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Introduction Small intestinal bacterial overgrowth (SIBO) is an excessive amount of abnormal bacteria in the small intestine. (4) Symptoms associated include abdominal discomfort, distention, bloating, dyspepsia, flatulence, belching, fatigue, nausea, [...], Small intestinal bacterial overgrowth (SIBO) is one of the leading causes of irritable bowel syndrome (IBS) and presents with a range of intestinal and extraintestinal symptoms that impair quality of life. (1) Prescription standards of care, which include oral antibiotics such as rifaximin or metronidazole, have shown variable success and have proven to be economically unfavorable. This case report involves the successful treatment of hydrogen-positive SIBO with a broad-spectrum antimicrobial approach incorporating the use of berberine, oregano, neem, (23) and a specific carbohydrate low FODMAP diet with marked reduction of gastrointestinal symptoms, improved Bristol stool chart, and improved integumentary symptomatology.

Introduction Menisci are fibrocartilaginous structures composed primarily of type 1 collagen that are located in all articular surfaces throughout the body. In the knee, the lateral and medial menisci cover [...], Introduction: Meniscal tears can occur from excess rotation on the knee or degeneration associated with aging. Diagnosis is made by MRI and the standard of care is surgical repair. In this case, we consider the role of low-level laser therapy (LLLT) in the treatment of a torn meniscus. Patient Information: XX is a 75-year-old female who presents with pain, swelling, and buckling in the right knee after walking downhill. Clinical findings: McMurray's exam was positive on the right knee, indicating torn meniscus. All other tests performed were negative. Diagnostic assessment: MRI was not possible. We diagnosed a torn meniscus by orthopedic testing. Given treatment compliance, we expect a good prognosis. Therapeutic Intervention: Our primary treatment was LLLX for 15 minutes every week. Other treatments included curcumin, icing the knee, use of a knee brace, castor oil, and glucosamine sulfate. Outcomes: After three treatments, orthopedic testing revealed 20% improvement and after four treatments, the patient-rated improvement was 5-10%. Future Considerations: We hope to obtain an MRI to confirm our diagnosis. Conclusion: LLLT has shown promise in reducing symptoms of a torn meniscus.

Introduction: Meniscal tears can occur from excess rotation on the knee or degeneration associated with aging. Diagnosis is made by MRI and the standard of care is surgical repair. In this case, we consider the role of low-level laser therapy (LLLT) in the treatment of a torn meniscus. Patient Information: XX is a 75-yearold female who presents with pain, swelling, and buckling in the right knee after walking downhill. Clinical findings: McMurray’s exam was positive on the right knee, indicating torn meniscus. All other tests performed were negative. Diagnostic assessment: MRI was not possible. We diagnosed a torn meniscus by orthopedic testing. Given treatment compliance, we expect a good prognosis. Therapeutic Intervention: Our primary treatment was LLLT for 15 minutes every week. Other treatments included curcumin, icing the knee, use of a knee brace, castor oil, and glucosamine sulfate. Outcomes: After three treatments, orthopedic testing revealed 20% improvement and after four treatments, the patient-rated improvement was 5-10%. Future Considerations: We hope to obtain an MRI to confirm our diagnosis. Conclusion: LLLT has shown promise in reducing symptoms of a torn meniscus. [ABSTRACT FROM AUTHOR]

The demand for Home Equity Conversion Mortgage (HECM) insurance demonstration is evaluated by analyzing the attributes of participating borrowers, their properties and the types of payment options chosen. HECM insures lenders against the risks associated with new mortgage lending programs, particularly reverse mortgages. The results showed a strong demand for reverse mortgages among 'house-rich, cash-poor' elderly homeowners. However the growth of the program was hindered by lack of qualified housing counselors and other legal and regulatory factors., Lenders Lenders Number Aggregate Originally Currently of Loan Type of Lender Authorized Active(1) Loans(2) Balance(3) Mortgage Bankers and Subsidiaries(4) 33 36 2,120 $41,175,395 Banks and Thrift Institutions 14 14 250 [...]

This paper compares housing price indices estimated using three models with several sets of property transaction data. The commonly used hedonic price model suffers from potential specification bias and inefficiency, [...]

The results presented were developed as part of a larger project analyzing the behavior of full-scale laterally loaded piles in liquefied soil, the first full-scale testing of its kind. Presented here are the results of a series of full-scale tests performed on deep foundations in liquefiable sand, both before and after ground improvement, in which controlled blasting was used to liquefy the soil surrounding the foundations. Data were collected showing the behavior of laterally loaded piles before and after liquefaction. After the installation of stone columns, the tests were repeated. From the results of these tests, it can be concluded that the installation of stone columns can significantly increase the density of the improved ground as indicated by the cone penetration test. Furthermore, it was found that the stone column installation limited the excess pore pressure increase from the controlled blasting and substantially increased the rate of excess pore pressure dissipation. Finally, the stone columns were found to significantly increase the stiffness of the foundation system by more than 2.5 to 3.5 times that in the liquefied soil. This study provides some of the first full-scale quantitative results on the improvement of foundation performance due to stone columns in a liquefiable deposit.