Dorsal column stimulation4/1/2024 ![]() ![]() Usage of spinal cord stimulators has increased worldwide, and according to the United States Food and Drug Administration, an estimated 50 000 devices are implanted annually in the US (150 cases/million population However, uptake in Canada has been substantially lower, with 172 implantations performed in Ontario in 2018 (12 cases/million population). 2 The technology has since advanced, and it was a Canadian neurosurgeon who helped demonstrate both the efficacy and cost-effectiveness of spinal cord stimulation in chronic pain treatment. 2, 3, 5 It is based on the principle of electrically stimulating the dorsal column of the spinal cord, to mask pain signals. Neuromodulation, defined as the alteration of nerve activity through targeted stimulus delivery, was first introduced in 1967. When conventional therapies produce unacceptable adverse effects or do not provide sufficient pain relief, spinal cord stimulation (neuromodulation) may offer a rescue option, either alone or in conjunction with other modalities. 1, 2 Consequently, alternatives - including cognitive behavioural therapy, physical rehabilitation, non-opiate pharmacology and integrative therapies - have been developed. 1 Although opioids have been the mainstay of treatment, they have lost favourability owing to crises of addiction, abuse, tolerance and dependence. Increased awareness of and access to spinal cord stimulation therapy may allow more Canadians to benefit from relief of intractable chronic pain and may reduce opioid consumption.Ĭhronic pain affects 1 in 5 Canadians and is associated with considerable socioeconomic burden. Newer spinal cord stimulation technologies are expanding clinical indications such as visceral and ischemic pain, with potential for further improved efficacy. Spinal cord stimulation is safe, efficacious and cost-effective in chronic pain management of neuropathic pain conditions, including failed back surgery syndrome, chronic regional pain syndrome and chronic peripheral neuropathies. Springer, Berlin Heidelberg New York Tokyo.Spinal cord stimulation masks pain signals through a transcutaneous implantable electric pulse generator. Zimmermann M (1975) Neurophysiological models for nociception, pain and pain trerapy. Shatin D, Mullet K, Hults G (1986) Totally implantable spinal cord stimulation for chronic pain: disain and efficiency. Richardson R, Signeira E, Cerullo L (1979) Spinal epidural neurostimulation for treatment of acute and chronic intractable pain: initial and long term results. Its diagnosis and treatment by spinal cord stimulation. Surg Neurol 4: 148–152ĭe La Porte Ch, Siegfried J (1983) Lumbosacral spinal fibrosis (spinal arachnoiditis). Nielson KD, Adams JE, Hosobuchi Y (1975) Experience with dorsal column stimulation for relief of chronic intractable pain. ![]() Nashold BS, Friedman H (1972) Dorsal column stimulation for control of pain. Halter J, Dolenc V, Dimitrijevic MR, Sharkey PC (1983) Neurophysiological assessment of electrode placement in the spinal cord. In Bonica JJ et al (eds) Advances in pain research and therapy. Appl Neurophysiol 46: 245–253Įrikseo DL, Long DM (1983) Ten years follow-up of dorsal column stimulation. Neurochirurgia 27: 47–50ĭimitrijevic MR, Faganet J, Sherwood AM (1983) Spinal cord stimulation as a tool for physiological research. Appl Neurophysiol 44: 160–170ĭemirel T, Braun W, Reimes CD (1984) Results of spinal cord stimulation in patients suffering from chronic pain a two year observation period. Davis R, Gray E (1981) Technical factors important to dorsal column stimulation.
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Fdny ems department orders4/1/2024 ![]() The FDNY’s glitchy radios (which had similarly failed in the 1993 World Trade Center bombing but were still in use) left firefighters unable to coordinate their movements or talk to commanders. When the North Tower collapsed, Chief of Department Peter Ganci and many upper officers were killed, leaving the department without a central command. The details of what many companies did at the scene remain hazy the operations of twenty companies that were wiped out are simply unknown. Of the 214 or so units dispatched, only 117 of them activated a “10-84” status signal that let dispatchers know they’d arrived. The area around the Trade Center quickly became a “parking lot,” in the words of one police radio report, making it impossible for many units to report to the alarm boxes and staging areas they were assigned to. So did numerous ambulances and police officers. Off-duty firefighters and entire companies “self-dispatched” to the site without orders. The hundreds of individual dispatches can be grouped into ten waves, from the initial rush to the scene, to backup units sent in after the first collapse, to recovery operations later that night.īut this account conveys only part of the scale and complexity of the FDNY’s response. The FDNY has never released its official fire report on the disaster, but from a combination of dispatch logs, independent reports, oral histories, and extensive interviews with firefighters, dispatchers, and commanders, a sketch of its response can be drawn. September 11 was on the order of five five-alarm responses, involving more than 214 FDNY units-112 engines, 58 ladder trucks, five rescue companies, seven squad companies, four marine units, dozens of chiefs, and numerous command, communication, and support units.Ĭoordinating all that personnel and equipment fell to the department’s dispatchers, who at the time worked out of command centers in each of the five boroughs. ![]() In a standard single-alarm fire, a total of six units-three engines, two ladders, and a battalion chief-respond. But the response was, first and foremost, a Fire Department operation. More than 2,000 NYPD and Port Authority police officers secured the area, searched the Towers, and rescued survivors. At least 100 EMS units and dozens of private ambulances raced to the site, setting up triage centers from which to ferry the wounded to hospitals. The attacks on the World Trade Center towers resulted in the largest concentrated emergency-service response in American history. Professional resume 2020 template4/1/2024 ![]() And it means bringing a player’s enthusiasm to how to you retell it.Ī bit tongue-in-cheek, but when you’re telling your friends, or if you were trying to join a team, you wouldn’t say this:Īll high scores have numbers - it’s easier that way for people to understand how good you were at Tetris, tennis, or … tax strategies. That means sharing, with numbers, how well you did at that part of your job. The High Score Resume approach to resume writing is to make each bullet a High Score. One common resume error seen in less effective resumes is a reliance on listing job descriptions, duties, or staff size. Work experience: Show your high scoresįrom our experience at Ladders, the most successful resumes all have one thing in common: they display the past successes of the professional. So while there are other parts of your resume that will deserve attention, the High Score Resume focuses most of your time and effort on the two most important sections of your resume: your work experience and your professional summary. By showing what you’ve already achieved, it’s easy to explain what you’re capable of next. The High Score Resume also is very clear to people reading your resume about what you’d like to do next, i.e., what your next level is going to be. And it provides hiring managers and recruiters concrete proof of what you’re capable of. It is a format that enables you to present yourself in the most effective way possible without worrying about bragging. ![]() The High Score Resume focuses your resume on sharing the “high scores” you’ve reached and the achievements you’ve unlocked throughout your career. The best format for your resume is the High Score Resume So let’s find out why the high score resume format works for experienced professionals like you. So I wanted to share what we’ve learned at Ladders from reviewing millions of resumes over the years and seeing how those resumes did in over 1 billion applications.īecause I understand how pressed for time professionals are, I’ve created 73 industry-specific resume templates, containing example copy, which can be downloaded and edited free. A lot of resume advice is good, some of it is bad, but it’s difficult to know which is which – especially when it comes to creating a resume that works for you. Jagex void hunters4/1/2024 ![]() Civilization Stage: Command & Conquer: Red Alert, Sid Meier's civilization.MMORPG games, Grafitti Kingdom and Magic Pengel Creature Stage: Soloing quests in World of Warcraft.Microbial Stage: flOw/ Pac-man/Agar.io/Tiny Big Planet. ![]() Games that different Spore stages have been compared to Imagine Earth - A game that is similar to colonization and the civilization stages in Spore.The Sims - Will Wright is credited to have created both The Sims and Spore.Stellaris - Space Stage has major similarities to Stellaris gameplay.Species: Artificial Life Real Evolution.Sipho - Considered Cell Stage on steroids.No Man's Sky - Both games are often compared due to disappointing launches and Spore's Space Stage being similar in concept to No Man's Sky's general gameplay.Impossible Creatures - This strategy game allows for fusing two animals to create an army of nine such hybrids.The Search for Eden - A game that is themed around evolution, which is the main concept Spore is based around. We reward our team members with a benefits package that includes private healthcare, flexible working hours, gym membership, income protection, dental plan, a team fun fund, performance based bonuses and much more. Evolution: The Game of Intelligent Life.Black & White - Both Spore and Black & White are EA published god games.Creature Creator - This indie game started off as a recreation of the Spore Creature Creator and has become a role-playing experience where you get to create your own creatures to play as.In the former game they are used as transformations in an action game experience, the latter has them be used as battlers in a turn based RPG. Grafitti Kingdom and Magic Pengel - Both games have detailed creature creation and customization. ![]()
Fork vs github desktop4/1/2024 ![]() The next screen will show a link to the GitHub Desktop web page, and you should download and install the application.įigure 10.27: To clean up your Atom Editor workspace, right-click to Remove Project Folder. Click the Code > Open with GitHub Desktop drop-down menu button near the middle of your screen, as shown in Figure 10.18. In your browser, navigate to, using your GitHub username, to access the repo you created in the Copy, Edit, and Host a Simple Leaflet Map Template section of this chapter. Go to the GitHub web repo you wish to copy to your local computer.Let’s use GitHub Desktop to pull a copy of your leaflet-map-simple template to your local computer, make some edits in Atom Editor, and push your commits back up to GitHub. ![]() Tip: Currently, neither GitHub Desktop nor Atom Editor are supported for Chromebooks, but Chrome’s Web Store offers several text editors, such as Text and Caret, which offer some of the functionality described below. While there are many text editors for coders, Atom is designed to work well with GitHub Desktop. Atom Text Editor, which is also created by the makers of GitHub, allows you to view and edit code repos on your local computer more easily than the GitHub web interface. When you connect your GitHub web account to GitHub Desktop, it allows you to “pull” the most recent version of the code to your local computer’s hard drive, make and test your edits, and “push” your commits back to your GitHub web account. To speed up your work, we recommend that you download two free tools- GitHub Desktop and Atom Text Editor-which run on Mac or Windows computers. ![]() But the web interface will feel very slow if you edit or upload multiple files in your repo. GitHub Desktop and Atom Editor to Code EfficientlyĮditing your code through the GitHub web interface is a good way to start, especially if you only need to make a few edits or upload a couple of files to your repo. Zotero and Better BibTeX for Notes and Biblio.Style Guide for Hands-On Data Visualization.GitHub Desktop and Atom Editor to Code Efficiently.Create a New Repo and Upload Files on GitHub.Copy, Edit, and Host a Simple Leaflet Map Template.Our Open-Access Web Edition: Why and How. AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |