lymphadenectomy to identify micrometastases is becoming more popular, even though regional nodal dissection is recognized as useful in controlling nodal disease. Although node metastases aid in prognosis determination, the use of adjuvant systemic therapy makes this information less important for therapeutic decisions. Editor's note: The role of axillary dissection in the treatment of invasive breast cancer is being re-evaluated. ![]() 12/22/2023 0 Comments Jeremiah 29 11 wall paper![]() ![]() ( AP)I am the one who knows, ( AQ)and I am witness, declares the Lord.’” Shemaiah's False ProphecyĢ4 To ( AR)Shemaiah of Nehelam you shall say: 25 “Thus says the Lord of hosts, the God of Israel: You have sent letters in your name to all the people who are in Jerusalem, and to ( AS)Zephaniah the son of ( AT)Maaseiah the priest, and to all the priests, saying, 26 ‘The Lord has made you priest instead of Jehoiada the priest, to have ( AU)charge in the house of the Lord ( AV)over every madman who prophesies, to put him in ( AW)the stocks and neck irons. 22 ( AK)Because of them ( AL)this curse shall be used by all the exiles from Judah in Babylon: “The Lord make you like Zedekiah and Ahab, ( AM)whom the king of Babylon roasted in the fire,” 23 because they have done an outrageous thing in Israel, ( AN)they have committed adultery with their neighbors' wives, and ( AO)they have spoken in my name lying words that I did not command them. 18 I will pursue them with ( AD)sword, famine, and pestilence, ( AE)and will make them a horror to all the kingdoms of the earth, ( AF)to be a curse, a terror, a hissing, and a reproach among all the nations ( AG)where I have driven them, 19 because they did not pay attention to my words, declares the Lord, ( AH)that I persistently sent to you by my servants the prophets, but you would not listen, declares the Lord.’ 20 Hear the word of the Lord, all you exiles ( AI)whom I sent away from Jerusalem to Babylon: 21 ‘Thus says the Lord of hosts, the God of Israel, concerning Ahab the son of Kolaiah and Zedekiah the son of Maaseiah, ( AJ)who are prophesying a lie to you in my name: Behold, I will deliver them into the hand of Nebuchadnezzar king of Babylon, and he shall strike them down before your eyes. 14 I will be found by you, declares the Lord, ( X)and I will restore your fortunes and ( Y)gather you from all the nations and all the places ( Z)where I have driven you, declares the Lord, and I will bring you back to the place from which I sent you into exile.ġ5 “Because you have said, ‘The Lord has raised up prophets for us in Babylon,’ 16 thus says the Lord concerning ( AA)the king who sits on the throne of David, and concerning all the people who dwell in this city, your kinsmen who did not go out with you into exile: 17 ‘Thus says the Lord of hosts, behold, I am sending on them ( AB)sword, famine, and pestilence, and I will make them like ( AC)vile figs that are so rotten they cannot be eaten. 13 ( V)You will seek me and find me, when you seek me ( W)with all your heart. 12 ( T)Then you will call upon me and come and pray to me, ( U)and I will hear you. 11 ( R)For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, ( S)to give you a future and a hope. 8 For thus says the Lord of hosts, the God of Israel: ( J)Do not let your prophets and ( K)your diviners who are among you deceive you, and do not listen to the dreams that they dream, 9 for ( L)it is a lie that they are prophesying to you in my name ( M)I did not send them, declares the Lord.ġ0 “For thus says the Lord: ( N)When seventy years are completed for Babylon, ( O)I will visit you, ( P)and I will fulfill to you my promise ( Q)and bring you back to this place. 7 But seek the welfare of the city where I have sent you into exile, and ( I)pray to the Lord on its behalf, for in its welfare you will find your welfare. 6 Take wives and have sons and daughters take wives for your sons, and give your daughters in marriage, that they may bear sons and daughters multiply there, and do not decrease. It said: 4 “Thus says the Lord of hosts, the God of Israel, to all the exiles whom I have sent into exile from Jerusalem to Babylon: 5 ( H)Build houses and live in them plant gardens and eat their produce. ![]() ![]() 3 The letter was sent by the hand of Elasah the son of ( F)Shaphan and Gemariah the son of ( G)Hilkiah, whom Zedekiah king of Judah sent to Babylon to Nebuchadnezzar king of Babylon. 2 This was after ( E)King Jeconiah and the queen mother, the eunuchs, the officials of Judah and Jerusalem, the craftsmen, and the metal workers had departed from Jerusalem. 29 These are the words of the letter that Jeremiah the prophet sent from Jerusalem to ( A)the surviving elders of the exiles, and to ( B)the priests, ( C)the prophets, and ( D)all the people, whom Nebuchadnezzar had taken into exile from Jerusalem to Babylon. ![]() |
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