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Moore (1993) identified three types of interactions that occur in distance education: those between students and subject content, those between students and academics, and those between the students themselves. Until relatively recently, opportunities for interaction between students in distance education programs were limited. The design of such programs therefore tended to follow the instructional model (Okada, 2005) and focus heavily on facilitating student interaction with the subject content. During the past 15 years, the rapid spread of the . | SURGICAL TECHNIQUE INTEGRA LIMIT UNCERTAINTY Mi Integra Subtalar MBA and bioBLOCK Implant Table of contents Introduction Description.2 Indications.2 Contraindications.2 Surgical Technique Step 1 Incision and Dissection.3 Step 2 Probe Insertion.4 Step 3 Guide Pin Insertion.4 Step 4 Sizer Insertion.5 Step 5 Trial Implant Insertion.6 Step 6 Intra-Operative Radiographs.6 Step 7 Implantation.7 Step 8 bioBLOCK Implant Intra-Operative Imaging.7 Step 9 Guide Pin Removal and Closure.8 Step 10 Post-Op Follow-Up.8 Subtalar MBA Implant and bioBLOCK Implant - Instrument Tray.Back Cover Ordering Information.Back Cover