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Hemoglobin 7gm/100ml or less, with find (4) Wide local excision (including ings such as dyspnea on mild exertion, partial mastectomy, cardiomegaly, tachycardia (100 to 120 lumpectomy, tylectomy, beats per minute) or syncope (three epi segmentectomy, and sodes in the last six months). Otherwise rate as anemia (code 7700) or Cases of symptomatic sickle cell trait will be forwarded to aplastic anemia (code 7716), whichever the Director, Compensation and Pension Service, for con would result in the greater benefit. If there has been no local recur myelosuppressants and for three months rence or metastasis, rate on residuals. Note (5): the characteristic(s) of disfigure ment may be caused by one scar or by Rat multiple scars; the characteristic(s) re ing quired to assign a particular evaluation need not be caused by a single scar in 7800 Burn scar(s) of the head, face, or neck; order to assign that evaluation. With visible or palpable tissue loss and ei Note (2): If multiple qualifying scars are ther gross distortion or asymmetry of one present, or if a single qualifying scar af feature or paired set of features (nose, fects more than one extremity, or a single chin, forehead, eyes (including eyelids), qualifying scar affects one or more ex ears (auricles), cheeks, lips), or; with two tremities and either the anterior portion or or three characteristics of disfigurement. The midaxillary line on each Skin hypo or hyper pigmented in an area side separates the anterior and posterior exceeding six square inches (39 sq. The midaxillary line on each 7808 Old World leishmaniasis (cutaneous, Oriental side separates the anterior and posterior sore): portions of the trunk. Three or four scars that are unstable or 7809 Discoid lupus erythematosus or subacute cu painful. If treatment is con 7802, 7803, 7804, or 7805), depending fined to the skin, the provisions for a 100 upon the predominant disability. If treatment is confined to the vascular involvement, mental disturbance (de skin, the provisions for a 100 percent mentia, slowing of thought, depression), evaluation do not apply.

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Protection Policy and makes a 12 months has passed since his benefit starts claim. Jim is 33 Jim is 39 Jim is 41 years old years old years old the above is an example for illustrative purposes only and the outcome for you will depend on your circumstances and the terms applicable to your policy. For Business Safeguard Option: 19 60 Benefit(s) Feature(s) Option(s) Expiry age (insurance expires on Life Cover Benefit Increases without the policy anniversary after Terminal Illness Page 61 further medical Support insurance reaching the age noted below) evidence Page 62 Outside super: 100 Pages 59 61 Terminal Illness Business Safeguard Inside super: 74 (at which time a Economiser Benefit Option conversion option is available to continue Page 59 as a non super policy, which expires at the Page 62 Pages 53 54 Review Date after age 100). Benefit insurance Page 39 Pages 52 53 Pages 62 and 65 For Terminal Illness Support insurance: 65 Advance Death For Business Safeguard Option: 65. Page 53 Financial Planning Minimum sum insured Outside Benefit Super $25,000 Page 59 Maximum sum insured No general maximum, but special terms may apply for benefits greater than $15 million. Extension to Life Cover: 74 (at which time a conversion option is available to continue You can also package Any and Own Occupation insurance cost effectively as a non super policy, which expires at the Review Date after age 100). Minimum sum insured From the Policy Review Date after you turn 65, the definition used to assess your claim will change to Loss of Independence $25,000 Loss of Maximum sum insured Independence After age 65, your eligibility to be paid a benefit will be assessed on non work based criteria. Expiry age (insurance expires on the policy anniversary after Your critical illness definitions will only change where we improve them reaching the age noted below) in your favour. Critical Illness insurance settings you choose There are no settings for Critical Illness insurance. In the case of a surgical Plus: condition, confirmation that the surgery 3 months has been performed will be required.

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Third degree or incapacitating dysmenorrhea has ity of the internal female genital organs. Du tions have shown that in about 10% of cases with a ration: in most cases the pain starts a few hours or half a negative clinical examination, laparoscopic visualization day before the beginning of the blood flow, and usually of the internal genitalia may detect endometriotic le lasts less than one day. Associated Features With third degree primary dysmenorrhea there may be Code nausea, vomiting and/or diarrhea. X7b Usual Course Reference Primary dysmenorrhea may disappear spontaneously Andersch, B. The Lower abdominal pain due to foci of ectopic endo ectopic tissue may grow on the surface of the perito metrium located outside the uterus (endometriosis ex neum or it may become buried in a fibrous capsule. The pain may start as secondary dysmenorrhea; it may later become premenstrual as well as menstrual, or Site may become continuous. The pain due to endometriotic the pain may be located in one or in both iliac fossae or foci is usually alleviated by pregnancy. Subocclusion or Prevalence: the frequency with which endometriosis is occlusion of the small or the large intestine is possible found depends on the circumstances in which it is but infrequent. It was found in 15 and 20% of two different se in an ovary may cause an acute abdominal emergency ries of laparoscopies, but, on the other hand, it was due to irritation of the peritoneum by the old blood flow found in 50% of a large series of laparotomies. The ectopic foci Pathogenesis are located either in the pouch of Douglas or on the ova Retrograde menstruation, i. This seems to be the rather seldom they infiltrate the bladder wall or the wall pathogenetic mechanism in most cases of endometriosis. Age of Onset: It used to be thought that However, it does not explain all the possible locations of endometriosis usually develops in the late twenties or in the foci. Tiny fragments of menstrual endometrium may the thirties, but since more laparoscopies have been per be carried away by lymphatics and, more rarely, by formed on younger patients it has been found rather fre veins of the endometrium. Symptoms: In Diagnostic Criteria some 30 to 40% of patients with endometriosis there are the history and the findings on clinical examination will no complaints except perhaps infertility. When any doubt re symptom of endometriosis is pain; it may manifest itself mains, a therapeutic trial with cyclic estroprogestogens as dysmenorrhea, as premenstrual pain with menstrual will alleviate the pain in 8 of 10 cases. Lesions located in the inspection of the pelvic cavity has been used rather fre pouch of Douglas may provoke firm adhesions between quently in recent years to verify the diagnosis and to the anterior wall of the rectum and the posterior vaginal evaluate the extent of the lesions. Acute pain episodes in wall; this location may cause pain on defecation during the right iliac fossa due to endometriosis may be mis menstruation. Recurrent episodes of lower ab fixed uterine retroversion due to endometriotic adhe dominal pain, tenderness, and a slight fever may sions frequently cause deep dyspareunia. Endometriotic erroneously be taken for recurrent pelvic inflammatory foci that penetrate into or through the bladder wall may disease.

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When nerve roots are actually impinged, traction may have a beneficial effect by Rationale/ Theoretical Mechanism widening the intervertebral foramen and decreasing spasms that may be the cause the main purpose of mechanical traction is of compression. Some investigators report to reduce signs or symptoms of spinal increased fluid in the nucleus pulposus from compression. Traction separates vertebral bodies, Typically in a relative forward bending resulting in reduced intradiscal pressure and direction, traction will increase the superior a straightening of the spinal curves. In the 195) to be of benefit in patients with cervical case of sustained traction, the stretch reflex radiculopathy. According to the guidelines of the muscle spindle is silenced, relieving presented by the Philadelphia Panel (2001) the muscle guarding. The vertebral separation which occurs during traction may assist in treating disc Zylbergold (1985) demonstrated a lesions by decreasing intradiscal pressure significant improvement in cervical flexion and increasing the superior inferior and right rotation following cervical traction dimension of the intervertebral foramen. In in patients with whiplash; however, no addition, tightening the annular fibers and difference in symptomatic outcome was the posterior longitudinal ligament may demon strated. Patient selection is partially based on the competency of the patient in following instructions. Cervical Traction Page 11 of 13 Stabilization is provided by a head strap Requires the use of a halter and is often and posterior pads that are tightened applied incorrectly with the patients back against the occiput and the mastoid to the door which results in the head processes. The instructions and demonstrate in front of the practitioner can use the pneumatic practitioner. The patient should sit facing the gauge to get a visual read on the door and try an initial weight of 8 pounds for amount of desired traction. The angle of the rope is about 20 30 Neck may be flexed for positioning degrees from the vertical. A study of tractive forces and a ngle of pull on vertebral i nterspaces in the cervical sp ine. Intermittent cerv ical tracti on for cervical radiculopathy caused by large volume herniated disks. Comparison of electromyographic activity in normal lumbar sacrospinalis musculature during continuous and intermittent pelvic traction. Evide nce based clinical guidelines on selected rehabilitation interventions for nec k pain. The efficacy of traction for back and neck pain: a systematic, blinded review of randomized clinical trial methods. Resist stress Organize tissues Connective Tissue Immunity Metabolic Bacterium Fat cell Macrophage Connective tissue serves a number of important functions. It provides mechanical support to tissues and organs allowing them to resist tension and compression.

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