In patients with bipartite patella this pull is usually on the bone of the bipartite fragment of the upper, outer patella. Simply cutting the vastus lateralis attachment reduces the constant pull on the bony fragment. Healing of the two bony fragments may occur as a result of the decreased tension.
A QMP is a DA-level bar to reenlistment affecting senior NCOs and not intended to berehabilitative. It means you have been identified through a DA screening program as failing tomeet the Army standards for performance, conduct, attitude, and potential for advancement..
In nuclear physics and chemistry, the Q value for a reaction is the amount of energy released by that reaction. The value relates to the enthalpy of a chemical reaction or the energy of radioactive decay products. It can be determined from the masses of reactants and products. Q values affect reaction rates. In general, the larger the positive Q value for the reaction, the faster the reaction proceeds, and the more likely the reaction is to favor the products.