Works Cited Advocate Lutheran General Hospital. "World’s First Attune Knee Replacement Completed at Advocate Lutheran General Hospital." Triblocal.com. N.p., 3 Jan. 2012. Web. 27 Oct. 2012. . Cluett, Jonathan. "Considering Knee Replacement Surgery?" About.com Orthopedics. N.p., 8 Apr. 2012. Web. 27 Oct. 2012. . "Arthritis of the Knee - OrthoInfo - AAOS." Arthritis of the Knee - OrthoInfo - AAOS. N.p., n.d. Web. 27 Oct. 2012. . Fitzpatrick, Clare K., and Paul J. Rullkoetter. "Influence of Patellofemoral Articular Geometry and Material on Mechanics of the Unresurfaced Patella." Journal of Biomechanics45.11 (2012): 1909-915. Http://www.sciencedirect.com. JulyAug. 2012. Web. 27 Oct. 2012. http://www.sciencedirect.com/science/article/pii/S0021929012002977 "Depuy Attune Total Knee System by Johnson & Johnson." Depuy Attune Total Knee System by Johnson & Johnson. N.p., n.d. Web. 27 Oct. 2012. . Beach, Emily. "History of Knee Replacement." EHow. Demand Media, 21 July 2009. Web. 27 Oct. 2012. .
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10 10 10 Performance of TurboMUD for TDMA in AWGN 0 10 10 -1 10 -2 10 -3 BER BER 10 10 10 10 10 -4 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 Turbo-MUD: iter 4 Single-user bound -5 10 10 -6 0 1    2 3 4 5 6 Eb/No in dB 7 8 9 K = 3 users Convolutional code: Kc = 3, r=1/2 Observations at 1 base station 10 10 1 0 -1 -2 -3 -4 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 Turbo-MUD: iter 4 -5 -6 1 2   3 4 5 6 Number of users Eb/No = 5 dB 1K9 7 8 9
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10 BER 10 10 10 10 10 0 10 -1 10 -2 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 Turbo-MUD: iter 4 Single-user bound -3 10 BER 10 Performance of TurboMUD for TDMA in Rayleigh Flat-Fading -4 10 10 -5 10 -6 10   0 2 4 6 8 10 12 Eb/No in dB 14 K = 3 users Fully-interleaved fading 16 18 20 0 -1 -2 -3 -4 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 Turbo-MUD: iter 4 -5 -6 1 2   3 4 5 6 Number of users Eb/No = 9 dB 1K9 7 8 9
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Knee Muscles Strength/Stretch Extension  Rectus femoris strength- squats  Rectus femoris stretch- knee flexion  Vastus lateralis/ intermedius/ medialis strength- knee extension, squats  Vastus lateralis/ intermedius/ medialis stretch- knee in full flexion Flexion  Biceps femoris strength- hamstring curls  Biceps femoris stretch- max extending the knee while flexing the externally rotated and slightly adducted hip  Popliteus strength- hanging from a bar with legs flexed at the knee  Popliteus stretch- full knee extension without flexing the hip  Semitendinosis/semimembranosus strength- hamstring curls, leg curls  Semitendinosis/semimembranosus stretch- max extension of the knee
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When Law Enforcement Arrives #1 Priority: stop the threat – Officer(s) will proceed directly to area where the AS is/last heard – Officers will arrive continuously • Officers may be dressed in regular patrol uniforms, external bulletproof vests, plain clothes, Kevlar helmets, and other tactical equipment • The first officers to arrive will not stop to help injured people. – Officers will shout commands, may push evacuees to ground to be searched – Officers may not know identity of shooter • Immediately raise hands, keep them visible, and spread fingers – DO NOT: • • • • • carry items in your hands or on your person (bags, jackets) make quick movements toward officers grab officers point, scream, yell, and/or try to stop the officers leave the area until released by the police – Officers need info for investigation. Those leaving campus may interfere with arriving responders
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History • 1891 German surgeon Theophilus Gluck performed knee replacement using Ivory to replace the joint. The ivory joint was connectedand stabilized using plaster. • In 1974,researchers at Mass Gen developed "total condylar knee," a plastic component that resembled the traditional knee structure and allowed for total joint replacement with limited motion. • In the 1980’s the concept of “moble-knee Replacement” was coined. The component was not completely fixed, which offered for more motion and higher angle of knee flexion. • In the Early 90’s The LCS and Sigma knees were designed. These models focused on eliminating the strain on the patella after surgery, without taking away from the knee flexion ability. • 2011- The First Attune knee was used in surgery, and was extremely sucessful. The patient had full control and 90
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10 10 0 10 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 Single User Bound -1 10 -2 10 0 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 -1 -2 BER BER 10 Performance of TurboMUD for CDMA in AWGN 10 10 10 -3 10 -4 10 -5 0 1    2 3 4 E b/No in dB 5 6 7 K = 5 users Spreading gain Ns = 7 Convolutional code: Kc = 3, r=1/2 10 -3 -4 -5 1 2   3 4 5 6 Number of users Eb/No = 5 dB 1K9 7 8 9
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10 BER 10 10 10 10 10 0 10 -1 10 -2 10 -3 BER 10 Performance of TurboMUD for CDMA in Rayleigh Flat-fading -4 10 10 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 Single User Bound -5 10 -6 10 0 2   4 6 8 E b/No in dB 10 12 K = 5 users Fully-interleaved fading 14 16 0 -1 -2 -3 -4 Matched Filter Turbo-MUD: iter 1 Turbo-MUD: iter 2 Turbo-MUD: iter 3 -5 -6 1 2   3 4 5 6 Number of users Eb/No = 9 dB 1K9 7 8 9
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Foreign Languages Offered and Age of Introduction Country 1st Foreign Language Starting Age Additional Languages Australia French 6 German, Greek, Italian, Japanese Austria English 6 French, Italian Czech Republic English and German 9 French, Russian, Spanish Finland English or other 9 Swedish, Finnish, German, French, Russian, Spanish, Italian Germany English or other 8 French, Spanish, Russian, Italian, Turkish Italy English 8 French, German, Spanish, Russian Luxembourg German and French 6 or 7 English, Italian, Spanish Spain English 8 French, German, Italian, Portuguese Thailand English 6 French, German, Chinese, Japanese, Arabic United States Spanish 14 French, German Japanese
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REFERENCES  "Knee Replacement Surgery." WebMD Arthritis and Joint Pain Center: Symptoms, Causes, Tests, and Treatments. Ed. Anne C. Poinier. 2005. Web. 26 Nov. 2011  What Is Knee Replacement?" EhealthMD. Ed. Guy Slowik. EhealthMD, 28 June 2011. Web. 27 Nov. 2011.  "Total Knee Replacement." Meniscus Transplant and Biologic Knee Replacement to Avoid Knee Replacement by San Francisco Knee Specialist Kevin Stone MD. The Stone Clinic, 2011. Web. 27 Nov. 2011.
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Knee Injuries  ACL injury What is it? -is the tearing of the anterior cruciate ligament, or ACL, inside your knee joint What is it caused by? - sudden stops and change of direction Other common causes:  Twisting your knee with the foot planted Getting hit on the knee Extending the knee too far Jumping and landing on a flexed knee Stopping suddenly when running Suddenly shifting weight from one leg to the other **common in basketball, soccer, tennis and volleyball.
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Chapter 22: Musculoskeletal System Objective Data—The Physical Exam (cont.) Hip Knee  Inspect as person stands  Inspect joint and muscle  Palpate with person supine  Palpate  Motion and expected range  Bulge sign  Raise leg  Ballottement of patella  Knee to chest  Motion and expected range  Flex knee and hip; swing foot out, in  Bend knee  Extend knee  Swing leg laterally, medially  Check knee during ambulation  Stand and swing leg back  McMurray’s test Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 22-25
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Radar Image of Deep Ocean Trenches at Boundary of Pacific Plate From North to South •Aleutian Trench •Kurile Trench •Japan Trench •MarianaTrench (curved) •Philippine Trench (between Philippine Plate and Eurasian Plate) The long purple line south of the Aleutian Trench is the Emperor Seamounts
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