![]() ![]() The hospital was up and running ahead of schedule – serving a rebuilding community. This team effort helped to dramatically decrease the project schedule and produce a set of permittable plumbing documents in 10 weeks, a process that would normally take at least three times that long. Our staff also served as a resource regarding code, design techniques, and sizing methods to the detailing team. This effort eliminated the need for additional design checks and any lags in passing information back and forth. US Engineering’s detailers were able to focus in on every element of the design while at the same time utilizing Henderson’s medical gas expertise to oversee how that design would align with all the systems throughout the building. In order to produce a set of permittable plumbing documents for the replacement hospital quickly, Henderson’s medical gas staff relocated to US Engineering’s office to work side by side with their plumbing detailers. Because of our close partnership, US Engineering added Henderson Engineers to the team to help meet major milestones and design challenges. Completing many pieces of the construction process concurrently that are normally spread out throughout the construction schedule required close collaboration and key teaming. With the aggressive construction timeline in mind, US Engineering quickly mobilized to manage and execute this complex project. To meet the needs of the community, Sisters of Mercy needed to rebuild a new hospital in its place quickly. In its path of destruction was the original Sisters of Mercy hospital that was established in 1896. Mr.In 2011, a violent tornado devastated the city of Joplin, Missouri.Ms. Sara Stuck, LPN, Manager Strategic Growth The Sisters of Mercy Health System is committed to quality health care for our service area of more than 150,000 residents and 800 co-workers.Mrs. Stephanie Onstot, Manager Foundation Brand & Comm.Ms. Miranda Lewis, VP Donor Relations & Development.Tracy Godfrey, M.D., President Mercy Clinic.Ms. Ginger Cooper, Manager of Operations.Mr. Dustin Parker, Manager Sports Medicine.Ms. Kimberly Kory, Executive Director, Foundation.Ms. Andrea Waggoner, Medical Staff Manager.Ms. Tracey Spurgeon, Director, Critical Care/ED/Trauma.Ms. Michele Smith, Talent Relations Consultant.Ms. Allison Rhodes, Vice President Primary Care.Ms. Ashley Miller, Exec Director Patient Experience.Ms. Ashley McConnell, Manager Surgical Services.Drinkwitz said all of the patients who died were unvaccinated. Ms. Lori Marble, Director, Strategic Innovations Ages of the deceased COVID-19 inpatients at Mercy Hospital Joplin over the weekend ranged from 44 to 72.Mr. Jordan Larimore, Senior Media Relations & Communications.Ms. Angela Kennedy, Medical Education Coordinator.Ms. Stacy Johnson, Director Marketing Planning. ![]() ![]() Mr. Michael Herr, Cheif OPerating Officer.Ms. Catrina Gilstrap, Patient Navigator.Ms. Susan DeGraff, Mercy Technology Services.Mr. Joe Craigmile, Manager of Client Services.Ms. Allison Craig, Development Coordinator-Channel Mkt/Comm.Ms. Tracy Clark, Director, Health Information Management.Ms. Kelli Bigando, Director Patient Care.Ms. Ann Marie Bianchi, Community Engagement Manager.We want to make health care easier and more personal for you and the 3 million lives we touch each year. At Mercy, we are continually reaching out in new ways to serve you better. ![]()
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![]() ![]() ![]() As mentioned above, it is anyway officially recommended by the NHS that all people in the UK should consider supplementing their vitamin D levels, at least during the autumn and winter. Research published in The Journal of Foot & Ankle Surgery reported that low levels of vitamin D may increase the risk, and also suggests that active individuals may need higher levels of it than the general population. Poor or insufficient nutrition can also put you at risk of stress fractures. 12 best running shoes for overpronators.Stress fractures are also fairly common in the heel, the ankle and in the midfoot. When it comes to the feet, the American Academy of Orthopaedic Surgeons says the most common places for stress fractures are in the second and third metatarsals, which are thinner and often longer than the first, and therefore absorb the greatest impact when you push off. Stress fractures can also occur in the pelvis in runners, although this is much less common.' 'This is followed by fractures to the metatarsals, the fibula and the femur. 'The most common running-related stress fractures are to the tibia,' says physiotherapist Neil Smith, of Six Physio. Of these the vast majority – over 80% – are found in the legs. The most common stress fractures for runners, as you might expect, occur in the hip, leg and foot bones. You can in fact get a stress fracture in any bone, though they most commonly occur in the lower limbs. The more you ignore these early signs, the more likely you are to get a full-blown stress fracture. If you have pain in a specific area – most commonly the shin bone (tibia) or the foot – that is gradually increasing, feels worse when weight is put on the injured area, but feels better at rest, then do not just hope for the best. The most important thing for runners is not to ignore early signs. Eventually, the fatigued muscle transfers the overload of stress to the bone, causing a tiny crack called a stress fracture,' explains Dr Matthew Oliver, consultant trauma and orthopaedic surgeon at Benenden Hospital, Kent. 'Stress fractures occur when muscles become fatigued and are unable to absorb added shock. That might be, for example, because the bone isn't strong enough, or because it's been subject to too steep an increase in load. They usually occur when the capacity of the bone to absorb impact is simply overloaded. Whereas most people break bones in a single traumatic event, like a fall, stress fractures are more often an overuse injury, developing from the repetitive action or forces involved in running. What is a stress fracture, and where are runners most likely to get them?Ī stress fracture is a small crack or break in an otherwise normal bone. They are painful, can appear seemingly out of nowhere and can keep you off running for months.īut what actually is a stress fracture, how does it differ from an outright break, and how can you do your very best to avoid ever getting one? Here's our guide to everything you need to know. The two words can strike fear into the heart of the most steely of runners. If you had to pick something to keep you away from your beloved sport, you'd infinitely rather have woes with blisters or chafing, or even a mild strain, than the looming threat of the dreaded stress fracture. How can I avoid stress fractures in the first place?Īs runners we all know that some injuries are worse than others.How long does it take for a stress fracture to heal?.What are the symptoms of a stress fracture?.What are the different causes of stress fractures?.What is a stress fracture, and where are runners most likely to get them?. ![]() ![]() ![]() The quality of our beer is the staple of our work and our vision. We are working tirelessly to bring you the best beer possible in 2018. To stay up-to-date on the best craft brewery in the Sacramento area, follow us on Facebook, Instagram and add us to your followed breweries on Untappd. ![]() H Auburn, CA 95602 Phone: (530) 797-HOPS TTB Mandatory Statement per Title 27, Part 7, 7.52 Knee Deep Brewing Company Auburn, California Manufacturer of beer, ales, porters, and stouts. Want to learn more about Moksa brewing and our Taproom? Please visit our FAQ page. Brewery & Tasting Room Address: 13395 New Airport Rd., Ste. Our brewery can accommodate up to 120 guests we host events, game nights, and other activities – check out our upcoming events, there's bound to be something for everyone. ![]() In order to better compliment our taproom, we've developedįood trucks in Rocklin, Roseville, Granite Bay, and Sacramento, CA. 23 boutique wineries, 15 craft breweries, 1 craft distillery and dozens of tap rooms, wine bars, eateries and. Perfecting brews and creating a beer-tasting experience unlike anythingĮlse. Just a short drive from Sacramento and accessible from both Interstate 80 and Hwy 65, the Placer Wine & Ale Trail is that authentic experience you are looking for in the Sacramento Region’s Farm to Fork scene. Our mantra differentiates us from the repetition and accepted Driven by the very definition of our name in Hindu, we hope to liberate, to emancipate, and to release as well. Vision, passion, and dedication though, we hope to make it the best.Ģ4 varieties of beer, we showcase years of expertise and perfectionism in our 3,000 square foot taproom. isn't the first brewery in Rocklin, CA – with our ![]() ![]() ![]() Web Security Guard: Prevent access to websites reported as dangerous and protect your computer from malware infection.System Protect: Get effective file protection that prevents the removal or alteration of critical files and applications, and ensures operating system stability.The Premium version includes integrated antivirus, priority updates, additional security tools, integrated Internet protection and product support. Get free real-time protection that effectively removes spyware, adware, trojans, keyloggers, home page hijackers and other malware threats from your computer. After you send it to Crawler Spyware Central for further analysis, it can be identified and correctly removed or moved to Quarantine. The known spyware can be detected and identified during the scan, the unknown spyware can be detected but it cannot be identified immediately. The program monitors your computer for both known and unknown spyware. Spyware scans perform in-depth scans of your computer’s hard drives, memory, process, and registry to seek out and remove any and all known and unknown spyware threats. Due to the constantly changing environment, the spyware database is updated regularly at Crawler Spyware Central to provide you with continuous protection. Spyware Terminator scans your entire system using a regularly updated database of known spyware. This antispyware program protects your computer through powerful real-time protection shield, advanced system scanning and keeping found spyware in the safe quarantine. Spyware Terminator is a an easy-to-use and effective spyware remover providing real-time protection against spyware, adware, keyloggers, trojan horses, browser hijackers and other malware. ![]() ![]() ![]() Section 1 addresses the patterns, practices, and principles of writing clean code.The book tackles understanding clean code in three sections: This classic Java programming book illustrates better ways to write code, as hinted by the title. ![]() Clean CodeĪudience: Developers with working to advanced Java knowledge Spring in Action is best for advanced Java programmers and an excellent resource as you grow and develop your skills. This book can be challenging to comprehend if you are a beginner, especially if you are not familiar with specific Java topics. Plus, adding Spring to your skill set can be a vital tool for growing your Java knowledge. Spring in Action is by far the most wide-spread and widely utilized book on the Java framework in today’s programming landscape. Spring in ActionĪudience: Intermediate to advanced Java programmers This book is an excellent first step if you are looking to learn core Java design patterns and object-oriented design principles. Part of the Head First series, this book also contains many useful tools like exercises and memory maps, leading to a faster understanding of design patterns. Understanding design patterns as a Java programmer is a valuable skill. Head First Design PatternsĪudience: Design pattern and OOP beginners We especially like how Effective Java give you the tools to shift your perspective when handling problems-making programmers feel empowered. For programming problems that a Java programmer may encounter regularly, this book provided concrete explanations to solve these issues. This book is a resource for numerous practical guides for both entry-level as well as intermediate developers. Effective JavaĪudience: Devs needing a perspective shiftĪ must-have book for any Java programmer. We especially appreciate how this book engages students and beginners to think and understand Java concepts and ideas critically. This book describes topics in a detailed manner-without straying into too much detail. The target audience for this book is aspiring students and novice programmers. This beginner’s guide covers everything a Java programmer needs to know. Java: A Beginner’s GuideĪudience: Students and novice programmers The subject matter makes this book a Java Programmers bible and should be the first book worth investing in when building your Java book collection. Head First Java addresses the essential Java programming subjects about class, object, thread, collection, and language features. The head-first approach of explanation is clear and concise for any reader. It doesn’t require you to have prior knowledge of Java. This book is digestible and easy to understand through engaging games and quizzes. This book is, hands down, the best book for Java beginners. Use the right-hand menu to navigate.) Head First Java (This article is part of our Tech Books & Talks Guide. These books are excellent tools for all Java developers, from beginners to advanced users. These Java books cover various programming areas, including core Java fundamentals, frameworks, design patterns, and so much more. This article will dive into ten must-read books on Java that you can add to your bookshelf. Java books are more detailed and offer more in-depth subject knowledge than what’s free and online.They’re written by seasoned programmers who are credible authorities in the subject.These resources are beneficial, but don’t forget about good old-fashioned books. Of course, many resources available for free, like tutorials, online courses, tips, forums, blogs, and coding examples. Automated Mainframe Intelligence (BMC AMI)Īre you a Java developer looking to brush up on your skills? Java is the most widely used programming language-so it’s a great language to add to your skillset.Control-M Application Workflow Orchestration.Accelerate With a Self-Managing Mainframe.Apply Artificial Intelligence to IT (AIOps). ![]() ![]() ![]() Genital warts can be the same color as your skin or slightly darker, grey, or whitish. In the latter, it can cause a painful sore throat which may require you to gargle with salt water to ease the pain and reduce inflammation. Genital warts usually look like small growths on the skin in the affected areas, usually with sexual contacts like the vagina, anus, penis, pubic region, mouth, and throat. What’s the general look of genital warts? But there are a few distinct features which, if you can identify them, you can differentiate the two. These two conditions affect the skin you can sometimes confuse skin tags with genital warts. Skin tags can affect anyone, but they are common in older people.Ĭontinue reading to know if it is genital warts or skin tags Noticing skin tags at first can be difficult since they have the same or slightly darker color as your skin. They are egg-shaped and move around when touched therefore having a little-flap-like appearance. Skin tags are harmless, but common growths are connected to the skin by a thin stalk and grow in areas where the skin folds, like the groin, armpit, neck, or eyelid. They can get well on their own, but you can prevent their growth and any discomfort they may cause by treatment. Genital warts are not harmful though they are signs of infection. Skin-to-skin contact through oral, vaginal, or anal sex is the transmission mode of this contagious disease. Though it affects both genders, it is more dangerous for women because it can affect the vulva and cause cancer of the vulva and cervix. HPV is the most common STI, according to the Centers for Disease Control and Prevention, and more than 80 percent of people contract this disease once in their lifetime. High strains can lead to severe conditions like cancer and cervical dysplasia. Once infected with the HPV virus, it can take up to three months to develop into genital warts that develop into flat or slightly raised bumps on the skin’s surface. There are over 100 strains of HPV, but low strains like HPV6 and HPV 11 are responsible for genital warts. Genital warts are sexually transmitted infections caused by human papillomavirus. Genital warts are soft growths appearing on the genitals, anus, mouth, or throat, and they can cause itching, pain, and discomfort, but they are non-cancerous. Fortunately, this guide will help you differentiate between these two conditions. It is, therefore, important to see your doctor if you can’t identify the condition based on the symptoms though most people avoid this as it can be embarrassing. However, knowing whether what you develop is genital warts or skin tags can be a problem because these conditions present almost similar symptoms. These two conditions are harmless though genital warts are a sign of infection therefore, they need treatment, but they usually go away on their own. Is it genital warts or skin tags? These two conditions are common and present benign skin growths that look the same, making it difficult to differentiate, especially for the untrained eye. ![]() ![]() ![]() The 4 1/2″ drivers are very midrange sized to achieve the highs and lows, you need to apply some serious curve shaping to the incoming signal to make up for the physical limitations of those drivers.Įnter the Active Equalizer. These are full-range speakers, but are only loaded with 4 1/2″ high-excursion drivers whereas a normal speaker might have an 8″, 10″ or 12″ (or even multiple!) subwoofers, a midrange, and a tweeter. ![]() When you think about the speaker design, the equalizer makes a lot of sense. Designed to be placed in corners of rooms, the Direct/Reflecting design produces a ridiculously wide, lifelike sound field which packs more of a punch than you might think from speakers that size. About 11% of the sound is radiated from the single front-mounted speaker, and the remaining 89% of the sound is radiated from the back. There’s no crossovers or other passive components inside – just a bunch of individual speakers wired together to give the right impedance. Each contains a set of nine, 4 1/2″ full range drivers wired in series-parallel. Thanks for writing, Jim! Can you use that Kenwood graphic equalizer in place of the bose? Short answer: It’s not recommended.īose used a really interesting design concept for their 901 speakers. Can I use that instead? Is the Bose equalizer really that important? Somewhere along the way the equalizer got lost, but I have an old Kenwood equalizer. I bought a set of Bose 901 Series II speakers on base back in the ’70s, and have had them in storage for the past 20 years. I’ve got this one a few times lately, though, so I figured I’d answer this one publicly. I take questions from readers often, but they don’t always make it to a Mailbag segment. ![]() ![]() ![]() Chobani Flavored Coffee Creamer Peppermint Mocha. ![]() No more waiting for this to come back in season each year. Starbucks Frappuccino Mini Caramel Chilled Coffee Drink - 8 pk. ![]() The spices infuse into the milk and the pumpkin almost dissolves creating a spicy, sweet-and-earthy Pumpkin Spice Coffee Creamer. These are heated together, then the spices and fresh pumpkin puree are added. INGREDIENTS Ring in the good cheer with this naturally flavored treat featuring rich chocolaty notes with minty joy. The base of the coffee creamer is made of milk and condensed milk. Making Pumpkin Spice Coffee Creamer is so easy, I promise that after you make it once you’ll be hooked. Warm and creamy coffee that tastes better than the Starbucks version Ready in 5 minutes with only 5 ingredients 5 from 1 vote. You can flavor your simple syrup any way you wish (think vanilla, caramel or almond), but for the. How to Make Homemade Pumpkin Spice Coffee Creamer You only need to dissolve sugar in boiling water on the stove with an easy-to-remember 1:1 ratio. If you don’t have or cant find pumpkin spice no worries, check out my recipe for How to Make Pumpkin Pie Spice! This aromatic blend of spices is the perfect compliment to sweet pumpkin, and together the two form that classic pumpkin spice flavor. Pumpkin spice, sometimes referred to as pumpkin pie spice, is made up of cinnamon, ginger, nutmeg, clove and allspice. Made easily in minutes at home, and with all natural ingredients, my Homemade Pumpkin Spice Coffee Creamer is about to become a staple in your household! What is in pumpkin spice?Īlthough it might seem obvious, lots of us don’t actually even know what makes pumpkin spice taste like it does. That warm spice kick really takes my morning latte to the next level, now if only I didn’t have to wait all year long… Well, now with my Homemade Pumpkin Spice Coffee Creamer recipe you don’t have to! You may be all about anything that has a chocolate-peppermint flavor combo, but you may not realize that sipping on a Grande (16 oz.) Peppermint Mocha is 440 calories and has 54 grams of sugar. Peppermint Extract – Use the best quality extract you can find for the best minty flavor.The iconic pumpkin spice latte happens to be something I look forward to all year long.Add whipped cream, and if you have a liquor license you. ![]() You can use coconut milk beverage instead for a nut-free option as needed, or regular dairy milk. peppermint, lemon mist, lemon lime, orange pekoe, goldentipped pekoe, lemon. Unsweetened Almond Milk – Used to thin out the creamer.You could substitute this with coconut cream or full-fat coconut milk to make it a non-dairy creamer. Heavy Cream – Using heavy cream in your peppermint mocha sugar free creamer gives the creamer a rich and silky texture.Instead, the sweetener will either settle to the bottom or create a gritty texture. See my sweeteners conversion chart for exact substitute amounts, but keep in mind that other alternatives besides these will not dissolve. Besti Powdered Monk Fruit Allulose Blend – If you need to use a different keto sugar substitute, I recommend crystallized Besti or powdered allulose, as they will dissolve completely.ChocZero Dark Chocolate Hazelnut Spread – Makes this coffee creamer thick and creamy without sugar (or even extra cocoa powder).For measurements, see the recipe card below. This section explains how to choose the best ingredients for this sugar free peppermint mocha coffee creamer, what each one does in the recipe, and substitution options. ![]() ![]() ![]() They were alarmed when the waiter told them the dish was ‘made with ricotta bean’, and confused when they were served citrus foam that came into the plaster cast of the chef’s mouth – and told them to ‘lick it out of the cook’s mouth. They were served a dozen types of foam, a spoonful of crab meat, a teaspoon of salty olive-flavored ice cream, and something she described as “a loaf of oysters that tasted like Newark Airport.” They were confused when they were served citrus foam that came into the plaster cast of the chef’s mouth – and they were told to “lick it out of the chef’s mouth” ![]() Everything tasted like fish, including non-fish courses, “she wrote. “Some of the‘ courses ’were pieces of edible paper. The restaurant’s website says they serve meals with eight and 13 courses – but DeRuiter and her friends had a whopping 27 mini courses served in four and a half hours – and were still hungry. The main problem was that they weren’t served anything they’d claim was real food, which made me “feel like I’m a character in a Dickensian novel.” Still seemingly confused by the whole ordeal, she said it made her I wonder ‘whether or not to live in a simulation in which someone failed to program this restaurant properly. “ĭeRuiter was very different and described the whole experience as “ forever indelible in memory, because it is so uniquely bad, can only be considered an achievement. The restaurant has earned a single Michelin star, and the guide describes it as “innovative and surprising and” equally creative and lush. ![]() The restaurant is run by chef Floriano Pellegrino, who has responded to criticism by saying he is a “great chef” and a “master chef”.ĭeRuiter and her friends were expecting a wonderful multi-course tasting menu when they visited Bros ’, run by chef Floriano Pellegrino. ![]() ![]() ![]() When installing arborvitae, be sure to provide adequate plant spacing to prevent crowding and excess competition for water and root space as the tree grows. ![]() Avoid handling/pruning the tree during wet weather as this could potentially spread fungal spores to new spots in the plant canopy. In addition, pruning out infected material will prevent further stem dieback as well as reduce inoculum for future seasons. Disease severity typically increases as plant stress increases, so when this disease becomes apparent, it is important to also address any other problems the tree is facing to improve overall plant health and vigor. Chemical management is not normally needed to manage these diseases. Phyllosticta and Pestalotiopsis both produce dark fungal fruiting structures on affected tissue that produce asexual spores, so determining which fungus, if not both, are present requires microscopic examination (Figure 5).īoth fungi are regarded as weak pathogens and are suspected to infect trees that are already predisposed by other forms of stress, such as improper/aggressive pruning, cold/freezing injury, water stress (drought), physical injury, and transplant shock. Since both fungi, Phyllosticta and Pestalotiopsis, produce spores that are moved by wind and water splash, infection also takes place during wet, rainy weather. Infection occurs as the needles are emerging in the spring and show up at multiple sites lower in the tree canopy. Symptoms associated with needle blight include browning, death, and desiccation of the branch tips, leading to branch dieback (Figure 1, 2, 3, 4). Arborvitae needle blight, caused by two different fungi which are occasionally found together on the same plant at t he same time, is one of the very few diseases that we encounter on this host. The majority of problems we see are associated with these evergreens are due to environmental stress, transplant shock, spider mites, deer browsing, and bagworms, but when we do find a disease it is a rare treat to us pathologists. Arborvitae tend to suffer and decline quickly when experiencing soil moisture extremes, whether too dry or too wet, which becomes apparent as the tree starts browning from the bottom up. They are widely planted in the landscape, especially in rows as a privacy hedge, which may explain why we see so many problems on them.Īrborvitae require quite a bit of attention until they become established and often show the stress of poor care during and after installation. ![]() While arborvitaes ( Thuja spp.) do not beat out spruce in the number of samples we receive in a given year, they make up 20% of our conifer samples (39 in total 2020). We received 870 ornamental plant samples in 2020 and 190 (21.8%) of them were conifers. We receive a lot of ailing conifers at the Plant and Pest Diagnostic Laboratory each year. ![]() |
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