Telli V. Broward County-A Misunderstanding Of County Home Rule And An Abridging Of The Status Of The Constitution\u27s County Officers Who Are Not The Charter\u27s County Officers

When a state’s court of last resort renders an opinion that abridges, ignores, and renders meaningless an express provision of that state’s constitution, then that court shall have itself effectuated an amendment to its constitution erroneously and without the approval and longstanding support of the electors of that stat

Telli v. Broward County—A Misunderstanding of County Home Rule and an Abridging of the Status of the Constitution’s County Officers who are not the Charter’s County Officers

When a state’s court of last resort renders an opinion that abridges, ignores, and renders meaningless an express provision of that state’s constitution, then that court shall have itself effectuated an amendment to its constitution erroneously and without the approval and longstanding support of the electors of that stat

The efficacy of prolotherapy for lateral epicondylosis: a pilot study,”

Abstract Objectives To assess whether prolotherapy, an injection-based therapy, improves elbow pain, grip strength and extension strength in patients with lateral epicondylosis. Setting Outpatient Sport Medicine clinic. Study Design Double-blind randomized controlled trial. Participants Twenty-four adults with at least 6 months of refractory lateral epicondylosis. Intervention Prolotherapy participants received injections of a solution made from 1 part 5% sodium morrhuate, 1.5 parts 50% dextrose, 0.5 parts 4% lidocaine, 0.5 parts 0.5% sensorcaine and 3.5 parts normal saline. Controls received injections of 0.9% saline. Three 0.5mL injections were made at the supracondylar ridge, lateral epicondyle and annular ligament at baseline, 4 and 8 weeks. Outcome Measures The primary outcome was resting elbow pain (0-10 Likert scale). Secondary outcomes were extension and grip strength. Each was performed at baseline, 8 and 16 weeks. One-year follow-up included pain assessment and effect of pain on activities of daily living. 2015-11-07, 2:56 PM The efficacy of prolotherapy for lateral epicondylosis: A pilot study Page 2 of 11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2751593/ Go to: Go to: Results The groups were similar at baseline. Compared to Controls, Prolotherapy subjects reported improved pain scores (4.5±1.7, 3.6±1.2 and 3.5±1.5 versus 5.1±0.8, 3.3± 0.9 and 0.5±0.4 at baseline, 8 and 16 weeks, respectively); at 16 weeks, these differences were significant compared to baseline scores within and between groups (p<.001). Prolotherapy subjects also reported improvement extension strength compared to Controls (p<0.01) and grip strength compared to baseline (p<0.05). Clinical improvement in Prolotherapy subjects was maintained at 52 weeks. There were no adverse events. Conclusions Prolotherapy with dextrose and sodium morrhuate was well tolerated, effectively decreased elbow pain and improved strength testing in subjects with refractory lateral epicondylosis compared to Control injections

Gender differences in non-obstructive coronary artery disease

Subjects affected by ischemic heart disease with non-obstructive coronary arteries constitute a population that has received increasing attention over the past two decades. Since the first studies with coronary angiography, female patients have been reported to have non-obstructive coronary artery disease more frequently than their male counterparts, both in stable and acute clinical settings. Although traditionally considered a relatively infrequent and low-risk form of myocardial ischemia, its impact on clinical practice is undeniable, especially when it comes to infarction, where the prognosis is not as benign as previously assumed. Unfortunately, despite increasing awareness, there are still several questions left unanswered regarding diagnosis, risk stratification and treatment. The purpose of this review is to provide state of the art update on the current evidence available on gender differences in clinical characteristics, management and prognosis of ischemic heart disease with non-obstructive coronary arteries, both in the acute and stable clinical settings