Infiltration Berm & Retentive Grading
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AAHS New Objective Grading System to Provide Prognostic Value To
New Objective Grading System to Provide Prognostic Value to Cubital Tunnel Surgery Cory Lebowitz, DO; Lauryn Bianco, MS; Manuel Pontes, PhD; Mitchel K. Freedman, DO; Michael Rivlin, MD INTRODUCTION TABLE 1: ELECTRODIAGNOSTIC GRADING SYSTEM RESULTS CONCLUSION • The use of electrodiagnostic (EDX) • • 101 patients; 60 male & 41 Electrodiagnostic studies is well documented on its female studies not only aid a value as diagnostic tool, however, little clinical diagnosis of is known about its prognostic value for • Overall quickDASH went from 38 to 41 CuTS but can cubital tunnel surgery (CuTS) provide a framework • We report which EDX results yield • Discovered a cut off of a for the outcome of prognostic value for the surgical Sensory Amplitude of 38 treatment for CuTS based on patients surgery • We form an EDX based grading quickDASH improvement • system for CuTS that is predictive of • Patients with a sensory Specifically when outcome amplitude that was looking at the considered normal MCV across the METHODS based off the literature elbow with the but abnormal (i.e <38) sensory • Patients with CuTS were treated based off our data amplitude surgically with an ulnar nerve failed to improve in decompression +/- transposition their quickDASH • The grading system • Pre & Postoperative quickDASH scores is reproducible and scores and demographics reviewed • 97 patients (96%) fit in to can aid in following • Preoperative EDX reviewed: similar patient for • EMG the grading system • 93.8% inter-observer outcome evaluation • Motor Amplitudes and clinical studies • Motor Conduction Velocities reliability to use the • Sensory Amplitude grading system • Conduction Block • Those with a grade 3 had • Grading system constructed solely on the largest quickDASH EDX: nerve conduction studies and improvement electromyography variable. -
Electrophysiological Grading of Carpal Tunnel Syndrome
ORIGINAL ARTICLE Electrophysiological Grading of Carpal Tunnel Syndrome MUHAMMAD WAZIR ALI KHAN ABSTRACT Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy caused by a conduction block of distal median nerve at wrist. Women are affected more commonly than men. Clinical signs are quite helpful in diagnosis but electrophysiological tests yield accurate diagnosis and severity grading along with follow-up and management. Aim: To utilize nerve conduction studies (NCS) to diagnose carpal tunnel syndrome and further classify its severity according to the AAEM criteria. Methods: This descriptive study was conducted at the Department of Neurology, Sh. Zayed Medical College/Hospital, Rahim Yar Khan from June 2013 to Dec 2014. Overall, 90 patients and 180 hands were evaluated through nerve conduction studies. Patients with clinically high suspicion of CTS were included for NCS. Clinical grading was done using the AAEM criteria for CTS. Other variables like duration of symptoms, handedness, bilateral disease and gender were noted. Mean and median were calculated for age of the patients. Results: Ninety patients and 126 hands were identified with carpal tunnel syndrome. Most patients (80%) were females with age range from 19 to 75 years. More than one third had bilateral disease. Dominant hand was involved in majority of the patients. Most patients had (42.8%) severe CTS as per AAEM criteria. Also duration of symptoms directly correlated with severity of disease. Conclusion: Nerve conduction study is a valuable tool in accurate diagnosis and grading of carpal tunnel syndrome. Keywords: Phalen sign, Tinel Sign, electrophysiology, median nerve INTRODUCTION 4,5,6 electrophysiological findings, are quite valuable . -
Chapter 18, Lesson 3 World War One Trench Warfare
Name:______________________________________ Chapter 18, Lesson 3 World War One Trench Warfare Below are illustrations of a typical World War One trench system. Use the proceeding illustrations to answer the questions. Key 1. Were the artillery batteries (cannons, mortars, and large guns) located in front or behind the infantry soldiers in the trenches? Why might it be set up this way? _____________________________________________________________________________ _____________________________________________________________________________ 2. Based on the location of the listening posts, what was their purpose? _____________________________________________________________________________ ______________________________________________________________________________ 3. The communication trenches connected the first support line trench to what three areas? _____________________________________________________________________________ _____________________________________________________________________________ 4. What would be the reason for having wire breaks in the barbed wire entanglements? _____________________________________________________________________________ ______________________________________________________________________________ 5. After answering questions 14 and 15, tell what two parts of the trench were used to minimize the devastation from explosions. ______________________________________________________________________________ 6. This allowed soldiers to see over the trench when shooting the enemy. ________________ -
CHAPTER 9. SITE DEVELOPMENT Article 1. Grading, Excavation and Filling Sec
Walnut Creek Municipal Code TITLE 9. BUILDING REGULATIONS CHAPTER 9. SITE DEVELOPMENT CHAPTER 9. SITE DEVELOPMENT Article 1. Grading, Excavation and Filling Sec. 9-9.01. Purpose. It is the declared intent of the City of Walnut Creek to promote the conservation of natural resources, including the natural beauties of the land, streams and water sheds, hills and vegetation, and as described in Sec. 10-2.1301 of the Walnut Creek Municipal Code and Government Code §65560(b) (1) to protect the health and safety, including the reduction or elimination of the hazards of earth slides, mud flows, rock falls, undue settlement, erosion, siltation and flooding, or other special conditions as described in Government Code §65560(b) (4) by minimizing the adverse effects of grading, cut and fill operations, water runoff and soil erosion. Therefore, the following regulatory provisions of this chapter are hereby adopted for the purpose of stringent control of all aspects of grading operations. (§1, Ord. 1193, eff. December 26, 1973) Sec. 9-9.02. Permits Required. No person shall do any grading without first having obtained a grading permit from the City except for the following: a. An excavation below finished grade for basements and footings of a building, retaining wall, swimming pool or other structure authorized by a valid building permit. This statement shall not exempt from permit requirements any fill made with the material from such excavation nor exempt any excavation having an unsupported height greater than five feet after the completion of such structure; b. Cemetery graves; c. Refuse disposal sites controlled by other regulations; d. -
Section 31 22 13 ‐ Site Grading
University of Houston Master Construction Specifications Insert Project Name SECTION 31 22 13 ‐ SITE GRADING PART 1 ‐ GENERAL 1.1 SCOPE OF WORK A. This Section pertains to the earthwork generally consisting of excavation, filling, backfilling and subgrade preparation as required for construction of site retaining walls/structures, slab on grade walks, pavement surfaces, landscaped areas and the general shaping of the site as shown, described or reasonably inferred on the drawings. B. Subsurface data is available from the *Owner. Contractor is urged to carefully analyze the site conditions. C. This section excludes work necessary for building pad preparations. Work within the building footprint and surrounding 5 feet shall be accomplished under technical specification 31 23 00 Excavation and Fill prepared by *STRUCTURAL ENGINEER]. D. Construction Means, Methods, Techniques, Sequences and Procedures: 1. The Contractor is solely responsible for, and has sole control over, construction means, methods, techniques, sequences and procedures, and for coordinating all portions of the Work. 2. Shoring that is required to complete the Work, is considered a method or technique and is the sole responsibility of the Contractor. If a regulatory agency requires a licensed engineer to design, approve or provide drawings for shoring, then it is the sole responsibility of the Contractor to engage the services of a qualified Engineer for shoring design services. 1.2 RELATED WORK SPECIFIED ELSEWHERE A. Drawings and general provisions of the Contract, including A‐procurement and Contracting Requirements, Division 00 and Division 01 apply to this section. B. Section 31 11 00 Clearing and Grubbing C. Section 31 23 33 Trenching, Backfilling and Compaction D. -
Unsealed Road Grading Your Questions Answered
Unsealed Road Grading Your Questions Answered What is maintenance grading? Council grades unsealed roads to reshape and re-compact the road, to reduce lumps and bumps and ensure that the road will shed water away from the centre after rain. A grading maintenance schedule is adhered to every 6 or 12 months, depending upon the road condition, the amount of use and the effects of wet weather. What is gravel re-sheeting? Gravel re-sheeting is when new gravel is added to the road. This is due to the severe deterioration of the road that can compromise the safety of road users. The gravel is generally laid in loose layers and then trimmed and compacted using a grader, water cart and roller so that the new road generally has a depth of about 150mm. Why does my road lose gravel? Gravel wears away over time due to the combination of the environment (wetness and dryness), the type and volume of traffic and excessive traffic speed. Softer gravel rock will wear away faster than harder gravel rock. Unsealed roads are made up of a mixture of gravel of differing sizes, clay and soils. This mixture affects the strength of the pavement and how long it will last. The rock gives the pavement strength and the clay and other soils binds the gravel together. Where possible, the grader drivers will recover as much of the loose gravel as they can during the grading of a road and turn it from the edge back into the centre of the road. Why is does my road appear to be shrinking? As the road wears down over time the edges of the road pavement will wear and the width can become less. -
Coastal Erosion
Guidance for Flood Risk Analysis and Mapping Coastal Erosion February 2018 Requirements for the Federal Emergency Management Agency (FEMA) Risk Mapping, Assessment, and Planning (Risk MAP) Program are specified separately by statute, regulation, or FEMA policy (primarily the Standards for Flood Risk Analysis and Mapping). This document provides guidance to support the requirements and recommends approaches for effective and efficient implementation. Alternate approaches that comply with all requirements are acceptable. For more information, please visit the FEMA Guidelines and Standards for Flood Risk Analysis and Mapping webpage (www.fema.gov/guidelines-and-standards-flood-risk-analysis-and- mapping). Copies of the Standards for Flood Risk Analysis and Mapping policy, related guidance, technical references, and other information about the guidelines and standards development process are all available here. You can also search directly by document title at www.fema.gov/library. Coastal Erosion February 2018 Guidance Document 40 Page i Document History Affected Section or Date Description Subsection Sections 2.1.1.1 and February Replaced Figures 2.1.1-1, 2.1.1-2, and 2.1.1-3 to contain 2.1.1.2 2018 correct reference to water level above which Primary Frontal Dune reservoir volume is determined. Coastal Erosion February 2018 Guidance Document 40 Page ii Table of Contents 1.0 Overview ............................................................................................................................ 1 1.1 Beach and Shoreline Settings ........................................................................................ 2 1.1.1 Sandy Beach Backed by High Sand Dune: ............................................................. 3 1.1.2 Sandy Beach Backed by Low Sand Dune Berm: .................................................... 4 1.1.3 Sandy Beach Backed by Shore Protection Structure: ............................................. 4 1.1.4 Mixed Grain Size Beach ......................................................................................... -
Chapter 3 Earthwork
Topic #625-000-007 Plans Preparation Manual, Volume 1 January 1, 2016 Chapter 3 Earthwork 3.1 General ...................................................................................... 3-1 3.2 Classification of Soils ................................................................. 3-3 3.3 Cross Sections - A Design Tool .................................................. 3-3 3.4 Earthwork Quantities .................................................................. 3-4 3.4.1 Method of Calculating ................................................. 3-4 3.4.2 Earthwork Tabulation ................................................. 3-4 3.4.3 Earthwork Accuracy ................................................... 3-5 3.4.3.1 Projects with Horizontal and Vertical Controlled Cross Sections .......................... 3-5 3.4.3.2 Projects without Horizontal and Vertical Controlled Cross Sections .......................... 3-6 3.4.4 Variation in Quantities ................................................ 3-6 3.5 Earthwork Items of Payment ...................................................... 3-7 3.5.1 Guidelines for Selecting Earthwork Pay Items ............ 3-7 3.5.2 Regular Excavation .................................................... 3-8 3.5.3 Embankment .............................................................. 3-9 3.5.4 Subsoil Excavation ..................................................... 3-9 3.5.5 Lateral Ditch Excavation ............................................. 3-9 3.5.6 Channel Excavation ................................................ -
Design of Surface Mine Haulage Roads - a Manual by Walter W
Information Circular 8758 Design of Surface Mine Haulage Roads - A Manual By Walter W. Kaufman and James C. Ault UNITED STATES DEPARTMENT OF THE INTERIOR Cecil D. Andrus, Secretary BUREAU OF MINES WMC Resources Ltd have the expressed permission of the "National Institute for Occupational Safety and Health" to replicate and present this document in Full for use by its employee's. This document was kindly supplied by the: National Institute for Occupational Safety and Health Pittsburgh Research Laboratory Library P.O. Box 18070 PITTSBURCH, PA 15236-0070 Page 1 of 49 CONTENTS ABSTRACT .....................................................................................................................................................4 INTRODUCTION .............................................................................................................................................4 HAULAGE ROAD ALIGNMENT ..........................................................................................................................4 Stopping Distance--Grade and Brake Relationships .......................................................................................5 Sight Distance ............................................................................................................................................8 Vertical Alignment ......................................................................................................................................9 Maximum and Sustained Grades..............................................................................................................9 -
Fundamentals of Site Grading Design
188.pdf A SunCam online continuing education course Fundamentals of Site Grading Design by Joshua A. Tiner, P.E. 188.pdf Fundamentals of Site Grading A SunCam online continuing education course Table of Contents A. Introduction B. Basics • Background: • Existing Conditions: • Contour Lines: • Spot Elevations / Spot Grades: • Other Standard Annotations: • Slope • Plan Setup • Limit of Disturbance / Transition between Existing and New Grades • The Inverse Slope/Contour Calculation Method C. Design Parameters and Other Limitations • Design Parameters • Positive Drainage • Rules of Thumb o Maximum Access Drive Slope: 8% o Maximum Parking Lot Slope: 5% o Maximum Slope in Maintainable Grassed Landscaped Areas 3:1 o Maximum Slope in Stabilized Landscaped Areas 2:1 o Slopes exceeding 2:1 o Minimum Slope of Asphalt: 1.5% o Minimum Slope of Concrete: 0.75% o Minimum Slope of Concrete Curb: 0.75% o Loading Dock grading: 2.0% for 60’ • ADA Requirements • Cut-Fill Analysis • Rock Ledge walls D. Other Grading Features • Berms • Swales • Ridge Lines • Retaining Walls E. Problem Areas and Other Locations of Importance • Landscaped Islands and Peninsulas • ADA Parking Spaces • Longitudinal Islands with Sidewalks • Flush Ramps • Drainage Outfall Location • Setting the Finished Floor • Property Line grading F. Summary and Conclusion www.SunCam.com Copyright 2014 Joshua A. Tiner, P.E. Page 2 of 24 188.pdf Fundamentals of Site Grading A SunCam online continuing education course A. Introduction This course is developed to identify the fundamentals of site grading design to those who are not experienced with site grading design, as well as a refresher to anyone who has worked in Civil Engineering and/or Land Development. -
Infiltration Berm
Stormwater Maintenance Fact Sheet PROTECTING AND ENHANCING THE NATURAL ENVIRONMENT THROUGH COMPREHENSIVE ENVIRONMENTAL PROGRAMS INFILTRATION BERMS Infiltration berms are mounds of stone covered with soil and vegetation placed along gentle slopes to slow the flow of water and encourage stormwater infiltration and absorption. In some cases, earth is excavated on the upslope side of the berm to create a pooling area to slow and store water as it filters through the berm. Infiltration berms are appropriate for residential, commercial, or open field/wooded applications, where there is less than a 10% slope in topography. As stormwater flows down the slope, it is slowed and pools as it filters through the berm. The main purpose of a Undesireable shape for a berm berm is to slow the velocity of the flow and reduce the energy of stormwater flows, thereby reducing erosion and flood risk. Desireable shape for a berm Source: CH2MHill presentation WHY IT’S IMPORTANT TO MAINTAIN YOUR INFILTRATION Who is responsible for this BERMS maintenance? An unmaintained infiltration berm may: As the property owner, you are • Stop filtering the rainwater and allow trash and pollutants to enter into responsible for all maintenance of nearby streams. your infiltration berm. • Block the flow of rainwater and cause local flooding. • Allow water to pool on the surface long enough to allow mosquitoes to breed (longer than 3 days). MAINTENANCE AND MONITORING Anne Arundel County Department of Public Works FREQUENCY* ACTIVITY* As needed • Remove litter and debris. • Mow grass. • Replace thinning or patchy vegetation. Semi-annually, or more • Ensure standing water does not persist longer than 48 hours. -
PC-5 DIKES and BERMS Definition and Purpose a Permanent Dike Or
Best Management Practices Manual PC-5 Dikes and Berms PC-5 DIKES AND BERMS Refer to: ITD Standard Specifications, Sections 205, 209, and 212. ITD Standard Drawings P-1-E and P-1-F. BMP Objectives Perimeter Control Slope Protection Borrow and Stockpiles Drainage Areas Sediment Trapping Stream Protection Temporary Stabilizing Permanent Stabilizing Definition and Purpose A permanent dike or berm is a ridge constructed of compacted soil, loose gravel, stone, or crushed rock that intercepts and prevents stormwater runoff from entering a sensitive area, and diverts or directs the water to a controlled or stabilized drainage outlet. Dikes or berms can be located or placed immediately along the top or bottom of cut or fill slopes, along the perimeter of an area, or adjacent to streams to prevent high stream flows from entering a site, or runoff from a site entering a stream or waterway. Appropriate Applications Directs water to slope drains, ditches, channels, sediment trap basins, retention ponds, or swales. Serves both as a temporary and later as a permanent erosion control that is left in place for the life of the project. Prevents runoff water from entering or overflowing slopes or intercepts and diverts overflow water after coming off a slope. Intercepts runoff from upland undisturbed areas and diverts to a sediment trap basin or slope drain. Intercepts runoff from a road or slope and directs the water to a slope drain or a sediment trap basin. Prevents off-site stormwater from entering the area when installed around the perimeter. Prevents high water from entering a project when installed next to live streams, ponds, or lakes.