...from carpal tunnel syndrome (CTS). CTS is an ailment that results in certain hand weaknesses. What is CTS? CTS is a condition in which the transverse carpal ligament of the hand presses against the median nerve. The median nerve is the part of the central nervous system responsible for the control and the feeling in the hand. When the carpal ligament interferes with the working of the median nerve, general functioning of the hand, wrist and the arm are affected. Signs of CTS CTS results in the malfunction of the median nerve. An individual who has CTS will exhibit some symptoms of the condition...
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...Conclusion………………………………………………………………………………… 9 References……………………………………………………………………………… 10 ABSTRACT Project management is the process of defining, planning, monitoring, controlling and delivering projects to meet an agreed result or requirement. Each project has its own objectives, resources, and cost estimates. In our modern world, many organisations welcome change through the implementation of projects. However large organisations such as the central bank of Brazil, Intel, Eurotunnel and many others have a lot of individual projects to implement in the organisation with limited resources. The process of managing this group of on-going, interdependent, related projects in a coordinated way to achieve strategic objectives can thus be called Programme management. Programme management has become a very important discipline because it enables the sharing of resources across projects and provides a guide for the engagement of senior managers. Many organisations tend to fail or have issues with managing the organisational programmes as a result of issues such as risk management, quality management and resource management. The mandate of this paper is to talk about the Eurotunnel and Crossrail programmes, their impacts, major issues identified with the projects/programmes. This paper also identifies some of the key lessons learnt from the Eurotunnel and finally justifies why...
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...contract, service contract, operating contract, performance contract and others. However, the terms of PPP and concession will be using interchangeably throughout the entire topic. Basically all those terms refer to one common purpose. The purpose is to establish a method of procurement that brings together the public and the private sectors in a long-term partnership for mutual benefit. The vital feature is that it is intended to achieve both social and commercial goals. When it serve as a long-term solution for offering infrastructure within a country, it would indirectly support sufficient growth and economic benefits for the public. The broader execution of concession can be done to fund transport infrastructure such as highways, tunnels, railway, ports, bridges, railroads, airports and canals transport systems. They are also often used to finance projects in water supply, power generation, sewerage, dams, irrigation and drainage, and to a lesser extent, telecommunications and solid waste management infrastructure. In the case of Malaysia, the Government officially revealed the execution of public projects using the Public Private Partnership (PPP) or Private Finance Initiative (PFI) scheme under the 9th Malaysia Plan. In 2009,...
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...April 20, 2014 Table of Contents Executive Summary 1 Company Overview 1 Security Vulnerabilities 3 Threats Through Using VPN Tunnels 3 SQL Injections 4 Recommended Solutions 5 Threats Through Using VPN Tunnels 6 SQL Injections 8 Impact on Business Processes 9 Budget 10 Summary 11 References 12 Company Overview Quality Web Design (QWD) is a web development organization that creates client side web application that distributes web content to a user in order to improve an existing web site. They have a basic Microsoft shop that uses a Visual Studio Team Foundation Service to host the image repository as well as Visual Studio to design, QA and develop their site. They are also utilizing Microsoft SQL Server and Microsoft Exchange. Security Vulnerabilities The two Security vulnerabilities that I am going to document are VPN Tunnel potential security breaches as well as SQL Injection attacks. These are the two areas that I believe the organization has not looked at as potential risks for issues. Security Vulnerabilities The first threat that I want to elaborate on is a hardware vulnerability that is inherent in the use of VPN Tunnels. The main threat mostly lies with users not utilizing the same security precautions that are used in the office. Often users are unaware that they have a direct link straight into their company’s network through these tunnels and will leave them unsecured. Some of the possible threats are that of exposing data as well as company resources...
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...The Channel Tunnel (French: le tunnel sous la Manche), widely recognized as one of the world’s greatest civil engineering projects, is a 50.5km underwater rail tunnel connecting Folkestone, Kent in the UK with Coquelles, Pas-de-Calais in France under the English Channel. Even though it began construction in 1988 and was opened in 1994, the idea to have a cross-channel tunnel was first mooted more than 200 years ago but did not materialize due to political, national security and cost considerations. However, with the tremendous increase in traffic growth, better and alternative means of communication, convenience and speed was necessary and hence the need for an alternative transport route was clearly evident. The need for such tunnel was further compounded with Britain joining the European Community and the cross-channel traffic doubling in the last 20 years (leading to the project), reflecting improved trading between the Britain and rest of Europe. The Channel Tunnel would also be able to provide an alternative competitive link between the transportation systems of the UK and France, providing both speed and reliability to freight deliveries. With the strong endorsement from the governments of both sovereigns, the decision to build the Channel Tunnel was thus made. In April 1985, the British and French governments issued a formal invitation to potential tenderers for the fixed Channel link and eventually the contract was awarded to the consortium Channel Tunnel Group Limited-...
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...Carpal Tunnel Carpal Tunnel Syndrome is a common injury among people who work with their hands a lot. Jobs and hobbies such as a heavy duty mechanic and sewing will often lead to this injury and have people asking why does this happen. This injury can prevent the play of many of our favourite sports and can cause pain up through the arm that it affects. Carpal Tunnel can affect a person’s feel which is extremely crucial in sports such as golf, tennis, billiards, and many more. However there are treatments that can be made to combat Carpal Tunnel. These treatments are not absolute guarantees as there have been complications following Carpal Tunnel treatment. Carpal Tunnel is a sport’s injury that can take effect in almost anyone and the signs symptoms and treatments should be known to each person. Carpal Tunnel is defined by the Electronic Text Book of Hand Surgeries (n.d.) as “the effect of pressure on the median nerve, one of the main nerves of the hand. It can result in a variety of problems, including pain, tingling, numbness, swelling, weakness or clumsiness of the thumb, index, middle and ring fingers.” Carpal Tunnel is contracted most commonly through typical daily activities that we do as hobbies, in our work, or just normal everyday life. Pub-Med Health describes these activities as all being possible contributors to Carpal Tunnel Syndrome; driving, sewing, assembly work, painting, writing, use of tools, some sports such as racquetball and handball, and playing a...
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...Carpal Tunnel Syndrome (CTS) 1. Explain CTS Carpal Tunnel Syndrome is squeezed as it travels through the wrist. The median nerve is located on the palm side of your hand (also called the carpal tunnel). The median nerve provides sensation (ability to feel) to your thumb, index finger, long finger, and part of the ring finger. It provides the muscle movement in the direction of your thumb. Carpal tunnel syndrome can occur between one or two of your hands. Wrist swelling can lead to the oppression of carpal tunnel syndrome. It can lead to numbness, weakness, and tingling on the side of your hand near the thumb. (William Morrison, 2017) In today’s life, keyboard and mouse are the most common "carpal tunnel killers". As motorists on the growing,...
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...Introduction In this chapter we find alternative solutions for decreasing traffic situation in Istanbul. There are two possible solutions for that; they are usage of a third Bridge that connect two continents and usage of Ferries. Our assumptions for alternative solutions are to develop car transportation via ferries or a third bridge. In order to make comparison of all three projects more easy we take the capacity for all projects as 120,000 vehicles per day, because the capacity of the tunnel and the third bridge are similar. Two alternative solutions As it known in Istanbul there is a big concern about traffic and its possible solutions. The main difficulty for people that live in Istanbul is to get from Asian side to European side by their own car and as example to get from Kadikoy to Zeytinburnu by normal way through the bridge can take approximately 100 minutes. The Eurasia Tunnel project is a new solution for this problem that will take 15 minutes to pass from one side to another. But also there are two more possible solutions like usage of Ferries and usage of a Third Bridge. Pic. 1 (A- Zeytinburnu, B-Kadikoy 1-Ferry for cars) On the Picture 1 there is shown the way that vehicles have to pass in order to get from point A to point B. And it is obvious that the way is not short that is also including traffics on the bridges. So the alternative solution can be a usage of ferry. There are two types of ferries in Istanbul one of them that can take only passengers...
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...Carpal Tunnel Syndrome is a condition that is painful in one or both of the hands or wrists. It is seen in older age, caused by repetitive movement of the hand or wrist over a long period of time. When the median nerve that pass through the wrist is compressed or pinched. The family provider is able to test the median nerve. With the test the family provider result are able to diagnosis for carpal tunnel. There are surgeries that are able to take the pressure or pinched never to relief the tingling, numbness, or burning. With non-surgical treatments use injections, stretching out the hand and or taken medications are offered to help reduce the pain. There are also many ways to prevent Carpal Tunnel Syndrome. Carpal Tunnel Syndrome is a painful condition that takes place in one or both the hands and wrists to the fingers. Carpal tunnel is caused by the compression or by the median nerve being pinched between the bones and muscles. The nerve passes through the carpal to the fingers. While the nerve travels through the carpal the metacarpal to the phalanges alongside the tendons of the hand. Repetitive movement that are done on a daily bases from typing, sewing, beading, holding a book, etc. over a long period of time causes the nerve to become compressed or pinched. Also, from fluid retention when the blood...
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...The extent to which new, or complex, technologies impacted upon the project. The Channel Tunnel project would have been built two centuries ago if it was technically feasible. In 1802, the idea of a road tunnel was suggested to Napoleon during a brief peace between France and England. French engineer Albert Mathieu Favier gave Napoleon details of a scheme involving two tunnels, one which would be candle-lit for horse-drawn carriages and the second acting as a sort of drain to take away water seeping into it (Anderson & Roskrow 1994). However the scheme existed only on paper due to the absence of appropriate tunneling techniques. Digging a tunnel under ground is not a novel technology; however, the geology is, especially under the sea. Engineers had to check and hoped to find that a suitable rock for tunneling stretched in an unbroken bed across the channel. Building a tunnel doesn’t require innovative technology, otherwise the government would not approve the project go ahead. However, the actual construction of a 50 km-long Channel Tunnel up to 50 meters below the sea tested the ingenuity and skills of the top minds in the European and American construction industry (Anderson & Roskrow 1994). There were 11 specialized boring machines have been used in total on both, the British and the French sides, to work their way through the chalk marl stratum, which is between the gray chalk and glauconitic layer. The ground condition on the UK side had caused problem. The machine...
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...1. What are some common risks, threats, and vulnerabilities commonly found in the Remote Access Domain that must be mitigated through a layered security strategy? Some common risks, threats, and vulnerabilities commonly found in the Remote Access Domain that must be mitigated through a layered security strategy are: • Private data or confidential data is compromised remotely (Kim & Solomon, 2012). • Unauthorized remote access to IT systems, applications, and data (Kim & Solomon, 2012). • Mobile worker laptop is stolen (Kim & Solomon, 2012). • Multiple logon retries and access control attacks (Kim & Solomon, 2012). 2. What default configuration should be placed on host-based firewalls when accessing the network remotely? The deny-by-default rulesets for incoming traffic should be placed on host-based firewalls when accessing the network remotely to prevent malware incidents (Wikia, n.d.). 3. What risks, threats, and vulnerabilities are introduced by implementing a Remote Access Server? Risks, threats, and vulnerabilities introduced by implementing a Remote Access Server are: • External hosts gain access to internal resources (Scarfone, Hoffman, & Souppaya, 2009) • An unauthorized user eavesdrops on remote access communications and manipulate them using a compromised server (Scarfone, Hoffman, & Souppaya, 2009) • Partially patched remote access servers (Scarfone, Hoffman, & Souppaya, 2009) 4. What is a recommended best practice when implementing a Remote Access Policy...
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...The Big Dig. 4000 Words. Introduction This aim of this report to give an overview of Boston's Central Artery/Tunnel or 'Big-Dig' Infrastructure Project, identify the rationale behind the project, the owner, the stakeholders, project life cycle and timeline. It will also identify the critical management issues and problems that arose through the project, the solutions the project managers and those involved in the project found. It will also give an assessment of the project performance and its benefits and assess and reflect the critical failure and success factors involved in the implementation of the project. Information for this investigation into the 'Big Dig' project has been from sought various Journals, publications specific to the project, the World Wide Web, independent reports into the project and other reports delivered by the Project Managers Bechtel/Parsons Brinckerhoff (B/PB) and the project owners Massachusetts Turnpike Authority (MTA) . Before the merger of the previously mentioned companies the MTA was known as the Massachusetts Highway Department The big dig or CA/T as it became more infamously known as was a magnanimous infrastructural project that took place in the greater Boston area from inception in 1982 to completion in 2007. This was to be the solution to the escalating traffic problem that plagued motorists in the greater Boston area for the past 50 years. The Central Artchry was originally built in 1959 and was a significant infrastructural...
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...48 yr old man presents to ER stating my “left lower leg is killing me.” Patient has been in pain for two days. When asked when the pain started PT states “while I was playing water Volleyball, I felt a pop in my leg, I thought maybe I just strained a muscle but it feels like someone hit me in the back of the leg with a bat, I can’t even walk on my leg.” Upon visual evaluation the leg is swollen and blue in color. Nurse is observing swelling, bruising, and alignment of the two legs. A Thompson test can be used to the severity of the injury. The tender area felt boggy to palpation and a gap was found. Both feet and ankles felt normal, although a non-tender calcaneus was found. The patient had a capillary-refill time of less than two seconds and no neurovascular deficit. The left ankle had normal dorsiflexion and plantar flexion, but there was active resistance on plantar flexion in the right ankle. Passive inversion and eversion movements were normal with no laxity and endpoints were firm. Initial diagnosis was a ruptured Achilles tendon in the right leg and this was confirmed by ultrasonography. Radiography was not indicated. The patient’s case was discussed with an orthopaedic registrar by telephone. The patient’s limb was then placed in equinus cast, in which the ankle is flexed to between 40° and 60°, and plaster of Paris was applied. To ensure the patient’s psychosocial needs were met, and that he had a realistic expectation of rehabilitation and long-term care...
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...In the two short stories The Rocking Horse Winner by D.H. Lawrence and Through the Tunnel by Dorris Lessing, both stories can be seen as a rite of passage because the main characters Jerry and Paul, illustrate a theme of having to break free in their lives to have a test of achievement. Both boys father’s are somewhat absent in the stories. This made the main characters strive to make their lives better. Jerry’s goal was to swim through the tunnel which ultimately almost leads him to his death. For Paul, his goal leads him to an obsession for money which ended up killing him. Paul rides his rocking horse as if he is on a quest to seek a grand prize which ends up being luck. His winnings will free his mother which can be seen as a rite of passage. Paul’s obsession with winning money is what ended up killing him. He wanted to prove to his mother Hester, that he himself had luck with money compared to his father. As Paul says in his last word’s in the story, “I never told you, mother, that if I can ride my horse, and get there, then I'm absolutely sure - oh, absolutely! Mother, did I ever tell you? I am lucky.” Paul wants to change his mother into a loving mother rather than keeping her as a neglectful parent because she is a person who has a mindset of only material possessions are her only main focus in life. Throughout the story, Paul’s mother continuously pushes her idea that luck equals being rich and that money is the most important in her life. Hester has so much of a...
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...Critique on The Thrill of Drill Article reference: Allon Kuoy, Mon,4th July 2011, The Thrill of Drill, The Star pg 2 A tunnel is an underground passageway, completely enclosed except for openings for egress, commonly at each end. Tunneling job is addictive. For those who been working underground, closer to mother nature of the earth would not want to be seated in an air conditioned environment. The tittle is Thrill of the drill by the Allon Koay. He is a journalist at The Star Publications, The article is from The Star newspaper on 4th july 2011. The article is to enrich the knowledge about tunneling and together along of the MMC-Gamuda tunneling team’s achievement. Tunneling is one thing for which we can proudly say, we have among the best and the brightest that are fully home grown which is none other than the M’sia MMC Gamuda. Changes are also made to the TBM machine that has been bought from Germany to suit the country’s soil condition. The author is happy about M’sian team of having expertise is such field. Building the largest or tallest or the most advanced is only a part whereby the tunneling part is proudly taken over by expertise in Malaysia with of course the help of foreign talent too. The author is in two state of neither supporting the article content. He tells that foreign talent are equally important too in achieving success. After going through 10 years of tunneling experience, the team had learnt the curves thus the people in work knows the right method to use...
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