Southern Star is pleased to announce the commencement of a non-binding Open Season for additional firm transportation capacity in its Production Area. Southern Star invites parties interested in firm transportation capacity available through the expansion described herein to submit non-binding service requests by 4 p. CCT on June 29, The non-binding bid s received during this Open Season will assist Southern Star in determining whether to pursue the proposed expansion and in defining the final parameters of such expansion. If it decides to move forward after evaluating the bids, Southern Star will, subject to FERC approval, install the necessary facilities to serve all or a portion of the requested capacity.
As for bold strokes, count the acquisition of regional operations from a retreating Deutsche Bank. LouisSpringfieldSt. Stag core offering he pitches is the Princely Portfolio, a private-equity-heavy mix geared for patient, long-term gains. Southern Star is also interested in receiving non-binding bids for capacity. Experience essential. Investment bankers and asset managers are on call for the wealth-management group, regularly structuring multimillion-dollar investments or bespoke personal hedge funds. Private banks are also segmenting according to the level of wealth they target. Michael has been with the company for 20 years, and Joe
Street gossip track listing. Interstitial
Other herbs that have been mentioned as helpful for menorrhagia are: Bayberry Bark myrica ceriferaalso know as Wax myrtle 46 p23 and Black licdnse cimicifuga racemosa or actaea racemosa or actea macrotys 16 Rips underwear contour pouch brief, 32 p33 p—35 p3739 Southern star private international bank license42 p83—8443 p5154 p55556 See Table 7 for a list of herbs suggested helpful for menorrhagia and their classification. At SouthStar Bank, we honor our year Jnternational heritage by focusing on community values and personal relationships coupled with flexible, common-sense lending. Menorrhagia — menstruation at regular cyclical interval with excessive flow and duration; clinically, blood loss is in excess of 80 ml per cycle; or menses lasts longer than 7 days 8. Can You Exercise on Your Period? A transvaginal sonogram TVS has become an integral initial component in the evaluation of women with abnormal uterine bleeding. Infrequently, bleeding that seems to be coming from the vagina may actually come from the urinary tract or gastrointestinal tract. Side effects include muscle cramps and headaches. SouthStar lived up to their reputation as flexible, common-sense bankers. Collagen is an essential building block for the entire body, from skin to gut, and more. Issue your own checks including bank and cashier checks. Cooking everything in an iron pot could give you more iron than you need — and it could lead to dangerously high levels in children. This procedure is used wtar remove your entire uterus. A lot of people….
Southern Star is pleased to announce the commencement of a new Non-Binding Open Season to identify market growth and supply access opportunities, to quantify interest in firm transportation service, and to identify the need to construct facilities.
- At SouthStar Bank, we honor our year Texas heritage by focusing on community values and personal relationships coupled with flexible, common-sense lending.
- This list contains the most frequently asked questions by our customers.
- Heavy menstrual bleeding is one of the more common gynecological reasons why women see their healthcare provider.
- Banking License for sale.
Ms Justice Deirdre Murphy declined to grant an injunction sought by a West Cork man, which would have blocked the extraction of the seaweed. Tralee-based BioAtlantis was granted a licence to extract the kelp from over 1, acres of the bay in The barrister for Mr Casey had argued that the extraction would constitute a material change of use under the terms of the Planning and Development Act , and should not have proceeded without planning permission.
The High Court rejected that argument, stating the planning acts regulate human activity, whereas the wild flora and fauna of the sea are regulated by ministerial licence. The case took ten days to be heard. The licence is also subject to a judicial review which is due to begin on June 25th and may take up to three days. Home News Farming Business Property. Place Ad. Star Creative. The case will now proceed to a judicial review on June 25th.
Subscribe to our mailing list for the latest news and sport:. Latest Video. Book an Ad Classifieds Jobs. Contact Tel: Tel: after 5pm. Mon - Fri flexible hours.
Fluctuating hormone levels have a knock-on effect on the pattern of menstruation. Life root, also known as ragwort, has been used as a female regulator in herbal medicine for conditions such as menstrual cramps, menorrhagia, and suppressed menstruation. Home and natural remedies Supplements OTC medications Prescription medication Surgery Other tips See your doctor Share on Pinterest If you buy something through a link on this page, we may earn a small commission. It is a herb traditionally known as a uterine stimulant. This vitamin helps your body absorb iron, which can help prevent anemia. Exorbitant fees?
Southern star private international bank license. List of Frequently Asked Questions
SouthStar Bank. Arbogast Homes. Sommerfeld Construction. Triple B Hardware. Custom Gym and Retail Store Fronts. Bank Held Mortgage. We are grateful to have such a strong personal banking relationship within our community. Together, we worked through the details and SouthStar financed the project.
SouthStar lived up to their reputation as flexible, common-sense bankers. Come in and have a taste! We look forward to a long, prosperous relationship with our community and SouthStar Bank. He reassured us he could make the deal happen.
He put us in touch with Joe Scarpinato at the Hearne branch assuring us we would like working with him and have no problems. We are happy to say Norman was right. Joe and Norman worked together and made what can be a tedious process go very smoothly and kept us in the loop on progress. It was a happy day for us when we were able to begin building. Heavy menstrual bleeding is one of the more common gynecological reasons why women see their healthcare provider.
The experience and results of heavy menstrual bleeding can greatly impact quality of life. There can also be blood loss that leads to iron deficiency anemia, which can result in mild to severe fatigue as well as changes in cognition, exercise tolerance, dyspnea and heart palpitations. Causes of heavy menstrual bleeding can include a simple anovulatory cycle due to stress or perimenopause, thyroid disorders, uterine polyps, uterine fibroids, adenomyosis, uterine pre-cancer, uterine cancer and von Willebrand syndrome.
While some common herbs and medicines can be used to treat a particular episode of heavy menstrual flow, treating the underlying condition is the key clinical objective. Heavy periods can be common during the menopause, usually experienced with irregular periods. Fluctuating hormone levels have a knock-on effect on the pattern of menstruation. In the lead up to the menopause, known as the peri-menopause , many women experience changes to their normal menstrual cycle , including unusually heavy bleeding.
This symptom is usually accompanied by irregular periods. A woman may go for several months without a period and then experience particularly heavy bleeding, or may find her periods coming thick and fast. Aside from the obvious inconvenience of this, heavy bleeding may also lead to further health problems, such as anaemia. This is when there is not a high enough level of iron in the body. Heavy menstrual bleeding which may include clots of blood or bleeding happening outside the normal cyclic menstruation is referred to as abnormal uterine bleeding AUB.
AUB is a common gynecological problem, but its causes can be tricky to diagnose. The most likely cause of AUB for any woman depends on whether she is premenopausal, perimenopausal near menopause , or postmenopausal. Some causes of AUB include hormonal imbalances, pregnancy, the use of hormonal contraceptives birth control pills or Depo-Provera, for instance , fibroids, endometrial polyps, infection, and, more rarely, precancerous or cancerous growths.
Infrequently, bleeding that seems to be coming from the vagina may actually come from the urinary tract or gastrointestinal tract. For severe bleeding without an obvious explanation, ask to be screened for von Willebrand disease, especially if you have a history of other bleeding problems. Fibroids can cause heavy, longer periods, sometimes with cramping and clots. Language: English French. A review of the biomedical literature on menorrhagia was conducted.
Items that were retrieved were synthesized and interpreted in order to give the best information to practicing chiropractors. Most of the information available relative to menorrhagia is medically oriented.
Other treatment options can include: chiropractic, various types of herbs, and nutritional supplements. Knowledge of medical treatment, nutritional supplements, along with chiropractic treatment options may be beneficial to doctors in their practice.
Although there are many types of abnormal uterine bleeding disorders, it is the intent of the authors to focus on menorrhagia for the purpose of this article. You've gone through menopause and you thought your periods were a thing of the past — but suddenly, you're bleeding again, more than a year after your last period. The good news, according to an analysis published in the September issue of JAMA Internal Medicine , is that most likely your bleeding is caused by a noncancerous condition, such as vaginal atrophy, uterine fibroids, or polyps.
But the study also reinforces the idea that postmenopausal bleeding should always be checked out by your doctor to rule out endometrial cancer, a cancer of the uterine lining, says Dr. Ross Berkowitz, William H. By investigating bleeding, doctors have a way to catch endometrial cancer early, when it's most treatable. The researchers who conducted this study were looking for clues about postmenopausal bleeding and how it relates to endometrial cancer.
During this time, the ovaries function erratically and hormonal fluctuations may bring about a range of changes, including hot flashes, night sweats, sleep disturbances, and heavy menstrual bleeding.
For many others, the hormonal changes create a range of mild discomforts. For this group, perimenopause can be enormously disruptive both physically and emotionally.
Perimenopause can sometimes be managed through self-help approaches such as meditation, yoga, relaxation, regular exercise, healthful food, enough sleep, and support from family and friends.
Health care providers who are well informed about perimenopause can be important partners in thinking through the options. Some women report more severe premenstrual discomforts PMS during early perimenopause, when cycles are still regular, such as swollen or tender breasts, water retention bloating , anxiety, sleep disruption, or irritation.
If your period is so heavy that you quickly soak through pads or tampons — or have to double up on different types of protection — there are things you can do to find relief. You may be able to ease your symptoms and get your cycle back on track just by making a few tweaks to your diet.
In some cases, getting enough rest and taking over-the-counter OTC pain killers can also do the trick. You should also see your doctor if you:.
There are a few things you can do at home to ease your symptoms and get your cycle back on track. If you bleed heavily for a few days, your blood volume could get too low. Drinking 4 to 6 extra cups of water each day can maintain your blood volume.
This vitamin helps your body absorb iron, which can help prevent anemia. When you bleed, you lose iron. Your body needs iron to produce hemoglobin , a molecule that helps red blood cells carry oxygen. Very heavy periods can deplete your body of iron and lead to iron deficiency anemia. To get more of this nutrient, eat foods high in iron like:.
Another way to increase your iron intake is by cooking in a cast-iron skillet. Statistics state that chiropractors see women with menstrual disorders at a frequency of 1. The focus of this review on menorrhagia is written with the purpose of providing doctors of chiropractic basic information needed for them to advise patients so they can make better informed decisions.
We will also summarize types of traditional medical treatments patients may be receiving, in addition to the chiropractic care they seek.
In some cases, in order to narrow results, limits for the last 5 years and selection of review articles were placed on results. Table 1 gives the details of our search strategy.
Menorrhagia as a keyword and a MeSH medical subject heading term with the subheadings diagnosis, drug therapy, economics, epidemiology, etiology, prevention and control, radiography, radiotherapy, surgery, therapy and ultrasonography.
Knowledge of normal menstrual function is necessary in understanding the etiology of menorrhagia. Regular menstrual bleeding occurs as a result of the release of follicle stimulating hormone FSH by the pituitary which stimulates the ovary to mature an egg, while at the same time estrogen causes the endometrium to thicken. After ovulation, a small cyst on the ovary produces progesterone; if pregnancy does not occur, progesterone is no longer produced and menses begins.
The duration of flow is between 2—7 days with a volume loss of less than 80 ml or less than 5 tablespoons. Menorrhagia is menstruation at a regular cyclical interval with excessive flow and duration; clinically, blood loss is in excess of 80 ml per cycle; or menses lasts longer than 7 days.
The bleeding starts on schedule, but it is heavier than usual and may last longer than usual. It is one of the most common complaints in contemporary gynecology. The etiology of menorrhagia includes hormonal, mechanical, and clotting abnormalities. Hormonal causes include: anovulation, 10 , 11 p hypothyroidism, 11 p , 12 p , 13 , 14 p Mechanical causes include: cancer, 4 , 8 , 12 p endometriosis, and endometritis. The menorrhagic endometrium incorporates arachidonic acid into neutral lipids to a much greater extent than normal, with lower than normal incorporation into phospholipids.
The greater arachidonic acid release during menses results in higher production of series 2 prostaglandins, which are thought to be the major factor in the excessive bleeding at menstruation. Menorrhagia must be distinguished from other common patterns of abnormal bleeding. See Table 3 for a list of differentials. Menorrhagia — menstruation at regular cyclical interval with excessive flow and duration; clinically, blood loss is in excess of 80 ml per cycle; or menses lasts longer than 7 days 8.
Metrorrhagia — intermenstrual bleeding occurring at any time between menstrual periods 17 p Hypomenorrhea — cryptomenorrhea -unusually light menstrual flow, sometimes only spotting, or a deficient amount of menstrual flow 17 p Menometrorrhagia — bleeding that occurs at irregular intervals or bleeding during and between menstrual periods in which amount and duration of bleeding may also vary 17 p Polymenorrhea — menstrual periods occurring with abnormal frequency 17 p Oligomenorrhea — periods that occur more than 35 days apart or scanty or infrequent menstrual flow 17 p Dysfunctional menses — abnormal uterine bleeding without any obvious structural or systemic abnormality 8 , Another factor to consider while taking the history includes the use of intrauterine devices as a means of contraception, as they may cause increased uterine cramping or menstrual flow.
For all patients with menorrhagia, laboratory tests should include pregnancy testing and complete blood count CBC to assess severity of blood loss and exclude thrombocytopenia and leukemia. Additional laboratory tests that could be performed include: platelet count, creatinine, blood urea and nitrogen level BUN , serum progesterone levels, and cervical smears for cytology.
A transvaginal sonogram TVS has become an integral initial component in the evaluation of women with abnormal uterine bleeding. When a woman seeks medical attention for the treatment of menorrhagia, she may be faced with several pharmacological options. Generally, the medical practitioner will prescribe one of three common types of medications. The options include: nonsteroidal anti-inflammatory medications, oral contraceptives, and medicated intrauterine devices. This medication is used for a short time period due to high costs and possible severe adverse reaction.
The third category of pharmacological options is medicated intrauterine devices IUD , which release hormones directly in the uterine endometrium. There are several common surgical procedures for evaluation and treatment of menorrhagia. These procedures range from minimally invasive to the removal of the uterus. The one-time standard procedure to obtain endometrial sampling, dilation and curettage D and C , has been replaced with endometrial biopsy as a D and C is a surgical intervention that only provides short term relief.
These include: transcervical resection of the endometrium, roller ball endometrial ablation, endometrial laser ablation or resection, uterine balloon therapy microwave endometrial ablation alternative and hot-water instillation system HydroThermAblator TM.
Allows visualization of the uterine cavity 29 , Hysterectomy provides a definitive cure for menorrhagia, however, the recent literature more often relays there is a definite preference for the less invasive and simpler techniques that decrease morbidity and preserve fertility.
A variety of different herbal supplements have been used to treat menorrhagia. The goals of alternative treatments of menorrhagia are the same as the goals of conventional treatment: control the bleeding, prevent and treat anemia, and restore an acceptable menstrual pattern. The correct dosage on these herbs is critical, so the chiropractor should consult a botanical or herbal reference text to insure correct amounts.
Chaste Tree-chasteberry vitex agnus castus is probably the best-known herb in Europe for treatment of hormonal imbalances and abnormal bleeding in women; it has been used for the full scope of menstrual disorders. Ginger zingiber officinale has been shown to inhibit prostaglandin synthesis, the enzyme believed to be related to the altered prostaglandin-2 ratio associated with excessive menstrual loss.
Astringent herbs form a large category of tannin-containing plants that are used to reduce blood loss from the reproductive tract as well as the gastrointestinal tract, respiratory tract and skin. In the reproductive tract, the astringent herbs are used to correct uterine or cervical bleeding.
In traditional herbal medicine, uterine tone determines the ease of menstrual flow, therefore, if the uterus is hypotonic, there may be heavy bleeding.
Improving uterine tone may normalize and regulate menstrual bleeding. Tonic herbs can be used in combination formulations for weeks and months to bring results. Life root, also known as ragwort, has been used as a female regulator in herbal medicine for conditions such as menstrual cramps, menorrhagia, and suppressed menstruation. The root of the blue cohosh, a perennial herb that grows all over the United States, when used with other astringent herbs acts as a uterine tonic and helps regulate the menses and the amount of flow.
Yarrow has been used since medieval times to treat bleeding wounds. It is a herb traditionally known as a uterine stimulant. It increases muscular tone and stimulates reproductive activity, and is also known to be effective for the treatment of menstrual problems. There is some scientific evidence based on research performed in Europe to support its effectiveness. A potential side effect is miscarriage in pregnant women.
Various Chinese formulas that may help to control menorrhagia include: Tripterygium wilfordii Hook f. Dong-quai is used in Chinese medicine for the treatment of multiple gynecological conditions. Of 12 total women, 7 developed amenorrhea within 3—6 months, 4 had a reduction in menses, and 1 showed no change at all. The herb is thought to exert an inhibitory effect on ovarian function.
In addition to its use with menorrhagia, it can be used for uterine hemorrhage. Other herbs that have been mentioned as helpful for menorrhagia are: Bayberry Bark myrica cerifera , also know as Wax myrtle 46 p23 and Black cohosh cimicifuga racemosa or actaea racemosa or actea macrotys 16 , 32 p , 33 p— , 35 p , 37 , 39 p31 , 42 p83—84 , 43 p51 , 54 p5 , 55 , 56 See Table 7 for a list of herbs suggested helpful for menorrhagia and their classification.
Tori Hudson, N. Oral micronized progesterone: — mg per day for 7—12 days followed by a cyclic hormone product for 21 days on and 7 days off.
Combination herbal product using astringents and uterine tonics, 20—30 drops every 2—3 hours. Diet can play an important role in any well-rounded therapeutic approach to menorrhagia. The diet should be low in animal fat and high in fish oils and linolenic and linoleic acids vegetable oil sources. One of the major causes of iron-deficiency anemia is blood loss, but it is less well-known that chronic iron deficiency can also be a cause of menorrhagia. One of the richest sources of iron and other minerals is blackstrap molasses.
In addition, organic liver and kidneys are probably the highest single source of iron, but make sure it is organic if at all possible, due to the buildup of metabolic waste in these organs. Apricots, eggs, ground beef, raisins, beans, cooked spinach, and chicken are also high in iron. Yogurt, sour fruits, and citrus juices can aid in the absorption of iron.
A deficiency of vitamin A may be a contributing factor in the menorrhagia 36 of adult women, and most vitamin A serum levels in women with menorrhagia are found to be lower than in healthy women. In the group who received 60,IU of vitamin A for 35 days, menstruation returned to normal in 23 patients Only 3 of the 40 women 7.
The binding bid s received during this Open Season will assist Southern Star in determining whether to pursue the proposed project and defining the final parameters of such project. If it decides to move forward after evaluating the binding bids, Southern Star will, subject to FERC approval, install the necessary facilities to serve all or a portion of the requested capacity. If a Binding Open Season is successful, Southern Star anticipates service provided through the proposed expansion to begin April 1, Additional information regarding the project may be obtained by contacting Philip Rullman at , Jim Neukam at , or Pat Coomes at It serves metropolitan areas in Missouri Kansas City , St.
Louis , Springfield , St. For additional information about Southern Star, please visit www. Contact Us. News in Focus Browse News Releases. Multimedia Gallery. Trending Topics. Business Technology. General Business. Consumer Technology. In-Language News. Southern Star is also interested in receiving non-binding bids for capacity. Share this article.