The purpose of this study was to discuss the disable throwing shoulder with a focus on the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. SICK stands for Scapular malposition, Inferior medial border prominence, coracoid pain and palposition, and dykinesis of scapular movement. Appearing on examination as if one shoulder is lower than the other, SICK is asymmetric malposition of the scapula in the dominant throwing shoulder. They are grouped into 3 clinically recognizable
get caught in the blood vessels. Because of this, oxygen can't reach the tissue. This can cause sudden, severe pain called pain crisis. The sickle cells also do not last
Bread began in 1978 when Louis Kane bought Au Bon Pain, a retail producer of baked goods. Kane changed it to a wholesale business by opening two cafes and staffing them with bakers and employees, but high production costs made it impossible to cover his overhead. In 1981 Kane decided to remain responsible for site selection and financing, but he chose Robert Shaich to help turn the company around as President of internal operations ("Au Bon Pain History"). First, Shaich assembled a team to simplify
is caused by defective hemoglobin. There are different types of hemoglobin, but Hemoglobin A is the primary hemoglobin affected by sickle cell. Hemoglobin A is made up of 2 alpha globin chains and 2 beta globin chains. The beta globin chain becomes misshapen due to a mutation. The mutation in the beta globin chain occurs when the sixth amino acid is valine instead of glutamic acid. Valine is Hydrophobic which has different properties than glutamic acid which is Hydrophilic. When the cell is deoxygenated
We are going on a road trip everybody! Let’s go to the Chain Rock in Kentucky; it will be so thrilling and it’s only a half mile walk there. Doesn’t that sound exciting? No, it isn’t exciting, the walk is more like a hike and it is challenging. No one that rarely hikes can even make it to the Chain Rock, because there is a massive boulder in the way so the trip is pointless, if you have those circumstances. Never go to Chain Rock, it is not worth the gas, money, or time. The trail of the half of
Panera Bread began in 1981 as Au Bon Pain Co., a fast-casual bakery and café chain, founded by Louis Kane and Ron Shaich. Throughout the 1980s and 1990s, the chain grew along the east cost of the United States and internationally. It dominated in the bakery-café category. In 1993, Au Bon Pain Co. purchased Saint Louis Bread Company, which was founded by Kenneth Rosenthal. At this time, the Saint Louis Bread Company was in the midst of renovating its 20 bakery-cafes in the Saint Louis area. The concept’s
Turning a town into a “prison town” can have several positive and negative effects on the town’s economy. Often when a town is turned into a prison town, local shops are replaced with big chain stores, like Walmart. The problem with this is that these big chains stores send their profits to the cooperation and do not reinvest in the local economy. Another problem is that the majority of individuals do not want to live near a prison. Rent, property prices, and taxes increase in communities when
teaching concerning dependent arising (Holder 26). This implies that if one thing exists, then another must also exist; and if one of them becomes extinct, so does the other one. This pragmatic teaching is applied in explaining the onset and cessation of pain or suffering. The first and most important factor in the formula of dependent arising is the development of craving (tanha) from a feeling (vedanā). Essentially,
Endoscopic Thoracic Sympathectomy Endoscopic thoracic sympathectomy (ETS) is a procedure to destroy or cut portions of a chain of nerves that runs along your spine inside your chest (sympathetic nerve chain). In this procedure, a surgeon inserts a a flexible telescope with an attached camera (endoscope) through small cuts (incisions) under your arm. The surgeon uses the endoscope to perform surgery through these incisions with special tools (thoracic endoscopy). You may need this surgery if you
("Johnson & Johnson," 2012). Finally, the sixth dimension I found was the Supply Chain dimension, which is defined as “thinking differently about sourcing and fulfillment” (Kotler & Keller, p. 47). Johnson & Johnson focuses on promoting sustainability throughout their supply chain through their Procurement Sustainability Initiative, their Carbon Disclosure Project and their Pharmaceutical Supply Chain Initiative. The Procurement Sustainability Initiative is their process of “evaluating