![]() The surgical approach mostly used in humeral fractures is open reduction and internal fixation (ORIF) with plate, but considering the comminution and the risk of non-union in our patient, this method was not applicable. Therefore, we chose a fixation strategy for the management of this patient. ![]() Being considered as a relative indication, fixation is recommended in both comminuted and open fractures. Arthroplasty is an alternative treatment option for 3-parted and displaced anatomical neck fracture, but regarding to the patient’s age and massive soft tissue defect, we preferred to try an osteosynthesis method first. However, a small limitation of abduction and forward flexion in terminal ROM were detected and the assessed disabilities of the arm, shoulder and hand (DASH) score was10.Īccording to the available literature, several options have been introduced for humeral fractures including, closed reduction and splinting, closed reduction and intramedullary nailing (both rigid and elastic), open reduction and internal fixation with various plates, minimally invasive percutaneous plate osteosynthesis (MIPPO), and external fixation and arthroplasty. 4.), with no signs of infection and full elbow ROM. At the end of the 7th month of the follow-up period, complete union of the fracture was achieved (Fig. Thereafter physiotherapy for patient was done for 20 sessions. After 6 months, a near total union was observed in X-ray therefore, all screws and TENs were removed. Thereafter, the brace was discontinued and passive pendulum shoulder exercise commenced (Figs. A partial union (consolidation) was found on the X-ray unexpectedly, and considering the presence of comminution and fixation with elastic nails which is a non-rigid fixation, we continued the splint until the partial union was achieved and then removed it so that the patient could go through the recovery period with less discomfort. Two months after the trauma, full elbow range of motion (ROM) was achieved. Splint was replaced with Sarmiento brace and the elbow movements were initiated. After 5 days, patient was discharged with necessary post-operative instructions after graft site healing assurance.Īfter 20 days while full healing of the donor and graft sites were achieved, the sutures and splint were removed. ![]() Following the confirmation of absence of any infection and growth of the granulation tissue, patient was readmitted for skin graft. The patient was discharged and advised to use a 10-day vacuum dressing. The post-operative neurovascular tests were normal. Two titanium elastic nail (TEN) were inserted with rotational forces and anchored to the subchondral bone since the humeral head had a fracture. Afterwards, two small incisions were made over both epicondyles of humerus, and after awl insertion, fluoroscopic guided closed reduction of humerus was achieved by longitudinal traction, external rotation, and abduction. Through a deltopectoral approach, reduction of greater tubercle, anatomical neck and head-split component (about 20% of head) attained and were fixed by 3 screws. First, the wound was irrigated with low pressure pulsatile manner with more than 6 L of normal saline serum, followed by the debridement of the unviable tissues. Surgery was performed in semi-sitting position on the following day. To the best of our knowledge, no similar patient with such complex injuries has been described and treated with this approach in the literature, and the reported case and treatment approach in this study could help future cases and surgeons to achieve successful outcomes. In this study, we reported a patient with multifocal comminuted open fracture of humerus with severe soft tissue defect who was treated with and innovative approach using elastic medullary nailing and skin grafting to repair the humerus and soft tissue injury. Choosing the best treatment strategy for a multifocal comminuted open fracture of humerus associated with severe soft tissue defect and articular involvement is challenging, which could come up for every orthopedic surgeon specially for those working in trauma centers. Concomitance of severe soft tissue defect requiring soft tissue reconstruction with aforementioned injuries is scarce in literature. Coincidence of highly comminuted proximal and diaphyseal fracture makes these conditions even more complicated and challenging. In addition, head-split and anatomical neck humeral fractures are extremely rare. ![]() Ipsilateral multifocal humeral fracture is an infrequent injury.
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![]() For specific instructions, please refer to the prompts in the app. *Some device functions (including but not limited to call reminders, notification reminders etc.) require the app to run in the background and take effect. *The test that showed a 5-minute charge resulted in 8 hours of sleep monitoring capacity was performed in normal temperature and pressure conditions based on a typical battery life model of continuous screen standby with high-precision sleep monitoring on and AOD off. ![]() Battery life during actual use depends on various factors such as setup, operation, usage habits and environment, and may differ from laboratory results. *All battery life testing data is derived from Xiaomi Laboratory. Turn on AOD mode will significantly affect the battery life The battery life is up to 4 days with the Heavy usage mode and AOD mode on. Outdoor exercise (with satellite positioning on) exercise 90 minutes a week. 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Alexa functionality and features may vary by location *Alexa and all related logos are trademarks of, Inc. ![]() *Alexa is not available in all languages and countries/regions. *Sleep of less than 20 minutes will not be recorded *Upgrade to the latest firmware after purchase to use Alexa voice assistant. *The naps of less than 3 hours of sleep duration do not show the distribution of different sleep types. *REM (rapid eye movement) monitoring needs to be turned on in APP for high precision monitoring of sleep *Unless otherwise specified, the test data of this product are from Xiaomi Laboratory. In case of any changes without individual notification, please refer to the actual contents and features of the product. *The content and features shown on this page cannot be guaranteed to remain permanent and may change as a result of changes in copyright, commercial or technical conditions. Water resistance rating report number: 68.1.02. It has passed the TÜV SÜD Certification and Testing (China) Co., Ltd. *50 metre waterproofing satisfies ISO22810: 2010 standards. The water-resistance function is not permanent and may decline over time. Make sure to avoid the direct impact of high-speed water flow during water sports. It is not suitable for wearing in hot showers, saunas, or whilst diving. ![]() *The water resistance rating of 5ATM (equivalent to a depth of 50 metres underwater) means it can be worn in swimming pools, during sandbar swimming, and other shallow water activities. For details, please refer to the actual product. *The product images and models, data, functions, performance, specification parameters, user interface, and other product information on this page are for reference only and may differ from the actual product. All data and measured values are for personal reference only. Note *This product is not designed as a medical device, nor is it intended to diagnose, treat, cure or prevent any disease. ![]() ![]() Proverbs 21:28 chapter context similar meaning "A false witness shall perish: but the man that heareth speaketh constantly." Proverbs 21:28 KJV copy save A false witness shall perish: but the man that heareth speaketh constantly. ![]() Proverbs 11:1 chapter context similar meaning "A false balance is abomination to the LORD: but a just weight is his delight." Proverbs 11:1 KJV copy save A false balance is abomination to the LORD: but a just weight is his delight. Psalms 119:104 chapter context similar meaning "Through thy precepts I get understanding: therefore I hate every false way." Psalms 119:104 KJV copy save Through thy precepts I get understanding: therefore I hate every false way. Proverbs 12:17 chapter context similar meaning "He that speaketh truth sheweth forth righteousness: but a false witness deceit." Proverbs 12:17 KJV copy save He that speaketh truth sheweth forth righteousness: but a false witness deceit. At the last came two false witnesses,Ģ Peter 2:1 chapter context similar meaning "But there were false prophets also among the people, even as there shall be false teachers among you, who privily shall bring in damnable heresies, even denying the Lord that bought them, and bring upon themselves swift destruction." 2 Peter 2:1 KJV copy save But there were false prophets also among the people, even as there shall be false teachers among you, who privily shall bring in damnable heresies, even denying the Lord that bought them, and bring upon themselves swift destruction.Įxodus 20:16 chapter context similar meaning "Thou shalt not bear false witness against thy neighbour." Exodus 20:16 KJV copy save Thou shalt not bear false witness against thy neighbour.ĭeuteronomy 5:20 chapter context similar meaning "Neither shalt thou bear false witness against thy neighbour." 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Mark 13:22 KJV copy save For false Christs and false prophets shall rise, and shall shew signs and wonders, to seduce, if it were possible, even the elect. ![]() Cornflour-1 tblspn mixed with some cold water.Ingredients for chicken hot and sour soup So with no more delay.I am giving you the step by step recipe with pictures. It rained heavily that day and soup with fried chicken croquettes made us so comforting and cozy. I made this a while before and served it with some crispy chicken croquettes(remember the recipe). Spicy Hot & Sour is the only soup which I order all time.We will go to a near by restaurant often and I will order this soup along with crispy fish taste so awesome.I love adding egg and chicken in this soup.I love the taste of it.But if you wish you could make it entirely vegetarian.Skip the chicken and egg part in this recipe and add lots of vegetables. ![]() Hot and Sour Chicken Soup Recipe Step by Step Hot & Sour Chicken Soup When soup is start boiling again, it’s ready to serve! Transfer to a serving bowl and garnish with chopped green onions and cilantro leaves.2.Be gentle as possible to not to break silken tofu. Immediately add silken tofu and gently stir soup. Count 5 seconds and gently stir as zig zag motion. Trying to make sure eggs have as much spaces from each others as possible. Bring back soup to boil once again, pour beaten eggs with a circling motion.(Make sure stir soy sauce mixture before adding, because cornstarch is sunk down on bottom of bowl.) Bring back to boil and add soy sauce mixture while stirring soup.Stir quickly before pork is become a big chunk. When stock is boiling, add prepared mushrooms, carrot, bamboo shoot and pork.(If you don’t care for sour taste much, add only half amount of vinegar and add 1 Tablespoon at a time to your taste.) While waiting sock to boil, combine soy sauce, vinegar, cornstarch, white pepper and sugar in a mixinb bowl until cornstarch and sugar has dissolved. Combine all ingredients for pork and set aside.Soak dried mushrooms in warm water for 20 minutes or until soften.Hope you give this hot and sour soup recipe one day, hopefully soon!! Oh, and don’t forget to tell them where you got the recipe, too. I think this soup will be great recipe for your potluck party, just bring toppings and sesame oil separately and finish up at the party place and show off your cooking and food!! The preparing time for this hot and sour soup is actually longer than actual cooking time, as other Chinese dishes are. But I understand that’s my personal taste so if you don’t care for sour taste much, add only half amount of vinegar the recipe calls then add 1 Tbsp at a time as you go to fit your taste. I like things sour, so equal amount of soy sauce and vinegar was perfect for my taste. You can definitely adjust soy sauce and vinegar amount to your taste. The texture and the balance of the sour and savory flavor is definitely the key of this soup. ![]() It was so flavorful, so many fun textures and it was such a heart warming bowl of soup… That’s one of the reason why I wasn’t “too” passionate to create this recipe but so many of you wanted to have hot and sour soup recipe from me, so I had/want to create one for you all.Īfter a long research and study about this dish and I finally made my own hot and sour soup. I’ve never been a fan of hot & sour soup to be honest with you. I’m so excited about this recipe, because…. ![]() Thank you so much for requesting this recipe, I know you guys were waiting for a while!! Today, I’m finally sharing Hot & Sour Soup!! ![]() ![]() , scroll all the way to the bottom and you will see an unsubscribe link. If you wish to unsubscribe from our newsletter at any time, open one of our newsletter emails You will receive your first newsletter within 1-2 weeks. Thank you for choosing to sign up for AutohausAZ newsletter. If you have any questions or concerns, please contact our Customer Service. Scroll all the way to the bottom and you will see an unsubscribe link. If you wish to unsubscribe from our newsletter at any time, open one of our newsletter emails, If you are a new customer and this is your first time signing up for the newsletter, please check your email for your coupon code. Learn More About Our International ShippingĬheck out what customers have to say about AutohausAZ on Google. Learn More About Our Checkout ProcessĪutohausAZ offers 65% discount on UPS shipping options for our international customers. We streamlined our checkout process to get your order on the way faster. Learn More About Our Returns PolicyĪutohausAZ offers industry-leading 3-years/36-months warranty on all auto parts purchases. Your auto parts purchases are protected by AutohausAZ's customer-friendly returns policy. Have you been searching the web for auto parts for your vehicle? You have come to the right place! Here at Autohaus, we strive to offer low prices on quality replacement parts and providing first rate customer service.ĪutohausAZ offers discounted flat-rate Standard shipping on any auto parts orders shipped within the Continental USA. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state.Why Buy OEM & Genuine Replacement Auto Parts from AutohausAZ?Īuto parts at wholesale prices is what you will find at AutohausAZ. 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Service adjustments, such as calibration or alignments are not covered.įailures or damages resulting from improper installation, removal, repair, misuse, negligence, accidents, or modification of the part or the accessory are not covered. Labor, parts, and other costs (such as all lubricants) connected with recommended maintenance service are not covered. Labor for removal from vehicle and reinstallation of a part or accessory sold “over-the-counter” is not covered. This Limited Warranty does not apply where the vehicle mileage cannot be determined or has been altered.ĭamage to a Toyota part or accessory caused by a non- genuine or unauthorized part or component is not covered. 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The Coronavirus Rescue Fund is steadily allowing the Commission to take control of fiscal and industrial policy, monitoring budgets and deciding on how money is spent in each country. The Commission has already used the pandemic to hijack health policy, which, as we now know, can be incredibly powerful in controlling the whole of society. Although no one has bothered to consult any electorates or tried changing any of the treaties, the EU has quietly been increasing its powers at a rate that has not been witnessed since it launched the single currency. Next, a power vacuum in Berlin will be filled by a hyper-active, ambitious Commission, encouraged by President Macron in France, and Prime Minister Draghi in Italy, both of whom are enthusiastic federalists. With the German election results not producing an obvious winner, this week's Spectator has an excellent article about the EU. >127 cronshaw: What an interesting and provocative post you make! The Munich Conference raises some very challenging questions that are still pertinent for governments around the world.įor example, how should the US, the UK, India, Japan, Australia or Vietnam respond to the varied challenges raised by China's rise and confrontational policies: Appease? Compete? Combine? Talk? I wonder whether the Folio Society could seek to buy the rights to publish their own edition of the 'Munich' and failing that a really good non-fiction history book about it. It is due to go on General Release in early 2022 (to stand a chance for the Oscars) and will then be placed on Netflix for subscribers to watch.Īssuming it's a good film, then we can expect to see much media discussion of the film and of 'Munich' the actual historical event. It just so happens that Netflix are going to make a feature film based on the Robert Harris novel. If you want to understand what happened in the immediate run up to Munich and the motivations of the key political figures taking part I recommend the Robert Harris thriller 'Munich'. For some, the key event - after Germany had started to rearm, to 'expand' its national borders and to prepare for a major European war - was the Munich Conference of 1938. I am not going to rehearse the timetable here but the 1930s had a number of really crucial turning points. There is an enduring and a serious debate as to how the UK might better have dealt with Germany in the years 1933 to 1939. This may be the wrong thread to post this recommendation for The Folio Society to publish the historical fiction bestsellers of Robert Harris, but it is about an important event of 20th century history. Penguin published an abridged version years ago and NYRB just published two volumes of his Kolyma Stories and it's up there with the best of Russian literature. Solzhenitsyn wanted him to co-author Gulag (I think Shalamov spent 15+ years in the gulag,) but Shalamov declined. ![]() Also, and sorry for the rant, if you haven't read Varlam Shalamov, he's a must. Highly doubt Folio would publish any of his works other than Gulag (3-6 volume edition would be amazing and I would pay pretty much anything) and One Day in the Life (I'm surprised they haven't), but one can hope! I've been tempted with Folio's Gulag in the past when it was selling for $50-60 but for such an incredible book I don't see how anyone can make an abridged version - quite a shame. I've never come across Two Hundred Years Together, but it looks wonderful. I really hope after The Red Wheel they publish The First Circle, and, one of my favorites, The Cancer Ward. It's an amazing 4000 page series but my biggest problem thus far is having a mediocre knowledge of Russian history and at times more is required. ![]() I've read the first node last year but needed to take a break. If you want I can take a few pictures and send them your way in a few days. They're quite lovely for the $25ish price tag. >51 ultrarightist: Just took a quick peek and they appear sewn with no glue. Demand for Delftware increased in 1648, when the end of the Eighty Years’ War left Scandinavia and Germany financially drained and unable to afford Chinese exports. They reorganized in the city of Delft, which would later give Delftware its name.Īccording to the book “1000 Tiles,” the Dutch East India Company was importing the immensely popular blue and white Chinese porcelain in large quantities at this time, inspiring the tilemakers in Delft to imitate the style. Tilemakers in Antwerp created majolica until 1585, when they had to flee to the Netherlands because of the Spanish Inquisition. Around the same time, Italian craftsmen migrated to the trade hub of Antwerp, Belgium and brought the tin-glazed technique with them. ![]() explains that tin-glazed tile, or “majolica,” which involved painting earthenware with tin glaze and bright colors, was a popular trend in the mid-16th century in Spain and Italy. Two primary factors led to the birth of Delft tile: the art of tin-glazed tile (in use since its creation in the medieval period) and the influence of Chinese pottery. Delft Tile Image via Wikimedia Commons | A Delft tile-lined bathroom at Packwood House, a Tudor manor house-turned-museum in Warwickshire, England The History of Delft Tile The period following the emergence of modern Europe saw the rise of Delft tile and Victorian tile, and the influence of both is still evident today. ![]() Meanwhile, ceramic tile was undergoing its own changes and developments. Modern Europe began to take shape in the 16th century, and the centuries that followed were a time of great social, cultural, and political change - provoking, and in turn influenced by, movements such as the Reformation, the Enlightenment, the French Revolution, and the first and second Industrial Revolutions. ![]() Eastland-Fairfield Career and Technical Schools.Facebook page opens in new window Twitter page opens in new window Instagram page opens in new window Pinterest page opens in new window |
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