Explore the vast range of titles available.

Background Osteochondritis dissecans (OCD) is a sequela to osteochondrosis, whereby the cartilage superficial to the site of osteochondrosis fractures and gives rise to osteochondral fragments in the affected joint. In this case, both the radiological and computed tomography findings were supportive of classical severe OCD but the histologic findings were not supportive of the diagnosis of OCD. Case presentation A 1 year and 6 months old, Saddlebred, colt was presented for evaluation of chronic cervical pain. Standing laterolateral radiographs revealed an osteochondral fragment with corresponding irregular subchondral bone defect at one of the occipital condyle. Computed tomography confirmed the presence of osteochondral fragments at the left occipital condyle and several articular process joints of the cervical spine, with associated subchondral bone defects and sclerosis, suggestive of OCD. However, the lack of ischemic chondronecrosis microscopically was not supportive of a histologic diagnosis of OCD. Therefore, the term ‘OCD-like lesions’ was deemed most appropriate for these cervical lesions. Conclusion In the event where imaging features were characteristics of OCD but lack of histologic evidence of ischemic chondronecrosis, the term ‘OCD-like lesion’ is deemed most appropriate.

The urgency for climate action is recognised by international government and healthcare organisations, including the United Nations (UN) and World Health Organisation (WHO). Climate change, biodiversity loss, and pollution negatively impact all life on earth. All populations are impacted but not equally; the most vulnerable are at highest risk, an inequity further exacerbated by differences in access to healthcare globally. The delivery of healthcare exacerbates the planetary health crisis through greenhouse gas emissions, largely due to combustion of fossil fuels for medical equipment production and operation, creation of medical and non-medical waste, and contamination of water supplies. As representatives of radiology societies from across the globe who work closely with industry, and both governmental and non-governmental leaders in multiple capacities, we advocate together for urgent, impactful, and measurable changes to the way we deliver care by further engaging our members, policymakers, industry partners, and our patients. Simultaneous challenges including global health disparities, resource allocation, and access to care must inform these efforts. Climate literacy should be increasingly added to radiology training programmes. More research is required to understand and measure the environmental impact of radiological services and inform mitigation, adaptation and monitoring efforts. Deeper collaboration with industry partners is necessary to support innovations in the supply chain, energy utilization, and circular economy. Many solutions have been proposed and are already available, but we must understand and address barriers to implementation of current and future sustainable innovations. Finally, there is a compelling need to partner with patients, to ensure that trust in the excellence of clinical care is maintained during the transition to sustainable radiology. By fostering a culture of global cooperation and rapid sharing of solutions amongst the broader imaging community, we can transform radiological practice to mitigate its environmental impact, adapt and develop resilience to current and future climate and environmental threats, and simultaneously improve access to care.

The urgency for climate action is recognised by international government and healthcare organisations, including the United Nations (UN) and World Health Organisation (WHO). Climate change, biodiversity loss, and pollution negatively impact all life on earth. All populations are impacted but not equally; the most vulnerable are at highest risk, an inequity further exacerbated by differences in access to healthcare globally. The delivery of healthcare exacerbates the planetary health crisis through greenhouse gas emissions, largely due to combustion of fossil fuels for medical equipment production and operation, creation of medical and non-medical waste, and contamination of water supplies. As representatives of radiology societies from across the globe who work closely with industry, and both governmental and non-governmental leaders in multiple capacities, we advocate together for urgent, impactful, and measurable changes to the way we deliver care by further engaging our members, policymakers, industry partners, and our patients. Simultaneous challenges including global health disparities, resource allocation, and access to care must inform these efforts. Climate literacy should be increasingly added to radiology training programmes. More research is required to understand and measure the environmental impact of radiological services and inform mitigation, adaptation and monitoring efforts. Deeper collaboration with industry partners is necessary to support innovations in the supply chain, energy utilization, and circular economy. Many solutions have been proposed and are already available, but we must understand and address barriers to implementation of current and future sustainable innovations. Finally, there is a compelling need to partner with patients, to ensure that trust in the excellence of clinical care is maintained during the transition to sustainable radiology. By fostering a culture of global cooperation and rapid sharing of solutions amongst the broader imaging community, we can transform radiological practice to mitigate its environmental impact, adapt and develop resilience to current and future climate and environmental threats, and simultaneously improve access to care.

According to Bourne, no matter how artistic or how creative you want to get, the wording on the sign is what's absolutely paramount. \"My job is to first make your subconscious go, 'Oh what's that?'\" he says. \"Then if I can make your conscious mind go, 'Wow, look at that,' Fve done a brilliant job.\"

[Robert Hilterbrick]'s software consultant analyzed the sign shop's operation - from sales and estimâtes to installation and permitting - and customized the program's reporting options to match the sign maker's needs. \"We can hit a button once a week and punch out a graph of all of the permitting information,\" he says. (Now: The company retained its non-digital project-scheduling boards, and continues to update those three times a day.)

There's another wrinkle in the issue of compliance, according to [Jon Wooldridge], as companies diat don't have outside visitors may assume installing ADA signage inside the workplace isn't necessary. \"The ADA, first and foremost, is an employment act,\" he says. \"The regulations were also intended to protect interna] employees.\"

When it comes to design advice for LEDs in channel letters, Schlosser has learned that you need to notice placement when working with narrow letters or in Serif fonts. \"At times, you cannot get LEDs into the very tip or end of the letter and you can end up with a shadow or a dark spot,\" she says. \"Sometimes you'll have to go back and modify the design of the letters to give the bestoverall, even lighting. You need to let clients know about this possibility.\"

Companies such as The Gap and Ocean Spray are seeking him out because they want a product that's hand painted. \"Undoubtedly, they could go to a thousand different sign shops to print something, to cut it out in vinyl, or whatever, but they're seeking us out now, which we find very exciting,\" says [Sean Starr]. \"We've got a commitment to keep the traditional aspect to sign making alive, and it's starting to affect corporate America. They are seeing the value in it.\"

To aid in material placement, [Julie Wentzel] also uses a multi-mat diat makes the material stick down to the table so she doesn't have to use any clamps. \"It's important that you keep this clean, as well,\" she explains, \"because if you leave any material on it, this will raise a portion of the plastic and affect the marking. And if you're engraving a thin material, anything underneath it can lead to an uneven engraving.\"

College and corporate campuses do comprise \"a vigorous sector\" in signage. says Dennis O'Hara, senior vice president of Northwest Sign Industries, Inc. www. nwsignindustries.com), in Moorestown, New Jersey. \"We recently did a tremendous [wayfinding] project for North Carolina State University,\" he says. \"Community colleges are growing rapidly as well.\"