System of a Down

http://www.medilaw.tv - Cervical Spinal Cord Trial Stimulation wire electrode medical education animations. Special pain nerves carry pain messages from the body through the spinal cord, to the brain. When the messages reach the brain, we become aware of the pain. Chronic pain occurs when the pain message to the brain continues after the original pain generator has healed, due to damaged or dysfunctional nerves. If the adjacent non-pain nerves in the spinal cord are activated, it can decrease the transmission of the pain nerve's pain messages to the brain and hence decrease our awareness of the pain. Cervical Spinal Cord Trial Stimulation wire electrode medical education animations. INTRODUCTION Special pain nerves carry pain messages from the body through the spinal cord, to the brain. When the messages reach the brain, we become aware of the pain. Chronic pain occurs when the pain message to the brain continues after the original pain generator has healed, due to damaged or dysfunctional nerves. If the adjacent non-pain nerves in the spinal cord are activated, it can decrease the transmission of the pain nerve’s pain messages to the brain and hence decrease our awareness of the pain. Spinal cord stimulation is used to decrease the sensation of pain from a particular area of the body by activating the adjacent non-pain nerves. It also seems to work by stimulating pain inhibition in the brain, and by incompletely understood autonomic effects. The first spinal cord stimulation system was implanted in 1967. A strip of electrodes on a lead is placed in the epidural space next to the spinal cord in the spinal canal. There are variable numbers of electrodes per lead, and more than one lead can be used. The lead is either connected by cable to a low voltage battery-powered impulse generator that is implanted under the skin, often in the lower abdomen or upper buttock, or to a receiver under the skin which receives power and instructions from a radio-frequency transmitter worn against the skin. The implantable impulse generator and the receiver/transmitter units are not seen through clothing or heard when operating. They can be programmed to send varying patterns of electrical current to the spinal lead, which masks the painful messages being transmitted to the brain by producing a tingling or numb sensation in the area of the original pain. Cervical Spinal Cord Trial Stimulation wire electrode medical education animations. The conventional batteries in an implantable generators last two to five years, whereas the rechargeable batteries last five to ten plus years. However the rechargeable batteries take twenty minutes to two hours to recharge. Both batteries eventually need to be replaced by a minor surgical procedure. The conventional generators are best for simple pain patterns and low to moderate pain levels as they are less programmable and they produce lower power output. They can be turned on and off with a magnet or hand-held programmer. More complex pain patterns requiring higher power output ideally would have a rechargeable impulse generator. The radio-frequency transmitter-receiver systems have the power and control systems outside the body. The transmitter is worn on a waist belt, and its antenna is taped to the skin. The antenna transmits to the receiver just under the skin. They are better for complex pain patterns, as they can deliver more energy and can be programmed to produce complicated electrical patterns. Programming can be done using the external power transmitter. A flat battery in the external transmitter is easily replaced, and does not require a surgical procedure. However radio-frequency systems require daily maintenance, and the transmitter needs to be worn against the skin whenever pain relief is required, which can cause skin irritation. A trial stimulation is usually undertaken for a few days to assess pain relief during daily activities. You will be asked to keep a diary of the electrical patterns used and their resulting pain relief during different activities. Trial stimulation is not essential, but allows assessment of pain relief, daily function and sleep improvement, and narcotic medication reduction before permanently implanting the generator or receiver. The trial electrode-containing lead is placed percutaneously through the skin by a needle requiring only local anesthesia and some IV sedation. The percutaneous procedures are usually done as an outpatient, that is, in and out of the hospital on the same day. The trial lead is often left in place for one week, then removed. If the trial is successful, new leads and the implantable generator or receiver are inserted two weeks later, using light sedation or general anesthesia. Larger paddle electrodes require the removal of some bone from a vertebra under a general anesthetic to make room to slide them into the epidural space. In this case, you will need to stay overnight in the hospital. When the leads are implanted, y

• published: 09 Jul 2011
• views: 6535

Show Notes and Links: http://www.servicesphere.com/blog/2012/7/9/i-will-cut-you-devops-culture-itsm-weekly-the-podcast-episod.html Show Notes: Amazon Outage Should cloud providers OPEN up to fully disclose their backup systems CNET Article - "Icebergs in the cloud" PDF Link Service Warranty Cloud is a threat to IT Natural Selection isn't pleasant for the non-selected. ServiceNow cloud documentation Are cloud providers by disclosing their ops, for transparency sake, now losing ground with competitive advantage? NIST Cloud Standards Elastic Load Balancing  Are we passed the TECH bubble? Best Buy lays off 650 Geek Squad Employees Facebook vs ServiceNow Microsoft / Yammer vs Facebook / Instagram this is a billion dollar battle to be relevant?  Salesforce, IBM, Oracle, Microsoft, all racing to be social Perception is a big deal with tech futures, because of  Windows 7 $300.00 Windows 8 40.00 licenses costs are changing so fast. MOBILE ONLY SOFTWARE Why HR Still Isn't a Strategic Partner Friction vs Flow John Willis, VP enStratus Devops Movement Cote and John Willis, podcast on ITIL / ITSM with Chris Dancy You own your OWN availability Cloud - Do you need to own a data center? When do standards really work? Devops defined Adam Jacobs – Devops - A professional and cultural movement Kanban Devops is a FAD right now. Damon Edwards, Devop Days Devops = CAMS > Culture, Automation, Measurement and Sharing Tools Devops If you can't get the culture right, skip CHEF or PUPPET Velocity Conference 2012- Facebook Session – Jay Parikh - "How do you get to a billion users!" Eliyahu Goldratt "Beyond the Goal" Devops doesn't fit every cultural organization Who is culture hacking? John Allspaw from Etsy Sun Tzu Toyota - You can copy someone’s process, you can't copy someone's culture Culture is BS.... people don't understand the word. Culture is a NICE way of saying "I'm afraid of people" The CULTURE RANT Spike Morelli In reality no one cares about culture, NO ONE. Tools give us a chance to POINT fingers.  Culture failures don't give you a opt out on ego. If you are KILLING yourself at work, maybe the suicide rate is a cultural indicator at your organization. No one is exposing the STRENGTHS of cultures.   Big data surfing tied to smiley faces and bug bashing Hornbill Software HACK day (Innovation Day) Velocity Conference and Devops Days There is a TALANET WAR right now. BE BOLD, LEAVE YOUR JOB IF THE CULTURE DOESNT WORK How do you lose employees?  Why do good employee leave? Is it EVER OK to fire an employee for making a mistake? Good ITIL / Bad ITIL ITIL is about process over people Devops is about people over process Ben Rockwood Velocity ITIL = Constraint / Devops = Flow Continual Service Improvement is NOT a choice; it's a force of nature. Bank Simple - Banking meets culture Introverts and the abuse of the corp culture (TED Talk) Stupid people suck the life out of me Clouderati are just a bunch of talkers Facebook data centers Netflix  Culture vs Facebook culture Ian M. Clayton , Paul Wilkinson  are now mainstream tigers and koala bears FILDI - F, it, let's do it Build SLACK into workflow Native RT vs Retweet, why it's important A Robot will take your job Show Transcription: ITSM weekly, the podcast for your news, insight analysis and information from the world of IT service management. Your hosts Matthew Hooper, Chris Anthony and Matt Baron. IT Service Management Weekly, the podcast starts now. Welcome to ITSM weekly. The podcast, episode 92. 9 -2. For the week ending, I don't know, we're not good at week. Guys how you doing? Good, how you doing Chris? Good! I'm wearing my V-neck shirt tonight. Okay. It's nice to see neither of you have melted in the heat. Now it's absolutely ridiculously hot out there. We have a guest today, John Willis. How do you pronounce it, is it machoglupa like surround sound. Mr. DevOps. So he should joining us soon. Reach out to him. So let's go ahead and start off with some News and a stupid surprise, baboon brass news. So, any excuse. I got cloud service. just like blowed away. Okay Hoop what do you got for us? Why NewsGator GIO. NewsGator. NewsGator for Hooper. Yes, news. News from the CAO's perspective. Amazon homage. I think this is huge news. Cloud is a problem when you don't have contingency. Cloud is difficult to build contingency because you don't own the asset so what to do. So its got people thinking about it you know how can we do a better job and understanding what's going on behind the cloud front. And it is starting to beg the question, is this time that cloud providers open up and disclose some of their IT systems and how things are put together? Taking a quote from an article on CNet, it says, this strengthens the argument for cloud providers like Amazon to fully disclose their IT systems to either their customers or independent third party for assessment, testing, and inspection. As Yale academic Brian Ford has argued in his academic paper, "

• published: 09 Jul 2012
• views: 0