text:
Aubrey's Story: Orthopaedic Surgery After a Skydiving Accident
Medically Reviewed by UPMC Orthopaedic Care
After 20 years working as a paramedic, Aubrey Brewer had assisted with thousands of medical emergencies. But a skydiving accident placed her at the center of her own.
The retired paramedic from New Sewickley, Pa., completed her 15th jump on a clear but slightly windy Saturday afternoon when she experienced her first crash landing. The 42-year-old was lucky to walk away from the scene, and she credits her UPMC orthopaedic surgeon with her ability to fully recover and resume her passion.
Becoming a Solo Skydiver
Aubrey was skydiving near Grove City, Pa., in early June 2021. She had begun tandem skydiving 6 years earlier and was now well into accelerated freefall training — a process required to become an independently licensed solo skydiver. The jump was proceeding well.
"Ironically, it was my best freefall and canopy time yet," Aubrey says of falling from 13,500 feet for over a full minute. She deployed the chute at 4,500 feet without incident and was on point with her landing pattern by 1,500 feet. By 300 feet, she was lined up for her final approach after verifying the location of the other jumpers already on the ground.
About 6 to 8 feet above the ground, she was preparing to fully flare (a term used for breaking the parachute to convert downward forward motion into a slight lift). But a crosswind took her sideways and caused her to steer back on course. That maneuver combined with a full flare caused her parachute to stall. Aubrey dropped straight down. She estimates hitting the ground at about 13 miles an hour.
After recovering from the landing, she drove herself to an emergency department to be checked for possible fractures in her wrist and significant pain in her back.
Seeing a Specialist
The Monday after her accident, Aubrey walked into a UPMC comprehensive outpatient facility for an evaluation by Mark E. Baratz, MD, an orthopaedic surgeon who specializes in sports injuries and upper extremity surgery.
Aubrey says that despite her years of experience as a paramedic, she was slightly worried. "But Dr. Baratz immediately put me at ease," she says.
"Aubrey's high-energy injury resulted in a bad break and nerve bruising," says Dr. Baratz. He diagnosed Aubrey with an intra-articular wrist fracture of the left distal radius, acute carpal tunnel syndrome, and median nerve neuropraxia.
Dr. Baratz advised surgery on her wrist the next day and put the UPMC Orthopaedic Care team to work to make it happen.
Aubrey's surgery took place at the UPMC South Surgery Center, located inside the UPMC Outpatient Center in Bethel Park. During the surgery to repair the fractures, the anesthesia team performed a peripheral nerve block to reduce pain and placed a pain pump for extended relief following the surgery. Aubrey returned to her Beaver County home the same day.
"You never forget how someone makes you feel," Aubrey says. "Dr. Baratz made me feel that I was in good hands from the initial consultation to the surgery."
She says his caring manner during the consult included talk about skydiving, her other interests, and even the tattoo on her arm that referenced a Rolling Stones' song. "The next day, before the surgery, Dr. Baratz pulled up a pant leg to show me that he was wearing Rolling Stones socks!"
Aubrey credits her recovery to excellent treatment — and a caring orthopaedic surgeon and team.
Is she planning to go back to the sky? Yes, she says without hesitation, pointing to the next skydiving season that starts in the spring. "I always dreamed of flying as a kid," she says. "Skydiving is close."
UPMC Orthopaedic Care
About UPMC Orthopaedic Care
When you are dealing with bone, muscle, or joint pain, it can affect your daily life. UPMC Orthopaedic Care can help. As a national leader in advanced orthopaedic care, we diagnose and treat a full range of musculoskeletal disorders, from the acute and chronic to the common and complex. We provide access to UPMC's vast network of support services for both surgical and nonsurgical treatments and a full continuum of care. Our multidisciplinary team of experts will work with you to develop the treatment plan that works best for you. Our care team uses the most innovative tools and techniques to provide better outcomes. We also are leaders in research and clinical trials, striving to find better ways to provide our patients care. With locations throughout our communities, you can find a provider near you.


Your perfect fit for personalized care.
Kinetic Prosthetics has dedicated and highly trained professionals who provide the service and expertise that amputees demand. Our staff is trained with a progressive philosophy and is constantly developing and implementing new techniques and technologies to deliver the perfect fit for you. We have over a decade of experience working exclusively with amputees to restore their quality of life through progressive prosthetic care.
YOUR PERFECT FIT FOR IN-HOUSE FABRICATION.
Kinetic Prosthetics also has a full fabrication laboratory on site. Our in-house lab allows for custom fabrications, same day adjustments, and quicker turnaround times on new prosthetic devices. We make custom silicone products and employ today's technology to scan, develop and 3D print custom prosthetic designs.
As an exclusive prosthetic practice, we have extensive experience in enhancing the lives of lower extremity amputees. Whether you have a Hip Disarticulation, Above Knee, Below Knee, or Partial Foot Amputation(s) we are here to get you walking and to help you regain your independence.
We are proud of our reputation in treating patients with upper extremity amputations. Kinetic Prosthetics recognizes that people with upper extremity amputations have unique prosthetic challenges that require precise prosthetic solutions. We invest the time with you to design a tailored prosthesis to maximize functionality and activity for your upper extremity prosthesis.
We are very sensitive to the needs of children who have lost a limb, and we design prosthetics that helps them physically and emotionally. We strive to get to know each family well and collaborate to do whatever it takes to help each child lead enjoyable and active lives.


Firestone Building Products Co. LLC has added seven colors to its metal roof system portfolio. Aged Zinc, Antique Copper, Burnished Slate, Natural Antique Copper, Natural Rust, Vintage and Weathered Zinc expand customers' options during the design of metal roof systems for commercial buildings. Firestone Building Products' metal roof systems reportedly are sustainable and available in a variety of finishes.
Kemper System America Inc. has introduced its Kemperol® 2K-FR cold liquid-applied membrane roof and waterproofing system with "thru color." Designed to protect low-slope roof systems, Kemperol 2K-FR is derived from Kemper System America's Kemperol Reflect 2K-FR system. Kemperol 2K-FR is said to eliminate the need for a color topcoat because the polyurethane resin is tinted throughout, reducing installation time. Intended for use on new or existing low-slope roof systems, the Class A fire-rated, odor-free, fully reinforced system is available in Stone Gray or Patina Green.


Discussion in 'Vintage Vinyl' started by vintagevinyl, Feb 17, 2008.
I did a scan of the stamp . . .
Whoops, i forgot - it doesn't say "shuwacchi" at all... I'm not sure what it says, which only adds to the mystery.
I think means convenience or convenient. Perhaps a confectionery icon/mascot?
Maybe someone can field this mystery to Linda/Gojigirl I bet she knows the scoop.
After staring at it for a while I'm pretty sure it says ハナコつおい (Hanako is strong).
The Moog and ultrakaiju like this.
Looking at the photos in that ebay listing it very well may be from before 1980 with that type of wiring unless it was made in Korea, which is always possible too.
I thought the price was $55.00 not $555.00 so I can see more weight to Steve's comment on the price. Can not imagine anyone paying half a stack for that item.
Bob and rattanicus like this.
I think these were 80's, Mooning Man (Looknies). Press the bulb and he pulls his pants down . . .
Lttr Prssd and rattanicus like this.
Its a knock-off and is quite old.
1950's squeakers. Another Combex cat (Yellow) and a beautiful Kitty / Duck ball (Not sure who made it).
I hardly ever find vintage squeakers MIB with the header card, so this was a real treat.
50p at a boot sale. Most probably 1950's but maybe 60's.
rattanicus and Lttr Prssd like this.
The earliest Mettoy advert i've seen for Sunshine vinyl toys was 1956, the same year Mettoy started Corgi Toys. I have seen advertising as late as 1964 but nothing with the Sunshine line after that date.
Thanks for the info! There's no makers ID anywhere on the toy, so without the header I would of had no idea it was 'Mettoy'.
This one was unusual for three reasons . . .
1. I had no idea Combex manufactured Kewpie dolls, and i've been collecting Combex for years.
2. Kewpie dolls don't usually have squeakers.
3. Kewpie dolls don't usually have a hanger at the top like a pendant.
5.5" high. Made in England.
Vintage Soviet bear, blow mold. Missing the tip of his nose.
£2 at a boot sale.
Bob, rattanicus and Kerk1 like this.
Blue Bunny. Probably a sweet/candy container. Its head is a nicely fitted stopper-type lid.
Fisher-Price 'Terry Tape Measure' from 1982. He was filthy, i gave him a good clean.
Nice Combex spoon to go with my Ledraplastic Knife / Fork.
Now i need a squeaky plate!
Grindingmachete, rattanicus, Bob and 1 other person like this.
Found another Pleasure Island Donkey for a song, and i couldn't resist a bargain. The new purchase is on the left and is made from slightly softer vinyl and is probably a bit newer than the other one. Either that, or the vinyl on the older one has hardened up a bit, but i don't think so, i think its just different vinyl. The older one has more paint sprays as well.
rattanicus and Bob like this.
25p in a charity shop.
Two recent cats (Pink one from a boot sale, the other from a vintage market stall).
kappa, shincartoon and Alebrije like this.


text:
Thu, 10/20/2011 - Sun, 06/03/2012
Turkey Breast (misbranding and ...)
KTF Protein Solutions Inc.
WASHINGTON, Oct 20, 2011 - Kuck's Turkey Farm, a St. Marys, Ohio establishment, is recalling approximately 2,325 pounds of fully cooked skinless turkey breast products. The products contain wheat and soy, which are not declared on the label, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today. Wheat and soy are known allergens.
The products subject to recall include:
Cartons containing 7- and 8-lb. packages of "AMISH HERITAGE "ROTISSERIE SEASONINGS" TURKEY BREAST."
The products subject to recall bear the establishment number "P-34592" inside the USDA mark of inspection on the package label, a sticker with sell-by dates from 10/09/11 to 11/28/11 on each package, and a case code of "62012" on each carton. The products were produced between Sept. 4, 2011, and Oct. 14, 2011 and were shipped to a distributor and a retail establishment in Ohio.
The issue was discovered by an FSIS inspector conducting a routine labeling review. FSIS and the company have received no reports of adverse reactions due to consumption of these products. Anyone concerned about a reaction should contact a healthcare provider.
FSIS routinely conducts recall effectiveness checks to verify recalling firms notify their customers of the recall and to ensure that steps are taken to ensure that the product is no longer available to consumers.
Consumers and media with questions about the recall should contact the company's manager, Karl Kuck, at (419) 753-2620.
Consumers with food safety questions can "Ask Karen," the FSIS virtual representative available 24 hours a day at AskKaren.gov. The toll-free USDA Meat and Poultry Hotline 1-888-MPHotline (1-888-674-6854) is available in English and Spanish and can be reached from l0 a.m. to 4 p.m. (Eastern Time) Monday through Friday. Recorded food safety messages are available 24 hours a day.
Ask Karen is available as an app for your iPad, iPhone, or Android mobile device, so you can take her with you to the grocery store, to the barbecue grill, or wherever you may have food safety questions. Go to m.AskKaren.gov on your mobile device's browser, or download the app for free from the Android app store.
Saint Marys, OH
M34592+P34592+V34592
Fully Cooked - Not Shelf Stable
Karl Kuck
Neil Gaffney
Alert history
FSIS provides updates as we become aware of additional products, distribution locations or other information important to the public.
June 15, 2020 - en |

redpajama_set_name: RedPajamaCommonCrawl


The politicians made several allegations against the DP on Saturday, citing matters including the phantom Arror and Kimwarer dam projects in Elgeyo Marakwet County and the suspension of the President's social media accounts over interference by some staff members.
On Saturday, a top ranking member of Dr Ruto's inner circle, who is part of the parliamentary leadership, told the Nation that on Friday night, he summoned a clique of trusted allies to his Karen home in Nairobi.
The agenda, the source said, was to review Mr Kenyatta's comments during a visit to Namibia that he will not spare even his closest political allies in the war on graft — a quote seen to target the DP.
The ODM leaders, however, accused him of using proxies to hamper the government's efforts against a vice that has crippled the country and subjected Kenyans to a myriad of challenges.
"I applaud the President for the courage he has as the head of state and his assurance that no one will be spared," he said on Saturday.
"It is shocking that some people have even infiltrated the social media accounts of the President and brought it down due to his commitment to fight graft," he said while campaigning for the party's candidate in the Ugenya by-election scheduled for April 5.
But Chief Of Staff Nzioka Waita explained that the President's Twitter and Facebook accounts had been deactivated for investigations.
"All official social media handles for the President have been temporarily suspended to allow for the necessary remedial measures to be undertaken," he said.
Oburu Oginga, an East African Legislative Assembly member of parliament, accused Dr Ruto of being involved in mega scams that have crippled Kenya's economy.
"Ruto should sympathise with the ordinary Kenyans and stop handling public resources with reckless abandon.
"It is unfortunate of him to belittle the money involved by reiterating that only Sh7 billion could have been lost when over one million Kenyans are facing death due to starvation," he said at a political rally at Awendo Township in Ukwala, Siaya County.
It has been said that Sh21 billion was lost in the dam projects deal but the DP has denied this, saying "it is impossible" that the government lost that much and that the correct figure was Sh7 billion.
Homa Bay Senator Moses Kajwang' said there was sufficient evidence to prosecute individuals involved in the dam scandals and others.
"We are now calling on President Kenyatta to take action against any public servant who has been involved in any kind of corruption, knowing that Kenyans are behind him," he said.
"The DCI is within his mandate to investigate all criminal activities and economic crimes. Mr Kinoti should not be intimidated," said Mr Mbadi.
Citing the National Cereals and Produce Board, Kenya Pipeline, Kenya Airports Authority land and the dam scandals, the Suba South MP said the Deputy President's allies have been linked to scandals.
"One is either a thief or benefitting from the proceeds of theft when he is constantly defending thieves," he said.
"If you see a tortoise on a table, you should ask yourself who placed it there. It is not a secret that Mr Ochieng is being pushed by our opponents," he said. He did not elaborate.
Nyatike MP Tom Odege said a vote for Mr Karan would give Mr Odinga a bargaining chip and help reinforce his 'handshake' with President Kenyatta.
"We should not vote for a family party which we cannot hold to account," he said in reference to the Movement for Democracy and Growth (MDG), whose leader, Mr Ochieng, successfully challenged Mr Karan's victory.
Just like the High Court and the Court of Appeal, the Supreme Court in December 2018 upheld the decision to nullify Mr Karan's election, citing electoral malpractices.


text:
Gianforte votes to renew LWCF; challenger Williams questions his commitment
By Martin KidstonSeptember 13, 2018
September 13, 2018 By Missoula Current
Montana Rep. Greg Gianforte on Thursday voted to reauthorize the Land and Water Conservation Fund and address the maintenance backlog at America's national parks.
Gianforte credited the Trump administration's goal of doing the same during a meeting of the House Natural Resources Committee, and urged his fellow committee members to move the legislation forward.
"Yellowstone and Glacier National Park continue to draw people from around the world to Montana," he said during the hearing. "This bill will provide the funding to preserve these areas for future generations."
Gianforte said the Department of Interior's backlog of deferred maintenance stands at $16 billion. That includes around $11.6 billion for the National Park Service.
Gianforte said he was also encouraged to see legislation reauthorizing the Land and Water Conservation Fund move forward.
Without passage by Congress, the fund will end on Sept. 30 and take with it a program that has invested in 42,000 projects nationwide to expand public access and recreation while preserving ecosystems.
Gianforte said he worked across party lines for the fund's permanent reauthorization and has voted for it twice previously.
"Susan and I raised our children hunting, fishing, and backpacking on our public lands, which are central to our Montana way of life," Gianforte said. "I know how important LWCF is to Montana, and I support its permanent reauthorization. I will continue being a strong voice for the LWCF as it helps preserve and expand Montanans' access to our public lands."
Kathleen Williams, Gianforte's Democratic challenger in Montana's House race, also supports the fund. She questioned Gianforte's long-term commitment to public lands, despite Thursday's vote.
"LWCF reauthorization is one thing, but funding is another," Williams told the Missoula Current. "Congressman Gianforte voted twice this year to reduce funding for LWCF. Unlike him, Kathleen Williams supports permanent reauthorization as well as full funding of LWCF. She has a proven record of fighting for real solutions that protect and conserve Montana's public lands for everyone."


text:
K̲, ou K trait souscrit ou K souligné, est un graphème utilisé dans l'écriture de l'oneida. Il s'agit de la lettre K diacritée d'un trait souscrit ; trait qui peut s'associer à celui que peut comporter la lettre précédente ou suivante comme si elles étaient soulignées d'un seul trait. Il n'est pas à confondre avec le Ḵ, K macron souscrit.

Utilisation
En oneida, le K souligné est utilisé dans les syllabes murmurées soulignées en fin de mots.

Représentations informatiques
 Unicode (commandes C0 et latin de base, diacritiques) :

Notes et références

Sources

Voir aussi
 Écriture latine
 K (lettre)
 Soulignement
 Trait souscrit

Lettre K diacritée
Lettre latine comportant un trait souscrit

redpajama_set_name: RedPajamaWikipedia


text:
https://www.healthcentral.com/article/classifying-multiple-myeloma
Thriving with Multiple Myeloma
Classifying Multiple Myeloma
Multiple Myeloma Research Foundation
This article first appeared on the Multiple Myeloma Research Foundation website and is reprinted here with their permission.
Multiple myeloma is classified into one of three categories. Classification of multiple myeloma is important because immediate disease-directed treatment is needed only for symptomatic myeloma. Knowing your classification is very important in deciding when it is appropriate to begin treatment. Classification also plays an important role in determining the stage of multiple myeloma.
The three categories of multiple myeloma are:** 1. Monoclonal gammopathy of undetermined significance (MGUS)**
MGUS is a benign condition that can lead to multiple myeloma. Approximately 1.5% of persons older than 50 years and 3% of the population older than 70 in the U.S. are living with MGUS. It involves an excess of M protein, but the plasma cells have not formed a tumor or multiple lesions, no symptoms have occurred, and other criteria for a myeloma diagnosis are absent. MGUS itself is benign, but over many years, approximately 16% of individuals with MGUS will progress to a malignant plasma cell disorder, such as multiple myeloma.
Serum M protein level is < 3 g/dL (less than 3 grams per deciliter)
Percentage of plasma cells in the bone marrow is < 10%
Absence of anemia, renal failure, hypercalcemia, and ostolytic lesions
2. Asymptomatic myeloma (further subdivided into smoldering myeloma or indolent myeloma)
Individuals with smoldering myeloma (asymptomatic myeloma) have a slightly increased level of M protein and a slightly increased number of plasma cells in the bone marrow. Smoldering myeloma is characterized by a lack of multiple myeloma symptoms. Patients may have mild anemia and/or a few bone lesions, but they do not have renal failure and frequent infection, which characterize the active form of the disease. Instead, myeloma is static and may not progress for months or years. Asymptomatic multiple myeloma includes both smoldering multiple myeloma and indolent multiple myeloma.
The characteristics of smoldering multiple myeloma include:
Serum M protein level of ≥ 3 g/dL and/or ≥ 10% plasma cells in bone marrow
Absence of anemia (although slight anemia may occur), renal failure, hypercalcemia, and osteolytic lesions
The characteristics of indolent multiple myeloma include
Level of M protein in the serum and/or urine, ≥ 3 g/dL and stable over time
Percentage of plasma cells in bone marrow, > 30%
Mild anemia or a few small osteolytic lesions
Lack of symptoms
Individuals with asymptomatic multiple myeloma have "close follow-up" (also called observation), with visits to the physician and/or testing approximately every 3 months. Treatment with bisphosphonates is started for individuals who have osteolytic lesions, osteoporosis, or osteopenia. Treatment directed at myeloma is started once the disease has progressed to symptomatic myeloma. Participation in a clinical trial is also encouraged.
3. Symptomatic myeloma
When present, symptoms of multiple myeloma may be vague and similar to those of other conditions. Some myeloma symptoms are more common than others, and less common symptoms may be the result of complications that may occur. Treatment of symptomatic multiple myeloma includes immediate treatment with myeloma drugs, bisphosphonates for patients with bone loss, and options for clinical trials.
The characteristics of symptomatic multiple myeloma include the following:
Elevated levels of M protein and plasma cells in the serum and/or urine
Percentage of plasma cells in bone marrow, >30%
Osteolytic lesions
Please take a moment and consider donating to the Multiple Myeloma Research Foundation (MMRF). Follow this link and donate what you can.
The MMRF fights for a world where every person has precisely what they need to prevent or defeat multiple myeloma whenever they need it.
Tags:Diagnosis, Newly Diagnosed