Hemorrhage control is a significant concern of military and civilian trauma centers across the world1, and uncontrolled hemorrhage leads to over 30% of trauma deaths world-wide and more than half of those occur before emergency care can be reached2,3. Thus, employing hemostatic agents to rapidly and effectively control the hemorrhage is very important for trauma emergency. An ideal hemostatic agent should not only quickly control massive hemorrhage from large arteries, veins, and visceral organs but also should be biocompatible, ready and easy to use, lightweight, stable, and inexpensive1. Although the current hemostatic agents including cyanoacrylates, glutaraldehyde cross-linked albumin2, zeolite-based QuickClot3, fibrin based bandages or gelatin-based hemostatic agents4,5 have been proven to be highly effective in stopping the hemorrhage, they are often ineffective for deep wounds incurred by small-caliber firearms, improvised explosive devices in battlefield and everyday life6, which are irregularly shaped and noncompressible7.

ZFS features go well beyond the data checksumming and self-healing capabilities; its powerful snapshots are much better than LVM snapshots and its inline lz4 compression can actually improve performance by reducing disk writes. I personally achieve a 1.55x savings on the 10TB pool (storing 9.76GiB of data in only 6.3GiB of space on disk)


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Given enough time, it's almost certain to happen. Coincidentally, it happened to me last week. My home file server developed some bad RAM that was causing periodic lockups. Eventually I decided to simply retire the machine (which was getting rather old) and moved the drives to an enclosure on a different machine. The post-import scrub found and repaired 15 blocks with checksum errors, out of an 8TB pool, which were presumably caused by the bad RAM and/or the lockups. The disks themselves had a clean bill of health from SMART, and tested fine on a subsequent scrub.

Crate rest is mandatory for the IVDD to heal, if your dog's lifestyle does not include crate rest, or if they are otherwise very active and rarely slow down, your vet may prescribe medications to relax the dog and promote a more laid back lifestyle. We understand the trepidation some dog owners may have with medicating their pets in this way, but it is completely necessary in some cases to prevent energetic dogs from hurting themselves. With IVDD, a dog who does not get enough crate rest is at a hugely elevated risk of doing further damage that requires emergency surgery or, in some cases, incurable paralysis.

Pain medications will be prescribed if your dog is in discomfort. having a slipped disk hurts--it hurts a lot. If surgery is not the best path forward to correct the problem, pain medication will likely be required to keep the pain manageable while the injury heals.

Many cases will do well when managed conservatively however in cases with paralysis, the prognosis is better with surgery i.e. the dog or cat is more likely to regain walking function and be pain-free, is more likely to improve quickly and less likely to have recurrences. Cases where pain sensation is absent (i.e. when the toe is pinched hard but the dog or cat is unaware of discomfort) are a surgical emergency and have a poor prognosis for improvement.

I have gone through what you are describing. For me, and as you know we are all different, it was about 6 or maybe even 7 months before I started to feel like I was making ANY improvement in my health and even after that, I still faced setbacks that made me feel like once again I had not improved at all. I think that is a very normal part of recovery for all of us. I still, nearly two years out, face the emotional stress that you describe. Seemingly little things made me very sad and hysterical, very quickly. Where I am now in my recovery, I feel like taking a walk helps to clear my head and even if I try not to think about how out of shape I have become, I do, and it helps me feel like I am doing something about it.

Each year, millions of Americans present with some form of back pain. The pain may be acute, typically defined as pain in the back region of recent onset that limits activity and lasts for 3 weeks or less, or chronic, persisting beyond 6 to 12 weeks. Back pain may result in time lost from work and the development of psychological problems, such as depression. Back pain is further classified as primary (also known as mechanical), which is most commonly of indeterminate musculoskeletal origin, and secondary, caused by a discernible secondary disorder such as an aortic aneurysm, hyperparathyroidism, ankylosing spondylitis, infection, or a space-occupying lesion (including carcinoma). Mechanical back pain arises from transient derangement of an anatomic structure in the back. Degeneration of intervertebral disks and desiccation with age are responsible for most cases of mechanical back pain. It is seen most often in middle-aged and older patients and usually is benign. inflammatory back pain often results from a seronegative spondyloarthropathy affecting the axial skeleton and sacroiliac joints. It is most common in younger men and usually is a chronic condition. Infectious back pain is less common; however, it is important to diagnose this type of pain early because it may result in paralysis or neurologic impairment. Red flags that suggest a secondary cause of acute back pain include fever or intravenous drug use, which may herald an infection in the disk space; localized bony tenderness; history of cancer, fever, or weight loss, which may indicate a carcinomatous process (either primary or metastatic); ankylosing spondylitis, seen most commonly in patients with a family history; and pain beginning during adolescence. Back pain is the presenting complaint for many focal as well as systemic diseases, with the possibility of serious morbidity or even death. Therefore, it is important to ascertain the correct diagnosis and rule out serious secondary pathology. Patients with back pain may present to a variety of specialists, including primary care physicians, orthopaedic surgeons, neuro- surgeons, rheumatologists, physical and rehabilitation professionals, and emergency physicians. Therefore, a multidisciplinary approach to the diagnosis and treatment of patients with acute back pain is essential. Diagnosis and Differential Diagnosis A thorough history, physical examination, and neurologic examination

During childbirth, large babies may be at an increased risk for brachial plexus injuries. A quick or emergency delivery, when the baby must be forcibly pulled out, can cause a brachial plexus injury. This happens because the baby's neck is often flexed severely in one direction. Babies in breech position (bottom end comes out first) and those whose labor lasts an unusually long time may also suffer brachial plexus injuries. ff782bc1db

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