Nondermatomal Somatosensory Deficits (NDSDs) and Pain: State-of-the-Art Review

Nondermatomal somatosensory deficits (NDSDs) are large sensory deficits not conforming to dermatomal/root territories, and no structural pathology accounts for them. They can be very mild or very dense, highly variable, or extremely fixed over time and may be very disabling. It is now accepted by mainstream pain science that they are the product of a central neurophysiological phenomenon. We demonstrated in this paper through literature review and through multiple clinical cases that NDSDs (a) have a psychobiological substrate at the level of the central nervous system, (b) are very frequently associated with chronic pain and/or psychotraumatic experiences, (c) occur very frequently in the context of conversion disorder, but (d) can also occur in the absence of conversion disorders, (e) can be superimposed on structural neurological deficits, and (f) respond positively, or at least in part, to sodium amobarbital (commonly referred to as the “truth serum”).     

A. Reviews: general

i. The Arab Economy: Past Performance and Future Prospects. by Yusif A.Sayigh. Oxford University Press, 1982. pp. 175.

ii. The Arab Predicament: Arab Politics and Practice since 1967. By Fouad Ajami. Cambridge University Press, 1982. pp. 220. £4.95 (paperback of hardback edn., 1981).

iii. The Arabic Documents in the Archives of the British Political Agency Kuwait, 1904–1949 (IOR: R/15/5) ([ British Academy]Oriental Documents V). By Julia Ashtiany. London, India Office Library and Records (published under the auspices of the British Academy Oriental Documents Committee), 1982. pp.xxxi, 373, P1.4.

iv. Traditional Crafts of Saudi Arabia. By John Topham and others. London, Stacey International Publishers, 1982. pp.192, 275 illustrations (colour), 6 (black and white), 2 maps. £22.50.

v. Yemen: Political History, Social Structure and Legal System. By Isam Ghanem. London, Arthur Probsthain, pp.26. £4.00.

vi. Sidi Ameur: a Tunisian Village. By Nadia Abu Zahra. London, Ithaca Press, 1982. pp.238, 2 tables, 3 maps, 4 diagrams, 7 appendices. £11.50.

vii. Tchad/Lybie: La querelle des frontières. By Bernard Lanne. Paris, Editions Karthala, 1982. pp.251, 2 maps. FF 68.

viii. Women in Islam: Tradition and Transition in the Middle East. By Naila Minai. London, John Murray, 1981. pp.283. £8.95.

ix. Faith and Power: The Politics of Islam. By Edward Mortimer. London, Faber and Faber, 1982. pp.431. £10.50 (paperback £5.95).

xi. Pan‐Turkism in Turkey: A Study of Irredentism. By Jacob M.Landau. London, C.Hurst & Co., 1981. pp.219. £11.50.

xii. The Modernization of Turkey: From Atatürk to the Present Day. By Walter F. Weiker. New York & London, Holmes and Meier, 1981. pp.303.     

Stark II and physician compensation models: integrating business and legal issues

In March of 2004, the Centers for Medicare & Medicaid Services released new regulations that interpreted the Federal Physician Self Referral Act, otherwise known as Stark II. The new regulations, commonly referred to as the Phase II regulations, must be carefully considered when structuring physician compensation models. Stark II generally holds that physicians may not make a referral for designated health services to an entity with which they have a direct or indirect financial relationship. This Article outlines the provisions of Stark II that are applicable to physician compensation methodologies. In addition, the authors evaluate hypothetical transactions involving physician groups seeking viable compensation schemes and explore the validity and risks of each.     

Prompt-pay laws: a state-by-state analysis

The following cases are the result of research performed in all state jurisdictions for any cases addressing "prompt pay." Also included is a state survey of prompt-pay statutes.