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![]() Only the difference between a partial and a total rupture can be diagnosed with a physical examination. In this case, one can decide to immobilize the hand and re-evaluate it after a week, with or without using Oberst anesthesia. Sometimes the swelling during initial presentation can stand in the way of performing a reliable physical examination. described how Oberst anesthesia (in which 1–2 ml of lidocaine is injected in the MCP joint on the ulnar and radial side) increases the clinical accuracy from 28% to 98% after an average of one week after the initial trauma. Performing the investigation under local anesthesia can be useful. Often the examination is too painful to perform and the results cannot be interpreted correctly because of an uncooperative patient. ![]() However, this can only be reliable when the investigator has enough clinical experience with testing the UCL. in a recent review was that instead of holding on to a fixed degree limit, the absence of a firm endpoint during testing is a more reliable criterion when clinically diagnosing a complete rupture of the UCL. In flexion this was seen in 22% and 3% of patients, respectively. However, in a recent study in which laxity in healthy test subjects was tested, it was found that 34% of all people have a more than 10-degree left-right difference in extension, and 12% had a difference of 15 degrees or more. In most of the literature the standard is more than 35 degrees during valgus stress and/or more than a 15 degrees difference compared to the contralateral side to diagnose a total rupture. It is difficult to say when a true laxity of the joint is seen, because the normal range of motion of the MCP joint differs per individual. Next to the PCL and ACL, the shape of the joint, the dorsal capsule and the volar plate make up the static components. They can be divided into static and dynamic components. However, there are other components that also take part in creating stability in the joint. Together they ensure the ulnar and volar stability of the base of the thumb. The ACL has its origin just palmar of the PCL and runs parallel to the PCL to its insertion on the proximal phalanx (Figure 1). The PCL has its origin proximal to the base of the head of the MCP-1 joint and its insertion on the volar side of the proximal phalanx. The ulnar collateral ligament is made up of two parts, the proper collateral ligament (PCL) and the accessory collateral ligament (ACL). In children, who still have an immature skeleton, hyperabduction trauma mostly leads to a Salter-Harris III avulsion of the UCL insertion and rarely to a true rupture of the UCL. Another sport, especially soccer or fighting, was the cause in 30%. A fall on the hand, usually from a bicycle or motorcycle (in which the thumb gets stuck behind the handlebars), is the most common cause of skier’s thumb in our hospital, seen in approximately 40 % of all patients. ![]() Often, these patients also presented with a delay because their injury occurred during a holiday, and they waited until they came back home to see their own physician. ![]() During a query in our own inner-city hospital, only 10% of the patients had skier’s thumb due to an injury acquired during skiing. This type of injury is also seen in other sports, especially those that use a stick or ball, such as hockey or basketball. This makes it the most common injury of the upper extremities during skiing. Prevalence of this injury during skiing varies from 7% up to as high as 32% of all skiing injuries. Despite renewed designs for ski poles, skier’s thumb remains a common injury. Skier’s thumb refers to the fact that this injury is often seen in skiers who fall while holding on to their ski poles. It can occur with any fall on an outstretched hand when a thumb that is already in abduction receives an extra valgus stress. Skier’s thumb is the result of a hyperabduction trauma of the thumb. In the last four years, we have diagnosed approximately 85 patients in our own hospital. The incidence in the Netherlands is not known. The estimated incidence in the US is approximately 200,000 patients per year. It concerns 86% of all injuries to the base of the thumb. A partial or complete rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb, skier’s thumb, is an often-encountered problem. Dont warn me again for The Witcher 3: Wild Hunt. may not be appropriate for all ages, or may not be appropriate for viewing at work. Continued abuse of our services will cause your IP address to be blocked indefinitely. New Game Plus 1.22 crash :: The Witcher 3: Wild Hunt General Discussions. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue. If you do not understand what is causing this behavior, please contact us here. If you promise to stop (by clicking the Agree button below), we'll unblock your connection for now, but we will immediately re-block it if we detect additional bad behavior.
FlickrĪccording to hip-hop lore, Memphis Bleek was some kid who grew up in the same Brooklyn housing project as Jay Z, who Jay mysteriously plucked from obscurity as he was recording his 1996 debut album Reasonable Doubt. Jay Z performing with Memphis Bleek by his side. He is the most lovable loser in hip-hop, and his reputation as Jay Z’s hapless understudy obscures his own talents. ![]() For over two decades, he has played second fiddle to Jay Z, catching flack from rap fans, his labelmates, and even Jay himself, and keeping his head held high all the way through it. Of all the sidekicks, the weed carriers, and otherwise unfairly denigrated figures in hip-hop, Memphis Bleek stands head and shoulders above the rest. There are more - Murphy Lee (sidekick to Nelly), Trife da God (sidekick to Ghostface Killah), Chevy Woods (sidekick to Wiz Khalifa) - but the point is that the road to hell is paved with good intentions, and good intentions cause rappers to hire their friends to sneak their weed through airport security in exchange for occasionally getting a verse on the single. When Cam’Ron and the Diplomats crew were in striking distance of taking over hip-hop, they did so with Freekey Zekey, a terrible rapper but amazing personality who I once saw walk on stage wearing a bathrobe while kissing his muscles. When Busta Rhymes - once a Tribe Called Quest hanger-on himself - became a pop star, he brought along a dude named Spliff Star. This trope lends itself nicely to hip-hop, a genre where self-mythologizing counts almost as much as mic skills, and most rappers attempting to cement themselves as superstars end up trying to prove their influence and impact by introducing the world to their protege, usually a lesser talented friend from back in the day, usually to disastrous (or at least very goofy) results. ![]() Matt Damon in Good Will Hunting has Ben Affleck. ![]() ![]() This is one of the best hunting experiences available on Android devices. In this regards, the most interesting feature gives you a wide array of options when setting up your rifle, including adding different scopes, ammunition clips, etc.ĭeer Hunter Classic is a first person action game in which you will be able to hunt all kinds of prey in all possible sizes. As was expected, this latest release for Android is extremely well-produced.Įven though most of your time on Deer Hunter will be spent in the countryside, stalking your prey and shooting at just the right moment, prior preparation is fundamental. Deer Hunter Classic is a first-person hunting game, in which players journey through different natural settings, rifle in hand, to try and hunt down some of the world's most elusive prey.ĭeer Hunter Classic is part of one of the most popular hunting game franchises in history, with over a dozen releases for several different platforms including PC, Xbox 360 and Wii. ![]() Despite the early rush of archetypal titles, ultimately there was a general decline in fixed-cell games, due to their technical limitations, simplistic gameplay, and the rise of personal computers and handhelds the Game Boy correspondingly, this genre also declined. Green House (1982) was another popular two screen game in which players use clouds of pesticide spray to protect flowers from waves of attacking insects. oil and water), forcing players to multi-task. With two screens these games introduced basic resource management (e.g. The later titles utilized multiple articulating screens to increase the difficulty for players. 1982 saw multiple titles with the primary object of protecting buildings from burning: Fire Attack, Oil Panic and Mickey & Donald. The following years saw a flood of similar titles, including Manhole (1981), Parachute (1981), and Popeye (1981). Vermin (1980), one of the first, had players with defending the garden (a theme followed by many later games) from relentless horde of moles. With their fixed sprite cells with binary states, games with waves of attackers following fixed paths were able to make use of the technical limitations of the platform yet proved simple and enjoyable to casual gamers. Nintendo's popular 1980s Game & Watch hand held games featured many popular precursors. Green House, a popular 1982 handheld game by Nintendo Sorcerer's Apprentice for the Atari 2600 featured Mickey Mouse and was first published in 1983. Players were now able to choose from different methods of obstructing attackers' progress. The concept of waves of enemies attacking the base in single file (in this case AT-ATs) proved a formula that was subsequently copied by many games as the shift from arcade to PC gaming began. Parker Brothers' 1982 title Star Wars: The Empire Strikes Back for the Atari 2600 was one of the first tie-ins to popularize the base defense style. In these games, defending non-players from waves of attackers is key to progressing. While later arcade games like Defender (1981) and Choplifter (1982) lacked the strategy element of Missile Command, they began a trend of games that shifted the primary objective to defending non-player items. For these reasons, some regard it as the first true game in the genre. Additionally, in Missile Command, the sole target of the attackers is the base, not a specific player character. The innovation was ahead of its time and anticipated the genre's later boom, which was paved by the wide adoption of the computer mouse. Missile Command was also the first of its kind to make use of a pointing device, a trackball, enabling players to use a crosshair. ![]() In the game, players could obstruct incoming missiles, and there were multiple attack paths in each attack wave. The 1980 game Missile Command changed that by giving shields a more strategic role. The game featured shields which could be used to strategically obstruct enemy attacks on the player and assist the player in defending their territory, though not to expressly protect the territory. The object of the arcade game Space Invaders, released in 1978, was to defend the player's territory (represented by the bottom of the screen) against waves of incoming enemies. The tower defense genre can trace its lineage back to the golden age of arcade video games in the 1980s. ![]() This stotra is very important on pradosha muhurta it gives immense spiritual and mundane benefits to those who chant it in on Pradosha with devotion. This is very powerful rhythmic stotra though it is not easy to read or pronounce but with some sincere efforts one can do it if he has devotion. He waited for 14 days chanting Shiva mantras asking for forgiveness than on the evening of Pradosha day he chanted this Taandav stotra to appease Shiva at pradosha kaal he chanted it in perfect rhythm and with immense devotion ,seeing such devotion and hearing this powerful stotra Shiva smiled and Mother Goddess having pity on Raavan asked Shiva to free him and hence Shiva freed Raavan and gave him several boons being appeased by this stotra. Raavan being haughty decided to uproot whole Himalaya and as he started to lift it Shiva pressed his foot thumb which sent Raavan to patala, crushed by weight of Shivas thumb he cried in immense pain did one RAAV (crying in agony ) his Raav was so powerful that it trembled three worlds, and later it is here when Shiva gave him name RAAVAN, this name was dearest to Raavan because Shiva gave him this name but even after applying his full strength Raavan could not get away from its weight. Muni Naarad advised Raavan to bring Shiva to his Place. It is far less accessible and involves a more difficult route than the other faces, and only certain type of people go there. In many ways it is the most intense face but very few people go to the South Face. It is just a South Indian prejudice that we like the South Face and I think it is the most beautiful face! It is definitely the whitest face because it is very snowy there. It is a little inappropriate to distinguish or to discriminate between one face of Kailash and the other, but the South Face is dear to us because Agastya Muni merged into the South Face. ![]() Listen and Download Shiva Tandav Stotram Lyrics & Meaning If you look at the South Face, you will see a wedge-like scar in the center going straight down. They say his drum was dragging behind him as he slid down and it left a furrow on the mountain all the way down. Ravana went sliding down the South Face of Kailash. Then finally, Parvati managed to bring him out of being enthralled, and when Ravana reached the peak, Shiva just pushed him off with his feet. ![]() She said, “This man is coming all the way up!” But Shiva was too engrossed in the music and poetry. There is space only for two people on top! So Parvati tried to bring Shiva out of his musical rapture. When Ravana was almost on top, and with Shiva still engrossed in this music, Parvati saw this man climbing up. As he sang, slowly, Ravana started climbing Kailash from its Southern Face. Shiva was so pleased and enamored listening to this music. He had a drum which he used to set the beat and composed 1008 verses extempore, which is called the Shiva Tandava Stotram. He came to Kailash all the way from down south and began to sing Shiva’s praises. Ravana was a fierce devotee of Shiva and there are many stories about them. Also known as Shiv Tandava, this divine art form depicts the lord’s violent nature as the destroyer of the universe. Lord Shiva’s Tandava is a vigorous dance that is the source of the cycle of creation, preservation and dissolution. This dance, according to the Hindu scriptures, performed by Lord Shiva, is known as Tandava. This form of Lord Shiva is known for the divine art performed by him along with his divine consort, Goddes Parvati Devi. It is said that chanting or listening to Shiva Tandava Stotram removes all negative energies and confers a person with immense power and mental strength.In Hindu scriptures, Lord Shiva is popularly also known as Natarajan which translates to the ‘Dancing God’. Shiva Tandav Stotram is a complex hymn sung by Lanka King Ravana, a fierce devotee of Lord Shiva, to praise his power and beauty. When his grandfather Anil Gupta heard him, he immediately recognised his ability to memorize complex phrases faster than normal people could and encouraged him. He was so fascinated by the hym that he started practising them daily. He is so quick at reciting things that he finished the 15 shlokas of Shiv Tandav Stotram, written in Sanskrit by Lanka king Ravana, in just 55 seconds and 29 milliseconds, breaking into the India Book of Records for the second time in less than two years.Īccording to a report by the news agency ANI, Vivaan, a student of Bal Bharati Public School in the Pitampura area of northwest Delhi, got inspired by his grandmother who would recite the shlokas as a ritual. Nine-year-old Vivaan Gupta from Delhi is no ordinary kid. ![]() You can use it for its editor features only. You do not need to use diagramming features to use the Mplus Diagrammer. The Mplus Diagrammer does everything that can be done in the Mplus Editor. If you are not comfortable installing and using Java 6 from Apple, you can use the Mplus Diagrammer instead of the Mplus Editor. It does not use the latest version of Java from Oracle. ![]() The Mplus Editor on the Mac uses the legacy Java 6 provided by Apple. Please let me know if you have any advice. I wonder if this may have to do with issues listed above. I currently have the most up to date version, Java 8 Update 40. After the OS update, Mplus will not open, telling me I need to install Java 6. I am running MPlus 7.3 for Mac, and recently updated to Mac OS 10.10.2 (Yosemite).īefore this, my MPlus had been running. Samuel Johnson posted on Friday, Ap3:26 pm Note that you need to use a 64-bit browser to download the 64-bit version of Java. If you don’t see the “(64-bit)” part, then you only have the 32-bit version of Java installed. In Control Panel’s Programs listing, the 64-bit version of Java will be listed as You should make sure that you have the 64-bit version of Java installed. Muthen posted on Thursday, Septem10:15 am Yet, I still get an error message about Mplus needing the most recent version of Java to run Diagrammer. I have a 64-bit version of Mplus 7 and I've just installed a 64-bit version of Java (the most recent one). ![]() Ian Koh posted on Wednesday, Septem9:45 pm After I did all that, the diagrammer in mplus is working just fine. The solution that ended up working was to (1) uninstall every version of java from the control panel (2) re-run the registry cleaning program (3) restart the computer (4) re-install java. It turned out that some miscommunication between my registry cleaning software (RegCure Pro) and my antivirus software (Norton 360) prevented the computer from recognizing that java was present, even after I had ensured that java was activated in every place possible (java control panel, IE browser options, Chrome browser options). I finally got the solution, and the problem was with java, not with mplus. I received a similar message even though I had Java downloaded. Muthen posted on Thursday, Ma1:25 pmĬhristopher Rakes posted on Friday, J8:56 am No, the Diagrammer requires the most recent version of Java.īengt O. Is there a way to view the diagrams without java? I have run a CFA and need to look at the diagrams, but it will not let me. Felicia Gibson posted on Thursday, Ma9:19 am ![]() He's usually shown wearing a white labcoat, befitting of his role as an Oscorp scientist. Connors appears to be a fairly-built, if lanky man in his early 40s and has bright blonde hair swept to the right as well as blue eyes.
Reed tries to ask Georgie about "Bella" and Georgie tells Reed not to lead "Bella" romantically and Freddie told her about his engagement. They lock her in a room and head to the stage in an attempt to take the lead role for themselves. On the day of the musical's premiere, Athena and Olympia send a note to Tessa, pretending to be from Georgie asking Tessa to meet her in a closed-off section of the hotel. Athena and Olympia overhear Tessa complaining to Georgie about the stresses of her dual identities and discover her secret. Disappointed, Tessa begins distancing herself from Reed for the rest of rehearsals, much to his confusion. Tessa's romantic attraction to Reed increases as they work together, but Freddie tells Tessa that Reed is already engaged to Harper. She is given the lead role and she assumes the stage name "Bella Snow." Tessa makes excuses to her stepfamily why she is suddenly so busy and secretly attends rehearsals in her "Bella Snow" disguise. Nearing midnight, Tessa ponders what to do if her father was alive, then goes to Reed and Freddie to turn in her other dance shoe. Reed encourages Tessa to follow her dreams, but the romantic moment is interrupted when Reed gets a call from Harper Halston, his female co-star. The two bond and she confides in him about the death of her father. Tessa is then summoned back to the stage to help the stage crew fix the motorbike and she runs into Reed. Divine demands that Tessa recreate a copy of the shoe so either one of her daughters can win the part. The next day, Reed announces that he has found his "Cinderella." He holds up the dance shoe that Tessa left behind and announces that whoever can turn in the matching shoe by midnight will win the part. She tells Georgie that while she wants to do the show, she is too afraid to go against her stepfamily. Tessa manages to escape, but leaves her dance shoe behind. During the dance audition, Tessa's stepfamily barges into the theater to try to catch who the mysterious new competitor is. Tessa's audition goes well, and she impresses both Reed and Freddie with her singing. Georgie gives Tessa a full-makeover and she assumes a fake identity for the audition. However, Tessa's stepfamily forbids her to audition so Georgie offers to help. ![]() Reed comes across her work and mistakes Tessa for a man.ĭuring lunch, Tessa witnesses the hotel staff members performing and when encouraged to show off her own skills, she realizes she wants to audition for the show. Tessa befriends Georgie, a make-up artist for the show, and helps two stage hands fix up a motorcycle that will be used in the show. Freddie adds that auditions will be open to all and whoever is cast in the lead female role will be signed to a recording contract on the final day of the show. On first day of the auditions, the director, Freddie Marks, introduces the leading male star of the musical, Reed West, with whom Tessa immediately becomes smitten. Tessa accompanies her stepsisters as their assistant to a competitive audition for a Cinderella musical being held in a luxurious hotel. ![]() Tessa is a mechanic, who has been left in the care of her evil stepmother, Divine, and stepsisters, Athena and Olympia, following her father's death. |
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