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Absolute surgical indications often quoted include: 1) open fractures 2) complete displacement of fracture ends with fragments greater than the width of the clavicular bone 3) clavicle shortening more than 2cm or with an angulation of more than 30 degrees. Essentially, these classifications broadly classify them into non-displaced fractures (AO/OTA classification type A) which can be managed conservatively, while management for displaced fractures (AO/OTA classification type B) remains controversial. Midshaft clavicular fractures can be classified by the Neer Classification or AO classification for risk stratification and management. The middle third of the clavicle is especially vulnerable to traumatic injury since it is the thinnest part of the clavicle without reinforcement protection by muscle and ligamentous attachments. It is a common injury among young adults with over one-third of all clavicular fractures occurring in adolescent male, and one-fifth in adolescent female. Midshaft clavicular fracture occupies 2.6–4% of all adult fractures. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: All information can be readily accessible on databases described on the manuscript (Pubmed, Embase, Medline, Cochrane).įunding: The author(s) received no specific funding for this work.Ĭompeting interests: The authors have declared that no competing interests exist. Received: DecemAccepted: ApPublished: April 29, 2022Ĭopyright: © 2022 Yan et al. PLoS ONE 17(4):Įditor: Osama Farouk, Assiut University Faculty of Medicine, EGYPT (2022) Operative management of midshaft clavicle fractures demonstrates better long-term outcomes: A systematic review and meta-analysis of randomised controlled trials. Surgical outcome is independent of fixation with plates or intra-medullary nails.Ĭitation: Yan MZ, Yuen W-s, Yeung S-c, Wing-yin CW, Wong SC-y, Si-qi WW, et al. Any child with a suspected posterior SC joint dislocations should be referred to the on-call orthopaedic team – these are orthopaedic emergencies, with CT angiograms favoured to characterise the extent of vascular injury and operative reduction performed, often in consultation with vascular surgeons.Of the 3094 patients of mean age 36.7 years in the 31 selected studies, surgical intervention was associated with improved DASH score (standard-mean difference SMD -0.22, 95% CI -0.36 to -0.07, p = 0.003 mean difference MD -1.72, 95% CI -2.93 to -0.51, p = 0.005), CMS (SMD 0.44, 95% CI 0.17–0.72, p = 0.001 MD 3.64, 95% CI 1.09 to 6.19, p = 0.005), time to union (non-adjusted SMD -2.83, 95% CI -4.59 to -1.07, p = 0.002 adjusted SMD -0.69, 95% CI -0.97 to -0.41, p24 months SMD -4.24, 95% CI -7.03 to -1.45, p = 0.003) and CMS (>24 months, SMD 1.03, 95% CI 0.39 to 1.68, p = 0.002 MD 5.77, 95% CI 1.63 to 9.91, p = 0.006). SC joint dislocations are classified as Grades I-V, with Grade V being a posterior dislocation. Hoarseness could indicate a recurrent laryngeal nerve injury or airway compromise. A dislocation may impact the structures behind including the trachea and blood vessels in that region. Posterior dislocations can present with pain over the anterior chest, increased on shoulder movement. If there is no evidence of medial epiphyseal fracture but pain and swelling is present you must consider a dislocation. Much less often the clavicle moves posteriorly in relation to the sternum, especially in the setting of tremendous force applied to the shoulder or the medial clavicle. Most children with an anterior SC joint dislocation can be managed with a sling or collar and cuff. This speaks to the quality and craftsmanship of the product. Not only does the SpyderWeb ST18XL offer exceptional performance, but it’s also made in the U.S.A. You can practice for hours without worrying about damaging or replacing the target.Īdditionally, the target’s 18 x 18 x 14 inches size provides ample space to aim at, ensuring that you can hit the target even from a distance. Unlike traditional targets that wear out quickly, the SpyderWeb’s unique facing allows it to withstand countless shots without losing its stopping power. One of the critical features of this target is its self-healing Spylar facing. Its ability to stop arrows and bolts traveling at speeds up to 400 fps sets it apart, making it perfect for those who shoot high-speed crossbows. I’ve tried various targets as an avid archer, but the SpyderWeb ST18XL stands out.
Click here for schedule and parking information. This online self-paced course is offered at the Coquitlam Learning Opportunity Centre (CLOC), located near Coquitlam Centre. Students can meet with their teacher for orientation and learning support by visiting CLOC. Students will participate in various online activities which may include Moodle online lessons, online discussions, and e-mail interactions with the teacher. Students are expected to complete 5% in the first month. Students have one year to complete the course from registration. International Students: Please call CLOC at 604.945.4211 to register. Please click here for more information about the course content.įree to eligible BC Residents who are Under 19 or Adult Non-Grads - tuition cost will be eliminated in the shopping cart. Students who are not confident with algebra should consider registering for Literacy Foundations Math Level 5 (Math 11 Prep) first to review and upgrade their basic algebra skills. RECOMMENDED PREREQUISITE: an academic grade 10 math course or equivalent. Topics include sequences and series, trigonometry, quadratic functions and equations, radicals, rational expressions and equations, absolute value and reciprocal functions, and systems of equations and inequalities. Pre-Calculus 11 is designed to provide students with the math skills required for post-secondary programs that involve math or science. LINC Work Experience and Volunteer Opportunities.Applied and Pre-Calculus (IAP) Mathematics students. Find equations of tangent lines using limits. This document is intended to support teachers of Grade 10 Introduction to. Language Instruction for Newcomers to Canada (LINC) Find the slope of a tangent line using limits.The concepts you will learn are fundamental to success in higher math classes such as Calculus and Linear Algebra. Coquitlam Learning Opportunity Centre (CLOC) › In this course, you will master all concepts of College-Level Algebra, Pre-Calculus, and Trigonometry, from beginner to advanced, with our step-by-step video tutorials and test your knowledge with over 4500 Practice Test Questions.
Swirl in the jams AFTER they are in the cake pans: Swirling the jams into the colored batter helps to distribute the flavors evenly throughout the cake. Don’t over mix the batter: Over mixing the batter can cause the cake to become tough and dense.Ensure all wet ingredients are at room temperature: This helps ensure the cake will bake evenly and rise properly.Follow the recipe exactly: Baking is a science, so it’s essential to measure the ingredients accurately with a digital scale and follow the recipe as written.Here are some tips and tricks to ensure your cake turns out perfectly: Now that you have all the necessary ingredients and equipment, it’s time to make the cake. Assorted piping tips and piping bags: for decorating the cake with buttercream swirls or designs.Sweetened condensed milk: 14 oz can Sweetened Condensed Milk, for sweetness and creaminess.LorAnn Organic Madagascar Vanilla Bean Paste: 2 TBS for flavoring the buttercream with vanilla.Butter: 4 sticks or 450 grams, at room temperature.LorAnn Blue Liquid Gel Food Coloring: a few drops, for coloring the blueberry cake layer blue.LorAnn Organic Blueberry Bakery Emulsion: 1 teaspoon, for flavoring the blueberry cake layer.LorAnn Red Liquid Gel Food Coloring: a few drops, for coloring the strawberry cake layer pink.LorAnn Organic Strawberry Bakery Emulsion: 1 teaspoon, for flavoring the strawberry cake layer.LorAnn Organic Almond Bakery Emulsion: 1 teaspoon, for flavoring the white cake layer.This also adds moisture and tanginess to the cake. Full-fat sour cream: 80g or 1/3 cup, at room temperature.This adds moisture and tanginess to the cake. Buttermilk: 1 and 1/2 cups or 360 ml, at room temperature.Baking powder: 4 and 1/2 teaspoons, to help the cake rise.
Gather your loved ones and set the stage for a truly magical Thursday Evening. Unwind, let your creativity flourish, and create cherished holiday memories. Join Us for a Festive Fusion of Art and Wine: Don’t miss out on this unique opportunity to nurture your creativity. Limited Space: Secure your spot early, as space is limited. Event Cost: $55 per person ($50 for Wine Club Members). Imagine painting in the cozy embrace of our Heritage Room, adorned with charming Christmas decor.Īge Requirement: Attendees must be 21 or older. It’s the perfect accompaniment to your creative exploration. □ Festive Treats & Drinks: Indulge in delectable seasonal treats for purchase and additional drinks available for purchase. Let the rich flavors of our wines enhance your holiday-inspired artistry. □ Complimentary Beverage: Delight in a complimentary beverage of your choice as you embark on your creative adventure. Not yet a member? Join us and discover the joys of being part of our wine-loving community. □ Wine Club Special: Wine Club Members can revel in a special rate of $50 per person. No prior experience needed – just bring your festive spirit and artistic zeal! □ Painting Instruction: Let seasoned artists guide you as you craft a masterpiece infused with the spirit of Christmas. Hosted by Paint’n With Friends Art Studio of Gilroy, this event is your passport to a creative journey adorned with holiday splendor. Join us on Thursday, December 7th, at 6 PM for a special Christmas-themed Paint and Sip event that promises to fill your heart with holiday cheer. Paint and Sip: Unleash Your Creativity in the Festive Spirit at Guglielmo Winery!Įmbrace the magic of the season with an enchanting evening of art, wine, and joyful camaraderie at Guglielmo Winery. I will track this until the official release date. MacOS 13 beta is still development status. I already shared this to (Takashi Kokubun). TestMJIT#test_lambda_longjmp :Įxpected 1 times of JIT success, but succeeded 0 times. But I also got the test failure with mjit. I could build with -with-out-ext=+,bigdecimal -enable-share option. It's affected with static inline declaration in missing.h of bigdecimal. /./include/ruby/internal/intern/rational.h:128:7: note: previous declaration is here missing.h:127:1: error: static declaration of 'rb_rational_num' follows non-static declaration With -enabled-shared resolved the first error. Ld: symbol(s) not found for architecture arm64Ĭlang: error: linker command failed with exit code 1 (use -v to see (Yuta Saito) says this error affects with -undefined dynamic_lookup flags. "_rb_define_singleton_method", referenced from: "_rb_arithmetic_sequence_extract", referenced from: Undefined symbols for architecture arm64: Linking shared-object -test-/arith_seq/extract.bundle I build ruby master without -enable-shared option. It breaks the build status caused by Xcode 14 beta changes. Today, I tried to build ruby master with macOS 13 (Ventura) Beta. We should add -without=+,bigdecimal -enable-shared to the configure option.
Is there an opportunity any better than that? So, when Hang 5 invites all the Pen Gu gang to join them on a trek to Slaughter Island where they'll surf "the Trenches," the most dangerous surfing beach in the world, they're off on the adventure of a lifetime. McMahon, Hang 5's captain (voiced by WWE exec Vince McMahon) may be retiring and the team will be looking for a new leader. It's the chance of a lifetime for Cody - he can show his skills to the masters! And, rumor has it that Mr. Everything changes for Cody when he hears that Hang 5 - the most famous surfing team in the world (made up WWE wrestling stars such as John Cena & Saraya-Jade Bevis) - will be passing through Pen Gu Island. The only thing he has to deal with is a crazy rivalry for students with his archenemy, Tank "The Shredder" Evans ( Diedrich Bader). For now, he's content to teach little kids the art of surfing along with his pal Lani ( Melissa Sturm) at their Penguin Surf Academy. He knows he did the right thing in Surf's Up, but it still hurts to think of what might have been if he'd just been a little less heroic. In SURF'S UP 2: WAVE MANIA, Penguin Cody Maverick (voiced by Jeremy Shada) is still reconciling himself to the fact that to save Chicken Joe ( Jon Heder) from disaster, he had to give up the Penguin World Surfing Championship title. To stay in the loop on more movies like this, you can sign up for weekly Family Movie Night emails. This is OK for kids who are comfortable with pretend vs. Characters are knocked out and trapped and nearly drown, but all's well that ends well for everyone. The story includes plenty of thrills and spills for young fans of both surfing and action-adventure: wipe-outs, giant waves, lightning storms, a sea of lava, a high-wire act, and multiple narrow escapes. This time, however, there's an added element: Hang 5, a "world-renowned surfing troupe" (made up of popular wrestling performers/voices from the WWE) joins the company. Tank is still the bully of the piece, tormenting Cody and Chicken Joe with put-downs and bragging. Surfing penguins Cody Maverick, Lani Aliikai, and Tank are back along with Chicken Joe, ready for a new adventure in an animated, direct-to-DVD movie that stays with the original's mockumentary format - a documentary television crew follows the adventures of surfers from Pen Gu Island, where the waves are sweet and the competition among wave-riders is fierce. Parents need to know that Surf's Up 2: Wave Mania is a sequel to Surf's Up, a popular movie from 2007.
They will however encounter unexpected adversaries in the form of a team of foreign mercenaries led by Captain Ning (Ma Sichun), under orders by a mysterious backer Hendrix (Vanni Corbellini) who wants the Empress’ secret for himself.Īs much as Lee invests much of the first act developing Lu Han and Jing Boran’s respective characters – the former still traumatized by an incident in his childhood years where he came face to face with a man in a golden mask and the latter as an ageless monk who saved his number from Hendrix’s attack on his temple some fifty years ago – there is little in either that is compelling enough for us to recognize them as no more than stock types or for that matter regard the movie as more than a special-effects laden spectacle. At the point Wu Xie unearths the key, the countdown is set to end eight days later and by the time he and his Third Uncle assemble a team of strongmen that includes Jing Boran’s Zhang Qiling, it is mere hours before the planets align and the Snake Empress wakes from her slumber. Just as Jet Li’s Dragon Emperor in the last film of ‘The Mummy’ trilogy, Sherawat’s Snake Empress thirsts for immortality, and has preserved herself, her lover King Xiang (Sammy Hung) and his armies for the past 2000 years in order to return and conquer the world through might and sorcery. Ignoring the warnings of his Third Uncle (Wang Jingchun), Wu Xie follows the trail hinted at by an ancient clockwork key he finds while stumbling around The Widow’s Tomb, which leads to an underground city of labyrinthine passage-ways and booby traps that turns out to be no less than the legendary tomb of the Snake Empress (Mallika Sherawat). Oh yes, we’re not sure if Lu Han (aka China’s ‘Star Wars’ ambassador) had researched Brendan Fraser’s Rick O’Connell to prepare for his role as Wu Xie, but he sure channels much of the same attitude. Like ‘The Mummy’, the protagonist here is a young budding tomb explorer with an irrepressible sense of curiosity and optimism. Bearing many glaring similarities to the last film in ‘The Mummy’ trilogy, this big-screen version adapted by the author of the Internet novel on which it is based – who goes by the moniker Uncle Three - is like its inspirational predecessor loud, overblown and often utterly nonsensical, even as its compendium of extravagant action sequences does offer mildly diverting fun. If you need further proof that China’s filmmakers are chasing after Hollywood’s former glories, then the latest CGI-laden modern-day fantasy adventure ‘Time Raiders’ is the perfect specimen. With the help of his grandfather Zhang Qiling‘s (Jing Boran) notes and his team, Wu Xie sets out to find the lost treasures as well as the people responsible for the extermination of his family. While he delves into his family trade he finds lost treasures of the Warring States as well as the answers to the tragedies of his family’s past. Synopsis: This fantasy-adventure film tells the tale of Wu Xie (Luhan) who is an antique shop owner with a family history of tomb raiders. Cast: Lu Han, Jing Boran, Ma Sichun, Wang Jingchun, Zhang Boyu, Mallika Sherawat |
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