An acromioplasty involves shaving of the undersurface of the acromion. The acromion is a projection of bone extending from the shoulder blade out over the top of the shoulder joint and provides attachment for muscles around the shoulder including the trapezius and deltoid muscles.
The reason DaimlerChrysler's Global Electric Motorcars (GEM) subsidiary can be in business is the National Highway Traffic Safety Administration's 1998 creation of the Low Speed Vehicle (LSV) standard. LSV is sort of a cheat, a way to make electric vehicles viable by eliminating every obstacle in their way.
GemStone IV is a text-based game built on Simutronics' proprietary engine, the IFE (Interactive Fiction Engine).This engine is capable of changing nearly any aspect of the game on the fly which allows updates without the necessity for downtime, a problem of many graphical RPGs.emStone IV is a text-based game built on Simutronics' proprietary engine, the IFE (Interactive Fiction Engine).