A lamina spreader was used to obtain fibular length. A screw was then placed proximal to the plate in the fibular shaft. A precontoured lateral fibular plate was affixed to the distal segment of the fibula with 3.5mm locking screws (Zimmer, Warsaw, IN) ( Figure 5). Next, we turned our attention back to the lateral side. Intraoperative fluoroscopy showing an oscillating saw that was used to create an oblique osteotomy through the previous fracture site. The authors have obtained the patient’s informed written consent for print and electronic publication of the case report. This serves as a reminder of the principles of treatment which he first described, and which universally dictate care. Treatment included a distal fibular osteotomy to correct fibular length and rotation, as was first described by Yablon. We present a review of the literature and a case of a non-operatively treated, displaced ankle fracture with lateral malleolus malunion, ankle subluxation, and residual pain. 6 Thus, the goal of treating ankle fractures is to restore an anatomic tibio-talar reduction to prevent future ankle arthritis. 5 The importance of an anatomic tibio-talar joint reduction was further elucidated by Ramsey, who showed that even 1mm of residual tibio-talar misalignment increased contact pressure by 42%. 3, 4 Yablon originally described that late posttraumatic degenerative ankle arthritis was due to ongoing tibio-talar joint incongruity, and more importantly that anatomic reduction of the lateral malleolus was key to anatomic reduction of the ankle joint, as the talus “faithfully followed that of the lateral malleolus”. Rotational ankle injuries, most of which involve a significant injury to the lateral malleolus, are the most common subgroup of ankle fractures and the most common subgroup to lead to posttraumatic arthritis. 2 These injuries can lead to posttraumatic ankle arthritis, which is the leading cause of ankle arthritis. 1 They are the fourth most common fracture type, accounting for approximately 7% of all fractures. This implant offers several advantages, including easy application, less soft tissue dissection, less palpable instrumentation, stable fixation, and a short operating time.Ankle fractures are common injuries, with an incidence of 187 fractures per 100,000 person years. Knowles pin fixation for displaced lateral malleolar fractures is a useful and effective method. Three complications occurred, but resolved with nonoperative therapy. No instrumentation problems were encountered. ![]() The average satisfactory outcome of the 4 groups was 88.1%. ![]() ![]() Open reduction and internal fixation with a Knowles pin fixation of the lateral malleolus.įunctional results were evaluated using the Baird and Jackson ankle scoring system. Patients were assigned into 4 groups according to the Orthopedic Trauma Association classification of ankle fractures. All the patients had a stable syndesmosis, less than 50% comminution, and had no other operations in the same extremity. The senior surgeons were all orthopedic trauma subspecialists.Ī total of 168 patients meeting our inclusion criteria, an isolated displaced lateral malleolar fracture surgically treated by a Knowles pin between 19, were studied. The study was carried out at a municipal teaching hospital. To assess the use of Knowles pin fixation for isolated displaced lateral malleolar fractures and to present our surgical experience using this method.
0 Comments
![]() Reverend Janet Reickhoff-Faris officiated. at Moville United Methodist Church, located at 450 1st Street in Moville. Services were held on Wednesday, September 28 at 11 a.m. Wright, 94, of Kingsley, Iowa, passed away peacefully Sunday, September 25 at Kingsley Care Initiative. He was preceded in death by his parents a son, Scott Gruis two brothers, Robert and Donald Gruis and two sisters, Daisy Gruis and Lois Johnson. a sister-in-law, Betty Cook of Charleston a sister, Betty Conover of Sioux City seven grandchildren five great-grandchildren and many nieces and nephews. of Council Bluffs, Iowa a daughter-in-law, Karla Gruis of Smithville, Mo. and Missy (Nick Weaver) Gruis of Moville a son, Gary (Tracy) Gruis Jr. Those left to honor his memory include his wife, Judy Gruis of Moville three daughters: Marie (John) Forch of Moville Pam O’Donnell of Charleston, S.C. He enjoyed hunting, fishing, and football - and especially watching his children’s and grandchildren’s activities. ![]() Gary worked for West Transportation until his retirement in 2006. Gary married Judy Millard on September 19, 1958, in Elk Point, S.D. The family relocated to Sioux City in 1945. Gary was born on March 14, 1941, in Sibley, Iowa, to Walbert and Dorothea (Steffenhagen) Gruis. on Friday, September 30, at Immaculate Conception Catholic Church in Moville. ![]() Memorial services commemorating Gary’s life will be held at 10:30 a.m. 18, 2016, at Kingsley Specialty Care in Kingsley, Iowa, following a brief illness. Gruis Sr., 75, of Moville, passed away Sunday, Sept. Arrangements are under the direction of Waterbury Funeral Service of Sioux City. Wendzillo, 84, of Bronson, died Tuesday, Septemat a Sioux City hospital. Monona Obituaries maintained by Linda Ziemann ?. Ray was preceded in death by his parents wife, Mable one son, Kenny siblings, Art, Clarence, Takla, Greg, Mercedes, Fred, Ernie, Carolyn, Jerome, Anna Mae, Rosella and Jeanette. nieces nephews other relatives and friends. Grateful for having shared his life are his children, Carol and husband, Tom Houchins of Sioux City, Jerry and wife, Carolyn Fischer of Mesa, Ariz., Ron and wife, Vicky Fischer of Eden Prairie, Minn., Marilyn Fischer and Alan Zussman of Madison, Wis., and Dean and wife, Mary Fischer of Sergeant Bluff one daughter-in-law, Phyllis and husband, Bill Arledge of Omaha 12 grandchildren, Kurt, Kerry and wife, Chris, Keith, Todd and wife, Dani, Sheri and husband, Joel, Clay and wife, Shawn, Jeb and wife, Dyana, Josh and wife, Katie, Paul, Heather and husband, Tomas, Stacy and husband, Keith, and Dawn 19 great-grandchildren, Korey, Kolton, Kayla, Konner, Sydney, Tristan, Travis, Trevor, Kenny, Samantha, Kendra, Nash, Seth, Grace, Sara, Donovan, T.J., Kyan and Kamden two great-great-grandchildren one brother, Edward and wife, Jane Fischer of Nebraska City, Neb. Ray was a longtime 4-H leader, a member of the NFO and was active in the Whiting Christmas Organization. Ray enjoyed woodworking, watching baseball, music and traveling during retirement. Ray continued making his home in Whiting until moving to Sergeant Bluff in 2006. That same year, Ray and Mable moved into Whiting and he began working as a custodian at the school until retiring in the late 1970s. The family made their home on farms north of Whiting and Ray farmed for several years, retiring in 1964. To this union six children were born, Carol, Jerry, Kenny, Ron, Marilyn and Dean. 28, 1935, Ray was united in marriage to Mable Bliven. In 1934, Ray moved to Whiting and worked on a ranch north of town. While in school, Ray pitched for the baseball team. ![]() Ray was raised in the area of his birth and he attended country school, then went to Wynot (Neb.) High School, graduating in 1931. Raymond George Fischer, son of Edward Henry and Louise Anna (Hans) Fischer, was born Aug. Saturday at Pearson Funeral Home in Onawa, with the Rev. Fischer, 98, of Whiting died Tuesday, Jan. Posted By: Connie J Swearingen ( email ?) ![]() ![]() There aren’t separate commands to lower the values. For most commands, entering a negative value will lower the values.Character IDs are shown when you hover over a specific character.This section highlights all of the commands which affect a specific character whether that’s your own player character or any other character in the game. Start shell:AppsFolder\ParadoxInteractive.ProjectTitus_zfnrdv2de78ny!App -debug_mode Crusader Kings 3 Commands List – Character Commands Rather than just opening the menu in game, you’ll need to run the following code via the Run application. If you’re playing the game via the Xbox app and Xbox Game Pass, the process is a lot more complicated. These hotkeys only work if you’re on Steam, however. If you’re in a normal game, there are a few ways to open the command console: The debug menu is disabled during those games. If you want to enter cheat codes, you must not be playing an Ironman Mode match. How to Open Console Commands in Crusader Kings 3 Crusader Kings 3 Succession Guide – What Each Law Means.Crusader Kings 3 Review: Divine Right Simulator.Crusader Kings 3 Tips Guide – 9 Things the Game Doesn’t Tell You.In this guide we’ll explain how to open the console commands and what cheats exist. ![]() Just like in CK2, there are plenty of commands you can use to give you claims, prestige, traits, experience, or just about anything else in the game. If you’re willing to cheat your way to the top you can absolutely do so. Life can be rough in Crusader Kings 3 and sometimes you just want to succeed without having to worry about being taken down by opposing dynasties. Jean Carroll and defaming her by lying about it, he refused to show up-instead allowing a damning taped deposition to do the talking for him. When he was on trial earlier this year for sexually abusing the journalist E. It would also force Trump to actually speak extensively in court under threat of perjury and supervised by an authoritative judge, a precarious proposition he has thus far avoided at other proceedings. A highlight of his testimony is expected to be when he tries to justify the way he brazenly tripled the size of his ostentatious, gold-encrusted Manhattan penthouse-simply making up 20,000 square feet of space that simply doesn’t exist. Trump will finally be forced to testify about his stubborn tendency to lie about the value of his properties, from golf courses to commercial buildings. They also want to question Donald Bender, the longtime outside accountant at the firm MazarsUSA who, in a criminal trial against the company last year, acknowledged that he simply played along and didn’t question the finances of the very company he purported to examine.īut the former president will, of course, be the headliner-especially given that his appearance will disrupt his political campaign to snag the Republican presidential nomination. The AG’s office plans to call Trump’s former right-hand man, Michael Cohen, who was imprisoned and disbarred after taking the fall for his former boss and now rails against him in public. The judge, who is running this as a bench trial and will alone decide its outcome, will also hear from current and former employees at insurance companies Tokio Marine and Zurich who appear to have been duped by Trump’s alleged inflation scheme. Engoron briefly held the company in contempt last year when it refused to turn over documents. ![]() Investigators hope to squeeze out damning details from eight current and former employees at Cushman and Wakefield, which routinely helped Trump value properties in ways that allegedly benefited him handsomely by helping him secure otherwise unattainable bank loans and insurance policies. ![]() The list also includes Peter Welch, a former senior vice president at Capital One bank, and Jack Weisselberg, a director at Ladder Capital Finance who happens to be a son of the disgraced one-time Trump Organization chief financial officer Allen Weisselberg-who spent several months at Rikers Island jail for cheating on his taxes. If James succeeds, this will be the first time the former president is dragged onto the stand to testify under oath alongside his adult children, longtime business associates, and bankers who gladly extended him billions of dollars in credit in exchange for his farcical personal financial statements. ![]() New York Attorney General Letitia James’ office seeks to obliterate the real estate tycoon and former president’s corporate empire, squeezing it dry of profits gained over years of what she has described as a pattern of “persistent and repeated business fraud.” ![]() The proposed 57-person list-buried in recent appellate court filings-shows the immense scope of the investigation that will be on display at the trial. The New York Attorney General plans to have her lawyers grill former President Donald Trump, his oldest three children whom he made Trump Organization executives, and many of his most loyal bankers at his upcoming business fraud trial, according to a witness list obtained by The Daily Beast on Thursday. 'Given that MIS-C is still largely a diagnosis of exclusion, parents and health care providers should look for rashes in these locations if the child has a fever that seems suspicious. Most children who have MIS-C get better with medical care. As well as a rash, symptoms can include a fever and gastrointestinal issues Credit: Childrens Hospital of Philadelphia. If your child has any of these signs or symptoms, call your child’s doctor right away. MIS-C can also cause other signs and symptoms, including: Symptoms include the following: rash, bloodshot eyes, discolored and cracked lips, swollen/discolored hands or feet, swollen tongue that looks like a strawberry. This may be attributed to the child’s immune system overreacting to the viral infection. Download 63 File Size 92.16 KB File Count 1 Create Date JanuLast Updated June 11, 2023. Rarely children who recover from COVID-19 go on to develop a condition known as multisystem inflammatory syndrome in children (MIS-C). If other symptoms occur, call your child’s pediatrician. The symptoms can become painful and last for several weeks to months in some patients. This is likely due to an inflammatory response affecting the blood vessel walls, blood cells or a combination of both. ![]() Usually, these lesions are asymptomatic, but patients should be watched for other symptoms of COVID-19 including fever, cough, shortness of breath, loss of smell or taste, diarrhea. It's believed that COVID-19 causes inflammation or clotting in the superficial vessels of the feet, and causes these vessels to constrict. ![]() Children’s fingers may also show ulceration, drainage of pus, or peeling of the ends of the toes or fingers. These have been reported in pediatric patients with coronavirus infection. “Covid toes,” or chilblains-like lesions (pernio), consist of purple to dark red colored toes (or sometimes fingers), often with swelling. The ZOE Covid app adds: 'There are other, less common, rashes associated with Covid-19 including Pityriasis Rosea-like. These may be more common in more severe cases and older patients. Patients have also developed hive-like lesions (urticarial) or tiny red bumps and flat spots that are widespread and nonspecific, usually on the trunk or arms and legs. ![]() These include rashes on the trunk and extremities, lesions of toes with purple discoloration and ulcers, widespread bruising or pinpoint bruising. As the pandemic continues to spread across our nation and the world, many people are learning that there are skin manifestations of COVID-19, caused by the novel coronavirus SARS-CoV-2.Ĭhildren are often asymptomatic while infected, but may have cutaneous manifestations of COVID-19. The Covid Symptom Tracker app found that around eight per cent of people infected with the virus had experienced a rash on their bodies, fingers or toes - with the symptom being more common in. ![]() If you start the installation without enough free space, you can end up in a Boot Recovery Assistant loop that’s difficult to break. It turns out that you must have sufficient free space for the Big Sur installer to complete its work when upgrading from a previous version of macOS. Macintosh’s detailed research into problems with the Big Sur installer. That’s not to say that some people won’t have problems-no app or operating system is free of bugs-but most reproducible problems should be known.Īlas, one more such problem has become known, thanks to Mr. ![]() 1672: The hidden power of Google Sheets, Launchpad usage levels, Emergency SOS via satellite in the Maui fires, do you use proxy icons?Įnsure Sufficient Free Space before Upgrading to Big SurĪs we continue to use macOS 11.2 Big Sur, we’re getting closer to saying that it’s safe for most people to upgrade to Big Sur from a previous version of macOS.1673: macOS 13.5.1, watchOS 9.6.1, copy data from Web tables, what Spotlight is used for, do you use Apple’s Weather app?.1674: Proxy icons boost productivity, Arc 1.5 tab syncing, Backblaze price increase, which iPhone weather apps do you use?. ![]() 1675: Apple “Wonderlust” event, OS security updates, Apple CSAM pullback, Mozilla car privacy report, iPhone weather apps, bike tour iPhone photos, do you use the iPhone 14 Pro Always-On display?.1676: OS dates, iPhone 15 lineup, Apple Watch Series 9 & Ultra 2, USB-C AirPods Pro, USB-C cable advice, more from Wonderlust. ![]() That’s $900 toward travel when you redeem through Chase Ultimate Rewards® Earn 60,000 bonus points after you spend $4,000 on purchases in the first 3 months from account opening.Receive up to a $100 credit for Global Entry or TSA PreCheck®.Elevate every hotel stay from the Premier or Lifestyle Collections with a suite of cardholder benefits, like an experience credit, room upgrades, and more.Use your Venture X miles to easily cover travel expenses, including flights, hotels, rental cars and more-you can even transfer your miles to your choice of 15+ travel loyalty programs.Unlimited complimentary access for you and two guests to 1,300+ lounges, including Capital One Lounges and the Partner Lounge Network.Earn unlimited 2X miles on all other purchases.Earn unlimited 10X miles on hotels and rental cars booked through Capital One Travel and 5X miles on flights booked through Capital One Travel.Get 10,000 bonus miles (equal to $100 towards travel) every year, starting on your first anniversary.Receive a $300 annual credit for bookings through Capital One Travel, where you’ll get Capital One’s best prices on thousands of trip options.Earn 75,000 bonus miles when you spend $4,000 on purchases in the first 3 months from account opening, equal to $750 in travel.American Express® Gold Card: Best Travel Rewards Earning for Foodies.Citi Premier® Card: Best for Citi Customers.Credit One Bank Wander® Card: Best Travel Credit Card for Fair Credit.Bilt World Elite Mastercard®: Best Travel Credit Card With No Annual Fee. ![]()
Ukrainian President Volodymyr Zelenskyy said that Russia is the only actor that would deploy nuclear weapons in Europe, calling out its destruction of Ukrainian infrastructure over the past eight months. And the head of Ukraine's intelligence service, Kyrylo Budanov, said in a published interview on Monday that Russian forces had used about 330 Iranian-built "Shahed" drones as of Saturday - and that more had been ordered. ![]() has evidence that Iranian troops are "directly engaged on the ground" in Crimea supporting Russian drone attacks on Ukraine's infrastructure and civilian population. ![]() The White House said Thursday that the U.S. "This will be a fair decision that should draw the attention of the whole world to a regime that kills its best people and helps kill Ukrainians," Palkin said in a statement one day before his team plays at Celtic in the Champions League. Shakhtar Donetsk chief executive Sergei Palkin accused Iran of "direct participation in terrorist attacks on Ukrainians," suggesting his own country's team should play in Qatar instead as a replacement. Ukraine's top soccer club on Monday urged FIFA to remove Iran from the World Cup because of the country's alleged military support to the Russian invasion. This led to more support in several security areas, including communications, cyber defenses, medical supplies, body armor, safety equipment and anti-drone systems. Following the 2022 NATO Summit in Madrid, member countries agreed to enhance the existing Comprehensive Assistance Package to Ukraine due to the Russian invasion. NATO allies have provided extensive support to Ukraine, implementing enhanced measures in 2014 after Russia's annexation of Crimea. Ukrainian President Volodymyr Zelenskyy pushed back against the Russian allegations, arguing that this claim only indicates that Russia itself is likely preparing to use the "dirty bomb." The United States, United Kingdom and France have also spoken out against Russia's allegations. "Russia must not use it as a pretext for escalation." "NATO Allies reject this allegation," he wrote in a tweet. NATO Secretary General Jens Stoltenberg condemned Russia's "false claim" that Ukraine was planning to use a "dirty bomb" within its own territories. "Ukraine is breaking the so-called second army of the world and from now on Russia will only be a beggar," he said. He also referred to Russian allegations that Ukraine was prepared to use a "dirty bomb" on its territory as an attempt to "squeeze something out of Western countries" by "inventing various nonsense about Ukraine." Zelenskyy pointed to Russia's weakened global stature as a result of the war, with the loss of the country's gas and military influence and growing political isolation. He also expressed hope regarding two other Russian occupied regions, Zaporizhzhia and Crimea, claiming that "the time will come and all of Ukraine will be free." "We are liberating Ukrainian land step by step. ![]() "We defended the independence of our state and Russia cannot change that," he wrote in a Telegram post. ![]() Ukrainian President Volodymyr Zelenskyy released a statement touting the achievements of the Ukrainian military, marking exactly eight months since Russia launched its invasion of Ukraine. Personal Loans for 670 Credit Score or Lower Personal Loans for 580 Credit Score or Lower Best Debt Consolidation Loans for Bad Credit But did you know seaweed has more uses than a source of food. Not only does it do wonders to your metabolism but can help against problems like low energy, forgetfulness, depression, dry skin and weight gain.Įaten by many for its great taste and source of benefits. A rich source of soluble fiber that also contain omega-3 fatty acids. Improves blood pressure and heart health.This also makes the body feel fuller for longer. Lowers cholesterol levels, and because it feeds the gut with fiber, it also helps with weight loss.Keeps the gut happy by feeding it good bacteria, making digestion easier and protects your intestines.These have antioxidants that are needed by the body to prevent and slow down signs of aging.Fights off and heals cell damage, making the body’s immunity stronger.This rich source of vitamins, minerals, antioxidants, and thyroid supporting iodine can benefit almost everyone who gives it a go: Is seaweed good for you? Freshy taken out from salty waters, or commercialized and turned into a seaweed snack or an easy to add ingredient to complete your dishes. Sometimes added in drinks and desserts just to turn it into a beautiful blue color. Blue-green algae or spirulina (chlorella), edible freshwater algae often turned into a protein supplement in powdered form.Agar and carrageenan, are like thicker firmer jelly substances made from algae, used to make thickening agents and help solidify or firm up baked goods.These are considered cooked after it’s rehydrated and soft. Wakame, similar to kombu, but the smaller bite sized edible version is added with the tofu at the end of cooking the soup, or into a side salad.Sea lettuce, a type of Nori that is eaten raw in salads or cooked in soups.Used to make sushi, or to be eaten as a snack. Nori or Laver, it might look like a dark mossy green, but these are actually made of red algae, dried and cut into sheets.Usually eaten fresh by mixing it with soy sauce and calamansi or any seasoning. Sea grapes, algae which strands have bubble like ends.Dulse, a red algae with a chewy soft texture said to almost taste like bacon.Added into a variety of cooked and baked dishes. Arame, a kelp with a milder sweet flavor with a firm texture.Kelp, also a brown algae, dried into sheets and made into vegan and gluten-free alternative noodles.You can commonly find these in the Japanese broth, dashi. Boiled with the broth, then removed after. Kombu, a brown algae used as an umami enhancer. ![]() The ones below are among the most common: Being a staple of many Asian diets, especially Japan, Korea, and China, all three being the biggest producer of seaweed snacks. ![]() There are different types of algae, as well as seaweed food or dishes made around the world. You can even see pet owners feeling animals like crustaceans, cats, and dogs with seaweed, though you have to check this with your veterinarian to really make sure. Being an important source of flavor for many Asian cuisines, the popular ones being Korean seaweed soup, wakame seaweed salad, edible seaweed snacks like, crispy seaweed chips, salty nori toppers, flavored agar-agar, and many more. Nowadays, these are seen all over the world as a delicacy. ![]() In Europe these were used as medicine, the Greeks used these to feed animals. China was said to be where the first author who wrote the book about sea vegetables came from. Around 600 BC China, the supply of seaweeds were only given to the King’s special guests. Japan has been using seaweed as far back as 2,000 years, and until the Middle Ages, as per written records, these were only consumed by Japanese aristocrats. Said to have come around 3,000 years ago. All being an essential component to marine life, they provide shelter and food to different organisms. These plants usually contain chlorophyll (macro-algae) and are classified into green, brown, or red algae. Seaweed is a common name for different types of algae species growing in lakes, rivers, and oceans. It’s not just great to munch on, it’s rich with fiber, nutrients, and minerals making it full of benefits for the body. Made into savory salty ingredients and snacks usually ready for consumption, as a rice wrapper or topper. These macroalgae or marine algae come in different colors and are found in the bottom of the sea or other solid structures. Seaweed is a general term for as many as 11,000 species of algae, or plants that grow in a variety of waters. Well if you find yourself in a situation where the removal process either gives you trouble or does not completely remove the lingering files and you need a way to accomplish a true “full” removal, have a look at the Citrix Receiver Clean-Up Utility found detailed in Citrix article CTX137494. Nevertheless, it is not too uncommon to find yourself uninstalling the Receiver and downloading a newer version. Not all of the issues are on Citrix’s side of the fence–many times the trouble is browser-specific if using it to connect to the web interface. Installation logsįor more details of logs files, see Installation Logs.Citrix is an awesome product, but if you have administered it for any significant period of time, you know how challenging the Receiver can be at times. Delete any subdirectories under C:\Program Files\Citrix\StoreFront Install.Delete the folder C:\Program Files\Citrix\Receiver StoreFront. ![]() When the uninstallation is complete, click OK.Īfter uninstalling StoreFront, to ensure that StoreFront is completely removed:
|
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |