tight‚ constant‚ cramping‚ stabbing burning‚ stinging‚ tingling‚ numbing‚ hotness‚ annoying‚ and intense. Rest‚ ice‚ lying down‚ heat‚ stretching‚ massage‚ physical therapy‚ and exercise are palliative. On examination of the lumbar spine‚ the bilateral L4-5 and L5-S1 facet joints and bilateral sacroiliac joints are tender. Kemp’s test is positive. Range of motion (ROM) shows flexion of 75 degrees‚ extension of 20 degrees‚ bilateral lateral flexion of 15 degrees and bilateral rotation of 20 degrees‚ all
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( PTLLS )(6302) REFLECTING LEARNING JOURNAL UNIT 001 The purpose of this essay is to reflect upon an aspect on my role and responsabilities as a teacher in lifelong learning ‚responsability for maintaining a safe and supportive learning environment (PTLLS 6302/L&D Academy /Barchester/page 4 }For the purpose of reflection the essay shall be written in the first person.I decided to use John’s( 1995) model of reflection . Description of experience I participated to PTLLS course unit
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Delivering Lifelong Learning (DLLS) Theory Assignment Outcome 1b: Appropriate methods of communication Feedback I used feedback to checking learning took place among learners. The feedback asked various questions regarding the sessions and how it was delivered. Therefore by doing so I can use also feedback from learners to reflect on my teaching styles inform better teaching and learning practice. Presentation With the changing nature of teaching and learning the use of power point presentation
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revealed no significant change compared with the study of 1/30/04. There is spondylolisthesis and spondylosis at L4-5 with facet degenerative changes and mild bilateral foraminal narrowing. There is degenerative disc disease at multiple levels‚ particularly at T12-L1 and L1-L2‚ but no stenosis. Mild left-sided foraminal narrowing at L1-L2 and L3-L4 was noted. The patient underwent L2-3‚ L3-4‚ L4-5‚ L5-S1 bilateral facet joint
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disc degeneration; and radiculopathy‚ lumbar region. As per OMNI notes‚ the patient is diagnosed with history of right L5-S1 tear‚ low back pain‚ right quadratus lumborum strain‚ and paresthesias. He underwent lumbar laminectomy at L5-S1‚ and L3-L4 and L4-L5 decompression of the nerve root on 2/24/2016. As per progress report dated 6/6/2016‚ the patient complains of lumbar pain. He states that the symptoms are mild. The pain is aggravated by extended walking. He returns after 3 months postoperative
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2 0.5 0.3 Factory Utilities 0.5 0.3 0.2 Indirect Materials and Labor 0.8 0.1 0.1 The company makes two different products‚ Product X7 and Product L4. Details regarding activity levels‚ sales revenue‚ and direct materials and labor costs are also provided: MHs Batches Product X7 4824 1600 Product L4 9100 600 Total 13924 2200 Product X7 Product L4 Sales (Total) $80‚400 $99‚600 Direct Materials $25‚600 $38‚300 Direct Labor $30‚800 $43‚200 Answer the following questions using activity-based costing
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2011 COMAND APS COMAND APS DX COMAND - Version C‚ APS 1‚ APS 2‚ APS 4 W/V 168 - A-Class up to 2004 A1 A2 A3 W/C 169 - A-Class from 2004 C1 D1 D2 D3 D4 W/C169 - A-Class from 07/08 M1 L1 L4 L2 L5 L3 W 245 - B-Class C1 D1 D2 D3 D4 W254 - B-Class from 07/08 M1 L1 L4 L2 L5 L3 W/S 202 - C-Class up to 2001 A1 A2 A3 W/S/CL 203 - C-Class up to 03/04 A1 A2 A3 F1 F2 F4 F5 F7 F8 F10 F3 F6 F9 W/S/CL 203 - C-Class from 04/04 C1 D1 D2 D3 D4 W/S204 - C-Class from 03/07
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City & Guilds 7303 Level 3 Award Preparing to Teach in the Lifelong Learning Sector (PTLLS) At Level 4‚ candidates need to demonstrate in their assessments a depth of knowledge and understanding appropriate to that level. This should be reflected in: • an understanding of the relationship between theory/principles and practice • evidence of research and reading • evidence of consideration of practice that is in accordance with professional values • an academic style of writing‚ in which
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is a set number of trucks that can be used for each respective month stated earlier in the constraints. Thus let L1=# long-term leased trucks in month 1 L2=# long-term leased trucks in month 2 L3=# long-term leased trucks in month 3 L4=# long-term leased trucks in month 4 For the trucks obtained through short-term leasing‚ there are more options. A truck’s lease can start in any of the four months
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