A 65 year old woman with a history of chronic hypertension,…

A 65 year old woman with a history of chronic hypertension, diabetes mellitus, and degenerative joint disease presents with acute onset of severe pain of the metatarsophalangeal (MTP) joint and swelling of the left first toe. Physical examination show exquisite tenderness of the joint, with swelling, warmth and erythema.  What is the most likely diagnosis?

Equipment cost is often one of a contractor’s largest expens…

Equipment cost is often one of a contractor’s largest expense.  To be successful, equipment owners must carefully analyze and answer two separate questions about the cost of their machines.  The first question is how much does it cost to operate the machine on a project? and the second question is?