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joint involvement, designating the metacarpophalangeal joints, proximal interphalangeal joints, the interphalangeal joint of the thumb, second through fifth metatarsophalangeal joint and wrist as small joints, and shoulders, elbows, hip joints, knees, and ankles as large joints:
Hormone replacement therapy for trans men induces beard growth and masculinizes skin, hair, voice, and fat distribution. Hormone replacement therapy for trans women feminizes fat distribution and breasts, as well as diminishes muscle mass and strength. Laser hair removal or electrolysis removes excess hair for trans women.
These maximum rates of fire are generally not achieved in use, as sustained fire at that rate will wear out the bore within a few thousand rounds, necessitating replacement. In addition to full automatic, the M2HB can be selected to fire single shots, fire slowly at less than 40 rounds per minute, or fire rapidly for more than 40 rounds per minute.
At the same time, Chepito Areas was stricken with a near-fatal brain hemorrhage, and Santana hoped to continue by finding a temporary replacement (first Willie Bobo, then Coke Escovedo), while others in the band, especially Michael Carabello, felt it was wrong to perform publicly without Areas. Cliques formed and the band started to disintegrate.
Plans to develop a replacement aircraft were announced by the US Air Combat Command in August 2015. [141] [142] In 2016, the USAF began studying future CAS aircraft to succeed the A-10 in low-intensity "permissive conflicts" like counterterrorism and regional stability operations, noting the F-35 to be too expensive to operate in day-to-day roles.
The hip joint was formed by the ischium and the pubic bone. The pectoral and pelvic plates were connected by a plastron, a bone cage formed by the paired belly ribs that each had a middle and an outer section. This arrangement immobilised the entire trunk. [64] To become flippers, the limbs had changed considerably.
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