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Hemorrhoids (or haemorrhoids), also known as piles, are vascular structures in the anal canal. [ 7 ] [ 8 ] In their normal state, they are cushions that help with stool control. [ 2 ] They become a disease when swollen or inflamed ; the unqualified term hemorrhoid is often used to refer to the disease. [ 8 ]
Hemorrhoids are fed by arteries and drained by veins. The arterial blood supply is based on the superior rectal (hemorrhoidal) artery. Just as veins in the leg weaken and become prominent, hemorrhoidal veins also may become varicose, resulting in internal hemorrhoids or “piles”. Internal hemorrhoids are divided into four grades.
Screw piles are typically manufactured from high-strength steel [1] using varying sizes of tubular hollow sections with helical flights. The pile shaft transfers a structure's load into the pile. Helical steel plates are welded to the pile shaft to suit the site specific ground conditions. Helices can be press-formed to a specified pitch or ...
The company now manages, maintains and develops the 3,500 NHS properties across England. [2] “Hard” facilities management services, such as plumbing, electrical, mechanical, water and fire safety systems, and lighting were provided by outsourcing giant Mitie from 2016 until April 2020 when they were taken in-house. About 140 Mitie employees ...
The partnership was formed in 1997 by Frank Hester, [1] a computer programmer married to a GP, to create a patient-record storing system that would help GPs after witnessing his wife's "constant struggle with the lack of connectivity and integration between NHS services". [2] The system that was created, SystmOne, was developed the following ...
A project management information system (PMIS) is the logical organization of the information required for an organization to execute projects successfully. A PMIS is typically one or more software applications and a methodical process for collecting and using project information.
After shuttering nearly 100 locations within 12 months, America's largest barbecue chain has reportedly been hit with another wave of closures amid significant sales declines.. Dickey’s Barbecue ...
The Electronic Staff Record or ESR is an Oracle-based human resources and payroll database system currently used by 586 units of the National Health Service (NHS) in England and Wales to manage the payroll for 1.2 million NHS staff members. The Electronic Staff Record application is managed by IBM for the NHS.