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  • Rib fracture

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    A rib fracture is a break in a rib bone. This typically results in chest pain that is worse with breathing in. Bruising may occur at the site of the break. When several ribs are broken in several places a flail chest results. Potential complications include a pneumothorax, pulmonary contusion, and pneumonia. Rib fractures usually occur from a direct blows to the chest such as during a motor vehicle collision or from a crush injury. Coughing or metastatic cancer may also result in a broken rib. The middle ribs are most commonly fractured. Fractures of the first or second ribs are more likely to be associated with complications. Diagnosis can be made based on symptoms and supported by medical imaging. Pain control is an important part of treatment. This may include the use of paracetamol (acetaminophen), NSAIDs, or opioids. A nerve block may be another option. While fractured ribs have been wrapped, this may increase complications. In those with a flail chest, surgery may improve outcomes. They are a common injury following trauma.

  • San Joaquin (train)

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    The San Joaquin (sometimes referred to as San Joaquins) is a passenger train service operated by Amtrak in California's Central Valley. Seven round-trip trains a day run between its southern terminus at Bakersfield and Stockton, where the route splits to Oakland (five round trip trains per day) or Sacramento (two round trip trains per day). The route has an extensive network of dedicated Amtrak Thruway Motorcoach buses that are critical to the performance of the service. In 2016, over 55% of passengers used an Amtrak Thruway Motorcoach on at least one end of their trip. Buses are timed to meet trains and offer connections to points in Southern California (including Los Angeles Union Station where passengers can continue their journey on the Pacific Surfliner or Amtrak's long-distance trains), the city of San Francisco, the Central Coast, the North Coast, the High Desert (including Las Vegas), Redding, Reno, and the Yosemite Valley. The San Joaquin is Amtrak's sixth-busiest service in the nation and the railroad's third-busiest in the state of California. During fiscal year (FY) 2016, the service carried 1,122,301 passengers, a 4.7% decrease from FY2015.

  • Electric car charging methods

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