There are Non-Mandarin/Non-Cantonese Sinitic Languages spoken in some areas in Guangdong Province as well as Hainan island Province that are related to Min Nan / Quanzhang / Hokkien-Taiwanese such as Teochew (Chaoshan) Language spoken in Eastern Guangdong of Mainland China and Hainanese Language spoken in Hainan island Province of Mainland China. The Overseas Min Nan dialect variants spoken in Malaysia, Indonesia, Singapore, Phillipines and some other Southeast Asian countries are influenced by Malay, English, Cantonese or other local languages spoken in the Southeast Asian Countries,while Min Nan dialects spoken in Western countries are mostly Taiwanese Min Nan Language. All the mutually intelligible Min Nan dialects spoken in Southern Fujian and Taiwan are collectively known as Min Nan or Hokkien-Taiwanese Language. The four mutually intelligible Min Nan dialects are Quanzhou, Zhangzhou, Xiamen and Taiwanese. In Taiwan, although the language had been suppressed by Kuomingtang Political Party in favor of Mandarin for decades until the martial law had been lifted since the late 1980s, the language is gradually being respected and being accorded the status of Taiwan's National Language since 2019, especially by the Taiwan's Democratic Progressive Political Party who had been responsible for the promotion of Taiwan's local languages mainly due to their cultural, political and ideological reasons. In Malaysia, Singapore and Indonesia, the overseas chinese call it as Hokkien (福建話 Hok-kiàn-ōe), while in the Phillipines, the overseas chinese call it "Our People's Language" (咱儂話 Lán-lâng-ōe). It is also spoken by the certain overseas chinese population whose ancestral families hail from Southern Fujian, particularly in Southeast Asian countries such as Malaysia, Singapore, Indonesia and Phillipines, where they make up the largest chinese Non-Mandarin Chinese Language group before Cantonese. It is the most well known and the largest Min Chinese subgroup and the major Min Chinese Language group of Fujian and Taiwan today. There you go – now you’ll be able to tell people which state you’re from! If you’re American, leave us a comment in Chinese to practice! I’ll start: I’m from Michigan.Southern Min, Minnan also known as Hokkien-Taiwanese in English (Mainland China Communist Party : 闽南方言 Bân-lâm-hong-giân : Min Nan Dialect Taiwan (Kuomingtang, KMT) : 臺灣閩南語 Tâi-uân-Bân-lâm-gí Min Nan Language Taiwan (Democratic Progressive Party, DPP and other Pro-Independence Political Parties) : 臺語 tâi-gí Taiwanese Language), is a Min Sinitic language sub-group of dialects that is mainly spoken in Southern region of Fujian province in Mainland China and Taiwan. Without further adieu, here are the Chinese names for all 50 states: My poor state (Michigan) can’t seem to make up its mind when it comes to its Chinese name, as two are commonly used – “Mì xiē gēn” and “Mì xī gēn.” When referring to Washington or New York in Chinese, you’ll want to add the character for “ state” (州 – zhōu) to differentiate the between D.C. Some names sound about the same, such as “Ā lā bā m ǎ” and “Mì xī xī b ǐ,” which you probably guessed are Alabama and Mississippi. What state do you think is called “Qiáo zhì yà” in Chinese? How about “Bīn xī f ǎ ní y ǎ”? Those would be Georgia and Pennsylvania. Sure, Americans tend to mispronounce Chinese words for cities/provinces – Chinese people are always correcting foreigners on their pronunciation of Shanghai, for example – but often times the Chinese words for American states or cities sound little to nothing like the English name.
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The difference between a cube of frozen milk and a bowl of smooth, delicious ice cream is churning. The 11 Best Mail-Order Ice Creams of 2023 Performance: Effective, but needs time Ice cream machines aren’t typically countertop appliances, but this minimalistic device wouldn’t look out of place there. This model comes in seven different colors including classic white, a bright cherry red, and two shades of pink. I churned my ice cream on my kitchen table and it had some trouble reaching the outlet underneath. The cord is slightly short, so you’ll have to clear a space right next to an outlet when you want to use it. It takes a decent amount of storage space, but most at-home ice cream makers are a similar size, so I don’t consider this a strike against this model. The machine is almost a foot tall, and about 9 inches wide. There’s only one button, and a quick glance at the directions is more than enough to understand how it operates. It’s designed with clean lines, and very few bells and whistles. If you want the ability to make ice cream spontaneously, you’ll need to store the base in the freezer, which might be difficult for those with small spaces. The freezer bowl must be kept in the freezer for at least 16 to 24 hours before use. The Cuisinart ICE-21R advertises that frozen desserts will be ready in 20 minutes or less, but that’s not strictly true. It doesn’t include any bonus features, but it’s also unlikely that you’ll need them. * WHAT'S INCLUDED: Motor Base with Dual-Drive Motors, Deluxe Creamerizer™ Paddle, (2) 24 oz.This model is extremely simple.* RE-SPIN: Choose your preferred texture with the Re-spin function which makes your frozen treat even softer and creamier after the first round of processing.It will NOT fit the NC100, NC200, NC299, and NC300 Series pints please make sure you are purchasing for the correct unit. * LOOKING FOR MORE PINTS?: This unit is only compatible with the Ninja® CREAMi® NC500 pint accessories.* MIX-INS: Customize your flavor and texture by mixing in your favorite chocolate, nuts, candy, fruit, and more to personalize any CREAMi® treat.* ADVANCED CREAMIFY TECHNOLOGY™: The Dual-Drive Motors apply downward pressure and spin the Professional Creamerizer™ Paddle that finely shaves and transforms ice particles into delicious treats like slushies, Italian ice, frozen drinks, Creamiccinos™, and more.Simply prepare your base, freeze overnight, process, and enjoy! Containers, lids, and paddle are all top-rack dishwasher safe to make cleanup a breeze. * EASY TO USE, EASY TO CLEAN: Create a CREAMi® treat in three simple steps.With the Ninja™ CREAMi® Deluxe, you can have total control of your ingredients for low sugar, keto, dairy-free, and vegan options. * CUSTOMIZATION: Create completely customizable treats. You can even process the top half to enjoy now and save the rest for later. * FLEXIBILITY: Turn one frozen base into two finished flavors – one in the top half of the Deluxe Pint and the other on the bottom.New larger CREAMi® Deluxe Pints hold 50% more ice cream than the original Ninja® CREAMi® * CAPACITY: Make more treats for the whole family to enjoy.* NEW FUNCTIONALITY: Make brand new CREAMi® scoopable and drinkable treats with the addition of the Slushi, Italian ice, frozen drink, Creamiccino™, and frozen yogurt functions. And now, make new CREAMi® scoopable and drinkable treats like Italian ice, Slushi, Creamiccino™, frozen yogurt, and frozen drinks right at home. Make classic CREAMi® treats like ice cream, sorbet, gelato, and mix-in masterpieces. With the Ninja® CREAMi® Deluxe, you can turn almost anything into ice cream and so much more. In a few short steps, you can have mods running in your own game - here's how it works. The first thing you’ll want to do is ensure that Java is installed on your computer. If it’s not, head on over to the official Java website and click on the Java Download button. From there, you’ll be prompted to accept a few agreements, and the installation will begin. Then, just follow the straightforward directions to complete the download, and close out of your browser. There’s nothing else you’ll need to do with Java at this point - we’ll circle back to it later. Once Java is installed, go ahead and run Minecraft. We recommend logging in to your account and actually jumping into a procedurally generated world to verify that the game does, in fact, run properly before messing with Forge. Running Minecraft will ensure that all the necessary folder locations have been created on your computer before attempting to install Forge. If you don’t run Minecraft prior to downloading Forge, you’ll encounter various errors when attempting to install mods later on. You’ve installed Java, you’ve run Minecraft, and now it’s time to start with the setup of Forge. Navigate to its official website, and you’ll be greeted with several options for installation. Step 1: From the Recommended Download section, select the Installer option. If you are running any sort of firewall, you may have to bypass its security setting. How to start the Burning Shores DLC in Horizon Forbidden West How to complete the Resurrect the Rex quest in Dead Island 2 Step 2: Once the download is finished, you should have a new file on your computer with a filename similar to forge-1.15.2-31.1.0-installer.jar. Step 3: Now that Java is installed on your computer, you should be able to click on the file and run it. This will open up the Mod System Installer, which will walk you through the process of setting up Forge on your system. Step 4: Take note of the file path listed on the installer - you’ll need this later. Then, select Install Client and press OK. Step 5: Once done, proceed through the prompts, and the Forge Installer should close. That’s it for installing Forge! However, you’ll want to check to make sure it installed properly - and you still need to add all your mods to it. Run Minecraft a second timeįirst, check Minecraft to make sure Forge is running. Step 2: Navigate to the Installations tab. Step 3: Along with Latest Release, there should also be an option called Forge. Step 5: Then, log in with your regular credentials Step 4: To play Minecraft with your mods, you’ll want to hover over the Forge option and click Play. If you’re able to log in with the Forge installation, that means you’re ready to join the wild world of modded Minecraft. They might be bulky to carry and a bit unruly to pack up, but if they don’t let you get a good night's sleep at camp, nothing will.Īnd while there are a few worthy camping pads available for two sleepers, we wanted to see how the new NEMO Roamer Double Sleeping Pad stands up to the established leader in the space, the Exped Megamat Du0 10.Īs we’ll discuss, the NEMO Roamer comes out on top in many categories, including inflation time, packed size, versatility, and weight. But it still can’t quite compete with the ultra-plush design of the Exped Megamat Duo 10, which offers more cushioning and a superior R-Value. If you’re stuck between these two outstanding sleeping pads, the details below should help make your choice a little bit easier. ComfortĬompared to closed-cell foam pads or the thin, ultralightīackpacking sleeping pads that many of us are used to, both the Roamer and Megamat will feel downright luxurious. And at first glance, it may seem like both are so similar that you might not notice the difference between the two at the campsite.Īfter all, both offer a 4-inch thick sleeping platform with an uncannily similar 78” x 52” footprint. Both are also highly insulated, adding a significant amount of warmth to your sleeping system.īut if there is still one noticeable difference between the two when it comes to comfort, and that is the ratio of air to foam. The Roamer uses NEMO’s Flow Core™ construction, which is a fancy way of saying that NEMO hollowed out a large amount of foam inside. This creates extra space that can then be filled by air when the pad is inflated. While this particular construction provides many benefits, like reducing weight, making it easier to pack, and helping the pad inflate faster, it also makes the Roamer more compressible. And while the Roamer is comfortable as far as inflatable pads go, some side sleepers might find themselves waking up with sore shoulders or hips. That did not settle things, as Oakley proceeded with the civil lawsuit in September. The NBA tried to reconcile differences between Oakley and Nolan in a meeting with commissioner Adam Silver and Hall of Famer Michael Jordan. He was arrested and charged with three counts of assault.Ī video of the altercation can be seen here. Oakley pushed security personnel before he was removed from the stands. player, was ejected from a Knicks game at Madison Square Garden on. From booting Marv Albert to dissing Patrick Ewing, its become a problem for. Oakley was reportedly “boisterous” around Nolan, who was near his seat, and asked to leave the game. Advertisement Former Knick Charles Oakley Is Arrested After Altercation at Madison Square Garden Oakley, a retired N.B.A. Charles Oakley arrest more evidence of Knicks disrespect for their history. Former New York Knicks star Charles Oakley shoved a Madison Square Garden security guard and was arrested before being escorted out of the building. Oakley, who was a first-team all-defensive selection with the Knicks in 1994, was ejected from a February 2021 game at Madison Square Garden. Oakley's case was last dismissed in November 2021. Guardian sport and agencies Fri 14.23 EST Last modified on Mon 06.40 EST Madison Square Garden owner James Dolan has fired his top security chief following Wednesday’s. This is the second time a federal court has reinstated Oakley's case, which he filed in September 2017. The court is also allowing Oakley to add Knicks executive chairman and CEO James Dolan as a defendant, but that has not happened yet. Former New York Knicks star Charles Oakley shoved a Madison Square Garden security guard and was arrested before being escorted out of the building. NEW YORK - Former New York Knicks great Charles Oakley was arrested and charged with three counts of assault following an altercation in the stands near team owner James Dolan at Madison. Oakley, whose professional basketball career spanned 1985-2004, played for the Knicks from 1988 to 1998.A federal appeals court panel reinstated New York Knicks legend Charles Oakley's lawsuit against Madison Square Garden Sports Corp. PHI 42-38 NBCSP 4:05 PM EDT 76ers EW YORK - Former Knicks star Charles Oakley was forcefully removed from his seats at Madison Square Garden and arrested after an altercation near team owner James Dolan. Sports reporter Mike Vorkunov wrote on Twitter that Oakley could be heard yelling “”I didn’t do nothing! Dolan did this…This is bullshit*t.” He was reportedly escorted out and handcuffed when he refused to calm down. Oakley was asked to leave after repeatedly yelling at Dolan during the game’s first quarter, according to a series of tweets by New York Daily News reporter Frank Isola. poundit Tuesday, MaCharles Oakley escorted from MSG, arrested after incident (Video) Februby Gordon Dixon Leave a Comment Charles Oakley’s evening at Madison. Oakley was arrested on July 8 after officials say he cheated multiple times at the Cosmopolitan hotel while playing the Ultimate Texas Hold'Em table game. He’s accused of changing his bet in a game of blackjack Sunday at The Cosmopolitan. He was a great Knick and we hope he gets some help soon.”Īlso Read: ABC Orders Jalen Rose Sitcom Pilot From Nahnatchka Khan Former NBA player Charles Oakley has been arrested for allegedly cheating at a Las Vegas casino. “He has been ejected and is currently being arrested by the New York City Police Department. “Charles Oakley came to the game tonight and behaved in a highly inappropriate and completely abusive manner,” the Knicks said in a statement. Former New York Knicks player Charles Oakely was escorting out of Madison Square Garden after shoving a security guard on Wednesday night.Īccording to Sports Illustrated, Oakley was yelling at Knicks owner James Dolan when the incident occurred. Oakley was arrested Sunday at the Cosmopolitan casino-resort on the Las Vegas Strip on suspicion of committing or attempting to commit a fraudulent act in a gaming establishment, the Nevada. Former Knicks star Charles Oakley was escorted from his seats at Madison Square Garden and arrested after an altercation near team owner James Dolan. Scroll through your orders until you find the one you’d like to archive. Utilize the process to keep your digital footprint on Amazon all to yourself. Click Returns & Orders in the upper right-hand corner. If you follow the steps mentioned above carefully, you will know how to archive orders on Amazon app in a few minutes. While you do not want any snoops to view your searches and orders, it also helps to keep your surprise gifts private at least before they are delivered.Īrchiving orders, therefore, is a lifeline given to you to make sure your orders are known only to you. Your order history for the selected year. On the next screen, you’ll see a list of orders you’ve placed through Amazon in reverse chronological order (most recent at the top) by default. To view your old Amazon orders (purchases), click the past six months drop-down. In the menu that appears, tap Your Orders. The Amazon app is a great place to find your favourite items as well as buying gifts for your loved ones. 01:13 On the iPhone, you’ll find the hamburger button in the lower-right corner. If you fail to collect it, the order will be returned to Amazon, and a refund facilitated for you. Upon confirmation of delivery, you have to pick the package in 3 calendar days. Or, print the receipt using your actual printer. Here, to save your receipt as a PDF, choose your virtual PDF printer. Amazon will open your computer’s standard print window. To print or save this receipt, then at the top of the receipt, click the Print This Page for Your Records link. Find more solutions Ordering Placing an order Find information about placing an order on, as well as your purchasing options and how to use Amazon Assistant. Amazon will then provide you with a six-digit code through your email that you will use to open the locker. You’ll see a web page with the details of your order. The process to pick this option is as follows:Īfter making an order, choose the locker as your address option. Kenya Airways recruitment portal - Vacancies and application guide Liquid notes for live r2r serial number#.Unfortunately some vendors use measurements for a marketing purpose, sound quality is a secondary target. It must be applied wisely, but the amount that would linearize ladder errors far exceed optimum values that would bring improvements to the sound quality. Dithering is a known technique that helps removing quantisation errors following data processing. Similar effect to the noise shaping in Delta-Sigma algorithm and it improves measurement results the exactly same way. With ultrasonic scrambling (otherwise called dithering), details are blurred. Unfortunately our ears register temporary values. Analyser will record averaged result giving perfect plot. By adding a wide spectrum noise to a music, ladder errors are shifted up and down on every clock cycle. Those who talk about ladder compensation use rather error randomisaton technique. What you see on the FFT is an averaged result over thousands samples, not a repeated accuracy figure. You need to be more careful, especially when trying to correct others. just had a few minutes and thought I'd barf a few things out.Ĭlick to expand.It was correct. I use it with Qobuz, not 100% sure if it does Tidal, but very soon there will be an update to the R26 which will include Tidal Connect they've been earnestly working on it for a few months at least. Speaking of streaming, check out JPlay, it's a UPnP app that blows bubble out of the water. I'm still trying to get my CD collection to sound as magical as my streamer set up. I bought a LHY and moved the Jameco to the dirty side. As for linear power supplies, if you want to go cheap, get a Jameco Reliapro for $25 for the DAC end and call it done. FWIW, for me the Finisair ( ) at $24 for 10 meters was a no brainer and a definite step up from the previous multimode fiber I had before it. If you're going the FMC route, you've probab y already read up here enough to make you dizzy, and I'd also refer you to the sticky on the first post of this thread. Hey Rock - 200mb is more than enough to stream hi rez. But I don't want to tie up this thread on my personal issues. I also have an older Netgear moden/router combo unit and my download speed is presently 200 Mbps, but some here speak of a minimum speed of 500 Mbps where I have read elsewhere that you only need speeds of 20 Mbps to listen to lossless music on-line. I can go into a little more detail of what I'm looking for help with (such as which route to go with fmc's, eg: Amazon generic, SGC offerings or the Finisair products that are spoken of here). With so many people on the site who really know what they are doing, I was wondering if you might help me better understand how to go about setting things up? No HQPlayer, no Roon (at this point), no mesh network, (hard wired LAN), no i2s and I just want to keep it relatively cheap & simple. I will only be using the R26 as a steamer listening to Tidal via Bubble UPNP. I have learned a lot here on this thread about the R26 but I am still pretty confused about streaming digital music in general. I'm getting around to hooking up my more permanent gear this week with my speakers arriving on Wednesday. I've had a Gustard R26 burning in for a couple of months now on some temporary gear but haven't done any critical listening per se due to a major home remodel. On your next billing statement, the previous charge for the original number of licenses is deducted.If you pay annually, you are invoiced within a month for these changes. Licenses added in the middle of your billing period appear on your next invoice.How does buying or removing licenses affect my billing statements? If your subscription is prepaid, you can't remove licenses. If you prepaid for your subscription with a product key, you can add more licenses by using another product key, or by adding a credit or debit card, or bank account to cover the additional cost of the new licenses. The licenses are immediately available for you to assign to users. The payment method associated with your subscription or billing profile is charged as soon as you buy more licenses for a subscription. When will the new licenses be available to assign? To view your trial subscriptions, select the filter button, then choose Trial.įirst buy your trial subscription, then you can buy more licenses. If the subscription was bought via a Cloud Solution Provider (CSP) partner, contact your CSP partner to buy more licenses. You see the word "Reseller" in the Purchase channel column of the Your products page. You bought your subscription through a reseller. See Add licenses to a prepaid subscription by using a Microsoft 365 product key. If the subscription was bought and activated by using a 25-character product key, you see the word "Prepaid" in the Purchase channel column of the Your products page. You activated the subscription by using a product key. Credit checks typically take up to two working days to complete.Īfter the credit check is complete, you should see the Buy licenses and Remove licenses buttons. If a credit check is pending, you can't buy or remove licenses until the credit check is complete.Ĭheck back later to see if the credit check has completed. This table describes the reasons why the Buy licenses or Remove licenses buttons aren't available, and possible solutions. What if I don't see the Buy licenses or Remove licenses buttons? Review your order details, then select Redeem. (NOTE: diagrams created in desktop Visio might contain other features - features not related to swimlanes - that could prevent them from being edited in a browser.)įor a summary of features, templates, and diagram types that can be created and edited in a browser, refer to this Microsoft support article.If you have more than one product key, you can select Add another product key to enter them. They can even edit swimlane diagrams that were created in one of the desktop versions of Visio. Visio Plan 1 and Plan 2 users can view, create, and edit swimlane diagrams in a browser. Visio for M365 users can view swimlane diagrams created by others but cannot create or edit them. Now the answer to the question about CFFs and Visio in a browser: Other combinations work as well, these are just a few examples. Visio Plan 2 is a paid subscription that includes the same browser capability as Visio Plan 1 and also includes a desktop component that is a superset of the capabilities of Visio Professional.Īll three of the above licenses allow diagram creation in virtually any browser on any device.Visio Plan 1 is a paid subscription for a browser-only license.Visio for Microsoft 365 (M365) is a free version of Visio that is included with commercial M365 licenses as well as some other M365 license types.The desktop portion of Visio Plan 2 (the subscription version of Visio) also includes this diagram type because it is essentially a superset of Visio Professional.īut what about the versions of Visio that run in a web browser? That answer requires a bit more information about three Visio license types that support browser-based diagrams. The fact that the lanes in a CFF look like lanes in a swimming pool gives rise to the common nickname for CFFs: swimlane diagrams.īoth the Standard and Professional editions of Visio have supported creation and editing of swimlane diagrams since the early days of Visio. Each lane represents a role, department, or function within an organization. A Cross-Functional Flowchart (CFF) is an improvement on a basic flowchart because it adds value by assigning shapes that represent work tasks to specific lanes. Built with the power of next-gen hardware in mind, Phantom Liberty offers brand-new gameplay mechanics, nail-biting courier jobs, gigs, and missions - and a thrilling main quest where freedom and loyalty always come at a price. With the help of NUSA sleeper agent Solomon Reed (Idris Elba) and the support of Johnny Silverhand (Keanu Reeves), unravel a web of shattered loyalties and use your every skill to survive in a fractured world of desperate hustlers, shadowy netrunners, and ruthless mercenaries. Infiltrate Dogtown, a city-within-a-city run by a trigger-happy militia and ruled by a leader with an iron fist. What happens when DLC practices go too far An indie developer makes a game that mocks the industry and its foibles, that's what Defeat the bad guy, save th. Become V, a cyberpunk for hire, and dive deep into a tangled web of espionage and political intrigue, unraveling a story that connects the highest echelons of power with the brutal world of black-market mercenaries. An indie developer makes a game that mocks the industry and its foibles, thats what Defeat the bad guy, save the world and get the girl But first youll need. When the orbital shuttle of the President of the New United States of America is shot down over the deadliest district of Night City, there’s only one person who can save her - you. Later on the player buys maps and other abilities to progress. The game has the player collect coins to buy 'packs' which gives the player features such as the ability to move left and jump. Phantom Liberty is a new spy-thriller adventure for Cyberpunk 2077. Overview DLC Quest is a platforming action game and is a parody of downloadable content. Phantom Liberty, a new spy-thriller adventure to Cyberpunk 2077, arrives on (CEST) for Xbox Series X|S - pre-order now to get in-game access to the Quadra Sport R-7 “Vigilante” when the expansion launches! Click "Add to Cart." Then proceed with completing your purchase.Once in the Kivuto Web Store, click on the Adobe Creative Cloud icon.Users will log in to the Austin Community College WebStore (Kivuto) to view available offerings and purchase their license.You may install Adobe Creative Cloud apps on personally-owned devices.įor installation on ACC-owned devices, faculty and staff should submit a Mojo Helpdesk Ticket or contact the ACC Technical Support Assistance Help Desk at 512-223-TECH (8324) or via email students needing assistance with the Adobe Creative Cloud, please contact the Student Technology Support Help Desk at 51 Option 8. Can I install this on ACC-owned devices and personally-owned (non-ACC) devices?.Note: Students must have claimed their official ACC email address before attempting to purchase Adobe at a discount rate. Students not enrolled in courses that require Adobe Creative Cloud can purchase a semester-based license for $50 per semester. Students: Students enrolled in courses that require the use of Adobe Creative Cloud are eligible to purchase licenses at a substantial discount of $10 per semester. You will need your ACCeID and password to log in.įaculty and Staff: Adobe Creative Cloud is available to full-time staff and faculty at no cost. Faculty and staff may obtain their licenses at no cost. Students enrolled in courses that require the use of Adobe Creative Cloud are eligible to purchase licenses at a substantial discount of $10 per semester. Contact the Office of Communications and Marketing if you need photos of students, alumni, faculty, or staff. Limit stock photography to objects and concepts, unless there is no alternative. Important: Photography should feature actual ACC students, faculty, and staff. With Adobe Creative Cloud, you get access the latest updates, new features, apps, and services as soon as they are released. This suite of products gives you unlimited access to industry-leading creation tools for graphic design, video editing, and web development such as Photoshop, Illustrator, XD, Premiere Pro, Spark and more. Austin Community College is FIRST community college in the nation designated an Adobe Creative Campus.Īdobe Creative Cloud is now available to ACC faculty, staff, and students at no-to-minimal cost. These symptoms may be accompanied by objective changes in the sensitivity and muscle strength of tissues of the hand In general, there are two approaches to the treatment of CTS A conservative approach is based on treating underlying causes to stop the CTS progression. Additionally, magnetic resonance imaging (MRI) allows visualizing surrounding tissues, but its efficacy is limited by difficulties in revealing the entire nerve trunk Normally, CTS is manifested by numbness, paresthesia, and pain in the innervation of the median nerve. Neuroimaging, especially ultrasound, provides information about the nerve in the carpal tunnel. But the value of electrodiagnostic (EDX) study grades as a prognostic indicator of clinical results after Carpal Tunnel Release (CTR) remains controversial. Electroneuromyography (ENMG) is the gold standard for evaluating the function of the median nerve in patients with clinical manifestations of CTS. When symptoms are mild, provocative maneuvers (such as Tinel’s and Phalen’s test) may elicit CTS symptoms and require further examinations however, when symptoms are severe (weakness, sensory deficits, or limitations in daily living activities), studies on nerve conduction are recommended. Its diagnosis is based on clinical data, questionnaires, and neurological examinations. CTS is the most common and well-known cause of peripheral nerve compression, with an incidence ranging from 50 to 150 cases in 100,000 inhabitants. The repetitive stress causes chronic inflammation of the connective tissue, increasing the pressure inside the canal of the wrist, and resulting in venous hyperemia and edema which leads to ischemic damage of the nerve. It is caused by the compression and traction of the median nerve at the level of the carpal tunnel. Mean values in the Boston Carpal Tunnel Questionnaire significantly decreased in both groups.Ĭonclusion: Nucleo CMP Forte™ in combination with ES contributes to a more pronounced regression of patients' complaints, clinical manifestations, severity, and neurophysiological indicators in mild-to-moderate CTS.Ĭarpal Tunnel Syndrome (CTS) is a complex disorder with sensitive, motor, and autonomic symptoms. Positive Tinel test was revealed in 52.4% of patients after the first and 76.2% after the second stage in the exploratory group, versus 43.8% in the control group. Results: In the exploratory group, the complete restoration of pain sensitivity was achieved by 17.1% of patients and the narrowing of the existing zone of hypesthesia by 74.3%. The combination treatment included two stages: Nucleo CMP Forte™ and ES for ten days (stage one), and Nucleo CMP Forte™ as monotherapy (stage two) for ten days. Patients were randomized to receive the exploratory treatment (Nucleo CMP Forte™ and ES) or single ES treatment for ten days. Methods: This open-label, randomized, controlled study involved 60 patients with CTS at the Azerbaijan Medical University (Baku, Azerbaijan) and Research Institute of Medical Rehabilitation between 20 years. The objective of the study was to evaluate the effectiveness of a novel product containing uridine and cytidine monophosphate (Nucleo CMP Forte™) in combination with ES for the treatment of CTS. To date, none of the studies have determined the optimal combination of pyrimidine nucleotides and electrical stimulation (ES) in CTS patients. Introduction: Carpal Tunnel Syndrome (CTS) is the most common and best well-known cause of peripheral nerve compression. |
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