![]() At the end of the day, that means all you're really getting here is a list of places that use this software to scan your mail: everything else about your experience rests entirely in the hands of the mail center you select (which, fortunately, is specified when you select a plan).Īnd yet, Anytime Mailbox has a ton of positive feedback: across thousands of reviews, almost 90% give this service a 4- or 5-star rating. In the rep's exact words, Anytime Mailbox is "only the software company for the virtual mailbox portal used by the mail center operator". We finally got a response after about 15 minutes. When we tried to reach out via online chat to ask how the service interacts with mailroom partners, we were told that they were "short staffed due to the recent outbreak" (which had started several years prior) and that they were replying in under three minutes. If there's an issue at your selected address, who's responsible for fixing the problem and getting your mail scanning back on track? That comes with some advantages - like having so many addresses to choose from - and some potential disadvantages as well. Why? Like many mail scanning services, Anytime Mailbox relies on Mail Center Operators to collect your physical mail: they don't do it themselves. For example, we found pricing starting at $9.99 in Florida, but some locations started at a whopping $63.99/month. While Anytime Mailbox says that their plans start at $5.99, that depends entirely on the location you choose. Once you've selected your location, you'll choose a service plan. Prices determined by third-party mail centers ![]() If you can't find a suitable virtual mailbox address among the 1,700+ options here, chances are you won't have any luck elsewhere either. ![]() (Notable exceptions were Alaska, Nebraska, and North Dakota). For example, at the time of this review, there were more than 250 locations in California, almost 150 in Florida, and at least a few options in almost every other state. In business since 2013, Anytime Mailbox has numerous addresses throughout the United States - and even in other countries - that you can choose from. Addresses available throughout the US and worldwide.
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The controls offered by Raw Developer are very complete. Compare the two to see this image before & after. The photograph I am working on in this illustration is the same as the photographĪt the end of this essay. This would be a nice option to have when you magnify the image full screen and do not want to see the palettes. However, I wish there was a “Hide all Palettes” command, the way there is in Photoshop, accessible by pressing a single keyboard keystroke. In Raw Developer it is possible to show or hide each palette individually via a menu or keyboard command. ![]() This approach is different from the approach used for most raw converters in which the palettes are attached to the preview window. The advantage of having floating palettes is that they can be hidden from view on demand, as opposed to palettes attached to the preview window which stay visible no matter what. Raw Developer features floating palettes, similar to the approach used by Photoshop. However, the quality of the raw conversions made by Raw Developer is just as good, if not better, than those of more expensive raw converters. At that price one could expect lower quality conversions than can be had with other raw converters. At only $99.95, Raw Developer is one of the most affordable raw converters available. What I like about Raw Developer is its price/quality ratio. I personally use both a Macintosh and a PC, because I have found that the best software isn’t always written for both platforms. This is uncommon, since most of the time, when software is aimed at only one platform, it is available only for Windows. Raw Developer is a Macintosh-only program offered by Iridient Digital. However, they are both worthy of your attention.īlue Door & Window frame, Barrio Historico These two raw converters are very different. In the next essay I will report my findings testing DXO 3.5. In this essay I report my findings testing Raw Developer. ![]() I have done my share of searching in this regard, having tested all the leading raw converters on the market today, except for Apple Aperture, which I will be trying out soon. And since aesthetics are personal in nature, it is up to each of us to find the best raw converter for our taste. In this sense, the choice of raw converter is not just made only out of necessity. Second, just like each developer produces a unique film development, each raw converter produces a unique digital photograph. In fact, and as if to prove this point, Raw Developer features a darkroom developing Similarly, without a raw converter, there is no digital photograph, only numbers encoded in a raw file. ![]() Without the proper chemicals and processing there is no transparency or negative, only a latent image on film. First, they are to the digital darkroom what film processing was to the chemical darkroom. In today’s digital darkroom, Raw Converters have come to play a very important role. 1 - About darkroom practices and raw converters ![]() You can see my 15-year-old daughter styling the Bob Ross sweatpants. He stops by the restaurant where my mom works each time he’s in the area, so she’s spoken to him a few times. Mad Libs are such a throwback, and these ones centered on Blanche, Dorothy, Sophia, and Rose are the perfect gift for some laughs. Gag Gifts for Women Zombie Sleep Mask - This sleep mask from Gadgets and Gear is printed with the eyes of a zombie and makes a great stocking stuffer. We live near Muncie, Indiana where Joy of Painting was filmed, so Bob Ross is an important celebrity in east-central Indiana.īob Ross’s son has been in town lately working on some kind of project. Not all gifts need to be overly sentimental or meaningful, and these boxers are a great gift that will surely get a laugh. My teens were thrilled to receive Bob Ross apparel from What on Earth. By Alison Allsopp Updated: Save Article Uncommon Goods/Houses and Parties Sure, some Christmas gifts are supposed to be more serious, but most gifts have room for a little humor. If you’re in search of the best holiday gifts for teens with a sense of humor, look no further! Shopping Fun Christmas Decor and Gift Ideas 2023 39 Best Gag Gifts That'll Give Everyone a Chuckle These will have everyone ROFL. There’s also a coupon code exclusively for my readers a the end of this post! Funny Gifts for Teens *What on Earth provided complimentary products for this post. While it's currently sold out, you can join the waitlist for as soon as it. Get it from Amazon for 7.99+ (available in youth sizes sizes XS-XL and in nine colors). This one's for all the all the boba tea drinkers. We’re sharing just a few of our favorites. An 'I Paused My Game to Be Here' T-shirt perfect for giving to the little gamer in your life. Check out our best gag gift ideas for Christmas, birthdays, and more. 40 Funny Christmas Gifts For The Friend Whos Always Joking Around StonePointWoodwork Double Tipsy Jello Shot Tower StonePointWoodwork Double Tipsy Jello Shot. What on Earth has a nice collection of really cool gifts for every less-than-serious occasion. Whether it’s the office white elephant gift exchange or an informal Secret Santa with your teen’s athletic team, there are times you need a quirky gift with lots of personality. You can check here for all shipping deadlines to ensure your item arrives in time for the holidays.There’s a time for serious gift giving, and there are times when a serious gift just will not do. Because humor is the way to the heart, especially during the chaos of Christmas.įYI: Certain items may be shipped later this year due to the pandemic. This mug is designed to look like a toilet (they really nailed it) and holds 10 ounces of liquid, so you’ll be ready to visit the toilet by the time you empty your cup. Luckily, all of these laugh-until-you-cry ideas are wacky, weird, and totally wonderful.įor more party-ready finds that will have everyone in stitches, check out our Secret Santa and White Elephant gift guides. The Toilet Coffee Mug is one of the top gag gifts for Christmas this year if you have that bathroom sense-of-humor. Looking for scary movies for kids or the whole family From Nightmare Before Christmas. Choose between presents that highlight your guy's penchant for dad jokes, punny gifts for your wine-loving best friend, ultra-trendy pop culture finds for The Office and G olden Girls fans, and more. Apart from keeping your feet warm and comfy, they come outfitted with large waterproof pockets that will keep your essentials dry, protected, and always handy. ![]() If pranks, gags, and funny antics are the foundation of your relationship, then give the gift of laughter this Christmas - arguably the best present, no? Browse through these hilarious, gag-worthy gift ideas until you find something for your White Elephant gift exchange, Dirty Santa swap, Secret Santa exchange, or other Christmas party. These tactical Cargo Socks will make a fine addition to any avid outdoorsman’s wardrobe. Banana Phone Bluetooth Handset Now 20 Off 40 at Amazon 40 at Walmart 40 at Uncommon Goods Here’s a literal banana phone that might remind your giftee of a truly obnoxious song from the ’90s. While sentimental gifts are an obvious way to express your love, funny gifts may make more sense for your relationship. The holidays are a perfect time to reflect on all the ways your family, friends, and coworkers have been your side in the past year. You can occasionally sneak up on enemies on Citadel Station, but most are defeated with guns or grenades. Similarly, players who understand System Shock through games like Deus Ex and Prey should temper their expectations, as it lacks their creative toolsets and stealth potential. It works well enough in the game’s horror context, but even with Nightdive’s many enhancements, combat is static and piecemeal, lacking the flow of more focused shooters. Most enemies are defeated by peeking furtively around corners and unleashing a brief spray of bullets. ![]() While Nightdive has imbued ancient weapons with fun feedback, by modern standards it is an unremarkable shooter. System Shock’s age is more evident in its systems. Rather, it’s a place of scientific endeavour where something has gone terribly wrong. Nightdive’s vision of Citadel Station feels more oppressive than Looking Glass’s, but this isn’t a virtual haunted house filled with animatronic scares. The remake also retains much of the original’s unusually colourful aesthetic, with vividly painted walls and brightly lit environments. Meanwhile, the side-effects of one ability enhancement deploys the original enemy designs to great effect. Look closely at System Shock’s textures, and you’ll see the pixels within them. Within this modern makeover are constant references to the past. ![]() There are laser rifles, incendiary shotguns and the mag-pulse, which blasts powerful balls of energy that leave behind glowing indentations on your foes.ĭelightfully menacing … Shodan in System Shock. The laser-rapier, little more than a suggestive blue oblong in the original, is now a whiplike metal blade that glows with deadly potential. Unlocking a door or injecting yourself with medicine are accompanied by characterful first-person animations, while the game’s expansive array of weapons have been redesigned into a weighty, purposeful arsenal. Within this are some lovely embellishments. Nightdive’s remake elegantly modernises all this, paring back the HUD and rebuilding Citadel Station in true 3D. Visually, the original System Shock mixed 3D environments with pixelly 2D characters the screen was mostly taken up by the game’s menu, with only a small viewport in the middle afforded to the player’s perspective. ![]() Nightdive has done fine work re-recording (and, in certain areas, rewriting) the original script, and Shodan’s original voice actor, Terri Brosius, makes a delightfully menacing return. You’ll also hear the stuttering, phase-shifting voice of the AI herself, as she taunts and belittles you over the station’s voice-comms. As you explore, audio logs you pluck from the environment construct a grim timeline of events, with the crew variously discussing the mundane operation of the station, breathlessly devising strategies to defeat Shodan in the wake of the disaster and tearfully saying goodbye to loved ones as the cyborgs close in for the kill. Please respect the work behind this fix, this fix would probably not have appeared WITHOUT the work of the mans behind the scene.It’s a straightforward disaster story, but one rendered chillingly believable through its delivery. ![]() Starting executable: SystemReShock-Win64-Shipping.exe Config folder path: …\ AppData\Local\SystemReShock\Saved\Config\WindowsNoEditor Relative game EXE path: …\ SystemReShock\Binaries\Win64 ![]() In the present scenario, the signal-to-noise ratio (SNR) is constrained by photon shot noise. Consequently, the quantum noise limit (QNL), denoted as 1/√N, governs the imprecision in the determination of optical phase, also known as phase sensitivity. In the context of classical light interferometry, it can be shown that the signal-to-noise ratio exhibits a scaling behavior proportional to the square root of the total number of detected photons, denoted as N. On the contrary, “anti-squeezing” pertains to noise amplification in a complementary characteristic. ![]() The term “squeezing” pertains to the diminishment of noise in a particular characteristic of light, such as intensity or phase, to a level below the fundamental threshold dictated by the principles of quantum mechanics. In squeezed light creation, the signal beam undergoes a squeezing effect, resulting in reduced noise levels, while the idler beam experiences an anti-squeezing effect, leading to increased noise levels. This process generates two distinct beams: the signal beam and the idler beam. The interaction between a high-intensity laser beam and a crystal exhibiting nonlinear optical properties leads to the phenomenon known as parametric down-conversion. These devices utilize the concepts of nonlinear optics to manipulate the quantum state of light. Squeezed light is produced by specialized devices called optical parametric amplifiers (OPAs) or nonlinear crystals. To reduce the quantum noise in light, the squeezed light technique aims to manipulate the quantum fluctuations of light waves to redistribute the noise, leading to enhanced precision in certain measurements and improved signal-to-noise ratios. This method has demonstrated promise for enhancing precision measurements and signal-to-noise ratio. Squeezed light is a form in which the quantum noise is redistributed, decreasing the noise in one parameter while increasing the noise in another. One of the most prominent approaches to addressing quantum noise is using squeezed light. Throughout the course of time, researchers have devised innovative techniques to alleviate the effects of quantum noise, thereby facilitating progress in several fields. Additionally, it impedes the identification of subtle signals and harms the quality of images acquired by imaging methodologies. ![]() Certain experiments, including spectroscopy, quantum communication, and quantum computing, are subject to their precision and sensitivity limitations. Quantum noise in light presents a substantial obstacle in numerous domains of scientific inquiry and technological applications that necessitate precise measurements. Addressing quantum noise of light challenges Operating on low power and integrating all the required capabilities in a single die, this design allows us to address the challenging requirement of reducing the quantum noise of light. Quantum noise is caused by fluctuations in the number of particles arriving at a detector, even without external disturbances.īased on a technical paper published by researchers at Stanford University and NTT Research 1, this article will introduce an innovative photonic integrated circuit (PIC) in thin-film lithium niobate. In contrast to the stochastic nature of classical noise, quantum noise results from the probabilistic behavior of photons. Quantum noise of light is among the most fundamental challenges of quantum physics, where light is not just an ordinary wave or particle but a complex interplay of both.ĭue to the discrete nature of photons, light has an inherent property known as quantum noise, also referred to as shot or photon noise. ![]() ![]() iTunes is also a great platform for movies and TV shows, One can edit, rename, or move files, and even change the file format. The visualizer feature adds graphical effects to the song being played, adding a new layer to the music experience. For Apple users, iTunes can sync on multiple devices, so you can maintain the iTunes library across devices. Essentially an mp3 player, iTunes allows users to shuffle through their song collection, to experience randomized song playlists, enhancing the listening experience. Thousands of downloaded songs and albums are easy to categorize, sort, and create custom playlists. ITunes is an excellent program to organize and a personal music repository. Playing music sorted by artist, song, or album is so easy, that it’s a delight to organize music according to our preferences. Today, even though multiple other multimedia players, music apps, and stores are available, Apple users still rely on their iTunes for their music repository. Music lovers from the early 2000s can recall how novel the experience of organizing and playing music was to that generation, with the new iTunes. Most users primarily use iTunes for music. Through iTunes, users are equipped to record CDs, edit music files, purchase music and videos from the iTunes Store, and basically access music easily and legally What is iTunes used for? Now available on Windows too, iTunes is the perfect place to organise music, watch TV shows and movies, create playlists and more. A comprehensive music store, originally made for Apple users to download and play music. ![]() Learn how to use them effectively with our complete guide.ITunes is a multimedia player and device manager. Also read, about the free Opera GX VPN.Ĭhrome Flags are powerful tools that can enhance your browsing experience. And remember, if you ever need to update iTunes on your PC, simply follow the steps outlined above to ensure you’re always running the latest version. Follow the steps above to get started with iTunes and enjoy all of the music, movies, TV shows, and podcasts that Apple has to offer. In conclusion, downloading and installing iTunes on your Windows PC or Chromebook is a straightforward process. Follow the on-screen instructions to complete the update.If an update is available, click “Download iTunes” to begin the update process.Select “Check for Updates” from the drop-down menu.Click on “Help” in the menu bar at the top of the screen.Open the iTunes app on your Windows PC.To update iTunes on your PC, follow these steps: To download iTunes for your PC, follow the steps above for downloading iTunes for Windows. ITunes is available for download on both Mac and Windows computers. Once the installation is complete, launch iTunes on your Windows PC.Follow the on-screen instructions to complete the installation process.Once the download is complete, open the iTunes installation file.Click the “Download now” button to begin the download.If you wish to get the iTunes file straight from the official website for Windows systems, follow these steps: Download iTunes From the Official Website of Apple Sign in to the iTunes Store for a streamlined experience if you don’t already have an account, create one. Step 5: We’re now ready to use iTunes on our Windows PC. Step 4: Once the installation is successfully completed, click on “Open” to launch the iTunes app. (On your windows there can “Get” option also instead of “Install”) Step 3: Select “ iTunes” and click on “Install”. Step 2: Now click on the search option and type “ iTunes”. Step 1: Search for the “ Microsoft Store” on the search bar and open it. When you first open Snipping Tool it defaults to taking a snip, so if you’re not ready to snip, hit your Esc key. Taking a ‘Snip’ Save, Copy, Email, Annotate, and Edit Show selection ink after snips are captured– when enabled, the selection border is shown around the snip, using the color selected in the ‘Ink Color’.Ink Color– changes the color of the selection border when you create a snip.The Selection options allow you to change a few settings related to the color palette: Show screen overlay – if disabled, when you are taking a screenshot, the Snipping Tool transparent overlay is no longer shown on the screen.Prompt to save snips before exiting – gives you a heads up if you have any captures that you have not saved, prior to closing the program.If a snip is taken from an Internet Explorer window, it also shows the URL of the webpage included in the screenshot. Include URL below snips (HTML only) – save your snips as a Single File HTML or MHT documents.Always copy snips to the Clipboard – copy all captures to the Windows clipboard so you can paste them into other applications (e.g.Hide Instruction Text – hide the instruction text in the main Snipping Tool window.The Application section has a set of checkboxes that enable you to make the following changes: Options from the menu is divided into two sections: Application and Selection Change Options Full-screen Snip enables you to capture the entire screen, like the old-fashioned Print Screen key.error message received from an application) and capture it. your Internet browser) or dialogue box (e.g. Window Snip allows you to select a window (e.g.The Rectangular Snip allows you to take a screenshot shaped as a rectangle, by dragging the cursor around an object.The Free-form Snip enables you to draw an irregular line around an object or area.There are four types of snips available when pressing the New button: Snipping Tool Start Window Snipping Tool opening windowįrom the opening window you can start a New ‘snip’ Cancel a current snip, or change your Options. To do this, right-click the icon and select where you want to the pin it. ![]() Note: If you use this software a lot, you should ‘pin’ the icon to your Taskbar or Start Menu. If you are not ready to ‘ snip’, hit your ‘ Esc’ key to return to the ‘ Snipping Tool’ opening window. It will start as though you are taking a ‘ snippit’ of your current window, so your screen will turn a faded shade. You can go to the ‘ Start Menu’, and then select ‘ Accessories’, then select ‘ Snipping Tool.’ Or, in the Start Menu search box, type ‘ snipping tool’ and it will bring the software to the list and then click to start the software. You can find the Snipping Tool in a couple ways. Have you ever needed to capture a picture of a window on your computer, or get a copy of a picture on the web that isn’t available for download, but you thought you didn’t have any software to do it? Well, you actually do have the software, and it’s available in Windows 7 and Windows 8.1, and it’s called “ Snipping Tool.” Where to find the “Snipping Tool” in Windows 7 ![]() He wants plenty of attention, but is fiercely independent at times as well. The alpha of the litter, he’s the first one in line to nurse and first at the food dish and first to grab at our ankles as we walk by. Romeo was named that because he is just a little love. Would you like to learn a little more about each kitten? Here are some group shots and then a little bit about each one! They would love a car ride if they have an access to the window to see what is going on around! Some Highlanders love to play with water and even swim! These cats can fetch, beg, roll over, and even love to be walked on a leash like a dog. There are few Internet articles suggesting a Highlander if you can’t choose between dog and cat. Many people say they are more dog-like in their personalities. This energy comes out in entertaining chase games and it is this energetic activity that helps build the powerful musculature that is so characteristic of this breed. Vocally they can be relatively quiet cats but all our cattery’s cats ‘talk’ to us non-stop! Physically they are high energy cats. They love human company and will be there to greet you at the door or will show off to visitors. Here is some breed information:ĭespite their “big cat” look, the Highlanders are the clowns of the cat fancy and love to play and chase. ![]() I have 4 males and 1 females and 2 (one boy and the one girl) have the characteristic “Highland Lynx” curled ears. Most of them play fetch and come when called and/or do other tricks! Adopters from her last litter have high praise as their kittens were so well adjusted and do well with little kids, other cats and dogs and have all been very trainable. Each kitten comes with printed and framed portrait from their babyhood. Kittens have been handled daily since birth and are well used to kids of all ages, men, women, and dogs. Mom is the most loving and affectionate, and smartest cat I’ve ever met. Email me at if you would like to set up a time to come and meet them! Christmas delivery even available for an additional fee. They will be ready to go home in time for Christmas and I am available to hold until Christmas Eve/Christmas morning. These beautiful kittens are available now, are getting their with shots and full vet wellness exam today and are litter box trained. Beautiful Highland Lynx/Maine Coone cross kittens for sale to good, loving homes. ![]() ![]() newsletters covering equity, index, and futures options. The goal, of course, is to make money… which leads to his definition of success: doing what you want to do when you want to do it. McMillan is perhaps best known as the author of Options As a Strategic. His philosophy in investing and trading is to take what the market gives you regardless if that is to the upside or downside. That soon morphed into him providing investing and education services to clients and then offering his insights through Investment House.įor the past 21 years Jon has helped thousands of clients gain success in the financial markets through his newsletters and education services. It became so successful his brokers asked if they could follow his trades themselves and with their clients. Safeguard your investment with high-quality Financial news and features and get insight into market analysis for investors, traders, financial advisors and. From that he developed his own trading and investing style. Jon educated himself in investing and trading, reading everything he could find on markets. Investopedia is the worlds leading source of financial content on the web, ranging from market news to retirement strategies, investing education to. He became an investor in several small businesses and today owns and helps operate private companies. Jon holds Business and Law degrees from the University of Texas at Austin and has practiced in commercial litigation and oil and gas law, arguing before the Texas Supreme Court and the US Fifth District Court of Appeals.ĭuring his law career Jon became very interested in investing and entrepreneurship as he worked with many dynamic clients. Barrons is a leading source of financial news, providing in-depth analysis and commentary on stocks, investments and how markets are moving across the. newsletters that are positive to those newsletters that are negative. He was even featured in 's Best of The Web online edition. option trading by the volume of call option trading. Jon has been a guest on CNBC-TV, Bloomberg TV, Houston's 650 Business Radio and his newsletters have been featured in various financial articles, including articles in the Washington Post, Chicago Sun, The Wall Street Journal's Smart Money Magazine, Bloomberg, Kiplinger Personal Finance Magazine, Houston Chronicle, Business Week, Money Magazine and other news magazines. Jon Johnson is the editor of Investment House Daily, Technical Traders Alert, Rapid Profit Stock Trader, and Investment House Stock of the Week. Headlines World News International morning headlines FT ePaper Daily (US) Markets morning briefing Commodities Note Markets afternoon briefing Personal. ![]() Impaction occurs when the broken parts of bone get jammed into each other, while they may remain normally aligned.Ī combination of these types of displaced fracture can also be seen, which commonly include angulation and rotation or angulation, rotation and shortening along with displacement in displaced fracture.Īnother important type of fracture includes open and closed fracture, which can also be seen as types of displaced fracture. Distraction or widening occurs when the broken parts of bone get spaced out, widened causing distraction, which increases the overall length of the bone. ![]() Distraction and impaction are also types of displaced fracture.Shortening type of displaced fracture occurs more often in an oblique fracture. Displacement and shortening fracture is noted when the broken part of bone, gets displaced and moves towards the upper part of bone, reducing the total length of the bone.If the broken part of bone forms an angle on the inner side or medial angulation, it is called varus and if the angle is on the outer side or lateral angulation, it is called valgus. An angulated fracture, this is a type of displaced fracture where the broken bone ends move from their alignment and form an angle with each other.A rotated fracture, where the broken bone turns around or rotates, either external or internal. ![]() 2006 44:213–224.Some of the common types of displaced fracture includes: Chest wall, lung, and pleural space trauma. Missed rib fractures on evaluation of initial chest CT for trauma patients: pattern analysis and diagnostic value of coronal multiplanar reconstruction images with multidetector row CT. Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. Operative fixation of rib fractures after blunt trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma. Kasotakis G, Hasenboehler EA, Streib EW, et al. Consensus statement: surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines. Pieracci FM, Majercik S, Ali-Osman F, et al. Springer-Verlag GmbH Germany, part of Springer Nature. Pain regimens and SSRF considerations should be adjusted accordingly.Ĭhest trauma Displacement Pain Rib fixation Rib fracture. Average fracture displacement was significantly increased for all rib groupings except 11-12 in all planes (p < 0.002). Missed RF rate for CT1 was 10.1% (p = 0.11). Median time between CT1 and CT2 was 6 days (IQR, 3-12). Median Injury Severity Score was 21 (IQR, 13-27) with Chest Abbreviated Injury Score of 3 (IQR, 3-4). Significance was set at p < 0.002.ħ8 of 477 patients with RF on CT1 had CT2 during the study period: primarily male (76%) and age 55.8 ± 20.1 with blunt mechanism of injury (99%). Non-parametric sign test and paired t test were used for analysis. Secondary outcome included number of missed RF on CT1. Given anatomic and clinical characteristics, ribs were grouped (1-2, 3-6, 7-10, 11-12), averaged, and analyzed for displacement. Displacement was calculated by subtracting CT1 fracture displacement from CT2 displacement for each rib. Primary outcomes included RF displacement in millimeters (mm) between CT1 and CT2 in three planes (AP = anterior/posterior, O = overlap/gap, and SI = superior/inferior). Patients with initial chest CT (CT1) followed by repeat CT (CT2) within 84 days were included. Retrospective review of all RF patients from 2016-2017 at our institution. The purpose was to examine RF patterns hypothesizing RF become more displaced over time. Lack of displacement is often cited as a reason for non-operative management. Despite advancing technology of surgical stabilization of rib fractures (SSRF), treatment and indications remain controversial. Rib fractures (RF) occur in 10% of trauma patients associated with significant morbidity and mortality. |
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