Raleigh launches Tamland gravel race bikes

Even with its high-end drivetrain, the Tamland 2 is on the heavy side. We didnt get an exact weight as the only bikes available were non-ridable pre-productions, but we would estimate the weight at approaching 25 pounds. A wheel upgrade and swapping the steel fork for something carbon could shed a few pounds, but when staring at 200 kilometers of gravel, durability and ride feel trump weight. The Tamland 2 will retail for $2,400.
Full text of this article: Raleigh launches Tamland gravel race bikes

Case law says floaters had right to stop on gravel bar

Cornwall is a high-banked, quarter-mile bullring located in the northeast corner of Ontario. Ohsweken Speedway, which is owned by sprint car racer Glenn Styres, hosted the series for the first time in 2007. The series has returned to the three-eighths-mile every year since, with the event getting completely rained out in 2008. Gravel has seven top-10 finishes this season on tracks that size, including a win at I-94 Speedway in Minnesota, back in May.
Full text of this article: David Gravel Heads North of the Border for a Trio of Races

David Gravel Heads North of the Border for a Trio of Races

And they are navigable in fact when they are used or are susceptible of being used in their ordinary condition as highways for commerce over which trade and travel are or may be conducted in the customary modes of trade and travel on water.” In 1940, the case of U.S. decomposed granite houston v Appalachia Power reaffirmed and expounded upon this concept. The court essentially said that the test of navigability must be assessed on a case by case basis and added the following tenants: *In such case, it is not necessary that the improvement shall have been already undertaken or completed, nor even that it shall have been authorized. *A navigable water of the United States does not lose that character because its use for navigation in interstate commerce has lessened or ceased.
Full text of this article: Case law says floaters had right to stop on gravel bar

Baltimore Co. pain relief practice resisting probe into meningitis outbreak

7 Md. outpatient centers get subpoenas in meningitis outbreak investigation

Elisha Hawk, an attorney with the Pikesville firm Janet, Jenner & Suggs who is leading the committee’s efforts in Maryland, filed subpoenas here June 21. Baltimore Pain Management responded by asking the court to exempt it from the subpoena, saying it did not hold any documents that would be relevant to any of the claims in court and that gathering any would be overly burdensome. The practice’s attorney, Michelle Marzullo of Marks, O’Neill, O’Brien, Doherty & Kelly in Towson, declined to comment beyond what was included in the filing. Dr. Michael Gardyn, one of the practice’s providers, did not respond to a request for comment. Hawk said she plans to ask the court to uphold the subpoena, which was intended to gather information from sources that are not already parties in the lawsuit. Two of the more than three dozen clients of Janet, Jenner & Suggs said they received injections from Baltimore Pain Management in July and August of last year, she said.
For the original version including any supplementary images or video, visit http://www.latimes.com/topic/bs-hs-meningitis-probe-20130710,0,7663094.story

Pain Management Without Drugs

Education CNCP is among the most challenging problems to treat. Clinicians should seek out every opportunity to improve their clinical skills through conferences, workshops, and webinars offering continuing medical education on management of CNCP. Similarly, correctional staff with training about CNCP can become valuable team members both in terms of information about pain-related behavior and function and in collaborating on the management plan. Disparaging or mocking comments can accentuate CNCP. Conversely, a few encouraging words can motivate inmates to engage in self-management. Quality Improvement Measures Percentage of patients who complain of CNCP who have documentation of key elements of history (character, location, intensity, duration, trauma, relieving and aggravating factors, effect on function, and systematic symptoms) and appropriate physical examination and testing Percentage of patients with CNCP who are screened for depression Percentage of patients being treated for CNCP who have documentation of 4 As (including quantification of pain and function) at each visit Percentage of patients with CNCP with follow-up visit scheduled Percentage of patients being treated for CNCP who have documentation of change in treatment plan in response to lack of improvement in pain and/or function Recommended Resources to Support Evidence-Based Practice and Quality Improvement RESOURCE Interagency Guideline on Opioid Dosing for Chronic Non-cancer Pain (2010) SOURCE Washington State Agency Medical Directors’ Group URL http://www.bt.cdc.gov/coca/pdf/OpioidGdline.pdf RESOURCE Sample Doctor-Patient Agreements for Chronic Opioid Use (from the Interagency Guideline, Appendix G) SOURCE Washington State Agency Medical Directors’ Group URL http://www.bt.cdc.gov/coca/pdf/OpioidGdline.pdf RESOURCE Clinical Practice Guideline: Management of Opioid Therapy for Chronic Pain (May 2010) SOURCE Department of Veterans Affairs, Department of Defense URL http://www.healthquality.va.gov/COT_312_Full-er.pdf RESOURCE Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders. Treatment Improvement Protocol 54 (2011) SOURCE Substance Abuse and Mental Health Services Administration URL http://www.ncbi.nlm.nih.gov/books/NBK92048 RESOURCE Chronic Care Model (1998) SOURCE Developed by Ed Wagner MD, MPH, MacColl Institute for Healthcare Innovation, Group Health Cooperative of Puget Sound, and the Improving Chronic Illness Care program.
For the original version including any supplementary images or video, visit http://www.corrections.com/news/article/33697-guideline-for-disease-management-in-correctional-settings-chronic-noncancer-pain-management

Guideline for Disease Management in Correctional Settings: Chronic Noncancer Pain Management

Medically reviewed by Pat F. Bass III, MD, MPH When chronic pain sets in, most people immediately look foot pain treatment in their medicine cabinet or rush to the drugstore. But medication usually offers only temporary pain management relief it’s not going to stop the pain or cure what’s causing it. Fortunately, there are many approaches available through pain management specialists who can provide you with better pain management strategies. Pain Management: Acupuncture One of the oldest pain management techniques is the Chinese practice of acupuncture. Acupuncture uses tiny needles, placed in specific points along the body, to help alleviate chronic pain. Pain Management: Massage Massage offers therapeutic benefits for chronic pain management: From deep tissue massage to more gentle techniques, massage can help relax muscles and sore tissues and ease chronic pain.
For the original version including any supplementary images or video, visit http://www.everydayhealth.com/pain-management/physical-treatments-for-pain.aspx

Think Tanks Continue Feuding Over FHA

FHA reverse mortgage losses may require bailout

Since then representatives of AEI have been invited to present testimony primarily assailing the role and especially the recent history of FHA in meeting the nation’s housing needs at several Congressional hearings on housing finance reform. On June 20, 2013 AEI published another Gyourko paper titled ” Rethinking the FHA in which he made the following claims: FHA is a policy failure: Far too many of FHA’s intended beneficiaries fail to achieve sustainable homeownership. Between Fha Loan Interest Rates 15 and 30 percent of mortgages guaranteed by FHA since 2007 will default. FHA is a financial failure: FHA’s main mortgage insurance guarantee fund does not have sufficient funds to cover its expected losses, and its most recent actuarial review puts its net worth at a -$13.5 billion.
Full original article: Think Tanks Continue Feuding Over FHA

The Obama administration said in its fiscal 2014 budget request six weeks ago that FHA would probably need $943 million in taxpayer assistance to bolster its reserves to cover losses from loans it insures. The government’s mortgage insurer has until Sept. 30 to decide whether or not it will need the cash infusion from the Treasury, which does not require congressional approval and would be the first in the agency’s 79-year history. “It’s of great concern to us,” said Sen.
Full original article: FHA reverse mortgage losses may require bailout

South Texas Dental Announces Technology Upgrades

Pediatric Dentists in Short Supply in Fresno County

Greg Lerner of South Texas Dental. About South Texas Dental. South Texas Dental was founded in 1993 by a group of dentists with the goal of creating a professional, patient-friendly setting where families can receive quality, yet affordable dental care. Today, South Texas Dental operates 24 offices in Houston, Dallas, Fort Worth and San Antonio.
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You may be in a Medicare health plan such as Medicare Advantage (Part C) that may cover these services. Remember, that if Medicare covers a service, then you generally have to pay deductibles, coinsurances and co pays. Here are some items Medicare does not cover: Long term care, routine dental care, dentures, cosmetic surgery, acupuncture, hearing aids and exams for fitting hearing aids. Since Medicare doesnt cover dental, I would recommend that you talk to your dentist and see which dental insurance plan he/she prefers. Talk with the office manager because they know which dental plan has the most benefits or should I say gives you the most bang for your bucks. There are 2 different types of dental plans: 1) Traditional or indemnity dental insurance plans which is generally higher in premium and the preventive services are usually covered at 100 percent, basic restorative is generally covered up to 80 percent and major procedures at 50 percent. Many of the traditional/indemnity dental plans may have a wait for services such as fillings, root canals, bridges, crowns, etc.
Click for full text of TONI KING: Why doesn’t Medicare cover glasses or dental?

Cosmetic Dentist in Houston

Houston Dentists at Greenspoint Dental Extend Discount for Snap-On Dentures

Unfortunately, Fresno County health providers said finding dental care for young children will become increasingly harder in the coming months, as the state is set to enroll another 1 million children statewide in the Medi-Cal dental program in 2014 as part of the Affordable Care Act that goes into effect as of January 1. To make thing worse, the state is also going to reduce how much it will reimburse medical providers, resulting in fewer dentists willing to treat low-income children. The Pew research also found that dentists in California are aging and are not being replaced by entry level fast enough. According to the Pew Childrens Dental Campaign, 37 percent of dentists nationwide are over 55 years of age, but in California, that rate is 32.6 percent.
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TONI KING: Why doesn’t Medicare cover glasses or dental?

For patients who have an existing set of dentures that are suitable for reline, Greenspoint Dental offers snap-on dentures with four implants for only $4,995 per arch. Patients who are also looking for a new set of complete dentures can receive the dentures and four implants for only $5,995 per arch. aWeave seen a lot of patients who were embarrassed by their traditional dentures,a said Dr. Louis Bosse, the lead dentist at Greenspoint Dental. aSnap-on dentures improved those patientsa self-esteem and their lives.a There are a limited number of appointment times with this special, so interested patients are encouraged to schedule an appointment as soon as possible by either calling 281-823-9987 or visiting http://greenspointdental.com/contact-us/ to request an appointment.
Click for full text of Houston Dentists at Greenspoint Dental Extend Discount for Snap-On Dentures

Dental product manufacturer relocating to Round Rock in August

4 Fast Tech Company 2011 Houston Business Journal No. 1 Enterprise Champion 2011 Inc. Magazine No. 17 Fastest Growing Tech Companies ClearCorrect is a privately-held company that creates clear, removable braces with its only competition being Invisalign, Penketh said.
Click for full text of Dental product manufacturer relocating to Round Rock in August

Severe Drought Prompts USDA Disaster Declaration for Clark County

The area hasexperienced for more than eight weeks. Butte, Fremont, Jefferson and Lemhi counties also qualify for natural disaster assistance. All qualified farm operators in the designated areas are eligible for low interest emergencyloans from USDAs Farm Service Agency, provided eligibility requirements are met. Farmers in eligible counties have eight months from the date of the declaration to apply for loans to help cover part of their actual losses. The agencywill consider each loan application on its own merits, taking into account the extent of losses, security available and repayment ability. FSA has a variety of programs, in addition to theloan program, to help eligible farmers recover from adversity. During times of drought like Clark County is experiencing, every drop of irrigation water is worth its weight in gold,” said Aaron Johnson, Acting State Executive Director for FSA in Idaho. We hope the water holds out until the end of the growing season but want growers to know that if they suffer a loss due to the extreme drought FSA has programs in place to help. Additional programs available to assist farmers and ranchers include the Emergency Conservation Program, Federal Crop Insurance, and the Noninsured Crop Disaster Assistance Program. Interested farmers may contact their local USDA Service Centers for further information on eligibility requirements and application procedures for these and other programs.
For the original version including any supplementary images or video, visit http://www.kpvi.com/mostpopular/story/Severe-Drought-Prompts-USDA-Disaster-Declaration/Y_au59lwIEGF2UD87zbZ9Q.cspx

USDA designates 48 Wis. counties as natural disaster areas

Producers in the following counties also qualify for emergency loans because their counties are contiguous: Barron, Columbia, Dane, Door, Dunn, Florence, Forest, Jackson, Jefferson, La Crosse, Marquette, Menominee, Milwaukee, Oneida, Pepin, Portage, Price, Rusk, St. Croix, Taylor, Waukesha, Waushara, Winnebago, Wood. The counties announced in the Secretarial Disaster Designation have the opportunity to access low interest emergency loans through the Farm Service Agency (FSA).
For the original version including any supplementary images or video, visit http://www.dairyherd.com/dairy-news/USDA-designates-48-Wis-counties-as-natural-disaster-areas-215088361.html

USDA designates 24 counties disaster areas

Croix, Taylor, Waukesha, Waushara, Winnebago and Wood. Farmers in the following counties in Michigan and Minnesota also qualify for natural disaster assistance because their counties are contiguous. Those counties are: Michigan Dickinson and Menominee; and Minnesota Dakota, Goodhue, Wabash, Washington and Winona. All counties listed above were designated natural disaster areas July 3, 2013, making all qualified farm operators in the designated areas eligible for low interest emergency (EM) loans from the Farm Service Agency (FSA), provided eligibility requirements are met. Farmers in eligible counties have eight months from the date of the declaration to apply for loans to help cover part of their actual losses. FSA will consider each loan application on its own merits, taking into account the extent of losses, security available and repayment ability.
For the original version including any supplementary images or video, visit http://www.agriview.com/briefs/crop/usda-designates-counties-disaster-areas/article_c2ef660e-ea69-11e2-b289-0019bb2963f4.html