Patients can find mutual support through activities, as well as the sharing of personal experiences and challenges. Patients may consider joining the Amputee Support Group, founded by Ang Mo Kio-Thye Hua Kwan Hospital, Care and Counselling Department and Tan Tock Seng Hospital Rehabilitation Centre. Caregivers are also taught to look out for signs of depression that may include emotional instability, unwillingness to communicate, worsening physical conditions, and a general sense of hopelessness or apathy towards medical conditions.Ĭommunity support can also help with the recovery process. They provide wound care if patients are unable to do so, and physical assistance so they can move around, as well as emotional support. “He immediately made plans to make their home wheelchair-friendly and was most encouraging during his wife’s rehabilitation journey.”Ĭaregivers are the primary companions who journey alongside patients in the recovery process. Dr Chandrasekar cites the example of a patient who was “extremely positive” despite the prospect of losing her leg, as she had a very supportive husband. How far patients can go depends on their own motivation and social support from families or caregivers. “Depending on the extent of the amputation and the patient’s physical ability, it is possible to reintegrate into the community, or even return to work,” says Ms Rie Nagai, Senior Prosthetist/Orthotist at the TTSH Foot Care and Limb Design Centre. They must also learn to walk with their prosthetic limbs, and training can take up to eight physiotherapy sessions. Patients who require prostheses will undergo training for strengthening, balance and mobility exercises. Some disciplines involved in recovery include: The goal is to help patients regain some form of independence. Post-operation patients are looked after by a multidisciplinary rehabilitation team which focuses on helping patients manage their diabetes more effectively, as well as improving their mobility. “Having the rehabilitation team explain how we can help patients regain some mobility and independence gives them hope to push forward following their operations,” says Dr Chandrasekar.Ī Collective Effort - Recovering from Limb Amputations Doctors, physiotherapists and prosthetists/orthotists also help to map out potential rehabilitation plans based on the patient’s personal goals after an operation. In cases where an amputation is unavoidable, the healthcare team provides pre-operation counselling and psychological support. Unfortunately, most patients only come to the hospital as an emergency after their wounds become severely infected and sepsis has set in,” he explains. “Early detection and treatment are critical in preventing amputations. Vascular surgeons only consider major amputations - removal of the leg above or below the knee - as a last resort after wound treatment or limb-salvage techniques are unsuccessful, says Dr Glenn Tan, Consultant for Vascular and Endovascular Surgery at TTSH. According to research by the National Healthcare Group (NHG) Health Services and Outcomes Research (HSOR) department, Singapore has one of the highest rates of lower limb amputations due to diabetes, in the world. The Ministry of Health estimates that four amputation procedures are carried out daily in Singapore. Dead tissue must then be removed to prevent further spread of infection and blood poisoning. This toxic combination leads to a high risk of untreated sores on their feet, which can get infected and eventually turn gangrenous. Patients are also often unable to feel pain. Severe diabetes causes damage to nerve and blood vessels, resulting in loss of feeling and poor circulation. Limb amputations are usually necessary for patients with poorly-controlled diabetes. “Many lose hope that they will ever be able to live a meaningful life again after amputation.”Ĭomplications Resulting from Poor Diabetes Management ![]() “Patients struggle most with the potential loss of independence after losing a limb, so their first instinct is to reject the operation,” says Dr Sadhana Chandrasekar, Senior Consultant and Vascular Surgeon at Tan Tock Seng Hospital (TTSH)’s General Surgery Department. Others are unable to accept the thought of an amputation and refuse treatment altogether. ![]() One patient refused to look at her amputated limb for weeks and only allowed the healthcare team to dress her wound if her leg was shielded from her sight with a blanket.
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Locate the Middle C with the first finger on your right hand. So it’s called the Middle C not because it’s in the middle of the piano keyboard, but because it’s directly between the two staves that make up the grand staff. The Middle C is notated below and above these musical staves, respectively, thus why it’s found right in the middle of a grand staff. The treble clef is used commonly for notating music on the piano’s right-hand side, while the bass clef is used primarily for the left-hand side. The staff combines the bass and treble clef within a bracket. The “middle” part of the Middle C has to do with its location on the grand staff, where piano music is typically notated. So why is it called the Middle C if it isn’t exactly in the middle? The answer requires further discussion. There won’t be two notes covering the middle point this time around but a single key in the form of the F sharp. Repeat this on a 61-keyboard key and see what you discover. For instance, there are two notes on the middle of an 88-keyboard, and not one of them is the Middle C. While the Middle C is somewhere in the central part of the keyboard, it’s not exactly in the center. Do this at least a few times each day until you no longer need the label. Practice finding the key by standing up, walking to the other side of the room, and walking back to the piano to locate it. So whether the Middle C is in the 88th or 61st key. Piano keys can be labeled, and you may want to mark this on yours for more accessible learning. On the outer left-hand side of a group of dual black keys in the piano’s center lies the Middle C. ![]() This setup leads to easier technique development. You will notice that the keys are arranged in a pattern where black keys are organized into groups of two and three. Observe the keyboard for a minute or two. If you’re looking for the Middle C, you should find there’s nothing to it. Where is the Middle C Found on the Piano? So the first order of business is finding the middle C and identifying the rest of the keys from there. A sheet of notes can sometimes read like gibberish, so it helps to have an easier way to determine note placement. The Middle C is often the foundation for learning the piano for a child learner. “I haven’t had a phone call, and I’m just operating under the assumption that it’s business as usual,” Hawley said. Hawley told Rotten Tomatoes that the film is still on track, so that’s another Marvel film that could happen before or after the Disney merger. In fact, Legion creator Noah Hawley is writing a script for Doctor Doom, a solo film about the Fantastic Four villain. Other Marvel projects are still in development at Fox. 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Lauren Shuler Donner, who produced all the X-Men movies, is executive producer on TV shows The Gifted and Legion, and will surely have some say in the franchise’s next steps, offered fans a ray of hope. The prospect of Disney owning 20th Century Fox’s film studio and Fox television properties is exciting for X-Men fans, who called for the franchise’s films to join with the Marvel Cinematic Universe of The Avengers, Guardians of the Galaxy, and Doctor Strange when the deal was announced. ![]() We take a unique spin on the vanilla gameplay with a combination of plugins and custom coded and designed features. We recently updated to 1.16 and are developing a strong community of players.
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Extremely limited Celebrity Meet & Greet passes are also available for $50 (per-person, must be purchased in conjunction with admission). 5:00 pm - Celebrity Red Carpet & Press Interviews 5:30 pm - Celebrity Meet & Greets Special Guests: Paul Sr Orange County Choppers & American Chopper Television Series Nate Boyer Green Beret, Former NFL Player, and Actor Music Lineup: Crossfire Creek Dave Bray USA Sarah Lake Jimmie Allen Individual tickets, four-person reserved tables, six-person reserved tables, and six-person reserved fire-pit tables are available for purchase starting at $100.00. American Chopper Argument American Chopper was a reality TV show featuring Orange County Choppers, a custom motorcycle company in New York. ![]() Filmed by Operation Healing Heroes aired on Discovery Channel and other national networks. 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Repeated words/ideas, reference words, transition signals, substitution, and ellipsis are some of the techniques which can be used to achieve cohesion while topic sentences, thesis statement, the summary are the techniques used to achieve coherence.Proper placement and arrangement of the pieces will only ensure the formation of the picture. Even if the shape and size of parts fit correctly does not conclude that the picture is correct. It can be understood with the help of one more example of puzzling pieces that are connected to form a particular picture.But coherent content is always cohesive as it is the arrangement of cohesive sentences together to put up a meaningful and understandable article. The cohesive content doesn’t need to be always coherent. The cohesion properties focus only on the grammatical and lexical structure of sentences, while coherence deals with the semantics. ![]() In our above example, when the bricks( cohesive objects) are organized together, then only the building(coherence) is constructed. But when these sentences and paragraphs are put together to form our writing, then the coherence is determined with the help of parameters like the organization of the cohesive components and connection of the ideas and understandability of the content as a whole. Similar is the case with sentences and paragraphs is they are grammatically correct and represent a certain idea. Bricks are internally strong because their content is stick together. The building represents coherence, while the bricks represent cohesion. Let us see with the help of an analogy of a building.Let us discuss some of the major key differences: Retrieved Oct.Key Difference Between Coherence vs Cohesion So while attempting a piece of writing the effort should be to maintain unity between each and every phrase, each and every sentence and each and every paragraph. If there is no coherence even in a single paragraph of an essay, the entire essay suffers. To strengthen a point without making it irritating the writer should use synonyms of the same word. However to avoid making the paragraph look boring due to the repetition of the same word again and again, it should be used intelligently and only where it is really required. On the other hand, repetition of key words help in feeding the readers’ minds with the main point that the paragraph wants to convey. These are words and phrases like – for instance, for example, however, finally, also, on the other hand, to summarize, but, to conclude, therefore, hence etc. The transitional words and phrases are the connectors that join two ideas. ![]() Two writing tools that are helpful in maintaining coherence in a paragraph are – ‘transitional words and phrases’ and ‘repetition of key words’. This characteristic makes a piece of writing highly readable and interesting because just like all the sentences of a single paragraph, it also ensures that there is a link between all the paragraphs of the entire essay and there is a smooth flow of ideas from one paragraph to another. ![]() This is the reason why coherence is referred as the ‘mortar’ of a paragraph. All the sentences of a paragraph should compliment each other and appear to be different ways of putting forward a single point without making the sentences redundant. According to Walters, “Literally, the word means ‘to stick together.’” (para.1) Coherence ensures that each paragraph sticks to a single idea. Coherence plays a significant role in making a piece of writing effective. ![]() But I would flat out say the jump-jets as they are now are definitely worth the time to obtain and build. I'm going to go do some more actual testing now, since the topic intrigues me. Plus it reminds me of the old school 'Bionic Commando' game, a childhood favorite. It is tricky but not that hard, and the trick itself works way better with the jumpjets since on a single charge you can cross hundreds of meters. If you get decently good enough you can reach, maybe exceed, the speed of a Seamoth. With the grapple hook and jump-jet combo you can actually 'flutter' your jump-jet use to allow you to use the pull of the hook to propel yourself along the sea. Plus on that note, the jump-jets are more efficient with their thrust. While there is terrain that you just will really want the grapple hook for you will have to spend less time latched onto the side of a hill waiting for your thrusters to recharge since you get more out of every jump. Which is pretty nice when trying to scale deep holes or just the terrain in general. In general I get 100m jumps with the jump-jets, if you take even the low ball of 30% that is 30m extra per jump. While I have to make a more in depth experiment. If you park a cyclops nearby you again don't need both either. If I am just going into the underwater caves you can go with either one only and be fine. If I am exploring in the underwater island area without a cyclops nearby I would want both in case I miss a jump. Whether or not you need the grapple hook depends on the situation. Anyone else tried it? I agree that the PRAWN should not be faster than the seamoth but i do believe its vertical propulsion should have significant power to ascend, even if it is only short lived and at the expense of power drain. ![]() Still.im curious now to see if it does stack. Especially when there is much lower light on -400m.Īh i see, bummer, i got excited there for a minute. It is annoying to work in depth and not seeing where you go. The only thing I would like to see boosted is the PRAWN sonar or smth like that and boosted lights. In any case IMHO PRAWN suit shouldn't overlap Seamoth in a speed and agility. With it I could jump to low side of Floating Island from the depth and by using grapple hook jump on it. Then you can make a run for sulphur and craft jet module which really boosts your PRAWN. Much of speed you earn with grapple hook. For me there is "in-built jet" which isn't a module but a property of PRAWN, any way you can use "spacebar" for low jumping. Talissera, you mentioned that you can add a 2nd Jump jet mod, are you saying that they stack? Because if it does, that would solve the lack of power problem You need PRAWN only in River and Lava where you will travel with Cyclops because these location designed for it, they are very big and require long journey (more then two standard salt reginalds). You can use your Seamoth (with 3lvl compensator) and Seaglide to obtain Sulfur in Lava location (which is under Deep Grand Reef) and make your 2nd Jet which is far more powerful.Ĥ. Stock in-built jet can bring you back to Cyclops.ģ. You have Cyclops which can transport your PRAWN from location to location. Its purpose is for quick travel without hard work.Ģ. Yep, it's a tricky to use stock PRAWN chassis but. Now i know it is not meant to propel you into the sky like an F-16 on full afterburn but still, I would expect it to negate the need to use the Grappling hook after upgrading to the jump jet, even at the expense of power drain, sadly that is not the case. Switch to the jump jet Mod and I would say it might give you additional thrust equal to 30%-40%. ![]() I mean lets say the power from standard thruster out of 100% might be equal to say 10%-15% of thrust. So i finally crafted the jump jet mod for the PRAWN last night, and I must say i was a little disappointed. By using a drill and a 1-inch hole saw, drill out holes on the marks. Put the Dutch buckets on the table and decide on spacing mark the placement of the drains for each bucket on the drain line.Cut PVC down to 8 feet or length of the table, leaving room on the end for the end cap and elbow.Build a hydroponic Dutch bucket system How to Build Dutch Bucket Hydroponic System. You should not miss the How to Grow Hydroponic Swiss Chard. And each part of the system has variations to suit grower needs. Drippers control the flow to each bucket, and the solution runs through the media and drains out of the bucket. ![]() A reservoir pump runs particularly formulated nutrient solution through a straight line over the buckets. The design of Dutch buckets systems is simple, with multiple variations on irrigation and equipment. Mistakes to avoid while growing plants in a Dutch bucket systemĭifferent variations on Dutch bucket hydroponics design.Growing media for Dutch bucket hydroponic system.Optimal pH for Dutch bucket hydroponic system.In this article we also cover the following topics Building a Dutch bucket system is simple, inexpensive, and easy to operate at any scale. Dutch buckets are an easy, approachable way to begin hydroponic (or aquaponic farming (although aquaponic Bato systems are more difficult). It can be used as a Hydroponic system and works great for aquaponics as well even though it is harder to set up.ĭutch buckets offer the greatest versatility in growing different plants due to its customizable features and flexibility in arrangement and can be used for both hydroponics and aquaponics. The Dutch Bucket is, by all means, an effective yet easy to set-up for any indoor hydroponic and outdoor hydroponic growers. It differs in the way it looks, but still, operates on the same principle and the nutrient is forced onto the bucket (that replaces the tray) then automatically drains back to the reservoir at regular intervals. ![]() ![]() This is a variation of the Ebb and flow (or Flood and Drain) method. A step by step guide to Dutch bucket hydroponics They can be used with a large variety of different growing mediums, whether filling the whole bucket with hydroton clay pebbles or using lids with 4 inches net pots. They are affordable, versatile, and reusable and are easily connected together making a Dutch Bucket system endlessly expandable. Dutch buckets are one of the popular ways to grow big plants using hydroponics. Introduction: Hello gardeners today we are back with a very good information of Dutch Bucket Hydroponics. ![]() I highly recommend the french fry option, and the yogurt sauce doubles as an excellent fry dipping sauce. ![]() What to Serve With ShawarmaĪs a popular street food, shawarma is often served wrapped up with french fries. The fresh veggies and yogurt sauce are not good candidates for freezing. Frozen pita should be used as soon as possible because it will dry out the longer it’s kept in the freezer. To store leftover pita bread, wrap in foil, freeze in a freezer bag, and defrost on the counter or in the microwave, sprinkled with a bit of water. Freeze both in air-tight containers and keep up to 4 months. The cooked chicken thighs freeze well and the onions can be frozen, but will have a softer, slightly mushy texture after reheating. You can freeze some of the ingredients for shawarma. To change the recipe yield, hover over the serving size in the recipe card below or click if you’re on mobile, and slide the slider. This recipe doubles with no preparation changes needed. When you’re ready to serve, reheat the meat and onions, assemble the shawarma, and enjoy. You can cook the meat and the onions and cut all the veggies up to two days in advance. They will take longer to cook than chicken thighs, but should still be cooked to 165☏. ![]() Pound 2 medium chicken breasts out to an even thickness (check out my post how to cook chicken for salads and sandwiches if you want step-by-step photos of this process) and then marinate them and follow the recipe as written. While I prefer chicken thighs for shawarma, you can use chicken breasts here. FAQ Can I use chicken breasts instead of thighs in shawarma? If you have any leftovers, you can thin the sauce with a bit of milk and use it as a creamy dressing for your lunch salad the next day. It’s a perfect light and tangy topping that really complements the rest of the flavors in the shawarma.Īnd if you prefer a richer shawarma sauce, stir a couple spoonfuls of mayonnaise into your sauce, which adds a really satisfying richness (and makes the yogurt sauce even better on fries if you’re serving some as a side). This garlic yogurt shawarma sauce is just unsweetened yogurt, a bit of lemon juice, garlic, and salt and pepper.
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