![]() Patients with a confirmed or suspected diagnosisįlattening and fragmentation of humeral capitellum No weight-bearing activities (e.g., sports, dance) until reossification Sclerosis, flattening and fragmentation of the femoral head Pain in hip, limping child, possible referred knee pain Patients with recent trauma, illness, or elevated inflammatory markers Sclerosis, flattening, and fragmentation of navicular boneĬast immobilization for up to four to six weeks Patients with metatarsophalangeal joint arthritis and loose joint fragments Sclerosis, flattening and fragmentation of metatarsal headĪctivity modification metatarsal pads well-padded shoes limited NSAIDs for pain Plain radiography results are usually normalĪctivity and shoe modifications heel cups calf stretches acetaminophen or NSAIDs Posterior heel pain with activity and shoe wear Soft tissue swelling and fragmentation of tibial tubercleĪctivity modification acetaminophen or NSAIDs Pain at anterior tibial tubercle with activity and kneeling Throwing cessation acetaminophen or NSAIDs as needed May show fragmentation or widening of medial epicondyle Localized pain over medial epicondyle with throwing Medial epicondyle apophysitis (i.e., thrower's elbow) Patients with a mature skeleton who have persistent symptoms Soft tissue swelling and calcification of inferior pole of patellaĪctivity modification short course of acetaminophen or NSAIDs Pain at inferior patellar pole with activity and kneeling Patients with acute avulsions or continued symptoms despite rest ![]() Rest, stiff-soled shoe for protected weight-bearing Normal or widened apophysis of the proximal metatarsal Insidious onset of pain over base of fifth metatarsal head Patients with persistent pain despite conservative management Normal or widened apophysis compared with contralateral side Pain over affected apophysis (seven sites in pelvis) However, physicians should have a low threshold to refer to a pediatric orthopedist, especially if the condition persists longer than four to six months. Osteochondrosis disorders are rare and many are self-limiting. ![]() 23 – 25īased on a small randomized controlled trial Sever disease treatment should include relative rest, heel cups initially, and heel cord stretches to prevent recurrence. 4, 9, 16īased on expert opinion and consensus guidelines in the absence of clinical trials Treatment of Osgood-Schlatter disease should include relative rest and quadriceps and hamstring stretching and strengthening. Major League Baseball position statement for adolescent baseball pitchers Preventive measures for medial epicondyle apophysitis should include taking at least four months off from competitive pitching per year, avoiding use of radar guns, and avoiding the combination of pitching and catching. Surgery is rarely needed for either apophysitis or osteochondrosis. Osteochondrosis generally resolves with relative rest, but close monitoring is needed to ensure resolution. Radiography results may be normal initially magnetic resonance imaging is more sensitive to early changes. Other locations of osteochondrosis include the second metatarsal head (i.e., Freiberg disease), the navicular bone (i.e., Köhler bone disease), the femoral head (i.e., Legg-Calvé-Perthes disease), and the capitellum (i.e., Panner disease). Multiple possible etiologies have been explored, including genetic causes, hormonal imbalances, mechanical factors, repetitive trauma, and vascular abnormalities. Unlike apophysitis, the etiology of osteochondrosis is unknown. Osteochondrosis presents less commonly and refers to degenerative changes in the epiphyseal ossification centers of growing bones. Treatment includes stretching the affected muscle groups, relative rest, offloading the affected tendon, icing after activity, and limited use of nonsteroidal anti-inflammatory drugs. Radiography can be helpful in evaluating for other pathologies but is usually not necessary. ![]() Other locations include the medial epicondyle, which is common in patients who throw or participate in racket sports, and more rarely at the base of the fifth metatarsal (i.e., Iselin disease). Although apophysitis occurs in upper and lower extremities, it occurs more often in the lower extremities, with common locations including the patellar tendon attachment at the patella or tibia (i.e., Larsen-Johansson and Osgood-Schlatter diseases), the calcaneus (i.e., Sever disease), and multiple locations around the hip, including the anterior inferior iliac spine. Most often it is an overuse injury in children who are growing and have tight or inflexible muscle tendon units. Apophysitis results from a traction injury to the cartilage and bony attachment of tendons in children and adolescents. Apophysitis and osteochondrosis are common causes of pain in growing bones but have differing etiologies and required management.
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Macedon will also be an early conquest, maybe even before the Brutii, but from there you can expand wherever you want. Conflict with the Scipii is inevitable within the first few turns, and the Brutii a little later, meaning that a Greek leader interested in survival will usually destroy the Romans pretty early on. They start off separate and weakened, with provinces in patches of Greece, Sicily, and Anatolia. The Greeks lack the former but have an abundance of the latter. There are two things I love to utilize: strong cavalry and a strong phalanx. Still, it can be fun to be absolutely dominating sometimes. Their armies are strong, their provinces are rich, and once you're done crushing the Seleucids, the only faction that realistically stands a chance against you is Post-Marius Rome. And that's the main problem I have with the Egyptian campaign: it's too easy. A conflict with the Seleucid Empire early on is inevitable, though I kind of wish it came later when they have better troops and thus something resembling a fighting chance. Egypt's troop selection is one of the most powerful in the game, with Desert Axemen being strong infantry capable of taking a phalanx in a direct fight, chariots being especially effective at scaring enemy troops, and Pharaoh's Bowmen often decimating entire units before they even reach the infantry. The developers thought there were too many Hellenic factions already, though, and thus we instead get lots of axemen, elite archers, and chariots. Historically, they were much like the other Hellenic factions, comprised mainly of phalanx troops and cavalry. By far the most historically inaccurate faction in the game. That, and there are few factions who come into conflict with the African factions early on.Īh, Egypt. You're definitely going to come into conflict with Carthage first, but once you do, a Scipii leader who moves quickly enough will be able to get the Senate to throw missions to almost any faction they want (provided they have a coastal city). Anyway.I like the Scipii because they have such an interesting campaign, and their path isn't as set in stone as some factions. That and the Roman Civil War can come at very inopportune moments. I like the Romans well enough, but I'm not crazy about their troop selections, and I prefer it when my entire army ISN'T made obsolete and unable to be retrained halfway through my campaign. But still, they're not bad, and a good introduction to barbarian factions.Īnother Roman faction so soon? That's right, my favorite Romans are only this high. They have no special little units, and with a basically guaranteed war against the Romans, your early options tend to be limited. That's kind of the problem I have with Gaul, though: they're the basic barbarian experience and nothing else. Anyway, the Gauls are your standard barbarian faction: hordes of strong light infantry, a few decent cavalry choices, and limited (but adequate) potential for growth. They also have a holding in central Spain, for some reason. Gaul is composed of all the Celtic tribes that existed in France and Northern Italy during this time period. It tends to make your generals pretty bad, but with the Marian Reforms looming on the horizon, plenty of money is basically a necessity to replace the suddenly outdated army a Roman leader will find himself with. They do, however, have one thing that always makes a Brutii campaign fun: they are stupidly, ridiculously wealthy. They have largely the same troops and buildings as the other Romans, and their campaign isn't particularly exciting, as many factions will eventually expand into Greece. They start off with two cities in southern Italy, and at the behest of the Senate they usually expand east into Greece and and fight the Greek Cities and Macedon. ![]() The Brutii are one of the three Roman factions. Now, there are only 11 playable factions in the game, but that doesn't mean I can't rank them! What I got was one of the single most satisfying gaming experiences I've ever encountered. I've always had an interest in history, so the thought of playing through Roman conquests was quite appealing. Their climb up my rankings has been gradual but persistent, and culminated with my introduction to the Total War series. My gaming tastes have always been widely varied, but there are a few genres that I favor above others. These are ThisIsAnOddName's Top Ten Factions in Rome: Total War ranked for Ed Bellis's What Would You Do. The album puts a new and unique spin on their greatest. I Ran (So Far Away) song from A Flock Of Seagulls free mp3 download online on. 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The Bulletin 's Clock is not a gauge to register the ups and downs of the international power struggle it is intended to reflect basic changes in the level of continuous danger in which mankind lives in the nuclear age. As Eugene Rabinowitch, another co-founder of the Bulletin, explained later: The Clock was first represented in 1947, when the Bulletin co-founder Hyman Goldsmith asked artist Martyl Langsdorf (wife of Manhattan Project research associate and Szilárd petition signatory Alexander Langsdorf, Jr.) to design a cover for the magazine's June 1947 issue. After the atomic bombings of Hiroshima and Nagasaki, they began publishing a mimeographed newsletter and then the magazine, Bulletin of the Atomic Scientists, which, since its inception, has depicted the Clock on every cover. The Doomsday Clock's origin can be traced to the international group of researchers called the Chicago Atomic Scientists, who had participated in the Manhattan Project. History Cover of the 1947 Bulletin of the Atomic Scientists issue, featuring the Doomsday Clock at "seven minutes to midnight" Since 2010, the clock has been moved forward four minutes and thirty seconds, and has changed by five minutes and thirty seconds since 1947. In January 2023, it was moved forward to 90 seconds (1 minute, 30 seconds) before midnight. ![]() The clock's setting was left unchanged in 20. In January 2020, it was moved forward to 100 seconds (1 minute, 40 seconds) before midnight. The clock was moved to two and a half minutes in 2017, then forward to two minutes to midnight in January 2018, and left unchanged in 2019. The farthest time from midnight was 17 minutes in 1991, and the nearest is 90 seconds, set on January 24, 2023. It has since been set backward eight times and forward 17 times for a total of 25. The clock's original setting in 1947 was seven minutes to midnight. ![]() The Bulletin 's Science and Security Board monitors new developments in the life sciences and technology that could inflict irrevocable harm to humanity. The main factors influencing the clock are nuclear risk and climate change. A hypothetical global catastrophe is represented by midnight on the clock, with the Bulletin 's opinion on how close the world is to one represented by a certain number of minutes or seconds to midnight, assessed in January of each year. Maintained since 1947, the clock is a metaphor for threats to humanity from unchecked scientific and technological advances. The Doomsday Clock is a symbol that represents the likelihood of a human-made global catastrophe, in the opinion of the members of the Bulletin of the Atomic Scientists. The Doomsday Clock pictured at its 2023 setting of "90 seconds to midnight" For other uses, see Minutes to Midnight (disambiguation). 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They are all about thoughtful, challenging pieces that are developed as long-term projects that are given ample gestation periods to grow. Why Not is one of the few company's on this list that fosters shows that look and sound like the real Toronto.Ĭrow's Theatre Crow's is a company that harvest productions the way a fine winemaker cultivates a full-bodied red. Why Not Theatre Ravi Jain's Why Not Theatre has an international outlook with collaborations, productions and workshops from diverse cultures and artistic practices. Their success can be measured by both their awards and their sold-out crowd-pleasing shows. The kind of song and dance pieces produced by Acting Up will not only having you tapping your toes and humming under your breath, but they'll get you thinking. Videofag serves up a much needed dose of the unexpected with a heavy dollop of irreverence.Īcting Up Stage Company Not all musicals are like cotton candy, delicious, but with no substance or nutritional value. These guys are leading the pack with works that blur the lines between video, film, new media, and live art. Videofag With Jordan Tannahill, the "it boy" of Toronto theatre, as one of its two curators, Videofag is enjoying the limelight as the company to watch for experimental new work. ![]() For a taste of what this theatre has to offer go see The Unplugging, a co-production with Native Earth Performing Arts, and the winner of the 2013 Jessie Award for Outstanding New Play. Through staged readings, workshops, writers' retreats, residencies, and festivals, this theatre has lived up to its mandate to solely develop Canadian work and act as a community hub. The company has an international outlook that can be seen in their Spotlight on South Africa festival (April 8 - 25), originally planned to mark the 25th anniversary of the liberation of Nelson Mandela.įactory Theatre Factory has been developing Canadian productions and playwrights for over four decades. The Canadian Stage The Canadian Stage is one of the leading contemporary theatre companies in the country with a mandate to foster emerging performance styles that integrate theatre, dance, film, and the visual arts. With a roster of 14 shows presented or produced for the 2015-16 season, this company dominates the commercial theatre scene with productions like Matilda (July 2016), the runner-up for the 2013 Tony Award for best musical or Ayad Akhtar's Pultizer Prize-winning play, Disgraced, about Islamophobia (March 2016). Mirvish Productions If the Toronto theatre scene has a whale - it's Mirvish Productions. Here are the best theatre production companies in Toronto.ġ0 under the radar live theatre venues in Toronto The best live theatre venues in Toronto They're also responsible for the work that goes into mentoring, workshopping, and fostering the productions and artists that make Toronto stages a live-art destination. 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![]() ![]() Since DIN Next is a new design, these applications within Germany are not possible with it. ![]() Linotypes DIN 1451 Engschrift and Mittelschrift are certified by the German DIN Institute for use on official signage projects. Many of the signs that use DIN 1451 are cut with routers, which cannot make perfect corners their rounded heads cut rounded corners best. Even this softening is a nod to part of DIN 1451s past, however. For instance, although DIN 1451s corners are all pointed angles, DIN Next has rounded them all slightly. These were added by Kobayashi to make the new family even more versatile in 21st-century media. There are many subtle differences in DIN Nexts letters when compared withe DIN 1451 original. The digital version of DIN 1451 would go on to be adopted and used by designers in other countries as well, solidifying its worldwide design reputation. Nevertheless, because DIN 1451 was seen all over Germany on signs for town names and traffic directions, it became familiar enough to make its way onto the palettes of graphic designers and advertising art directors. They did not intend for the design to be used for advertisements and other artistically oriented purposes. The committee wanted a sans serif, thinking it would be more legible, straightforward, and easy to reproduce. The design was to be used on German street signs and house numbers. In 1936 the German Standard Committee settled upon DIN 1451 as the standard font for the areas of technology, traffic, administration and business. The abbreviation DIN stands for Deutsches Institut fr Normung e.V., which is the German Institute for Industrial Standardization. Recently, they have become more popular than ever, with designers regularly asking for additional weights. Linotype has been supplying its customers with the two DIN 1451 fonts since 1980. DIN Next is part of Linotypes Platinum Collection. Each weight ships in three varieties: Regular, Italic, and Condensed, bringing the total number of fonts in the DIN Next family to 21. Akira Kobayashi began by revising these two faceswho names just mean condensed and regularbefore expanding them into a new family with seven weights (Light to Black). ABCDEFGHIJKLMNOPQRSTUVWXYZ 1234567890 abcdefghijklmnopqrstuvwxyz Next is a typeface family inspired by the classic industrial German engineering designs, DIN 1451 Engschrift and Mittelschrift. |
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