the traditional methods, and therefore results in better clinical outcomes. They found that for kinematic alignment of the implant, the femoral component should be positioned varus 2.3 degrees and tibial component in valgus 2.4 degrees without any rotation. Howell et al also claimed that kinematically aligned TKA does not cause any significant failure; rather, it restores the function of the knee. Objectives: The purpose of our study is to certify correlation between parameters of implant…
the patient that clinically he had functional internal rotation motion and therefore, I would not recommend a subscapularis repair. I also pointed out to the patient with his severe degenerative arthritis and already restricted range of motion that a subscapularis repair might create a severe internal rotation contracture and would prevent him from performing activities of daily living such as reaching the arm out and into an external rotation such as changing a radio or driving a car. These…
was little to gain. Going into the rotation, I was somewhat bitter that I would be losing 3 weeks of my time to work in a setting I already have been working in. By the end of the rotation however, I did end up gaining at least some valuable experience and insight that I did not receive in my previous work experience. In this reflection, I will discuss some of my experiences at my rotation site and some of the learning gaps that I was able address in my pre-rotation learning plan. In my…
aspect of the lateral clavicle. Middle: Medial border if the acromion process and the upper boarder of the acromion Lower: Base of the scapular spine. Action: Upper: Scapula elevation and extension of the head at neck Middle: Elevation, upward rotation and adduction of scapula Lower:…
the joint for these thicknesses varies with the rotation speed and travel speed of the weld and with the thickness of pipes. It concludes that the total cost of weld joint was less at lower rotation speeds (485 RPM). As the rotation speed is increased from (1800 RPM), there was a significant increase in the total cost also. Fig (4-85) to Fig (4-87) show the relation between rotation speed and total cost distribution with respect to the rotation speed and travel speed of weld and…
The authors acknowledged the significance of gaining a solid understanding of the PCMH model and its importance to the United States healthcare system. The research centered on studying the effects of adding a four-week PCMH rotation to an existing residency program to determine the year-3 resident’s PCMH knowledge and attitudes towards the model. The yearlong research sought feedback from the 39 residents participating in the study. Although many residency programs are implementing the PCMH…
emergency room. Telling Johnson my reluctance to ghostwrite a journal article for him shouldn't be misinterpreted as "slacking off," I walked away, and went looking for an emergency to handle. For the most part, Johnson left me alone during the rotation and interacted with me only on rare occasion. One day, however, a number of residents were out sick, and Johnson was forced to serve as a back-up physician for a few hours. After I evaluated a thin, ill-appearing, Haitian alcoholic male, who…
Reflective Journal For week three of clinicals I was assigned the pierce county fire department station 20. This rotation was my favorite so far and the most interesting to me. During my 12 hour shift the station received six calls, however, four of those calls got canceled, and we attended two calls. I followed two EMT’s during my rotation. Things that Impressed Me These firefighters are by far the kindest group of men I have ever met. As a whole, the station was selfless, kind, empathetic,…
range of motion. It has been suggested that thoracic manipulation may decrease neck pain by normalizing biomechanics thus targeting the effects of scapular dyskinesia. Scapular position with a decrease in upward rotation has been found to increase the amount of scapular internal rotation leading to increased contact pressure and tightness within the glenohumeral joint.17 Therefore, provided the impairments of each patient, manual therapy to the glenohumeral joint may be indicated. A common…
its rotation, degree, and seasons are similar to Earth’s patterns. According to NASA, Mars has a degree tilt of twenty-five degrees, which is not that far off from Earth’s tilt at twenty three and four tenths degrees. Although these numbers seem not that far apart, a…