El Paso Definition

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ACoolTone procedure only takes about 40 minutes to perform. When you arrive for your CoolTone treatment, you will be taken to a comfortable and private treatment area, where you can sit back and relax as the technology works to stimulate muscle growth.

One of our trained clinicians will apply the CoolTone applicator(s) to your treatment area(s) of choice. During the treatment, clients can expect to feel tightening muscles, much like what happens when you squeeze your muscles or flex.

Results include leaner and more defined muscles. Most patients will need about four treatments over the span of two weeks to see optimal results. While you may notice some increased definition immediately, most patients will see visible results three to four weeks after treatment.

The results from CoolTone are long-lasting but will start to subside with time, just as your muscles would return to normal if you were to stop working out. In order to maintain results long-term, occasional maintenance sessions are recommended.

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Introduction: Determination of outcomes after adrenalectomy for primary aldosteronism (PA) is limited by the lack of standardized definitions of cure. The Primary Aldosteronism Surgical Outcomes (PASO) group recently established new consensus definitions for biochemical and clinical cure of PA. We hypothesize that utilization of PASO definitions will better stratify patient outcomes after surgery compared to original and current criteria utilized to document cure.

Materials and methods: Patients undergoing adrenalectomy for PA from 1996 to 2016 were studied. Clinical data were reviewed. Three different sets of criteria (original, current, and PASO) were evaluated for differences in documentation of cure. Demographic data were reported as median (range). Comparisons were made using the Mann-Whitney U test; p Conclusion: Significant heterogeneity exists in outcomes criteria utilized to document cure or clinical improvement after adrenalectomy for primary aldosteronism. Aldosterone levels change over time after adrenalectomy. PASO definitions of cure appear to allow for improved stratification of short- and long-term outcomes.

I was going to post the definition of pasar in this note to show you why we ask for context, however, the definition exceeded the 6000 character limit so I'll have to give you a link to it instead.

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Scattered severe thunderstorms are expected across portions of the central/northern Plains Sunday while heavy to excessive rainfall may bring flooding to northern Minnesota and the Tennessee Valley. Dry and windy conditions will bring elevated to critical fire weather across parts of the Great Basin while dry thunderstorms may lead to new wildfire starts in the northern Rockies. Read More >

IntroductionBy definition, convective thunderstorms are dependent on intense surface heating coupled with sufficient moisture. Because of this, the analysis of surface dry bulb and dew point temperatures associated with convective activity is highly appropriate. To date, little research in this regard is known to have been completed for the El Paso, Texas area. This study seeks to develop aids in forecasting convective development in El Paso, Texas during the summer convective season through the analysis of certain surface dry bulb and dew point temperatures. In total, the purpose of this paper is threefold:1. To determine, on a monthly basis, if there is an optimum range of maximum daytime surface dry bulb temperatures, and possibly singular maximum daytime surface dry bulb temperatures, most often associated with summer convective thunderstorms in El Paso,

2. To determine, on a monthly basis, if there is an optimum range of 10 a.m. surface dry bulb and dew point temperatures, and possibly singular 10 a.m. surface dry bulb and dew point temperatures most often associated with summer convective thunderstorms in El Paso, and,

3. To develop a substantial database of summer convective events in El Paso to be referenced in this and future studies.

The idea to explore maximum daytime dry bulb surface temperatures associated with convective activity in El Paso comes from the Arizona Thunderstorm Chasers (AZTC) Safety Guide and Training Manual (1993). In this publication, it is stated that for the production of summer "monsoon" thunderstorms in Phoenix, maximum daytime surface temperatures most often lie between 100 to 108F with the optimum temperature being about 105F. Considering elevation differences between Phoenix and El Paso, temperatures needed to produce thunderstorms in El Paso are undoubtedly lower.

As previously stated, sufficient moisture must also be available for the production of convective storms. The AZTC Safety Guide refers to the notion of 'bursts', which is the transport of moisture into Arizona via strong southerly or southeasterly low level flows. The operational criterion for the onset of "monsoon" conditions, thereby leading to convective activity in Arizona, is a prolonged period (3 consecutive days or more) of surface dew points averaging 55F or higher as a result of the aforementioned moisture transport. This value was originally linked to a precipitable water amount present in the local atmosphere equal to about 1.00". Since New Mexico and far west Texas are also subject to the same moisture flow regime during the summer months as Arizona, comparable results in regard to dew point temperatures for El Paso should be obtainable.

Methodology

The convective season in El Paso generally runs from mid-July to mid-September. However, in an effort to gather as many convective cases as possible for this study, the time span of this study was expanded to the period from May 1 to September 30 of each year inclusive in this study. Data analysis was performed for the years 1978 through 1997 thereby providing a 20 year database record.To determine the dates between May and September in which El Paso had occurrences of thunderstorms, Local Climatological Data summaries for the El Paso International Airport were reviewed. While establishing the dates of thunderstorm occurrences, denoted as "convective days" in table 1, the maximum daytime dry bulb temperature associated with these occurrences was also noted. These same dates were also checked to see if .01 inch or greater of precipitation had been received at the airport or not. Once this was completed, the maximum daytime dry bulb temperature data were analyzed to determine if there is an optimum range of maximum daytime surface dry bulb temperatures, and possibly singular maximum daytime surface dry bulb temperatures, most often associated with summer convective thunderstorms in El Paso, Texas. For greater definition, this was done on a monthly basis. The percentage of days receiving .01 inch of precipitation or greater during dates of thunderstorm occurrence in El Paso was also calculated.

By request, El Paso hourly surface dry bulb and dew point temperatures for the months and years inclusive of this study were received from the National Climatic Data Center. The 10 a.m. dry bulb and dew point temperatures were noted for days with thunderstorm occurrences. These data were then also analyzed to determine if there is an optimum range of 10 a.m. surface dry bulb and dew point temperatures, and possibly singular 10 a.m. surface dry bulb and dew point temperatures, most often associated with summer convective thunderstorms in El Paso. Surface dew point depressions at 10 a.m. were also calculated. Again, for greater definition, this was done separately for the individual months of this study. The 10 a.m. hour was chosen in an attempt to minimize possible effects related to the nightly temperature inversion, while maintaining some predictive use.

Results

The number of days in this study with an occurrence of thunderstorms at the El Paso airport was 648, with 434 of these occurrences (67%) producing .01 inch or greater of precipitation (table 1.). While the months of May and September had the fewest number of days with occurrences of thunderstorms, it was more likely during these months to receive .01 inch or greater of precipitation on days with thunderstorm occurrences than the other months in this study.Analysis of maximum daytime surface dry bulb temperatures did indeed indicate optimum ranges of values most often associated with thunderstorms in El Paso. These ranges differed from month to month and generally ran between 8-10 F (table 1). Singular values with the highest frequency of thunderstorm occurrence were observed on a monthly basis in May, August, and September. June and July had two values. September showed the greatest range of maximum daytime surface dry bulb temperatures associated with thunderstorm occurrences. May and June had smaller ranges than September, and were nearly identical in their degree of variability. July and August showed the smallest ranges. These results were not unexpected as larger temperature ranges would be more typical of transitional months. Also not unexpected, was the strongly positive skewed normal distribution of maximum daytime surface dry bulb temperatures during the months of May, June, and September which was a result of the lower frequency of thunderstorm events during those months.Analysis of the 10 a.m. surface dry bulb temperatures also indicated optimum ranges of values most often associated with thunderstorms in El Paso (table 1.) Again, individual months exhibited different ranges, with the limits of these ranges falling between 6-11F. Each month rendered only one 10 a.m. surface dry bulb temperature most often associated with convection. Much like with maximum daytime temperatures, September showed the greatest range of possible 10 a.m. surface dry bulb temperatures, while May and June had smaller ranges that were equal in their degree of variability to each other. July and August had the smallest ranges. The 10 a.m. surface dry bulb temperatures exhibited normal distributions for each month of this study.Optimum ranges were also identified with 10 a.m. surface dew point temperatures on a monthly basis and these went from 9-11F (table 1.). May, June, and July had a singular optimum 10 a.m. surface dew point temperature most often associated with convection while August and September had two. June had the greatest range of possible 10 a.m. surface dew point temperatures. May and July had smaller ranges and these were nearly equal in their degree of variability. August and September had the smallest ranges. Ten a.m. surface dew point temperatures showed a strongly positive skewed normal distribution pattern for every month inclusive of this study. As expected, singular optimum surface dew point temperatures most often associated with convection in El Paso, at least at 10 a.m., were overall quite similar to those necessary for the onset of convection in Phoenix, Arizona.

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