09/17/2013 - Court records Tenn. magistrate who changed babys name originally ruled to keep Messiah Claimant had a contract under the Governor's Community Partnership Grant Program but the grant money was not forthcoming when the Treasury lacked sufficient funds to satisfy the grant. The Court made an award for that portion of the grant which the claimant failed to receive in the ' I just wanted to thank you again for the Chiropractor referral. My husband and I have both started seeing Dr. Minshew-Shurr, and she is the most amazing doctor! She has been able to definitively find the cause of my back pain and headaches (that I have had for years!) and diagnose my husband as well. We are just thrilled with her treatment and kind attention to our personal cases. he does not possess now reflected back in an unseemly mirror. I don't think tort had anything much to do with the improvements made in civil aviation and civil engineering safety records. I think the improvement came about because the public demanded better performance, and industry decided it would be good for business to spend a lot of money/time/effort learning how to do better. protected speech. See Id. At 470. As, speech, especially political speech, is protected on Justia Opinion Summary: In 2003 the owner executed a second mortgage with a stated term of four months, in favor of defendant to secure performance of a guaranty. The owner later executed a separate mortgage and defaulted. The lender foreclosed. A highly rated Law Firm established in 1997 practicing Dental Malpractice law. Lawyers For Dental Negligence Suffolk Virginia. Ian Wollach and Richard H. Shekter, "Presumed Innocent: Proving Tax Evasion in Net Worth Assessment Cases", CA Magazine, December 1994 There are instances where you can settle for much less if you can show close to indigent qualified, but that does not appear to be the case here. From Business:�The Dayton law firm of Thorson Switala Mondock & Snead, LLP is a full-service, litigation firm. We limit our practice to representing those injured or family member Congratulations! Earning your degree from dental school is an accomplishment worth celebrating. We at Dentist's Advantage want to welcome you to the dental community and wish you a long, rewarding career.
Furthermore, legal malpractice requires proof of what would have happened had the attorney not been negligent; that is, "but for" the attorney's negligence ("but for" causation). If the same result would have occurred despite different (non-negligent) actions by the attorney, no cause of action will be permitted. "But for" or actual causation can be difficult to prove and usually results in a "trial-within-a-trial" which delves into the facts of the case for which the client originally retained the attorney. In some jurisdictions, a person convicted of a crime who then sues his defense attorney must first prove that he was factually innocent (in other words, he must be exonerated first) and that he was convicted only because of his attorney's negligence. A plaintiff who lost a civil case must prove that the legal malpractice complained of caused the case to be lost, so that the plaintiff can then recover from the negligent attorney the damages that would have been owed by the underlying defendant. Baltimore County Department of Health , Dental Access and Referral Program TAGRO Learn about TAGRO products for your lawn and garden Having listed the irregularities, of which the grand jury said it possessed "overwhelming proof," it then proceeded to "determine who was responsible" therefor: Mastrobuono v. Shearson Lehman Hutton, Inc., 514 U. S. 52, 115 1212, 1312d 76 (1995) 8, 12 Suffolk Virginia
There are many cases when the cancer is in a nascent stage and left undiagnosed by the physician. Even if this happens during a regular check up, the patient is entitled to getting a compensation claim. If a doctor in West Virginia treats a patient and that patient is in worse condition after the treatment, the situation is considered malpractice and the patient has the right to file legal action. In this state, the statute of limitations for filing an action is 2 years from the original treatment or injury. This includes wrongful death actions. A change of plea hearing has been scheduled for a man arrested following the Ammon Bundy-led occupation of a national wildlife refuge in Oregon. For your convenience, we are open 6 days a week, including Saturdays, and accept most insurance plans and Medicaid. Defense counsel in Siemers v. Schlicher, jury verdict in favor of physician in alleged failure to diagnose malignant melanoma case. REMEMBER: The statute of limitations in Tennessee for medical malpractice actions is one year from the date you knew or reasonably should have known that you had suffered such an injury. Additionally, no medical malpractice action can be brought more than three years after the negligent event occurred, regardless of whether or not you knew of any injury within that time. For these reasons, a person who believes he or she may have suffered harm from careless medical care should act quickly in speaking with an attorney to pursue their rights.
Breach of Duty - Defendant failed to do something (or refrain from doing something) that is considered his or her duty. For example, a motorist who was reading text messages and hit a pedestrian has breached his/her duty to pay attention to the road. Appellant was convicted of refusing to report for induction into the Armed Forces in violation of 50 App. U.S.C. Sec. 462(a). The District Court imposed the maximum sentence permissible under Sec. 4. 07-8253 RAMIREZ, LUIS A. V. DiGUGLIELMO, SUPT., GRATERFORD Together with MCS Associates' specialized resources in banking, financial services and real estate, we also draw on key strategic alliances in insurance, economics, academia and the securities industry to meet a wide range of expert witness needs. Our litigation experts include experienced bankers, lenders, consultants, regulators, managers, brokers & agents in insurance, real estate, and securities; insurance claims and underwriting managers; economists, accountants, appraisers, real estate analysts, and academics. Law Solicitor Suffolk Virginia 23439 Below is a directory of court locations in Stark County. Links for online court records and other free court resources are provided for each court, where available. If you're not sure which court you're looking for, learn more about the Ohio court system Whether you're an employer looking to provide Dental Coverage to your employees and their families under a group plan, or are an individual looking to add dental as a supplement to your Individual and Family Health Insurance plan, Campbell Insurance Agency, Inc. has a solution that's right for you. From routine cleanings and check ups to additional dental work, it's important to utilize this coverage in order to maintain good oral hygiene and overall health. Injury means an accidental bodily injury caused by an external force, occurring while this Plan is in effect. All injuries to one person from one accident shall be considered an "injury". Intensive care unit means a separate, clearly designated service area which is maintained within a hospital solely for the care and treatment of patients who are critically ill. This also includes what is referred to as a "coronary care unit" or an "acute care unit." It has facilities for special nursing care not available in regular rooms and wards of the hospital and special life saving equipment for immediate use. Late applicant means an employee and/or an employee's eligible dependent who applies for Plan coverage more than 31 days after the eligibility date unless enrolling due to Special Enrollment. Legal ward is a child who is less than 18 years of age for whom the Employee has been appointed legal guardian by a court. Legal ward does not include foster children. Legend drug means any medicinal substance the label of which, under the Federal Food, Drug and Cosmetic Act, is required to bear the legend: "Caution: Federal law prohibits dispensing without prescription." Maintenance care means any service or activity which seeks to prevent bodily injury or sickness, prolong life, promote health or prevent deterioration of a participant who has reached the maximum level of improvement or whose condition is resolved or stable. Maximum allowable fee for a service means the lesser of: 1. The fee most often charged in the geographical area where the service was performed; 2. The fee most often charged by the provider; 3. The fee which is recognized as reasonable by a prudent person; 4. The fee determined by comparing charges for similar services to a national data base adjusted to the geographical area where the services or procedures were performed; or 5. The fee determined by using a national relative value scale. Relative value scale means a methodology that values medical procedures and services relative to each other that includes, but is not limited to, a scale in terms of difficulty, work, risk, as well as the material and outside costs of providing the service, as adjusted to the geographic area where the services or procedures were performed. Maximum benefit means the maximum amount that may be payable for each participant, for expense incurred. The applicable maximum benefit is shown on the Schedule of Benefits. No further benefits are payable once the maximum is reached. Medical care facility means a hospital, a facility that treats one or more specific ailments, or any type of skilled nursing facility. Medical emergency means a sudden onset of a condition with acute symptoms requiring immediate medical care and includes such conditions as heart attacks, cardiovascular accident, poisonings, loss of consciousness or respiration, convulsions or other such acute medical conditions. 83 Medical Devices & Equipments , Dental Equipments CNC Milling Services With Aluminum Alloy Quick Detail: Materials option includes aluminum alloy, alloy steels, stainless steels etc. 2014-10-02
This paper empirically examines emergent business practices that attempt to reduce and control employee Internet misuse and abuse. Over a 6-month period, 52 web-administered surveys were collected. Respondents ranged from human resource managers to company presidents. Data were stored in a database management system and analyzed utilizing statistical measures. Monitoring efforts and policy development issues are examined against critical incidents of employee Internet abuse. The analysis also includes a rank ordering of the types of Internet applications that were perceived as most problematic or abused. Types of applications abused include electronic mail, adult web sites, online gaming, chat rooms, stock trading, and so on. Moreover, company size and years online are examined. Overall, this research will assist organizations in implementing effective corporate initiatives to improve employee Internet management practices. PMID:12216700 Toll Free: (800) 313-4020 Phone: (210) 319-4414 Fax: (210) 881-6755 10/04/2012 - Chatter over backcourt has Deron's guard up But the cap would make it virtually impossible to try malpractice cases, said Neal Roth, a malpractice lawyer who has been one of the trial bar's chief lobbyists. Consequently, a person whose chances have fallen from 65% chance of recovery to 55% would recover in full even though the loss is estimated at 10%. While another whose chances have been reduced from 45% to for example 10% would not be able to receive compensation for that loss, even though the reduction is higher than in the first example and on the face of it the loss appears more significant. Find just the right care when you need it with our extensive provider network auto express com Disclaimer for Compare Health Plans The information displayed on the Compare Health Plans portion of assess the relative quality of services delivered by health plans operating in Florida and does not constitute a professional engagement between the user and any health plan. The purpose of this report is to help people make more informed choices and to stimulate a quality improvement process. This website is not intended to be a sole source of information in making choices about health plans, since the measures included are important, but limited, indicators of quality and member satisfaction. Figures released by the Department for Works and Pensions Compensation Recovery Unit have revealed that claims for whiplash injury compensation have fallen year-on-year by more than 4 percent. The resurrection of the Nardone rule in Barron caught litigants by surprise because statutory changes(8) and case law(9) since the Nardone decision in 1976 suggested that a plaintiff must have actual or constructive knowledge of both the injury and the negligent act, not just one or the other, in order to start the limitations period.
Injured due to medical malpractice or negligence? You deserve qualified counsel. Do not hesitate to contact our firm! As we investigate your case, the Horn Law Firm will determine if one of the common causes of medication errors arose in your case, such as: Must meet an income guideline that will discussed at the first screening meeting. The University of Medicine and Dentistry of New Jersey (UMDNJ) was a state-run health sciences institution of New Jersey , United States. It had eight distinct academic units. It formed an academic health sciences centre It awarded 1,459 degrees in 2010-2011. 1. All officers and directors of the corporation must be licensed to practice dentistry in the State of New York. We reconfirmed the point in Reconveyance, where we held that the trial court lacked jurisdiction to hear a suit against the Texas Department of Insurance. 306 S.W.3d at 258-59. We concluded that the claims were substantively ultra vires claims because the pleadings alleged the Department of Insurance had acted beyond its statutory authority. Id. That being so, the claims should have been brought against the appropriate state officials in their official capacities. Id. Sign up to receive an email from The New York Times as soon as important news breaks around the world. In applying the discovery rule, a court must determine when the plaintiff became aware of the underlying factual basis for the legal-malpractice action. For example, in Grunwald we found that the plaintiff discovered his attorney's negligence when the Chancery Division determined that the agreement the attorney drafted was unenforceable. Id. at 499, 621 A.2d 459; see also Circle Chevrolet, supra, 142 N.J. at 297, 662 A.2d 509 (finding that Circle Chevrolet discovered before it sued its attorneys for legal-malpractice that its overpayment of rent may have been caused by its attorneys' negligence); Mystic Isle, supra, 142 N.J. at 326, 662 A.2d 523 (finding that Mystic Isle knew of existence of malpractice action during course of underlying action). If you have suffered due to the professional negligence of an attorney, accountant or auditor, or architect or engineer, you may be entitled to substantial compensation for your losses. Los Angeles trial lawyers at Mark Anchor Albert and Associates have the experience, skill, and intelligence to fight and win for you at the highest levels, no matter how difficult your case may seem.
Justia Opinion Summary: Park hoped to become a dental surgeon when she enrolled at the Indiana University School of Dentistry (IUSD) in 2006. After one year at the school, Park began to experience a series of serious setbacks, including several. 05-11555 MAJID, ABDUL, ET AL. V. SMITH, SUPT., SHAWANGUNK, ET AL. PLAINTIFFS' COUNSEL: With regard to the FDA, that simply what the Boston Scientific material says on the issue of informed consent, that it is authorized by federal law for use on certain aneurysms that are not amendable to clipping� This is an appeal from a judgment for plaintiff following a bench trial in an action for damages sounding in negligence brought by the receiver of a defunct insurance company against the attorneys who. Dental Malpractice Lawyer Companies Suffolk VA 23439 restricted in bathing, dressing and household activities I'm so glad to see other poor reviews of this dentist office. I though it was a cave of an office too. Old and dirty looking. And they do film X-rays, which is ancient technology, which is the cause of my problem. I was immediately pulled into the old X-ray machine and was given a full mouth X-ray before I could even sit in the exam chair. Issues: Should a stay pending appeal under rule 63.02(1)(b) be granted?
5. Offering a better eyeshot and angle, improving your efficiency. If you are injured because a driver did not give you the right of way, you are entitled to compensation for damages such as medical bills, lost wages, pain and suffering, and permanent impairment. Family members who lose loved ones in fatal pedestrian accidents can seek compensation for medical expenses incurred prior to death, funeral expenses, lost financial support, lost services and loss of companionship. 2085 JENSEN ON MECHANICS' LIENS, 4TH ED. MARKS, EDWARD 05-29-1996 JAMAICA Critical physical exam maneuver for muscle based piriformis syndrome: The patient's foot is placed lateral to the contra lateral knee. Resisted abduction or adduction against the examiner's hand may reproduce the symptoms. Straight leg rising is typically negative. There is often relief obtained by traction on the involved leg, particularly by pulling upwards at a ten to twenty degree angle and towards the contra lateral side by a similar amount. The distribution of symptoms typically involves both L5 (big toe) and S1 (small toe) components because this a pan-sciatic syndrome. The symptoms often progress no further than the ankle in distinction to sciatica from a lumbar disk which typically radiates into the toes. Link - SEARCH Receive Spine News patient>conditions>other Piriformis Syndrome Spine Universe Chiropractic Link Piriformis Syndrome is caused by an entrapment (pinching) of the sciatic nerve as it exits the Greater Sciatic notch in the gluteal region. There are two normal variations for the exit of the sciatic nerve in this region. The first places the sciatic nerve inferior (below) to the Piriformis muscle and superior (above) the gemellus muscle. Entrapment in this area is likely due to a myospasm or contracture (tightening or shortening respectively) of either of these two muscles. The second common site of entrapment is when the sciatic nerve actually pierces the piriformis muscle itself. This can occur in about 1% to 10% of all humans. In this case myospasm and or contraction of the piriformis muscle itself can lead to pain along the back of the thigh to the knee, loss of sensation or numbness and tingling in the sole of the foot. This particular syndrome can often mimic its more notorious counterpart known as sciatica, and that being the case, it is often misdiagnosed as sciatica. The main difference between sciatica and piriformis syndrome is in the cause. Sciatica is directly due to a lumbar disc pressing on the sciatic nerve as it exits the intervertebral foramen in the lumbar spine. What both of these complaints have in common is that both can produce pain, numbness and tingling below the knee and into the foot. The main diagnostic tests performed by your doctor of Chiropractic is what distinguishes one from the other. With piriformis syndrome your chiropractor will not get positive tests results that indicate lumbar spine involvement. Often the patient may not be aware that there is a problem. Some cases won't show up until a complete neurological exam is performed on the lower extremity. The patient may have chief complaints ranging from no pain to pain in the lower back to gluteal pain to numbness and tingling in the foot. As can be seen the symptoms in this condition can vary widely making the doctor who is not used to differentially diagnosing this condition from sciatica confused as to the cause of the condition. Many weekend athletes and people who spend long hours sitting are prone to this syndrome. The athlete's cause is primarily due to improper stretching and warm-up exercises as well as overuse during activity. In this case it is most likely that the piriformis muscle is irritated and usually in spasm. For the patient who sits for extended periods of time, their primary cause is due to contracture of the piriformis muscle. In this case the piriformis muscle is shortened and does not allow for the smooth movement of the sciatic nerve during leg motion. A one-time direct trauma to the pelvis is very rarely a cause for piriformis syndrome due to the protection afforded the pelvis by the overlying musculature and fat. The causes of myospasm are many. Over use as during excessive fast walking without proper warm up and stretching (as during exercise), prolonged sitting, as for your treatment, many variables can hamper your successful recovery. Smoking, obesity, job and exercise as noted above in prolonged sitting and not warming up and stretching. Any treatment plan must include stretching of the gluteal muscles as well as stretching of the piriformis muscles. Your Chiropractor can help you by instructing you on the proper exercises and stretches to perform. Many Chiropractors may also prescribe some form of massage be performed to the piriformis muscle in the gluteal region in order to relax these muscles. Your chiropractor may also prescribe certain herbals remedies such as valerian root and passion flower to help relax the associated muscles during your recovery phase. Spinal adjustment as well as hip adjustment may also be required to relieve your symptoms. -------------------- Dynamic Chiropractic June 21, 1991, Volume 09, Issue 13 Printer Friendly Version Email to a Friend Alternative Health Acupuncture Piriformis Syndrome: Part I Link -------------------- The patient with an unrelenting sciatica may be suffering with a piriformis syndrome. This syndrome is considered an entrapment neuropathy caused by pressure on the sciatic nerve by an enlarged or inflamed piriformis muscle. The sciatic nerve can be compressed between the swollen muscle fibers and the bony pelvis.1 Pace and Nagle2 estimated that 45 of 750 cases referred to their back clinic were treated for this syndrome. They found that the condition was six times more prevalent in women than men. Because this syndrome is not common it is often overlooked and needless surgery may result. Wyant3 states that the functional test for piriformis syndrome should be a routine part of the physical examination of all patients presenting with lower spinal backache. Besides backache, the piriformis muscle contracture and associated adhesions has been related to radiating pain from the sacrum to the hip joint over the gluteal region to the posterior thigh, coccydynia,4 dyspareunia, male impotency5, and oblique axis rotation of the sacrum with its effect on the total spine up to the atlanto- occipital region.5 According to Gray6 and Freiberg7 the piriformis arises from the anterior sacrum between the second to fourth anterior sacral foramina, from the margin of the greater sciatic foramen and from the anterior surface of the sacrotuberous ligament, the anterior sacrospinous ligament and the capsule of the sacroiliac joint. Freiberg states that the piriformis is the only muscle that bridges the sacroiliac joint. The piriformis passes through the greater sciatic foramen (the upper part of which it fills) and inserts by a rounded tendon into the upper border of the greater trochanter. Pecian8 examined 130 human specimens to determine the anatomical relations of the sciatic nerve and the piriformis. He found that in 6.15 percent of the cases the peroneal part of the sciatic nerve passes between the tendinous parts of the piriformis and a pinching of the nerve can occur. He found at least five other variations of the sciatic nerve in relation to the piriformis muscle. He concluded that when the nerve passed between the tendinous portion of the piriformis the nerve would more likely be pinched during passive medial rotation of the thigh which stretches the piriformis, causing the nerve to be pressed against the extended piriformis. In this case, resisted testing of the piriformis or ordinary active piriformis contraction would separate the tendinous portion of the piriformis surrounding the sciatic nerve and would not compress the nerve. Mizuguche9 felt that before the piriformis could aggravate the sciatic nerve there first had to be a preexisting tension on the sciatic nerve by scarring or arachnoiditis around the nerve roots secondary to laminectomy or some space-occupying lesion such as osteoarthritic spurs. He thought that ordinary walking would cause the piriformis to impinge the shortened nerve. A history of trauma to the sacroiliac or gluteal region has also been blamed10. The straight leg raise may be positive due to a contracted piriformis muscle. In a study by Freiberg and Vinke11 on 10 cadavers it was found that after raising the leg 25 degrees, the sacrotuberous ligament becomes taut because of its attachment to the ischial tuberosity and the hamstrings. A contracted piriformis muscle which originates off the sacrotuberous ligament also tightened during the SLR. The functional tests for a piriformis syndrome is naturally based on the function of the piriformis muscle. One of the main reasons for muscle testing is to determine if a muscle is painful. Since the piriformis muscle is an external hip rotator when the hip is in extension and an abductor when the hip is in flexion,9 external hip rotation should be tested with the patient supine with the legs hanging off the table edge at the knees. The patient then attempts to push his leg medially against resistance. The abduction test for the piriformis could be tested with the patient sitting facing the examiner. The patient attempts to abduct the knee against resistance.2 The patient will complain of pain and possible weakness due to the pain. There may be pain when the patient sits or squats due to external rotation of the thigh and hip.5 Passive internal rotation of the thigh with the patient supine could also aggravate the condition. Pressure on the piriformis by way of rectal or vaginal examination may reproduce the symptoms.3 A positive "piriformis sign" due to piriformis contracture may be seen by the persistent external rotation of one lower extremity when the patient is supine. A contracted piriformis may result in a functional short leg.5 The symptoms of female pain during coitus (dyspareunia) could be due to the externally rotated hips, but female pain and male impotency is also attributed to piriformis compression of the pudendal nerve and blood vessels.5 According to Retzlaff et al.,5 on the side of the piriformis contracture the sacral base will be rotated anteriorly and examination of a prone patient will show a deepened sulcus on that side. The apex of the sacrum will appear posterior on the opposite side at the level of the posterior inferior illiac spine (oblique axis rotation of the sacrum). This may cause rotoscoliosis of the lumbar spine and increased lumbar lordosis which may effect the function of the whole spine. Digital pressure over the piriformis may refer pain along the complaint area. Part II will discuss a variety of conservative treatments for this syndrome. Warren Hammer, M.S., D.C., D.A.B.C Editor's Note: Dr. Hammer will conduct his next soft tissue seminar. You may call 1-800-327-2289 to register. Dr. Hammer's new book, Functional Soft Tissue Examination and Treatment by Manual Methods: The Extremities, is now available. Please see the Preferred Reading and Viewing list on page xx, part #T126 to order your copy. References Jankiewicz JJ, Hennrikus WL, Houkom JA: "The appearance of the piriformis muscle syndrome in computed tomography and magnetic resonance imaging: a case report and review of the literature." Clin Orth & Rel Res:262,205-209. Pace JB, Nagle D: "Piriformis syndrome." West J Med 24:436, 1976. Wyant G: "Chronic pain syndromes and their treatment: III. The piriformis syndrome." Can Anaesth Soc J. 26:305, 1976. Thiele GH: "Tonic spasm of the levator ani, coccygeus and piriformis muscles." Trans Am Pract Soc 37:145-155, 1936. Retzlaff E, Berry AH, Haight AS et al. "The piriformis muscle syndrome." J AM Osteopath Assoc 73:799-807. Gray H: Anatomy of the Human Body. 26th ed. Philadelphia: Lea & Febiger, 1956:541. Freiberg AH: "Sciatic pain and its relief by operations on the muscle and fascia." Arch Surg 34:337m 1937. Pecian M: "Contribution to the etiological explanation of the piriformis syndrome." Acta Anat (Basel) 105:181-186, 1979. Mizughuchi T: "Division of the piriformis muscle in the treatment of sciatica." Arch Surg 111:719-722, 1976. Robinson D: "Piriformis syndrome in relation to sciatic pain." Am J Surg 73:356-358, 1947. Freiburg AH, Vinke TA: "Sciatica and the sacroiliac join." J Bone Joint Surg 16:126, 1934. -0 Diagnosis and Treatment of Piriformis Syndrome Link Piriformis syndrome is estimated to cause 6-8% of sciatica, but is more common in the general population because it has been under diagnosed and under treated. The following outline is intended to present elements of the history and physical findings that suggest piriformis syndrome, and the electrophysiological technique for documenting its presence, injection technique and physical therapy. Finally, there is a section on outcome and alternative treatments and current clinical research protocols. Diagnosis The patient with piriformis syndrome typically complains of sciatic pain, tenderness in the buttock, and more difficulty sitting than standing. The pain usually arises from overuse: athletics, heavy work, or prolonged sitting, though traumatic causes are also reasonably common, including automobile accidents, falls, and penetrating wounds. Physical findings include tenderness of the buttock region, increased pain with adduction, internal rotation and flexion of the affected thigh while the patient is in the contra lateral decubitus position, weakened abduction of the flexed thigh, and iliotibial band syndrome. EMG findings include positive FAIR-test, signs of denervation (acute or chronic) in the pattern of the posterior tibial or the peroneal nerves, as opposed to a radicular distribution, reduced CMAPs and/or SNAPs on the affected side, and a positive FAIR-test. The FAIR-test compares the sum of M-wave plus H-reflex in the anatomical position with the sum of M-wave plus H-reflex in the Flexed, Adducted, Internally Rotated position. Piriformis FAIR-test position (Contra lateral Decubitus) Dr. Hiep Pham of Greenville Memorial Hospital commented on the case and said that proper air conditioning is critical for our elderly loved ones during this time of the year. If them temps exceed 90 degrees, a fan isn't going to help. If temps reach near 100 degrees, then a fan is only going to turn the area into a convection oven.