Tag Archives: Healthcare Information

New Technology That Enhances Pre-Natal Bonding

As an expectant mother, her first official Mother’s Day doesn’t have to be next year, after her special delivery arrives. Here are five unique ideas to make this Mother’s Day special for the expectant mother.

Precious Glance, a leading imaging boutique, can help celebrate motherhood in all its stages. Its premiere service is its 3D and 4D ultrasound technology. Unlike traditional, black-and-white 2D ultrasounds that show only the skeletal outline of the child, 3D and 4D ultrasounds share the baby in greater detail. 3D ultrasounds show the baby’s tissue, so the result is more like the baby’s first picture. Each contour of the baby’s face can be seen in 3D, which can be enhanced in red tones for further personalization. 4D ultrasounds actually show real-time movement, offering an entirely different bonding experience.

“Our 3D and 4D ultrasounds provide exciting, meaningful ways for mothers to start getting to know their babies – the ultimate Mother’s Day gift” said Chastity Jones, owner of the ultrasound studio . “We offer highly-specialized services to help a mother celebrate one of the most meaningful, intimate times in her life.”

Precious Glance offers gender checks and photography packages, preserving the memory of the expectant mother in all her glory.

Mothers often experience aches and pains like nothing they’ve ever had before. Why not surprise her with hiring a pre-natal massage specialist to ease her discomfort and help her relax?

Throwing a baby shower? Consider Baby Cakes Diaper Design, whose creative specialists concoct decorative, tiered cakes made of diapers and sprinkled with gifts and trinkets guaranteed to make her shower memorable.

Sometimes mom doesn’t have to leave her house to enjoy her gift: If she’s encouraged to stay off her feet, why not hire a concierge to pet-sit, grocery shop, or even run errands for her?

Remember: There’s no reason to wait until next year to start celebrating Mother’s Day if she’s expecting today. She can celebrate the fact that she’s expecting this year, commemorating a time in her life in a way that can’t ever be replicated.

Via EPR Network
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SteroidSources.com Offers Free Membership To Online Forum

The popular website SteroidSources.com provides free forum access to individuals searching for relevant steroid information. The forum makes it easy to connect with like-minded people, learn more about the proper use of anabolic steroids, and discuss personal experiences with the different steroid products available on the market.

The Steroid Sources forum lets visitors communicate with other members of the site and participate in discussions on a wide range of topics. It’s the best place to discuss how and where to buy steroids, as well as a variety of different issues related to the use and abuse of performance-enhancing drugs.

In addition, the forum contains a large amount of information pertaining to specific products, including dianabol, anadrol, deca-durabolin, winstrol-v, and sustanon. Forum topics even provide registered members with insider information on steroid scammers, bodybuilding tips, diet and nutrition, and female-specific issues.

SteroidSources.com provides relevant and objective information on the safe use of steroids, and features extensive resources and articles for those with previous experience using anabolic steroids and related products. The website also helps visitors learn how to find anabolic steroids for sale and buy steroids online.

Steroid use is a topic that is still up for debate in most circles, especially as it relates to sports performance and athletes. Although controversial in the world of sport, most anabolic steroid products are prescribed to treat a variety of different medical disorders, such as asthma and cancer.

As far as steroid use pertains to professional sports, the experts have not yet reached a consensus. Because steroid use in the sporting industry continues to increase, the debate may one day reach a final conclusion.

Currently, it’s illegal to buy steroids without a prescription. However, individuals with a prescription from their doctor are permitted to buy anabolic steroids for personal use. The Internet has made it easy to purchase the drugs you need from the comfort of your own home.

For more information about anabolic steroids, contact Steroid Sources or visit http://www.steroidsources.com.

About SteroidSources.com: SteroidSources.com is a popular website that offers visitors interesting and relevant information, resources, and news on the topic of anabolic steroid. Thesite also provides a forum where like-minded individuals can meet to discuss issues, obtain advice, and swap personal experiences and stories or buy steroids.

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New Website SteroidSources.com Not Afraid To Tackle Big Issues

SteroidSources.com offers visitors the latest news and educational articles on the topic of steroids. The site is the premier online destination for anyone interested in learning about the legal use of steroids, health issues, steroid scandals, bodybuilding, anabolic steroid products, and more.

A comprehensive source of information, the website is one of the best places on the Internet to access up-to-date news headlines, videos, and books on steroids and related topics. SteroidSources.com also provides trustworthy, in-depth reviews of steroids for sale, and a forum that allows visitors to share information, experiences, and views on steroids online.

Steroids have been big news in recent years, but it can be difficult to sort through all the information available online. Whether you want to read about steroid use in baseball, football, bodybuilding, boxing, or the Olympics, Steroid Sources has plenty of resources available on its website for free. Visitors can peruse a wide variety of different news items and articles to become more informed about the many issues surrounding the use – and abuse – of anabolic steroids.

The news blog is updated daily with new content, and it’s easy to find information related to a whole host of performance-enhancing drugs, including dianabol, anadrol, deca-durabolin, winstrol-v, and sustanon. All information on the website is for educational purposes, and is meant to inform consumers about the variety of options available on the market.

Steroid Sources also provides information on HGH (human growth hormone) and where to buy anabolic steroids once a doctor’s prescription has been obtained. The website has everything the individual needs to make informed decisions regarding the proper use of steroid products, whether they are purchased online or elsewhere.

Many people wrongly assume that buying steroids is not an easy task. Fortunately, there are many hassle-free ways to purchase anabolic steroids. With the right information and resources, it’s fairly simple to assess the different choices available to consumers and make appropriate decisions for your health goals.

For more information about anabolic steroids, contact Steroid Sources or visit http://www.steroidsources.com.

About SteroidSources.com: SteroidSources.com is a popular website that offers visitors interesting and relevant information, resources, and news on the topic of buy anabolic steroids. The sitealso provides a forum where like-minded individuals can meet to discuss issues like buying steroids, obtain advice, andswap personal experiences and stories.

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Athletes Use Anabolic Steroids And Fall from Grace

Since the beginning of 2009 there have been athletes one after the other getting tested and busted for doping. The current trend in the use of anabolic steroids in sportsis continuing to be in the center of the spot light due to the media coverage surrounding it. Alex Rodriguez finally admitted to the use of steroids after months of speculation. Ken Shamrock of the UFC has been tested and found to have steroids in his system three times. Tony Mandarich, once touted as the best offensive lineman in the NFL comes clean after 20 years of denial. Dwayne “The Rock” Johnson admitted recently that when he was younger that he used steroids.

Using anabolic steroids to get the competitive edge has been happening for over 50 years now. The recent onslaught of professional athletes being tested and showing steroid use is a testament to the need to continue to perform better than what is humanly possible. Sports figures are paid millions of dollars to make sure that they are always at the top of their game and are not given much leeway for any performance that is less than the best. The publicity that steroids are getting because of this is tremendous.

Although the publicity is negative, the message being sent to today’s youth is that using steroids is a must to achieve their dreams. While people will try to find steroids for sale through a “trusted source”, usinganabolic steroids without a prescription is illegal and can prove to be detrimental to the users’ health. SteroidSources.com is a website dedicated to educating people on the use of steroids; the information is unbiased, truthful and educates people about the positive and negative side of steroid use.

Lawrence Kreger of SteroidSources is quoted as saying “Not just for bodybuilders or athletes, but for individuals that have an interest in events surrounding anabolic steroids, SteroidsSources.com is the ultimate source of information and knowledge. More than ever, whether we like it or not, anabolic steroids are now part of our culture.” Since Barry Bonds was questioned, to today, this statement is proving to be true.

SteroidSources.com is an informational website that features forums for candid talk and questions, a blog that keeps you informed of steroids in the news and articles written about the use of steroids, the risks of trying to buy steroids online, books, videos, anda comprehensive list of known steroids with their uses, the forms they come in, and why someone may use them.

For questions or comments please refer to the contact page at SteroidSources.com.

Via EPR Network
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Got Questions Regarding Anabolic Steroids – Steroidsources.com Has The Answers

Steroidsources.com has launched a website to help consumers discern the good from the bad, and truths from the lies. With so many professional athletes coming under fire the last few years for steroid use, questions about anabolic steroids are getting asked and many are finding they do not have access to a trustworthy source. Steroidsources.com has news, blogs, forums, articles and also offers book and videos on the subject of steroid use and its users.

Steroidsources.com wants to bring the body building community together to discuss the latest trends in fitness, health, and steroids. Steroidsources.com is a website dedicated to news and information about steroids. Updated with important breaking news regarding steroids and athletes who take them, medical uses for steroids, the benefit of steroid use in body-building, and the health hazards to using steroids as a performance enhancer, Steroidsources.com is the online information guide to steroids.

Steroidsources.com has a forum for individuals with questions or information that can be posted to get the answers that are needed. Blogs for updated information in the body building community that lets each other know what is going on in regards to supplements, testing, and new performance enhancers. There are also top selling books and videos about on the subject of steroids and fitness. Searching the internet for information regarding legal steroids can lead to websites that have less than honorable intentions. SteroidsSource.com is a safe website to discuss steroids and the pros and cons.

Steroidsources.com focuses on news and trends in the body building community and sporting arena, serving its purpose in letting people find fair, accurate information regarding steroids, their use, and their side effects. Steroidsources.com is not where to go if the purpose is to buy steroids. SteroidSources.comhopes to build a strong community amongst fitness enthusiasts, body builders, and athletes alike. SteroidSources.com wants to showcase the ups and downs of fitness training, the use of anabolic steroids and other performance enhancing drugs.

Recently founded SteroidSources.com offers forums, blogs, news, and other media to keep you up to date in current trends in fitness, health, and body building.

For questions or comments please refer to the contact page at SteroidSources.com.

Via EPR Network
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4th Annual Parental Alienation Awareness Day

Nearly everyone knows a couple who has divorced and used a child against the other parent. But not many people know there’s a name for such behavior–and fewer still know it is a particularly damaging form of child abuse.

The 4th Annual Parental Alienation Awareness Day on April 25, 2009 is set as a day for families around the Globe to help raise awareness about this rampant global issue. Many countries, states, provinces, and cities have already proclaimed April 25 to be Parental Alienation Awareness Day, and many educational and family events are set to take place in cities in North America, Europe, South America, Australia, and New Zealand. 

Parental Alienation is defined as a set of behaviors exhibited by a parent or an adult the child trusts, that puts the child in a very damaging loyalty bind between the people they love. These behaviors can be as mild as the occasional badmouthing of a parent, but in extreme cases may lead to parental Abductions and even Parental Homicide.

Research shows that children exposed to Parental Alienation may suffer a lifetime of low self esteem, and depression as well as substance abuse, anxiety, and difficulty trusting anyone or forming lasting relationships.

“A pattern of alienation usually begins without any malicious or conscious intent to harm the relationship between the other parent and the children,” explained Sarvy Emo, Founder of Parental Alienation Awareness Day. “Parents are often unaware of how subtle behaviors and comments can put children in a loyalty bind that is not only harmful to their emotional and mental health, but may affect their relationship with the targeted parent.”

“… the hurt, the anger, the shame and the pain would never go away. I could numb it and put it in the back of my mind but it never went away. It comes out in how I am as a mother, a spouse, a friend. In the decisions I’ve made, in almost everything I do.” Says an adult who experienced Parental Alienation as a child.

Parental Alienation Awareness Organization urges family members, and the people that surround a child’s life to watch for the children perceiving one parent as causing the other parent’s financial problems, showing a sudden negative change in attitude around one parent or being uncharacteristically belligerent around a parent or other authority figure.

To learn more about PA and Parental Alienation Awareness Day, visit paawarenessday.com

To learn more about Parental Alienation and Hostile Aggressive Parenting, visit www.paawareness.org

Via EPR Network
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ePharmaExpo.Com – A Central Source For Business News And Information For Everyone Associated With The Pharmaceutical And Life Sciences Industries

The recently launched ePharmaExpo.com website incorporates a virtual trade show, event postings, recruitment database, and forums to give everyone associated with the pharmaceutical and life sciences industries a central source for business news and information.

The launch of ePharmaExpo.com, a website encompassing multiple aspects of the pharmaceutical and life sciences industries, was recently announced. ePharmaExpo.com is designed to be a central information resource for businesses, vendors, employees, and job seekers within the pharmaceutical and life sciences industries.

The main draw of ePharmaExpo.com is expected to be the virtual trade show feature. This component of the website allows businesses to showcase their services and products through online booth displays, which take the place of traditional trade show booths. Businesses will have the opportunity to reach an undetermined number of Internet users year round and twenty-four hours a day instead of a limited number of trade show participants for a few days at a conventional industry trade show. Visitors can benefit from viewing products and services from their home or business instead of traveling to pharmaceutical and life sciences trade shows. ePharmaExpo.com owners hope to increase the quality of leads generated for the site’s exhibitors by offering a means to connect with interested parties.

Pharmaceutical and life sciences businesses, organizations, and universities from across the nation are able to post upcoming local events on ePharmaExpo.com. Newsworthy items such as information about industry-related conference and seminars and press releases are accepted.

ePharmaExpo.com can also be used as a source for businesses searching for qualified job applicants and for those seeking employment in the pharmaceutical and life sciences fields. Businesses can currently take advantage of the website’s introductory offer of free three-month job postings. The owners report that over one hundred positions have been posted since the launch of ePharmaExpo.com. A resume database allows companies to search for candidates with specific qualifications, decreasing their time and money spent recruiting qualified candidates. Job seekers can post their resumes and search for employment opportunities by state.

A discussion forum allows ePharmaExpo.com visitors to communicate anonymously with other visitors and the website exhibitors. Visitors can post comments and questions, exchange information, and seek the advice of other forum users. ePharmaExpo.com administrators have future plans for an anonymous messaging system, which will allow visitors to ask questions directly to the site’s exhibitors without revealing their identities. The intention of this feature is to promote a more relaxed atmosphere for visitors that allows for an exchange of information without disclosing personal data.

About ePharmaExpo.com: ePharmaExpo.com is a virtual trade show website for the pharmaceutical and life sciences industries. The website features exhibitions of products and services, discussion forums, and industry job postings and events. Contact Chi-chau Tse at 619-808-3773 or tse@ePharmaExpo.com for more information.

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Wrongful Convictions Of Physicians By Department Of Health (NYSDOH) Linked To Patient Mortality

The proliferation of wrongful convictions in New York State prompted the NYS Bar Association to create a Blue Ribbon task force to study its systemic, procedural and statutory causes, and to propose solutions. Indeed, a report by the Innocence Project found New York State to be the national leader, outpacing all other states in its rate of wrongful convictions. The Blue Ribbon findings, embodied in a document entitled “ Final Report of the New York State Bar Association’s Task Force on Wrongful Convictions” was unanimously endorsed by the Association’s House of Delegates on April 4.

The findings of the Task Force provide a disturbing commentary on flagrant errors by the New York State judicial system, leading to convictions of innocent individuals. In over 50% of cases, the failures of government practices – such as misconduct by prosecutors – were to blame for the wrongful convictions.

Wrongful convictions do not solely implicate the New York State criminal justice system. They are reportedly rife in the legal practices of the NYS Department of Health (NYSDOH), known for ignoring due process and abusing power in its disciplinary actions against physicians. Several bills aiming to redress these inequities were all vetoed. Reported among many of these due process violations is the denying of witnesses for phy sicians’ defense, the use of tainted judges, and the coaching of plaintiffs by prosecutors to lie – indeed, “winning” cases is vital for their career advancement. Especially targeted in these malicious prosecutions are physicians practicing complementary medicine. One physician who wished to remain anonymous for fear of retribution remarked, “Convicting doctors is a cinch: just don’t allow them any witnesses; then the Department is free to make up whatever it wants.”

The tragedy of wrongful convictions in matters of health care affects far more than physicians. The plight of patients suddenly obliged to forgo the continuity of their medical care by the forcible removal of their long term physicians via the challenging of their license is illustrated in press and Internet releases entitled, “Patient Mortality Linked to Judicial Errors.” Noted are certain fragile patients who, “vulnerable, sick, alone, frightened and suddenly deprived of their main lifeline (their physician), became acutely demoralized, refused referrals to other doctors or failed to bond with them, eventually giving up their will to live and neglecting their medical needs.” One physician reported the untimely deaths of 7 patients, including one from suicide, the rapid decline of 8 Alzheimer’s and the relapses of 12 psychiatric patients leading to their serial hospitalizations.”

In response, petitions have now been forwarded to agencies concerned with patient20welfare, calling for independent impact studies on state-ordered patient abandonment. Agencies contacted include the U.S. Health and Human Services Administration (HHS) and the Centers for Medicare and Medicaid. The petition has also been sent to Health Commissioner Richard F. Daines, NYSDOH.

This landmark study, of major interest to medical, psychiatric and medico-legal communities and the public at large, would aim to show that abruptly severing medical and psychiatric services by state agencies has serious and sometimes fatal consequences for patients – especially patients who are disadvantaged, infirm, chronically ill or psychiatrically disabled. It would also suggest remedial action. Indeed, if state agencies assume the power of terminating the basic care to patients provided for by their physicians, they presumably also should accept the responsibility for adequately supporting said patients through crisis, by providing them with life-saving continuity of care.

Via EPR Network
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Recent Research Published By The American Journal For Medicine Showed 87% Of Diabetics Either Saw A Complete Cure Or Improvement After Weight Loss Surgery

As the focus on the nation’s expanding waistlines grows, medical experts now believe that weight loss surgery can completely eliminate all types of Diabetes.

The UK’s number one weight loss surgery provider, The Hospital Group, has seen outstanding long-term results for its gastric band patients over the last three years. Of the 106 gastric band operations performed in January 2007, the total weight loss was a massive 300 stone. Obesity is the main risk factor for Diabetes, so sustained weight loss on this level goes a long way towards fighting the condition, which affects 2.5 million people in the UK, according to Diabetes UK.

The research published by the American Journal for Medicine showed that following obesity surgery, 87% of diabetics either saw a complete cure or improvement.

David Ross, Chief Executive of The Hospital Group, said: “More and more people are choosing to have obesity surgery with The Hospital Group and it’s fantastic because people see results so quickly, which gives them the get up and go to live healthier lifestyles – some free from Diabetes. You wouldn’t think it, but Australia is the gastric band capital of the world. Their government recognises the long-term savings it can make by funding obesity surgery on their national healthcare system – and in the same way, obesity surgery in the UK is saving the NHS money by curing Diabetes patients, which is currently costing the NHS £1m an hour.”

The huge surge in demand for obesity fighting treatments such as Gastric Bands, Balloons and Bypasses from The Hospital Group has more than doubled in the last year, rising from 111 operations in February 2008 to 225 in the same month in 2009. Continuing the trend, enquiries into gastric band surgery have risen by almost 25% from 727 in February 2007 to 963 in February 2009. Health-conscious surgery-seekers in February 2008 made 815 enquiries into The Hospital Group’s obesity surgery.

The Hospital Group is committed to providing the very highest standards and all procedures are performed by an expert medical team in state-of-the-art facilities that are second to none. Since The Hospital Group was established in 1992, it has grown from a small pharmaceutical company to one of the UK’s foremost cosmetic surgery providers, and the same high standards remain to this day. For further information of The Hospital Group’s range of gastric procedures, surgery-seekers should visit the website www.thehospitalgroup.org or call our patient care coordinators on 0845 762 6727.

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Stan Popovich Discusses How Fear And Anxiety Can Devastate A Person’s Life

What can a person do when their fears and anxiety have the best of them? It can be tough to deal with fear, anxiety and depression on an every day basis. Many people who deal with these issues feel helpless and do not know how to manage their fears.

Stanley Popovich, author of ‘A Layman’s Guide To Managing Fear’ understands that fear and anxiety is very common in today’s world. Fear and anxiety can have a devastating impact on a person’s life. Persistent fear and anxiety ruins lives and can devastate families. Fear and anxiety can also lead to additional health problems that can have long-term effects on one’s life.

The National Institute of Mental Health reports that approximately 1 in every 5 adults suffer with the anguish of a fear-related disorder. Here are some quick facts:

· 18.8 million American adults will suffer from depression this year 
· 2.3 million American adults will struggle with Bipolar disorder this year 
· 9.1 million American adults have an anxiety disorder 
· 2.4 million American adults will experience a panic disorder this year 
· 3.3 million American adults will be treated for OCD this year 
· 5.2 million American adults will experience Post-Traumatic Stress Disorder this year

Fear exacts untold costs upon American society. Even more sobering is that many people do not know where to turn for help. Mr. Popovich knows what it is like to deal with fear and anxiety. Mr. Popovich wrote a book that focuses on those strategies that will manage fear, anxiety, and depression. A person who reads Mr. Popovich’ can get many ideas on how to deal with fear, anxiety, OCD, depression and other mental health issues

The book is easy to read and provides instant help. Half the book focuses on cognitive and behavior therapy and the other half of the book is Christian based. The book is geared for both the religious and non-religious person who struggles with fear, anxiety, OCD, depression, panic disorder, suicide, and bipolar disorder. Stan’s book is not a substitute for the guidance of a professional.” Remember that when dealing with fear and anxiety, the key is to be smart in how you manage it.

Copies of ‘A Layman’s Guide To Managing Fear’ can be obtained at http://www.managingfear.com. Stanley Popovich is available for interviews and can be reached by email at spopovich@managingfear.com.

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Full-Mouth Rehabilitation and Bite Management of Severely Worn Dentition

Introduction
Creating a beautiful smile for a patient is extremely rewarding for the dentist as well as for the team, and this should never be taken for granted. We are blessed with the ability to change someone’s self esteem, confidence and, possibly, the course of their life.

The case presented here was featured on the cover of the Spring 2008 issue of The Journal of Cosmetic Dentistry. While it was quite challenging, I will never forget this case,, as it changed the life of a recovering bulimia patient. Eating disorders affect approximately seven million people in the United States. Although I have seen the effects of bulimia on the dentition previously, never have I witnessed it to this extent.

The patient was diagnosed with loss of vertical dimension as a direct result of bulimia and bruxism.

Patient History
The patient, a 30-year-old female, wanted to improve her smile and to address the constant fracturing of her teeth. Although it was difficult for her to discuss, she told me about her history of bulimia and that after a long struggle, she is now recovered. She was ready not only to change her smile, but also to see what could be done about her “collapsing” face, as she put it. She confessed that her unwillingness to smile was affecting her socially and that she always covered her mouth when she laughed (Fig 1).

Clinical Evaluation and Diagnosis
After performing a thorough clinical examination, I noted a severely worn dentition, widespread abfraction lesions, and multiple fractured teeth and restorations. The palatal surfaces of the maxillary anterior teeth were completely eroded and devoid of enamel, as is typically seen with bulimic patients (Figs 2 & 3). As expected, the patient’s teeth were very sensitive to temperature changes. Tooth #5 had been extracted due to a fractured root, and in its place was a successfully osseointegrated implant (Straumann USA; Andover, MA) that had been placed one year earlier. She had lost approximately 30% of the length of her central incisors due to attrition. Upon radiographic examination, no severe decay or pulpal pathology was evident. Periodontal probing depths were within normal limits.

The patient suffered f r o m many typical symptoms of temporomandibular disease (TMD), such as joint pain, severe headaches, tinnitus, and orofacial muscle pain with spasms.1These symptoms were not surprising, as craniomandibular dysfunction is often seen with loss of vertical dimension. She was also a severe bruxer and said this provided her with relief. Due to this vertical loss, the lower third of her face was collapsed and disproportionate. The patient was diagnosed with loss of vertical dimension as a direct result of bulimia and bruxism; this was accompanied by multiple fractured, eroded teeth, and worn restorations. Additionally, the patient had facial asymmetry and multiple TMD symptoms due to craniomandibular dysfunction.2

She tolerated the orthotic well and felt much better with it in place.

Treatment Plan
Initially this case was overwhelming, as there were so many factors necessary to achieve a successful treatment outcome. After mounting and studying the casts, it was obvious that the patient’s vertical dimension had to be increased to a proper, comfortable position, which has been called the physiologic neuromuscular position.3 Once this position was determined, an orthotic appliance would be worn to verify that this proposed position was in fact well tolerated and that the TMD symptoms had decreased significantly. During the orthotic therapy phase, this appliance would be worn for a minimum of three months (for a minimum of 22 hours a day), to determine whether it would help before any permanent alteration of the patient’s teeth.

During this time, her condition would be evaluated for elimination of symptoms, proper occlusion, improvement in facial symmetry, esthetics, and acceptable phonetics. If we had not seen improvements during the orthotic phase, the first thing we would have looked at was compliance. If it had been determined that the patient was not wearing the appliance as instructed, or if the therapy had had to be extended beyond three months (due to inconsistent symptoms or an unstable bite position), we would have used a fixed orthotic appliance, which would have been fabricated to the same vertical dimension as the removable orthotic.4

The goal, for any clinician, is to find a position in which the patient’s symptoms are eliminated, or at least decreased significantly. The facial and dental esthetics also must be greatly enhanced. Although there is more than one way to find this physiologic position, in this case I objectively measured muscle activity by using electromyography (EMG) instrumentation (Myotronics-Noromed; Kent WA). This enabled me to locate the correct resting position for the mandible where the muscles are at rest, as well as the correct opening and closing trajectory.5 During the course of orthotic phase therapy, which can last several months to a year, the patient returns to verify the bite and evaluate symptoms several times. Once it is determined that the patient is comfortable, facial esthetics are improved, and the EMG muscle activity is verified to be physiologic, then the restoration phase can begin.6,7

Treatment Discussion
The first step in this case was to determine how much to increase the patient’s vertical dimension. Once this position was determined, it was imperative to test and verify it; and, most importantly, to maintain it throughout the different phases of treatment. The treatment phases were as follows: Orthotic, preparation, temporization, and cementation.

Finding the Bite
To evaluate the state of the patient’s habitual bite position, we had to record and evaluate EMG readings of several muscle groups bilaterally (K7 instrumentation, Myotronics-Noromed). The muscle groups measured were the anterior and posterior temporalis muscles, the masseters, and the anterior digastrics. Electrodes were placed over these muscle groups and electromyographic recordings were made. High EMG readings represented a state of muscle hypertonicity and unrest. The goal was to find the occlusion where the muscles that control jaw position are in a relaxed state, and therefore are at their ideal resting length for optimal function and comfort.8,9

To find a more optimal bite position, a series of diagnostic tests were performed. These included electrosonography to record and analyze joint sounds, electromyography to record and analyze muscle activity, and computerized mandibular scanning (CMS) to track and analyze jaw movements. It was determined that the patient’s habitual occlusion was in a muscular state of hyperactivity when at rest and in light centric occlusion (Fig 4). In order to relax her muscles, which were in a chronic spasmodic state, ultra-low frequency transcutaneous electrical neural stimulation (TENS) was applied using a myomonitor (Myotronics). The myomonitor stimulates cranial nerves V, VII, and XI to relieve hypertonicity, restore normal blood flow, and wash away toxic wastes such as lactic acid. This restores the muscles temporarily to a relaxed and normal resting length (Fig 5). These muscles become “deprogrammed,” and, by measuring their pre- and post-relaxation status, we are provided with precise and objective comparative data.10,11 The details of all the tests performed during the three-hour diagnostic appointment are beyond the scope of this article.

The position at which this patient’s muscles were in their most relaxed state was captured by using a polyvinyl siloxane bite registration material (Regisil, Dentsply Caulk; Milford, DE). Impressions were then taken (Aquasil Ultra, Ivoclar Vivadent; Amherst, NY) and sent to the laboratory with the bite to fabricate a lower removable orthotic. Upon delivery of this appliance, I explained to the patient that it must be worn a minimum of 22 hours a day. Each follow-up visit always consisted of 45 minutes of TENS, followed by any necessary occlusal adjustments to the orthotic. The patient was seen at one-, two-, three-, four-, and sixweek intervals. She tolerated the orthotic well and felt much better with it in place; therefore, compliance was not an issue.12,13

Once it was determined that the bite was stable and that symptoms were significantly reduced, EMG recordings were taken again to verify that the muscles were not hypertonic in this new position. In this case the EMG readings were more than satisfactory, and the patient’s headaches and other symptoms were reduced significantly. Therefore, I had great confidence as to where to restore her occlusion.14 Her bite was opened 4 mm. The next phase of treatment was the restorative phase.

Bite Management
(Laboratory Phase) Much effort was spent determining the proper physiologic position for this patient, and much care had to be taken in managing and maintaining this position throughout the course of treatment. Prior to the preparation appointment, new impressions were taken and sent to the laboratory, along with the actual adjusted orthotic to mount the case. In addition, three measurements were provided so that the laboratory could verify that the case was properly mounted. These measurements were taken with a digital Boley gauge. The areas measured were where the most apical areas of tooth surface intersect with the gingiva between teeth #8 and #25, #14 and #19, and #3 and #30 (Figs 6 & 7). In this situation, the dentist and the laboratory must measure in the exact same three locations throughout the course of treatment, so as to ensure accuracy and precision in maintaining the new vertical (Figs 8 & 9).

Once the laboratory mounted the casts with the adjusted orthotic in place and the three measurements were verified, a bite stent (Sil-Tech, Ivoclar Vivadent) was made, to be utilized during the preparation appointment to ensure accuracy in maintaining the new vertical dimension. The appliance was then immediately returned to the patient so that she could continue to wear it. The laboratory also was provided with detailed instructions concerning the smile design, including widths and lengths of anterior teeth, shapes, and proportions.15

Because the patient’s maxillary anterior teeth were short, it was determined that crown lengthening was necessary to support the restorations. Therefore, the proposed amount of hard and soft tissue removal was relayed to the laboratory so that they could compensate for the change in measurement in this area. With this information in hand, they waxed up the 28 teeth in the new position, taking into consideration the hard and soft tissue reduc-tion in the anterior; and once again verified the three measurements (Fig 10). From this wax-up, they prepared a temporization stent made f r o m Sil-Tech putty and relined with a light-body wash material (Aquasil XLV, Dentsply Caulk). This would be used to fabricate the 28 temporaries after tooth preparation, with the same vertical dimension and occlusion as the orthotic.

Bite Management
(Preparation Phase) Prior to the preparation appointment, I ensured that I received everything necessary f r o m the laboratory. First, I verified that the waxed-up models were consistent with the three measurements I had provided to the laboratory, by measuring the teeth in the exact same three locations. Second, I verified that I was satisfied with the smile design and occlusion. As this was to be a lengthy appointment, the clinical team met and reviewed procedures.

After the patient was seated, I verified the bite stent that had been made on her unprepared, mounted models by placing it in her mouth and having her close down on it. I again measured the same three locations and verified that those measurements were the same as they were with the orthotic in place (Fig 11). I was confident that all of my numbers were accurate, so it was time to begin preparing the teeth.

It was imperative not to lose control of the bite at any time during the preparation.

After anesthetizing the patient, the first step was to perform the soft and hard tissue crown lengthening in the maxillary anterior region to improve the length of her short clinical crowns. To accomplish this, I used an Er,Cr:YSGG hard/soft tissue laser (Waterlase, Biolase Technologies; Irvine, CA) and at the same time performed a frenectomy between the maxillary central incisors. Using this laser provided a predictable result and gave me a clean field within which to work. I removed 1.2 mm of tissue and therefore changed the location of my uppermost point for measurement after the crown lengthening. I had to adjust my number for verification f r o m this point on, in this area only16 (Fig 12).

It was imperative not to lose control of the bite at any time during the preparation. To help in maintaining this vertical dimension, I used the bite stent provided by the laboratory to sequentially reline it while I prepared one quadrant at a time. Beginning with the upper right quadrant, I prepared ##3-8, while leaving #2 unprepared to provide extra stability while I relined the bite stent. To register the bite, I sat the patient upright and placed a small amount of fast-setting bite registration material (Regisil Rigid) in the bite stent, being careful not to overfill it and to reline only the prepared teeth. This was then placed in the mouth with the patient biting into it. While the stent was in her mouth, the same three locations were measured again, remembering that the anterior area had a new measurement. If the measurements had not matched those taken previously it would have been necessary to repeat the reline, as the patient might have been biting incorrectly or the bite stent might not have been seated over the teeth properly.

Once it was determined that the measurements were correct, the stent was removed, trimmed, and set aside for the next quadrant. The same procedure was repeated for the upper left quadrant, preparing ##9-14 and leaving tooth #15 unprepared. This quadrant was then relined the same way. After the measurements were verified, I prepared #2 and #15 (Fig 13). This procedure was repeated for the bottom right quadrant and then the bottom left. A final check of the measurements was made and the bite stent was set aside to send to the laboratory along with final impressions. For these, I used a PVS heavy-body material and an extra-low viscosity wash material (Aquasil Ultra-heavy and XLV). A symmetry bite was also taken, indicating to the laboratory the proper occlusal plane and midline. Photographs of the preparations, which showed the measurements with the final bite stent seated and with the symmetry bite in place, were provided for the laboratory.

Temporization
The provisional restorations were fabricated using the temporary stents made f r o m the wax-up. The stents were filled with temporary material (Luxatemp shade B1, Zenith/DMG; Englewood, NJ) and placed over the maxillary prepared teeth. After three minutes the stent was removed, as was a small amount of flash. This procedure was repeated for the bottom teeth. Once the provisionals were in place, all three measurements were once again verified; at this time we evaluated esthetics and occlusion. To properly maintain the health of the gingival tissue during the four-week provisional phase, the patient was given a sonic toothbrush (Sonicare, Philips Healthcare; Andover, MA), as well as instructions on how to use rubber tips to massage her tissue. A follow-up visit was scheduled for the next day to confirm that the occlusion was comfortable and that we were both satisfied with the smile design.

Laboratory Communication
Proper communication with the laboratory is crucial for a successful outcome in each and every case sent to our ceramist. In this case, it was important to send as much information as possible with regard to maintenance of the patient’s vertical dimension, as well as esthetics. Photographs showing all three measurements in the final bite stent, as well as in the provisionals, were sent to the laboratory. In addition, retracted frontal and lateral views of the preparations were provided, as well as a picture showing the prepared shade (Vita A3, Vident; Brea, CA).17 When the laboratory received the case, the first step was to verify the measurements after mounting the prepared models. This was accomplished by using the relined bite stent and verifying the accuracy of the vertical dimension in the same three locations.

For the smile design, we decided on a “soft” look with square oval central incisors and slightly rounded laterals and canines, with the lateral incisors 0.5 mm shorter than the centrals. The requested width of the central incisors was 8.25 mm and the length was 10.75 mm. The lateral incisors were approximately 10.25 mm long. Golden proportion rules and smile design principles were adhered to, which provided the patient with a very soft and esthetically pleasing smile. Our final shade choice was OM2 body with a cervical blend to OM3 (Vita 3D Master shade guide), with the canines blending f r o m OM2 to 1M1 cervically. We selected Authentic pressable ceramic (Jensen Indus-tries; North Haven, CT) for all anterior teeth and bicuspids, using an OP1+ ingot with cutback technique and adding intense opaque modifiers to increase vitality and a natural appearance (Fig 14).18All of the molars were restored with Noritake CZR pressable ceramic (Zahn Dental, Henry Schein; Melville, NY) over zirconia copings.19 The #5 implant was restored with a custom abutment with Creation porcelain (Jensen Industries). Prior to the fabrication of the restorations, the models were mounted using the preparation bite stent, and all the measurements were verified by the laboratory (Figs 15-18).

Cementation
After we received the case f r o m the laboratory, I checked the restorations on the models for proper margins and contacts, and to ensure that the smile design had been followed. Once all the restorations were mounted on the models, the three areas were measured to verify that the laboratory maintained the vertical dimension. Once the patient was anesthetized, the provisional restorations were removed. The prepared teeth were cleaned with pumice, followed by hydrogen peroxide and chlorhexidine (Consepsis, Ultradent; South Jordan, UT). Each restoration was tried on with water and inspected individually. Contacts and margins were examined, as was the overall smile design.

Once we were satisfied with restorations, they were cleaned with 37% phosphoric acid, rinsed, dried, and set aside. The molars were cemented first using Multilink (Ivoclar Vivadent), a self-etching universal resin cement, with the inside of the restorations coated with the metal/zirconia primer (Ivoclar Vivadent). Then all of the remaining upper teeth except #5 were etched with 37% phosphoric acid and rinsed, after which a wetting agent was applied (Super Seal, Phoenix Dental; Fenton, MI).20 Then the bonding agent (Excite, Ivoclar Vivadent) was placed on the teeth according to manufacturer’s directions and light-cured. The restorations, which had previously been etched with hydrofluoric acid, were coated with Silane primer (Kerr; Orange, CA). The luting resin used for cementation was Variolink Veneer +2 (Ivoclar Vivadent). All of the restorations were placed simultaneously and spot-cured. The excess was then removed, followed by the final light-cure. Tooth #5 was cemented with implant cement (Premier Dental; Plymouth Meeting, PA).21 The same technique used on the maxillary teeth was applied to the lowers. Once all teeth were cemented, the three measurements were once again verified to confirm maintenance of the vertical dimension (Fig 19). The patient returned for follow-up appointments to make sure her bite was stable and that she remained symptom-free.

Conclusion and Discussion
This patient’s case involved many of the challenges we face daily in our practices. Just a few years ago, however, I would not have known in which direction to take her treatment. Perhaps I simply would have provided her with a bruxism appliance, while “patching up” some of her fractured restorations and attempting to improve her smile by restoring some of her anterior teeth with direct resins. These would have failed repeatedly, causing us both much frustration.

I conducted a series of diagnostic tests using computerized instrumentation, which provided me with objective data that I was able to use in my treatment planning.

The key point is that this patient initially exhibited severe occlusal disharmony and craniomandibular dysfunction. This can be the case in many of our patients, and much effort should be spent in proper diagnosis and treatment planning.22 I did not prepare 28 teeth in one visit and deliver them a few weeks later. Instead, I conducted a series of diagnostic tests using computerized instrumentation, which provided me with objective data that I was able to use in my treatment planning. Not until the patient’s new vertical dimension position was tested for several months did I dare touch a single tooth with a handpiece. Once I did, however, it was with great confidence, because I knew in which direction I was headed (Figs 20 & 21).

It is well accepted that there is more than one philosophy or method that can be utilized to arrive at a physiologic bite position. A discussion of these different philosophies— whether centric relation, centric occlusion, or neuromuscular—is beyond the scope of this article.23 However, as responsible clinicians, we should study the different treatment modalities available to our profession before making a decision as to which one suits us. Whichever method you apply in your practice, the most important factor is that it must be in your patients’ best interests.24 Before proceeding to final restorations, it is imperative to establish a comfortable, stable bite derived f r o m verifiable, objective clinical data (Figs 22-29).

Acknowledgments
The author thanks Duckee Lee, CDT (Protech Dental Studio, Sterling, VA), for his passion, talent, and technical excellence in creating the beautiful restorations in this case. A debt of gratitude also goes to the American Academy of Cosmetic Dentistry for 13 years of excellent continuing education, camaraderie, and a remarkable credentialing program, in which he learned during his Accreditation journey that, “your hand can only perform what your eyes have been trained to see and comprehend”; and to the Las Vegas Institute for Advanced Dental Studies for its dedication to postgraduate education. Finally, thanks, appreciation, and best wishes goto Erica, the patient in this case, for her patience, kind spirit, and courage.

References

1. Okeson JP. Management of Temporomandibular Disorders and Occlusion (3rd ed.). St. Louis, MO: Mosby; 1985.

2. Coy RE, Flocken JE, Adib F. Musculoskeletal etiology and therapy of craniomandibular pain and dysfunction. Cranio Clin Int 1(2):163-173, 1991.

3. Jankelson RR. Neuromuscular Dental Diagnosis and Treatment. Volume 1 (2nd ed.). Tokyo: Ishiyaku EuroAmerica; 2005.

4. Naeije M, Hansson TL. Short-term effect of the stabilization appliance on masticatory muscle activity in myogenous craniomandibular disorder patients. J Craniomand Disord Facial Oral Pain 5:245-250, 1991.

5. Ormianer Z, Gross M. A 2-year follow-up of mandibular posture following an increase in occlusal vertical dimension beyond the clinical rest position with fixed restorations. J Oral Rehab 11:877-883, 1998.

6. Liu ZJ, Yamagata K, Ito G. Electromyographic examination of jaw muscles in relation to symptoms and occlusion of patients with TMJ disorders. J Oral Rehab 26(1):33-47, 1999.

7. Neill DJ, Howell P. Computerized kinesiography in the study of mastication in dentate subjects. J Prosthet Dent 55(5):629-638, 1986.

8. Mongini F, Tepia-Valenta G, Conserva E. Habitual mastication in dysfunction: A computer-based analysis. J Prosthet Dent 1:484-494, 1989.

9. Jankelson B. Three dimensional orthodontic diagnosis and treatment: a neuromuscular approach. J Clin Orthod 18(9):627-636, 1984.

10. Ow RK, Carlsson GE, Jemt T. Craniomandibular disorders and masticatory mandibular movements. J Craniomand Disord Facial Oral Pain 2(2):96-100, 1988.

11. George J, Boone M. A clinical study of rest position using the kinesiograph and myomonitor. J Prosthet Dent 41(4):456-462, 1999.

12. Konchak P, Thomas N, Lanigan D, Devon R. Freeway space using mandibular kinesiography and EMG before and after TENS. Angle Orthod 58(4):343-350, 1988.

13. Balciunas BA, Stahling LM, Parente FJ. Quantitative electromyographic response to therapy for myo-oral facial pain: A pilot study. J Prosthet Dent 58:366-369, 1987.

14. Isberg A, Widmalm S, Ivarsson R. Clinical, radiographic, and electromyographic study of patients with internal derangement of the temporomandibular joint. Am J Ortho 88(6)453-460, 1985.

15. Griffin JD. How to build a great relationship with the laboratory technician: Simplified and effective laboratory communications. Contemp Esthet 10(7):26-34, 2006.

16. Colonna M. Crown and veneer preparations using the Er,Cr:YSGG Waterlase hard and soft tissue laser. Contemp Esthet Rest Pract 10:80-86, 2002. 17. Bengel W. Mastering Dental Photography Hanover Park, IL: Quintessence Pub.;2002.

18. Magne P, Belser U. Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach. Hanover Park, IL: Quintessence Pub.; 2002.

19. Ludwig K. Studies on the ultimate strength of all-ceramic crowns. Dent Laboratory 39:647-651, 1991.

20. Kanca J. Improving bond strength through acid etching of dentin and bonding to wet dentin surfaces. JADA 123:35-44, 1992.

21. Garg AK. Practical Implant Dentistry (1st ed.). Dallas, TX: Taylor Publishing; 2007.

22. Tingey EM, Buschang PH, Throckmorton GS. Mandibular rest position: A reliable position influenced by head support and body posture. Am J Orthod Dentofac Orthop 120(6):614-622, 2001.

23. Pully ML, Carr S. Solving the pain puzzle: Myofascial pain dysfunction (3rd ed.). Albuquerque, NM: TMData Resources; 1997. 24. Shankland WE . Temporomandibular disorders: Standard treatment options. Gen Dent 52(4):349-355, 2004.

 

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Comparing Prices Of Breast Augmentation Abroad Online

Cosmetic-plastic-surgery.info offers online tool to compare prices of breast augmentation abroad. The website is dedicated to offering comprehensive information on cosmetic plastic surgery. For one of the most popular procedures, breast enhancement, the website provides online list of price comparisons from 46 surgeons and more than 20 clinics, the chance to see average procedure prices from clinics in Breast Augmentation - Breast Implantsthree countries and more.

“Prices are the main reason why people go abroad for breast augmentation surgery,” says Pavel Hilbert, managing partner of Cosmetic-plastic-surgery.info. “In this current economic crisis; we think more people will go abroad in order to see their cosmetic surgery dreams realized.”

“Our prices are averaged from the middle costs and don’t include the highest and lowest prices,” explains Hilbert. “This makes for a more accurate view and the visitor can see exactly what is included for each price.”

For example, on the portal you can learn that the prices for breast augmentation in the Czech Republic (average price around 1200 EUR) are about 30% lower than in Poland (average price around 2500 EUR); while in Croatia (average price around 3200 EUR) they are more than twice as high as in the Czech Republic. The same goes for Germany where prices are also approximately twice as high. But Hilbert cautions not to make your decision based on price alone. He says the most expensive doesn’t mean the best; while the cheapest doesn’t mean the worst; it all depends on the surgeon.

“Prices are affected by the type of implant used and doctors vary in which brands they prefer,” says Dr. Libor Kment from Esthé plastická chirurgie, a.s. “Costs can also vary due to the surgeon’s fee; number of days in hospital; the type of anesthesia used plus the consultation fee.”

Online comparison of breast augmentation prices at Cosmetic-plastic-surgery.info makes it possible for consumers to do their research online before making any major decision regarding breast enhancement.

www.Cosmetic-plastic-surgery.info provides information about cosmetic plastic surgery abroad and presents it to the general public in Czech, English, German, Russian and more languages.

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Surgicare Reports Rise In The Number Of Male Breast Reduction Enquiries

SurgiCare, one of the largest cosmetic surgery networks in the UK, has released figures that show the number of men enquiring about breast reduction surgery (gynaecomastia) has risen dramatically in the past year.

Data released by the cosmetic surgery company shows that the number of male breast reduction enquiries made at SurgiCare clinics has trebled in January 2009 compared to January 2008.

SurgiCare’s findings are supported by figures from the British Association of Aesthetic Plastic Surgeons (Baaps), which reveal that a total of 323 male breast reduction cosmetic surgery procedures were carried out in 2008, up 44% from 2007.

SurgiCare’s data implies that British men are becoming increasingly concerned about their appearance, with problems ranging from classical cases of gynaecomastia, to breasts enlarged by deposits of fat over the pectoral muscles.

While it is possible that increasing numbers of men are simply becoming obese in the UK and insist on taking a surgical shortcut, many Baaps members insist that this is not the only reason for the rise in male breast reduction procedures. Some Baaps members point to hormonal imbalances, such as pubertal gynaecomastia, where excessive breast tissue is developed in adolescent boys, as another possible widespread cause of the ailment. SurgiCare also believes that genetic disorders such as Klinefelter’s Syndrome, where a man has an extra ‘X’ chromosone, can contribute to excessive breast tissue while gynaecomastia can sometimes be an unfortunate side effect of drugs prescribed for the treatment of prostate cancer.

According to cosmetic surgery experts, one of the key factors in the rise of male breast reduction operations is simply increasing awareness by men with regards to their appearance and feeling the pressure to always look good, when, in the past, such issues were more commonly felt by women.

About SurgiCare
SurgiCare is one of the largest and most respected cosmetic surgery networks in the UK. SurgiCare was established more than 16 years ago by a leading professor of surgery, now its medical director, who also chairs its in-house Medical Advisory Committee.

As one of the leading UK specialists in cosmetic treatments, SurgiCare has the experience, latest therapies and the caring, professional staff to enhance a patients self-confidence by improving appearances. SurgiCare prides itself on providing an unrivalled aftercare service with all surgeons registered on the General Medical Council Specialist Register, to ensure every patient receives the best possible standard in care and results.

SurgiCare has helped more than 20,000 patients fulfil their dreams of looking and feeling their best. SurgiCare also specialise in weight loss surgery with a unique 24 month support programme and lifetime aftercare.

Image courtesy of dailymail.co.uk.

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Surgicare Opens New Flagship London Clinic

SurgiCare, one of the UKs largest cosmetic surgery providers, has announced the opening date of the latest addition to its growing network of clinics in London.

The flagship London clinic will be opening at 58 Wimpole Street on Tuesday 3rd March, and to mark the occasion, SurgiCare will be holding an open day offering free live non-surgical demonstrations, goody bags, expert advice on cosmetic and non-surgical treatments and discount offers.

The cosmetic surgery giant which managed to boast a 40% overall increase of patients compared with last year, has chosen to open a new clinic in London to meet the rapidly growing demand for cosmetic procedures in the area. The clinic will offer one of the most experienced teams of surgeons, doctors and nurses in the business to consult and provide advice on the latest treatments and procedures.

Mark Bury, CEO at SurgiCare said: “Cosmetic surgery is becoming more and more popular and this increase in demand is mirrored by the need to increase our spread of clinics in the UK. We’ve got a busy schedule of new clinic openings planned for 2009, London being one of the first.”

Nick Percival, consultant plastic surgeon will be on hand at the open day to discuss brand new procedures in breast augmentation and general developments in cosmetic surgery, alongside, Jonquille Chantray, SurgiCare’s non surgical director to discuss the latest leading edge non surgical cosmetic treatments.

About SurgiCare
SurgiCare is one of the largest and most respected cosmetic surgery networks in the UK. SurgiCare was established more than 16 years ago by a leading professor of surgery, now its medical director, who also chairs its in-house Medical Advisory Committee.

As one of the leading UK specialists in cosmetic treatments, SurgiCare has the experience, latest therapies and the caring, professional staff to enhance a patients self-confidence by improving appearances. SurgiCare prides itself on providing an unrivalled aftercare service with all surgeons registered on the General Medical Council Specialist Register, to ensure every patient receives the best possible standard in care and results.

SurgiCare has helped more than 20,000 patients fulfil their dreams of looking and feeling their best. SurgiCare provides the highest standards of treatment for all surgical procedures like breast enhancement as well as nonsurgical cosmetic treatments like dermal fillers and skin rejuvenation.

Surgicare also specialises in weight loss surgery with a unique 24 month support programme and lifetime aftercare.

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Almost 1000 Breast Augmentation Before/After Photos Online

Cosmetic-plastic-surgery.info, which provides information about cosmetic plastic surgery abroad, believes before/after photos are an important tool when making a decision on which surgeon to trust for your breast augmentation procedure. The website currently provides one of the largest breast augmentation before/after photo banks on the web. Almost 1000 before and after breast augmentation pictures from many doctors can be found at Cosmetic-plastic-surgery.info.

Pavel Hilbert, managing partner of Cosmetic-plastic-surgery.info, an information portal about cosmetic Breast Augmentation - Breast Implantsplastic surgery abroad, says some doctors prefer not to put photos of their work online in order to avoid promoting plastic surgery to youth. In some places, like Germany, it is illegal to show before/after photos until you have been contacted by a potential client.

“Most patients want to see photos and base their decision to contact a particular surgeon on their photo results,” says Hilbert. “Many doctors however think it’s more of a marketing tool and not exactly representative of a surgeon’s work as, of course, they’ll only publish their best samples.”

And what about the unrealistic expectations that so many cosmetic plastic surgeons have to contend with? The results of breast augmentation depend a lot on a body type; and wanting to replicate the look in a beautiful photo may not always be possible.

The purpose of the breast augmentation before/after photos at Cosmetic-plastic-surgery.info is to offer visitors another tool for their research. Use it, but don’t forget to take all potential surgery issues under consideration.

www.Cosmetic-plastic-surgery.info provides information about cosmetic plastic surgery abroad and presents it to the general public in Czech, English, German, Russian and more languages.

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Drug Rehab – What Are Your Options

Options for drug rehab unveiled for the U.S. There are many different types of addictions out there.

Depending on what type of addiction you or your loved one is dealing with will depend on what type of treatment you are going to want to get. For example if you are addicted to alcohol you are going to want to go to an alcoholism treatment center. If you are dealing with a drug problem you are going to want to get help from a Drug Rehab facility.

There are a variety of different drugs that one can be addicted to. Not only can people get addicted to illegal drugs but also prescription drugs. More and more often it is occurring that people are getting addicted to prescription drugs because they can get them more often from their doctors.

Some people don’t even realize that they are addicted until it is too late. Some people get addicted by accident. For example they have a variety of surgeries one after another for one thing or another that causes them to be on prescription drugs for a long period of time.

Things that family members might start noticing are that your loved one keeps more to them self. They stop doing the things they use to love doing. They don’t hang out with friends anymore. They might start hanging out with people you would rather not have them hang out with. They start lying about things or making excuses for their behavior. They may also start acting sick a lot or saying they are in pain all of the time. The reason for this is so they can get prescription drugs from the doctor.

If you are seeing these signs or realize that you are doing these things yourself it might be time that you start looking into what is going on in yours or your loved ones life. This will help you to determine if there is a drug problem or not. In some circumstances the person that is being accused of having an addiction problem will not come out and admit that they have a problem. If this happens then you will probably need to get some more people involved and try to get down to what exactly is going on.

Once you have decided to get your loved one some help you will want to make sure that you look into all of your options. You will want to think about the pros and cons of every option available to you. You will want to make sure that you take into account how your loved one might react if they have to be put in a drug rehab facility. When you are looking at different drug rehab facilities you will want to make sure that you look at every aspect of what is involved. You will want to look at the different facilities and what type of staffing and activities they involve. You will want to look at where they are located at. Even if they are located in another state than which you live. Getting some one that has an addiction out of their own comfort zone may be a good thing depending on the circumstances. The reason for this is they might take it as they are starting over fresh. They may feel more like they are starting over new if they are not in their normal surroundings.

These are just some of the different things that you will want to take into consideration. When you are looking into taking the first step make sure that you really do some research about what type of help is out there beyond what you can do at home. Make sure that you get all of your questions answered.

About the Author: Chauntel Greenwald has been writing articles for years now. She loves what she does. She has done a lot of articles in the past about drug rehab. Over the years she has been able to learn a lot about drug rehab facilities which helps her to better understand the information that people who are searching for help are looking for.

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Medical Record Portable Storage Supports International Health Level Seven (HL7) Standards

Med Records to Go(tm) stores health information vital to medical professionals and emergency responders. A computer application called Med Records to Go(tm), that stores electronic medical records, can help reduce errors in emergency conditions, as well as in hospital or medical clinic admissions. Introduced by the Vital Record Corporation in November, 2006, Med Records to Go(tm) uses flash drive technology to record and store health information for emergency viewing by medical personnel and for electronic transmission to medical facilities using HL7 standards.

A new feature of the application allows electronic transmission of the stored medical records on the flash drive to medical facilities or offices in Clinical Document Architecture (CDA) format of the international HL7 standards. (See www.hl7.org). For electronic transmission of the CDA document, the application includes simple entry of the Internet address of the destination hospital or medical facility. If the stored medical records of the portable unit contain a digital photograph of the owner, it is included in the CDA document and in the transmission to a medical facility.

This new feature also includes the application option of creating and previewing the CDA document on the flash drive. A simple button click of the application automatically starts the installed Internet Browser (Internet Explorer, Mozilla Firefox, etc.) of the computer system for previewing the CDA document. In similar manner, the CDA XML source code can be previewed automatically with the installed system browser.

All software, controls, transmission features, and electronic medical records of Med Records to Go(tm) are contained in the portable storage unit. A temporary Internet connection is required to transmit a CDA medical record document to a medical facility or office. Otherwise, the health information is kept private and secure and not vulnerable to access on the public Internet. For additional security, the medical information stored on the portable unit is encrypted and cannot be read using any other application.

The additional cell phone feature of Med Records to Go(tm) incorporates the transmission of electronic medical records from the storage unit to a standard cell phone. A temporary Internet connection is also required to send the medical data in encrypted form to the Vital Record Corporation server before placement on the cell phone. In addition to data encryption, user identification and password controls are used for retrieving the medical data from the Vital Record server for storage on a cell phone.

Emergency medical personnel have immediate access to the health information because the information is automatically displayed (auto run) when the storage unit is plugged into the computer. Medical personnel can view the medical information by browsing the various pages contained within the storage unit. No special application knowledge is required for viewing the data since the standard Internet browser installed in the computer is used. Optionally, the health information of the storage unit can be transmitted by emergency personnel to any medical facility that supports the international HL7 standards.

About Vital Record Corporation
Vital Record Corporation, headquarted in San Diego, California, is comprised of a small team of computer science experts. They provide application development, web site design and implementation services, including internet access services, to individuals and small businesses. The Vital Records team members are developers of the recent Med Records to Go(tm) application, a device that stores electronic medical records and other vital health information.

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Who Is Pee Dee?

The recent Frontline special “My Father, My Brother, and Me” explored the effect that Parkinson’s disease (PD) has on the children of PD patients, a topic also explored in a recently published book by Parkinson’s in the Park founder Kay Mixson Jenkins.

Ms. Jenkins was diagnosed with PD at the age of thirty-four and has been an advocate for research and patient support since. Her book, Who Is Pee Dee? Explaining Parkinson’s Disease to a Child, addresses the impact the disease has on the relatives of those with PD—especially their children.

Talking with a child about a disease that manifests itself through physical symptoms can be difficult because of the mental toll it also takes on a family. It’s a conversation that more and more people are having with their kids. More than six million people worldwide have been diagnosed with PD, and one in ten patients diagnosed are under the age of fifty.

In Who Is Pee Dee?, Ms. Jenkins uses a stuffed Panda bear named Pee Dee and a boy named Colt to answer many of the most common questions that kids have about the chronic illness:

• What is Parkinson’s disease?
• Why is Mommy or Daddy upset?
• What can I do to help?
• Why is Mommy moving slowly?

“As I’ve gotten older,” says Ms. Jenkins, “the disease has progressed. There will come a day when I’ll have to use a cane or a wheelchair, but I am determined to make my grandchildren proud of their ‘Muffin.’ I’m not going down without a fight.”

Ms. Jenkins says that it is crucial for people living with Parkinson’s to have resources to help them adjust to their new lives. Who is Pee Dee? includes pages of resources for adults, including websites, support groups and more.

Kay Mixson Jenkins is the Georgia state co-coordinator for the Parkinson’s Action Network, leads the Effingham County Parkinson’s support group and was selected as a Parkinson’s patient advocate for UCB, Inc.

For more information, contact the author directly via kmj@parkinsonsinthepark.org.

(Who Is Pee Dee? Explaining Parkinson’s Disease to a Child by Kay Mixson Jenkins; illustrated by Richard Morgan; ISBN: 978-0-9819129-0-5; $12.95; 33 pages; 8” x 8”; hardcover; UCB, Inc.)

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There Are Pearls In The Pain of Every Experience

Former Child Bride/Teenage Wife/Mother Realizes the American Dream: You Can Make It if You Try. Dr. Trevicia Williams’ stirring bounce back book, There Are Pearls In The Pain of Every Experience: Spiritual Truths about Life’s Experiences (ISBN: 0-9743519-0-3), cuts to the chase about her life as an African American teenager in an arranged marriage to a man of European descent in the United States. It’s about currents of faith, hard decisions and perseverance and ways to bounce back from near life shattering experiences.

Trends in the United States show Mississippi as the state with the highest rate of teenage pregnancies. However, Houston (Texas), the fourth most populous city in the U.S. is probably the last place one would expect to find a 13 year old African American girl facing discussions about an arranged marriage, and, at 14 years of age in an arranged marriage to a man of German descent 12 years her senior. That’s exactly where Dr. Trevicia Williams’ arranged marriage happened, and, at the age of 15 she became pregnant and gave birth to her daughter just before her sixteenth birthday.

How she survived an incredible start is in There Are Pearls In the Pain of Every Experience: Spiritual Truths about Life’s Experiences. It’s about being caught between childhood and forced adulthood, and having to make some very difficult choices: Taking high roads out of some very low places. Dr. Williams takes readers on a subtle journey between having to create a support system, being a child herself while being a responsible parent to her child. It’s about faith and adversity and Dr. Williams’ use of inner strengths. “I’m amazed when I hear the life stories of young women auditioning for shows like True Beauty and American Idol. Success requires an awareness of inner strengths and greatness, and, it is during the moment of decision that the course of life is determined, or, at the very least, the next experience” says Dr. Trevicia Williams.

About the Author
Dr. Trevicia Williams is a psychologist, trainer and speaker with over a decade of academic studies in human behavior. She earned a Bachelor’s degree from the University of Houston-Downtown, Master’s degree from the University of Houston-Clear Lake and Doctorate degree from Walden University. Dr. Williams’ passion for helping women optimize their potentials takes her into community based organizations speaking to girls and women about overcoming adversities. It also inspires her to travel across the U.S. with motivational, inspirational and educational conferences. Dr. Williams is a woman of titanium faith: Although Lakewood Church of Houston, Texas, Pastor Joel Osteen, is the church that she still calls her “home church,” she also enjoys worship at Northland Church, where Dr. Joel Hunter is the Senior Pastor, community in Orlando/Longwood, Florida.

Via EPR Network
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The launch of the health site OmegaLifeLine.com boosts about all the health benefits of omega fatty acids and essential oils.

With consumer trepidation, it is great to see a site so dedicated to exploring the real health benefits of essential fatty acids. History tells us that during a weakening economy many people will suffer from poor eating habits as their buying patterns change.

Families will choose more budget conscious meals which may mean that they will save money in the short run, however if we take a step back and look at the long term picture it could equate to a more significant loss in the future.

As individuals health worsens (the culprit being a poor diet), society can expect to see a greater strain on an already taxed medical system. These individuals put themselves and their families at risk of more serious ailments. Diseases which could drastically reduce or end a families income.

Education is power and Omega Life Line is poised to educate men, women and teens about the necessity of consuming ‘healthy fats’. The modern diet is extremely unbalanced in the ratio of omega 3’s to omega 6’s. And that is a very dangerous and avoidable position for any person to be in.

Creator of the site Samantha Criddle explains, “everyday people are looking for miracle solutions to cure all their problems and sometimes it’s simpler than what they expected. The health benefits of omega oils are tough to ignore”.

What many people don’ t realize is that the body cannot manufacture the essential fatty acids that it requires to maintain proper body health and function. And that’s where people get into trouble. In understanding where to source healthy, nutrient rich omega oils, people can empower themselves and realize a healthier lifestyle.

For more information on omega oils we invite you to visit www.omegalifeline.com.

Via EPR Network
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