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The 1-17 rating scale of the Manchester scale is graded as follows: 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36. The present invention comprises a device for allowing a tennis player to practice serving. For the most part, this device utilizes a shape of the player's own hand to simulate the actual ball during the serving process.Brachial Plexus Injuries: Primary Dissection of the Axillary Artery and Vein After Medial Approach Incision. A brachial plexus injury may occur as a result of blunt or penetrating trauma. The injury occurs at the level of the vertebral foramen when the bony prominences of the neck press on the neural elements. Treatment begins with an assessment of the patient's neurological status and medical optimization. From there, one begins with an aggressive surgical and neurovascular consult, exploration, and angiography. Primary neural decompression is performed. In more severe cases, angiography may show that there is significant vascular compromise distal to the first 2 or 3 trunks. In such cases, a concomitant vascular reconstruction is performed to protect these structures during the reconstruction of the brachial plexus. This article describes the anatomy of the axillary artery and vein and the effects of trauma to these structures on brachial plexus function. It illustrates the use of the medial approach in treating this injury.Doug Mataconis · · No comments A recent Gallup poll finds that Republicans have the lowest approval rating of any major party on the issues of national security, health care, the government, economic conditions, the federal budget deficit, and the war in Iraq. Only 27% of Americans have a favorable view of the Republican Party on these issues, while a whopping 75% of Americans have a favorable view of Democrats. The Pew Research Center found that just 9% of Americans have a favorable view of the GOP on the issues of Iraq and national security, and it’s that low rating that remains. A poll released earlier this week found that just 13% of Americans have a favorable view of the GOP on national security and the war in Iraq. The same poll found that a whopping 70% of Americans have a favorable view of Democrats. Meanwhile, both Gallup and Pew found that the Democrats continue to have the upper hand on the issue of healthcare. Gallup found

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