![]() Morykwas and Argenta were the first to investigate efficacy of NPWT in 1997. It was first described by Fleischmann et al. NPWT has many names: sub-atmospheric pressure device (SPD), topical negative pressure (TNP), vacuum-assisted closure (VAC), vacuum sealing technique (VST) and sealed surface wound suction (SSS). Negative pressure wound therapy (NPWT) remains a useful adjunct in wound temporization. We conclude from this study that NPWT dressing can be easily applied to any region of the body and it can be customized to the needs of patients from different socio-economic status. The mean cost of an NPWT dressing apparatus was 90 dollars. The mean pain score on the verbal analogue scale was 3 out of 10. Sinus formation was seen in 6% (n = 23) patients who were treated with curettage and conventional dressings. In 0.5% (n = 2) patients, NPWT dressing was discontinued due to persistent leakage near a natural orifice. Minor complications occurred in 0.7% (n = 3) patients due to occult osteomyelitis. 78% (n = 297) patients had reduced levels of C-reactive protein levels and wound cultures were negative in 54% (n = 208) patients after application of NPWT dressing. A single session of NPWT dressing was applied in 84% (n = 320) patients, 8% (n = 31) patients needed two sessions of NPWT dressing, 6% (n = 24) patients had three sessions of NPWT dressing and only 1% (n = 5) patients did not respond to NPWT dressing. Number of NPWT sessions was decided on the basis of wound status (adequate healthy granulation tissue, clinically improved circulation). Of the 520 patients derided, 380 patients were treated with NPWT, and included in study. We reviewed hospital data of 520 patients in which debridement was performed. All patients received systemic antibiotics during the treatment. ![]() Frequency of dressing change, C-reactive protein levels, bacterial cultures, complication rate and cost of apparatus in each case were noted. We receive hundreds of infected wounds of limbs each year which are either post-traumatic or post-debridement. This is a retrospective study of 380 patients who were treated with NPWT in the last 10 years at a single center. We present our experience with NPWT in this study. Despite the advent of numerous new techniques and technologies, negative pressure wound therapy (NPWT) remains a cornerstone to the management of complex wounds. Management of these patients typically requires a multi-disciplinary approach by a plastic surgeon, orthopaedic surgeon and infectious disease control team. These patients present with acute, sub-acute and chronic wounds which can be difficult to manage. ![]() Worldwide numbers of patients suffering from complex wounds appear to increase annually. ![]()
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![]() On Win11, I was able to get Workstation running in native mode after uninstalling everything requiring HyperV (WSL aka Windows Subsystem Linux, Windows Sandbox, disabling also Windows Defender Core Isolation, etc). With Win10 there was this well-known way with: Its only unable to reach the VMWare endpoints and servers. I can ping between GNS3 devices, and to my external network. Now I cant get my VMs to ping any devices on my GNS3 Network. ![]() From their site, GNS3 is a tool to: Build, Design and Test your network in a risk-free virtual environment and access the largest networking community to help. Previous iterations of the tandem worked reasonably well until the last update. Combining GNS3 and VMware gives that swiss army knife to Network Engineers in a very meaningful way. Problem is that Win11 is keeping Hyper-V enabled most of the time, and this prevents to have VMware Workstation running natively (only way AFAIK, to get Intel VT-x). I am currently running GNS3 and VMWare Workstation on my Laptop. Enable Intel Virtualization Technology: Enabled VMWare can you please look to fix this as it was supposed to be fixed in v16. This gets GNS3 *to work* BUT - it breaks stuff such as Windows System for Linux (WSL). It would be "Not Configured", Select "Disable" and click "Ok" Double Click on "Turn On Virtualization Security" to open a new window ![]() I just installed the recent versions of GNS3 and the free VMware Fusion Player (Personal Use License) on MacOs Catalina. Double Click on Device Guard on the right hand side to open. The problem is that GNS3 dont work together with VMware Fusion Player (to run the GNS3-VM as server, for running the appliances, which are Dynamips and Quemu-VMs, in it). Go to Local Computer Policy > Computer Configuration > Administrative Templates > System The workaround is the following method but its still not working: ( KB2146361) Continue without virtualized Intel VT" GNS3 requires this setting to be enabled. I get this error message: "Virtualized Intel VT-x/EPT is not supported on this platform. ![]() ![]() ![]() This is why all this research went into finding the best pubic trimmers for men out there, so check out the guide and enjoy not ripping up your nuts. If you’re holding an electric blade to your junk, you want the best pubic hair trimmer for men money can buy. The problem is that some options totally suck. Your best option is to pick up something safe for both your mound and your pearls. From now on, consider how sensitive the skin on your nuts is compared to your head or even your face before you have at it. In other words, you may have already cut your sack up by taking a beard trimmer or electric razor to it. You might have tried other hair trimmers in the past with undesirable results, or maybe you haven’t braved ball trimmers at all. It’s just another part of male grooming (especially if you have regular traffic down there). Even if it’s only the occasional trim, most of us still poke around down there every once in a while to keep things running smoothly. Unless you’re the 100% au natural type (and there ain’t nothing wrong with that), you probably try to keep your fur forest in check. Take note: Sweater stones also tend to disintegrate as you use them so you'll likely have debris to vacuum up from the floor when you are done, which can be annoying.Pubes happen. They may take more passes to fully clean away pills and care must also be taken when using them so you don't stretch or distort the fabric. They work by pulling the loose pills from the fabric and gathering them onto a metal comb or pumice-like stone to be cleaned off later. ![]() Manual options like sweater combs and stones are more compact and don't require batteries. Also, there's no need to press down too hard: Several light passes usually do the trick. ![]() Fabrics get nicked when they're bunched up. No matter what type of pill remover you use, it must be applied with care so you don't damage the fabric.įor the best results with motorized fabric shavers, hold the fabric taut. Simply pass a fabric shaver over the surface of the garment and either rotating blades, a mesh screen or a rough stone texture will lift and cut or break off the loose fibers, leaving your garment smooth and pill-free. The picks below are our top-tested fabric shavers along with newer models that have received rave reviews from real users. ![]() To test each fabric shaver, we washed and dried rayon-polyester-blend sweaters 15 times to create the worst possible pilling scenario, then tried each model. Sometimes that sweater is just too cute to ditch!Īt the Good Housekeeping Institute’s Home Care and Cleaning Lab, we tested 18 different pill removers, ranging from motorized electric shavers to simpler tools like fabric combs. While you can check labels when shopping and avoid fabric blends that tend to pill, the easiest fix is to use a fabric shaver to extend the life of your garment. Sometimes, it only takes one or two wearings for a garment to start pilling on the sleeves, under the arms, along the side seams or anywhere there’s friction. This story was updated in June 2023 to add a new top pick.Īs satisfying as it is to pick little pill balls off your sweaters, a fabric shaver can buzz them all off in one swipe, saving your clothing from looking old and worn before its time. ![]() ![]() ![]() All patients should receive information regarding expected functional recovery and rehabilitation, including advice about return to normal activities such as work, education and driving.Patients should be assessed for falls risks and bone health, and referred to the fracture liaison services and or falls service where appropriate.A radiograph of the patient’s wrist at the time of removing immobilisation is not required unless there is clinical cause for concern.Repeat radiographs of the wrist between 1-2 weeks after injury (or manipulation) where it is thought that the fracture pattern is unstable AND when subsequent displacement will lead to surgical intervention.When operative management is indicated for re-displacement following manipulation, surgery should be undertaken within 72 hours of the decision to operate. If surgical intervention is undertaken, this should be performed within 72 hours of injury for intraarticular fractures and within one week for extra-articular fractures.If this is not possible consider open reduction and internal fixation. When surgical fixation is indicated for dorsally displaced distal radius fractures offer K-wire fixation if displacement of the radial carpal joint can be reduced by closed manipulation.Volar displaced fractures are unstable and should be considered for open reduction and plate fixation.In patients under 65, consider ulnar variance, intra-articular step, dorsal tilt and reflect on the patient’s needs when assessing whether the patient may benefit from surgical reconstruction.In patients 65 years of age or older, non-operative treatment can be considered as a primary treatment for dorsally displaced distal radius fractures unless there is significant deformity or neurological compromise.Consider removing the cast and starting mobilisation 4 weeks after injury. When using a plaster cast to treat a distal radius fracture, the wrist should be in neutral flexion with 3point moulding used to hold the fracture and not forced palmar flexion.Patients with a stable fracture of the distal radius should be considered for early mobilisation from a removable support once pain allows.Patients should be referred to the Fracture Clinic service and assessed within 72 hours (BOAST for Fracture Clinic Services).Open fractures should undergo surgical debridement and stabilisation in accordance with the BOAST Open Fractures.If manipulation is indicated, it should be undertaken using regional anaesthesia, performed by a suitably qualified and trained practitioner (as opposed to local haematoma block).Radiographic assessment should be posteroanterior and lateral views centred at the wrist. The mechanism of injury and clinical findings, including skin integrity, assessment of circulation and sensation, should be documented at presentation.Skeletally mature patients with fractures involving the distal radius. ![]() The aim of treatment is to optimise functional recovery rather than to achieve specific radiological parameters. Fractures of the distal radius are common and result from both high and low energy trauma. ![]() ![]() ![]() In 1944, a prominent petroleum geologist named Everette DeGolyer reported to the U.S. In the following years, oil was discovered in a great many places in the Middle East: the Arabian Peninsula, beneath the Caspian Sea, beneath what would become the nations of Iraq, Kuwait, the United Arab Emirates, and others. The British government pressured an existing British oil company, Burmah Oil, to give D'Arcy the financial assistance he needed in 1905 shortly thereafter, large amounts of oil were found. Britain, still a great power at that time, also wanted to maintain a political presence in the Middle East. At one point when he was on the verge of bankruptcy, D'Arcy appealed to the British government for help they agreed to assist him, fearing he might otherwise sell his concession to a foreign country such as Russia. In 1901, British businessman William D'Arcy convinced the Persian government to award him a concession for oil exploration, extraction, and sales in exchange for £20,000 and 16% of profits over the next 60 years. Oil seeps had been found for thousands of years in Persia. When this finally happened, the first place people drilled for oil was near these seeps, assuming that they portended oil below. Not until the mid-nineteenth century, however, was any formal effort made to extract the oil for commercial use. Since antiquity, natural petroleum seeps were known, and the petroleum collected there was used for a variety of purposes. It's safe to say that the huge reserves found in the Middle East played a tremendously important role in shaping the world we live in. Oil created vast fortunes and industrial empires, launched at least one war, promoted the widespread use of petroleum, gave birth to OPEC, realigned twentieth-century politics, and much more. Since that time, the discovery and exploitation of oil in the Middle East has had a profound influence on modern society and politics. ![]() Shortly after, the first oil concessions in Persia (now Iran) were granted, and the race for Middle East oil was on. The first major oil fields were discovered in Pennsylvania and Ohio, with major strikes in Texas and Oklahoma to follow in 1901. Petroleum has become steadily more useful and valuable since the first oil well was drilled by Edwin Drake (1819-1880) in 1859. Oil Is Discovered in the Middle East Overview ![]() ![]() ![]() So, Ruby Mahoney is Canadian by nationality, and she is clearly of Caucasian ethnicity. Yes, it was the place from season 1 of Gold Rush. Ruby Mahoney was born, raised, and currently resides in Dawson City, Klondike, Klondike, Yukon. We have already been clear about Ruby Mahoney having scarce information about her. Who knows one day, her niece may also follow in her aunt’s footsteps one day. We couldn’t get over about how she looks like the “mini-me” version of Ruby. She also has a little niece she once told us about through an FB post. Caption: Ruby Mahoney with her dog, Chela She loves her terrier dog, definitely like her child and brings him along with her as much as she can. Ruby Mahoney does not have any children of her own, but she is like a mother to her dog, Chela. “You’re such an amazing friend and I wish I was there to celebrate your birthday with you!” She continued, “I couldn’t be happier to get the opportunity to work beside such a badass individual.” Caption: Ruby Mahoney and Monica Beets are good friends Ruby Mahoney’ Children She shared a black and white photo of them almost kissing with a caption that read, ![]() Similarly, Mahoney also wished Monica on her birthday. I am so happy she came out to work for us and here is to many more years with her.” “My grrrl! Ruby has been such an amazing friend and so great to work with. ![]() Monica Beets gave a shout-out to Ruby on the release of the Gold Rush trailer saying, Ruby Mahoney has grown fond of Monica Beets in particular. Nothing gets women together, like working in a male-dominated sector. ![]() The women of Gold Rush always stick together. Anyway they were there to see the Monster Energy Supercross race Caption: Ruby Mahoney, with two mystery men, could one be her boyfriend? Ruby Mahoney and Monica Beets Relationship However, while we were hoping one of them was her boyfriend, it turns out they were just her good friends who were there to help her celebrate the end of Gold Rush season 11 shooting. We thought we got lucky when we found her photo with two mystery hunks. If Ruby Mahoney is dating someone, we have yet to know the name of her boyfriend or partner. Ruby Mahoney Dating Life Does she have a Boyfriend? The Gold Rush star went through “seven different countries in the last four months,” according to her. Through her Facebook, you can follow her travels she recently is back after a long trip all over Asia, New Zealand, and more. There has not been any display from Ruby on her wealth unless you count traveling as a flex, then, Ruby Mahoney must have a significant net worth and salary. We estimate her net worth not to be more than $50,000 to $100,000. There is nothing about her career, let alone her net worth in the media, but if you have to know it. Look, don’t be upset with us, okay, so far, Ruby Mahoney has only been in a handful of Gold Rush episodes. Ruby Mahoney’s net worth, for now, is still under review. Ruby’s gradual increase in screen time may be what has sparked a sudden interest in her from the viewers, but it is still early to be able to gain all necessary information on her yet. She only holds credits for the original ‘Gold Rush’ series for 1 episode in 2019 and 4 in 2020. Ruby Mahoney had her debut appearance in the ‘Gold Rush’ after the show, ‘Gold Rush: The Dirt’ n 2018. Caption: Ruby Mahoney works heavy equipment in Gold Rush Ruby Mahoney is not just eye-candy however, at her young age, she is a heavy-duty miner who specializes in the equipment operation. The people have been dying to have more female cast on the show, and now it seems that the production is finally giving the fans what they want. Ruby Mahoney is one of the newest members to join the ‘Gold Rush’ franchise. ![]() ![]() The Emeterm Fashion is a close second for the best motion sickness bands, as it is only outclassed by the updated Emeterm Explore in a few categories. These go a long way toward keeping those slippery controllers in your hands. Speaking of getting out of hand, consider pairing this band with a set of gamer gloves if you are using it as a VR gaming accessory. ![]() Unless your wrist is unusually bulky or thin, the EmeTerm Antiemetic Stimulator Band is a great fit for anyone looking to quell nausea before it gets out of hand. Recharge times are quick too, ranging from 1.5 to 2 hours. That’s enough for a few days to a week depending on how often it is used. It recharges via a proprietary charger and can run for about 30 hours on one charge. Its long-lasting rechargeable battery makes it a viable candidate for treating everyday causes of nausea like vertigo and morning sickness. It is quite effective for most people, though some don’t experience the effects as significantly. The band emits an increasingly stronger electric pulse across your wrist, which tingles more with increasing levels. Its five different power settings are meant to match different degrees of gastrointestinal discomfort. Its watch face consists of a five LED display to track the intensity of its electromagnetic pulses, and a single button for both powering the wristband on and adjusting its intensity. The band has a simple design that looks like a sports smartwatch. Positioning it as so can be uncomfortable, but this allows the EmeTerm’s electrical contacts to directly connect to the median nerve of the wrists. ![]() So how do you use it? This wristband is meant to be worn opposite of how you would wear a wristwatch, with the face on the underside of the wrist. This method is clinically proven (and anecdotally by me) to be an effective antiemetic, reducing nausea caused by motion sickness, chemotherapy, and more. Like many of the motion sickness bands I reviewed, the EmeTerm uses electrostimulation to your Nei-Kuan pressure point to disrupt the neural pathways that cause you to experience nausea. The EmeTerm Explore is the best motion sickness band set that I have come across in my testing because of its durable design and long battery life. ![]() ![]() ![]() Supported audio inputs & outputs: MP3, AC3, OGG, AAC, WMA, M4A, WAV, APE, MKA, AU, M4B, AIFF, FLAC, DTS and more.Īny Video Converter Filehippo for Various Formats and Devices.What’s more, it supports converting audio files between different formats. It is also a free video to audio converter which can extract audio tracks, sound or background music from videos. This video converter supports ripping audio tracks from CDs to MP3, WAV, WMA, Ogg, FLAC and more. ![]() Key Benefits Free CD Ripper & Video to Audio Converter You can also modify the number of videos that AVC is allowed to convert at once (up to 5) and change lots of default audio and video settings, as well as toggle various other options, like for the program to shut down your computer when it’s done converting.
![]() ![]() But always, in the back of their minds, the vice president is considering how the president’s policies will affect him and his own chances of one day being elected president. Vice presidents and their advisers insist their primary job is to advance the president’s agenda, and not their own. In the modern era, Dick Cheney is the only vice president who had no presidential ambitions because he had abandoned them years earlier. President Joe Biden speaks from the Treaty Room in the White House on Wednesday, April 14, 2021, about the withdrawal of the remainder of U.S. Neustadt, sent him reminders about the potential land mines surrounding the vice presidency: “The White House staff lives in the present,” he wrote, “the VP’s staff in the future.” ![]() The media took to calling Carter, the former governor of Georgia, and his liberal Minnesota running mate “Fritz and Grits.” (Fritz was Mondale’s nickname.)ĭuring the 1992 presidential campaign Al Gore’s former Harvard professor, the political scientist Richard E. Vice presidents need to have complete access, Carter argued, pointing to the danger of Harry Truman being kept in the dark by FDR about the atomic bomb. ![]() Said Carter: “We both had seen how poorly some vice presidents had been treated and underutilized in the past and both felt it was a waste of talent.” Carter described their years together in the White House as a “family environment.” “I think the genius of this and the reason for its success was Carter’s commitment,” Mondale told me. The effectiveness of any vice president depends on his relationship with the president. “I could trust him to give me candid advice on a variety of subjects, but once a policy decision was made I could also trust that he would represent my decision accurately and with enthusiasm,” Carter told me when I interviewed him for “First in Line.” “I think the key thing is for a vice president to feel that his advice is heeded and that he has unfettered access to give it.”Ĭhristine Limerick, who worked in the White House from 1979 to 2008 as the head housekeeper, said the vice president she saw most often in the private second-floor residence at the White House was Mondale, whom she also saw in the residence with his wife, Joan, several times having dinner with the Carters. (Photo by Hulton Archive/Getty Images) Hulton Archive/Getty ImagesĬarter mourns Mondale's death: 'The best vice president in our country's history'Ĭarter obliged. Carter's wife, Rosalynn, and their daughter Amy, wave beside them. The biggest single problem of our recent administrations has been the failure of the president to be exposed to independent analysis not conditioned by what it is thought he wants to hear or often what others want him to hear.”ġ5th July 1976: Democratic Presidential nominee Jimmy Carter raises hands with Vice Presidential nominee Walter Mondale (right) at the Democratic National Convention, New York City. Mondale, who had served in the Senate, told Carter, “I believe the most important contribution I can make is to serve as a general adviser to you. Carter signed off on it with no amendments and no deletions. Before he agreed to Carter’s offer to be his running mate in 1976, Mondale penned that document formalizing his approach to their relationship. That is because Mondale made the vice presidency – an oft-maligned position – into an actual job. Each of them, from Al Gore to Dick Cheney, rhapsodized about the partnership between Carter and Mondale. ![]() Though Mondale never got his wish to be president, Biden knew that he had revolutionized the vice presidency and represented the gold standard for every future vice president.įor my 2018 book about the vice presidency I interviewed every former vice president. Central to Mondale’s success: Taking on the role of general adviser and not requesting specific assignments. (It should be noted that the office is just 17 steps from the Oval, next to the chief of staff’s.) And he insisted on a weekly lunch with the president, a tradition that is still in place. He also wanted a West Wing office, which he got. The deal included Mondale’s three major requirements: unimpeded access to the president the same access to classified material as the president and unrestricted institutional responsibilities. Biden had wanted to get a good look at it first. Biden and Obama met after Mondale sent Biden the formal agreement made with Carter. Walter Mondale, who died Monday at age 93, was both an adviser and a loyal lieutenant to Jimmy Carter during his presidency and a role model to every vice president who followed him. ![]() |
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