![]() WarrantyĪs you look for a company to install your new gutters, be sure to compare not only the price but also the workmanship guarantee offered by different gutter contractors. Other potential upgrades include screens for downspouts, splash guards, and heat tape. The exact price will depend on the type of gutter covers you choose. For instance, installing gutter guards, also known as leaf guards, can cost anywhere from $600 to $4,300 for 200 linear feet. Add-OnsĪny upgrades to your gutter system will increase the overall cost of your gutter project. You can expect to pay $60 to $80 per hour or $2.50 to $7 per linear foot. A gutter company might set an hourly rate to install gutters, but most charge per linear foot. Costs vary depending on where you live and the materials involved. In addition to the material costs mentioned above, you should factor labor costs into your budget. The following table breaks down the average installation cost range for major gutter styles, accounting for materials and labor. Each of these styles has corresponding sizes, which affect the cost of your gutters. Gutters come in many designs, from the standard K-style to half-round and box. While material choice plays the largest role in the cost of your gutters, their style and size will also affect your price tag. ![]() For example, a standard gable roof has two slopes that meet at a crest in the center and will require less guttering compared to a hip or cross-hip roof, which has four slopes meeting at a crest with one or multiple sections that intersect. Differently designed roofs have larger surface areas or multiple tiers, increasing the total amount of gutters required to drain properly. Your roof’s shape and design affect how much guttering it needs. A professional gutter installation company will measure the size and dimensions of your roof to determine the amount of guttering you’ll need. Installing copper seamless gutters could cost between $5,800 and $8,000 for 200 linear feet of guttering. If you choose aluminum seamless gutters, the project could cost between $1,400 and $2,000 for 100 linear feet of materials and labor. Most average-sized American roofs require between 100 to 200 linear feet of guttering. The larger your roof, the more linear feet of guttering you’ll need. *Price ranges included in this article are based on various cost reports, including homeowner projects aggregated by HomeAdvisor and Fixr. Many companies offer a 20-year or even lifetime warranty on materials. You may need to clean them more often if your yard has many trees.īe sure to check the warranty on whatever gutters you choose. Experts from companies such as HomeCraft Gutter Protection and LeafFilter recommend cleaning regular gutters at least twice per year-once in the fall and once in the spring. Leaks and clogs may develop along the seams, too. The sealant the installer applies to the seams of regular gutters must be reapplied every few years. You can find pre-cut gutters in most home improvement stores. Unlike seamless gutters, you can install regular gutters yourself. Contractors must join and seal these sections on-site. Regular GuttersĬontrary to seamless gutters, manufacturers pre-cut regular gutters into sections of different lengths. Seamless gutters often perform better and last much longer than their sectional counterparts. Because they have fewer parts, less can go wrong. Seamless gutters require less maintenance than regular gutters, especially if equipped with high-quality gutter guards. The contractors who install seamless gutters cut the material on-site with a special machine to ensure a custom fit. You cannot find seamless gutters in stores instead, a professional must install them. Manufacturers produce seamless gutters as one long piece of material. Below is a breakdown of how seamless and regular gutters differ.
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Hip-hop music is the one of this list that influenced the trend of stacking. Streetwear itself has a long list of influences which include skate and surf culture, hip-hop music, sports, haute couture, and K-Pop. These cultures set the scene and spark for the swift-spreading fire that is the popularity of stacked denim. Today, we live in an era where trendsetting and influencer culture is huge. Initially, the style emerged as a super-fly way for celebs and fashion enthusiasts to show off their designer sneakers or boots. They’ve been around for even longer than that, and have increasingly become popular again in recent years. Stacked jeans became popular in urban fashion and streetwear in the late 2000s and early 2010s. So you can ditch the oversized jeans for well-fitted pieces that still stack perfectly! Who Invented Stacked Jeans? Luckily, stacked jeans are now being made as a distinct style of denim on their own. The look was most commonly accomplished with slim or skinny jeans, or at least jeans that were fitted in the thigh area. Originally, stacking could be achieved with any type of denim. This is what creates the famous layered or “stacked” effect. ![]() The excess denim fabric that extends past the ankle is then bunched up below your knee and on top of your shoes. the measurement of your inner leg length from your crotch to the bottom of your ankle). The “stacked” look is usually achieved by wearing jeans that are a size or 2 longer than your actual inseam length (i.e. Stacked denim is a unique style of wearing jeans that are longer than your traditional jeans. ![]() We’ll also take a look at the origins of stacked jeans and the best place to get you a pair (or five) today! What are Stacked Jeans? And so you’re here to get the full scoop on exactly what they are.īut beyond that, we’re also going to be dishing out all the best ways to style stacked denim today. You’ve probably seen the popular streetwear style on hip-hop icons like Kanye West and Lil Baby. ![]() You know of skinny jeans, regular fit jeans, and ripped jeans. ![]() The Washington legislature has recognized these harms and allow victims to recover even decades later. Individuals who have been abused as children have known difficulties with addiction and the inability to have sustaining relationships into adulthood. Victims of childhood sexual abuse often do not realize how their work, family, intimacy and personal life have been impacted. Most victims of childhood sexual abuse are well aware that they were abused as children but have not connected all of their physical and emotional injuries to the perpetuated acts. Recovering for Childhood Sexual Abuse Decades Later The legislature specifically anticipated that victims may know they are suffering emotional harm or damage but not be able to understand the connection between those symptoms and the abuse. Instead, it specifically focuses on when a victim of sexual abuse discovers a causal link between abuse and injury for which the suit is brought. More recently, the Court of Appeals in Washington has stated that the special statute of limitations that tolls civil claims based on intentional childhood sexual abuse is unique in that it does not begin running when a victim discovers an injury. Statute of Limitations for Childhood Sexual Abuse in Washington “Indeed, as our Legislature has found, childhood sexual abuse, by its very nature, may render the victim unable to understand or make the connection between the childhood abuse and the full extent of the resulting emotional harm until many years later.” Cloud v. “The special statute of limitations, RCW 4.16.340, indicates that it is not inconsistent for a victim to be aware for many years that he has been abused, yet not have knowledge of the potential tort claim against his abuser.” Id. “Legislative findings supporting this statutory discovery rule state the Legislature’s intent ‘that the earlier discovery of less serious injuries should not affect the statute of limitations for injuries that are discovered later.’” Id. “The three year statute of limitations on a claim arising from an act of childhood abuse does not begin to run at least until the victim discovers ‘that the act caused the injury for which the claim is brought.’” Miller v. The Supreme Court has noted that the Legislature’s purpose in enacting RCW 4.16.340 was to provide a broad avenue of redress for victims of childhood sexual abuse. Washington Courts have consistently ruled in favor of victims and against those that have committed childhood sexual abuse or were in a position to stop the abuse. ĭelayed Symptoms of Trauma in Childhood Sexual Abuse in Washington Washington Law Center provided a breakdown of the insights and impacts on that decision and can be read here. In 2023, the Supreme Court of Washington issued a monumental decision for this that helped clarify the statute of limitations against negligent entities. Often times, it takes a forensic evaluation from a psychologist to determine whether a victim is aware of the harm that was caused by early childhood trauma from sexual abuse.įor legal action against an entity, such as a school, after the victim of childhood sexual abuse turns 18, the case must be executed within three years of when the victim was made aware that the act of abuse caused their injury and those injuries were caused by such entity’s negligence. Substance abuse, panic attacks, anxiety and sexual dysfunction are just a few examples of injuries that can come from childhood sexual abuse. We know abuse has serious emotional impacts on you as child but there is no way to predict how it manifests throughout the rest of your life. The Washington legislature in RCW 4.16.340 increased the time for a victim to bring a cause of action.įor legal action against the abuser, after the victim of childhood sexual abuse turns 18, the case must be executed “within three years of the time that the act caused the injury for which the claim is brought.” Therefore, even if a victim remembers the abuse the statute of limitations does not begin until they make the clear connection between the act of abuse and the injuries it caused. The statute of limitations for childhood sexual abuse in Washington is much broader than one would expect.Įssentially, there is no definable time limitation when it comes to childhood sexual abuse cases in Washington State. ![]() ![]() On the Site permissions / JavaScript screen, use the toggle switch to enable and disable JavaScript.īy default, JavaScript is enabled in the Microsoft Edge Legacy browser.Under the Site permissions section, click the box labeled JavaScript.On the left side of the screen, select Cookies and site permissions.At the bottom of the Settings and more menu, select Settings.In the upper-right corner of the screen, click the icon.To enable or disable JavaScript in Edge, follow these steps. To re-enable JavaScript, repeat these steps, changing false to true.The true value changes to false to indicate JavaScript is disabled. For the javascript.enabled search result, click the Toggle icon on the far right.In the Search preference name text field, type javascript.enabled.Click the Accept the Risk and Continue button in the center of the screen.In the address bar, type about:config and press Enter.To enable or disable JavaScript in Firefox, follow these steps. Then, type or paste the URL (uniform resource locator) of the website that you want to allow or block JavaScript. In the Allow or Block section, click the button. Under Default behavior, click the Sites can use Javascript radio button to enable JavaScript, or click the Don't allow sites to use Javascript radio button to disable JavaScript.Īllow or block JavaScript on specific websites.Under the Content section, click the JavaScript option. On the Site Settings page, scroll to the bottom of the screen.On the left side of the screen, click Privacy and security.Select Settings from the drop-down menu.In the upper-right of the Chrome window, click the icon.To enable or disable JavaScript in Google Chrome, follow these steps. ![]() Browse through our online catalog of stylish yet affordable women’s maxi dresses today and find that perfect ensemble for life’s important moments. Our designs will make you stand out from the crowd. Whether you’re looking for a piece to wear to a classy event or a playful look for an outdoor party, Tobi’s got you covered. We also have floral maxi dresses if you like graphic prints and maxi dresses with sleeves when days get chilly.īuy Fashionable Maxi Dresses for Women Today ![]() And for a casual, daytime look, you can wear a Tobi maxi dress with a sling bag and a stack of bracelets to add a boho-chic flair to your outfit. You can also pull off a dressed-down beach look by pairing our maxi sundresses with flip-flops and hats. Need something to wear for formal events? Pair our solid-colored pieces with matching pumps and stylish metallic accessories. Tobi’s maxi dresses for women are available in various necklines, colors, and patterns, allowing you to style them in a way that reflects your personality or mood for that day. But when it comes to styling this outfit, knowing how to do so is key to staying fashionable. Wearing and styling a maxi dress is a breeze that’s why it’s become a mainstay in women’s fashion. These range from daytime fashion to special nights out.įlaunt an Effortless, Ladylike Edge with a Maxi Dress You can either dress them up or down, or put them on for various ensembles. Maxi dresses can also be styled in myriad ways and appropriate for every occasion. They also look good on every body type, from petite to plus-size figures. Our outfits come in different fabrics, colors, and patterns, so you’re free to choose any design you want. Shop Free People’s selection of black & white maxi dresses, floral maxi dresses & lace maxi dresses. Every piece offers the perfect fit and versatility you need to go about your day without any hassle. Our maxi dress collection has a flowy and floor-grazing appeal that won’t go unnoticed. We design clothes that are not only gorgeous and sexy, but also effortlessly cool and comfortable. Here at Tobi, we bring both function and style to our maxi dresses. We also have maxi sundresses that you can wear on hot summer days. Choose the perfect outfit from our extensive collection of maxi dresses for women, including halter and strapless pieces. ![]() No matter what style you’re going for, our ladies’ maxi dresses can make you a standout.įrom simple, solid-colored pieces to bold patterns and styles that can go from day to night, Tobi can point you to the piece that suits you best. Pair a maxi with a business suit or blazer and heels for an important meeting and you’ll instantly look the part. You can confidently wear one of these stunning pieces to an outdoor party, date, or night out - you name it. These outfits are comfortable but stylish, and trendy but timeless, making them fashion’s all-rounders. The softness of TENCEL™ Modal fibres last longer and is able to withstand repeated wash and dry cycles compared to cotton.If you’re looking to spice up your event, daytime, or work ensemble, Tobi has a fine line of maxi dresses that are perfect for any occasion, from casual to formal. Measurements and hand evaluations of softness show that TENCEL™ Modal fibres feel twice as soft as cotton. Owing to the fibres sleek cross section, TENCEL™ Modal fibres enhance the soft touch of fabrics even after repeated washing. Long lasting softness - Exhibiting high flexibility, TENCEL™ Modal wood based fibres offer textiles a long-lasting quality of exquisite softness. ![]() Certified safe - The STANDARD 100 by OEKO-TEX™ certification confirms that TENCEL™ Modal fibres have been tested for numerous regulated and non-regulated harmful substances and are harmless to human health.īotanic origin - TENCEL™ Modal fibres are mainly manufactured from the renewable raw material beech wood, sourced from sustainable forests in Austria and neighbouring countries.īiodegradable and compostable - TENCEL™ standard Modal fibres are biodegradable and compostable under industrial, home, soil, freshwater and marine conditions, thus they can fully revert back to nature. ![]() ![]() The important thing to keep in mind when it comes to Chapstick is that the product shouldn’t make playing more difficult. Dry, cracked lips will make it difficult for them to play with proper embouchure, and the more often they play the worse their lips will get. If your child doesn’t already know how important their lips are to playing the flute, it’s only a matter of time until they do. The Wittner Wood Metronome has exquisite German craftsmanship with precision-built works. Give your child some freedom to choose the design they like the best. As far as design and functionality goes, it’s up to you- as long as the metronome is fully functional, what it looks like doesn’t matter. When used the right way, practicing with a metronome will improve your child’s technique and time, forming them into a better musician. A metronome will help keep your child in time by generating a steady click at whatever tempo it’s set to. Although not exclusive to the flute, this accessory is a must-have for each and every musician, regardless of their instrument or specialty. Most, if not all, of your child’s practicing should be done with a metronome – especially at the beginning. The zippered accessory compartment is large enough to hold a piccolo. With a super tough nylon exterior, padded wrap-around handle, heavy duty shoulder strap, and extra soft plush lining, it’s designed to keep your valuable instrument safe and sound. With the perfect combination of protection and features, this Wolfpak flute case is just what you’re looking for. If you’d prefer not to purchase everything separately, these kits are a great option. ![]() Some flute manufacturers sell cleaning kits and maintenance packages that contain everything your child will need to keep their instrument clean. Some cleaning essentials include polishing cloths, pad savers, and a cleaning rod. Look for a hard case with room for your child’s flute accessories, and make sure your child knows how to keep their flute clean and properly maintained. So, you spent a lot of money on your child’s flute and you’d do anything to protect it from harm, right? Fortunately, purchasing a sturdy flute case and keeping the flute clean and maintained can help prevent unnecessary (and expensive) damage. Depending on which device you purchase, you may have to modify your flute case if you want to keep a flute support device attached to your flute while it’s in the case. Although flute support devices are great accessories, they do require some patience and experimentation. Worn like a ring on the left forefinger, flute support devices are flexible in nature and quite easy to use. Whether your child has a hard time holding the flute at the right angle or has difficulty playing trills, a these flute accessories can help. Many new flutists find it difficult to hold their flute and play all the notes, especially those in a marching band. The Musicians Gear MST40 is a lightweight, portable orchestral tripod music stand, ideal for students, and musicians alike.įlute support devices are just that- devices that will help keep your child’s flute stable while they play. If you need something that offers the best of both worlds, there are plenty of sturdy, yet transportable, options available on the market. They’re easy to carry and collapse so you can fit them into a small bag. If you plan on transporting the music stand to and from lessons, a lightweight, folding music stand is the better choice. Not only will it support the weight of a lot of music but, if your child prefers to practice near an open door or window, the wind won’t blow away their music. If the music stand will mostly be used at home, a heavy and super solid music stand is a great choice. Unless your child has a photographic memory, they’ll need a music stand to hold their music while they play. From cleaning supplies to chapstick, here’s a list of essential accessories your child will need in order to play the flute happily and successfully. Provided your child doesn’t lose or damage them along the way, many of the flute accessories on this list should last for a good amount of time. Not only can these accessories make their playing better and their practicing easier, but they will help make their overall experience more enjoyable. ![]() If your child is interested in playing the flute, there are some important flute accessories you should purchase before you even think about signing them up for lessons. This is important as patients in acute respiratory failure can be extremely tachypneic, and therefore their peak inspiratory flows, which may normally be 30L/min – 60L/min, can reach up to 120 L/min (3). One obvious benefit, but worth mentioning is that high flow can give you a very high flow of gas. HFNC can warm (to 37 oC) and humidify gas, which can decrease airway inflammation, maintain mucociliary function, improve mucous clearance and reduce the caloric expenditure in acute respiratory failure (1-2). Also, a significant amount of calories can also be expended in individuals to both warm and humidify gas during normal breathing (2). This can lead to airway inflammation, which can increase airway resistance and impair mucociliary function possibly leading to decrease secretion clearance (1). Standard oxygen therapy delivered through a nasal cannula or another device such as a non-rebreather, is cold (not warmed) and dry (not humidified). Heated and Humidified oxygen has a number of benefits compared to standard oxygen therapy. ![]() Each manufacturer will also have a max flow rate for each cannula size corresponding to the size and age of the patient. Each cannula should snuggly fit into the patient’s nares and prevents entrainment of room air around the cannula, which can occur with standard nasal cannulas. There are 2 main companies, which manufacture these devices: Vapotherm which has a device that can deliver flow rates of up to 50 liter/min flow rates and Fisher Paykall who offers both the Optiflow as well as the AIRVO 2 devices which can both deliver flow rates of up to 60 liter/min.Įach company offers smaller cannula sizes for premature neonates as well as children of various ages to adult cannulas. The flow rate and fi02 can be independently titrated based on your patient’s flow and fi02 requirements. It actually takes gas and can heat it to 37 o C with a 100% relative humidity and can deliver 0.21 – 1.00% fi02 at flow rates of up to 60 liters/min. Heat and humidified high flow nasal cannula or as most call it, Hi Flow Nasal Cannula (HFNC), isn’t just a standard nasal cannula cranked up to very high flow rates. In this part we will summarize how it works and for part 2 we will discuss the main indications for its use in adult and pediatric patients. It seems over the past several years many studies have come out reviewing the mechanisms of action as well as its use in a variety of conditions. I noticed a few years after using it successfully in children, mainly with severe bronchiolitis, that we began to use it in the adult intensive care unit as well. I first started using it as a pediatric intensive care fellow, but had little knowledge of how it actually worked. They are at risk for social isolation and mood disturbance.The use of heated and humidified high flow nasal cannula (HFNC) has become increasingly popular in the treatment of patients with acute respiratory failure through all age groups. Remember, even high-flow oxygen is not a death sentence! Nonetheless, people with IPF may feel afraid, anxious or depressed and be short-tempered with this new stage. High-flow oxygen cannot be delivered by portable oxygen concentrators, so many people with IPF feel even more constrained. Eating well, exercising and getting plenty of high quality sleep can help. It may only occur when the person with IPF talks for long periods of time or when they are exerting.įatigue is not uncommon at this stage and can be challenging to treat. Even though they need oxygen at rest, they will not usually be short of breath at rest.Ĭough can be frequent and bothersome. The person with IPF in Stage IV is short of breath with exertion or activity. What to expect from the person with IPF in this stage Remember to stay active and continue living a full life with IPF. Your health care provider may talk with you about the possibility of a lung transplant. Talk with your health care provider about palliative care. Learn the dose and time the medicine is taken, how it may be helpful and what side effects to watch for. Maintain an oxygen saturation equal to or greater than 89 percent when you rest and are active.Īsk about the medications that may be used for IPF. Use your pulse oximeter to monitor your oxygen level. Work with the DME company regarding the change in oxygen needs. ![]() Learn how long the portable oxygen system will last at higher liter flows. Learn about stationary oxygen systems and portable oxygen systems that will meet your oxygen needs at high liter flows. High liter flow is described as greater than 4 liters. Work with your health care provider regarding the oxygen prescription change and the best oxygen system to meet your needs for using oxygen as the liter flow increases 24 hours a day. ![]() VLDL cholesterol contains mostly triglycerides. The medications fenofibrate (Tricor, Fenoglide, others) and gemfibrozil (Lopid) reduce your liver's production of very-low-density lipoprotein (VLDL) cholesterol and speed the removal of triglycerides from your blood. If you also have high triglycerides, your doctor might prescribe: They are injected under the skin every few weeks and are expensive. Alirocumab (Praluent) and evolocumab (Repatha) might be used for people who have a genetic condition that causes very high levels of LDL or in people with a history of coronary disease who have intolerance to statins or other cholesterol medications. These drugs can help the liver absorb more LDL cholesterol, which lowers the amount of cholesterol circulating in your blood. ![]() This prompts your liver to use excess cholesterol to make more bile acids, which reduces the level of cholesterol in your blood. The medications cholestyramine (Prevalite), colesevelam (Welchol) and colestipol (Colestid) lower cholesterol indirectly by binding to bile acids. Your liver uses cholesterol to make bile acids, a substance needed for digestion. A combination pill containing both bempedoic acid and ezetimibe (Nexlizet) also is available. Adding bempedoic acid (Nexletol) to a maximum statin dosage can help lower LDL significantly. This newer drug works in much the same way as statins but is less likely to cause muscle pain. Ezetimibe can be used with a statin drug. The drug ezetimibe (Zetia) helps reduce blood cholesterol by limiting the absorption of dietary cholesterol. Your small intestine absorbs the cholesterol from your diet and releases it into your bloodstream. Choices include atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor) and simvastatin (Zocor). This causes your liver to remove cholesterol from your blood. Statins block a substance your liver needs to make cholesterol. The choice of medication or combination of medications depends on various factors, including your personal risk factors, your age, your health and possible drug side effects. But, if you've made these important lifestyle changes and your cholesterol levels remain high, your doctor might recommend medication. Lifestyle changes such as exercising and eating a healthy diet are the first line of defense against high cholesterol. If your child has a family history of early-onset heart disease or a personal history of obesity or diabetes, your doctor might recommend earlier or more-frequent cholesterol testing. Triglycerides* (Canada and most of Europe)įor most children, the National Heart, Lung, and Blood Institute recommends one cholesterol screening test between the ages of 9 and 11, and then be repeated every five years after that. *Canadian and European guidelines differ slightly from U.S. HDL cholesterol* (Canada and most of Europe) Very high, likely representing a genetic condition. Very high if there is coronary artery disease. High if there is no coronary artery disease. High if there is coronary artery disease. High if there is coronary artery disease.īorderline high if there is no coronary artery disease. Near optimal if there is no coronary artery disease. Near optimal for people with uncomplicated coronary artery disease. Optimal for people at risk of coronary artery disease or who have diabetes. LDL cholesterol* (Canada and most of Europe)īest for people who have coronary artery disease - including a history of heart attacks, angina, stents or coronary bypass. Total cholesterol* (Canada and most of Europe) ![]() To interpret your test results, use these general guidelines. In Canada and many European countries, cholesterol levels are measured in millimoles per liter (mmol/L). In the United States, cholesterol levels are measured in milligrams (mg) of cholesterol per deciliter (dL) of blood. Some cholesterol tests don't require fasting, so follow your doctor's instructions. Generally you're required to fast, consuming no food or liquids other than water, for nine to 12 hours before the test. Contrarily, lateral HLO fracture could easily be fixed by lateral-only pinning, but the correct lateral pinning is necessary because medial pinning is difficult. In medial HLO fractures, medial pinning is important for stability, and sometimes lateral pinning was impossible. The mechanism of injury of HLO fractures may be direct contact injury. Flynn's cosmetic grade showed satisfactory results in all patients.Ĭonclusion: The prevalence of HLO fractures was 2% in the displaced supracondylar humeral fracture. The final Baumann angle and lateral humero-capitellar angle were 20.5 (5–67.6) degrees and 49.3 (23.3–71.9) degrees, respectively, without statistical significance compared to the normal side. ![]() In addition, the lateral pin was not a bicortical fixation through capitellum entry in 2 patients who had it fixed by cross pinning. In medial HLO type, medial pinning only was done in 3 patients due to the difficulty in lateral pin insertion. There were 6 patients with lateral HLO fracture, and 8 patients had medial HLO type. The common mode of injury was direct contact injury to the elbow. The median age was 5 years 1 month (range, 2–11 years). Results: There were 14 patients diagnosed with the HLO fracture (14/690) and all the patients were treated by pin fixation. Clinical and radiographic parameter outcomes were assessed. HLO fracture was defined as having a fracture line starting from either cortex above the metaphyseal-diaphyseal junction and finishing at the opposite cortex around or below the olecranon fossa. Methods: We reviewed 690 children who had undergone an operation for the displaced supracondylar humeral fracture. The purpose of this study is to assess the prevalence of high-long oblique supracondylar humeral (HLO) fracture and evaluate the surgical outcome of percutaneous pin fixation. However, a long oblique fracture line is difficult to fix by the traditional cross pinning. ![]() 2Department of Orthopedics, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaĪim: The treatment protocol for supracondylar humeral fracture has mainly been based only on the severity of displacement and percutaneous pinning has been recommend as a first treatment.1Division of Pediatric Orthopedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, South Korea.Mudit Shah 1 Joo Hyung Han 1 Hoon Park 2 Hyun Woo Kim 1 Kun-Bo Park 1 * ![]() S6KL9NP49E Friendship Day 22 (30 July '22)ģLEGENDARYYEARS 3 Year Anniversary Flag (12 Aug '22)ĦIVS2A1ZHQ Anniversary Camo & Common Crates (12 Aug '22)ģ24QM64JKW 2022 Ferragosto Celebration (Regina Marina Crates) (15 Aug '22)ĮZ4FM68ZQS & N3VPQ6ASKW Potatoes Assemble (19 Aug '22)ĦPAPMX5CFR 20k Twitter Followers (23 Aug '22) ![]() H5G4O29XPJ 12 Union Jack camos (12 May '22) O7AWCAHP94 Australian & New Zealand Army Corps 120 year Flag (25 Apr '22) Q25B1GRN21 Silver Ninja patch (13 Apr '22) HK6UN8KZ4X Fish Patch streak continues (4 Apr '22)ĤARWLS206E April Patch Note code 2 containers (7 Apr '22) ZB8KDW28H9 aaaand another Fish Patch (31 Mar '22)ĥTLWO61QL2 Still another Fish Patch (31 Mar '22) W4A8ABE1HB anotha Fishy Patch (29 Mar '22) K4N9SGJTSW Another Fishy Patch (28 Mar '22) UVGJFGVV3U New Zealand Day Flag (6 Feb '22)Ģ2ALLAROUNDER CRUISER class patch (8 Feb '22)Ģ2STINGLIKEABEE DD class patch (8 Feb '22)ĭVTCQFWAN1 International Womens day - Camos (8 Mar '22)Ģ2SHAMROCK St. NZ5DHJ4W65 Secret Santa Crate (30 Dec '21)ĦVQN3EPSVH Camo's & Common Crate (27 Jan '22)ĪK4IEB4QXG Friendship day Flag (1 Feb '22) MR69XJVTNL Facebook Milestone (27 Dec '21) HMF6Z5M53X Warhammer related Patches (27 Nov '21) Z6MKW3SBQC Lord Nelson Victory 216years - Union Jack Camos (21 Oct '21)Ģ5ZUBKZ2JK Halloween '21 Camo's (27 Oct '21)ĥNW5KHYS96. 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In some cases something not specifically covered by the Rules above need action/ intervening from the ModTeam. The full schedule can be found >HERE>HERE<< 8. Standalone posts on the above topics will be removed. scoreboard and battle results (screenshots)Īre only allowed to be submitted in the according (weekly) Megathreads.What to buy (Premium Ships/ GXP Ships/ Paid Items).Will be removed and a permanent ban will be issued w/o prior warning. 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