![]() You should remain as still as possible during the procedure. You will need to lie on your back, on a table, in a comfortable position for several minutes. The time it takes to perform these tests varies depending on a number of factors.įor central DEXA testing, you may be asked to wear a gown. The lumbar spine/hips, along with various other skeletal sites, are usually examined. You will likely have to wear a gown and have your height and weight measured. However, all are non-surgical and involve a painless examination that does not involve injections or contrast materials. This depends on the type of bone density test you are having. ![]() What should I expect at the time of BMD testing? Central DEXA is generally considered the "gold standard" method of measuring BMD for diagnosing osteoporosis and monitoring the effects of osteoporosis therapy. In fact, you don't even have to take off your clothes, provided what you are wearing does not contain any metal objects.Ī central DEXA test measures bone mineral density (BMD) at the spine and/or hip and/or radius and sometimes the whole body. This is a high technology test that takes only a few minutes and involves no shots, needles, enemas or medicine. A computer converts this information to numbers indicating your bone density. Very low doses of X-ray (about 1/30 the radiation of a standard chest X-ray, less than radiation from an airplane trip, equivalent to two hours of direct sunshine) are used to rapidly scan your bones. The currently accepted "gold standard" method is called "Dual Energy X-ray Absorptiometry" - abbreviated DEXA.Ĭentral DEXA is a non-surgical and painless examination consisting of a very low dose X-ray. There are different techniques for measuring bone density. However, it is only part of an overall assessment of fracture risk that your doctor or health care provider can perform.Ī standard X-ray is not a good way to assess bone density. Bone density (BMD) is a measurement used to estimate bone strength and the likelihood of bones to break (fracture) with simple trauma, so bone densitometry is a non-surgical method that can be used to assess fracture risk. Follow Our Hospital on Social Mediaīone densitometry is a non-surgical method of measuring bone density. ![]() Feel free to contact your nurse, department director or clinical coordinator if you have questions or concerns. Your care is delivered by a nursing team of professional health care workers. The director of nursing is responsible for coordinating care on each unit. The Nursing StaffĢ4-hour nursing care is provided by our team of registered nurses, licensed practical nurses and certified nursing assistants. We take great pride in the quality and compassion of our medical staff. We are one of Iowa's most affordable and highest-quality health care providers. UnityPoint Health – Marshalltown is a community owned, not-for-profit hospital. Your physician, as coordinator for your treatment program, should be consulted if you have questions regarding your illness. The provider who admits you is responsible for directing your care while you are in the hospital. Through our shared mission, vision and values, we show our people and communities how much they matter. From the doctors who admit patients, to the nurses, therapists, technicians, housekeepers, social service workers, and many others, we are dedicating our efforts to helping patients and their families who look to us to provide quality care. ![]() We work together as a team in providing compassionate, quality care. At UnityPoint Health – Marshalltown, our greatest resource is our people.
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The PT assesses the coagulation factors of the extrinsic pathway (factors VII) and the common pathway (activated factor X, activated factor V, prothrombin and fibrinogen). A longer-than-normal PT can be caused by treatment with blood-thinning medicines, such as warfarin or, in rare cases, heparin.The prothrombin time (PT or protime) is the actual time, measured in seconds, for an anticoagulated sample of patient plasma to clot after the addition of calcium and an activator of the extrinsic pathway, which is called thromboplastin.This is a life-threatening condition in which your body uses up its clotting factors so quickly that the blood cannot clot and bleeding does not stop. ![]() A longer-than-normal PT can also mean that you have disseminated intravascular coagulation (DIC). It can also mean a lack of vitamin K liver disease, such as cirrhosis or that a liver injury has occurred.
![]() The braking mechanism of claim 1, wherein said releasable connection means releases from the pulling vehicle when the trailer moves away from the pulling vehicle.ģ. (e) an operable connection between said releasable connection means and said trailer brake so that as the trailer moves away from the pulling vehicle, the trailer brake is actuated.Ģ. (d) means for moving said releasable connection means and said flange across said flange arrestment means when the trailer moves away from the pulling vehicle and (c) a flange arrestment means for allowing said releasable connection means to pass by said flange arrestment means in both directions and for allowing said flange to pass across said flange arrestment means in only a single direction (b) at least one flange operably connected to said releasable connection means (a) a means for releasably connecting the pulling vehicle to a trailer brake A trailer braking mechanism which activates a trailer brake when a trailer becomes detached from a pulling vehicle comprising: After the trailer has come to a complete stop, a screwdriver or other tool may be inserted into the housing of a mechanism to push back the spring lock and release the steel balls which thereby allows the cable to release the trailer brake.ġ. Steel balls are swaged to the cables so that when the cable is released from the pulling vehicle, a spring lock can engage the balls and prevent the cable from retracting and releasing the actuated brake. Once the breaking mechanism has been fully actuated, the hook which attaches the cable to the pulling vehicle fails thereby completely releasing the trailer from the pulling vehicle. As the trailer slows in relationship to the pulling vehicle, the cable activates a breaking mechanism on the trailer. The mechanism consists of a cable which remains attached to the trailer after the trailer has disengaged from the pulling vehicle. ![]() Each chain must be sized such that the minimum breaking load exceeds the ATM.A trailer breakaway safety mechanism which brings a trailer to a controlled stop after disengagement with a pulling vehicle. Trailers more than 3500kg ATM must have two safety chains made from steel of a minimum 800MPa breaking stress.Trailers more than 2500kg and not exceeding 3500kg ATM must have two safety chains of 3500kg designation fitted.Trailers that do not exceed an aggregate trailer mass (ATM) of 2500kg must have at least one safety chain fitted.The weight of your caravan will also determine the number and type of safety chains required while towing: All states require that caravans and trailers with a GTM of more than 2000kg to have this system. If you caravan was to become uncoupled from the tow vehicle, a battery will keep the system operable on the caravan for at least 15 minutes. These systems provide a way of automatically turning your caravan’s electronic brakes on in an emergency. Remember that if you are considering electronic brakes, you will need to install a control unit in the tow vehicle. Electronic brakes are most commonly used on caravans and trailers over 750kg and are legally required on all caravans and trailers where the GTM is more than 2000kg. They are automatically applied by the brake controller and can be manually operated by a manual control which is installed within reach of the driver. These are permitted when the GTM is under 2000kg. Mechanical override brakes use the tow coupling to manually pull a cable connected to the trailer’s brake drums. Those braking systems include: Override brakes The type of braking system required is determined by a caravan's weight. Trailers that are less than 2000kg GTM must have brakes that operate on at least one axle, and brakes other than override systems must be operated from the driver’s seat. Given that most caravans exceed this limit, it is likely a braking system is required for you to tow a van. Regulations say that trailers that have a gross trailer mass (GTM) of 750kg or less and a single axle will not require a braking system. Where the laws regarding braking systems are controlled by the state and may differ, most of the laws are the same across Australia. ![]() In many cases a complete equation will be suggested. If you do not know what products are, enter reagents only and click 'Balance'. That's it! the reaction is now properly balanced ?. For instance equation C6H5C2H5 O2 C6H5OH CO2 H2O will not be balanced, but PhC2H5 O2 PhOH CO2 H2O will Compound states like (s) (aq) or (g) are not required. ![]() ![]() Mass of Reactants = Mass of Products \small \text 19\text O_2 \longrightarrow 12\text C\text O_2 14\text H_2\text O 2 C 6 H 14 19 O 2 ⟶ 12 C O 2 14 H 2 O With this in mind, when balancing chemical reactions, the goal is to equilibrate the masses of reactants and products of the equation: This interactive exercise focuses on using critical thinking skills to add and subtract items on the scales to achieve balance and visual problem solving. They create a balanced equation by hanging shapes of specific weights at specific distances from the mobile mounting point. Draw figures using edges, faces, or cubes. That means that the total mass of reactants and products is the same before and after the reaction. Use this interactive tool to create dynamic drawings on isometric dot paper. According to Lavoisier's law of conservation of mass, the total mass of a chemical reaction system doesn't change. ![]() It has a neat interface you can use to browse through a seemingly unlimited library, with new additions every week. No surprises here, as Netflix is the most popular streaming service in the world. Of course, most of these will require users to purchase a subscription. The apps listed below are completely legal, and there are no significant cybersecurity concerns either. If you’re concerned about your cyber and legal security, then it’s best to stick to one of these official Popcorn Time alternatives. We’ve divided our list of best Popcorn Time alternatives into official and non-official streaming services. Visit NordVPN The Best Official Popcorn Time Alternatives Trusted by many, with over 14 million users.Fast and large worldwide network of VPN servers.NordVPN currently is our top-rated VPN and an excellent choice for streaming due to its blazing fast speeds and unblocking capabilities. You can easily do this by using a virtual private network (VPN) to encrypt your activity and shield it from any prying eyes. ![]() It’s important to secure yourself when using Popcorn Time alternatives. If you’re looking for a different streaming service, we’ve listed the 19 best Popcorn Time alternatives below for you to consider.
![]() The upper is made out of both mesh and leather providing an interesting combination of fabrics, this adds depth to a staple classic look. This gives it a contemporary edge and a sleekness that we find intriguing. Nike Air Max 97 Black White AnthriciteĪbout: Although a simple looking colourway, the Black/White/Anthracite release is fabricated using a number of textures. Cop this sneaker to add a powerhouse statement to your outfits, with plain clothes being the best way to draw attention to your creps. Added to the Air max 97 colourway collection in 2019, it’s boldness and individuality will surely keep it amongst the best releases for some time. The lilac compliments the turquoise hue very nicely, with everything tied together by black and white accents. These are bound to catch the eye of the more creative among us. Not one for the faint hearted, the multiple colours used throughout the design are unique, bold and bright. Nike Air Max 97 Have a Nike DayĪbout: One of the best “Have a Nike Day” releases, this colourway features taping similar to other drops from this collection. There is also a angel on the box that pays tribute to artist Albrecht Durer’s 1514 engraving, Melencolia I. Another interesting feature is the seal that decorates the shoebox, the inspiration for this design is the official Papal Seal. An absolutely ingenious idea, we think so! The design also makes biblical references with a cross adorning the upper and a Matthew 14:55 inscription on the toe box. The idea is that this allows wearer to ‘walk on Holy Water’, theoretically anyway. The sole of this shoe contains 60cc of water which was originally sourced from the River Jordan and then blessed. This collaboration between Brooklyn-based creative label MSCHF and Nike is named Jesus, often referred to as INRI (Iesus Nazaraeus Rex Ludaeorum). Nike Air Max 97 MSCHF x INRI Jesus ShoesĪbout: A hugely sought-after colourway, the Air Max 97 MSCHF x INRI Jesus drop sold out within 8 minutes of release. The design is intended to show flavours of the city that are well known and loved. The translucent red swoosh is contemporary and aims to match the modern, urban feel of Seoul. The chosen colours bring brightness and excitement to the shoe whilst paying homage to the South Korean national flag. The black leather upper offers a sleek finish while the red, white and blue accents add that dash of colour. These beauties were designed by graphic designer Gwang Shin as a contender for the “Nike On Air” contest in April 2018. Nike Air Max 97 Neon SeoulĪbout: The Nike Air Max 97 Neon Seoul colourway is inspired by the neon lights that glow around the city of Seoul. Discover a plethora of creative colourways below. Adding to the intrigue most colourways are unisex, this is a shoe that is truly made for everyone. Originally intended for performance running the Air Max 97 has a foam midsole and rubber outsole, creating the perfect blend of comfort and durability.Īs it is such an iconic trainer, there is much debate as to which colourways are the greatest in the Air Max 97 range. Inspired by Japanese bullet trains, the design is sleek and features an original ripple effect. Debuting in 1997, this shoe is one of the brand’s most iconic releases and is arguably one of the top-recognised running shoes of all time. The Nike Air Max 97 is a revolutionary design from Nike, this silhouette was designed to harness comfort and unbeatable style together in one. But which colourway wins the award for best ever? A sleek & iconic trainer, the Air Max 97 is a timeless classic. ![]() "Extinction? What a joke, haha!" laughed it off another source going by the initials S.N. RealFlight is the best RC flight simulator new RC pilots can use when learning to fly RC airplanes and RC helicopters. The game is so popular that it’s caused a run on flight sticks and. "We can't have it stop now." commented another prominent specialist, Hal. Flying a plane in Microsoft Flight Simulator is a breathtaking experience, with visuals that verge on photorealistic. Infinite Flight is one of the most accurate and realistic simulators on the market. ġ3xforever: "It's fine." said AI expert Shodan in The Citadel. Alternative to X-Plane Professional Flight Simulator. ![]() I've tried refreshing, logging in & out, using different browsers & using different IP services/addresses from home, work & a friend's house: IT"S STILL NOT…Ĭommented on: Having issues with Exchange, Outlook, Teams, OneDrive? Microsoft confirms and is currently working on a fix Download FS Map Tool and enjoy it on your iPhone, iPad, and iPod touch. LeeInBoston: As of Mon., J 7:00pm/ET, mine is still not up fully & keeps crashing every few minutes. Threats include any threat of suicide, violence, or harm to another. Read with the free Kindle apps (available on iOS, Android, PC & Mac). ![]() Sathvik: All the big tech companies are scrambling about better AlĬommented on: Chat-powered AI boom is helping rewrite the winners and losers of the chip market Harassment is any behavior intended to disturb or upset a person or group of people. Microsoft Flight Simulator X For Pilots: Real World Training eBook : West. this is a great app if using real weather in the Sim. First, the Series 8 features a sensor that tracks your temperature while you sleep and enables ovulation estimates, a handy tool for those who are hoping to grow their family. Health and wellness features remain largely the same as those of the Series 7, with a few key innovations. If you’ve ever broken a smart watch, as many of our consumer testers have, you’ll appreciate the Series 8’s crack-resistant crystal, which also repels dust and water. In tests, our pros were able to reach sufficient charge (around 80 percent) for the next day within 45 minutes, or essentially the amount of time it takes you to get ready for work in the morning. ![]() Like the Series 7, this model has an 18-hour battery life and faster charging capabilities. This makes it easier to read notifications or simply check the time even when your wrist is down. Our pros love that the Series 8’s watch face features slim borders that draw attention to its large, always-on retina display. ![]() Several enhancements make this one of our favorite smart watches, according to our testing. That continues with the Apple Watch Series 8. ![]() According to our product analysts, these are the best smart watches for women in 2023 that are actually worth it.Īpple didn’t invent the smart watch, but it’s done a ton to improve it, delivering the same clean design and intuitive, responsive controls you know and love from its smartphones and computers. We’ve done everything from submerging smart watches in the pool to dropping them on the floor to walking thousands of steps with them on to see how they really perform. Our Lab experts have tested dozens of smart watches over the years, evaluating factors like ease of use, comfort, performance, features and accuracy and comparing that with real user feedback. The analysts and engineers at the Good Housekeeping Institute’s Media and Tech Lab test all sorts of fitness gadgets from the best wearables like smart watches for men and smart rings to larger equipment such as electric bikes and foldable treadmills. For those on a budget, we recommend the Timex Metropolitan. The multitasker does everything from monitoring sleep to measuring blood oxygen levels to even tracking your fertility. What's the best smart watch for most women? Our top-tested model for 2023 is the Apple Watch Series 8 for its versatility and 18-hour battery life. Many of the latest smart watches featured below are both stylish and sleek, combining fashion and function so you can find the perfect style for you. Fortunately, smart watches have come a long way since their debut and are no longer limited to clunky designs. Most smart watches also provide insight on your sleep patterns to help you stick to a healthier sleep schedule, and some are able to track your menstrual cycle or provide ovulation estimates. This story was updated in March 2023 to ensure all smart watches tested by the Good Housekeeping Institute's Media & Tech Lab were in stock, plus we updated picks to reflect the latest models.Ī smart watch is not only a handy fitness tracker that can motivate you to put on your walking shoes and reach your step goal for the day, but these gadgets make it easy to track all sorts of daily activities like running, rowing, yoga and more. Stairs and shelves were not designed with daring fish escapes in mind, which makes every roll of the glass an absolute nerve-shredder. In your quest for freedom, you must nudge your see-through home forwards - but carefully! This is when you come to realise that human constructs are both annoying and incredibly selfish. Right from the get-go, you play as the goldfish trapped in a restrictive orb of glass. I say, "short", but I guess it depends on how you take to the bowl. ![]() This is Finding Nemo: Distilled, with genuine laughs and yelps and moments of profound happiness to be had in its short run time. The game's Pixar looks aren't a ruse, either. The scaly protagonists of I Am Fish can't be living without their pals, so they straighten their fins and set out to reunite in the glistening surf. That is, until they're forcibly separated and flung across the far reaches of Barnardshire, a fictional county that captures the West Country ideal so perfectly that I'm gutted it doesn't actually exist.īut that's besides the point. They're best buds and live blissfully in a bowl together. It's a tale of four fishy friends: goldfish, puffer fish, piranha, and flying fish. In fact, it may have elicited more emotion from me in a single sitting than any romance anime I've watched, which is really saying something. This isn't to say that I Am Fish lacks emotional depth. In a west country accent, he bellows, "Swim, you fool!" He is peering into your googly, goldfish eyes. Now imagine Ian Mckellen with the same gravitas as he had playing Gandalf in Lord Of The Rings, except with a farmer's cap on. This isn't a grim tale wrapped in layers of metaphor, or a walking simulator that guides you slowly through a field of feelings. Like a splash of cold water to the face, I Am Fish is a wonderfully refreshing physics platformer. ![]() A fun physics platformer with clever levels, a bit of puzzling, and a terrifying man wearing a farmer's cap. ![]() Adding a can of chopped water chestnuts will also extend the servings of the casserole. Water chestnuts: a tasty way to add crunch.This’ll take about 8 minutes for fresh beans and 5 for frozen. Blanch or saute fresh or frozen beans.Fresh ad frozen beans are crunchier, while canned beans are softer. It just depends on your texture preference. Fresh, frozen, or canned beans are all fine.I like to use those pre-shredded bags of cheese, too, from time to time. Shred the cheese yourself for maximum melt! But if you just don’t have the time, I won’t judge. This is the reason why this casserole is called “French’s green bean casserole!” This show-stopping, crispy-crunchy topping makes all the difference. Homemade cream of mushroom soup also isn’t that hard to make! I have a simple recipe for you in the tips section. My preferred brand is Campbell’s (and no, this isn’t a paid advertisement) just because it has the best flavor and texture. It serves as a dressing to coat the beans, making them super creamy and delightful. My recipe calls for 2 (14.5-ounce) of canned green beans, which are equivalent to: Just be sure that when using fresh or frozen green beans, you saute or blanch them in salted water first to soften them.įrozen green beans also need to be thawed first. Many find canned green beans to be unpleasantly mushy, but I won’t judge if that’s what you use. ![]() You only need 4 ingredients, which are so basic, it doesn’t make sense how it can produce a dish so holiday-worthy. One thing I love the most about this recipe is how accessible, convenient, and inexpensive the ingredients are. Your involvement is done in just 5 minutes. They really spruce up the rather bland green beans.Īnd here’s the kicker: this casserole is so easy to make, it’s almost embarrassing. The green beans may be the main feature of this casserole.īut the two things that make the dish a true star are melted cheese and crunchy French fried onions. The combination of green beans, cream of mushroom soup, cheese, and crispy French fried onions produces the most terrific tastes and textures! Green bean casserole is a classic Thanksgiving staple that even non-green bean fans couldn’t do without. So, if you want to make everyone fall in love with the often-overlooked holiday side dish, this recipe is the key. In my younger years, I loved a heap of mac and cheese or mashed potatoes when presented with a spread of holiday sides.īut now, I couldn’t get enough of this green bean goodness even if I tried. |
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