Micro Lumbar Discectomy (MLD) Spine Surgery

Since the initial description of a herniated intervertebral disc as the cause of sciatica (pain radiating down the back of the leg) in 1934, the operation to relieve this pain has undergone considerable refinement. Compression of a nerve root in the low back causes pain in the leg, back pain and sometimes dysfunction of the nerve. Usually pain begins in the low back, then radiates into the leg with tingling numbness and weakness in the leg. The cause is herniation or bulging of softened intervertebral disk material into the spinal canal compressing the overlying nerve root. In older individuals, an over-growth of bone (osteophytes) may compress the nerve. Diagnosis is dependent upon the history of pain, physical examination of the patient, and

Anatomical changes seen with CT/MR imaging of the spine :

• Pain the the back and extremity, usually the back of the leg
• Pain and limitation of raising the leg with the patient lying on his back
• Loss of sensation in the leg
• Weakness in specific muscle groups in the leg
• Loss of reflexes at the knee and ankle
• CT/MR images showing compression of a nerve root by disc material or osteophyte

Case History : Herniated lumbar disc with sciatica, pain and numbness

PS is a 30 year old housewife and mother who had experienced recurring episodes of low back pain for the past 10 years. This pain was progressively more severe for the past two years. A month before admission to the hospital she awoke with excruciating low back pain, and pain with numbness down the back of her right leg. She complained of weakness in the leg and the weakness progressed although the pain had improved.

Examination demonstrated pain when the right leg was passively elevated. There was weakness in the muscles which flexed up the foot at the ankle, numbness to pin prick over the top of the foot. The reflexes at the knee and ankle were normal.

A MRI image demonstrated a very large herniated disc fragment compressing the right L5 nerve root. A microlumbar discectomy was performed because of the failure of conservative treatment and the presence of severe pain and weakness. She left the hospital the same day and enjoyed immediate, near complete relief of sciatic pain.

The weakness is greatly improved, but the numbness persists. Comment: The L5 nerve root is usually the root compressed by a fragment of disc material which prolapses from the disc space between the 4th and 5th lumbar vertebrae. The nerve root controls the muscles of elevation of the foot at the ankle, elevation of the big toe, sensation on the top of the foot…

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Pankaj Nagpal
http://www.articlesbase.com/medical-tourism-articles/micro-lumbar-discectomy-mld-spine-surgery-in-india-low-cost-1076106.html

To many web users, PayPal is not the kind of pal they had
envisioned when starting their online business. Long on track
history but overwhelmingly unpopular among merchants and buyers
one is left to wonder why PayPal has continued to grow.

Ignorance and lack of knowledge has a lot to do with PayPal’s
growth. Many merchants are not aware of the potential problems
they can encounter depending solely on PayPal for their online
payment processing. That is, until they encounter potential
customers that won’t use PayPal to purchase their products or
services. Or worse, they have their PayPal merchant account
suspended and funds frozen without notice, effectively shutting
down their business.

If you really want to get some idea as to the depth of PayPal’s
unpopularity, you need only to do a search on Google. Type in
“PayPal Complaints” and click enter and see what happens. Over
335,000 results and still counting. No other online merchant
processor comes close to having this many dissatisfied customers.

‘Phishing’ is another reason many customers and potential
customers are steering clear of PayPal. Not that PayPal is doing
the ‘Phishing’, but they are certainly not making a big enough
effort to stop it. And why should they? They are not ‘Phishing’
and they are not losing money. Only the customer is. Virtually
100% of online ‘Phishing’ associated with merchant accounts is
done using the PayPal name. And even seasoned web users are
being scammed by this technique.

Customers can eliminate most, if not all, of the ‘Phishing’
associated with online purchasing by simply using a different
service. It is that simple! And there are plenty of good
alternatives to PayPal out there that are hungry for your
business. None are as big as PayPal and few have been around as
long as PayPal. But they are reputable and offer a wide variety
of services. And you most likely will never receive any
‘Phishing’ messages using their names.

So make the change now, before it is too late. Our advice is to
avoid PayPal if at all possible. And we also would advise you to
offer two different online payment options, with at least one
providing you with the ability to accept payments by check.

Following, you will find the most complete listing relating to
online payment options. Brief outlines are meant only to give
you an idea of what they have to offer. We would suggest taking
the time to visit each site. Your customers will thank you. And
you will most likely eliminate a lot of headaches in the process.

2CheckOut 2CheckOut has been offering its services since 1999.
2CheckOut charges $49.00 to open an account with transaction
fees of 5.5% plus 45 cents. It does not charge an application
fee nor does it impose any monthly or statement fees.

http://www.2CheckOut.com

BidPay BidPay has been in business since 1999 and offers
services intended for those that buy and sell at online
auctions. Sellers receive payments directly to their bank or via
Western Union® branded money orders. http://www.BidPay.com

BitPass No set-up or maintenance fees for self-installed
product. Fees for BitPass Professional range from 15% for items
priced $0.01-$5.00 up to 5% + $0.50 for items priced $5.00 and
higher. BitPass provides a platform for digital content commerce
that bundles authentication, payment, and access control.
BitPass enables a la carte and subscription-based purchases at
any price point, starting at just one cent. Digital content can
be Downloads – Music files, stock photography, games, software,
movies, mobile content, crafts; Website Access – Premium website
content, Interactive games, subscription sites, online comics,
blogs, interactive panoramic photography; Streaming Media -
internet radio, concerts, webisodes, movies; and Services -
premium database searches, web hosting services, webinars,
premium customer support, interactive learning and testing.

https://www.bitpass.com

CCNow CCNow is the perfect low cost solution to selling your
products online. With CCNow, you’ll avoid the up-front expense
and time required to set up e-commerce software, merchant
accounts, customer service and more. CCNow is a shopping cart
system that will allow you to take all major credit cards
without the need of a merchant account. http://www.CCNow.com

ClickBank If you have a unique product or service to sell, and
it is deliverable over the Internet itself (via web pages,
files, or email) then ClickBank is for you. They have 100,000
affiliates ready to promote your product. There is a one-time
set-up fee of $50.00. Transactions are $1.00 plus 7.5%.

http://www.ClickBank.com

DigiBuy Using DigiBuy’s ecommerce service, you can quickly and
inexpensively build a secure shopping cart to merchandise your
products, take orders online, process payments, and distribute
digital products over the Internet. Transaction fee is 13.9%
with a $3.00 minimum. http://www.DigiBuy.com

Ibill In business since 2002, Ibill is perfect for merchants
that sell services and subscriptions. Merchants can accept
payments online by credit card, check, and phone. Has numerous
fee schedules but the most common is for businesses that sell up
to $9,999.00 in a billing cycle. That charge is 15.19%.

http://www.ibill.com

Ikobo This is a money transfer service that has been providing
services since 2001. No application fee or set-up fees and
transaction fees range from $1.99 – $2.99 plus 29 cents.
Payments that are received are deposited to your Ikobo Visa
Debit Card or your bank account. http://www.IKobo.com

Moneybookers Ltd. Moneybookers enables any business or consumer
with an email address to securely and cost-effectively send and
receive payments online – in real-time! Moneybookers delivers a
product ideally suited for small businesses, online merchants,
individuals and others currently underserved by traditional
payment mechanisms. Does not charge for set-up or applying and
has no monthly fee. Transaction fees range from 2% – 8%,
depending on how payments are made. http://moneybookers.com

MonPay Monpay has been doing business since 2003. With it, you
can sell products and services on web sites, auctions, and even
by email. It does not charge for set-up or applying and has no
monthly or hidden fees. Transaction fees for checks or credit
cards are 2.95% plus 55 cents. http://www.monpay.com/

PayMate Claims it is the fastest and safest global trading
service on the Internet. It has no set-up fees, gateway fees,
etc. Has a very high User Satisfaction and continues to add new
improvements on a regular basis. Transaction fees for credit
card payments are charged at 2.4%. Please visit their web site
for more information on transaction fees.
http://www.paymate.com.au

PaySat With PaySat you can sell your products/services Online
and enjoy such features as: International Merchants Accepted;
Instant Application Approval; Product and Recurring Billing;
Easy To Use Plug-N-Play Code; Flat Low Rates; No Set-up Fee;
Multi domain/brand support; and Intelligent Fraud Detection
System. PaySat is only in its 2nd year of operation but has a
pretty good reputation. Transaction fees are 5.3% plus 39 cents.
http://www.paysat.com

Paystone Great service that started in 2002. Free to open an
account with instant approval. Fees to receive payments range
from 2.8% + $0.10 for micropayments to 2.8% + $0.30 for
transactions over $5.00. There are no set-up or monthly fees.
http://www.paystone.com

PaySystems PaySystems Internet Merchant Account Solution is
designed to meet the specific needs of Internet and
mail/telephone order merchants. Available for U.S. and
European-based businesses, the PaySystems Internet Merchant
Account Solution allows merchants to expand their payment
options, increase sales and focus their management efforts on
growing their business. PaySystems has no application fees and
no merchant account set-up fees. Offers highly competitive rates
on transaction fees but you must contact them using their online
form at http://eforms.paysystems.com/ps/info/ for more
information. http://www.paysystems.com

ProPay USA With ProPay, merchants can accept payments by credit
card on the Internet and by phone. There is no expensive
equipment, no statement / gateway fees and no long term
contracts to use their service. Annual fees range from $34.95 -
$299.95 with transaction fees ranging from 3.50% plus $0.35 to
2.69% plus $0.25, depending on the type of account you desire.
http://www.ProPay.com

RegNow RegNow is the software industry’s premier registration
commerce provider. RegNow makes running a successful online
shareware or software publisher business easy by putting a
highly advanced platform, customizable technology and powerful
resources right at your fingertips. No charge to apply but there
is a one-time account activation fee of$9.95 and transaction fee
is 16% with a $2.00 minimum charge. http://www.regnow.com/

RegSoft.com In business since 1998, RegSoft.com provides an easy
system for users to pay for software and data licensing fees by
providing a variety of payment methods. There is a one-time
set-up fee of $50.00 and transactions are processed at 8.9% with
a $3 minimum. http://www.regsoft.com

share-it! share-it! is used by over 30,000 Software Publishers
for their e-Commerce Solution. share-it! works on a commission
basis. In other words, after licensing your program, they retain
a service charge of either USD/EUR* 2.95 + 5% (Pricing Model A)
or 14.9% but no less than USD/EUR* 2.50 (Pricing Model B) and )
and forward the remaining amount to you. http://www.shareit.com

StormPay A very good service which has been around since 2002.
Free to open an account with instant approval. Fees to receive
payments are 6.9% plus 69 cents. There are no set-up or monthly
fees. https://www.stormpay.com

SWREG SWREG, the oldest online software store in the world, has
been in existence since 1987. All their prices include credit
card processing on their merchant account. Technically, you sell
to SWREG on consignment and they sell on to the end user. SWREG
accepts Micro Payments for 69 cents for items to $7 in value.
Default discount is $1 + 6% with a minimum fee of $1.50 (2%
surcharge for American Express). This account will be charged a
$20 monthly fee with the first payment to you each month made
with no transmission costs (free wire for instance). Visit
http://www.swreg.org/pages/pricing.htm for complete pricing
information. http://www.swreg.org

YowCow YowCow is a new company that offers online processing and
a 5-level deep affiliate program. No merchant account is needed
and you can begin selling today with no monthly fees and a free
shopping cart. Has numerous account plans available. Please
visit http://www.yowcow.com/yowcow.php?module=pricing for
in-depth information. http://www.yowcow.com

Other Options Worth A Look:

Cardservice International at http://www.charge-it-now.com
Charge.Com at http://www.charge.com/index.shtml Credit Card
Processing Services at http://www.mcvisa.com Free-Merchant.com
at http://www.free-merchant.com Free Merchant Source at
http://www.freemerchantsource.com e-gold at
http://www.e-gold.com GreenZap at
http://www.greenzap.com/default.asp IntGold at
http://intgold.com Merchant Warehouse at
http://www.merchantwarehouse.com Peppercoin at
http://corp.peppercoin.com Total Payment Solutions at
http://www.totalpaymentsolutions.com VirtualBank at
http://www.virtualbank.com

=================================================================
==== About the Author: Drew Michael is a webmaster and marketer.
He is the owner of The Business Junction at
http://www.thebusinessjunction.com, a major software and
entrepreneur directory. For a free subscription to The Business
Junction Newsletter and free software downloads subscribe at:

http://thebusinessjunction.com/Newsletter_Subscribers_SignUp_Page

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Drew Michael
http://www.articlesbase.com/newsletters-articles/paypal-dedication-can-leave-your-business-exposed-2078.html

Social media is a completely different layer that has been added to the web, hence the web 2.0. Social media is becoming mainstream and in a couple years we won’t even be able to imagine a time when we couldn’t interact with all the screens and mobile content surrounding us. It is indeed a misnomer, but to suggest that the platforms that enable conversations between people and between people and brands are not viable ad opportunities is ludicrous. Social media is all about sharing and connecting. It is the use of technology combined with social interaction to create or co-create value. Twitter is just one of these web 2.0 Twitter is a perfect platform for micro blogging. Allowing you to post comments with just a few words. Ping.Fm another great tool that allows you update your post to all of your social networks at once. Social Social media provides the tools for people to collaborate and get around barriers for communication, build trust. Social Media is a collection of online tools and sites that function on the premise that people are interested in talking to and engaging with other people. The fact is that social media tools differ significantly based on culture, Internet access and online behavior. Community Community members respond quickly to request to test new tools. Community members provide reflections on their activity, which stimulates change within the group. If you use monitoring to discover a real community, perhaps one you didn’t know existed, then you’ve found a treasure trove of real opinions, reactions, reviews, etc. Social Media IS NOT SEO, but search engines DO look kindly upon blog posts/community comments/online noise. Conversation Conversations in these types of communities tend to be regulated by the needs of the community’s creator or sponsors, they are less transparent, and less valuable to the participants at hand. The ability to actually listen in on market conversations made possible by social media will drive a sea change in the market research industry, one that today’s early adopters are starting to understand. When you engage in conversations in social media it may seem overly labor-intensive compared to launching an ad campaign. These networked conversations are enabling powerful new forms of social organization and knowledge exchange to emerge. I can meet many real people and have real conversations, but it will go nowhere if we don’t connect. Relations Social media needs to be all about relationships. Which in business terms, translates to turning relationships into clients or resources. Most association executives and show producers have realized that relationship building is their greatest priority, few have tapped into the power of social media or adopted a practical plan to incorporate these solutions. Some companies will be hard pressed to understand that its more about relationships and intangible aspects of SM rather than the numbers. Social Media is not just another media. Social media is defined by the act of sharing content in and between social networks regardless of the content type….. For more information about Using Social Media to build your online business Visit: http://www.newsynergyonline.net Blog: http://www.newtrafficbuilder.com

Robert Flowers
http://www.articlesbase.com/social-marketing-articles/using-social-media-to-build-your-online-business-691799.html

Business mobile phone users can now be exited again. The global mobile phone giant Sony Ericsson has launched a wonderful PDA styled as a smart phone with an aim to provide a wide varied range of tools and functionalities. It is the recently announced Sony Ericsson P1i . The phone is a part of the popular P series business smart phones from Sony. The series has best sellers like the P910i as well as the P990i. The phone’s designers have done a wonderful job with the handset. It is about a three quarter to the size of the P990i. However the functions are more this time around. The phone has a candy bar design and it measures 106 x 55 x 17 mm , the weight odf the phone is 124 grams, therefore it is easy to hold. The Sony Ericsson P1i works on the Symbian OS v9.1 . also thgwe phoine has a paopular UIQ user interface. It can be easily controlled with the help of a micro keyboard, a stylus or even a jog dial.

The phone has a well spaced out QWERTY keypad. It also has a 2.6 inch touch screen that produces rich images in more than 262k colors. The resolution for the screen is across 240 x 320 pixels. The screen makes it very simple and convenient to work and navigate on the smart   Phone.The phone has an amazing 160 Mb of shared memory, 256 Mb ROM. And 128 Mb RAM as well as a 152 mb external memory card is shipped with the phone’s pack. This makes an amazing memory for a cell phone.

The phone also has a hand writing recognition as well as a business card scanning tool. It also has wonderful connectivity options that include a tri band GSM network support, 3G, WiFi, GPRS, Bluetooth, and Infrared as well as USB. Its feature also includes Office Applications, Sync ML, media player, Organizer, Voice memo, and an FM radio. The phone has a primary camera of 3.2 mega pixel which is a good high end camera. The phone also has all the latest tools and gadgetry just like auto focus, integrated flash and digital zoom, that are closer to perfection – just like the phone.

Rahul Bhadaurya

Business mobile phone users can now be exited again. The global mobile phone giant Sony Ericsson has launched a wonderful PDA styled as a smart phone with an aim to provide a wide varied range of tools and functionalities. It is the recently announced Sony Ericsson P1i . The phone is a part of the popular P series business smart phones from Sony. The series has best sellers like the P910i as well as the P990i. The phone’s designers have done a wonderful job with the handset. It is about a three quarter to the size of the P990i. However the functions are more this time around. The phone has a candy bar design and it measures 106 x 55 x 17 mm , the weight odf the phone is 124 grams, therefore it is easy to hold. The Sony Ericsson P1i works on the Symbian OS v9.1 . also thgwe phoine has a paopular UIQ user interface. It can be easily controlled with the help of a micro keyboard, a stylus or even a jog dial.

The phone has a well spaced out QWERTY keypad. It also has a 2.6 inch touch screen that produces rich images in more than 262k colors. The resolution for the screen is across 240 x 320 pixels. The screen makes it very simple and convenient to work and navigate on the smart   Phone.The phone has an amazing 160 Mb of shared memory, 256 Mb ROM. And 128 Mb RAM as well as a 152 mb external memory card is shipped with the phone’s pack. This makes an amazing memory for a cell phone.

The phone also has a hand writing recognition as well as a business card scanning tool. It also has wonderful connectivity options that include a tri band GSM network support, 3G, WiFi, GPRS, Bluetooth, and Infrared as well as USB. Its feature also includes Office Applications, Sync ML, media player, Organizer, Voice memo, and an FM radio. The phone has a primary camera of 3.2 mega pixel which is a good high end camera. The phone also has all the latest tools and gadgetry just like auto focus, integrated flash and digital zoom, that are closer to perfection – just like the phone.

Rahul Bhadaurya