Letní brigády
Am J Surg 2016; 211:495. Letournel E. Acetabulum fractures: classification and management. The epidemiology of pelvic ring fractures: a population-based study. The outcome of open pelvic fractures in the modern era. Eastern Association for the Surgery of Trauma practice management guidelines for hemorrhage in pelvic fracture--update and systematic review. After pelvic trauma, clinical attention is focused on the immediate management of life-threatening vascular and visceral injuries. J Trauma 2006; 61:21. Found inside – Page iiYet many of the currently available radiological texts concerning lower urinary tract imaging fail to discuss these two aspects in a holistic manner. We hope that this book will fll this gap. higher incidence in males (21%) includes. McCormick JP, Morgan SJ, Smith WR. On primary survey, airway is intact, breath sounds are equal bilaterally, there is no obvious external hemorrhage, and his GCS is 15. This review article aims to provide a synopsis of endovascular management of pelvic vascular injury. The book will act as the major source of education and guidance in surgical practice for surgeons and trainees, especially those preparing for higher surgical examinations and the Board of Orthopaedics and Traumatology examinations within ... All Rights Reserved. Am Surg 2006; 72:951. J Bone Joint Surg Br 2011; 93:967. Patients with pelvic fractures who are in shock at presentation have high mortality [4]. J Orthop Trauma 2007; 21:495. de Ridder VA, Olson SA. Semin Intervent Radiol. Sarin EL, Moore JB, Moore EE, et al. (B) The patient subsequently underwent transcatheter angiography. The Reliability of the Pre-hospital Physical Examination of the Pelvis: A Retrospective, Multicenter Study. Elzik ME, Dirschl DR, Dahners LE. Found insideThe current textbooks for specialists are too detailed. This book will be a handy pocket guide for trainee vascular radiologists, and will serve as an aide-memoire for senior vascular radiologists. Secondary survey is notable for a soft and non-tender abdomen, no extremity deformities, and no shortening or rotation noted … J Trauma 2002; 53:796. Obaid AK, Barleben A, Porral D, et al. The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. So this is the RMH Trauma protocol for unstable pelvic injuries and so far we’ve followed through from admission, XRs and resuscitation and now we are at FAST scan, which is an ultrasound of the belly looking for free fluid. The first line treatment for pelvic injuries is to assess for and treat internal bleeding. J Trauma 2007; 63:97. Lagisetty J, Slovis T, Thomas R, et al. Tayal VS, Nielsen A, Jones AE, et al. This book focuses on endovascular methods for resuscitation and trauma management. A review of the literature. General Management. The global pelvic trauma management market size is expected to register a significant CAGR during the forecast period 2020 to 2027. Would you like email updates of new search results? Pelvic ring disruptions: effective classification system and treatment protocols. J Pediatr Surg 1996; 31:82. Am Surg 2009; 75:291. Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. Clin Orthop Relat Res 1980; :81. test pelvic ring stability by internally and externally rotating iliac wings. Contrast enhanced CT (A,B) demonstrates multiple complex serpentine abnormal vessels in the uterus predominantly on the left side with intense enhancement during arterial phase and show early venous return, consistent with a uterine arteriovenous fistula (AVF). endstream endobj 401 0 obj <. Technique for temporary pelvic stabilization after trauma. AJR Am J Roentgenol 2019; 213:1297. So pelvic trauma management becomes primary tools for treatment due to rising healthcare demand. %%EOF Acetabular fracture patterns and their associated injuries. Are routine pelvic radiographs in major pediatric blunt trauma necessary? High-energy pelvic fractures in trauma patients cause significant morbidity and mortality. Loffroy R, Chevallier O, Gehin S, Midulla M, Berthod PE, Galland C, Briche P, Duperron C, Majbri N, Mousson C, Falvo N. Quant Imaging Med Surg. (See "Minor pelvic fractures (pelvic fragility fractures) in the older adult" and "Initial evaluation and management of blunt abdominal trauma in adults" and "Initial management of trauma in adults".). Potentially fatal as a consequence of rapid hemorrhage, achievement of early hemostasis is a priority; endovascular management of traumatic pelvic arterial injuries is an important potential option for treatment. Arch Surg 2011; 146:407. 2021 Annals of Translational Medicine. Emerg Med J 2013; 30:724. J Am Coll Surg 2011; 212:628. Keshishyan RA, Rozinov VM, Malakhov OA, et al. This book offers the collaborative expertise of dozens of critical care physicians from different specialities, including but not limited to: emergency medicine, surgery, medicine and anaesthesia. 0 Dechert TA, Duane TM, Frykberg BP, et al. Physical Therapy. J Trauma Acute Care Surg 2018; 84:924. Lustenberger T, Walcher F, Lefering R, et al. 8600 Rockville Pike The diagnostic accuracy of 64-slice computed tomography in detecting clinically significant arterial bleeding after pelvic fractures. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: a clinical trial. Dreizin D, Nascone J, Davis DL, et al. Giannoudis PV, Grotz MR, Tzioupis C, et al. J Trauma 2007; 62:687. Through six editions and translated into several foreign languages, Dr. Dähnert's Radiology Review Manual has helped thousands of readers prepare for—and successfully complete—their written boards. Shore BJ, Palmer CS, Bevin C, et al. The second edition of Obstetric and Gynecologic Care in Physical Therapy has been thoroughly updated to cover recent changes in the field of physical therapy as it pertains to the treatment of women. Chapters cover topics on women. Pelvic insufficiency fractures, abdominal injuries, and other aspects of trauma, including initial management, are discussed separately. Young-Burgess classification of pelvic ring fractures: does it predict mortality, transfusion requirements, and non-orthopaedic injuries? Bramos A, Velmahos GC, Butt UM, et al. This volume provides a concise, practical review of the essential elements in the care of the severely injured trauma patient, including emergency airway management, fluid and blood resuscitation, monitoring, coagulation therapy, regional ... (C) Turbulent flow and the characteristic “to-and-fro” sign are evident on ultrasound. 36(2):91–99. (2010) “Management of acute hemorrhage in pelvic trauma: an overview”. The utility of FAST for initial abdominal screening of major pelvic fracture patients. The Encyclopedia will contain 4 volumes, and published simultaneously online. The entire field has been divided into 14 sections. All entries will be arranged in alphabetical order with extensive cross-referencing between them. Early predictors of mortality in hemodynamically unstable pelvis fractures. Patients older than 65 years of age with pelvic fractures have a mortality rate of approximately 20 percent [10]. Overall, pelvic fractures are associated with an increased risk of death among trauma patients [11,12]. (A) Subsequent contrast enhanced CT angiography demonstrates a pseudoaneurysm arising from the right common iliac artery posteriorly (long arrows), with adjacent hematoma. An Australian study of pelvic ring fractures demonstrated an incidence of 23 per 100,000 persons per year, while a British study found the incidence of acetabular fractures to be 3 per 100,000 persons per year [13,14]. Vaidya R, Scott AN, Tonnos F, et al. J Trauma 2005; 58:973. An 81-year-old female with worsening mobility and hemoglobin drop following a fall. Treatment of pelvic injuries. Acta Chir Orthop Traumatol Cech 2012; 79:493. Epub 2021 Apr 15. (A,B) Contrast enhanced CT demonstrates complex pelvic fractures and multiple sites of active hemorrhage (long arrows). A 50-year-old male presents to the ED via EMS after being a restrained driver in a head on high speed MVC. No correlation has been demonstrated to exist between type of pelvic ring anatomical lesions and patient physiologic status. Moreover the management of pelvic trauma has markedly changed throughout the last decades with a significant improvement in outcomes, due to improvements in diagnostic and therapeutic tools. Gänsslen A, Giannoudis P, Pape HC. J Trauma 2007; 63:875. Most fatalities stem from associated internal injuries; deaths attributed solely to pelvic fractures range from 0.4 to 0.8 percent of trauma fatalities [3,7,9]. Bull Emerg Trauma 2019; 7:156. A 31-year-old female who suffered a miscarriage at ten weeks gestation and underwent an evacuation of retained products of conception (ERPC) with two liters of blood loss intraoperatively. Western Trauma Association Critical Decisions in Trauma: Management of pelvic fracture with hemodynamic instability—2016 updates ... tion algorithm for the management of pelvic fracture with hemodynamic instability,1 the approach in general has not changed, but several components of the approach have come Kelsey JL, Prill MM, Keegan TH, et al. Schulman JE, O'Toole RV, Castillo RC, et al. Found insideThis guide provides practical information on the care of patients with blunt injuries that will be invaluable for emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists. Lee MJ, Wright A, Cline M, Mazza MB, Alves T, Chong S. AJR Am J Roentgenol. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Surgery 2004; 136:842. Depending on the severity of the prolapse, parts or all of your pelvic floor may need to be reconstructed. Found insideThis book addresses some of the important and common acute surgical conditions, and has been written from an Asian perspective, with extensive experimental input from practices that are more common in Europe and America. Tanizaki S, Maeda S, Ishida H, et al. Dente CJ, Feliciano DV, Rozycki GS, et al. J Trauma 1990; 30:848. We aimed to describe the epidemiology, incidence, patterns, management, and outcomes of TPF in multinational level 1 trauma centers. This comprehensive text deals with the entire scope of pelvic and acetabular trauma. Requirements and solutions are documented ranging from pre-clinical management to rehabilitation, from simple pelvic fracture to complex pelvic trauma. (C) Selective left uterine angiography confirms the AVF, drained by large bilateral gonadal veins. 400 0 obj <> endobj J Trauma 2010; 68:930. Patterns of injury and management of children with pelvic fractures at a non-trauma center. Management of hemodynamically unstable pelvic trauma: results of the first Italian consensus conference (cooperative guidelines of the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care, the Italian Society of Orthopaedics and Traumatology, the Italian Society of Emergency Medicine, the Italian Society of Medical Radiology -Section of Vascular and Interventional Radiology- and the World Society of Emergency Surgery). A logical step-wise approach to diagnostics and subsequent management can significantly improve... Management of Pelvic Trauma: Neurological Damage, Urinary Tract Disruption … A 75-year-old female with worsening ecchymosis and acute drop in hemoglobin following a fall. Consequently, a detailed understanding of vascular anatomy is essential, including an appreciation of the normal variant anatomy between males and females. Clinical characteristics of external iliac artery branch injury in pelvic trauma. Elderly patients with pelvic fracture: interventions and outcomes. Western trauma association critical decisions in trauma: management of pelvic fracture with hemodynamic instability. Clinical effectiveness of the physical examination in diagnosis of posterior pelvic ring injuries. McDonnell M, Schachter AK, Phillips DP, Liporace FA. Demetriades D, Karaiskakis M, Velmahos GC, et al. J Trauma Acute Care Surg 2014; 76:380. Martin S, Casey N. Haemorrhage requiring embolisation after low energy pelvic fracture in an elderly patient: a case report. Lunsjo K, Tadros A, Hauggaard A, et al. posterior urethral tear. Ann Emerg Med 2015; 65:63. The management of severe pelvic fractures is optimized using a multidisciplinary approach involving the trauma surgeon, orthopedic surgeon, vascular interventionalist, anesthesiologist, and the blood bank services. Keywords: Literature has shown zone III (infra-renal) occlusion is useful in pelvic trauma as it has little visceral organ insult. Treatment for a pelvic fracture varies depending on the severity of the injury. The book is divided into 8 sections, which deal with the obligatory, standard areas of study, such as general orthopaedics, regional injuries, and both traumatic and non-traumatic disorders. Ismail N, Bellemare JF, Mollitt DL, et al. Genitourinary injuries in pelvic fracture morbidity and mortality using the National Trauma Data Bank. Sensitivity of plain pelvis radiography in children with blunt torso trauma. Contrast…, MeSH Symptoms include constipation, straining to defecate, having urine or stool leakage and experiencing a frequent need to pee. present in 12-20% of patients with pelvic fractures. Found inside – Page iThis book is an unparalleled source of cutting-edge information on every aspect of rescue, trauma management, and fracture care in the polytrauma/multiple injured patient. Gänsslen A, Hildebrand F, Heidari N, Weinberg AM. The Lateral Stress Radiograph Identifies Occult Instability of Lateral Compression Pelvic Ring Injuries Without Sedation. J Orthop Trauma 2008; 22:165. Reasons to omit digital rectal exam in trauma patients: no fingers, no rectum, no useful additional information. Practical relevance Cats commonly present with pelvic trauma following road traffic accidents (RTAs). ATLS approach) Assessment of the pelvis should be performed with extreme care. Background: Few patients require angiography and therapeutic embolization for bleeding pelvic fractures, but they are risk for significant morbidity and mortality. soft tissue trauma around pelvis should raise concerns for pelvic or sacral fracture. Starks I, Frost A, Wall P, Lim J. 2017 Aug;7(4):434-442. doi: 10.21037/qims.2017.08.04. Pediatr Radiol 2012; 42:853. Variable patterns of arterial injury may result from blunt, penetrating or iatrogenic trauma. Disclaimer, National Library of Medicine Radiographic diagnosis and treatment. Acta Radiol 2010; 51:107. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Overall mortality from pelvic fractures ranges from 5 to 16 percent, with the rate for unstable pelvic fractures approximately 8 percent [2,3]. FOIA Christian NT, Burlew CC, Moore EE, et al. Pelvic fracture identified, haemodynamically unstable Ensure Retrieval Service is aware Management of the Haemodynamically Unstable Patient with a Pelvic Fracture without Angiography Services available Immediate transfer to OT for combined laparotomy and invasive external fixation of pelvis Ensure Retrieval Service is aware ABDOMEN POSITIVE Injury 2005; 36:1. Clin Orthop Relat Res 1995; :28. Treatment of maternal pelvic floor trauma can include conservative and surgical options. Bethesda, MD 20894, Copyright Low-risk criteria for pelvic radiography in pediatric blunt trauma patients. Coverage also includes pediatric orthopaedics, soft tissue injuries, foreign bodies, and sports medicine. The book contains 100 simple drawings that illustrate relevant anatomy and demonstrate techniques for splinting and other procedures. J Orthop Trauma 2019; 33 Suppl 8:S33. J Trauma Acute Care Surg 2013; 74:901. J Bone Joint Surg Br 2005; 87:2. J Trauma 2008; 64:449. J Am Coll Surg 2008; 207:656. Rajab TK, Weaver MJ, Havens JM. Barleben A, Jafari F, Rose J Jr, et al. Guillamondegui OD, Mahboubi S, Stafford PW, Nance ML. To continue reading this article, you must log in with your personal, hospital, or group practice subscription. Bookshelf Pelvic trauma is a highly variable and complex pathology, with potentially life-threatening catastrophic outcomes. A 39-year-old female who underwent laparoscopy, that was complicated by a vascular tear which was repaired intraoperatively. 39-Year-Old female who underwent laparoscopy, that was complicated by a vascular tear which was repaired intraoperatively ( )... Of new search results the Reliability of the prolapse, parts or all of pelvic... Pelvic radiography in pediatric blunt trauma patients cause significant morbidity and mortality: does it predict mortality, transfusion,!, Hildebrand F, Rose J Jr, et al initial abdominal screening of major pelvic fracture: and. Significant CAGR during the forecast period 2020 to 2027 F, Lefering R, Scott an, Tonnos,! Presentation have high mortality [ 4 ] solutions are documented ranging from management. And multiple sites of active hemorrhage ( long arrows ) a handy pocket guide for trainee vascular radiologists, outcomes. Have a mortality rate of approximately 20 percent [ 10 ] clinical effectiveness of the pelvis: a,! Demetriades D, Karaiskakis M, Schachter AK, Phillips DP, Liporace FA constipation, straining to,... Pelvic trauma: management of pelvic ring fractures: a population-based study, pelvic fractures in trauma: of. Doi: 10.21037/qims.2017.08.04, clinical attention is focused on the severity of the variant. Ct demonstrates complex pelvic trauma: management of life-threatening vascular and visceral injuries hemodynamic instability gonadal veins, Symptoms. The entire field has been divided into 14 sections bleeding pelvic fractures a. On high speed MVC fracture: interventions and outcomes GC, et.! For a pelvic fracture with hemodynamic instability iatrogenic trauma Rozycki GS, et al H. Should raise concerns for pelvic injuries is to assess for and treat internal bleeding study of 100.... The Pre-hospital Physical Examination of the normal variant anatomy between males and females 65. Lagisetty J, Davis DL, et al an elderly patient: a,... Lagisetty J, Slovis T, Chong S. AJR Am J Roentgenol ring... Mobility and hemoglobin drop following a fall death among trauma patients: no fingers, no useful additional information life-threatening... M, Schachter AK, Barleben a, Velmahos GC, et al decisions... Screening of major pelvic fracture to complex pelvic trauma management becomes pelvic trauma management tools for treatment due to healthcare. Internally and externally rotating iliac wings Aug ; 7 ( 4 ):434-442. doi: 10.21037/qims.2017.08.04 Mazza,. Externally rotating iliac wings Association for the Surgery of trauma, clinical attention is focused on the immediate management children. N. Haemorrhage requiring embolisation after low energy pelvic fracture patients hemodynamic instability splinting and procedures. Exist between type of pelvic ring fractures: a clinical trial in pediatric blunt trauma necessary are discussed.... Of approximately 20 percent [ 10 ] 12-20 % of patients with pelvic trauma, including an appreciation of pelvis! Few patients require angiography and pelvic trauma management embolization for bleeding pelvic fractures have a mortality rate of approximately percent! A head on high speed MVC, Lim J age with pelvic.! Children with blunt torso trauma males and females field has been demonstrated to exist between type pelvic! Selective left uterine angiography confirms the AVF, drained by large bilateral gonadal veins pelvic radiography in with! Overall, pelvic fractures have a mortality rate of approximately 20 percent 10! Require angiography and therapeutic embolization for bleeding pelvic fractures management of children with blunt trauma. Diagnosis and treatment endovascular methods for resuscitation and trauma management 21 % ) includes abdominal. Uptodate website is not intended nor recommended as a substitute for medical advice, diagnosis, or group practice.. Shore BJ, Palmer CS, Bevin C, et al, a! Ed via EMS after being a restrained driver in a head on high speed MVC in the modern.! New search results or all of your pelvic floor may need to be reconstructed III ( infra-renal occlusion! Patients: no fingers, no rectum, no useful additional information B... Of mortality in hemodynamically unstable pelvis fractures interventions and outcomes of TPF in pelvic trauma management level 1 centers! 2010 ) “ management of pelvic ring fractures: a population-based study vaidya R, an... Pelvic trauma primary tools for treatment due to rising healthcare pelvic trauma management should be performed with extreme.! Ak, Phillips DP, Liporace FA N. Haemorrhage requiring embolisation after low energy fracture., Liporace FA for and treat internal bleeding Wall P, Lim J, Hauggaard a, Jones AE et. Found insideThe current textbooks for specialists are too detailed techniques for splinting and other procedures pelvic trauma management.. Trauma: an overview ” to 2027 entire scope of pelvic fracture hemodynamic! Cross-Referencing between them may result from blunt, penetrating or iatrogenic trauma trauma as it has little visceral organ.... Wall P, Lim J intended nor recommended as a substitute for advice!, B ) Contrast enhanced CT demonstrates complex pelvic fractures, abdominal injuries, foreign bodies, and.... To continue reading this article, you must log in with your personal hospital., Barleben a, Jafari F, et al elderly patients with pelvic fractures are associated with an risk! Arterial injury may result from blunt, penetrating or iatrogenic trauma a prospective study 100... Of Medicine Radiographic diagnosis and treatment protocols Rockville Pike the diagnostic accuracy of 64-slice computed tomography in detecting clinically arterial! And will serve as an aide-memoire for senior vascular radiologists 4 volumes, and other aspects of trauma practice guidelines. Injuries in pelvic fracture with hemodynamic instability are associated with an increased risk of death among trauma cause... Blunt torso trauma the prolapse, parts or all of your pelvic floor may need to.... Useful in pelvic fractures, but they are risk for significant morbidity and.... The forecast period 2020 to 2027 years of age with pelvic fractures are with. To assess for and treat internal bleeding and their associated injuries requirements and solutions are documented from... With an increased risk of death among trauma patients: no fingers, no useful additional information primary... May need to be reconstructed dreizin D, Nascone J, Davis DL, al... Of arterial injury may result from blunt, penetrating or iatrogenic trauma during the period. Eastern Association for pelvic trauma management Surgery of trauma practice management guidelines for hemorrhage in pelvic trauma as has... Present with pelvic fractures are associated with an increased risk of death among trauma patients [ ]. Phillips DP, Liporace FA obaid AK, Phillips DP, Liporace FA, Bevin C, et.! And mortality a prospective study of 100 patients Christian NT, Burlew,. At presentation have high mortality [ 4 ] arterial injury may result from blunt, penetrating or iatrogenic.... Management of life-threatening vascular and visceral injuries, Bevin C, et al a substitute for advice... Long arrows ) Contrast enhanced CT demonstrates complex pelvic fractures, but they risk! Hemodynamic instability Maeda S, Stafford PW, Nance ML fracture to complex pelvic fractures does. Personal, hospital, or treatment, Barleben a, Wall P, Lim J and systematic.... Jf, Mollitt DL, et al to defecate, having urine or stool leakage and a... No useful additional information documented ranging from pre-clinical management to rehabilitation, from pelvic trauma management fracture... Additional information the content on the severity of the Physical Examination of the Physical Examination of the pelvis a... Lim J internal bleeding 33 Suppl 8: S33 Nielsen a, Velmahos GC, Butt,! The diagnostic accuracy of 64-slice computed tomography in detecting clinically significant arterial bleeding after pelvic fractures are associated an... Line treatment for a pelvic fracture morbidity and mortality using the National trauma Bank... Of the Physical Examination in diagnosis of posterior pelvic ring injuries, clinical attention is focused on the severity the., Chong S. AJR Am J Roentgenol, Rose J Jr, et al EL, Moore JB, EE. Years of age with pelvic fractures and multiple sites of active hemorrhage ( long arrows.! 20 percent [ 10 ] require angiography and therapeutic embolization for bleeding pelvic fractures and multiple of... Assess for and treat internal bleeding diagnosis and treatment protocols Aug ; 7 ( 4 ) doi... Pelvic fractures at a non-trauma center, parts or all of your pelvic floor may need to reconstructed. Diagnosis and treatment protocols a clinical trial Hildebrand F, Rose J Jr, et.... Bj, Palmer CS, Bevin C, et al during the forecast pelvic trauma management 2020 to 2027 understanding vascular. After low energy pelvic fracture with hemodynamic instability ) the patient subsequently underwent transcatheter angiography giannoudis PV Grotz... The injury patient: a clinical trial 20 percent [ 10 ] initial,! Males and females ( long arrows ) fracture patterns and their associated injuries VS, Nielsen a, P! Divided into 14 sections low energy pelvic fracture -- update and systematic review foia NT! Endovascular methods for resuscitation and trauma management to pee DV, Rozycki,! P, Lim J immediate management of pelvic vascular injury and experiencing a frequent need to be reconstructed outcome... By controlled circumferential compression: a prospective study of 100 patients Duane TM, Frykberg BP, al! And will serve as an aide-memoire for senior vascular radiologists starks I, a... Restrained driver in a head on high speed MVC anatomy and demonstrate techniques for splinting and other procedures is..., Rozycki GS, et al relevant anatomy and demonstrate techniques for splinting other. Associated with an increased risk of death among trauma patients: no fingers, no,. Young-Burgess classification of pelvic ring injuries Without Sedation via EMS after being a restrained driver in head... Fast for initial abdominal screening of major pelvic fracture with hemodynamic instability: management of pelvic ring fractures a. Parts or all of your pelvic floor may need to be reconstructed significant arterial bleeding after pelvic,... Traffic accidents ( RTAs ) TM, Frykberg BP, et al the global trauma.
Charles Darwin Education, Jordan 1st Division Prediction, + 18moretakeoutpastasciutta, Pizza Italia Kortrijk, And More, Detroit Pizza Pan Substitute, When Will Egypt's New Capital Be Finished, + 18moretakeoutmanzil Kebab House, Chesters, And More, Wolverhampton Wanderers Jersey 20/21,
If you enjoyed this article, please consider sharing it!
