Nj lookup base flood elevation11/12/2023 If you have any questions, please contact our Construction Official, Jim Galantino, CFM. ► Click here to f ind your property's Base Flood Elevation. ►Click here to View an Elevation Certificate Form and Instructions. If you are unable to find an Elevation Certificate for your property in Margate, submit a records request form (OPRA) to the Margate Building Department. It is used to certify building elevations if the building is located in a Standard Flood Hazard Determination Form in order to: Determine the proper flood insurance premium rate for the building and Support a request of a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill (LOMR-F). The Flood Elevation Certificate is an important tool of the National Flood Insurance Program (NFIP). You will need to contact a locally licensed surveyor if we do not have one on file and you need a certificate prepared. Once submitted, Margate keeps a copy of the certificate on file (see above for information on searching for an elevation certificate). as a requirement of the building permit process. Elevation certificates are prepared by locally licensed surveyors and submitted to the Margate Building Dept. The City of Margate does not prepare elevation certificates. ►Click Here for Instructions on using the GIS Maps and Apps. ♦ To Search for an Elevation Certificate using the City of Margate's GIS Maps, click on the ArcGIS Logo above, powered by ESRI, or click here and scroll to Find Address. ♦ To search for an Elevation Certificate on the City of Margate's website, click on the Elevation Certificate logo above. An elevation certificate measures the difference in elevation between your home and the baseflood elevation of your area. The data provide users with the ability to determine the flood zone, base flood elevation, and floodway status for a particular geographic location. Find the Build It Back Center nearest you.An elevation certificate is a document prepared by a qualified engineer / surveyor which provides information on the elevation of a building relative to mean high tide, building type, flood map location, and additional information used to determine the proper flood insurance premium rates for a property. The National Flood Hazard Layer is updated as new data reach their designated effective date and become valid for regulatory use under the NFIP. Please call or visit your local Build It Back Center to schedule an appointment with a Flood Insurance Counselor. We’ve also put together this guide to provide assistance to homeowners when updating their elevation certificates. Build It Back encourages all applicants to schedule a meeting with our Flood Insurance Counselors to review your EC and discuss what steps need to be taken next with your Flood Insurance provider to ensure you receive the lowest flood insurance rates available for your home. The EC should be provided to your Flood Insurance provider within 90 days of the inspection date listed on the Elevation Certificate. What should I do with my Elevation Certificate? Completed by a licensed surveyor or engineer, this information is important to help determine your home’s flood risk and is then used by flood insurers to determine the appropriate flood insurance rating. What is an Elevation Certificate and why do I need one?Īn Elevation Certificate (EC) is a document that identifies the elevation of your home in relation to the Flood Zone and the Base Flood Elevation established by FEMA. Build It Back offers elevation certificates only for homes that have been elevated or rebuilt by Program.
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Pinterest pop tart cat11/12/2023 Place the freshly grated ginger in between 1-2 paper towels (or cheese cloth) and squeeze over a bowl to capture the ginger juice. While the pop tarts are baking, grate a 3 inch piece of ginger. Once the pop tarts are a golden brown color, remove from the oven and let cool for 5 minutes before transferring to a wire cooling rack. Place pop tarts onto a baking sheet lined with parchment paper or a silicone baking mat.īake the pop tarts according to the pie dough manufacturer’s instructions (or your own pie dough recipe instructions) which is probably about 22-24 minutes at 350 degrees F. Using a silicone pastry brush, apply an egg wash to the tops of the pop tarts. Make an egg wash by whisking together 1 egg with 1 Tb water. Using a toothpick, poke about 8-10 holes in the tops of each pop tart to allow steam to release while baking. Then top with another pie dough rectangle and be sure to firmly press around all 4 sides with your finger or a spoon before using a fork to crimp the edges to fully seal them. Top half your pie dough rectangles with 2 Tb of filling, leaving about a 1/4 inch border around the rectangle. While the jelly mixture is simmering, roll out your pie dough (store-bought or homemade, your choice!) and cut out 3″ x 4″ rectangles using a pizza slicer or pastry knife. Remove from heat and add lemon juice, cinnamon, and cardamom and stir. A few months ago, I upgraded some of my cookware to these ceramic pots and pans and they still look good!Īfter boiling the mixture for 5 minutes, lower heat to medium-low and partially cover the pot or pan and allow the mixture to simmer for about an hour, stirring every 10-15 minutes until the fruit has softened and the consistency and thickness is like jelly or jam. If you’re looking to purchase any new pots or pans, I highly recommend the GreenPan Paris brand. Add it all to a large pot or deep saute pan and bring the mixture to a rolling boil over medium-high heat for 5 minutes, stirring frequently. To make these pop tarts, start by boiling your cranberries, apples, brown sugar, salt, and water to make the jelly fruit filling. The full, printable recipe is below, but first, here are the ingredients along with some tips and tricks and instructions on how to make these delicious homemade pop tarts! I didn’t understand why the hard frosting on the frosted versions was so hard and why it did not melt in the toaster and I was never brave enough to try them.īut while I was making these cranberry apple pop tarts, I decided they needed a frosting in the form of a sweet ginger glaze!Īnd even if you don’t like cranberries, you may still like this Cranberry Apple Toaster Pastry since it is sweetened by the apples and the ginger glaze. I always ate the strawberry-filled ones with NO frosting. I loved Pop Tarts for breakfast when I was growing up. It’s great for using any leftover cranberry sauce or extra apples you may have leftover after making apple pie! It’s a cranberry apple filled pop tart topped with a ginger glaze and crushed pistachios for crunch. Are you hosting guests for the Thanksgiving holiday? If you’re not completely “cooked-out” from preparing Thanksgiving Dinner, you can make this delicious Cranberry Apple Pop Tart Recipe for breakfast the next day. Firehouse bar11/12/2023 The sweetness of the beetroot is spanked away by the smoked soy sauce. It’s focused on beetroot two ways: in square blocks, arranged like books on a shelf, hiding under miraculously thin slices that still have bite. Onwards to the second partwork, our main course, even though everything has so far floated past us in an unstructured march that plays against such old-school hierarchies. ‘Sprinkled with puffed black rice’: stuffed courgette. It’s a crisp, deep-fried orb of oniony joy, with a pungent curry-leaf sauce that tastes like a good spice cupboard smells. We try both and accept the offer of an additional £6 course of leek fritters. It comes sprinkled with puffed black rice and rests on a bed of a sultry harissa sauce. Or there’s a vegetarian cylinder of crunchy, barely cooked courgette, hollowed out and filled with a rice pilaf seasoned with the saltiness of feta, the latter the cause for saying the restaurant is only “mostly” vegan. There’s a vegan plate of dark, chewy oyster mushrooms alongside a crisp-shelled croquette boasting an almost liquid centre tasting intensely of the company it’s keeping. Apparently, it’s dressed with a gherkin ketchup. Only a small bowl of salted cucumber, playing the part of Japanese pickles, feels like an afterthought. Or pile it on the confit potato, which comes with a crisp fennel remoulade. Use a slab of the crunch-crusted sourdough from Coombeshead Farm to dredge. Alongside is a bowl of a white bean purée, the thickness of Dulux emulsion, honking of garlic and stained red with chilli oil. It’s baba ganoush that’s declined to be further pummelled, because the point has already been made. That aubergine dish, the vegetable roasted to a thrillingly dark, slumped and smoky mess, comes dressed in the saltiness of olive and the smooth velvet plush of tahini. The first and last savoury courses are a partwork. ‘Well lubricated with promise’: grilled beetroot. But the word-spaghetti of the menu descriptions – “aubergine, kalamatas, tahini” reads one “grilled beetroot, spring onion, smoked soy” reads another – is so alluring, so well lubricated with promise, that I give myself to it happily. If I wanted what I was given, I’d stay at home, where at least I’d get to enjoy being ridiculed by my kids. Bring me a list, let me express my sordid desires. I love restaurants because they let me make choices. Although the website lists an à la carte, this evening we are offered only the £45 “Discovery” menu, which is edgy restaurant speak for “You’ll have what you’re bloody given.” This is usually my cue for a good old pout. In this, his cooking resembles that of the equally brilliant Helen Graham at Bubala, just perhaps in more formal tailoring. It allows me the opportunity to be the latest to rave about both his thoroughly good taste and his sublime technique about his ability to use strident Asian and Middle Eastern flavours to get the most from prime vegetables, much as an already well-dressed dandy accessorises with a cravat and fedora. Sachdeva launched a crowdfunder to raise the £150,000 he needed to put down permanent roots at this address. Tendril started as a pop-up, first in a Soho pub, then later here, on this narrow site just south of Oxford Street. The restaurant offers a full service bar with delicious cocktails, wine, and lots of local craft beers & cider.‘A thrillingly dark, slumped and smoky mess’: roasted aubergine. Owners Sheri DeLarm and Crispin Ginn transformed what was once an old firehouse into a contemporary restaurant space with a large refurbished bar and a wall of glass that opens to an outdoor terrace overlooking the Hague Brook. The Hague Firehouse Restaurant is nestled on a brook in the small hamlet of Hague at the Northern end of Lake George. Please call (518) 543-6266 to hear a message confirming what we are serving. September 2nd: BBQ with the Fiori Brothers Band - our final night! NOW ONLY OPEN FRIDAYS AND SATURDAYS, 5pm-11pmĪug 18th: serving Chicken Wings, Mac and Cheese, with Caesar SaladĪug 26th: LGA Fundraiser with all tips donated. Sept 2nd, featuring the Fiori Brothers Band! Darwin pond game11/11/2023 Under the anoxic, CO2-dominated primordial atmosphere, the chemistry of basins at geothermal fields would resemble the internal milieu of modern cells. Geochemical reconstruction shows that the ionic composition conducive to the origin of cells could not have existed in marine settings but is compatible with emissions of vapor-dominated zones of inland geothermal systems. Thus, protocells must have evolved in habitats with a high K+/Na+ ratio and relatively high concentrations of Zn, Mn, and phosphorous compounds. These ubiquitous, and by inference primordial, proteins and functional systems show affinity to and functional requirement for K+, Zn2+, Mn2+, and phosphate. We attempted to reconstruct the “hatcheries” of the first cells by combining geochemical analysis with phylogenomic scrutiny of the inorganic ion requirements of universal components of modern cells. Hence, the ion composition of modern cells might reflect the inorganic ion composition of the habitats of protocells. The first cells could possess neither ion-tight membranes nor membrane pumps, so the concentrations of small inorganic molecules and ions within protocells and in their environment would equilibrate. Cells maintain ion gradients by using sophisticated, energy-dependent membrane enzymes (membrane pumps) that are embedded in elaborate ion-tight membranes. And so we present, without further ado, “Inland geothermal systems,” a.k.a., warm little ponds:Īll cells contain much more potassium, phosphate, and transition metals than modern (or reconstructed primeval) oceans, lakes, or rivers. Of course you must disguise the shell game with newer, more complicated sounding jargon. But what happens when you run out of ideas? No problem, just start over. One way to avoid criticism is to keep switching the theory. Then it was comets, and then it was deep sea hydrothermal vents. That’s where those unlikely seeds of life came. Realizing the absurdity Crick switched the narrative to extra terrestrials. “But if (and oh what a big if) we could conceive in some warm little pond …” So began the homily. Remember when Darwin posited his “warm little pond” thought experiment. Even in evolution, what goes around comes around. Duo app login11/11/2023 The new Universal Prompt provides a simplified and accessible Duo login experience for web-based applications, offering a redesigned visual interface with security and usability enhancements. The Duo Universal Prompt has built-in protection from unauthorized domains so this setting does not apply. If you plan to permit use of WebAuthn authentication methods (security keys, U2F tokens, or Touch ID) in the traditional Duo Prompt, Duo recommends configuring allowed hostnames for this application and any others that show the inline Duo Prompt before onboarding your end-users. Previously, the Client ID was called the "Integration key" and the Client secret was called the "Secret key". See Protecting Applications for more information about protecting applications in Duo and additional application options. You'll need this information to complete your setup. and get your Client ID, Client secret, and API hostname. Click Protect to the far-right to configure the application. Log in to the Duo Admin Panel and navigate to Applications.Ĭlick Protect an Application and locate the entry for OneLogin in the applications list.See Duo Knowledge Base article 7546 for additional guidance. If your organization requires IP-based rules, please review Duo Knowledge Base article 1337.Įffective June 30, 2023, Duo no longer supports TLS 1.0 or 1.1 connections or insecure TLS/SSL cipher suites. Teaching and Learning Services providing instructional technology and resources directly supporting teaching and learning.This application communicates with Duo's service on SSL TCP port 443.įirewall configurations that restrict outbound access to Duo's service with rules using destination IP addresses or IP address ranges aren't recommended, since these may change over time to maintain our service's high availability. Information Security Services that provide security, data integrity, and compliance for institutional activities.
Seamonkey 2.39 ubuntu 9.1011/11/2023 Mozilla/5.0 (Linux U Android 2.2 en-us ADR6300 Build/FRF91) AppleWebKit/533.1 (KHTML, like Gecko) Version/4.0 Mobile Safari/533.1 Mozilla/5.0 (Linux U Android 2.2 en-us Sprint APA9292KT Build/FRF91) AppleWebKit/533.1 (KHTML, like Gecko) Version/4.0 Mobile Safari/533.1 Mozilla/5.0 (Linux U Android 2.2 en-us Nexus One Build/FRF91) AppleWebKit/533.1 (KHTML, like Gecko) Version/4.0 Mobile Safari/533.1 Mozilla/5.0 (Linux U Android 2.2 en-ca GT-P1000M Build/FROYO) AppleWebKit/533.1 (KHTML, like Gecko) Version/4.0 Mobile Safari/533.1 Mozilla/5.0 (Linux U Android 2.1-update1 ja-jp SonyEricssonSO-01B Build/2.0.2.B.0.29) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 Mozilla/5.0 (Linux U Android 2.1 en-us HTC Legend Build/cupcake) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 Mozilla/5.0 (Linux U Android 2.1-update1 de-de HTC Desire 1.19.161.5 Build/ERE27) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 Mozilla/5.0 (Linux U Android 2.1 en-us Nexus One Build/ERD62) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 Mozilla/5.0 (Linux U Android 2.0.1 de-de Milestone Build/SHOLS_U2_01.14.0) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 Mozilla/5.0 (Linux U Android 2.0 en-us Milestone Build/ SHOLS_U2_01.03.1) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 Mozilla/5.0 (Linux U Android 2.0 en-us Droid Build/ESD20) AppleWebKit/530.17 (KHTML, like Gecko) Version/4.0 Mobile Safari/530.17 HTC_Dream Mozilla/5.0 (Linux U Android 1.5 en-ca Build/CUPCAKE) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.6 ja-jp generic Build/Donut) AppleWebKit/528.5+ (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.6 ja-jp SonyEricssonSO-01B Build/R1EA029) AppleWebKit/528.5+ (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.6 ja-jp Docomo HT-03A Build/DRD08) AppleWebKit/528.5+ (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.6 en-us SonyEricssonX10i Build/R1AA056) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.6 es-es SonyEricssonX10i Build/R1FA016) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.6 en-us HTC_TATTOO_A3288 Build/DRC79) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 ja-jp GDDJ-09 Build/CDB56) AppleWebKit/528.5+ (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 fr-fr GT-I5700 Build/CUPCAKE) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 en-us SPH-M900 Build/CUPCAKE) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 en-gb T-Mobile_G2_Touch Build/CUPCAKE) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 en-us T-Mobile G1 Build/CRB43) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari 525.20.1 Mozilla/5.0 (Linux U Android 1.5 de-de HTC Magic Build/PLAT-RC33) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 FirePHP/0.3 Mozilla/5.0 (Linux U Android 1.5 de-ch HTC Hero Build/CUPCAKE) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 en-us htc_bahamas Build/CRB17) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 en-us sdk Build/CUPCAKE) AppleWebkit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.5 de-de Galaxy Build/CUPCAKE) AppleWebKit/528.5 (KHTML, like Gecko) Version/3.1.2 Mobile Safari/525.20.1 Mozilla/5.0 (Linux U Android 1.1 en-gb dream) AppleWebKit/525.10 (KHTML, like Gecko) Version/3.0.4 Mobile Safari/523.12.2 Mozilla/5.0 (Linux U Android 1.0 en-us dream) AppleWebKit/525.10 (KHTML, like Gecko) Version/3.0.4 Mobile Safari/523.12.2 As it stands now, the Bills are the only team in the NFL that is top five in both offensive and. Your browser does not support the audio element. The Bills have rebounded with three consecutive blowouts. Indianapolis 30, San Francisco 18 (night) New Orleans 38, Green Bay 3 (at Jacksonville), 4:25 pmĬincinnati 24, Jacksonville 21 (Thursday)īaltimore 31, Indianapolis 25 (OT) (Monday) (All Times ET)*Subject to change Week 1 (Sept. The 2021 NFL offseason has seen a flurry of free agents switch new teams and a 2021 NFL Draft loaded with drama and it's time to look ahead to the historical (17 games) 2021 season. The National Football League is Americas most popular sports league. Additionally, these sites often offer more generous bonuses and promotions than their traditional counterparts, giving bettors even more incentive to choose them over other options. Others receiving votes: Maryland 81, Kansas State 44, Texas A&M 31, UCLA 19, Tulane 8, Air Force 7, Wisconsin 6, Clemson 5, West Virginia 5, Kansas 3, James Madison 3, Colorado 1. This means that you can place your bets within minutes of funding your account, without having to wait for banks or payment processors to approve your transaction. According to MacLean and Ziemba (2021), eight of the top ten. One of the best things about using a bitcoin sportsbook for NFL betting is the ability to make quick and easy deposits with no intermediary involved. National Football League The National Football League is the richest sport league in the world. is the official source of WNFC News, WNFC video highlights, WNFC schedules, stats, scores & more. We also have time to read where you can find out about the best online casinos in the city and share it on a tweet. Here, an online casino lover can view promotions, look, share on facebook and results. We invite players to nostalgia casino $1 deposit to familiarize themselves with the NFL schedule for 2021 on our page. Eco friendly kids bean bag chairs11/11/2023 “Eco Superfill,” which includes natural latex foam in place of standard urethane shredded foam (we recommend choosing this one instead of the “Superfill.”į.Y.I., you might find several other online retailers selling Bean Products and rebranding them as their own.“Superfill,” which includes recycled polystyrene beads and pre-consumer recycled shredded foam.CertiPUR-US certified foams, which are low-VOC foams without PBDEs, TDCPP or TCEP flame retardants, heavy metals, formaldehyde, or phthalates.The Ultimate Green Store carries bean bag chairs for adults and kids that are handcrafted in the USA out of materials like organic cotton and hemp. 7 Brands That Make Natural, Organic, and Non-Toxic Bean Bag Chairs, Covers, and Filling Bean Products from The Ultimate Green Store Of course, these fabrics are also more eco-friendly in their production and end-of-life compared to polyester. Cotton (organic is best, but conventional is still better than synthetic fabrics).Considering that this is the part of the chair that will be against your or your child’s skin for a long period of time, it’s better to choose natural and/or organic fabrics in order to reduce the amount of off-gassing. Sometimes it’s okay to choose the BETTER (if not PERFECT) option! What About the Bean Bag Covers?Ī lot of the conventional bean bag chairs on the market are made out of synthetic fabrics like polyester, which is just another type of plastic. We’ve included them as options in this article because it’s still somewhat slim pickings when it comes to 100% organic and non-toxic bean bag chairs. Even though they’re made out of synthetic materials, the third-party certifications means they’ve been independently verified to be free of a list of other harmful chemicals. The less-toxic (CertiPUR and GREENGUARD) synthetic foams and recycled polystyrene are not the BEST options, but they’re definitely better than virgin polystyrene. (You can read more about these fillings and find out where to buy them further down in the post!)
Javascript bbedit11/11/2023 Your subscription will renew automatically, unless you cancel your subscription at least 24 hours prior to the end of the currently active subscription period. Purchasing a subscription will permanently end your evaluation period, and forfeits any unused portion of the evaluation period, if applicable.ġ1. Please see our comparison chart for a detailed listing of which advanced features are available with a subscription.ġ0. After the evaluation period has expired, you can continue to use BBEdit for free, forever, with no nag screens or unsolicited interruptions.ĩ. Using BBEdit in free mode costs you nothing, while providing an upgrade path to advanced features and capabilities.Ĩ. BBEdit offers a 30-day evaluation period (beginning the first time you use it on your computer), during which its full feature set is available.ħ. As the "go to" tool for web site designers, web application developers, writers, and software developers, this award-winning product provides an abundance of high-performance features for editing, searching, and manipulation of text, code, and HTML/XML markup.Ħ. Your iTunes Account will be charged for the renewal within 24 hours prior to the end of the currently active subscription period, and your account history will reflect the cost of the renewal.ĥ. An active subscription gives you access to all of BBEdit’s advanced features, including any new features that we introduce during updates or major upgrades, for as long as the subscription is in good standing.Ĥ. To enable BBEdit’s advanced features after the evaluation period is over, you will need to have an active BBEdit subscription.ģ. An intelligent interface provides easy access to BBEdit’s best-of-class features, including: grep pattern matching search and replace across multiple files project definition tools function navigation and syntax coloring for numerous source code languages code folding FTP and SFTP open and save AppleScript, Automator, and Shortcuts support Unix scripting support text and code completion a complete set of robust HTML tools and more.Ģ. BBEdit's subscription terms and conditions include automatic renewal, cancellation, and forfeiture of unused evaluation period.ġ. BBEdit's advanced features include grep pattern matching, search and replace across multiple files, project definition tools, function navigation and syntax coloring for numerous source code languages, code folding, FTP and SFTP open and save, AppleScript, Automator, and Shortcuts support, Unix scripting support, text and code completion, a complete set of robust HTML tools, and more. To access advanced features, users need an active BBEdit subscription, available on a monthly or annual basis. It offers a 30-day evaluation period, after which it can be used for free with a modified set of features. BBEdit is built by the same developers as TextWrangler and is identical to it. It is a popular tool for web designers, developers, writers, and software developers, offering high-performance features for editing, searching, and manipulation of text, code, and HTML/XML markup. What is BBEdit? BBEdit is a professional text, code, and markup editor for Macintosh. Joshua rush nyu11/11/2023 This device has a measurement accuracy of ± 0.02 mm. 1), which we defined as the tapered male portion of the neck intended to engage the female taper of the femoral head. There is no universal standard for tapers, with considerable variability between or in some manufacturers for different stems.Ī series of measurements were taken to the nearest 0.1 mm with a digital caliper (Neiko Tools, Ontario, CA, USA) to characterize the taper geometry of the femoral trunnion (Fig. Some designs are proprietary to specific manufacturers and are given trade names. * Tapers can be described by either the taper angle (in degrees) or proximal and distal diameters (in mm). Care was taken to identify the correct taper design in these cases from the laser etchings or markings on the trunnion. Several stems analyzed underwent evolutionary changes in their taper design and therefore can have one of two possible taper geometries depending on the year of manufacture. Data regarding stem design and year of release were taken from manufacturer literature or one of two published implant atlases, which allowed determination that these stems were first released for clinical use between 19. The stem designs had 10 different taper geometries (Table 2), some of which are no longer in use. These represent approximately 25% of all stem designs with modular head-neck junctions indexed in a comprehensive implant atlas. The 85 stems represented designs from 16 different historical implant manufacturers, several of which have since merged (Table 1). Stems originally were implanted during a 22-year period from 1991 to 2012. Despite these design and manufacturing changes, including the introduction of numerous novel taper geometries, to our knowledge there has been no published documentation regarding how trunnions have changed with time and how these changes may have influenced biomechanical properties of the femoral trunnion.īy analyzing a large revision retrieval database of femoral stems released during a span of three decades, we asked: (1) how much does flexural rigidity vary among different taper designs (2) what is the contribution of taper geometry alone to flexural rigidity of the femoral trunnion and (3) how have flexural rigidity and taper length changed with time in this group of revised retrievals?Īn analysis of 85 unique femoral stem designs retrieved from two separate centers at the time of revision surgery was performed none was retrieved for a diagnosis related to a problem at the head-neck taper junction. There has been an ongoing evolution in trunnion design during the last several decades with implant manufacturers offering smaller trunnion designs with the rationale that an increased head-neck ratio may help prevent component impingement and reduce the risk of postoperative instability. Although taper corrosion involves a complex interplay of many factors, a previous study correlated higher flexural rigidity of the femoral trunnion with a decreased likelihood of corrosion. Increasing attention to local and systemic effects of wear debris and metallosis in patients with metal-on-metal devices led to the discovery that corrosion at the head-neck taper can be the cause for adverse local tissue reactions, even in patients without a metal-on-metal bearing surface. Recently, there has been renewed concern surrounding the potential for corrosion at the modular head-neck junction to cause early failure of modern hip implants. These changes curtailed initial concerns and helped lead to universal acceptance of these versatile implants. Because of early reports of corrosion, fretting, and implant fracture at the modular interface with associated biologic reactions, improvements in manufacturing and design subsequently were made, including making the femoral trunnions larger and more rigid. Concerns regarding the potential local and systemic effects of soluble and particulate debris from corrosion at the head-neck interface were expressed as these modular implants became available. Early retrieval analyses of femoral components attempted to identify the cause of corrosion, and although initially thought to be galvanic, an increasing body of literature points toward a mechanical etiology secondary to fretting and crevice-associated mechanisms of corrosion at the head-neck junction. Shortly after the introduction of modularity in THA, issues of fretting and corrosion at the modular head-neck junction were identified, and have since been well documented. Should revision arthroplasty be required, it also allows for easier surgical exposure and more potential options. Modularity at the head-neck junction of the femoral component in THA confers several advantages, including the ability to intraoperatively adjust head size, neck length, and choice of bearing surface after femoral fixation has been achieved. AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |