Methods:  The radiographs made before and after 128 consecutive medial UKAs performed manually by a single surgeon using a cemented fixed-bearing implant were reviewed. Native tibial and tibial implant slope and varus alignment of the tibial implant were measured on preoperative and postoperative lateral and anteroposterior radiographs, respectively. The percentages of knees in which the postoperative measurements were within preoperative targets and the root mean square (RMS) error rates between the planned and achieved targets were compared with published robotic-assisted-UKA data.

Results:  In the present study, the proportion of manual UKAs in which the tibial component alignment was within the preoperative target was 66% (85 of 128), which exceeded published values in a study comparing robotic (58%) with manual (41%) UKA. The RMS error for tibial component alignment in the present study (1.48) was less than published RMS error rates for robotic UKAs (range, 1.8 to 5). Fifty-eight percent (74) of the 128 study UKAs were within the surgeon's preoperative goal for tibial slope, which was closer to the published value of 80% for robotic UKAs than is the published rate of 22% for manual UKAs. The RMS error for tibial slope in the study UKAs (1.50) was smaller than the published RMS error rates for tibial slope in robotic UKAs (range, 1.6 to 1.9).


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Conclusions:  Accurate implant alignment is important in UKA. In this study, an experienced surgeon achieved or exceeded robotic accuracy of tibial implant alignment in UKA. However, the relationship between implant position and patient outcomes is unknown, and a consensus on ideal surgical targets for optimal implant survivorship has yet to be established.

When in manual mode an X appears next to the shutter speed and limits my exp. to 1/250 and below. Its as if the camera thinks a flash is attached but is not. I have used a remote trigger for time exp. I feel there is a setting that is wrong but I cannot figure it out. Any suggestions would be appreciated.

Last week I got a complete & quite mint Nichimo Exeed 443 from a family friend for nothing. So far I've updated it with a new Futaba Hi-Torque steering servo and a Duratrax ESC, but I have no instruction manual for the car. With its 4 wheel steering and triple-differential drivetrain, I'm afraid to take it completely apart without a manual. Scans or Downloads available would be a life saver.

When passing another vehicle on a two-lane road, you should pass only to the left of the vehicle. Your pass may not begin before the start of a passing zone and must be completed before you enter a no-passing zone. Do not exceed the speed limit when passing; it is against the law to exceed speed limits at any time.

Drive at a steady speed; you will have less need to change lanes. Weaving through traffic increases the risk of a crash and seldom saves time. Try to keep pace with traffic on the road, but do not be lured into exceeding the posted speed to stay with the flow of traffic. If you drive at a speed below the flow of traffic, you must use the right lane. Watch for traffic trying to enter the freeway and adjust your speed to permit a safe, smooth merge.

If services exceed the annual threshold amounts, claims must include the KX modifier as confirmation that services are medically necessary as justified by appropriate documentation in the medical record. There is one amount for PT and SLP services combined and a separate amount for OT services. This amount is indexed annually by the Medicare Economic Index (MEI).

You do not need to submit special documentation along with the KX modifier threshold. You are responsible for consulting guidance in the Medicare manuals and professional literature to determine if the beneficiary qualifies for the exception.

Along with the KX modifier threshold, the BBA of 2018 retains the targeted medical review process that was established in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). For 2018 through 2028, the targeted medical review threshold is $3,000 for PT and SLP services, and $3,000 for OT services. (After 2028, the threshold will be indexed annually by the MEI.) As the name implies, targeted medical review means that not all claims exceeding the therapy threshold amount are subject to review.

EPA periodically issues memorandums which clarify drinking water policies and regulations. These policy memos have been collected into a water supply guidance (WSG) manual which is made available to states and public water systems to assist in implementation of the Safe Drinking Water Act.

HAF Funds will allow a qualified homeowner up to three (3) months of monthly payment assistance, in addition to Reinstatement assistance, for a total amount not to exceed $65,000 of assistance per household.

Monthly payment assistance payments will allow a qualified homeowner up to three (3) months of monthly payment assistance, in addition to Reinstatement assistance, for a total amount not to exceed $65,000 of assistance per household.

In Brightspace, there are a few different ways you can award extra credit to a student, and allow a grade to exceed 100%. This guide will explain each of these situations, and how to set it up in your course.

The regulations in Part 16 and this guide have been established on the ALARA Principle to assure that the benefits of the use of ionizing radiation exceed the risks to the individual and the public health and safety.

For certified image intensified equipment, the x-ray beam shall not exceed the visible area of the image receptor by more than 3% of the SID in any one dimension or by a total of 4% of the SID in both dimensions.

For those units with spot film devices, the exposed field of a collimated spot film shall be equal to or smaller than the format size chosen by the operator. The horizontal and vertical misalignment of the exposed field cannot exceed 3% of the SID in one of these dimensions, or 4% of the SID for both dimensions.

During the x-ray generator warm-up and before x-raying the first patient, the operator will check the fluoroscopy equipment for indicator malfunction and unsafe mechanical and electrical safety conditions. Suggestions for visual and manual checks would include, but are not limited to, evaluation of locks, power assistance, smoothness of movement, compression device, fluoroscopic timer, lead drapes, park position interrupt, fluoroscopic monitors, fluoroscopic shutters, switches, lights, and meters.

Place the line pair test tool on the aluminum block. The line patterns should be oriented 45 degrees to the raster lines of the monitor. Position the image intensifier so that the test tool is 12 inches (30 cm) from the intensifier'fs entrance surface. If the system has variable source to image distance (SID), the measurement SID must not exceed 40 inches (100 cm). The image receptor of the fluoroscopic system must be operated in the largest available field of view (FOV) that does not exceed six inches (15 cm). If all the FOVs exceed six inches the system must be operated in the smallest FOV. Collimate the fluoroscopic beam to the size of the aluminum block. Activate the fluoroscope and allow the system to stabilize. Adjust the contrast and/or brightness of the monitor in order to obtain the best quality image. Record the maximum number of line pairs per millimeter (lp/mm) that can be seen on the monitor.

Titles do not exceed two lines in print. This equates to 75 characters (including spaces). Titles do not normally include numbers, acronyms, abbreviations or punctuation. They should include sufficient detail for indexing purposes but be general enough for readers outside the field to appreciate what the paper is about.

Note: Re-underwriting means that loan casefiles must be resubmitted to DU with updated information; and for manually underwritten loans, a comprehensive risk and eligibility assessment must be performed.

Manually underwritten loans: If the recalculated DTI does not exceed 45%, the mortgage loan must be re-underwritten with the updated information to determine if the loan is still eligible for delivery. Note: If the increase in the DTI ratio moves the DTI ratio above the 36% threshold, the loan must meet the credit score and reserve requirements in the Eligibility Matrix that apply to DTI ratios greater than 36% up to 45%.

High LTV refinance loans: For loans underwritten in accordance with the Alternative Qualification Path, if the recalculated DTI ratio exceeds 45%, the loan is not eligible for delivery to Fannie Mae. If the DTI does not exceed 45%, but is increasing by 3 or more percentage points, the loan must be re-underwritten with the updated information to determine if the loan is still eligible for delivery.

Hard Limit makes no change to the audio until the peaks reach the "Limit to (dB)" threshold. Where the input level (after applying optional input gain) exceeds the threshold, an equal amount of negative gain is applied so that the peaks never exceed the threshold.

Soft Clipping works in much the same way as "Hard Clipping", but is less fierce in that it "squashes" the peaks rather than cutting themoff flat. Soft clipping starts to reduce the peaks a little below the threshold level and progressively increases its effect as the input level increases such that the threshold is never exceeded. When applied heavily, the effect is similar to a "Fuzz Box" effect.

As the limiter acts on audio peaks that exceed the Limit to (dB) threshold, it will clearly have little or no effect on audio tracks in which all of the audio is below the threshold level. In such cases, the audio should be amplified before limiting so that the limiter can work properly. Amplification could be applied using Audacity's Amplify effect, or more conveniently using the "Input Gain" controls.

Time necessary to complete the program but may not exceed 3 years. Exception: Sponsors may request from DOS an extension of 1 or 2 years, but not by a semester or by other fractions of academic years. ff782bc1db

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