With the absence of external speakers, there is a limitation to increase the sound level on the laptops.There is an option in Windows 10, which when enabled can increase the loudness to 150.
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Testicular viability in neonatal torsion is universally poor; one literature review of 18 case series with 284 patients found a salvage rate of about 9. 11 Contralateral orchiopexy has been recommended at the time of surgical exploration because the etiology for extravaginal torsion remains unclear. 12 Although no specific risk factors have been identified, poorer fixation of the neonatal tissues to one another has been implicated, and term infants with difficult or prolonged deliveries may be at higher risk. 10 In older children and adults, testicular torsion is usually intravaginal (twisting of the cord within the tunica vaginalis). 13 The bell-clapper deformity ( Figure 1 ), in which there is abnormal fixation of the tunica vaginalis to the testicle, results in increased mobility of the testicle within the tunica vaginalis. 14 Whether testicular torsion is intravaginal or extravaginal, twisting of the spermatic cord initially increases venous pressure and congestion, with subsequent decrease in arterial blood flow and ischemia. 15 Although symptoms are typically unilateral, the anatomic conditions that predispose a persion to torsion must be presumed to be bilateral. 14 Enlarge.SHARP, MD, MBA, and KATHLEEN KIERAN, MD, University of Iowa Carver College of Medicine, Iowa City, Iowa ANGELA M.ARLEN, MD, Childrens Healthcare of Atlanta and Emory University, Atlanta, Georgia Am Fam Physician.
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