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B♭ alto — up a perfect fourth. A — up a major third. G — up a major second. E — down a minor second. E♭ — down a major second (used for horn on pitches with multiple sharps until Richard Strauss) D — down a minor third. C — down a perfect fourth. B♭ basso — down a perfect fifth. Some less common transpositions include:
Hand-stopping. Hand-stopping is a technique by which a natural horn or a natural trumpet can be made to produce notes outside of its normal harmonic series. By inserting the hand, cupped, into the bell, the player can reduce the pitch of a note by a semitone or more. This, combined with the use of crooks changing the key of the instrument ...
Technique. As originally described by Dr. Eloesser, the procedure started with cutting a 2 inch wide, U-shaped flap of skin on the side of the chest wall underneath the axilla and scapula. The section of rib under the top of the flap was also removed. The finger-like skin flap was then inserted into the cavity made in the chest wall and sewn ...
The Ross procedure, also known as pulmonary autograft, is a heart valve replacement operation to treat severe aortic valve disease, such as in children and young adults with a bicuspid aortic valve. [1] It involves removing the diseased aortic valve, situated at the exit of the left side of the heart (where the aorta begins), and replacing it ...
Projectional radiograph of surgical staples. Surgical staples are specialized staples used in surgery in place of sutures to close skin wounds or connect or remove parts of the bowels or lungs. The use of staples over sutures reduces the local inflammatory response, width of the wound, and time it takes to close. [1]
Strength training. The Valsalva maneuver is commonly believed to be the optimal breathing pattern for producing maximal force. It is frequently used in powerlifting to stabilize the trunk during exercises such as the squat, deadlift, and bench press, and in both lifts of Olympic weightlifting. [10]
Dashed lines are under the skin. The horizontal mattress stitch is a suture technique used to close wounds. It everts skin well and spreads tension along the wound edge. [1][2][3] This makes it ideal for holding together fragile skin [4] as well as skin under high tension such as the distant edges of a large laceration or as the initial holding ...
The Pringle manoeuvre is a surgical technique used in some abdominal operations and in liver trauma. The hepatoduodenal ligament is clamped either with a surgical tool called a haemostat, an umbilical tape or by hand. This limits blood inflow through the hepatic artery and the portal vein, controlling bleeding from the liver.