Operator's, organizational, direct support, and general support maintenance manual (including repair parts and special tools list) : trailer, chassis, 1-ton, 2-wheel, M514 (2330-542-5753), XM545 (2330-783-7574), and trailer, chassis, 2-ton, 2-wheel, M390 (2330-446-7515), and M390C (2330-542-3491).

"November 1972."

Operator's manual : testing kit, impregnite-in-clothing, ABC-M2, NSN 6630-00-783-8192 and impregnating set, clothing, field, M3, NSN 4230-00-368-6145.

"May 1986."

Organizational maintenance manual : crusher, jaw, diesel and electric driven, wheel mounted, pneumatic tires, 75 ton per hour (Eagle crusher model 5157), FSN 3820-783-7311, component of crushing and screening plant, diesel and electric driven, wheel mounted, 75 ton per hour.

"February 1964."

Operator's manual : crusher, jaw, diesel and electric driven; wheel mounted pneumatic tires; 75 ton per hour (Eagle crusher model 5157) FSN 3820-783-7311, component of crushing and screening plant; diesel and electric driven; wheel mounted; 75 ton per hour.

Includes index.

Operator's manual for crusher, jaw, diesel and electric driven, wheel mounted, pneumatic tires, 75 ton per hour, Eagle crusher model 5157 and 5157A (NSN 3820-00-783-7311), Eagle crusher model 5157B (NSN 3820-00-880-0540), component of crushing and screening plant, diesel and electric driven, wheel mounted, 75 ton per hour.

"September 1991."

Unit, direct support, and general support maintenance repair parts and special tools lists : crusher, jaw, diesel and electric driven, wheel mounted, pneumatic tires, 75 ton per hour, NSN 3820-00-783-7311, Eagle crusher models, model 5157 ... component of crushing and screening plant ....

"September 1991."

Organizational maintenance repair parts and special tools lists : crusher, jaw, diesel and electric driven, wheel mounted, pneumatic tires, 75 ton per hour, Eagle crusher models, model 5157, serial numbers 2050 thru 2087, model 5157A, serial numbers 2090 thru 2174, NSN 3820-00-783-7311, model 5157B, serial numbers 2175 thru 2197 ...

Includes index.

Organizational, direct support, and general support maintenance repair parts and special tools lists (including depot maintenance repair parts and special tools) for signal generator AN/URM-127 (NSN 6625-00-783-5965).

Includes index.

Categorisation of activities of daily living of lower limb amputees during short-term use of a portable kinetic recording system : a preliminary study

The purpose of this preliminary study was to determine the relevance of the categorization of the load regime data to assess the functional output and usage of the prosthesis of lower limb amputees. The objectives were a) to introduce a categorization of load regime, b) to present some descriptors of each activity, and c) to report the results for a case. The load applied on the osseointegrated fixation of one transfemoral amputee was recorded using a portable kinetic system for 5 hours. The periods of directional locomotion, localized locomotion, and stationary loading occurred 44%, 34%, and 22% of recording time and each accounted for 51%, 38%, and 12% of the duration of the periods of activity, respectively. The absolute maximum force during directional locomotion, localized locomotion, and stationary loading was 19%, 15%, and 8% of the body weight on the anteroposterior axis, 20%, 19%, and 12% on the mediolateral axis, and 121%, 106%, and 99% on the long axis. A total of 2,783 gait cycles were recorded. Approximately 10% more gait cycles and 50% more of the total impulse than conventional analyses were identified. The proposed categorization and apparatus have the potential to complement conventional instruments, particularly for difficult cases.

A Multifaceted Strategy for Implementation of the Ottawa Ankle Rules in Two Emergency Departments

Problem Despite widespread acceptance of the Ottawa ankle rules for assessment of acute ankle injuries, their application varies considerably. Design Before and after study. Background and setting Emergency departments of a tertiary teaching hospital and a community hospital in Australia. Key measures for improvement Documentation of the Ottawa ankle rules, proportion of patients referred for radiography, proportion of radiographs showing a fracture. Strategies for change Education, a problem specific radiography request form, reminders, audit and feedback, and using radiographers as “gatekeepers.” Effects of change Documentation of the Ottawa ankle rules improved from 57.5% to 94.7% at the tertiary hospital, and 51.6% to 80.8% at the community hospital (P<0.001 for both). The proportion of patients undergoing radiography fell from 95.8% to 87.2% at the tertiary hospital, and from 91.4% to 78.9% at the community hospital (P<0.001 for both). The proportion of radiographs showing a fracture increased from 20.4% to 27.1% at the tertiary hospital (P=0.069), and 15.2% to 27.2% (P=0.002) at the community hospital. The missed fracture rate increased from 0% to 2.9% at the tertiary hospital and from 0% to 1.6% at the community hospital compared with baseline (P=0.783 and P=0.747). Lessons learnt Assessment of case note documentation has limitations. Clinician groups seem to differ in their capacity and willingness to change their practice. A multifaceted change strategy including a problem specific radiography request form can improve the selection of patients for radiography.