If the space medial to bony protrusions is insufficient to contain the detached skin, the skin covering the bony overhang is detached and folded toward the contralateral wall. The skin may be protected with an aluminum sheet with/without a small piece of cottonoid beneath the sheet. If there is any space medially, the skin is detached from the bone and to push medially toward the tympanic membrane. In case of severe exostosis, there is no consistent landmark in the EAC since the tympanic membrane is obscured ( ▶ Fig. The initial steps of surgery including skin incision, harvesting the temporalis fascia, and soft tissue incision. Retroauricular incision is used in most of the cases since this approach is wider and safer than the transcanal approach. The osteoma is then removed with either a curette or a burr. The meatal skin is incised through an ear speculum and the skin over the osteoma is elevated. In limited cases in which wide exposure is not required (i.e., small osteoma), a transcanal approach could be used. However, if osteoma recurs, wide drilling of the bone around its base is indicated. In surgery, preservation and proper replacement of the meatal skin is important to prevent postoperative scarring and stenosis. In cases where symptoms are minimal, it is useful to photograph the ear for further follow-up. Surgery is indicated in case of obstructing stenosis (with or without hearing loss), or in case of frequent otitis externa where it is necessary to fit a hearing aid. This condition facilitates retention of ear wax with the onset of conductive hearing loss.ģ.1.1 Surgery for Exostosis and Osteoma: CanalplastyĮven if usually asymptomatic, exostosis and osteoma may grow occluding the EAC. Exostoses of the external auditory canal with severe stenosis (Grade III). Table 3.1 Grading of external auditory canal stenosisĪll four quadrants of the pars tensa are perfectly visible.įig. Histologically, it can be differentiated from exostosis by the absence of the laminated growth pattern.Īccording to the extent of both diseases, we developed a classification for EAC stenosis, which is based mainly on the amount of tympanic membrane otoscopically visible ( ▶ Table 3.1 ▶ Fig. Osteoma is a true benign neoplasm of the bone of the EAC, usually unilateral and pedunculated. Other structures at risk are the tympanic membrane and ossicular chain medially, the temporomandibular joint anteriorly, and the third segment of the facial nerve posteroinferiorly. In some cases, surgery is technically difficult and special care is taken to preserve the skin of the EAC. In such cases, and in cases in which a hearing aid is to be fitted, surgical removal of exostoses is indicated. Large lesions, however, can occlude the EAC and lead to conductive hearing loss or retention of wax and debris with subsequent otitis externa. When exostoses are small, they are asymptomatic. It is postulated that the periosteum stimulates an osteogenic reaction with each exposure to cold water, causing this stratification. Histologically, they are formed from parallel layers of newly formed bone. This explains the high incidence of exostoses among divers and cold-water bathers. The condition is caused by periostitis secondary to exposure to cold water. They vary in shape, being either round, ovoid, or oblong. They are usually multiple, bilateral, and are commonly sessile. Further radiological examinations (CT and MRI scans) are indicated in the suspect of a tumor.Įxostosis are defined as new bony growths in the osseous portion of the external auditory canal (EAC). For example, in case of exostosis and osteomas occluding the EAC a canalplasty is indicated, as well as a surgical treatment is the mainstay for most of the benign and malign tumors involving the EAC. ![]() ![]() Analysis of patient clinical history and symptoms are also of utmost importance to decide the proper therapeutic management, which is different depending on the pathology. Otoscopy is fundamental for the recognition of each clinical condition. Pathologies affecting the external auditory canal (EAC) are a wide spectrum of diseases that include: bony neoformations of the EAC (exostosis and osteomas), inflammatory diseases (external otitis, otomycosis, and inflammatory stenosis of the EAC), cholesteatoma of the EAC, benign tumors of the ear and skull base extending to the EAC (carcinoid tumor, meningiomas, facial nerve tumors, etc.), temporal bone fractures, and carcinoma of the EAC.
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Larger orders may be automatically upgraded, at Sugarlips' discretion, to USPS Priority Mail or other carriers. apartment, condo or office building may require a signature at the time of delivery to ensure your package reaches the correct person.įree Shipping over $49 is provided using U.S. Sugarlips offers free shipping on all orders over $49 (before tax and after discounts and gift card codes) within the contiguous United States. All orders over $49 within the contiguous U.S.įlat rate standard shipping (Contiguous U.S. ![]() It’s time to try it: create your connection string with this format: You will get if you have a tool for exploring MongoDB, open it and connect to the newly created Mongo instance. That’s it! Now you have your MongoDB instance up and running without having it installed directly on your machine! -r MONGO_INITDB_ROOT_PASSWORD=secret sets the root password.-e MONGO_INITDB_ROOT_USERNAME=mongoadmin sets the root username ( -e sets the environment variables).-p 27888:27017 declares that the local port 27888 is mapped to the internal 27017 port.-name mongo-on-docker defines a friendly name for the container.-d runs the container in background, so that we are free to use the current terminal instance.docker run runs the image and starts the container.It looks complicated, right? Let me explain every part: MongoDB stores documents in a JSON format for example, this is a valid document:ĭocker run -d -name mongo-on-docker -p 27888:27017 -e MONGO_INITDB_ROOT_USERNAME =mongoadmin -e MONGO_INITDB_ROOT_PASSWORD =secret mongo Just like you have tables and relations in a relational database, for document databases the focus is on documents: those are dynamic structures, meaning that they don’t have a strict schema, but can be extended as you wish. The -p flag maps the external and the internal ports, allowing us to access the container navigating to localhost:8089. If the container exposes the port 80, we can run docker run -p 8089:80 image-name. But that ports belong to the container! Since we need to access the container from our localhost, we need to map a local port to one of the ports exposed by the container. Once the container is up and running, it exposes one or more ports (for example, the container for an API may expose port 80). But we haven’t finished yet! Docker containers ports So now we have our container accessible within the machine. docker rm stops and removes the specified container.docker stop stops the specified container.docker ps -a lists all the containers, also the ones stopped.docker ps lists all the containers currently up.docker run creates and runs a container using the specified image.Once you have downloaded an image, you can “build” it to have your container up and running: docker rmi removes the specified image from your machine Ĭontainers are the living versions of an image.docker image ls lists all the downloaded images stored on your machine. ![]()
![]() PRE-GAME CHATTER: Charles Barkley says the Milwaukee Bucks are missing their 'closer' Khris Middleton vs. GAME 6 TICKETS: You can still buy Bucks playoff tickets for Friday's game at Fiserv Forum Connaughton added 13 points off the bench. Holiday scored 24 points on 9-of-24 shooting and had eight assists and rebounds while Portis came off the bench to score 14 on 4-of-14 shooting. It appeared as if Boston stemmed the tide after Al Horford split Antetokounmpo and Connaughton for a tip-slam off a missed Jaylen Brown jumper to make it 105-99 with 2:13 to go.īut Antetokounmpo hit a catch-and-shoot three to get his team back in it and then came down and stole the ball from Smart to set up Holiday’s heroics.Īccording to ESPN Stats and Information, the 14-point blown lead was tied for Boston's largest in the fourth quarter of a playoff game over the last 25 postseasons.Īntetokounmpo scored 40 points on 16-of-27 shooting and he also pulled down 11 rebounds. "So we gotta try and not put ourselves in that position but just play our best and you’re going to have to make some shots, you’re going ot have to make some threes and credit to Grayson and PC and Wes for their playmaking and shot making.” ![]() It just takes a little bit of everything to flip a 13 or 14-point game. "I thought Grayson (Allen) made some good plays in the quarter, too. "I thought Giannis as a play-maker, Giannis as a backside facilitator got us to some good things. “To make up that difference we had some guys step up and make some plays," Budenholzer said of that stretch. The Celtics expanded their nine-point lead to 93-79 with 10 minutes, 16 seconds to go, but a handful of three-pointers from Holiday, Connaughton and Wesley Matthews sparked a Bucks rally as they cut it to 101-99 with 4:08 left. SOCIAL MEDIA REACTION: Aaron Rodgers, JJ Watt, Brandon Jennings and others react to the Bucks' huge comeback win We have one at home and hopefully we can go there and put ourselves in position to win, enjoy the game as much as possible, compete and play good basketball." It feels good but at the end of the day we can't get too high, can't get too low," Antetokounmpo said. Game 6 will be at Fiserv Forum Friday night. The Bucks came all the way back from a 14-point deficit early in the fourth quarter to tie the game 105-105 on a Holiday three-pointer with 43.2 seconds left, and Bobby Portis hit the game-winner off an offensive rebound. "Then at the end of the game he got that steal again from Marcus Smart. "Big time, big time play, great block and was able to keep his balance and stay on the court," Antetokounmpo said. Holiday then clinched it by stealing the ball from Smart. That led to a Bucks timeout and two Pat Connaughton free throws to make it 110-107 with five seconds remaining. Off the ensuing inbound, Holiday literally took the ball out of Marcus Smart’s hands as the Boston guard tried to shoot it, ripping it out of the air. “He has a nose for the ball, he has nose for scoring," Bucks head coach Mike Budenholzer said of the putback. Then, after Jayson Tatum gave the Celtics a 107-105 lead with a pair of free throws with 31 seconds to go, Portis came to the rescue of Giannis Antetokounmpo by putting back a missed free throw to make it 108-107 Milwaukee with 11.4 seconds left. The plan was to come here and get a win and no matter if we were up 20, no matter if we were down 20, we wanted to leave here with a win and we did the best we could and got the win."įirst, Portis assisted on a Holiday three-pointer to tie the game at 105 with 41 seconds left. Watch Video: Giannis, Jrue Holiday, Bobby Portis on Bucks Game 5 win over CelticsīOSTON – The Milwaukee Bucks will head home with a chance to advance to the Eastern Conference finals after a stirring 110-107 comeback victory over the Boston Celtics on Wednesday night at TD Garden.Īfter trailing by 14 points early in the fourth quarter, Bobby Portis and Jrue Holiday did the unthinkable in the final moments of the game to give the Bucks a 3-2 series lead over the Celtics. ![]() You may also miss mistakes because you don’t recognize it is one. When you proofread and edit manually it is easy to overlook mistakes if you are tired or in a hurry. It is also good for correcting run on sentences, punctuation mistakes and other grammatical errors as well as spelling mistakes. Our tool isn’t just for fixing sentence fragments. 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It has become notable for its aggressive trading strategies, profane language, and gambling nature.įounded in 2012 by Jaime Rogozinski, WSB is home to millions of users who gamble with the stock market. On this subreddit (often shortened to sub), participants discuss stock and option trading. Please consider your own investment time horizon, risk tolerance, and consult with a financial advisor before acting on this information.WSB means "Wall Street Bets." WSB (or r/wallstreetbets) is a subreddit on the popular social news and discussion website, Reddit. This article is only meant for educational purposes, and should not be taken as investment advice. What do you think of the massive run in GameStop's stock? Do you think the shorts are wrong? Will the GME board finally provide "Power to the Players"? Let us know in the Shacknews Chatty comments section below. Because the stock's day-to-day movements make very little sense, it appears that today's tweet by TheRoaringKitty has the stock up 10% on the day. GameStop's annual shareholder meeting is coming up this month, and it is viewed by many traders to be the next major catalyst for the stock. One thing no one knows is why Keith Gill decided to break his silence today. Today's tweet from Keith has some r/wallstreetbets posters hoping the mods will unban the daily GME Megathread, but many of them have moved on to other subreddits like r/SuperStonk and r/GME. CIFR produced 515 and 377 bitcoins in fiscal year 2022 and the fourth quarter of 2022, respectively. We compiled a list of our favorite tweets from TheRoaringKitty awhile back. As of that last update, DFV owns 200,000 shares of GameStop (GME) which are currently valued close to $50 million. That date happened to be the day when he exercised his last call options position and even bought the stock around $150/share in the open market. ![]() Gill posted his last GME YOLO UPDATE to r/wallstreetbets all the way back on April 16, 2021, and he has been completely silent across all social media since. Here's another tweet that features a video clip of the Rorschach character from the film Watchmen saying, "None of you seem to understand, I'm not locked in here with you. who have met with Cabinet officials this year following the end of anti-virus controls that blocked most travel into China. Musk joined a series of CEOs from global companies including Apple Inc. It appears that Keith might be back on Twitter, as he has posted multiple times today to the social media platform. Welcome to /r/wallstreetbets Stocks, options, & futures trading community. CEO Elon Musk and promised to support the development of foreign companies. Keith "TheRoaringKitty" Gill, also known as u/DeepFuckingValue (DFV) on Reddit, broke his silence today with yet another cat video. ![]() ![]() We saw an influx of character parody accounts since the figurehead of the short squeeze went dark on social media. As the GameStop saga continues on Wall Street, many r/wallstreetbets users have taken to Twitter. ![]() German blog reader Johannes commented here: I mentioned this behavior within my German blog post, and know I got two other independent confirmations. Will Dormann has one machine, where SRP works, on all other systems SRP fails to block applications. Then I asked Will Dormann for details and he answered on Twitter: Especially my ex MVP colleague Mark Heitbrink commented, that his Win 11 22H2 system uses SRP as know before. I just came across this on Twitter via the following Tweet from Will Dormann that Microsoft now has removed Software Restriction Policies (SRP).Īddendum: After I published the German edition of this blog post first, I've got a discussion "Fake news, Software Restriction Policies (SRP) works as expected" within this blog. But with the discontinuation, administrators should have long been warned that this security feature will eventually fail. Until now, however, Software Restriction Policies (SRP) were still supported in Windows 10 as well as Windows 11 version 21H1. The Microsoft article Deprecated features for Windows client, which was last updated on November 2, 2022, also lists the Software Restriction Policies as deprecated. ![]() Software Restriction Policies in Group Policy: Instead of using the Software Restriction Policies through Group Policy, you can use AppLocker or Windows Defender Application Control to control which apps users can access and what code can run in the kernel. Microsoft already wrote about Windows 10 version 1803: ![]() However, Microsoft had already discontinued the Software Restriction Policies (SRP) in June 2020 (see my blog post Windows 10 Version 2004: Deprecated/removed features). I still read (also within my German blog in user comments) some recommendations to use software restriction policies to harden the system. In addition, software restriction policies are supported in Windows clients (Windows 7, Windows 8.1, Windows 10, Windows 11 21H1). The Software Restriction Policies are already available since Windows Server 2003 and are currently (according to this Microsoft page) still available under the following server variants: Software Restriction Policies (SRP) are a mechanism, with which administrators in Windows could specify over guidelines, which software may be executed in the operating system. Software Restriction Policies (SRP) deprecated Switchable GUI – Choose freely between the two GUIs of Elysion and Elysion 2. Single-Instrument NKIs – We included every instrument as a single-instrument NKI to freely play it outside Elysion’s engine.ĭistortion & Saturation FX – Elysion 2 comes with various built-in effects to enable a more aggressive and driving sound.
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