3/24/2024 0 Comments Abbott spinal cord stimulators![]() ![]() You and your provider will decide which option is best for you. Trying HFX before replacing could be an option, however, may not be required for your situation. You may or may not try HFX in a temporary trial Your provider will evaluate your specific condition and you’ll have an opportunity to ask any questions you may have about the procedure or HFX. ![]() Schedule time to talk to your pain management provider about replacing your stimulator. Speaking with a provider experienced with HFX The typical steps to replacing your stimulator include: 1. Replacing your current spinal cord stimulator with HFX is a relatively simple and safe procedure. What is the process to replace my spinal cord stimulator battery? If your device isn’t always running on a low program therapy, your non-rechargeable battery will likely have a battery life closer to 2-5 years which means you may need to undergo additional surgeries and insurance requests for battery replacements. This limits your therapy options and pain relief. Many other systems, especially non-rechargeable SCS devices, require you to use a narrow set of low-frequency therapy programs to achieve a 10-year battery life. When thinking about your insurance and battery replacements, it might be helpful to note the HFX battery is designed to have at least a 10-year life without programming restrictions. Scenarios, where insurance plans cover battery replacements, include when your battery is approaching the end of its life, your stimulator needs a battery change, or your stimulator is malfunctioning, can’t be repaired, and is no longer under warranty. Replacing your spinal cord stimulator battery is covered by most insurance plans, including Medicare, though it’s important to always check the specifics with your provider and insurance carrier. What is the cost of a spinal cord stimulator battery replacement? Your non-rechargeable stimulator is approaching the end of its battery life or not working as expectedĢ.You tried a traditional spinal cord stimulator in the past and didn’t experience pain relief.You find yourself constantly making changes to your programs with your remote control.You don’t like the constant tingling sensation created by your stimulator.Your current spinal cord stimulator doesn’t provide enough relief to your pain areas.You should consider talking with your pain management provider about replacing your spinal cord stimulator battery if: When should I consider replacing my spinal cord stimulator battery? To help with your decision-making process, we’ve gathered answers to the most frequently asked questions asked about replacing spinal cord stimulators: 1. There is a lot to consider when thinking about replacing your spinal cord stimulator battery. You get both to deliver the lasting relief you need. With HFX, you don’t have to choose between low and high-frequency programs. HFX offers the widest range of frequencies and waveforms available, uniquely offering you both high-frequency and low-frequency programs. Older devices only offered a single type of therapy, but advanced devices like Nevro HFX TM offer multiple programs and waveforms to individualize your relief and treat the complex nature of your pain. If you’ve tried a traditional spinal cord stimulator or are currently implanted with a spinal cord stimulator and aren’t happy with the pain relief you’re getting, it might be time to re-evaluate your treatment options and get a spinal cord stimulator battery replacement. ![]()
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3/21/2024 0 Comments Bed bug mattress![]()
![]() ![]() Amniotomy is considered on an as-needed basis for fetal scalp monitoring or labor augmentation, but its routine use should be discouraged. Analgesia is offered in the form of intravenous opioids, inhaled nitrous oxide, and neuraxial analgesia in those who are appropriate candidates. If the patient remains without food or drink for a prolonged period of time, intravenous fluids should be considered to help replace losses but do not need to be used continuously on all laboring patients. An intravenous catheter is typically inserted in case it is necessary to administer medications or fluids. Women should be allowed to ambulated freely and change positions if desired. Frequent cervical exams are associated with a higher risk of infection, especially if a rupture of membranes has occurred. Cervical exams are usually performed every 2 to 3 hours unless concerns arise and warrant more frequent exams. Laboratory testing often includes the hemoglobin, hematocrit, and platelet count and is sometimes repeated following delivery if significant blood loss occurs. Vital signs of the mother are taken at regular intervals and whenever concerns arise regarding a clinical status change. Clinicians monitor fetal heart tracings to evaluate for any signs of fetal distress that would warrant intervention as well as the adequacy or inadequacy of contractions. ![]() During labor, cardiotocographic monitoring is often employed to monitor uterine contractions and fetal heart rate over time. The management of low-risk labor is a delicate balance between allowing the natural process to proceed while limiting any potential complications. ![]() Labor is a natural process, but it can suffer interruption by complicating factors, which at times necessitate clinical intervention. Particular mention should be noted in the case of breech presentation due to its increased risks regarding fetal morbidity and mortality compared with the cephalic presenting fetus. Bedside ultrasound can be employed to confirm the presentation and position of the fetal presenting part. During the cervical exam, confirmation of the presenting fetal part is also necessary. Effacement is measured by estimating the percentage remaining of the length of the thinned cervix compared to the uneffaced cervix. The measurement of cervical dilation is made by locating the external cervical os and spreading one's fingers in a ‘V’ shape, and estimating the distance in centimeters between the two fingers. A sterile gloved exam should be done to determine the degree of cervical dilation and effacement. Amniotic fluid has a pH of 7.0 to 7.5, which is more basic than normal vaginal pH. If the clinician is unsure whether or not a rupture of membranes has occurred, additional testing such as pH testing, microscopic exam looking for ferning of the fluid, or laboratory testing of the fluid can be the next step. Finally, a history of present illness, review of systems, and physical exam, including a sterile speculum exam, will need to take place.ĭuring the sterile speculum exam, clinicians will look for signs of rupture of membranes such as amniotic fluid pooling in the posterior vaginal canal. The patient's prenatal record, including obstetric history, surgical history, medical history, laboratory, and imaging data, should undergo review. The patient should be placed on continuous cardiotocographic monitoring to ensure fetal wellbeing. When women first present to the labor and delivery unit, vital signs, including temperature, heart rate, oxygen saturation, respiratory rate, and blood pressure, should be obtained and reviewed for any abnormalities. ![]() It is up to the clinician to determine if the patient is in labor, defined as regular, clinically significant contractions with an objective change in cervical dilation and/or effacement. Common chief complaints include painful contractions, vaginal bleeding/bloody show, and fluid leakage from the vagina. Women will often self-present to obstetrical triage with concern for the onset of labor. Initial Evaluation and Presentation of Labor Medical professionals use the information they obtain from monitoring and cervical exams to determine the patient's stage of labor and monitor labor progression. Cardiotocography is used to monitor the frequency and adequacy of contractions. Fetal heart monitoring is employed nearly continuously to assess fetal well-being throughout labor. Serial cervical examinations are used to determine cervical dilation, effacement, and fetal position, also known as the station. Clinicians typically use multiple modalities to monitor labor. This triad is classically referred to as the passenger, power, and passage. Successful labor involves three factors: maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy. The first stage is further divided into two phases. Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina. ![]() 3/21/2024 0 Comments House loan calculator![]() ![]() It also lets you tap into the money you have in your home without replacing your entire mortgage, like you'd do with a cash-out refinance.Ĭurrent HELOC rates are relatively low compared to other loan options, including credit cards and personal loans. It works similarly to a credit card in that you borrow what you need rather than getting the full amount you're borrowing in a lump sum. Check out some of our best HELOC lenders to start your search for the right loan for you.Ī HELOC is a line of credit that lets you borrow against the equity in your home. the rate of interest) paid by the borrower to the lender for the term of the loan. Most major forecasts expect rates to go down throughout 2024.įor homeowners looking to leverage their home's value to cover a big purchase - such as a home renovation - a home equity line of credit (HELOC) may be a good option while we wait for mortgage rates to ease. A mortgage rate is a percentage of the total loan amount (i.e. ![]() Rates also increased dramatically last year, though they trended back down toward the end of 2023.Īs inflation comes down, mortgage rates will recede as well. Mortgage rates started ticking up from historic lows in the second half of 2021 and increased over three percentage points in 2022. However, you'll have a higher monthly payment than you would with a longer term. Because these terms are shorter and have lower rates than 30-year fixed-rate mortgages, you could potentially save tens of thousands of dollars in interest. If you want the predictability that comes with a fixed rate but are looking to spend less on interest over the life of your loan, a 15-year fixed-rate mortgage might be a good fit for you. Last week, average 15-year mortgage rates were 6.12%, a 22-basis-point increase from the previous week, according to Freddie Mac data. ![]() The trade-off is that you'll have a higher rate than you would with shorter terms or adjustable rates. The lengthy 30-year term allows you to spread out your payments over a long period of time, meaning you can keep your monthly payments lower and more manageable. Generally, DTI is displayed as a range of 20 to 50 and reflects an estimate of the top and bottom of your affordability. With this type of mortgage, you'll pay back what you borrowed over 30 years, and your interest rate won't change for the life of the loan. The 30-year fixed-rate mortgage is the most common type of home loan. This is a 13-basis-point increase from the previous week. The average 30-year fixed mortgage rate was 6.77% last week, according to Freddie Mac. Paying an additional $500 each month would reduce the loan length by 146 monthsĬlick "More details" for tips on how to save money on your mortgage in the long run.Lowering the interest rate by 1% would save you $51,562.03.Paying a 25% higher down payment would save you $8,916.08 on interest charges A mortgage calculator is a smart first step to buying a home because it breaks down a home loan into monthly house payments, based on a property’s price, current interest rates, and other. ![]() 3/21/2024 0 Comments Generation zero map locations![]() ![]()
![]() ![]() If your address is a Rocket Pool node that is not managed by your own self-hosted Smartnode (e.g. Select your installation mode and follow the steps below. If you use Allnodes, you can get these files during your initial setup process but will not be able to retrieve them in the future unless you saved them during minipool creation. Some service providers may be able to retrieve these files upon request. You need to get these files from the service that is currently running your node in order to import it. These files will be encrypted with a password of your own choosing, so you will need that password for each file as well. If your address has already been registered as a Rocket Pool node wallet (such as via a service like Allnodes) and already has active minipools, and you'd like to import them into the Smartnode stack along with your address, you will need to provide the private keystore files for each of their corresponding validators. ![]() If you don't have any existing minipools attached to the address you're importing, you can skip this step. Step 1: Add Externally-Generated Validator Keys This is a multi-step process, so follow the below sections carefully. If you have a lower version, you'll need to upgrade first. This capability is only available with Smartnode v1.4.3 or higher. Please ensure that you have secured your machine as much as possible by following the steps in the Securing your Node guide before importing your address as a node wallet. a different hardware wallet) before importing it into your node! Only leave enough ETH on this address for your node's gas costs (typically 0.5 ETH is sufficient). If you use this wallet for any other cryptocurrency activity at all, you must migrate all of its funds to a separate address (e.g. If you're importing an address that is a cold wallet, such as a hardware wallet, be advised that the protection provided by the hardware wallet will no longer exist! The private key will be stored on your node machine. By doing this, your address will become a hot wallet. ![]() ![]() ![]() While these drugs can cause debilitating addictions, withholding them from the people who need them most can induce incredible damage. That’s not to say that electrical stimulation will completely eliminate opiate use. “This is a new frontier for treating spinal cord injuries, in terms of being able to bypass the damaged area and restore capabilities and function,” says neurosurgeon Ali Rezai, Associate Dean of Neuroscience and Director of the Neurological Institute at The Ohio State University’s Wexner Medical Center. Although this particular study comes from Abbott Laboratories, the same company that produces spinal-cord stimulators, less-invested sources are also optimistic. When a recent study examined data from opioid-using patients who received an SCS, it found that subjects who removed their system went on to take higher average daily doses of opioids than those who continued the therapy. ![]() “When feedback is going to the brain, the body focuses more on that pleasant feeling and essentially pushes out the channel of pain sensation.” “Your brain can only focus on so many things,” he says. My doctor, Raimy Amasha at Austin’s Capitol Pain Clinic, put it like this: When someone hits their funny bone, almost universally, they’ll reach over to rub their hurt elbow because it creates a nice sensation that distracts from the ache. A spinal cord stimulator (SCS) is one of those treatments.Ī SCS works by overriding the pain signals your body sends to your brain. ![]() So the medical establishment, and their patients, have long sought more effective pain relief without them. Sometimes, as in my case, pain pills really do help, but for other conditions, opiates just aren’t as effective as other options. “All of a sudden, instead of having normal sensation, you have pain, or a terrible ongoing sensation that won’t go away,” Burton says. Our brains think this repeated signal indicates a continuing problem. “But sometimes, somebody inherits a bad gene, or gets injured, or something nobody knows goes amiss.” As a result of this unknown cause, certain neural circuits might start firing over and over again. Allen Burton, medical director of neuromodulation at Abbott. “When neural circuits all work, it’s like a symphony,” says Dr. ![]() And in many cases, doctors can’t pin down a culprit. That’s 20 percent of all humans on Earth, more than those with heart disease, cancer, and diabetes combined, according to Abbott Laboratories. Janet JayĪccording to a 2011 report from the non-profit National Academy of Medicine (formerly known as the Institute of Medicine), chronic pain affects 1.5 billion people worldwide. The author, who has a cyborg implant, poses with another friendly machine at the Alamo Drafthouse Slaughter Lane movie theater in Austin, Texas. And this type of therapy might also be able to help some of the 100 million Americans who suffer from chronic pain. Although I was scared to go under the knife, I was more than willing to become a cyborg in order to find even partial relief. Because of that, I qualified to have a spinal cord stimulator, an electronic device used to treat chronic pain, implanted into my back. That is, until a couple of years ago, when a routine CAT scan finally caught a structural problem with my spine. Despite some amazing doctors and the expensive tests at their disposal, they could never see anything wrong, so I never got a diagnosis. I’ve slept on the kitchen linoleum, because the carpet felt too soft to stand.įor 17 years, I went to doctor after doctor, undergoing scans, physical therapy, and just about every “alternative” treatment that promised relief. If I sit or stand for any period of time, or lift something heavy or fall, I pay for it, sometimes for weeks or months. Swallowing a few Aleve didn’t help-in fact, nothing did. At 15, I began feeling aching, stabbing, and burning sensations in my lower back and down my legs. I don’t remember what it feels like to live without pain. ![]() ![]() ![]() In this guide, you will see the visual and aromatic cues to look for when your starter is ready for refreshment (feeding). If you'd like to look at how I feed my starter daily, look at my sourdough starter maintenance routine. If you don't have a strong and mature sourdough starter, read my guide to creating a sourdough starter because having a starter is mandatory for making this Beginner's Sourdough Bread. Creating a sourdough starter is easy: mix flour and water for a few days in succession, and eventually, thanks to the bacteria and wild yeasts on the grain, natural fermentation will begin. Before we look at how to make sourdough bread, you need to create a healthy sourdough starter that shows consistent signs of fermentation each day. (Some bakers prefer making sourdough with commercial yeast to gain the benefits of each: increased flavor, digestibility, and keeping quality from sourdough fermentation, plus the strong rise and predictable fermentation from commercial yeast.) Creating a Sourdough Starter There’s nothing inherently wrong with commercial yeast, but I prefer to make bread this way because of the wonderful flavor and texture, the health benefits like increased bioavailability of minerals and nutrients, increased keeping quality thanks to the acids generated during natural fermentation, and the fact that it requires so few ingredients (just three!) to make something so delicious. When this gas becomes trapped in the dough’s airtight gluten matrix, the dough begins to rise, resulting in a final loaf of bread with a light and airy texture.Īll recipes on The Perfect Loaf are naturally leavened in other words, you won’t find any commercial yeast or instant yeast here. The wild yeasts produce carbon dioxide gas and ethanol during fermentation. Generally speaking, bacteria are primarily responsible for producing organic acids (lactic acid and acetic acid) that contribute to sourdough bread's flavor, texture, and storage qualities. A sourdough starter culture is used to seed fermentation in new dough when making sourdough bread. Sourdough is a specific type of bread created through a natural fermentation process involving suitable bacteria and wild yeasts in the environment (i.e., the air and even a baker’s hands) and, most importantly, on the grain itself. But, before we go on this beginner’s sourdough bread recipe, let’s first take a look at what sourdough bread is. This how-to guide starts with explaining baking terms and definitions so that we will have a common vocabulary once we get to the recipe.Īnd then, each step of the process has lots of information to ensure you understand what is happening and what to do. ![]() ![]() That’s why I’ve put together this beginner's sourdough bread tutorial and recipe-it will give you confidence as you take your first steps in baking sourdough bread from your home kitchen. Starting to make your first loaf of sourdough bread can be daunting. This recipe will give you confidence as you take your first steps in baking sourdough bread from your home kitchen. It’s such a simple thing, and yet it brought me so much joy to see my family and friends tear into a freshly baked loaf that I wanted to bake every day of every week. It was–and still is–exciting to mix such elemental ingredients and to see them produce beautiful, life-giving sustenance: it is modern-day alchemy. There was something about the whole bread-making process that I found captivating. Be sure to see the end for a complete video walkthrough of me making this recipe! My Beginner's Sourdough Bread has a light, open crumb (interior) with a deeply-colored, crunchy crust.Īs the new obsession set in, I started making fresh sourdough bread for every meal. This Beginner's Sourdough Bread post has several videos where I walk you through each step of the sourdough bread-making process. And you know what? We ate the entire thing. “Yeah, pretty good bread.” Only later did she fess up that it was “actually just okay, to be honest.” But all-in-all the bread had a nice rise, a crunchy and well-colored crust, and it did taste great considering it was my first loaf of any kind of bread. I folded ever-so-gently while I held my bread until, hours later, I pulled my first sourdough from the oven. ![]() It wasn't until I read a sourdough book cover to cover and painted it with post-it notes, highlights, and dog-eared pages that I felt ready to put my newborn sourdough starter to work. I'd heard others talk about flat and dense loaves-dough that never rose. I was intimidated to make my first loaf of sourdough bread. ![]() 3/20/2024 0 Comments 1.4 lite email extractor 1![]() ![]() Thanks Added an option to not activate when playing a game. Added the ellipses character to all languages.The "max results to show before scrolling" setting can now also be applied to the initial plugin hint listing.You can now calculate bigger hexadecimal numbers in the Calculator plugin.Fixed a startup crash that occurred when saving the new version of settings after an upgrade. ![]() Thanks Fixed an activation crash that occurred after 0.77 on some configurations. Thanks Fixed stale results in the Visual Studio Code Workspaces plugin by checking if files still exist. Thanks Added support for converting negative values in the Unit Converter plugin. Thanks Added logic to try and detect running games to full screen detection. Thanks Fixed an issue causing a scrollbar to be out of view.
3/20/2024 0 Comments A whole new world lyrics 2019![]() ![]() On May 19, 2019, Mena Massoud, who plays Aladdin, revealed that the duet was cut from the film. ![]() Pasek and Paul also wrote the lyrics for a new duet for Aladdin and Jasmine, which Paul referred to as "a sweet song". Pasek felt that "it made a lot of sense for this really strong woman that so many girls have grown up loving to talk about reclaiming her own power". Jafar has seized power as her father stands by helpless, and she finally has the strength to tell him what she envisions for her future". The film's executive producer, Marc Platt, called the song "Jasmine’s big breakout song where she decides she is going to stand up for what she believes in", and felt that "he song parallels her arc in the story, sung timidly by Jasmine early on and then as a big empowering moment later in the film. Menken felt the song "has a beautiful arc to it", but said "the sound is orchestral and pianistic". Menken said that the song "starts with a solo piano, very intimate, and really gets into the soul of Jasmine", before becoming more instrumental, and ultimately " at the end comes back full circle to that intimate piano with her voice reaching out over it". Scott said that the song is "a punch in the face" and that "t's just showcasing that gets to a point where, 'It's not going to be easy and I may lose this fight, but I need to step up'", and felt that many girls will feel connected to the song's lyrics. Pasek and Paul wrote the lyrics for a solo for the character of Jasmine, titled "Speechless", which Paul called "a beautiful piece of music", praising Scott's singing as "incredible". Smith said that " knew how he wanted it to sound and how he wanted it to feel but gave the freedom to use hip hop background and bring a fresh vibe to ". Pasek, Paul, and Menken also rewrote the song " Prince Ali", in order to fit the Genie's actor Will Smith's personality. Menken said that "he job really was to be following along with the camera as it soars through Agrabah, setting up this world for the audience", to which " rewrote some of the lyrics to go with the visuals that Guy had in mind, introducing Jafar and basically setting the stage for the rest of the film", and said that "t's a much bigger, much more ambitious number than it was ". Menken, Pasek and Paul also wrote new lyrics for the original film's song " Arabian Nights", which was reworked as a musical number that introduces the film's story and characters to the audience. Menken said that his score "is obviously pulled from the themes of the songs, almost exclusively, but it is much more live action in its textures and its tone" than the original film's. Menken will also compose the film's score, which will also include new versions of the original film's songs written by him, Howard Ashman and Tim Rice. Background and composition Alan Menken, who composed the score and co-wrote songs for the original film, returned to compose the remake's score and to co-write two new songs, as well as to re-write songs from the original film.Īt the 2017 D23 Expo, Alan Menken, who composed the score and co-wrote songs for the animated film Aladdin, was revealed to be co-writing new songs for its 2019 live-action remake with Pasek and Paul, the songwriters of La La Land. The soundtrack was released on May 17, 2019. The soundtrack features a cover of " A Whole New World" by Zayn Malik and Zhavia Ward, songs from the original film, a new song written by the original film's composer Alan Menken and Pasek and Paul, and a score composed by Menken. Aladdin (Original Motion Picture Soundtrack) is a soundtrack for the film of the same name, released by Walt Disney Records on May 17, 2019. ![]() |
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