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3 episodes with Abrasion
2 episodes with Abrasion
2 episodes with Abrasion
3 episodes with Abrasion
2 episodes with Abrasion
2 episodes with Abrasion
It's the last RERUN of the summer!! We rewind back to Episode 4 of Season 3 and man it was a doozy! Javier from Back To Godhead stops by to chat with Mic and Stephen about the monster E.P. they put out and more. Wiley stops by to give everyone a life update. Next up is some great coffee reviews of Big Shoulders Coffee and Best Slope Coffee. Then the fellas chat about some great albums from Prison Suicide, Berthold City and Abrasion. Get ready. This episode is good to the last drop. Godhead Bandcamp Instagram Contraband Goods Instagram Where It Went Podcast Coffee Reviews Wiley: Big Shoulders Coffee Stephen: Bestslope Coffee Album Reviews Prison Suicide Bandcamp Instagram Berthold City Bandcamp Instagram Abrasion Bandcamp Instagram --- Support this podcast: https://podcasters.spotify.com/pod/show/coffee-and-hardcore/support
In this episode Elaine chats with actor, writer Meg Rose Dixon about her new show Abrasion. We chat the inspiration of the show, graduating at the height of the pandemic and bond over being endo sisters. Abrasion - Gilded Balloon Patter House - Bothie Dates: 1st-26th August @ 9.20pm Tickets available here: https://tickets.edfringe.com/whats-on/abrasion ABRASION A one-woman show (written and starring Meg-Rose Dixon) following a diagnosis journey set at the anniversary of her surgery. A dark comedy filled with turbulent embarrassing moments flipped in a comical way, verbatim anecdotes highlighting the importance of patient care, terrible doctors, and a few genuine heroes. This is a darkly funny show that laughs in the face of pain while shedding light on a condition that affects 1.5 million people, but has an average diagnosis wait time of 7.5 years. Meg Rose Dixon Meg trained is a graduate from Arts Ed and East 15, has worked on multiple short films, music videos, online projects and a range of street theatre and off west and theatre performances. She is currently working on a one woman show she has written which will is on at Edinburgh Fringe 2024, Gilded Balloon Patter House at 21:20 until the 26th of August. HIPA GUIDES: HIPA GUIDES OUR WEBSITE - www.persistentandnasty.co.uk Persistent Pal & Nasty Hero - Pals and Hero Membership Email – persistentandnasty@gmail.com Instagram - @persistentandnasty Twitter - @PersistentNasty Coffee Morning Eventbrite - Coffee Morning Tickets LINKTREE - LINKTR.EE Resources Samaritans - Rape Crisis Scotland - Rape Crisis UK ArtsMinds - BAPAM Freelancers Make Theatre Work Stonewall UK - Trevor Project - Mermaids UK Switchboard LGBT+ - GATE PLANNED PARENTHOOD DONATE - DONATE ABORTION SUPPORT NETWORK UK - ASN.COM- DONATE
Air Particle Abrasion! Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes? What are the indications? When is it genuinely critical to use? More pragmatically, are there any decent alternatives eg. roughening with a bur? Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked considerable debate among professionals. This episode discussed its effectiveness, implications, and best practices with Dr. Veronica Pereira de Lima. https://youtu.be/oTGQBTyuY-k Watch PDP190 on Youtube Protrusive Dental Pearl: Two advantages of slicing off a corner of the rubber dam are: Anterior Dam Stabilization: By flossing the cut piece through the front teeth, it acts as a makeshift wedge, securely fastening the dam in place without the need for traditional wedjet. Simplified Orientation: This technique aids in aligning the rubber dam properly, streamlining the entire setup process for more efficient dental work. Check out ‘Quick and Slick Rubber Dam' online course (on-demand) only available via the Ultimate Education Plan on Protrusive Guidance Highlights of this episode: 00:44 Protrusive Dental Pearl 04:16 Dr. Verônica Pereira de Lima Introduction 07:07 Journey of Dentistry in Brazil 08:34 Academia vs Clinical Practice 09:20 Journey about PhD and Work Surrounding Air Particle Abrasion 11:12 Importance of Air Particle Abrasion to Clinical Dentistry 15:57 Health Concerns Regarding Air Abrasion Particles 18:10 Air Abrasion Contraindication 20:13 Size of the Microns - Clinical Guidelines 22:25 Pragmatic Approaches in Clinical Practice 24:28 Cojet as an Air Abrasion Particle 27:37 Improper Use of Air Abrasion 30:07 Air Abrasion Guidelines Regarding Different Ceramics 31:40 Alternatives to Air Abrasion 33:29 Dr. Veronica's Personal Guidelines - Air Abrasion Protocol and Unit 40:27 Learning with Dr. Veronica Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to watch Immediate Dentine Sealing Tutorial Part 1 – PDP173
Accidents happen, but you shouldn't wait several hours in ER to get a minor injury treated. If you live in Muscatine or a surrounding area, Amana Care Clinic (563-263-1904) offers a convenient walk-in service. Go to https://amanacareclinic.com/ for more information. Amana Care Clinic City: Muscatine Address: 1903 Park Ave Ste 1500, Website: https://amanacareclinic.com/
The JournalFeed podcast for the week of March 4-8, 2024.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:A meta-analysis of 15 randomized trials found that ketamine had a quicker analgesic effect than morphine, but morphine exhibited sustained reduction in pain at 120 minutes.Source:Low-dose ketamine versus morphine in the treatment of acute pain in the emergency department: A meta-analysis of 15 randomized controlled trials. Am J Emerg Med. 2024;76:140-149. doi:10.1016/j.ajem.2023.11.056Wednesday Spoon Feed:The ACEP consensus seems to indicate that it may be safe for patients with a simple corneal abrasion to go home with 24 hour usage of topical anesthetics for pain relief, but the ophthalmologists are not on board.Source:Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines from the American College of Emergency Physicians. Ann Emerg Med. 2024 Feb 6:S0196-0644(24)00004-0. doi: 10.1016/j.annemergmed.2024.01.004. Epub ahead of print.
This week on Knock Knock Eye, Will talks about how he goes about testing and checking your vision, before going into the pain that is involved in a corneal abrasion, how you diagnose it, and how you treat it — We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – www.patreon.com/glaucomflecken Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
The Gomboc is a curious shape. So curious many mathematicians thought it could not exist. And even to the untrained eye, it looks alien: neither the product of human or natural processes.This week Gábor Domokos relates his decade-long quest to prove the existence of a (convex, homogenous) shape with only two balance points. The Gömböc is not just a mathematical curio, its discovery led to a theory of how "things fall apart", of the processes of abrasion that — whether on Earth, mars, or deep space — ineluctably reduce the number of balance points of objects. The Gomboc is the shape all pebbles want to be, but can never reach.Show notes at multiverses.xyz(00:00) Intro(2:40) Start of conversation — what is a Gomboc?(4:30) The Gomboc is the “ultimate shape” it has only two balance points(5:30) The four vertex theorem: why a 2D shape must have 4 balance points(6:30) (almost) nobody thought a Gomboc existed(8:30) Vladimir Ilych Arnold's conjecture(9:00) Hamburg 1995, the beginning of a quest(10:30) “Mathematics is a part of physics where experiments are cheap”(11:50) A hungry scholar sits next to a mathematical superstar(13:00) Ten years of searching(15:00) Domokos and Varkonyi's gift for Arnold(15:30) Arnold's response: “good, but now do something serious”(16:50) We cannot easily speak about shapes.(18:00) A system for naming shapes(21:00) “The evolution of shapes is imprinted in these numbers”(21:50) Pebbles evolve towards the Gomboc, but never get there(24:50) How to find the balance points of shapes by hand(30:00) Physical intuition and empirical exploration can inform mathematics(30:30) A beach holiday (and a marital bifurcation point)(34:00) “No this was not fun, it was a markov process”(36:40) Working with NASA to understand the age of martian pebbles(38:20) An asteroid, or a spaceship?(43:00) The mechanisms of abrasion(45:50) The isoperimetric ratio — does not evolve monotonically …(47:50) … But the drift to less balance points is monotonic(49:00) The process of abrasion is a process of simplifying(50:00) We can name the shape of Oumuamua because it is so simple(51:00) Relationship between Gomboc and (one way of thinking about) entropy(55:00) Abrasion and the heat equation — curvature is “like” heat and gets smoothed out(58:00) The soap bar model — why pointy bits become smooth(1:00:00) Richard Hamilton, the Poincaré conjecture and pebbles(1:04:00) The connection between the Ricci flow and pebble evolution(1:09:00) Turning the lights on in a darkened labyrinth(1:12:00) The importance of geometric objects in physics (string theory)(1:13:30) Another way of naming natural shapes: the average number of faces and vertices(1:15:00) “Earth is made of cubes” — it turns out Plato was right(1:16:30) Could Plato's claim have been empirically inspired?(1:17:50) “Everything happens between 20 and 6”(1:18:30) The Cube and the Gomboc are the bookends of natural shapes(1:19:30) The Obelisk in 2001 — an unnatural, but almost natural shape(1:22:00) Poincaré on dreaming: genius taps the subconscious
Interview with Angel Garcia of Dare, Abrasion, and Field of Flames.Support the show
On today's podcast, we talk with Adam of STICK TO YOUR GUNS, ABRASION, TWIST OF CAIN, INTERNAL AFFAIRS, DARE, and ONE CHOICE. Listen to episodes early by supporting Scoped on Patreon: patreon.com/scopedexposure Keep up with what Adam is up to: https://www.instagram.com/cathedralofdespair/ www.sticktoyourguns.net https://abrasionhc.bandcamp.com/https://twistofcain.bandcamp.com/https://darehc.bandcamp.com/https://malfunctionrecords.bandcamp.com/album/internal-affairshttps://onechoice.bandcamp.com/ Season 3 Podcast Intro Bumper Written, Recorded, and Mixed by Tommy Wood: https://www.instagram.com/intommywerust/ Scoped Exposure Podcast is created by: Spencer: https://www.instagram.com/spicyspence_/ Jordan: https://www.instagram.com/restingboredface_/ Check out the main Scoped Exposure channel: www.youtube.com/scopedexposure
SAMPLER & SANS REPROCHES (Radio broadcast)Playlist N° 1291Lundi 24 Juillet 2023 - Horaire : 20:00 >> 22:00EBM - SYNTHWAVE - INDUSTRIAL & RELATED MUSICGALAXIE RADIO 95.3FM www.galaxieradio.fr------------------------------------------> [ S&SR Selection de la semaine... ENZO KREFT « Shelter » ] ENZO KREFT "Duck And Cover" CD : Shelter (Autoproduction) D.I.N. "On" DIG LP: Up (DKA Records) ANGRY PETE "Doomed" DIG LP: Lost In Reality ( ScentAir Records) SALT "Abrasion" Split DIG LP: A Strange Illustrated Guide" (Ant-Zen) THE SEVEN WHORES OF APOCALYPSE "Defiant Angels" DIG LP: All Through The Waste (Scanner / Dark Dimensions Label Group) BLACKCARBURNING "The Mirror" DIG LP: Watching Sleepers (COP International) VALHALL "Einhärjar" DIG LP: Leaning On Shadows (ArtOfFact Records) PARADOX OBSCUR "Desire" DIG EP: Auto Reverse (Autoproduction) NOTSTANDSKOMITEE "The Writing On The Wall" CD: The Dommsday Layout (Block 4) NEGANT "Panzer! (Clubbed To Death Mix)" DIG Single: Panzer ! (Tinnitorturous) INCEPTION IN BLACK "The Misty Eyed" DIG Single : Ich Suche Dich (Accidental Music) NORDIKA "Ragnarok (End)" DIG LP: Ragnarok (ScentAir Records) CRUSH OF SOULS "World Of Fear" DIG LP: (A)Void Love (AVANT! Records) SAWKETT "God Parasite" DIG LP: Corrupted Timeline (ScentAir Records) THE WHEELS OF RITUALS "There Was A Time" DIG LP: Immanent (Freedom Club / Enfant Terrible) ENZO KREFT "No To These Atrocities CD : Shelter (Autoproduction) FRACTAL "Synchronized Clics" DIG Album: Hologram (Aliens Productions) ORBITAL "Are You Alive ?" DIG LP: Optical Delusion (London Music Stream) ZANIAS "Burial" DIG LP: Chrysalis (Fleisch) DIE SELEKTION "Zeuge Aus Licht" DIG EP: Zeuge Aus Licht (Der Katalog) A-TRIA "Destructor" DIG LP : Absoluto (Autoproduction) JENNIFER TOUCH "Summerchild" DIG LP: Midnight Proposals (FatCat Records) THX TO : ENZO KREFT (Enzo Kreft), SCENTAIR RECORDS (Vladimir), ANT-ZEN (Stefan Alt), SCANNER / DARK DIMENSIONS LABEL GROUP (Frank), COP INTERNATIONAL (Christian), ARTOFFACT RECORDS (Jacek), PARADOX OBSCUR (Toxic Razor), BLOCK 4 (Malte), TINNITORTUROUS (Tommy), INCEPTION IN BLACK (Morgan King), AVANT ! RECORDS (Andrea), FREEDOM CLUB / ENFANT TERRIBLE (Martijn), PODCAST: ITUNES :https://podcasts.apple.com/fr/podcast/sampler-sans-reproches/id1511413205 MIXCLOUD : https://www.mixcloud.com/SetSRradio/PODCLOUD :https://podcloud.fr/studio/podcasts/sampler-et-sans-reproches DEEZER :https://www.deezer.com/fr/show/1181282 GALAXIE RADIO http://galaxieradio.fr/ go to replay Sampler & Sans ReprochesAMAZON MUSIC https://music.amazon.fr/podcasts/9718c2fe-d841-4339-a3e5-82c31d018ed7/SAMPLER-SANS-REPROCHESARCHIVE.ORG https://archive.org/download/s-sr.-1291.24.07.2023/S%26SR.1291.24.07.2023.mp3
Pump & Abrasion Technologies (PABT) is an OEM and supplier of heavy-duty pumping solutions for the mining, industrial, and agricultural sectors. Since being founded in the year 2004, PABT has grown into a formidable player in the Global Pump Market. To date, they continuously expand their global footprint. Click here to watch
Just because a winter storm is over and mobility restored doesn't necessarily mean that your done with the impacts of weather. Moisture and water leftover from winter combined with freezing temperatures and loads can cause problems for your pavements and roadside long after the storm is over.Greg Duncan has many years of experience with the Tennessee DOT and now with Applied Pavement Technologies shares his experiences in dealing with the leftovers from winter weather. For more information on potholes and the pothole cycle that Greg mentioned in this episode follow this link to the Tennessee DOT website page on potholes https://www.tn.gov/tdot/maintenance/potholes.html For more information about pavements and the effects of winter weather you can contact Greg directly by email at gduncan@appliedpavement.com0:00 Intro1:30 Things that cause problems for pavements6:10 Keeping the water out8:33 Pothole cycle10:36 Pothole patching12:08 Winter strategies for dealing with potholes in the winter16:37 Pavements and deicing chemicals20:35 Abrasion and physical deterioration 27:38 Roadside issues30:42 Budget implications 35:25 Teachable moments that happen in real time SICOP Talks Winter Ops is always looking for interesting topics and guests to visit with regarding winter maintenance and road weather. If you have any ideas for future episodes contact Rick Nelson at rnelson@aashto.org our our co-producer Scott Lucas at Scott.Lucas@dot.ohio.gov
Listen to this episode to know more about tooth abrasion. Follow us on instagram @doencasdeboca to know more about oral diseases.
On today's podcast, we talk with Jesse of ABRASION and MOMENTUM. Keep up with what Jesse is up to: https://www.instagram.com/falsesalvation_/ https://abrasionhc.bandcamp.com/ https://momentumca.bandcamp.com/ Thumbnail Photo by Gabe Becerra: https://www.instagram.com/gabethepigeon/ Season 3 Podcast Intro Bumper Written, Recorded, and Mixed by Tommy Wood: https://www.instagram.com/intommywerust/ Scoped Exposure Podcast is created by: Spencer: https://www.instagram.com/spicyspence_/ Jordan: https://www.instagram.com/ilambchopz/ Check out the main Scoped Exposure channel: www.youtube.com/scopedexposure
Suspension and Abrasion for his BDSM temptation. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/victory-von-stryker1/message Support this podcast: https://anchor.fm/victory-von-stryker1/support
Freiliegende Zahnhälse, abgesplitterte Zahnecken und zerknirschte Zahnkanten - All diese Phänomene haben gemeinsame Ursachen. Abrasion, Attrition, Erosion und Absplitterungen sind unterschiedliche Facetten, wie Zähne an Substanz verlieren können und Zahnhälse immer blanker werden. In diesem Video gehen wir genau auf die einzelnen Punkte ein, erklären was man dagegen tun kann wenn es schon da ist und geben Tipps, wie man erst garnicht in diese Lage kommt! Wir wünschen viel Spaß bei Implatalk! Euer Dr. Stefan Helka ▬▬▬▬▬▬▬▬▬▬▬
In this episode of tabletopnotch's homebrew 5th ed. D&D campaign, the party continues north and encounters strange new enemies of the natural world. Tune in to tabletopnotch live every Sunday at 7pm EST at www.twitch.tv/tabletopnotch. VODs and 5 minute recaps of every episode can be found on YouTube at www.youtube.com/tabletopnotch. Click here for a full list of music used in our campaign. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/tabletopnotch/support
Episode 4 of Season 3 is here and man is it a doozy! Javier from Godhead stops by to chat with Mic and Stephen about the monster E.P. Godhead put out last year and more. Wiley stops by to give everyone a life update. Next up is some great coffee reviews of Big Shoulders Coffee and Best Slope Coffee. Then the fellas chat about some great albums from Prison Suicide, Berthold City and Abrasion. Get ready. this episode is good to the last drop. Godhead Bandcamp Instagram Contraband Goods Instagram Where It Went Podcast Coffee Reviews Wiley: Big Shoulders Coffee Stephen: Bestslope Coffee Album Reviews Prison Suicide Bandcamp Instagram Berthold City Bandcamp Instagram Abrasion Bandcamp Instagram Coffee and Hardcore SetList - All the bands we talked about and more in one playlist! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/coffee-and-hardcore/support
Keith and Tommy sit down with Daniel Müller of Wilderun to discuss growing up in Massachusetts, discovering the metal scene, the formation of Wilderun, the history of the band, their latest LP "Epigone", the band's creative process and more. Keith and Tommy also discuss new music from Vein, Hey Thanks!, Abrasion and Keith recaps the recent END gig at St. Vitus in Brooklyn.
We're joined by Adam Newbold (aka @neatnikllc (https://twitter.com/neatnikllc)), creator of omg.lol (https://omg.lol), to discuss what went into making his service and the experience of being an indie developer. Since agreeing to our interview, he has even become a listening Hemispherean! This month, we also launch our own Nostalgic November, inviting you to share a memory of anything from your past that brings a smile to your face, be it a movie, song, game or product—whatever! Simply send us a quick text, photo or video in one of the following ways: @HemisphericPod (https://mobile.twitter.com/HemisphericPod) on Twitter with #NostalgicNovember; @HemisphericViews (https://micro.blog/HemisphericViews) on Micro.blog; in our general Discord (https://discord.gg/mzdB2ug) chat; or by email to hello@hemisphericviews.com (https://hello@hemisphericviews.com). At the end of the month, we'll collect all entries into one comprehensive post on our blog to show off what is important to our listening community! To kick things off, see the nostalgic entries from Andrew (https://listen.hemisphericviews.com/articles/nostalgic-november-andrew), Jason (https://listen.hemisphericviews.com/articles/nostalgic-november-jason) and Martin (https://listen.hemisphericviews.com/articles/nostalgic-november-martin) on our blog. No Beachballs on Episode Burk 00:00:00 macOS Beach Ball (https://macpaw.com/how-to/the-spinning-wheel-on-mac)
Dental podcast: Welcome to DentalTalk. I'm Dr. Phil Klein. Today we'll be discussing particle abrasion on CAD/CAM materials such as emax and zirconia. Our guest is Dr. Alex Vasserman, a cosmetic dentist who practices minimally invasive painless dentistry in the Upper East Side of New York City. He is an active member of several dental associations, including The American Academy of Cosmetic Dentistry and Kois Trained Dentist.
Improving the healthcare experience for physicians and members is critical for health insurance payers. Learn 5 Ways Payers Can Reduce Physician Abrasion from Mary's new blog.
Abrasion and romance | Podcast Weekly
Fast schon zauberhafte Folge. Wir reden über urzeitliches Peeling, was man mit überschüssiger Erde machen kann und wie Basti Ulrichs Diätpläne aussehen! • Cast: Duden-Boys • Sprecherinnen: Leo.org-KI, Google-KI
THIS IS EPISODE 50! If you're still with me, I'm so happy to have you. Thank you all for helping keep this alive and strong. You make this podcast. What makes a stronger? Abrasion and difficulty. What gets us nowhere? Playing timid and keeping our heart closed. Losing people we care about sucks...always. But, what we decide to do about it can change lives. And I'll tell you why I think so... Thank you so much for listening to the Rebel Minded Podcast! I love being the messenger for what all of us need, to take our next step. Let me know how I'm doing, if you have any of your own insight, or if there is something that you would love to hear on the podcast. Reach out! There are others out there you can help by speaking up! Thank you for being here! Stay rebel minded! For more about the Kreed and being rebel minded, follow me at: "@kreedsoldier" on Instagram and @damusclehamster to join me on powerlifting goals!
It’s the JournalFeed Podcast for the week of Mar 1-5, 2021. We cover exercise prescription for concussion, topical agents for corneal abrasion, LR for hyperkalemia, overuse of x-ray for nursemaid’s elbow, and the significance of elevated BP in the ED.
Anand Swaminathan on LAST prevention, recognition and management, Emily Austin on sodium nitrite suicide kit poisoning, methemoglobinemia and methylene blue, Hans & Erin Rosenberg on post-intubation analgesia and sedation, Salim Rezaie on short-term tetracaine for corneal abrasions new evidence, Jesse MacLaren on differentiating ST deviation in occlusion MI from other causes, Robert Maunder on a 3 step approach to coping and building resilience during the COVID pandemic... The post EM Quick Hits 26 LAST, Sodium Nitrite Poisoning, Post-intubation Care, Tetracaine for Corneal Abrasion, ST Segment in Occlusion MI, Coping with COVID appeared first on Emergency Medicine Cases.
This episode will covering the Provisional Access to Medical Treatment (PAMT) Trial.I will cover what the PAMT trial is, what are the requirements to be part of this trial, what conditions are being covered, what treatment is covered under the trial and my personal opinion about the trial. Conditions currently being covered;Achilles Tendinopathy and BursitisChondromalacia PatellaCut, Stab, Abrasion and LacerationDislocationFractureInternal Derangement of the KneeIntervertebral Disc ProlapseJoint InstabilityLabral TearLumbar SpondylosisNon-melanotic Malignant Neoplasm of the SkinOsteoarthritisPlantar FasciitisRotator Cuff SyndromeSensorineural Hearing LossShin SplintsSolar KeratosisSprain and StrainThoracic SpondylosisTinnitusDVA Website: https://www.dva.gov.au/providers/provider-news/provisional-access-medical-treatment-trial-veteransDVA Number: 13 32 54Support the show (http://Paypal.me/adfentitlements)
Alex shares an enlightening anecdote from a friend who used VitalSmarts Crucial Conversations ® skills to address COVID protocol at her neighborhood gym. Specifically, she used the “STATE My Path” skill for “How to speak persuasively, not abrasively." Listen in to learn more! JOIN OUR CRISIS COMMUNICATION COFFEE WEBINAR MARCH 5 Join us on March 5, 2021, to learn why every size enterprise must have a crisis communication plan. If you're a small businessperson, we will demonstrate why you need a plan and how to get started. If you are a PR, HR, or Marketing professional, we will help you make the case for why you need to invest time and budget to create a viable crisis communication plan. Click here for more info. Click here to Register. Don't forget the discount code mentioned on the show! Follow us on Twitter: @HoursPR Listen to our entire library of episodes and more on the show website: PRAfterHours.com. PR After Hours Theme: https://filmmusic.io "Bossa Antigua" by Kevin MacLeod (https://incompetech.com) License: CC. Sound effects. As an Amazon Associate, we earn a small commission on some of our Amazon links. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/alex-greenwood1/message
On this episode I sit with my good buds Steven from OneNineSeven Media fame and Jesse from Abrasion formerly from SeeYouSpaceCowboy. We talk about LDB Fest 2020, how Steven got into hardcore and filming, and what we’re looking forward to in 2021. Subscribe at patreon.com/Powerline
It’s the JournalFeed Podcast for the week of Dec 7-11, 2020. We cover tetracaine for corneal abrasion, peripheral vasopressor safety, personalized vasopressor management, cardiac arrest survival with PE, and intra-articular lidocaine for shoulder dislocation.
This episode covers corneal abrasion!
In a world of checking for compliance and structure, can creativity survive and thrive? Ms. Jenny Kim, the overseer for political law compliance in the United States, has interesting viewpoints on creativity within our justice systems, educational systems and even throughout our HR hiring process. She highlights the shift companies will need to take as they determine new hiring criteria for candidates - including creative thinking, empathy and egoless risk-taking. Listen in for great insights for a strategic time in our nation's history. Enjoy the show! Jenny's Blog Jenny's Twitter Debt To Destiny Financial Freedom Course Use the code:FREEDOM for $20 off until August 23rd!
Show #836 Good morning, good afternoon and good evening wherever you are in the world, welcome to EV News Daily for Saturday 11th June 2020. It’s Martyn Lee here and I go through every EV story so you don't have to. Thank you to MYEV.com for helping make this show, they’ve built the first marketplace specifically for Electric Vehicles. It’s a totally free marketplace that simplifies the buying and selling process, and help you learn about EVs along the way too. TESLA ANNOUNCES DATE FOR 'BATTERY DAY' AND ANNUAL SHAREHOLDER MEET "Tesla announced that the 2020 Annual Shareholder Meeting and the long-awaited Battery Day will be both held on Tuesday, September 22, 2020. The 2020 Annual Meeting will be held "in person on Tuesday, September 22, 2020, at 2:30 p.m. Pacific Time, at Tesla’s Fremont Factory located at 45500 Fremont Blvd, Fremont, CA 94538"." says InsideEVs: "The Battery Day presentation is a separate event for eligible stockholders, scheduled for the same day, although details were not yet announced. Both events will be livestreamed. As many expect bold announcements about Tesla's groundbreaking battery tech, it could be one of the most important presentations to date. Whether those will be more energy-dense batteries, more affordable batteries or longer-lasting batteries for 1 million miles (1.6 million km), we have to wait until September 22 to find out." https://insideevs.com/news/433438/tesla-date-battery-day-annual-shareholder-meet/ TESLA REDUCES MODEL Y PRICES, NOW STARTS BELOW $50,000 "Tesla has lowered the price of another vehicle. This time it’s the Model Y, an electric SUV the company started shipping in March. The long-range all-wheel drive version of the car is now listed with a purchase price of $49,990, or $3,000 less than what it was before. " reports Tech Crunch. And Electrek reported: "Since its launch, Model Y has only been offered in two versions: Long Range Dual Motor AWD and Performance. However, the Performance version was available with or without a “Performance Package” that adds several features: Increased top speed from 145mph to 155mph, 21’’ Überturbine Wheels, Performance Brakes, Lowered suspension, Aluminum alloy pedals, With the update today, Tesla is now making the package standard on Model Y Performance orders — now starting just below $60,000. Now the same version of the Model 3 is only $3,000 less expensive than the Model Y." Will there ever be a Model Y Standard Range Plus? M3 has 250 miles. Model 3 is $47k (£47k) and $55k (£56.5). Model Y is $50k and $60k. And for fun, Model S is $75k and $95k and Model X is $80k and $100K Delivery is 4-8 weeks on all models. Matches the Model 3. What we've always had here. https://electrek.co/2020/07/11/tesla-model-y-price-drop/ HANKOOK DEVELOPS TIRE FOR ALL-ELECTRIC PORSCHE SPORTS CAR "Hankook Tire America Corp. will equip the first all-electric sports car from Porsche — the Taycan — with its Ventus S1 evo 3 ev tires. The Porsche Taycan will be fitted with size 225/55R19 XL 103Y tires on the front axle, and 275/45R19 XL 108Y tires on the rear axle. Hankook says the Ventus S1 evo 3 ev tires, which will bear the Porsche NF0 symbol on the sidewall, contain a lot of technical refinements for the electronic sports car." reports ModernTireDealer.com: "Hankook says the tread pattern of the Ventus S1 evo 3 was adapted in the ev version for Porsche to reduce specific tire noise detectible due to the absence of the engine noise. To meet the extra demand of the high performance of the electric sports car, the tire's bead was reinforced with so-called bead-packing technology, as well as high lateral stiffness for precise handling even at high speeds. As a result, Hankook says the Ventus S1 evo 3 ev achieves 30% greater durability compared to a standard tread compound. Abrasion resistance was improved by 5% compared to the conventional model and rolling resistance was improved by 13% overall, the company sai" https://www.moderntiredealer.com/80036/hankook-develops-tire-for-all-electric-porsche-sports-car 2021 SKODA ENYAQ IV SPIED TESTING WITH A TRAILER "In October last year, we caught an early test mule of Skoda’s first all-electric sport utility vehicle. A few months later, the Czech automaker confirmed it’ll be named Enyaq iV and we started seeing prototypes with production bodies testing on public roads from March this year. Today, we have a new spy video of the EV to share, showing at least three different test cars." reports Motor1.com: "First, we see a heavily disguised vehicle being carefully unloaded from a truck and then taking on a test route somewhere in the Alps. It’s towing a two-axle trailer . The Enyaq iV will be heavily based on the Volkswagen ID.4 with the two sharing basically everything that’s underneath the body. Still, the two vehicles should be easy to differentiate as we expect the Czech model to get its own individual design on the outside." https://www.motor1.com/news/433258/skoda-enyaq-spy-video/ RENAULT'S FIRST 16-TON ELECTRIC FREIGHT TRUCK "Renault has been testing prototype electric delivery trucks since 2017, and this 16-ton behemoth has finally reached the production stage. The D-series of Renault trucks can be retrofitted for all kinds of work, including refrigerated trucking like this one, a standard box truck, or a garbage collector. Renault claims that the electric D is capable of around 75 miles of range during waste collection operation, which should be more than enough." says Jalopnik: "If all of the current diesel short-range delivery and trash collection trucks were slowly phased out for electric trucks like this one, not only would city centers experience improved air quality, but noise pollution would also decrease." https://jalopnik.com/renaults-first-16-ton-electric-freight-truck-has-been-u-1844342555 TESLA GIGAFACTORY 3 ALREADY PRODUCED ABOUT 50,000 MODEL 3 "According to the latest news from China, the total production of Tesla Model 3 at the Tesla Gigafactory 3 in Shanghai, China amounted ao bout 50,000 units. The data provided by Moneyball, shows 49,799 Made-in-China (MIC) Model 3 produced in the first half of the year (a small number was produced also in December 2019)." says InsideEVs: "This actually makes Tesla the biggest manufacturer of electric cars (and plug-in cars in general) in China. The second best BYD produced a little over 40,000, although that's for over 10 models. No other single model was even close to 20,000, as 2nd best GAC Aion S was at 15,617." https://insideevs.com/news/433483/tesla-gigafactory-3-produced-50000-model-3/ STUDY: EVS PUT TO USE IN RIDE-HAILING DELIVER MORE CARBON BENEFITS THAN IN PERSONAL USE "Electric cars could deliver even greater environmental benefits if they were to be used by ride-hailing services like Uber and Lyft than if they were to go to private use, according to a new study from the University of California, Davis." writes Green Car Reports: "Replacing a gasoline ride-hailing vehicle with an EV can deliver three times the carbon reduction of a personally-owned electric car, according to the study. That's because ride-hailing vehicles travel more miles than personal cars, according to the study. They also typically charge during the day, when a greater quality of solar energy is fed into the grid, the study noted. As previous studies have shown, electric cars get cleaner along with the grid electricity used to charge them. Companies and regulators are already taking steps to make ride-hailing electric. Based on Uber and Lyft travel and charging data in California during 2017 and 2018, the study found highlighted that many ride-hailing drivers are already going electric. While electric cars made up a "tiny fraction of traffic," ride-hailing EVs accounted for more than 30% of energy use at public charging stations, according to the study." https://www.greencarreports.com/news/1128808_study-evs-put-to-use-in-ride-hailing-deliver-more-carbon-benefits-than-in-personal-use AUTOPILOT SIDE CAMERAS TO SHOW BLIND SPOTS Australian Tesla Owners @AusTeslaOwners Elon, can we get the side repeater cameras to show full screen when indicating please? Elon Musk @elonmusk Sure "In a recent software update, the company gave owners the ability to see the view out of those cameras, which allowed drivers to see their blind spot on the car's large center screen. But, the view from these cameras was smaller than the rearview. So the new update will allow to automatically make the side repeater camera fullscreen whenever the driver signals a turn or lane change, which will certainly become a very useful feature." says tesmanian https://www.tesmanian.com/blogs/tesmanian-blog/blind-spots [mention for Premium Partners] You can listen to all 833 previous episodes of this this for free, where you get your podcasts from, plus the blog https://www.evnewsdaily.com/ – remember to subscribe, which means you don’t have to think about downloading the show each day, plus you get it first and free and automatically. It would mean a lot if you could take 2mins to leave a quick review on whichever platform you download the podcast. 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Jack Walker and Paul Atzemis discuss the factors in choosing a thick-film coating system versus choosing a thin-film coating system. Abrasion, flexibility, substrates, and application equipment are all discussed. 0:00 Paul’s curveball 3:15 Coating recommendation categories 3:52 Thick film coating systems and thin-film coating systems 5:12 Substrate can determine coating system 7:09 Pitted storage tanks 7:32 High-solids coatings 8:52 Abrasion conditions effects on coating system selection 9:48 Flexibility and impact resistance 11:06 Scheduling effects on coating system selection 12:02 UV effects on coating system selection 13:44 Availability of application equipment effect on coating system selection 15:24 Wrap up Subscribe via iTunes, Google Play, or Spotify. Find out more at https://carboline-tech-service-podcast.pinecast.co
Wie lange hält eine Seitenzahn Füllung aus Composite? Das werden wir Zahnärzte oft von Patienten gefragt! In dieser Folge möchte ich dieser Frage aus wissenschaftlicher Sicht auf den Grund gehen. Wenn Sie ein Forbildungszertifikat mit einem CME Punkt erhalten möchten, dann senden Sie uns bitte eine Email and die Adresse info@intradental.de mit Ihrem Namen und dem Codewort „Composite“. Original Arbeit JDR: Clinical and Micromorphologic 29-year Results of Posterior Composite Restorations. http://www.ormed.net/download/19-jdr-accepted-29-y-composite-study.pdf https://www.ncbi.nlm.nih.gov/pubmed/30067429 Original Arbeit Jornal of Dentistry: Longitudinal micromorphological 15-year results of posterior composite restorations using three-dimensional scanning electron microscopy. https://www.ncbi.nlm.nih.gov/pubmed/24814136 Wieviel Randspalt verträgt eine Restauration? http://www.ormed.net/download/24-zm-wieviel-randspalt-vertragt-eine-restauration.pdf Äquilibrium von Abrasion und Attrition bei Composite-Füllungen an Seitenzähnen http://www.ormed.net/download/21-aequilibrium-von-abrasion-und-attrition-bei-composite-fuellungen-an-seitenzaehnen.pdf --- Send in a voice message: https://anchor.fm/intradental/message
Learning About Wound Care The sun rises over the San Joaquin Valley, California, today is April 9, 2020.This week, for pregnant patients who are not at increased risk for preterm delivery the USPSTF recommended AGAINST screening for bacterial vaginosis (BV). This is a D recommendation. So, do NOT screen for BV in these patients. For your patients who actually ARE at INCREASED RISK for PRETERM delivery, the data is INSUFFICIENT to recommend screening for bacterial vaginosis. This is an I recommendation. So, you may or may not screen.To recap: Not at risk for preterm delivery = No screening for BV. At risk for preterm delivery = Insufficient data. This week, smiling to our patients has become a little harder to do through a surgical mask. We don’t know how long we will be required to wear a surgical mask to see all patients in clinic. This is the week of “Spring Break”. Movie theaters, museums, parks and many public places are now closed. However, the flowers and trees seem to be unaware of the pandemic and are not in quarantine. They rebelled against the rules and are blooming beautifully this time of the year. The Spring season surely brings optimism for a brighter future. May the Easter weekend be a time of reflection and renewal for you. Our message is: Keep blooming wherever you are planted!Welcome to Rio Bravo qWeek, the podcast of the Rio Bravo Family Medicine Residency Program, recorded weekly from Bakersfield, California, the land where growing is happening everywhere.The Rio Bravo Family Medicine Residency Program trains residents and students to prevent illnesses and bring health and hope to our community. Our mission: To Seek, Teach and Serve. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care to patients throughout Kern and Fresno counties since 1971.______________________________“Do not correct a fool, or he will hate you; correct a wise man and he will appreciate you.” Adapted from the Holy Bible.Correction, or how we like calling it in education: Feedback, is a good tool to get trained as residents. As a resident, you can decide how you will take that feedback, will you take it as an offense? Will you make a plan to correct the mistake instead? I’ll let you think about it.Dr Manuel Tu is a talented man who is a great asset for our residency program. He has brought an interesting topic to the table today and I am excited to receive him today. Dr Tu is known by his friends and colleagues as Manny. As you know we ask 5 questions, and let’s start with question number 1. Question Number 1: Who are you? Hello everybody my name is Dr Manuel Tu Jr. and presently I am a First-year Family Medicine resident here in Bakersfield, California. I was born and raised in the Philippines, finished my bachelor's degree in Nursing from Perpetual Help College in Manila, and graduated in Medicine from the University of the City of Manila, Philippines. Dr Tu also worked for some years as a nurse for Clinica Sierra Vista and did a fantastic job before his residency. Question number 2: What did you learn this week?This week I would like with you some things about WOUND MANAGEMENT, specifically about the types of wounds, factors that inhibit wound healing and general principles on how to heal a wound. A wound is a disruption of the normal structure and function of the skin and underlying soft tissue. It may be acute like trauma to the skin or chronic like a venous stasis or diabetic ulcer.ACUTE WOUNDSTypically, due to some form of trauma.May be blunt or penetrating causes with different array of sizes, depths, and locations.Abrasion, puncture, crush, burns, gunshot, animal bites, surgery, and other etiologies that cause initially intact skin to break down. CHRONIC WOUNDSAny mechanism that decreases blood flow in the skin for a prolonged period of time has the potential to cause ischemic breakdown of the skin. Skin perfusion may be impaired due to:proximal arterial obstruction (peripheral artery disease)vascular compression (hematoma, immobility causing focal pressure)microvascular occlusion or thrombosis (vasculitis, cholesterol crystals) venous or neuropathic ulcers like in diabetic patients.FACTORS THAT INHIBIT OR AFFECT WOUND HEALING:Infection: Bacterial infection produce multiple inflammatory mediators that inhibit wound healing. The inflammatory phase of healing is prolonged and disrupted, there is depletion of the components of the complement cascade, disruption of the clotting mechanisms, disordered leukocyte function, less efficient angiogenesis and formation of friable granulation tissue. New tissue growth cannot occur in the presence of inflammation or necrotic tissue, and the presence of necrotic tissue promotes bacterial proliferation. A wound that is infected has an unbalanced host-bacteria relationship, because you cannot get rid of all the bacteria on the surface of a wound, but you can establish an equilibrium to promote healing. In 1980 Bucknall published an experiment with rats showing how the granulation tissue looks in an infected wound: There is an increased in hydroxyproline (collagen) and abundant new vessel formation(1). It was interesting for me to know that because I thought those processes ere inhibited but actually, they are increased but are disorganized, resulting in a granulation tissue that is disorganized and friable. Smoking: Nicotine and other chemicals in tobacco impair wound healing by inducing vasoconstriction causing relative ischemia on tissues, also by reducing inflammatory response, impairing bactericidal mechanisms, and altering collagen metabolism. Smoking is associated with postoperative wound healing complications, which occur more often in smokers compared with non-smokers as well as in former smokers compared with those who never smoked(2).Aging: Likely due to comorbidities such as diabetes, peripheral artery disease, chronic venous insufficiency, and lower serum protein levels causing lower collagen. Lower collagen in the body slows down wound healing. For example, Kennedy pressure ulcer.Kennedy Ulcer: It is a dark sore that develops rapidly during the final stages of a person’s life. Not everyone experiences these ulcers in their final days and hours, but they’re not uncommon. They are different from pressure sores or bed sores; because they develop rapidly; they are typically located in the sacral area are necrotic(3). Malnutrition: Patients with hypoalbuminemia tend to be more prone to infection, and infection as we said, affects wound healing. Prealbumin and albumin are not perfect markers of wound healing but helpful specially for patients with non-healing wounds. Diabetes mellitus: Causes several factors that contribute to impaired wound healing: Decreased or impaired growth factor production, angiogenic response; macrophage function, collagen accumulation, quantity of granulation tissue, dysfunctional keratinocyte and fibroblast migration and proliferation. Also, diabetes causes neuropathy and vasculopathy. Trying to explain the pathophysiology of slow und healing in diabetes would take a lecture by itself. Obesity: The cause of wound complications in obese individuals may be secondary to decrease vascularity of the subcutaneous tissue which may impair antibiotic delivery and increased wound tension. Poor skin circulation also makes obese individuals prone to pressure injury which can be aggravated by difficulties in repositioning and increased shearing during movement.Others: Vascular disease (PAD, CVI), immunosuppressive therapy, edema, size and depth of the wound, autoimmune diseases, vasculitis, and many medications. It is impossible to cover all the factors but my message to residents is: When a wound is not healing, think about the most common factors interfering with healing and take them out of the way! Mainly infection, smoking, diabetes and malnutrition.DIFFERENT WAYS TO HEAL WOUNDS: Wound Debridement: It is the removal of non-viable tissue, contaminants, or foreign body to expose healthy wound bed to assist with wound healing. Devitalized tissue refers to slough or eschar. The body normally uses phagocytosis and autolysis to get rid of devitalized tissues, but in some instances those processes are impaired, so we have to assist with debridement. These can be accomplished by different means: surgical (scalpels, scissors, electrocautery), irrigation, chemical (soaps, detergents), enzymatic (collagenases, fibrolysin, DNAsses, i.e. Santyl), and biosurgical (maggots). The point is to eliminate all the dead tissue because it is basically “on the way” and can potentially be an environment where bacteria can thrive. These “excess” tissues are not going to regenerate and need to be removed. Another way to put it is: “Debridement is turning a chronic wound in an acute wound with more potential for healing.” Moist-to-dry dressings: Mechanical debridement can be accomplished by moist-to-dry dressings. We need the proper amount of moisture to promote moist healing environment. Too much moisture or “wet gauze” provides more than needed moisture and it may cause more harm than good, for example, maceration. Get the gauze wet and squeeze it and that should be enough moisture for the wound. Irrigation: Irrigation is a way to remove bacteria and debris. It should be a part of routine wound management. Low-pressure irrigation is done with a syringe or bulb, and high-pressure irrigation is typically performed in the OR with a commercial device. There is no high-level evidence to support the use of any particular additive to the irrigant, nor any particular additive over another. The act of irrigation and the volume of irrigant probably provides the positive benefits. Warm, isotonic (normal) saline is typically used; however, systematic reviews have found no significant differences in rates of infection for tap water compared with saline for wound cleansing. The addition of dilute iodine or other antiseptic solutions (eg, chlorhexidine, hydrogen peroxide, sodium hypochlorite) is generally unnecessary. Such additives have minimal action against bacteria, and some, but not all, may impede wound healing(4).Certification in wound care: As residents, you can start by taking elective rotations on wound care, or attend wound care trainings available for doctors, nurses, physical therapists and other health care professionals. The process results in a Wound Care Certified Certification, but you need an unrestricted license as an MD or RN, or other profession. You need FIRST education and SECOND experience before you can sit for the certification exam. You can find more information on the website of the National Alliance of Wound Care and Ostomy (https://www.nawccb.org/).Question number 3: Why is that knowledge important for you and your patients? Healing wounds is very rewarding. This knowledge is important for me because I want to help my patients with acute and chronic wounds. We encounter patients in the hospital and in the clinic with multiple kinds of wounds, and I feel I can help many people with this knowledge. Question number 4: How did you get that knowledge? I got this knowledge from attending wound care trainings here in Kern County, from reading lecture notes and books, and from years of experience caring for patients with various and complex wounds.Question number 5: Where did that knowledge come from? The information I shared with you came from the books “Skin and Wound Care” by CT Hess, Wound Care Guides, and Uptodate, and you, Dr Arreaza also shared some information with me. __________________________________“Speaking Medical” (Medical word of the Day) by Lisa ManzanaresThe word of the day is proctalgia fugax. What IS that? Well, it’s a pain in the butt. Literally. Proctalgia fugax is a functional anorectal disorder characterized by severe, intermittent episodes of rectal pain that are self-limited. In Latin, fugax means “fleeting.” Patients with proctalgia fugax have attacks of severe anorectal pain that lasts from seconds to minutes, with an average duration of five minutes. The patient with proctalgia fugax is completely asymptomatic between episodes. The diagnosis requires that all other causes of rectal or anal pain are excluded. Proctalgia fugax is estimated to affect 4-18% of the general population, but only about 20% of those affected actually report their symptoms to a physician. Proctalgia fugax usually affects those between 30 and 60 years of age and is more common among women. Some studies have suggested that the pain may be precipitated by stress, sitting, intercourse, defecation, or menstruation, but in many cases is unknown. So there is a term for a temporary pain in the butt, and no, it’s not your ex-boyfriend or girlfriend: it’s proctalgia fugax.__________________________________“Espanish Por Favor” (Spanish Word of the Day) by Claudia CarranzaHi this is Dr Carranza on our section Espanish por favor. This week’s word is “ronquera”. “Ronquera” means hoarseness, or if you want to get more technical it is called dysphonia. In Spanish, people usually use this word when they are complaining of having a hoarse voice. So you may have a patient coming to you saying “Doctor, tengo ronquera,” or “Doctor, estoy ronco,” meaning “Doctor, my voice is hoarse or I have a raspy voice”. At this point you can ask the usual questions of how long? Any precipitating factors? And more. Some people might come in and sound hoarse, in which case you can always ask: Tiene ronquera? To find out if this is abnormal for them or if this is their baseline. Now you know the Spanish word of the day, ronquera or ronco, all you have to do is go and assess your patient’s hoarse voice. Have a great week and take care!__________________________________“For your Sanity” (Medical joke of the day)by Lisa Manzanares, Claudia Carranza, and Terrance McGill-What type of jokes are allowed during the coronavirus? Inside jokes!-What do you call an acid with an attitude? A-MEAN-O-ACID-Why are nails used to seal coffins? To prevent oncologists from cracking them open to give another round of chemo… and What do oncologists see when they finally open the coffin? A note from Nephrology: “Patient taken to dialysis”-I could not decide in med school between proctology and neurology, so I flipped a coin, heads or tails.__________________________________This was our Episode number 6, Learning about Wound Care. During this episode, we learned some basic principles of wound care. It was a good reminder of how infections, smoking, malnutrition and diabetes can affect wound healing, and of the importance of debridement and moist-to-dry dressings to promote healing. Proctalgia fugax made us think of a common condition that may go undiscussed during our clinic visits. The Spanish word ronquera reminded us of hoarseness. And remember that according to psychologists, humor is a MATURE defense mechanism, so we are trying to be “mature” with our jokes. Stay tuned for more interesting topics every week.This is the end of Rio Bravo qWeek. We say good bye from Bakersfield, California, a special place in the beautiful Central Valley of California, United States, a land where growing is happening everywhere.If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or by visiting our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. Our podcast team is Hector Arreaza, Lisa Manzanares, Manuel Tu, Claudia Carranza, and Terrance McGill. Audio edition: Suraj Amrutia. See you soon! __________________________________References:1) Cutaneous Wound Healing, Edited by Vincent Falanga, 2001, Martin Dunitz Ltd, a member of the Taylor & Francis group, Florence, Kentucky, USA. 2) Armstrong, David G and Andrew J Meyr, “Risk factors for impaired wound healing and wound complications”, UpToDate, https://www.uptodate.com/contents/risk-factors-for-impaired-wound-healing-and-wound-complications?search=smoking%20consequences&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5 , accessed on April 9, 2020.3) Kennedy Ulcers: What They Mean and How to Cope, https://www.healthline.com/health/kennedy-ulcer#symptoms , accessed on April 4, 2020.4) Armstrong, David G and Andrew J Meyr, “Basic principles of wound management”, UpToDate, https://www.uptodate.com/contents/basic-principles-of-wound-management?search=wet%20to%20dry%20dressing&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 , accessed on April 9, 2020.5) Skin and Wound Care by CT Hess 7th Ed, 2012, United States of America
Positively Outrageous Service can blow away customer models of customer abrasion. The now defunct Blockbuster built its customer revenue model on late fees, 70% of their revenues were generated from disservice! The customer experience is more important than ever given the reach of social media. Is there anything abrasive in your policies and processes that undermine the customer experience. Or, are your people behaving abrasively? When your policy becomes the experience – it can become an excuse to behave badly.
Michael will go over his business and a new product line from ATI Decorative Laminates. This material offers many laminated FR finishes for Walls. Thermoform-able FR PVC that is Abrasion and Impact resistant for long term applications.
The guys talk about Alex's eye injury, rub and tugs, and expiration dates on food. They discuss Kanye West leading a church and answer your questions.Follow the show on twitter: @passthegravypod, @AlexJMiddleton, @NotPatDionne, and @RobertBarbosa03
Predictions of mortal incisions Placed again on scars. In valleys of blade's perfection. Weary of the almighty super stations. Within the channels of television creation. Abrasion. A derivative work of artistic cruelty.. Vision: last moments, Series Finality One more down. No lasting impression. How long? For me? Wonderland said time would stand still. A fairytale […]
Jess and John do stand up comedy!! Jess’s material evolves. John + liquid courage = a great show. Jessica falls on a broken sidewalk - or like we say - slid into home on her face. Abrasion stories. What does it take for you to put a sticker on your car? Would you leave your kid at this house? A house with guns? Tide pods ;)? Nail polish porn colors. Jessica confesses that she is prejudice. Jessica feels that reality TV is the beginning of the end for our society. John stopped following Jess on social media, And shares his views on privilege. Jess hates when people announce that they are leaving social media. Melissa’s French story has us rollin’!! Please Connect With Us On Social Media: Facebook Twitter Instagram
Join Joann Kandrac and Kelly Kole as they discuss fabrics and their performance, best uses for different fabric types, and designing with pets and kids in mind. IN THIS EPISODE: I. Intro a) What are considered “performance” fabrics b) Properties of Crypton and Sunbrella c) Designing with pets and kids in mind d) Beach House Rental e) Outdoor products II. Performance a) “Performance can mean many things: abrasion, stain resistance, light fastness, flame retardance.” b) Abrasion: The Wyzenbeek testing method is the most common abrasion testing method in the U.S. A fabric is stretched onto a machine and rubbed back and forth, with signs of wearability checked every 5,000 rubs. c) Stain Resistance – Crypton, Indoor/Outdoor/Microfiber d) Light Fastness - To evaluate fade resistance, a strip of fabric is placed in a large device with part of the fabric protected by a card. The remaining fabric gets a 40-hour blast of light exposure, and results are measured from 1 to 5. A score of 4 is generally considered good for normal residential use. e) Flame Retardance - Almost all the tests in this category test for flammability by holding a fabric to a cigarette or flame to see how it responds. III. Best places to use performance fabric a) Kitchen and Dining Rooms b) Family Room Upholstery c) Custom shower curtains d) Sunny spots e) Outdoor cushions, awnings, curtains IV. Crypton - each fiber of Crypton Fabric is encapsulated with a patented technology that never breaks down its resistance to stains, moisture, mildew and odors. This protects the fabric from spills and keeps stains from setting in the foam of the cushions. V. Sunbrella – UV and fade resistant, mold and mildew resistant, bleach cleanable. VI. Designing with pet/kids a) Kids: choose eco-friendly, non-toxic furnishings, bedding and paint to make the environment healthy. b) For a family room, use an upholstered (crypton or sunbrella) ottoman instead of wood and use tray for drinks, remote, etc. c) Leather - Fur and hair won't stick to it. You can simply vacuum it away and use a cleaner to keep the leather supple. Leather does scratch but if you don’t mind, it will develop a patina that some people think looks great. But if you want your leather to stay pristine, keep your pets off of it. d) If you have a shedding animal, match the fabric to their hair color. e) As a general rule for choosing pet-friendly fabrics, look for fabrics that have a tight weave and a pattern. Stay away from: Velvet, chenille and silk. f) Use pet covers for sofas and bedding. Good ones at Chewy.com and Amazon. VII. Beach House Rental a) Our Favorite Outdoor manufacturers b) Costco c) Frontgate d) Summer Classics f) Selamat g) Janet et Cie
Healthcare Effectiveness Data and Information Set (HEDIS) reviews, underway right now by commercial health plans and government payers, are expected to continue through mid-May. Also expected at that time is a massive number of medical record requests from payers as they seek to improve their Medicare Advantage plan quality measurements, called Star Ratings, which are ultimately published on the Centers for Medicare & Medicaid Services (CMS) website. Explaining the rating systems as well as offering best practices to minimize payer abrasion during this episode of Monitor Mondays is special guest Greg Ford with MRO. The episode rundown also includes: Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, will file another report on the controversial total knee replacement (TKR) issues that continue to confound physicians and patients. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO for Nancy Beckley and Associates, will have all the latest hot topics and the Monitor Mondays Listener Survey. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer will respond to a listener who become ensnared in a Medicare Advantage issue. Spencer is a senior healthcare consultant for DoctorsManagement. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron will return with another example of a potentially troublesome issue that could pose a risk to your facility. Prickly Report: Implantable medical device reporting is the prickly subject for the Monitor Mondays Prickly Report. It’s a compliance issue that still confounds providers while at the same time continues to be a hot audit topic for Zone Program Integrity Contractors (ZPICs), Comprehensive Error Rate Testing (CERT), and Medicare Administrative Contractors (MACs). Michael Calahan, vice president of hospital and physician compliance with HealthCare Consulting Solutions (HCS), will explain why this issue is low-hanging fruit for auditors. Monitor with us™
On this episode of the Krypt we are going to talk about BDSM on a budget but first, I have to welcome my amazing co-host, Funsize.So the reason we chose to do this episode now is that Funsize found an infographic on Pinterest about BDSM on a budget and saw a huge safety flaw. On this infographic, it suggest several things that are just fine, however one thing it suggest in particular is the use of household candles. This is a huge no, because household candles have a higher melting point than the candle we in the lifestyle use for wax play, so you will burn your partner if you use these. It’s just a huge safety problem, so today we really want to get into how to have safe, sane, budget friendly BDSM. http://www.ucollectinfographics.com/bdsm-on-a-budget-household-items-that-serve-as-cheap-alternatives-to-toys/ Pervertables- These are items you can convert and pervert for your play, which are not traditionally used in this way. Paddles at home:Spatulas are one of my favorite to be used as paddles. Also if you have ceramic or metal spatulas you can play with temperature a bit by sticking them in the fridge for 20 minutes prior to play. Just be sure that you use the flat side and avoid the edges as they may be sharper than they appear when used in impact play. Hair brushes. Not only does the flat side work as a cheap on the spot paddle, but the bristles can create a marvelous sensory feast, especially when combined with a blindfold. (Which can be made from a silk tie.) Rolled up magazines or newspapers create a mild thud and are great fun, especially if you are delving into pet play. Paint stirrer sticks. Often you can get these really cheap or for free at your local hardware store. Flogging fun:Paracord made into a flogger. If you’re looking to make your own paracord is a great place to start, and much cheaper than leather as far as materials go. There are tons of diy patterns for making your own flogger on Fetlife, Pinterest, and the internet in general. I recently came across a flogger made from an old yoga mat, cut into thick one inch strips and tied for the mop. I’m actually dying to try this out myself. Strips of spare cloth with beads tied to the tails can be arranged into a pretty neat makeshift flogger. Other impact play toys at home:Bamboo or other wooden switches can either be picked up at your local craft shop, or simply from a tree outside. Either way remember to sand the wood to get rid of any splinters. You can also make a handle out of simple bits of scrap fabric and electrical tape. One of my first experiences which I can pinpoint as a moment of pure masochism was when I was a child and ended up taking shelter under a willow tree during a storm. The branches lashed me as well as any single tail ever has. So if you have a willow tree on hand, cut off a switch and play with care. Wet towels or washcloths. You know how in movies during a locker room scene someone will snap someone else with a towel…. Same theory, only when wet they sting a lot more so there’s a lot of fun to be had there. Leather gloves… Irishmtdragon surprised me with this one recently and I’ve got to say it was actually a lot of fun; fairly light for impact but the stroke of the leather alone was mmm so nice. Pincers and clamps: Clothespins, such a marvelous pervertible, and so cheap. And if you’ve ever seen pictures of those pretty zipper patterns, well good chance they’re from clothespins. Chip bag clamps. A lot of times you can find these wider clamps and well they are amazing for the uh… lower lips on women. They can create the pinch and hold, but also provide more surface area and therefore less pain too. Combined with using some creatively placed tape, and you’re bound to have a good time. Other sensory toys you already have:Ice cubes, need we say more. If you haven’t explored temperature play, pull out some ice cubes and grab a towel from the dryer, switch between the two and watch your bottom squirm. Safety pins. Tape three or four together with the points open with a pencil as the handle. Using these to trace over your partner's skin lightly can raise all sorts of goosebumps. Sand paper. Abrasion play isn’t for everyone and should be approached carefully for those inexperienced in it. Back scratchers. Irish and I have two, one with metal claws and one wooden. Both are better for teasing than any feathers we’ve come across. Spices, stings, and rice. Tabasco…. Woo that stings! Ginger… see figging. Bags of uncooked rice. When I was being trained I was instructed to sit on a 5 lb. bag of uncooked rice for as long as needed until I learned my lesson. I still haven’t forgotten that lesson or how much that rice stabbing into my knees stung. If you don’t have that much on hand you can spread a cup around inside an empty pillow case for much the same effect. Diy and Dom DepotOften Home Depot is referred to as Dom Depot but you can also make your furnishings and toys. Some of the things you can pick up from Dom Depot are eyelet hooks. Screw a few of these into chairs, foot stools, or sturdy chests and you’ve got your own at home bondage furniture. Things like this are also pretty easy to hide in plain sight if the discretion of your home is anything you need worry about. If suspension is your play of choice you can create your own free-standing beam. Making your own will cost 1/10th of what buying one would cost. Using a cheap plastic tablecloth or tarp and duct tape you can create a protective cover for your furniture in place of sport sheets. If you don’t have a piece of furniture you feel comfortable modifying already, check out your local thrift shops. It’s important to explore what you have on hand and be safe as always. There are a lot of groups on Fetlife especially devoted just to sharing plans and diy ideas with others, so be sure to check these out as well. A final note or two.I’d like to thank our Executive Producer Jeremiah, Our Senior Producer Matt, Producer Missy Lynn and our Jr. Producers K-2SO, Irish Mt. Dragon and The Accidental Trucker. If you are getting anything out of the show we’d be grateful if you would visit the site and click on the support us tab to give through patreon. Second, I’d like to talk BDSM contracts for their donation of their beautiful 25 page soft and hard bound M/s and D/s contracts.. http://bdsmcontracts.org coupon code: kuldrin20 for a 20% discount on all purchases.NEXT WEEK’S AGENDANext on The Krypt BDSM in literature. In the meantime go to kuldrinskrypt.com for shownotes, how to subscribe information, and the link to Fetlife group so you can take part in the conversation and be eligible for giveaways. While you’re there click on support us to because a patreon supporter.Contact info:Email: Sir@kuldrinskrypt.com / funsize@kuldrinskrypt.comFetlife Group: https://fetlife.com/groups/159275Fb: Kuldrin FireTwitter: @MasterKuldrinInstagram: kuldrinfirePatreon: kuldrinskryptPaypal: MasterKuldrinhttp://kuldrinskrypt.com/contactresource865-268-4005
On this episode of the Krypt we are going to talk about BDSM on a budget but first, I have to welcome my amazing co-host, Funsize.So the reason we chose to do this episode now is that Funsize found an infographic on Pinterest about BDSM on a budget and saw a huge safety flaw. On this infographic, it suggest several things that are just fine, however one thing it suggest in particular is the use of household candles. This is a huge no, because household candles have a higher melting point than the candle we in the lifestyle use for wax play, so you will burn your partner if you use these. It’s just a huge safety problem, so today we really want to get into how to have safe, sane, budget friendly BDSM. http://www.ucollectinfographics.com/bdsm-on-a-budget-household-items-that-serve-as-cheap-alternatives-to-toys/ Pervertables- These are items you can convert and pervert for your play, which are not traditionally used in this way. Paddles at home:Spatulas are one of my favorite to be used as paddles. Also if you have ceramic or metal spatulas you can play with temperature a bit by sticking them in the fridge for 20 minutes prior to play. Just be sure that you use the flat side and avoid the edges as they may be sharper than they appear when used in impact play. Hair brushes. Not only does the flat side work as a cheap on the spot paddle, but the bristles can create a marvelous sensory feast, especially when combined with a blindfold. (Which can be made from a silk tie.) Rolled up magazines or newspapers create a mild thud and are great fun, especially if you are delving into pet play. Paint stirrer sticks. Often you can get these really cheap or for free at your local hardware store. Flogging fun:Paracord made into a flogger. If you’re looking to make your own paracord is a great place to start, and much cheaper than leather as far as materials go. There are tons of diy patterns for making your own flogger on Fetlife, Pinterest, and the internet in general. I recently came across a flogger made from an old yoga mat, cut into thick one inch strips and tied for the mop. I’m actually dying to try this out myself. Strips of spare cloth with beads tied to the tails can be arranged into a pretty neat makeshift flogger. Other impact play toys at home:Bamboo or other wooden switches can either be picked up at your local craft shop, or simply from a tree outside. Either way remember to sand the wood to get rid of any splinters. You can also make a handle out of simple bits of scrap fabric and electrical tape. One of my first experiences which I can pinpoint as a moment of pure masochism was when I was a child and ended up taking shelter under a willow tree during a storm. The branches lashed me as well as any single tail ever has. So if you have a willow tree on hand, cut off a switch and play with care. Wet towels or washcloths. You know how in movies during a locker room scene someone will snap someone else with a towel…. Same theory, only when wet they sting a lot more so there’s a lot of fun to be had there. Leather gloves… Irishmtdragon surprised me with this one recently and I’ve got to say it was actually a lot of fun; fairly light for impact but the stroke of the leather alone was mmm so nice. Pincers and clamps: Clothespins, such a marvelous pervertible, and so cheap. And if you’ve ever seen pictures of those pretty zipper patterns, well good chance they’re from clothespins. Chip bag clamps. A lot of times you can find these wider clamps and well they are amazing for the uh… lower lips on women. They can create the pinch and hold, but also provide more surface area and therefore less pain too. Combined with using some creatively placed tape, and you’re bound to have a good time. Other sensory toys you already have:Ice cubes, need we say more. If you haven’t explored temperature play, pull out some ice cubes and grab a towel from the dryer, switch between the two and watch your bottom squirm. Safety pins. Tape three or four together with the points open with a pencil as the handle. Using these to trace over your partner's skin lightly can raise all sorts of goosebumps. Sand paper. Abrasion play isn’t for everyone and should be approached carefully for those inexperienced in it. Back scratchers. Irish and I have two, one with metal claws and one wooden. Both are better for teasing than any feathers we’ve come across. Spices, stings, and rice. Tabasco…. Woo that stings! Ginger… see figging. Bags of uncooked rice. When I was being trained I was instructed to sit on a 5 lb. bag of uncooked rice for as long as needed until I learned my lesson. I still haven’t forgotten that lesson or how much that rice stabbing into my knees stung. If you don’t have that much on hand you can spread a cup around inside an empty pillow case for much the same effect. Diy and Dom DepotOften Home Depot is referred to as Dom Depot but you can also make your furnishings and toys. Some of the things you can pick up from Dom Depot are eyelet hooks. Screw a few of these into chairs, foot stools, or sturdy chests and you’ve got your own at home bondage furniture. Things like this are also pretty easy to hide in plain sight if the discretion of your home is anything you need worry about. If suspension is your play of choice you can create your own free-standing beam. Making your own will cost 1/10th of what buying one would cost. Using a cheap plastic tablecloth or tarp and duct tape you can create a protective cover for your furniture in place of sport sheets. If you don’t have a piece of furniture you feel comfortable modifying already, check out your local thrift shops. It’s important to explore what you have on hand and be safe as always. There are a lot of groups on Fetlife especially devoted just to sharing plans and diy ideas with others, so be sure to check these out as well. A final note or two.I’d like to thank our Executive Producer Jeremiah, Our Senior Producer Matt, Producer Missy Lynn and our Jr. Producers K-2SO, Irish Mt. Dragon and The Accidental Trucker. If you are getting anything out of the show we’d be grateful if you would visit the site and click on the support us tab to give through patreon. Second, I’d like to talk BDSM contracts for their donation of their beautiful 25 page soft and hard bound M/s and D/s contracts.. http://bdsmcontracts.org coupon code: kuldrin20 for a 20% discount on all purchases.NEXT WEEK’S AGENDANext on The Krypt BDSM in literature. In the meantime go to kuldrinskrypt.com for shownotes, how to subscribe information, and the link to Fetlife group so you can take part in the conversation and be eligible for giveaways. While you’re there click on support us to because a patreon supporter.Contact info:Email: Sir@kuldrinskrypt.com / funsize@kuldrinskrypt.comFetlife Group: https://fetlife.com/groups/159275Fb: Kuldrin FireTwitter: @MasterKuldrinInstagram: kuldrinfirePatreon: kuldrinskryptPaypal: MasterKuldrinhttp://kuldrinskrypt.com/contactresource865-268-4005
In Episode 3, Jack Walker and Paul Atzemis are joined by Carboline Chemist Erik Humbert to talk about Carbothane 8845. Then they are joined by Ryan Zabel to talk about the Carboline Pump Rental program. This episode ends with a discusion about Tabor Abrsion testing in ASTM D4060.
When I asked my students to set up for this exam, most had no idea what to do or what a corneal abrasion actually looks like. So, lets go over how these patients will present, how to perform a good eye exam, and the available treatment options. Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=paboards Follow us on Instagram here: https://www.instagram.com/paboards/ and https://www.instagram.com/pance_panre_usmle_review/ Ace your exams: https://learn.physicianassistantboards.com/collections Have questions about this podcast? Email gray@physicianassistantboards.com
Dando sequência ao especial nacional de Setembro, vamos destacar mais 24 bandas do Brasil, algumas delas com shows agendados para os próximos dias e as restantes com lançamentos deste ano ainda inéditos em nossa programação. Bandas por ordem alfabética: Abrasion, Armored Dawn, Astafix, Black Triad, D.A.M., Ego Kill Talent, Endless, Green Morton, Heaviest, Hell Gun, Insane Driver, Jailor, Life In Black, Luís Kalil, Made Of Stone, Meggera, Mercy Killing, Motorgun, Old Stove, Putra, Reckoning Hour, Skyrion, Toxic Revolution e Wild Child.
Dando sequência ao especial nacional de Setembro, vamos destacar mais 24 bandas do Brasil, algumas delas com shows agendados para os próximos dias e as restantes com lançamentos deste ano ainda inéditos em nossa programação. Bandas por ordem alfabética: Abrasion, Armored Dawn, Astafix, Black Triad, D.A.M., Ego Kill Talent, Endless, Green Morton, Heaviest, Hell Gun, Insane Driver, Jailor, Life In Black, Luís Kalil, Made Of Stone, Meggera, Mercy Killing, Motorgun, Old Stove, Putra, Reckoning Hour, Skyrion, Toxic Revolution e Wild Child.
It's 5:00 PM, you've got your coat on and are heading out the door when your office manager stops you and says, “Mrs. Abrasion is on her way over. She was in a lot of pain so I thought it was best she come right over. I'm sorry – I hope that was OK.”Of course it's OK because you want to take care of this patient, but in doing so, you'll now be late for your daughter's violin recital. Nearly all doctors, whether they are practice owners or associates, working in private or corporate practices, struggle with work–life balance.On this episode of the Power Hour former AOA President, current full time OD and mom, Dr. Dori Carlson joins the show. Tune in to hear about how she juggled three full time jobs when most of us stress over just one.
Conflict has a big impact on a team's level of creativity. You may be surprised to learn that teams need conflict in order to be creative. In this episode, learn what the research has revealed about the best types of conflict and the best approaches of conflict for creativity. You'll also learn about creative abrasion and 4 tips on how to achieve the optimal level of conflict with your teams. What You'll Learn Two types of conflict - one that is helpful for teams and one that is harmful Five approaches to conflict and the three that increase creativity The definition and importance of creative abrasion Four simple things you can do to get the optimal level of conflict in your team Resources Mentioned in the Episode Groupthink article by Jonah Lehrer - this is the article I talked about that I shared with the team Jehn, K. (1995). A multi method examination of the benefits and detriments of intragroup conflict. Administrative Science Quarterly, 40, 256-282. Badke-Schaub, P., Goldschmidt, G., & Meijer, M. (2010). How does cognitive conflict in design teams support the development of creative ideas? Creativity and Innovation Management, 19(2), 119-133. Episode 5: Ideation Episode 17: Seven Norms of Collaboration The Weekly Challenge Try one of the four techniques to increase creativity in your team. What happens? Share in the comment section or send me an email and let me know how it goes.
The Overthinkers tackle “Mad Max: Fury Road” starring Tom Hardy and Charlize Theron. Episode 359: Mad Max: The Threat of Abrasion is Ever-Present originally appeared on Overthinking It, the site subjecting the popular culture to a level of scrutiny it probably doesn't deserve. [Latest Posts | Podcast (iTunes Link)]
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 16/19
In dieser Arbeit wurde die Verschleißfestigkeit von einem neu auf dem Markt erhältlichen, modifiziertem Glasionomerzement Chemfil Rock von der Firma Dentsply im Vergleich zu bereits in der Praxis bewährten Glasionomerzementen untersucht. Des Weiteren wurde in dieser Arbeit getestet, ob sich die Verschleißfestigkeit von Glasionomerzementen durch das Auftragen von Oberflächenschutzlacken, sog. Coatings, erhöhen lässt und ob Coatings die Verschleißfestigkeit durch eine Verbesserung der Maturation der Glasionomerzemente oder durch einen erhöhten Schutz gegenüber Abrasion steigern. Da das Coating während der Demastikation zügig von der Oberfläche entfernt wird, wurde in dieser Studie neben der antiabrasiven Wirkung des Coatings auch der Einfluß des Coatings auf den darunterliegenden Zement untersucht, nachdem dieses von der Oberfläche entfernt worden war. Hierfür wurden zwei Coatings verwendet: G- Coat-Plus von Gc Corporation und Ketac Glaze von der Firma 3M Espe. Die Verschleißprüfung der Materialproben wurde in der ACTA-Maschine der (Firma Willytec, München) als Drei-Körper-Verschleiß durchgeführt, die als internationaler Standard gilt (De Gee 1994). Alle Proben wurden nach der Verschleißprüfung mit einem neuen, optischen 3-dimensionalen LED-Scanner mit konfokalem Sensor zur optischen Abtastung der Materialoberfläche und Evaluierung des Materialverlustes an der Probenoberfläche vermessen und die Daten anschließend mit dem Programm Match 3D ausgewertet. Um die mikromorphologischen Verschleißmechanismen zu verstehen, wurden im Anschluss Aufnahmen mit dem Rasterelektronenmikroskop erstellt. Die Verschleißfestigkeit des Glasionomerzements Chemfil Rock profitierte nicht durch die veränderte Füllstoff- und Polymertechnologie, denn dieser Glasionomerzement erreichte mit Abstand die höchsten Verschleißwerte. Die in der Literatur beschriebene deutliche Verbesserung der Biegefestigkeit von Glasionomerzementen durch die Applikation von Coatings wird in dieser Studie nicht von einer Verbesserung der Verschleißfestigkeit begleitet, im Gegenteil, es wurden überraschenderweise höhere Verschleißwerte im Vergleich zu den nicht gecoateten Materialien gemessen. Nachdem das Coating von der Oberfläche abradiert wurde, hatte es keinen positiven Effekt auf den darunterliegenden Glasionomerzement. Auch eine verlängerte Lagerungszeit verbesserte die Materialeigenschaften nicht. Jedoch zeigten die Aufnahmen im Rasterelektronemmikroskop, dass das Coating den Glasionomerzement versiegelt, was die Verbesserung der Biegefestigkeit erklären könnte.
EM Basic is back and ready for the new year. We see various eye complaints a lot in the ED. This episode will review common eye complaints, their treatments, and a bonus section on how to do a lateral canthotomy.
We hear from Melbourne dark wave Asps who dropped her debut release on cassette last year, titled ‘So Long’; then Adelaide’s own weirdo psych threepiece Beige Abrasion; and we round out the episode with a set from Major Crimes, who will be releasing their album ‘Black Hill’ on the Adelaide label Heavy Lows later this year.
DUBSTEP.FM ARCHIVE - 2011-11-24 - Supernormous Radio With KidLogic Shylok Lando Abrasion Equation
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 13/19
In der prospektiven klinischen Studie zum Langzeitverhalten von IPS Empress I Keramikinlays konnten nach einer Liegedauer von 10 Jahren bei 31 Patienten insgesamt 62 Rekonstruktionen beurteilt werden; 51 Inlays waren noch in situ. Die 10-Jahres-Untersuchung umfasste die klinischen Parameter Ästhetik, Oberflächenqualität, Randqualität, Randverfärbung, Sekundärkaries, Mundhygieneparameter, Attachmentverlust, Vitalität, Okklusionsstellung und Abrasion. Weitere Fragen bezogen sich auf die Beschwerdeanamnese, Therapiemaßnahmen und Misserfolgsgründe. Die Auswertung erfolgte mittels der SPSS 15.0- Family Software. Die Überlebensrate nach Kaplan-Meier für 10 Jahre betrug 82,3%, die mittlere Überlebenszeit lag bei 122,9 Monaten. Misserfolgsgründe waren in 72,7% der Fälle pulpitische Beschwerden sowie Randdesintegration und Fraktur (27,3%). Von den noch in situ befindlichen Inlays wiesen weitere fünf (Rand-)frakturen auf; an vier Zähnen wurde Sekundärkaries im Randbereich diagnostiziert. Ein signifikanter Zusammenhang zwischen Randqualität und Randverfärbung, sowie Randqualität und Sekundärkariesbildung konnte nachgewiesen werden. Inlays im Prämolarenbereich wiesen signifikant bessere Randqualität und Überlebensraten auf. Die Lage der Inlays in Ober- oder Unterkiefer und die Wahl des Befestigungskomposits (Variolink bzw. Sonocem) hatten keinen signifikanten Einfluss auf die Überlebenszeit. Zweiflächige Inlays schnitten tendenziell besser ab als dreiflächige. Die gute Biokompatibilität der Keramik konnte bestätigt werden.
Dr. Mark Vaughan (Dr. Airsoft) discusses airsoft eye safety, injuries, and protection with Dr. Dan Bilagic. See www.airsoftmedicine.com.
Dr. Mark Vaughan (Dr. Airsoft) discusses airsoft eye safety, injuries, and protection with Dr. Dan Bilagic. See www.airsoftmedicine.com.
DUBSTEP.FM ARCHIVE - 2010-11-25 - Supernormous Bassgiving Special With KidLogic And Abrasion Equation From PDX
DUBSTEP.FM ARCHIVE - 2010-11-25 - Supernormous Bassgiving With KidLogic And Abrasion Equation
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 10/19
In einer prospektiven klinischen Studie sollte die Abrasion von IPS-Empress Einlagefüllungen und dem umgebenden Zahnschmelz untersucht werden. Bei der klinischen Nachuntersuchung nach 10 Jahren war aufgefallen, dass die eingegliederten Keramikinlays deutlich über den Zahnschmelz hinausragten. Es sollte deshalb die Differenz aus der ursprünglichen Zahnoberfläche und dem jetzigen Zustand vermessen werden. Material und Methode: Bei 27 Patienten wurden 54 2 und 3-flächige rein schmelzbegrenzte Keramikinlays eingegliedert und nach der Eingliederung Präzisionsabformungen und Epoxydharzmodelle erstellt. Nach 10 Jahren wurden die verbliebenen 51 Inlays erneut nachuntersucht (mittlerer Liegedauer 10,2 a) und ebenfalls Harzmodelle erstellt. Mittels eines 3-D Laserscanners (Willytec, Gräfelfing/Germany) wurden die Ursprungsmodelle digitalisiert und als Baseline festgelegt und die 10-Jahresmodelle virtuell abgezogen. Man erhielt daraus den Substanzverlust an den gemessenen Bereichen. Insgesamt wurden 1811645 Punkte auf den 51 Keramikinlays und 1173873 Punkte im umgebenden Zahnschmelz vermessen. Ergebnisse: Die mittlere klinische Abrasion des Zahnschmelzes um das Keramikinlay lag bei 68,15 µm (SD 58,21), die Abrasion der keramischen Einlagefüllung nur bei 16,18 µm (SD 26,22). Die Ergebnisse waren signifikant unterschiedlich p = 0,000 (Mann-Whitney-Test). Schlussfolgerung: Die Leuzit-verstärkte IPS-Empress Presskeramik scheint sich auch im klinischen Einsatz deutlich weniger zu abradieren als der umgebende Zahnschmelz
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 06/19
Die Prophylaxe gewinnt nicht zuletzt auch angesichts des notwendigen finanziellen und gesellschaftlichen Sparpotentials immer stärker an Bedeutung; nicht zu Unrecht, da schließlich die meisten kariösen und parodontalen Läsionen durch rechtzeitige, fachgerecht und regelmäßig durchgeführte Prophylaxemaßnahmen in ihrer Entstehung vermieden werden könnten, so auch gesundheitliches Wohlbefinden fördernd. Das nach wie vor verbreitetste und am häufigsten angewandte „Prophylaxe-Werkzeug“ ist zweifellos die Handzahnbürste. Die vorliegende Untersuchung setzte sich zum Ziel, Unterschiede bezüglich der Dentinabrasivität zwischen verschiedenen aktuellen Handzahnbürsten mit hohem Marktdurchsatz zu ermitteln. Wie sich herausstellte, erwiesen sich die ausgewählten modernen Handzahnbürsten mit ebensolchem Bürstenkopfdesign ausnahmslos als signifikant weniger abrasiv im Vergleich zu der Referenzzahnbürste, der „ADA Control“. Die ADA Control - Zahnbürste verfügt dabei über ein einfaches Design mit geraden Borsten und planem Borstenfeld. Bereits dieses Ergebnis zeigt, eine wie rasante Entwicklung die Handzahnbürsten in den letzten Jahren genommen haben. Nicht nur das Aussehen hat dabei eine spürbare Verbesserung erfahren und sich dem Zeitgeschmack angepaßt, sondern auch die Eigenschaften wurden offensichtlich (hier die Abrasivität) deutlich verbessert. Im gesamten Testfeld zeigten drei Zahnbürsten auffallend günstige Eigenschaften in Bezug auf den Dentinverschleiß. Die „Dr. Best Brillant sensitive“, die „Oral B Advantage Plus“ und die „Dr. Best X-Sensorkopf sensitive“ zeigten die geringsten Dentinabrasionstiefen. Das Ergebnis läßt den Schluß zu, daß diese Bürsten Patienten mit parodontal vorgeschädigtem Gebiß besonders zu empfehlen sind. Gegen diese Empfehlung ist aus Sicht der Abrasionswirkung auch gewiß nichts einzuwenden, Aussagen über die Reinigungswirkung lassen sich daraus jedoch nicht ableiten. Es ist durchaus denkbar (aber keinesfalls sicher, bewegen wir uns mit folgender Schlußfolgerung doch im spekulativen Raum), daß die Bürsten mit der geringsten abrasiven Wirkung nur eine unterdurchschnittliche Reinigungswirkung zeigen. Hier liegt ein Schwachpunkt der Ergebnisse. Um zuverlässige Empfehlungen aussprechen zu können, sollte zukünftig parallel zum Verschleiß an der Zahnoberfläche auch die Reinigungswirkung getestet werden. Schließlich ist in der Reinigung der eigentliche Zweck der Handzahnbürste zu sehen! Ein weiteres Anliegen dieser Untersuchung war es, eine validierbare und zuverlässige Methode zur Testung von Zahnbürsten zu entwickeln. Um die Leistungsfähigkeit des Versuchsaufbaues zu verbessern, mußten exemplarisch zahlreiche Modifikationen an der „Zahnputz-Maschine“ vorgenommen werden. Es wurden beispielsweise neue Halterungen für die Handzahnbürsten entworfen, da die neuen Bürsten über teilweise sehr dicke, ergonomisch gestaltete Handgriffe verfügen. Die alten Halter waren für obige Studie wertlos. Ebenso mußten die Eichgewichte am Putzarm neu hergestellt und in ihrer Bauform geändert werden, um unseren Ansprüchen gerecht zu werden. Die Abrasiv-Slurry-Bäder wurden modifiziert, um einen reibungslosen Versuchsablauf zu gewährleisten. Auch Adapter, die sicherstellen, daß die Zahnbürsten während des gesamten Versuches in der vollen Länge des Bürstenkopfes aufliegen, wurden erdacht und hergestellt. Selbst die Matrize zur Probeneinbettung war zu ändern, die Schlitzfräsung wurde von 14mm auf Maximallänge von ca. 20mm vergrößert, um den Einbau größerer Proben zu ermöglichen, anderenfalls hätten zur Auswertung keine ungeputzten Dentinareale als Referenzflächen mehr genutzt werden können. Da sich die Matrize als tauglich erwiesen hat, sollte eine weitere Matrizenvariante aus dauerhaftem Stahl hergestellt werden und die mechanisch anfällige Variante aus Aluminium ersetzen. Im Rückblick sei auch kritisch vermerkt, daß sich der Nachschub an extrahierten menschlichen Zähnen zur Dentinprobengewinnung problematisch darstellt, herrscht doch oft Mangel an geeigneten Zähnen. Zudem lassen sich Störfaktoren von außen oder Lagerungsfehler nur schwer beeinflussen oder erkennen, da man notwendigerweise auf viele verschiedene Quellen zurückgreifen muß. Beispielsweise wurden stark gebleicht aussehende Zähne nicht zur Probengewinnung herangezogen, um Fehler zu vermeiden. Vermutlich wurden diese Zähne zu irgendeinem Zeitpunkt nicht in physiologischer Kochsalzlösung, sondern in Wasserstoffperoxid gelagert. Trotz Rückfragen war nicht verifizierbar, ob es tatsächlich zu solchen Lagerungsfehlern gekommen war. Obgleich die Verwendung von humanem Dentin sehr realistische Ergebnisse erwarten läßt, stellt sich jedoch die Frage, ob interindividuelle Unterschiede in der Dentinfestigkeit nicht zufällige Fehler der Ergebnisse bedingen. Bei bovinem Dentin hingegen bestehen kaum Nachschubprobleme. Außerdem lassen sich Proben in nahezu beliebiger Größe wählen und verändern. Nicht zuletzt ist es möglich, aus einem Rinderzahn, sogar aus ein und derselben Dentinschicht mehrere Dentinproben zu gewinnen, die in ihren Eigenschaften geradezu identisch sind. Ein weiterer Vorteil bovinen Dentins ist die wesentlich geringere Infektionsgefahr für den Experimentator im Gegensatz zu menschlichem Dentin, sieht man von der Bovinen Spongoencephalopathie (BSE) ab. Die Gleichwertigkeit bovinen Dentins im Vergleich zu humanem Dentin beim Einsatz in Abrasionsversuchen ist inzwischen wissenschaftlich gesichert (Imfeld, 2001). Daher sollte in zukünftigen Untersuchungen vorrangig bovines Dentin als Probenmaterial eingesetzt werden. Die vorliegenden Ergebnisse eröffnen insgesamt die Möglichkeit zu weite-ren gezielten Untersuchungen, von Zahnbürsten-Vergleichen bezüglich Abrasivität und Reinigungswirkung sowie zu Studien mit Blick auf weitere Wirkmechanismen und Interdependenzen von Abrasivität und Reinigungswirkung.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 05/19
Ziel dieser auf sechs Monate terminierten Studie war die Ermittlung und der Vergleich der Veränderungen an Zahnhart- und Weichgewebe an ausgewählten Zähnen durch den Gebrauch der elektrischen Zahnbürste Sonicare Advance (® Fa. Philips) und einer durch die ADA empfohlenen Referenzzahnbürste. Beide Zahnbürsten wurden bezüglich ihrer Effizienz innerhalb von Sitzungen (kurzfristig) als auch über den Testzeitraum von drei Monaten pro Zahnbürste im Cross-over-Design untersucht. Die Evaluierung der Indices und der daraus gewonnenen Daten ergab, dass beide Zahnbürsten jeweils zu einer Reduktion des Weichgewebevolumens als auch der Plaque - sowohl innerhalb der Sitzungen als auch innerhalb der drei Monate - führten. Die Wash-out-Phase von sieben Tagen sollte mundhygienebedingte Auswirkungen auf die zweite Testphase vermeiden und Carry-over-Effekte minimieren. Mit Hilfe der oralen Metrologie wurden anhand der gewonnenen Abdrücke der untersuchten Zähne, die daraus resultierenden Daten mit den Ergebnissen der Plaque- und Gingivitisindices sowie die Abrasion am Hartgewebe verglichen und objektiv verifiziert. Durch die laseroptische Abtastung der Modelle wurden Ergebnisse erzielt, die aufzeigten, dass beide Zahnbürsten zu einer Reduktion des Zahnhart- und Weichgewebevolumens führten, hierbei war die verursachte Abrasion und Weichgewebereduktion durch die ADA-Zahnbürste größer. Weiteres Ziel dieser Studie war die Bewertung einer neu eingeführten Methode der Abdrucknahme zur Erstellung von hochpräzisen Replikamodellen für das darauffolgende laseroptische 3D-Messverfahren.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 02/19
In einer In-vitro-Untersuchung sollten Erkenntnisse über den Verschleißvorgang kommerzieller und experimenteller Füllungsmaterialien gewonnen werden. Schwerpunkte der Studie waren die Verschleißquantifizierung, der Einfluss elastischer Eigenschaften auf die Verschleißfestigkeit und die zugrunde liegenden mikromorphologischen Verschleißmuster. Zur Erstellung einer Datenbasis wurden kommerzielle Komposite mit unterschiedlichen rheologischen Eigenschaften verwendet. Von der Firma Degussa/Dentsply wurden Blindproben experimenteller Komposite mit Füllkörpervariationen des Hydroxylapatit- und Präpolymerisatgehaltes sowie experimentelle Komposite mit differierendem Anteil an porösen Füllkörpern und unterschiedlichem Silanisierungsgrad zur Verfügung gestellt. Die Kompositmatrix war für beide experimentellen Gruppen unterschiedlich. Die Verschleißprüfung der Materialproben wurde in der ACTA-Maschine (Fa. Willytec, München) als Dreikörperverschleiß durchgeführt, die als internationaler Standard gilt [De Gee, 1994]. Die Oberflächenermüdung der Materialien wurde von den Verschleißmechanismen Abrasion und Erosion in der ACTA-Maschine überlagert, daher erfolgte zusätzlich ein Zweikörperverschleiß zur Oberflächenermüdung im Fatigue-Tester (Fa. Willytec, München). Alle Proben wurden nach der Verschleißprüfung mit einem computergesteuerten Perthometer vermessen. Daneben wurden 60 ausgewählte Proben vergleichend mit einem neu entwickelten Probeneinsatz (Fa. Willytec, München) im Laserscanner dreidimensional erfasst und, gleich den Perthometerdaten, mit dem Programm Match 3D ausgewertet. Von allen Materialien wurde mit Hilfe des Fischerscopes (Fa. Fischer, Sindelfingen) der Elastizitätsmodul ermittelt. Zur Ergänzung der Verschleißdaten wurden Aufnahmen der Probenoberflächen mit dem Rasterelektronenmikroskop erstellt, um einen Einblick in mikromorphologische Verschleißmechanismen zu erhalten. Das Verschleißverhalten der Komposite wurde von den Füllkörpern dominiert, mit vernachlässigbarem Einfluss der Matrix. Bei den kommerziellen Kompositen war aufgrund der hohen E-Modul-Varianz eine Korrelation der rheologischen Eigenschaften und des Verschleißverhaltens gegeben. Die Verschleißdaten der experimentellen Materialien korrelierten nicht mit dem E-Modul der Materialien. Der prozentual geringe Hydroxylapatit- und Präpolymerisatgehalt führte bei den experimentellen Kompositen gegenüber der Kontrollgruppe ohne ihren Zusatz nicht zu einer höheren Verschleißfestigkeit, was auf einen frühzeitigen Verlust des unsilanisierten Hydroxylapatites und den überlagernden Einfluss der Glasfüllkörper zurückzuführen ist. Die porösen Füller der experimentellen Komposite beeinflussten das Verschleißverhalten in beiden Testreihen unterschiedlich. Während in der ACTA-Maschine kein oder ein geringer Anteil an porösen Füllkörpern zu einem signifikant schlechtem Verschleißverhalten führte, ist diese Korrelation nach der Oberflächenermüdung im Fatigue-Tester nicht gegeben. Kein direkter Einfluss auf den Verschleiß der Komposite konnte der Silankonzentration der porösen Füllkörper zugeschrieben werden. Das Komposit mit 12 Gew.% porösen Füllern und zehnprozentiger Silanisierung schien die optimale Zusammensetzung in Bezug auf die Verschleißresistenz zu sein. Die rasterelektronenmikroskopischen Aufnahmen der experimentellen Materialien zeigten füllkörperdominierte Oberflächendefekte. Neben Füllkörperfehlstellungen, Matrixauswaschung an Korngrenzen oder dem Lösen von Glasfüllkörpern, wurde bei den experimentellen Kompositen der Verlust von Hydroxylapatitpartikeln beobachtet. Bei den experimentellen Kompositen mit porösen Füllkörpern war die Degradation der großen porösen Gläser in verschiedenen Stufen zu erkennen. Angefangen mit Rissen auf der Oberfläche und angelösten Randbereichen, traten Füllkörperfrakturen und der Verlust ganzer Füllkörper auf. In der vorliegenden Arbeit konnten interessante Wege der Verbesserung der Verschleißfestigkeit von Kompositen gewonnen werden und Verschleißmuster nach Zweikörper- und Dreikörperbelastung belegt werden.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 01/19
In der vorliegenden Dissertation wurde der Einfluss von harten und krossen Nahrungsmitteln wie z. B. Müsli oder Brötchen auf die Lebensdauer von Fül-lungskompositen untersucht und eine Versuchsanordnung zur Erzeugung von In-vitro-Verschleiß an Kompositen erarbeitet. In Vorversuchen wurden in einer Universalprüfmaschine verschiedene harte Nahrungsmittel Bruchtests unterzogen und die dabei auftretenden Kräfte gemes-sen. Die Morphologie der verwendeten Kauflächen zeigte einen signifikanten Einfluss auf die Höhe der Kraft (p=0,007), nicht jedoch die Geschwindigkeit, mit der die Belastung erfolgte (p=0,494). Beim Zerbeißen auf einer flachen Plattform trat mit 355,5 N (± 200,5) bei Bonbons die höchste Bruchkraft aller getesteten Nahrungsmittel auf, mit einer Keramikkrone als Unterkieferzahn bei Popcornmais (209,4 N ± 120,8), der durch die Kaufläche abgestützt wurde. Bei Verwendung der Keramikkrone zerbrachen die Bonbons aufgrund punktförmi-ger Kraftinduktion bereits bei 138,2 N (± 38,9). In den Hauptversuchen wurden Kompositproben in einem Kausimulator jeweils 50.000 Kauzyklen unterzogen. Dies geschah bei der einen Hälfte der Proben unter Verwendung des von der ACTA-Maschine bekannten Abrasivmediums aus Hirse, bei der anderen Hälfte wurde Wasser zugegeben. Bei allen Komposi-ten wurde der Substanzverlust durch Zugabe der Hirse gesteigert, es änderte sich jedoch die Rangfolge bezüglich des Verschleißes. Bei den Versuchen mit Was-ser zeigten Solitaire (286,8 ± 70,3 mm³E-3) und Tetric Ceram (286,5 ± 198,6 mm³E-3) den größten Substanzverlust, bei Hirseverwendung Solitaire (843,3 ± 435,7 mm³E-3) und Heliomolar RO (788,1 ± 164,4 mm³E-3). Mit Wasser trat bei Heliomolar RO der geringste Verschleiß auf (29,7 ± 6,7 mm³E-3), mit Hirse bei Definite (547,0 ± 187,8 mm³E-3). Die Situation mit Wasser als Medium entspricht einer reinen Knirschbelastung, die vor allem bei pathologischem Bruxismus Verschleiß in okklusalen Kontakt-bereichen (OCA) verursacht. Die Versuchsanordnung mit der ACTA-Suspension entspricht der Belastung beim Kauen von Nahrung. Dabei treten in vivo, vor allem beim Zerkleinern harter und krosser Nahrung, sowohl im Kon-taktbereich als auch in kontaktfreien Bereichen (CFA) erhebliche Belastungen auf, die über Fatigue, Abrasion und überkritische Belastung zu Mikro- und Ma-krofrakturen an Zahnhartsubstanz und Füllungskompositen führen können. Bei In-vivo-Untersuchungen zur Lebensdauer von Kompositfüllungen treten interin-dividuelle Streuungen auf, die auch durch diätetische Einflüsse krosser und har-ter Nahrungsmittel zu erklären sind. Die Versuche mit der Hirsesuspension ent-sprechen der Durchschnittsbelastung dieser Untersuchungen. In rasterelektronenmikroskopischen Aufnahmen der Kompositproben nach Kau-belastung sowie zweier Kompositbiopsien, die Verschleiß in vivo unterworfen waren, zeigte sich, dass die Kausimulationsanordnung mit Hirse in der Lage ist, die beim Zwei-Körper-Verschleiß entstehenden scholligen Auflagerungen aus herausgelösten Füllkörperpartikeln von der Probenoberfläche zu entfernen. So-mit kann eine weitere Annäherung der Verschleißsimulation im Kausimulator München III an die Situation in vivo erfolgen und so die Belastung für Patienten in klinischen Untersuchungen reduziert werden. Bei der Betrachtung der klini-schen Eignung von neuen Kompositen sind jedoch auch weitere Faktoren wie Brucheigenschaften und Leistungsfähigkeit des verwendeten Adhäsivsystems zu beachten, was klinische Studien weiterhin unumgänglich macht. Zusammenfassend lässt sich ein Einfluss der individuellen Nahrungsauswahl auf die Haltbarkeit von Füllungskompositen feststellen, besonders bei hoher Bela-stung durch das Zerkleinern harter Nahrung. Für die Zukunft erscheint das Vor-gehen sinnvoll, Versuche mit und ohne Abrasivsuspension durchzuführen, au-ßerdem sollten verschiedene Nahrungsmedien auf ihr Verschleißverhalten unter-sucht werden.
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