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In urge incontinence, the nerves regulating the bladder can become hyper-reactive, sending strong signals to empty before the bladder is full. Nerve stimulation therapies "jam" the pathways that transmit these abnormal messages. In PTNS, a small acupuncture needle is placed in the ankle along the tibial nerve. A handheld device connects to the needle to deliver mild electrical impulses to the nerve. These travel up the tibial nerve to the sacral nerve plexus, which regulates the bladder. PTNS sessions are painless, last 30 minutes and are repeated weekly for 12 weeks. All sessions take place in a medical office. Sacral Neuromodulation Therapy (Interstim) Sacral neuromodulation therapy also uses electrical impulses applied directly to the sacral nerves. Wires are threaded through openings in the pelvic bones along the sacral nerves. This is done in an operating room using local anesthesia. The wires are attached to a small external generator. If a two week test using the external device shows improvement in symptoms, a permanent device, called Interstim, is implanted under the skin.
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- I'm teaching online classes in Korea now - here's a site that has a fair amount of videos on multiple subjects for elementary school level students. : OnlineESLTeaching
Let them sleep in while you prepare this hearty breakfast strata. Cubes of a whole-grain baguette soak up the egg and milk mixture and are combined with smoked turkey sausage, sweet peppers, onions and mushrooms in this crowd-pleasing dish. Individual Brussels Sprout & Potato Frittatas Brussels sprouts and preshredded potatoes make these oversized muffin-shaped frittatas hearty. They're as good served warm for dinner as they are at room temperature for lunch. Pair with a mixed green salad with cherry tomatoes and buttermilk dressing. Pineapple & Ham Bread Souffle A bread pudding-soufflé hybrid, this dish gets its inspiration from a rich, pineapple soufflé traditionally served as an accompaniment to baked ham. We turned it into a main dish, putting the ham straight into the soufflé. Then, we improved the nutritional profile by omitting heavy cream and butter and choosing whole-wheat bread over white. For the best texture and flavor, look for soft whole-wheat sandwich bread without any added malt or molasses.
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Various computer programs are available to help project managers use the CPM. This was last updated in January 2015 Continue Reading About critical path method (CPM) Stanford offers an introduction to CPM See our glossary of project management definitions Project management methodologies for an information everywhere world Why project management is key to operational business intelligence Project management tools and strategies
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"You may not even see or feel the lump as the tumor grows, " says Healthline. Once a lump is discovered, a doctor will run diagnostic tests like an ultrasound or CT scan to determine what the lump is and hopefully, the cause. Remember, not all lumps are cancer. "In most cases a biopsy will be needed to confirm the diagnosis, " explains the source. 2. Lower Back Pain There are many reasons a person might begin to feel pain in their lower back, particularly those over the age of 40. It's most commonly associated with musculoskeletal injury or disk degeneration, says Healthline, but can also be a symptom of kidney cancer. "About 41-percent of people with RCC report back pain. But most people don't experience back pain until the cancer is in the later stages, " writes the source. The pain associated with kidney cancer can either be a dull ache or a sharp stabbing pain. It varies between patients. "Some people report pressure instead of an ache or sharp pain. " Either way, if you're experiencing sudden pain that lasts longer than a few days, you should check in with a doctor to determine the cause.
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The homeowner designed the swim spa deck to allow simplified unrolling of the spa cover. This is achieved while standing on the 3-step side. You can easily fold and unfold the cover on the spa while walking the entire length of the spa. Take note of how wide the top platform is, this is an important detail. When you are taking your cover on and off you are usually focused on the cover so a narrow step would leave you more likely to trip. The wide platform reduces the risk of tripping over a narrow step while taking your cover on and off. One other detail you'll notice is the height of the top platform. Your walking platform should allow you to fold up your cover without being hunched over and this deck was designed with that in mind as well. The upper deck allows for easy spa access and features a wide bench for removing your sandals as well as a nice place to set your towel and smart phone. The railing is stainless steel cable to maximize the views of the garden. The posts are powder coated which will offer years of maintenance free railing.
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Trucks for sale by private sellers may make it more difficult to acquire financing. Talk to the dealer about what you are looking for and be sure to explain that you are interested in a used truck. Test-drive anything that you like. It is best to look for trucks that are 2007 or younger that also have 700 miles or less as this makes financing more available to you. Find out about commercial trucks for sale with truck rental companies. Many of them have trucks available that are well maintained and well cared for. Companies such as Penske, Enterprise, Ryder or Budget Trucks offer a good variety of quality trucks for sale. Decide on a truck that meets your business needs and has a good safety record. The dealer you buy the truck from is required by law to provide you with information on whether it has been in accidents or had extensive mechanical work done. A good reputable dealer will offer this information readily without being asked. Determine the value. Once you have decided on a truck to buy, research what it is worth before you make an offer.
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New language, new careers New language, new connections Speak a language in 10 minutes a day Editors' Choice Google Play App of the year App store I'm studying French and I love the translated dialogues they have at the end of many of the units. They use native, non-robotic speakers and speak at a natural pace so you can hear the linking of words. I love how easy it is to use, and how amazing the community is. The lessons are designed very well and the app is extremely easy to use. Just pick a language you want to learn and let the app guide you the whole way through. No matter the language you are learning, it teaches you actual grammar concepts and how to use them, which I find remarkable. Thinking about language learning for your business? Find out how we are helping these great companies