...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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...Wind tunnel A wind tunnel is a tool used in aerodynamic research to study the effects of air moving past solid objects. A wind tunnel consists of a closed tubular passage with the object under test mounted in the middle. A powerful fan system moves air past the object; the fan must have straightening vanes to smooth the airflow. The test object is instrumented with a sensitive balance to measure the forces generated by airflow; or, the airflow may have smoke or other substances injected to make the flow lines around the object visible. Full-scale aircraft or vehicles are sometimes tested in large wind tunnels, but these facilities are expensive to operate and some of their functions have been taken over by computer modelling. In addition to vehicles, wind tunnels are used to study the airflow around large structures such as bridges or office buildings. The earliest enclosed wind tunnels were invented in 1871; large wind tunnels were built during the Second World War. Contents • 1 Theory of operation • 2 Measurement of aerodynamic forces • 3 History o 3.1 Origins o 3.2 World War Two o 3.3 Post World War Two • 4 How it works o 4.1 Pressure measurements o 4.2 Force and moment measurements • 5 Flow visualization o 5.1 Qualitative methods • 6 Classification o 6.1 Aeronautical wind tunnels 6.1.1 High Reynolds number tunnels 6.1.2 V/STOL tunnels 6.1.3 Spin tunnels o 6.2 Automobile tunnels o 6.3 Aeroacoustic tunnels • 7 List of wind tunnels o 7.1 Aquadynamic...
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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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...In Through the Tunnel by Doris Lessing, Jerry shows us that some risks are worth taking. Jerry displays that even if the risk is life threatening that we must try. Some risks are worth taking while others are not, however, we take both kinds of risks. Sometimes we mistake what we want to do with what others want us to do, and take risks that are unnecessary. Jerry and his mother are on vacation near a beach. Each day Jerry and his Mom walk to the beach and spend the day there. Usually Jerry explores by his Mom, but one day Jerry decides he wants to play by some rocks. Jerry meets some boys and they play happily, diving into the water. When the other boys dove into the water and...
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...Channel Tunnel Project Management Mistakes Bellevue University PMGT335-316S Project Cost 15 February 2012 Channel Tunnel Project Management Mistakes The Channel Tunnel (Chunnel) project was one of the largest privately funded construction projects in history, and one plagued with mistakes. The project created a rail link between England and France spanning over 30 miles with 23.5 of the miles under water. The project melded a difficult mix of numerous contractors and regulatory agencies with bankers and two national governments (Fairweather, 1994). While an overall success the project suffered from many planning and management mistakes that caused it to be grossly over budget and late. One of the key mistakes that befell the project was also one of the costliest. The contract that was entered into between Eurotunnel and Transmache Link (TML) for the terminals and the mechanical and electrical equipment was a lump-sum contract (Fairweather, 1994). This decision was driven by the desire of the bankers involved in the project for a level of certainty on the costs. This error could have been prevented with a few basic project management techniques. The bankers, being a key stakeholder, had the right to have their desires understood by Eurotunnel before any contracts were signed. What failed to happen was effective communications between the engineers at Eurotunnel who had the knowledge to understand the risks involved with this phase of the project and the bankers...
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...water. SPLASH! “Through the Tunnel,” written by Doris Lessing, starts off at the beach during a boy and his moms vacation. An English boy named Jerry explores the beach and feels lonesome with no one to play with. As his mother debates how to treat him; Jerry wonders off to another beach to meet some older boys who he does not know. They speak different languages, but welcome Jerry anyway. After the biggest boy dives off the promontory, and does not surface Jerry gets timid. He starts yelling warning to the other boys that one has not come up. They brush him off and the rest dive in. After Jerry’s warning they decide to leave him behind and head to another beach. Jerry notices that there is a hole in the rock he has been diving off of and tries to swim in it. He can’t hold his breath and mysterious creatures start to brush against him. He quickly swims out of the tunnel to surface, and pants. He becomes determined and practices everyday holding his breath and going farther into the tunnel. One day after hours of practice...
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...DOI: 4/25/2016. Patient is a 43-year-old right-hand dominant female housekeeper/maintenance worker who alleges repetitive injury to both wrists. Per OMNI entry, she was diagnosed with bilateral carpal tunnel syndrome. She has undergone PT. Electromyography/nerve conduction studies of the upper extremities dated 05/17/2016 demonstrated moderate right sensorimotor median nerve neuropathy at the wrist consistent with carpal tunnel syndrome. There is also mild left carpal tunnel syndrome. There is no evidence of cervical radiculopathy at this time. Based on the latest medical report dated 09/27/16 by Dr. Krishna, the patient reported having progressive weakness into the bilateral wrists/hands with numbness and tingling sensation and dysesthesias....
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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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...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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...Carpal tunnel syndrome occurs when the median nerve that runs from the forearm into the palm of the hand will become squeezed at the wrist. The median nerve controls sensations to the palm side of the thumb and fingers as well as impulses to some small muscles in the hand that allow the fingers and thumb to move. The carpal tunnel is a narrow, rigid passageway of ligament and bones at the base of the hand. It houses the median nerve and tendons. It becomes thick from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed.(Brian) This can cause weakness, numbness, and pain in the hand and wrist, that moves up the arm. Carpal tunnel syndrome is often caused by several things together that increase...
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...As kids grow up they desire to do things that older kids their age could do, in order to show that they are also capable of accomplishing it as well. In the short story, “Through the Tunnel,” by Doris Lessing, she describes an English boy, Jerry, an 11 year old boy who wants his freedom from his single mother to become an adult like the French boys at the beach. Through the characterization of Jerry, Lessing shows that even though you can accomplish and proved that you are like others, at the end it just about accepting yourself. Through the story the characterization of Jerry and his mother change. In the beginning Lessing portrays Jerry’s mother, as a single mother who would rather want her son to be by her side but doesn’t want to be possessive as Lessing mentions in paragraph five. Though Lessing also mentions how Jerry and his mother are both starting to slowing see how they detaching from each but still care for one another, “… he almost ran after her again, feeling unbearable that she should go… She was thinking, of course he’s old enough to be safe without me.” The exposition shows that even though they both would want things to change but eventually it will happen....
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...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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...RESEARCH Proposing a carpal tunnel treatment centre: The Shouldice model revisited Hazim Sadideen, Faddy Sadideen ABSTRACT The Shouldice Hospital prides itself with excellent hernia repair outcomes. The Shouldice concept exhibits a unique, successful business model, and is a clear example of the concept of a highly innovative value proposition. Exploring Shouldice's fundamental principles and extrapolating them to other settings might help healthcare professionals offer improvements to patient care. Carpal tunnel syndrome (CTS) is the most common elective hand disorder, which can be debilitating for patients. Surgical intervention is extremely effective when necessary. It would be prudent to develop efficient pathways for the treatment of CTS, and other common disorders in the future. This review aims to explore the successes behind the Shouldice model, cross-fertilise surgical and management grounds by familiarising surgeons with the Shouldice model to help generate key ideas for the future, and extrapolate key information to postulate the 'carpal tunnel treatment centre' as a potential enterprise that can be designed on the basis of the Shouldice model. Optimal healthcare delivery while improving the patient journey, in a cost-effective manner, requires careful planning and execution. It is important to further explore and capitalise on this knowledge, to improve our service to patients and the multidisciplinary healthcare workforce, particularly in light of restructuring...
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...Sula is a novel about self-creation, about women, about men, and about a culture. The girls, Sula and Nel, realize early on that the world does not easily accommodate people such as them: “Because each had discovered years before that they were neither white nor male, and that all freedom and triumph was forbidden to them, they set about creating something else to be.” They would be black women. That means something different to each of them. For Nel, it means becoming a wife and mother, sustaining the values of the community. For Sula, it means living an “experimental life,” rejecting commonly held values. Nel tells Sula, “You can’t do it all. You a woman and a colored woman at that. You can’t act like a man. You can’t be walking around all independent-like, doing whatever you like, taking what you want, leaving what you don’t.” Sula will not accept such limitations. When Nel demands to know what Sula has gained from her choices—having no husband and no children; her grandmother put away in a nursing home; her mother, father, and uncle dead; residents of the Bottom all despising her—Sula responds, “Girl, I got my mind. And what goes on in it. Which is to say, I got me.” Nel, on the other hand, has loneliness, an empty space that Jude used to fill, and another one Sula formerly occupied. Sula’s self-knowledge and Nel’s connection to other people are both essential to human existence. Each woman, even if only momentarily, comes to understand that. Fire and water are recurrent...
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...1.2) A tunnel is an underground or underwater passageway, dug through the surrounding soil, earth, rock and enclosed except for entrance and exit, commonly at each end. A pipeline is not a tunnel, though some recent tunnels have used immersed tube construction techniques rather than traditional tunnel boring methods. A tunnel may be for foot or vehicular road traffic, for rail traffic, or for a canal. The central portions of a rapid transit network are usually in tunnel. Some tunnels are aqueducts to supply water for consumption or for hydroelectric stations or are sewers. Utility tunnels are used for routing steam, chilled water, electrical power or telecommunication cables, as well as connecting buildings for convenient passage of people and equipment. There 4 kinds of tunnelling methods that is widely used. They are (1) Cut and Cover Tunnelling method (2) Drill and Blas Tunnelling method (3) Tunnel boring machine method (TBM) (4) Sequential Excavation Method Cut and Cover Tunnelling Method Cut and Cover Tunnelling Method Cut and Cover Tunnelling Method Cut and cover tunnelling is a common and well-proven technique for constructing shallow tunnels. The method can accommodate changes in tunnel width and non-uniform shapes and is often adopted in construction of underground stations. Several overlapping works are required to be carried out in using this tunnelling method. Trench excavation, tunnel construction and soil covering of excavated tunnels are three...
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