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The U.S. health-care system is a global leader in medical science and innovation of medical technologies. But the foundation of the system'the tax exemption for employer insurance, the regulation of state health-insurance markets, and the fragmentation supported by federal payment policies'encourages an expensive system where the volume of services is encouraged over quality of service for patients, leading to widely varying performance among the nation's physicians and hospitals, along with uneven access to health care and health insurance. Fixing those problems without crippling medical innovation should be our first priority. Medical database security is a particularly important issue for all Healthcare establishments. Medical information systems are intended to support a wide range of pertinent health issues today, for example: assure the quality of care, support effective management of the health services institutions, monitor and contain the cost of care, implement technology into care without violating social values, ensure the equity and availability of care, preserve humanity despite the proliferation of technology etc In this context, medical database security aims primarily to support: high availability, accuracy and consistency of the stored data, the medical professional secrecy and confidentiality, and the protection of the privacy of the patient. These properties, though of technical nature, basically require that the system is actually helpful for medical care and not harmful to patients. These later properties require in turn not only that fundamental ethical principles are not violated by employing database systems, but instead, are effectively enforced by technical means. This document reviews the existing and emerging work on the security of medical database systems. It presents in detail the related problems and requirements related to medical database security. It addresses the problems of medical database security policies, secure design methodologies and implementation techniques. It also describes the current legal framework and regulatory requirements for medical database security. The issue of medical database security guidelines is also examined in detailed. The current national and international efforts in the area are studied. It also gives an overview of the research work in the area. The document also presents in detail the most complete to our knowledge set of security guidelines for the development and operation of medical database systems. PMID:15458163 Yes you can, however, it is often impractical to attempt to get your charges dismissed at trial. The judicial process can be long and arduous. You may be required to make several court appearances. In addition, after your case is tried, some charges allow the judge to impose a jail sentence. -Most business plans for startups, fail to answer the two sentences I just wrote above. Predictable Anterior Implant Esthetics: Joseph Kan, DDS. Nobel Biocare, Yorba Linda,CA September 25, 2004 I'm just mystified by this!! What is up A baby is taken out of his home for supposed neglect even though the second hospital said he was fine to go home!?!?!?! I hope and pray that this gets settled quickly. The idea of CPS is great, but what about the kids that are really abused? Why aren't they taken out of their homes. A car crashes into house and lands on a man as he sat on his couch Tuesday afternoon, in Fosterburg, Illinois, Madison County. Authorities said the 52 year-old Bunker Hill driver lost control of his car
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Easily find Texas Medical Malpractice Lawyers and Texas Medical Malpractice Law Firms for your location. Narrow your Medical Malpractice attorney search for Texas by major city or a specific Texas city using the city list. For more attorneys, search all Accident & Injury areas including Animal Bite, Asbestos & Mesothelioma, Aviation Accident, Car Accident, Defamation & Slander, Malpractice, Medical Malpractice, Personal Injury, Products Liability, Property Damage, Railroad Injury, Slip & Fall Accident, Toxic Mold & Tort and Wrongful Death attorneys. The following terms and conditions (the Terms of Service) form an integral part of the Social Dental Service Agreement (Agreement) between Social Dental, Inc. (Social Dental) and the customer identified in the Commercial Terms (Customer). Capitalized terms shall have the meanings set forth in Section 14 below or in the Section in which they first appear in these Terms of Service. Capitalized terms used but not defined herein shall have the meanings set forth in the Commercial Terms. By using or accessing the website (the Website), you represent that you are at least 18 years old and that, if you are acting on behalf of a company or other entity, you are authorized to act on behalf of such entity. You also agree to be bound by the terms of this Agreement, as well as the Privacy Policy -- PIRIFORMIS SYNDROME Link Gabe Mirkin, M.D. If it hurts to touch a point that's in the middle of one side of your buttocks, you probably have piriformis syndrome. This chronic condition is very difficult to diagnose, because other injuries may produce exactly the same symptoms. Similar pain may be the result of an injury to bones, muscles, tendons, bursae (pads between the tendons and bones), the hip joint, or the sciatic nerve, but there are ways to determine from which condition you might be suffering. If you feel most pain when you land after hopping on one leg, you might have an injured hip joint or a stress fracture in your pelvis or upper leg bones. An x-ray will usually reveal a joint injury, but only a bone scan will reveal a stress fracture. If you feel pain in your buttocks, particularly when you touch your toes while keeping your knees straight, you might have a tear in the large muscles or tendons that run down the back of your hips. If you feel pain when you touch a spot that's either on the lowest point of your pelvis (the part that touches a chair when you sit) or at the top of your femur (thigh), you might have injured your bursae (bursitis) or torn the tendons that are attached to bones at these sites. If your back hurts, particularly when you bend backwards, and the pain goes down the back of your leg to below your knees, your sciatic nerve is probably being pinched in your back. Cause: The sciatic nerve is the longest nerve in your body. It starts on the lower part of your spine, passes through a hole between the piriformis muscle above it and several other muscles beneath it, and goes down the back of your leg to below the knee. When you run, the piriformis muscle contracts and squeezes the sciatic nerve underneath it. Repeatedly squeezing and relaxing the piriformis muscle can damage the sciatic nerve and cause pain. This injury is thought to be caused by an innate tightness of the piriformis muscle or a structural abnormality in the path of the sciatic nerve. It can't be attributed to a specific error in training. Treatment: Piriformis syndrome won't ease until you stop running. Don't run again until you can run without feeling pain in your buttocks. If it hurts to touch, it hasn't healed. In most cases, pedaling a bicycle will also be painful. You probably shouldn't do any exercise that causes you to bend at the hip while keeping your knees straight, because this will stretch the sciatic nerve. You might be able to swim, if it isn't painful. Medication doesn't usually alleviate the pain, and even if it does, the pain will return as soon as you stop taking it. Sometimes, the pain will disappear after a rest of a few days to several months; frequently it does not. In this case your doctor will be able to make an accurate diagnosis by injecting a mixture of xylocaine and corticosteroid drugs directly into the piriformis muscle where it passes over the sciatic nerve. If the pain disappears, you may resume running only after a few weeks, but remember that this injury tends to recur. If you feel pain in that area, stop running immediately, and don't attempt to run again until you can do so without pain. This article recorded 11/15/02 -- Link Common causes of back pain Related information Physical therapy Piriformis syndrome-another irritation to the sciatic nerve What you need to know about sciatica Overview Piriformis syndrome: What is the Piriformis muscle? Link The Piriformis is one of the small muscles deep in the buttocks that rotates the leg outwards. It runs from the base of the spine and attaches to the thigh bone (femur) roughly where the outside crease in your bum is. The sciatic nerve runs very close to this muscle and sometimes even through it! What can the athlete do? Apply heat. Stretch the Piriformis muscle. Strengthen the Piriformis muscle. See a sports injury professional who can advise on treatment, rehabilitation and prevention What can a sports injury professional do? Apply specific sports massage techniques. Stretch the Piriformis muscle using Muscle Energy Techniques. Apply ultrasound. Advise on strengthening and rehabilitation to avoid injury recurrence. If these stretches don't help it is possible that you will need Piriformis Release Surgery. =================================================================================== Piriformis Syndrome (Sciatic Pain) - learn how you can reduce your sciatic pain and piriformis syndrome. Piriformis Syndrome (Sciatic Pain) in the following link: Read about the four causes that cause Piriformis Syndrome: Link =================================================================================== The piriformis muscle and the sciatic nerve The piriformis muscle is a small muscle located in the buttocks that rotates the hip. It runs horizontally, and the sciatic nerve runs vertically directly beneath the muscle. The muscle can become tight and place pressure on the sciatic nerve, resulting in leg pain which may be difficult to distinguish from a radiculopathy (nerve pinching in the spine), which is also commonly called sciatica. The patient's spinal imaging studies will not show any nerve pinching, and on physical exam, motion of the patient's hip will generate the pain. Conservative care for piriformis syndrome Treatment for piriformis syndrome typically consists of: Physical therapy that includes manual release (deep massage), along with hip range of motion exercises can help piriformis syndrome. For severe cases of piriformis syndrome, the muscle may be injected with lidocaine to decrease spasm and help the patient make progress in physical therapy. By: Peter F. Ullrich, Jr., MD September 8, 1999 Updated February 28, 2001 ============================================================================= Receive Spine News Piriformis Syndrome Link Timothy J. Maggs, M.D. If you've ever felt pain in the hip, pain in the center of the butt or pain down the back of the leg, you are likely suffering, at least partially, with piriformis syndrome. The piriformis is a muscle which runs from your sacrum (mid-line base of spine) to the outer hip bone (trochanter). This muscle truly works overtime on anyone who runs at all. The muscles in and around the gluteal region help with three areas 1.rotation of the hip and leg; 2.balance while one foot is off the ground; and 3.stability for the pelvic region. Needless to say, all of these characteristics are highly needed by runners. Conclusion-the piriformis muscle is pretty important for all of us. Injuries to the Piriformis This muscle is a prime candidate for repetitive motion injury (RMI). RMI occurs when a muscle is asked to perform beyond it's level of capability, not given enough time to recover, and asked to perform again. The typical response from a muscle in this situation is to tighten, which is a defensive response of the muscle. This tightness, however, manifests itself in several ways to a runner. The first symptom suggesting piriformis syndrome would be pain in and around the outer hip bone. The tightness of the muscle produces increased tension between the tendon and the bone which produces either direct discomfort and pain or an increased tension in the joint producing a bursitis. Again, a bursitis is an inflammation of the fluid filled sac in a joint caused by an elevation of stress and tension within that joint. The second symptom suggesting piriformis syndrome would be pain directly in the center of the buttocks. Although this is not as common as the other two symptoms, this pain can be elicited with direct compression over the belly of the buttocks area. A tight muscle is a sore muscle upon compression due to a reduced blood flow to that muscle. The third symptom suggesting piriformis syndrome would be a sciatic neuralgia, or pain from the buttocks down the back of the leg and sometimes into different portions of the lower leg. The sciatic nerve runs right through the belly of the piriformis muscle and if the piriformis muscle contracts from being overused, the sciatic nerve now becomes strangled, producing pain, tingling and numbness. Simple Physiology Any muscle repetitively used needs to have an opportunity to recover. This recover can either be on Nature's clock, or can be facilitated and sped up with proper knowledge and treatment. Since the muscle is tightening due to overuse, continued use will only make it worse. This injured muscle needs to relax and have increased blood flow encouraged to it for more rapid healing. This tightness that exists also reduces the normal blood flow going to the muscle reducing the speed with which the muscle can recover. To encourage fresh, oxygen-rich blood to the muscle is the most powerful means of getting the muscle to begin to relax and function normally. Multiple massages per day to this area are greatly encouraged. The next step in this "recovery" process is to use a tennis ball under the butt and hip area. While sitting down on the floor, roll away from the side of involvement and place a tennis ball just inside the outer hip bone under the butt area. As you begin to allow your weight onto the tennis ball, note areas of increased pain and soreness. Trigger points will tend to accumulate in a repetitively used muscle, and until these toxins are manually broken up and eliminated, the muscle will have an artificial ceiling with regard to flexibility potential and recovery potential So, if it's sore and hurts while you're sitting on it, you're doing a good job. Let the ball work under each spot for 15-20 seconds before moving it to another area. Once you've been on the ball for 4-5 minutes, now put the ankle of the involved leg over the knee of the non-involved leg (crossing your legs). Now place the tennis ball just inside the outer hip bone again and work the tendon of the piriformis muscle. While this pain is typically excruciating and takes some time to effectively reduce, the benefits here are huge. Be patient, be consistent and good things will happen. Additional Treatments Due to the fact that the sciatic neuralgia and the hip bursitis or tendonitis are both inflammatory in nature, ice, or cryotherapy, over the involved area 15-20 minutes at a time will be beneficial. This should be done multiple times per day. Stretching of the hip muscles should not be done until the acute pain is gone. At that point in time, begin with gentle stretching, such as the cross-legged stretch while pulling up on the knee. The muscle should have increased flexibility before an active return to running. Finally, I'm always discouraging the use of pharmaceutical anti-inflammatories. Not only do they greatly aggravate the intestines, but they also suggest an artificial wellness that can lead to bigger problems. Proteolytic enzymes, such as bromelain, are both natural and extremely beneficial with no side effects. For more information, visit your health food store or check out Rehab Plus on our website. ============================================================================= All About Piriformis Syndrome & Approach to Treatment Link Sponsored by: Relief-Mart - Quality health products for the back and spine. Piriformis Syndrome is a term for a condition in which the sciatic nerve becomes pinched in the region of the buttocks. This pinching can cause symptoms which include numbness, tingling, burning and achy soreness along the sciatic nerve path, a nerve which extends from the buttock area down the back of the leg to the foot. The sciatic nerve runs through a muscle in the buttocks region called the Piriformis. When the muscle shortens or spasms due to trauma, it can compress the sciatic nerve. This cause of sciatica symptoms is known as Piriformis Syndrome. The Piriformis muscle can be shortened and irritated from overuse of the muscle with repetitive movements like aerobics and dancing. The approach to treating Piriformis Syndrome is to reduce the compressive forces that are causing the pressure on the nerve. This can be accomplished through manual muscle stretching, massage, mobilization and pelvic adjustive techniques to take pressure of the Sacroiliac joints, and stretches to increase the length and loosen up the Piriformis muscle. At the onset of the irritation goals will be to lessen the pain and help to minimize any inflammation. The listed Therapies, Products and Activities section will give more information on how to help your condition, however, as each Piriformis Syndrome condition is different, always consult your doctor to determine what treatment is right for your particular situation. What if you have burning pains as your main symptoms: -- Medications One of the most frequent questions our health experts encounter is whether medication should be taken, and which one would be right for them. It is important to remember those medications are aimed at temporarily reducing pain, inflammation, and relaxing the body, but have not been proven to increase healing to the area. Here are some of the most commonly mentioned medications: For over-the-counter medication, Ibuprofen has been indicated for temporary pain relief. Studies have also shown that in higher amounts, Ibuprofen can act as an anti-inflammatory, but a medical doctor's prescription is needed for this dosage. Aspirin and acetaminophen are also indicated for muscle pain relief, but do not show anti-inflammatory properties in prescription dosages. Acetaminophen does not have warnings about adverse reactions for people with aspirin allergies, as it is not an aspirin derivative. It has also been demonstrated to be better tolerated by people with weak intestinal systems. While Aspirin is known to be more abrasive on the intestinal system, it may have other side benefits such as blood thinning that prevents the blood clots which can lead to strokes and myocardial infarctions As these medications work to block pain and inflammation temporarily, it stands to reason that the need for these medications can occur when a person can no longer function due to the pain or when it hinders sleep and thereby impedes the bodies natural healing process. A person on pain medication should consider that they may more easily overdo it during the temporary relief period, which could cause further injury to the muscles. As side effects can occur, always consult your medical doctor to determine if and what medication is appropriate for your situation. Exercises and Stretches for the Back Muscular stretching can be a very important part of the healing process for tightened muscles of the back. It is essential to lengthen any shortened muscular tissue of the back to help prevent further pulling on the already shortened fibers. Muscular strengthening exercises will be important once the back irritation has subsided. Back strengthening exercises help to build stability to weak tissue. It should be noted that irritated muscles can become further damaged with strengthening exercises that are premature to the healing of the area. The exercises below are general exercises to increase flexibility and can help to stabilize the back. However, it should be noted that for most of these exercises, you should not feel the stretch in the back itself. For example, the back of the legs have a group of muscles called the hamstrings. These muscles originate in the lower pelvis and insert into the leg. When the hamstrings are tight, the back itself can be tightened due to the pulling on the pelvis. Therefore, stretching the hamstrings will not only loosen the leg muscles up but they will take the strain off the back. Warning: exercises should never be performed if they cause irritation to your back or any other condition while they are being performed! As each Piriformis Syndrome condition is different, always consult your doctor before performing any of these exercises to determine what exercises, if any, are right for your particular condition. If you have any discomfort after performing any of these exercises, discontinue and immediately and consult a doctor to properly assess your situation. STRETCHES: Gluteus Stretch Who should you complain to? For GP's, dentists, opticians and health centre workers, this is the Practice Manager. If you wish to complain about a hospital or ambulance service then contact the Complaints Manager or Chief Executive of the Trust. 1530982 Gunst Corporation and Reliance v Childress 05/18/1999 In pursuance of the provisions of the Act, the matter was compromised by the Society of Friends, some of the meeting houses, notably those in Trenton, Mansfield and Crosswicks were transferred to the possession of the Hicksites, but the funds were retained by the Orthodox.
Sidney Beale was not a veterinarian, but did have a B.A. degree in agriculture with an emphasis in dairy science. Beale began working with milking machines in 1950 and had been employed as a consultant for about ten years. When he arrived at the Mulholland farm in November, 1980, Beale first observed a complete milking of the herd. He too noticed the sore teat ends, mastitis, the fact that the cows were not milking out, and that the milk was thrashing in the milk lines. Beale ruled out other problems in the milking parlor and then concluded that these problems were related to the configuration of the milking machinery. Specifically, Beale concluded that the use of a header in the vacuum lines was causing the thrashing in the lines, thereby pinching the teat ends and preventing the cows from being milked out. Beale did not examine other aspects of the Mulholland operation, but did prescribe changes in the configuration of the machinery which would allow for removal of the header. Great personal injury lawyer and business litigation specialist! Thanks. Koz Law Solicitor For Dental Negligence Safford AZ 36773 Hi I am new to the area and I have had many issues with my teeth. Dr. Cary McNeil and his staff were so kind to me and responsive to my issues. He is a very king and gentle dentist. Jennifer Sullivan
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