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The autumn equinox, also known as Mabon or Harvest Home, is a pagan festival that celebrates the arrival of autumn. It marks the midpoint between the summer solstice and the winter solstice, when day and night are of equal length. In 2022, the autumn equinox falls on September 22nd. During this time, pagans honor the changing seasons and give thanks for the bountiful harvest. It is a time of gratitude and reflection, as well as preparation for the coming winter months. Many pagan traditions incorporate rituals and ceremonies that focus on balance, harmony, and the cycles of nature.

Table 1 Performance of oblique chest radiography compared with lung ultrasonography in 158 patients with trauma

From this subset, 71 patients with traumatic pneumothorax were excluded owing to no suspicion of OPX by the attending physician, cardiopulmonary arrest or overt pneumothorax. This steps on the kineticists toes a little but to be honest Kineticist is really just a pyrokineticist or cyrokineticist etc based on elemental choices.

Many pagan traditions incorporate rituals and ceremonies that focus on balance, harmony, and the cycles of nature. One common practice during this time is the creation of an autumnal altar or shrine. This may include items such as colorful leaves, acorns, pumpkins, and other symbols of the season.

Diagnostic accuracy of oblique chest radiograph for occult pneumothorax: comparison with ultrasonography

An occult pneumothorax is a pneumothorax that is not seen on a supine chest X-ray but is detected by computed tomography scanning. However, critical patients are difficult to transport to the computed tomography suite. We previously reported a method to detect occult pneumothorax using oblique chest radiography (OXR). Several authors have also reported that ultrasonography is an effective technique for detecting occult pneumothorax. The aim of this study was to evaluate the usefulness of OXR in the diagnosis of the occult pneumothorax and to compare OXR with ultrasonography.

Methods

All consecutive blunt chest trauma patients with clinically suspected pneumothorax on arrival at the emergency department were prospectively included at our tertiary-care center. The patients underwent OXR and ultrasonography, and underwent computed tomography scans as the gold standard. Occult pneumothorax size on computed tomography was classified as minuscule, anterior, or anterolateral.

Results

One hundred and fifty-nine patients were enrolled. Of the 70 occult pneumothoraces found in the 318 thoraces, 19 were minuscule, 32 were anterior, and 19 were anterolateral. The sensitivity and specificity of OXR for detecting occult pneumothorax was 61.4 % and 99.2 %, respectively. The sensitivity and specificity of lung ultrasonography was 62.9 % and 98.8 %, respectively. Among 27 occult pneumothoraces that could not be detected by OXR, 16 were minuscule and 21 could be conservatively managed without thoracostomy.

Conclusion

OXR appears to be as good method as lung ultrasonography in the detection of large occult pneumothorax. In trauma patients who are difficult to transfer to computed tomography scan, OXR may be effective at detecting occult pneumothorax with a risk of progression.

Pagans may also perform rituals to honor the deities associated with the harvest, such as Demeter and Ceres. Another important aspect of the autumn equinox is the concept of balance. As day and night are in equal proportion, pagans seek to bring balance into their own lives as well. This may involve setting intentions for the coming months, reflecting on past accomplishments, and seeking harmony within oneself and with the natural world. In addition to these personal practices, many pagan communities come together to celebrate the autumn equinox through gatherings and festivals. These events may include feasts, bonfires, music, and dancing. It is a time for pagans to connect with one another, share their experiences and traditions, and strengthen their bonds as a community. Overall, the autumn equinox is an important time for pagans to acknowledge and honor the changing of the seasons. It is a time of balance, gratitude, and preparation for the coming winter. In 2022, pagans around the world will come together to celebrate this sacred occasion in their own unique ways..

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