Anterior Cruciate Ligament Reconstruction Open Or Closed

Anterior Cruciate Ligament Reconstruction: Open or Closed? The Physical Therapy profession has been around for many years. â€Å"The American physical therapy profession emerged during and following the First World War as a result of the need for trained providers of therapeutic exercise – who practiced under the supervision of a physician – for the rehabilitation of injured soldiers.† (Wrynn, 2014) The profession over the past few years has had a huge expansion in need. â€Å"Physical therapists (PTs) provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients with injuries or disease. (Physical Therapist, 2012) Physical Therapist work with the patient to make sure†¦show more content†¦In the past an injury to the ACL has been considered â€Å"career ending.† The anatomy of the anterior cruciate ligament is created to support the knee. The ACL creates a cross in the knee when prepared with the posterior cruciate ligament, PCL. The job of the anterior cruciate ligament is to keep the tibia from moving anteriorly and the femur from rotating. In recent years is has become one of the most rehabilitated ligament is in the body right up there with the bicep tendon. Over the past few years anterior cruciate ligament injuries have increased and are spreading across different age and gender lines. Most of the ACL injuries that we see can be classified as a contact injury. I use a contact injury here to mean that two people or even a person and an object, such as a ball, collide with a massive force and cause the movement of the knee in a way that tears the ligament. An example of this would be when two soccer players collide as they are going for the ball and the force of player one hits player two on the back of the knee causing the tibia to move in that anterior motion further than the limits of the anterior cruciate ligament and causing the tear. The fix for this is through surgery known and an ACL Reconstruction. The anterior cruciate ligament reconstruction is the most common option to repair the ACL after injury. An anterior cruciate ligament reconstruction consists of

Personal Statement On Social Worker - 2061 Words

The focus of this paper will address my personal beliefs, how I manage to make this value important factors in my life, and how these values relate to who I am as a person and the social worker I am going to become. I will also discuss how my personal values may condratict with the core values in social work practice, and the steps I will used to utilize resolution if issues occur. In this world, all humans being have their own beliefs, values and attitudes that we all have urbanized during some path of our lives. People that closer to us such as friends, family, the community we find ourselves and the experiences we have had all add to our sense of who we are and how we view the world. As incoming social worker, I will be working with†¦show more content†¦First year in college my counselor had me do a career survey among my fellow school mate to see what may have interest me. The most common choices were Nursing, Teaching, sociology or becoming a Social Worker. I went on the Internet and researched as much as I could on each career choice. However, at that point of my life I thought that Nursing was the best career choice for me. For the first two years of college, I excelled in taking Nursing classes and even got into the Nursing Program at Holy family university, but something changed at the beginning of my surpmore year and I could not deny not wanting to be a Nursing major any longer. As my classes advanced I realized that the passion I once had for Nursing was not there anymore. I could not see myself being a capable nurse if I did not have a passion for nursing. For this reason I hold determination as one of my most important personal values. I try every step of the way in my life to be determine in everything I do. I believe there is no love grater than family love. I am very fortune to be raised in a beautiful, strong and loving family. I was born and raised in Africa Monrovia ,Liberia to be specific. My family was fortune to be among many others that played and won lottery to relocate to the united states of America. I will have two caring parents that have always

Planning and Control and Pert Beta Distribution †Free Sample

Questions: Explore"Estimating With The Pert Beta Distribution". Answers: Company records show that the time taken to install a piece of equipment at customer facilities as follows: a. What is the expected time for the installation effort? Expected time for installation will be = Slowest time - Fastest time 20- 8 12 The expected time will be 12 hrs. b. What is the standard deviation associated with the installation effort? Standard deviation associated with the installation effort are as follows- = Where (20 8) / n 1 c. What is a practical interpretation for the results reported in 1a and 1b above? 1 a shows the expected hour within which the work is expected to be completed. 1 b stands for the calculation of the standard deviation. Where x is the value of the sample, is the summation and n 1 is the sample value 1. 2. Marsha is in charge of planning a large software development project. She is trying to estimate the cost of the design phase. She works with a group of five experienced designers and asks them to estimate the lowest cost, highest cost, and most typical cost possibilities. After an hour of spirited discussion, the group provides the following estimates: Lowest cost $30,000 Highest cost $50,000 Most likely cost $45,000 a. Using the PERT-Beta formula, what is the expected cost of the design effort? Pert Value (Minimum, Most likely, Maximum) Pert Value ($30000, $45000, $50000) b. What is anticipated standard deviation for the design effort? Anticipated Standard deviation = Most likely cost + highest cost lowest cost = $ 45000 + 50000-30000 = $ 45000 + 20000 = $ 75000 c. What is a practical interpretation for the results reported in 2a and 2b above? It is clear from the above that pert beta formula shows the minimum, most likely and the maximum cost of the design effort. Where standard deviation shows the deviation in the design effort. The standard deviation in the design effort is $ 75000 which is calculated in the above given manner. 3. Build-It-Quick house Construction Company has turned house-building into a science. The standard plan for framing the Excelsior Model house is to execute this effort in 10 working days. Depending on the details of site conditions, the number of carpenters needed to do the job varies slightly from job to job. as shown below: Fewest number of needed carpenters 3 Carpenters Largest number 10 Carpenters Most likely number 5 Carpenters a. Using the PERT-Beta formula, what is the expected number of needed carpenters? Expected no. of carpenters needed = (3 + 4*5 + 10)/6 = 5.5 or 6 no. of carpenters b. What is anticipated standard deviation for the number of needed carpenters? Anticipated standard deviation for no. of needed carpenters = (10 - 3)/6 = 1.17 c. What is a practical interpretation for the results reported in 3a and 3b above? The practical interpretation from the above results is that for the standard plan for framing the Excelsior Model house is to execute this effort in 10 working days, minimum 6 nos. of carpenters are required with a deviation of 1.17 no. of carpenters. 4. What are some dangers you see in relying on this estimating technique? The following are some of the dangers of relying on PERT-BETA estimating techniques: Initial estimations assumptions are not validated and thus not completely reliable and may be prone to errors. Lot of time and energy is required to draw initial assumptions numbers which make it not feasible for the management to adopt. The practical applicability of the technique is quiet debatable and many a times challenged by the scholars. It is believed by the researchers that the actual mean values calculated by this technique are often under estimated and thus may increase the risk to the management instead of reducing the risk. 5. Using your imagination and/or experience, describe another way to estimate task duration, cost, or manpower requirements The possible alternative to the estimation of task duration, cost and manpower requirements apart from PERT-BETA technique is as mentioned below: Standard-Delphi-Method: This technique is a survey technique in which the survey is guided by the monitor group and it comprises of a several rounds of surveys with group of experts. After each survey round, using statistical group judgement mean and medians of the estimates are calculated. This technique is mostly used in cases where the content of the issues are unclear and unknown. Using this technique management is able to give estimations about the study. It is more of a psychological model than of mathematical model for estimations. The use of this technique is more sensible when the management wants to assess long-term issues. 6. Note that good estimates can be made by guessing the values of only three parameters (best case, worst case, most likely case). Why is this a tremendous advantage? Good estimates can be made by guessing the values of only three parameters i.e. Best case, Worst case and most likely case. Guessing only three parameters is of tremendous advantage as it is consistent with the general psychological capability of the persons who thinks and develops any situation as a pessimistic person or optimistic person or average person thereby the people are able to align the technique with the general conditions present in the environment.

Swot Analysis of Icici Bank free essay sample

There can be easy access to the e-mail ids of the customers through wrong people. The confidential information of the customers can be leaked easily through the e-mail ids. 3) Decentralized Management: Each branch manager is given the authority of taking decisions in their respective branches. The decisions made by different managers are diverse and any one wrong decision can laid to heavy losses to the bank. 4) No Proper Facilities To Uneducated customers: ICICI Bank provides all services through electronic computerized machines. This creates problems to the less educated people.But this threat falls in the 4th quadrant so its negligible. The company can avoid this threat. Conclusion. Thus, ICICI has been able to use technology to provide value-added service to its customers during the last few years. For ICICI, technology is an integral part of their business. However, their overall progress could have been smoother but for certain internal and extraneous factors and also a pressure on spreads due to a competitive market (Annual report, 2000 –01). We will write a custom essay sample on Swot Analysis of Icici Bank or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page E-banking has become a necessary survival weapon and is fundamentally changing the banking industry worldwide.To day, the click of the mouse offers customers banking services at a much lower cost and also empowers them with unprecedented freedom in choosing vendors for their financial service needs. No country today has a choice- whether to implement E-banking or not given the global and competitive nature of the economy. ICICI have toupgrade and constantly think of new innovative customized packages and services to remain competitive. The invasion of banking by technology has created an information age and commoditization of banking services.ICICI have come to realize that survival in the new e-economy depends on delivering some or all of their banking services on the Internet while continuing to support their traditional infrastructure. The rise of E-banking is redefining business relationships and the most successful banks will be those that can truly strengthen their relationship with their customers. Without any doubt, the international scope of E-banking provides new growth perspectives and Internet business is a catalyst for new technologies and new business processes.