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107-692: Headquartered in Tampa, Florida , the hospitals are owned and operated by Shriners International , formally known as the Ancient Arabic Order of the Nobles of the Mystic Shrine, a Freemasonry -related organization whose members are known as Shriners. Patients are not required to have any familial affiliation with the Shriners order nor Freemasonry. The hospitals advertising campaign features

214-471: A Cobb angle of more than 10° to the right or left as the examiner faces the person, i.e. in the coronal plane . Scoliosis has been described as a biomechanical deformity, the progression of which depends on asymmetric forces otherwise known as the Hueter–Volkmann Law . Scoliosis curves do not straighten out on their own. Many children have slight curves that do not need treatment. In these cases,

321-407: A neuromuscular disease . About 38% of variance in scoliosis risk is due to genetic factors, and 62% is due to the environment. The genetics are likely complex, however, given the inconsistent inheritance and discordance among monozygotic twins. The specific genes that contribute to development of scoliosis have not been conclusively identified. At least one gene, CHD7 , has been associated with

428-478: A few Eastern European Jewish immigrants arrived starting in the late 1880s, opening businesses and shops that catered to cigar workers. By 1900, over 10,000 immigrants had moved to the neighborhood. Several thousand more Cuban immigrants built West Tampa , another cigar-centric suburb founded a few years later by Hugh MacFarlane. Between them, two "Latin" communities combined to exponentially expand Tampa's population, economic base, and tax revenues, as Tampa became

535-620: A few hours, and the Battle of Tampa caused little damage. During the Battle of Fort Brooke on October 16 and the Battle of Ballast Point on October 18, 1863, Union forces inflicted serious damage to Tampa's economy when, under the cover of another bombardment of the fort, troops landed and destroyed two blockade running ships that had been hidden upstream along the Hillsborough River. In May 1864, Union troops landed again and took Fort Brooke largely unopposed. They destroyed much of

642-490: A life-threatening condition with negative effects on pulmonary function. Scoliosis that develops after 10 is referred to as adolescent idiopathic scoliosis . Screening adolescents without symptoms for scoliosis is of unclear benefit. Scoliosis is defined as a three-dimensional deviation in the axis of a person's spine . Most instances, including the Scoliosis Research Society, define scoliosis as

749-567: A person can cooperate, he or she is asked to bend forward as far as possible. This is known as the Adams forward bend test and is often performed on school students. If a prominence is noted, then scoliosis is a possibility and an X-ray may be done to confirm the diagnosis. As an alternative, a scoliometer may be used to diagnose the condition. When scoliosis is suspected, weight-bearing, full-spine AP/ coronal (front-back view) and lateral / sagittal (side view) X-rays are usually taken to assess

856-472: A priority. Several residential and mixed-development high-rises have been constructed. Another of Mayor Iorio's initiatives was the Tampa Riverwalk , a mixed-use path along the Hillsborough River in downtown. Channelside was approved to undergo major renovations by Tampa Bay Lightning owner Jeff Vinik along with Bill Gates and other investors. Several museums have opened, including new homes for

963-467: A ratio of 4:1. The term is from Ancient Greek σκολίωσις ( skolíōsis )  'a bending'. Symptoms associated with scoliosis can include: The signs of scoliosis can include: People who have reached skeletal maturity are less likely to have a worsening case. Some severe cases of scoliosis can lead to diminishing lung capacity, pressure exerted on the heart, and restricted physical activities. Longitudinal studies have revealed that

1070-498: A result of working at their desks, and many were diagnosed with scoliosis. It was also considered to be caused by tuberculosis or poliomyelitis , diseases that were successfully managed using vaccines and antibiotics. The American orthopaedic surgeon Alfred Shands Jr. discovered that two percent of patients had non-disease related scoliosis, later termed idiopathic scoliosis , or the "cancer of orthopaedic surgery". These patients were treated with questionable remedies. A theory at

1177-965: A scoliotic spine is usually impossible, but for the most part, significant corrections are achieved. The two main types of surgery are: One or both of these surgical procedures may be needed. The surgery may be done in one or two stages and, on average, takes four to eight hours. A new tethering procedure ( anterior vertebral body tethering ) may be appropriate for some patients. Spine surgery can be painful and may also be associated with post-surgical pain. Different approaches for pain management are used in surgery including epidural administration and systemic analgesia (also known as general analgesia). Epidural analgesia medication are often used surgically including combinations of local anesthetics and pain medications injected via an epidural injection. Evidence comparing different approaches for analgesia, side effects or benefits, and which approach results in greater pain relief and for how long after this type of surgery

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1284-497: A term that is still sometimes used to refer to their descendants living in the area, and potentially, to all residents of Tampa regardless of their ethnic background. The shores of Tampa Bay have been inhabited for thousands of years. A variant of the Weeden Island culture developed in the area by about 2,000 years ago. Archeological evidence suggests that these residents relied on the sea for most of their resources, as

1391-619: A vast majority of inhabited sites have been found on or near the shoreline, with little evidence of farming. At the time of European contact in the early 16th century, several chiefdoms of the Safety Harbor culture dominated the area. Early Spanish explorers interacted most extensively with the Tocobaga , whose principal town was at the northern end of Old Tampa Bay near today's Safety Harbor in Pinellas County . While there

1498-611: Is a city on the Gulf Coast of the U.S. state of Florida . Tampa's borders include the north shore of Tampa Bay and the east shore of Old Tampa Bay. Tampa is the largest city in the Tampa Bay area and the county seat of Hillsborough County . With an estimated population of 403,364 in 2023, Tampa is the 49th-most populous city in the country and the third-most populous city in Florida after Jacksonville and Miami . Tampa

1605-406: Is a condition in which a person's spine has an irregular curve in the coronal plane . The curve is usually S- or C-shaped over three dimensions. In some, the degree of curve is stable, while in others, it increases over time. Mild scoliosis does not typically cause problems, but more severe cases can affect breathing and movement. Pain is usually present in adults, and can worsen with age. As

1712-727: Is a substantial historical record of the Tocobaga, and the Calusa , who lived to the south, there is less surviving documentation describing the Pohoy , who lived near the mouth of the Hillsborough River near today's downtown Tampa. Evidence suggests that the language and culture of the Pohoy and other lesser-known groups around the bay were very similar to that of the Tocobaga. Expeditions led by Pánfilo de Narváez and Hernando de Soto landed near Tampa, but neither conquistador stayed long. There

1819-432: Is a type of deformity that starts and progresses because of the collapse of the vertebral column in an asymmetrical manner. As bones start to become weaker and the ligaments and discs located in the spine become worn as a result of age-related changes, the spine begins to curve. People who initially present with scoliosis undergo a physical examination to determine whether the deformity has an underlying cause and to exclude

1926-409: Is about 10–20%. Congenital scoliosis can be attributed to a malformation of the spine during weeks three to six in utero due to a failure of formation, a failure of segmentation, or a combination of stimuli. Incomplete and abnormal segmentation results in an abnormally shaped vertebra, at times fused to a normal vertebra or unilaterally fused vertebrae, leading to the abnormal lateral curvature of

2033-402: Is complex and is determined by the severity of the curvature and skeletal maturity , which together help predict the likelihood of progression. The conventional options for children and adolescents are: For adults, treatment usually focuses on relieving any pain: Treatment for idiopathic scoliosis also depends upon the severity of the curvature, the spine's potential for further growth, and

2140-402: Is confirmed with X-rays . Scoliosis is typically classified as either structural in which the curve is fixed, or functional in which the underlying spine is normal. Left-right asymmetries , of the vertebrae and their musculature, especially in the thoracic region, may cause mechanical instability of the spinal column. Treatment depends on the degree of curve, location, and cause. The age of

2247-424: Is custom-made from fiberglass or plastic. It is typically recommended to be worn 22–23 hours a day, and applies pressure on the curves in the spine. The effectiveness of the brace depends on not only brace design and orthotist skill, but also people's compliance and amount of wear per day. An alternative form of brace is a nighttime only brace, that is worn only at night whilst the child sleeps, and which overcorrects

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2354-480: Is indicated by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) at 45–50° and by the Scoliosis Research Society (SRS) at a Cobb angle of 45°. SOSORT uses the 45–50° threshold as a result of the well-documented, plus or minus 5° measurement error that can occur while measuring Cobb angles. Surgeons who are specialized in spine surgery perform surgery for scoliosis. To completely straighten

2461-507: Is more often diagnosed in females than males. Scoliosis associated with known syndromes is often subclassified as "syndromic scoliosis". Scoliosis can be associated with amniotic band syndrome , Arnold–Chiari malformation , Charcot–Marie–Tooth disease , cerebral palsy, congenital diaphragmatic hernia , connective tissue disorders , muscular dystrophy, familial dysautonomia , CHARGE syndrome , Ehlers–Danlos syndrome (hyperflexibility, "floppy baby" syndrome, and other variants of

2568-408: Is most susceptible to genetic and environmental influences. Because female adolescents undergo growth spurts before postural musculoskeletal maturity, scoliosis is more prevalent among females. Although fewer cases are present since using Cobb angle analysis for diagnosis, scoliosis remains significant, appearing in otherwise healthy children. Despite the fact that scoliosis is a disfigurement of

2675-412: Is no natural gold or silver in Florida, and the native inhabitants repulsed Spanish attempts to establish a permanent settlement or convert them to Catholicism . The fighting resulted in a few deaths, but the many more deaths were caused by infectious diseases brought from Europe, which devastated the population of Native Americans across Florida and the entire Western Hemisphere. The indigenous cultures of

2782-885: Is of low to moderate quality. A 50-year follow-up study published in the Journal of the American Medical Association (2003) asserted the lifelong physical health, including cardiopulmonary and neurological functions, and mental health of people with idiopathic scoliosis are comparable to those of the general population. Scoliosis that interferes with normal systemic functions is "exceptional" and "rare", and "untreated [scoliosis] people had similar death rates and were just as functional and likely to lead productive lives 50 years after diagnosis as people with normal spines." In an earlier University of Iowa follow-up study, 91% of people with idiopathic scoliosis displayed normal pulmonary function, and their life expectancy

2889-475: Is only 48 ft (15 m) above sea level. Tampa is bordered by two bodies of water, Old Tampa Bay and Hillsborough Bay , which flow together to form Tampa Bay , which flows into the Gulf of Mexico . The Hillsborough River flows into Hillsborough Bay, passing directly in front of Downtown Tampa and supplying Tampa's main source of fresh water. The Palm River is a smaller river, flowing from just east of

2996-687: Is the largest in the state, responsible for over $ 15 billion in economic impact. Tampa is part of the Tampa-St. Petersburg-Clearwater, Florida Metropolitan Statistical Area , which is a four-county area composed of roughly 3.1 million residents, making it the second-largest metropolitan statistical area (MSA) in the state and the sixth largest in the Southeastern United States , behind Dallas-Fort Worth , Houston , Washington D.C. , Atlanta , and Miami . The Greater Tampa Bay area has over 4 million residents, and generally includes

3103-419: Is the only hospital in the Shriners' system that focuses on all three areas of treatment (burns, orthopaedics, and spinal cord injuries), as well as research. The Sacramento hospital also houses its own orthotics and prosthetics lab and development facilities. Transportation to the hospitals is often provided free of charge for patients and their family by Shriner -drivers (also known as Hospital Tripsters) across

3210-469: Is warranted to look at the spinal cord. An average scoliosis patient has been in contact with around 50–300 mGy of radiation due to these radiographs during this time period. The standard method for assessing the curvature quantitatively is measuring the Cobb angle , which is the angle between two lines, drawn perpendicular to the upper endplate of the uppermost vertebra involved and the lower endplate of

3317-510: Is weak. Low quality evidence suggests scoliosis-specific exercises (SSE) may be more effective than electrostimulation. Evidence for the Schroth method is insufficient to support its use. Significant improvement in function, vertebral angles and trunk asymmetries have been recorded following the implementation of Schroth method in terms of conservative management of scoliosis. Some other forms of exercises interventions have been lately used in

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3424-617: The MATN1 gene (encoding for matrilin 1, cartilage matrix protein). Fifty-three single nucleotide polymorphism markers in the DNA that are significantly associated with adolescent idiopathic scoliosis were identified through a genome-wide association study. Adolescent idiopathic scoliosis has no clear causal agent, and is generally believed to be multifactorial; leading to "progressive functional limitations" for individuals. Research suggests that Posterior Spinal Fusion (PSF) can be used to correct

3531-477: The Tampa Bay Times suggest that "Tampan" was historically more common, while "Tampanian" became popular when the former term came to be seen as a potential insult. A mix of Cuban, Italian, and Spanish immigrants began arriving in the late 1800s to found and work in the new communities of Ybor City and West Tampa . By about 1900, these newcomers came to be known as "Tampeños", or "Tampeñas" for females,

3638-777: The Tampa Bay History Center , the Glazer Children's Museum , and the Tampa Museum of Art . The breakdown of development for the rest of the plan is as follows: 39% residential units, 29% office space, 15% hotels, 8% retail, 7% other, and 2% cultural uses. Mayor Bob Buckhorn continued these developments, which are bearing fruit during the term of Mayor Jane Castor . Tampa is the site of several skyscrapers . Overall, there are 30 completed buildings that rise over 250 ft (76 m) high. Tampa also has 147 high-rises, second only to Miami in

3745-599: The Timucua language . Some scholars have compared "Tampa" to "itimpi", which means "close to" or "nearby" in the Creek language , but its meaning is not known. In 1849, when the pioneer community living near the U.S. Army outpost of Fort Brooke was incorporated, it was called "Tampa Town". In 1855, the name was shortened to simply "Tampa". People from Tampa are generally known as "Tampans", "Tampanians", or "Tampeños". In 2014, local authorities consulted by Michael Kruse of

3852-745: The United States Southern Command and other military commands, including the Army and Air Force, the Guatemalan combined military force and via the U.S. embassy , the U.S. Department of Health & Human Services , and the U.S. State Department to arrange medical visas and transportation to the United States, "with a global commitment to children around the world." In 1962, the Shriners of North America allocated $ 10 million to establish three hospitals that specialized in

3959-589: The Westshore Business District . Tampa displays a wide variety of architectural designs and styles. Most of Tampa's high rises demonstrate post-modern architecture . The design for the renovated Tampa Museum of Art displays post-modern architecture, while the city hall and the Tampa Theatre belong to Art Deco architecture. The Tampa mayor Pam Iorio made the redevelopment of Tampa's downtown , especially residential development,

4066-642: The "Cigar Capital of the World". During the first few decades of the 20th century, the cigar-making industry was the backbone of Tampa's economy. The factories in Ybor City and West Tampa made an enormous number of cigars—in the peak year of 1929, over 500 million cigars were hand rolled in Tampa. In 1904, a civic association of local businessmen dubbed themselves Ye Mystic Krewe of Gasparilla , named after local mythical pirate José Gaspar, and staged an "invasion" of

4173-400: The 1950s and 1960s, Tampa had record-setting population growth that has not been seen since. This growth spurred expansion of Tampa's highways and bridges, bringing thousands into the city and creating opportunities for Tampa business owners, who welcomed the influx of tourists and new residents. It was during this time period in Tampa's history that two of the most popular tourist attractions in

4280-529: The 1950s. After his death in 1954 from cancer, control passed to his son, Santo Trafficante Jr. , who established alliances with families in New York City and extended his power throughout Florida and into Batista -era Cuba . The era of rampant and open corruption ended in the 1950s, when Estes Kefauver 's traveling organized crime hearings came to town and were followed by the sensational misconduct trials of several local officials. Although many of

4387-634: The 2020s, Shriners Hospitals for Children rebranded as Shriners Children's , adapting to current nationwide trends in health care, especially the emphasis on outpatient care, and some locations becoming clinics or outpatient centers. In 2023, Shriners Hospitals for Children has assets of just over $ 10 billion. Treatment areas cover a wide range of pediatric orthopaedics, including scoliosis , limb discrepancies, clubfoot , hip dysplasia , and juvenile idiopathic arthritis , as well as cerebral palsy , spina bifida ( myelomeningocele ), and other neurological conditions that affect ambulation and movement. Three of

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4494-518: The American period, the Tampa Bay area had a handful of residents: Cuban and Native American fishermen who established small seasonal camps called "ranchos" on the shores of Tampa Bay. The largest was at the mouth of Spanishtown Creek in today's Hyde Park neighborhood along Bayshore Boulevard . After purchasing Florida from Spain in 1821, the United States built forts and trading posts in

4601-562: The Galveston facility. In 2009, despite an endowment that declined from $ 8 billion to $ 5 billion in less than a year because of the poor economy, Douglas Maxwell, the hospitals' CEO said he and other Shriners are confident the hospital system will be able to remain solvent in the long term. Maxwell stated in July 2009 that some of the facilities may become outpatient surgical centers, and will begin accepting insurance payments (for most care) for

4708-605: The Shriners Hospitals were ranked as the 9th "most popular charity/non-profit in America" of over 100 charities researched with 40% of Americans over the age of 12 choosing "Love" and "Like A Lot" for the Shriners Hospitals. In September 2008, the Shriner's Hospital in Galveston sustained significant damage from Hurricane Ike . The hospital was closed for renovation at that time, and care for children with acute burns

4815-440: The Tampa Bay area and surrounding counties. At the end of the war, MacDill remained as an active military installation, while the auxiliary fields reverted to civilian control. Two of these auxiliary fields later became the present-day Tampa International Airport and St. Petersburg–Clearwater International Airport . With the establishment of an independent U.S. Air Force in 1947, MacDill Field became MacDill Air Force Base . In

4922-454: The Tampa Bay area collapsed by around 1600, leaving the west coast of Spanish Florida largely depopulated and ignored for more than 200 years. In the mid-18th century, events in the American colonies and the early United States drove the Seminole people into northern Florida. They did not move into central Florida until after the United States gained control of Florida in 1821. Before

5029-588: The Tampa Bay area. Phosphate and commercial fishing exports could be sent north by rail, and many new products were brought into the Tampa market, along with the first tourists. The new railroad link enabled another important industry to come to Tampa. In 1885, the Tampa Board of Trade enticed Vicente Martinez Ybor to move his cigar manufacturing operations to Tampa from Key West . Proximity to Cuba made importation of "clear Havana tobacco" easy by sea, and Plant's railroad made shipment of finished cigars to

5136-465: The Tampa and Sarasota metro areas. The earliest instance of the name "Tampa", in the form "Tanpa", appears in the memoirs of Hernando de Escalante Fontaneda , who spent 17 years as a captive of the Calusa and traveled through much of peninsular Florida. He described Tanpa as an important Calusa town to the north of the Calusa domain, possibly under another chief. Archaeologist Jerald Milanich places

5243-534: The area were developed – Busch Gardens and Lowry Park . Many of the well-known institutions that play an important role in the economic development of Tampa were established during this time period. The University of South Florida was established in North Tampa in 1956 and opened for students in September 1960. The school spurred the construction of several residential and commercial developments in

5350-470: The body . Secondary scoliosis due to neuropathic and myopathic conditions can lead to a loss of muscular support for the spinal column so that the spinal column is pulled in abnormal directions. Some conditions which may cause secondary scoliosis include muscular dystrophy , spinal muscular atrophy , poliomyelitis , cerebral palsy , spinal cord trauma, and myotonia . Scoliosis often presents itself, or worsens, during an adolescent's growth spurt and

5457-430: The children grow up to lead normal body posture by itself, even though their small curves never go away. If the patient is still growing and has a larger curve, it is important to monitor the curve for change by periodic examination and standing x-rays as needed. The rise in spinal abnormalities require examination by a neurosurgeon to determine if active treatment is needed. The traditional medical management of scoliosis

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5564-753: The city annexed a mostly rural area of 24 sq mi (62 km ) between I-275 and I-75 . East Tampa , historically a mostly black community, was the scene of several race riots during and for some time after the period of racial segregation, mainly due to problems between residents and the Tampa Police Department . According to the United States Census Bureau , Tampa has a total area of 175.3 sq mi (453.9 km ), including 113.4 sq mi (293.7 km ) of land and 61.8 sq mi (160.1 km ) (35.3%) of water. The highest point in Tampa

5671-493: The city followed by a parade. With a few exceptions, the Gasparilla Pirate Festival has been held every year since. Beginning in the late 19th century, illegal bolita lotteries were very popular among the Tampa working classes, especially in Ybor City. In the early 1920s, this small-time operation was taken over by Charlie Wall , the rebellious son of a prominent Tampa family, and went big-time. Bolita

5778-875: The city into McKay Bay , which is a smaller inlet, sited at the northeast end of Hillsborough Bay. Tampa's geography is marked by the Interbay Peninsula, which divides Hillsborough Bay in the east, from Old Tampa Bay in the west. Tampa is divided into many neighborhoods, many of which were towns and unincorporated communities annexed by the growing city. Generally, Tampa is divided into the following areas: Downtown Tampa , New Tampa , West Tampa , East Tampa , North Tampa , and South Tampa . Well-known neighborhoods include Ybor City , Forest Hills , Ballast Point , Sulphur Springs , Seminole Heights , Tampa Heights , Palma Ceia , Hyde Park , Davis Islands , Harbour Island , Tampa Palms , College Hill , Water Street , Channelside and non-residential areas of Gary and

5885-555: The city of Tampa opened the golf course to the public. The Story of Tampa , a public painting by Lynn Ash, is a 4 ft × 8 ft (1.2 m × 2.4 m) oil on masonite mural that weaves together many of the notable aspects of Tampa's unique character and identity. It was commissioned in 2003 by the city's Public Art Program and is in the lobby of the Tampa Municipal Office Building. Scoliosis Scoliosis ( pl. : scolioses )

5992-459: The clinical practice for therapeutic management of scoliosis such as global postural reeducation and the Klapp method. Bracing is normally done when the person has bone growth remaining and is, in general, implemented to hold the curve and prevent it from progressing to the point where surgery is recommended. In some cases with juveniles, bracing has reduced curves significantly, going from a 40° (of

6099-684: The condition progresses, it may alter a person's life, and hence can also be considered a disability . It can be compared to kyphosis and lordosis , other abnormal curvatures of the spine which are in the sagittal plane (front-back) rather than the coronal (left-right). The cause of most cases is unknown, but it is believed to involve a combination of genetic and environmental factors . Scoliosis most often occurs during growth spurts right before puberty. Risk factors include other affected family members. It can also occur due to another condition such as muscle spasms , cerebral palsy , Marfan syndrome , and tumors such as neurofibromatosis . Diagnosis

6206-502: The condition was discovered by the Greek physician Hippocrates , a cure has been sought. Treatments such as bracing and the insertion of rods into the spine were employed during the 1900s. In the mid-20th century, new treatments and improved screening methods have been developed to reduce the progression of scoliosis in patients and alleviate their associated pain. School children were during this period believed to develop poor posture as

6313-546: The condition), fragile X syndrome , Friedreich's ataxia , hemihypertrophy , Loeys–Dietz syndrome , Marfan syndrome , nail–patella syndrome , neurofibromatosis , osteogenesis imperfecta , Prader–Willi syndrome , proteus syndrome , spina bifida , spinal muscular atrophy, syringomyelia , and pectus carinatum . Another form of secondary scoliosis is degenerative scoliosis, also known as de novo scoliosis, which develops later in life secondary to degenerative (may or may not be associated with aging) changes. This

6420-442: The conditions treated and the education of medical professionals, including medical residents and fellows, nurses, physical, recreation, and occupational therapists , speech and language pathology , psychologists , social workers , and child life specialists . Shriners Hospitals: Locations by Specialty: Satellite Clinics: Tampa, Florida Tampa ( US : / ˈ t æ m p ə / TAM -pə )

6527-502: The country, by van or by airplane. Children accepted for treatment become part of the Shriners Hospital system until their 18th or, sometimes, their 21st, birthday, eligible for both inpatient and outpatient treatment for all facets of their disability. While the main emphasis of the hospitals is to provide medical care to children regardless of the family's ability to pay, the mission of the hospitals also includes research on

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6634-638: The culture, traditions and heritage of the Italian Community and to maintain the historical facility as a functioning memorial to the working class immigrants." Babe Zaharias Golf Course in the Forest Hills area of Tampa has been designated a Historical Landmark by the National Register of Historic Places. It was bought in 1949 by the famous "Babe" Didrikson Zaharias , who had a residence nearby, and closed upon her death. In 1974,

6741-488: The curve, mentioned in length above) out of the brace to 18°. Braces are sometimes prescribed for adults to relieve pain related to scoliosis. Bracing involves fitting the person with a device that covers the torso; in some cases, it extends to the neck (example being the Milwaukee Brace). The most commonly used brace is a TLSO , such as a Boston brace , a corset -like appliance that fits from armpits to hips and

6848-758: The deformity. Whilst nighttime braces are more convenient for children and families, it is unknown if the effectiveness of the brace is as good as conventional braces. The UK government have funded a large clinical trial (called the BASIS study) to resolve this uncertainty. The BASIS study is ongoing throughout the UK in all of the leading UK children's hospitals that treat scoliosis, with families encouraged to take part. Indications for bracing: people who are still growing who present with Cobb angles less than 20° should be closely monitored. People who are still growing who present with Cobb angles of 20 to 29° should be braced according to

6955-681: The duration of the war. In 1861, the Union Navy set up a blockade around many southern ports to cut off the Confederacy. Several US Navy ships were stationed near the mouth of Tampa Bay , but small blockade running ships were often able to slip by the blockade to deliver cattle to Spanish Cuba, earning gold for the Confederate cause. On June 30, 1862, the gunboat USS Sagamore sailed into Tampa Bay and opened fire on Fort Brooke, which returned fire. The Sagamore withdrew after

7062-512: The first time in the hospitals' 87-year history. Maxwell said children with burns, orthopaedic conditions, spinal cord injuries and cleft palates will continue to be treated without charge to their families. In May 2015, Shriners Hospitals for Children became a member of the Mayo Clinic Care Network , a national network of organizations committed to better serving patients and their families through physician collaboration. In

7169-453: The fort's facilities and confiscated the remaining military supplies other than the cannons, which they tossed into the Hillsborough River, then left the "desolate" town after two days. The Civil War ended in April 1865 with a Confederate defeat. In May 1865, federal troops arrived in Tampa to occupy the fort and the town as part of Reconstruction . They remained until August 1869. During

7276-730: The hospitals provide spinal cord injury rehabilitation that is developmentally appropriate for children and adolescents, with adventure and adapted sports programs, activity-based rehabilitation, aquatherapy, animal-assisted therapy , and other programs. Four of the hospitals (Boston, Galveston, Cincinnati, and Sacramento) provide care for children with burns, as well as treating a variety of skin conditions such as epidermolysis bullosa and toxic epidermal necrolysis . The Boston, Chicago, Shreveport, Galveston, and Portland hospitals also provide treatment for children with craniofacial conditions, especially facial clefts. The hospital in Sacramento

7383-404: The idiopathic form of scoliosis. Several candidate gene studies have found associations between idiopathic scoliosis and genes mediating bone formation, bone metabolism, and connective tissue structure. Several genome-wide studies have identified a number of loci as significantly linked to idiopathic scoliosis. In 2006, idiopathic scoliosis was linked with three microsatellite polymorphisms in

7490-433: The immediate post-war period, Tampa was a poor, isolated fishing village with about 1,000 residents and little industry. Yellow fever , borne by mosquitoes from nearby swamps, broke out several times during the 1860s and 1870s, causing more residents to leave. In 1869, residents voted to abolish the city of Tampa government. In 1870, the population of "Tampa Town" was about 800, and dropped to about 700 by 1880. Fort Brooke

7597-425: The largest cities in Florida by 1900. In late 1883, Henry B. Plant 's narrow-gauge South Florida Railroad reached Tampa and its port, connecting the small town to the nation's railroad system after years of efforts by local leaders. Previously, Tampa's overland transportation links had consisted of sandy roads stretching across the Florida countryside. Plant's railroad made it much easier to get goods in and out of

7704-399: The lowest vertebra involved. For people with two curves, Cobb angles are followed for both curves. In some people, lateral-bending X-rays are obtained to assess the flexibility of the curves or the primary and compensatory curves. Congenital and idiopathic scoliosis that develops before the age of 10 is referred to as early-onset scoliosis. Progressive idiopathic early-onset scoliosis can be

7811-402: The more severe deformities caused by adolescent idiopathic scoliosis. Such procedures can result in a return to physical activity in about 6 months, which is very promising, although minimal back pain is still to be expected in the most severe cases. The prevalence of scoliosis is 1–2% among adolescents, but the likelihood of progression among adolescents with a Cobb angle less than 20°

7918-504: The most common form of the condition, late-onset idiopathic scoliosis, causes little physical impairment other than back pain and cosmetic concerns, even when untreated, with mortality rates similar to the general population. Older beliefs that untreated idiopathic scoliosis necessarily progressed into severe (cardiopulmonary) disability by old age have been refuted. An estimated 65% of scoliosis cases are idiopathic (cause unknown), about 15% are congenital , and about 10% are secondary to

8025-418: The municipal government of the city of Tampa with the county government of Hillsborough County, in 1967, 1970, 1971, and 1972, all of which failed at the ballot box. The greatest loss was the most recent attempt in 1972, with the final tally being 33,160 (31%) in favor and 73,568 (69%) against the proposed charter. The biggest recent growth of Tampa was the development of New Tampa , which started in 1988 when

8132-700: The new territory. Fort Brooke was established in January 1824 at the mouth of the Hillsborough River on Tampa Bay, in Downtown Tampa . Tampa was initially an isolated frontier outpost. The sparse civilian population practically abandoned the area during the Second Seminole War from 1835 to 1842, after which the Seminoles were forced out and many settlers returned. Florida became the 27th state on March 3, 1845. On January 18, 1849, Tampa

8239-546: The onset of menses in girls. Evidence supports that bracing prevents worsening of disease, but whether it changes quality of life, appearance, or back pain is unclear. Surgery is usually recommended by orthopedists for curves with a high likelihood of progression (i.e., greater than 45–50° of magnitude), curves that would be cosmetically unacceptable as an adult, curves in people with spina bifida and cerebral palsy that interfere with sitting and care, and curves that affect physiological functions such as breathing. Surgery

8346-417: The opposite end of the growth spectrum, a 29° Cobb angle and a Risser sign three or four might not need to be braced because the potential for progression is reduced. The Scoliosis Research Society's recommendations for bracing include curves progressing to larger than 25°, curves presenting between 30 and 45°, Risser sign 0, 1, or 2 (an X-ray measurement of a pelvic growth area), and less than six months from

8453-412: The patient is also important, since some treatments are ineffective in adults, who are no longer growing. Minor curves may simply be watched periodically. Treatments may include bracing , specific exercises, posture checking, and surgery. The brace must be fitted to the person and used daily until growing stops. Specific exercises, such as exercises that focus on the core, may be used to try to decrease

8560-466: The person has not yet completed the adolescent growth spurt). Scoliosis affects 2–3% of the United States population, or about five to nine million cases. A scoliosis (spinal column curve) of 10° or less affects 1.5–3% of individuals. The age of onset is usually between 10 years and 15 years (but can occur younger) in children and adolescents, making up to 85% of those diagnosed. This is due to rapid growth spurts during puberty when spinal development

8667-482: The possibility of the underlying condition more serious than simple scoliosis. The person's gait is assessed , with an exam for signs of other abnormalities (e.g., spina bifida as evidenced by a dimple , hairy patch, lipoma , or hemangioma ). A thorough neurological examination is also performed, the skin for café au lait spots , indicative of neurofibromatosis , the feet for cavovarus deformity , abdominal reflexes and muscle tone for spasticity . When

8774-526: The previously agriculture-dominated area around the new campus. Overall, Tampa continued to expand away from the city center during the 1960s as new hospitals, schools, churches and subdivisions all began appearing to accommodate the growth. Many business offices began moving away from the traditional downtown office building into more convenient neighborhood office plazas. In 1970, the U.S. Census Bureau reported Tampa's population as being 80.0% white and 19.7% black. Four attempts have been made to consolidate

8881-483: The production of fertilizers and other products, was soon being shipped from the Port of Tampa in great volume. Tampa is still a major phosphate exporter. The discovery of phosphate, the arrival of Plant's railroad, and the founding of Ybor City and West Tampa—all in the mid-1880s—were crucial to Tampa's development. The once-struggling village of Tampa became a bustling boomtown almost overnight and had grown into one of

8988-404: The prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are larger curves carry a higher risk of progression than smaller curves, and thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar curves. In addition, people not having yet reached skeletal maturity have a higher likelihood of progression (i.e., if

9095-473: The rest of the US market easy by land. Since Tampa was still a small town at the time, with a population less than 5,000, Ybor built hundreds of small houses around his factory to accommodate the immediate influx of mainly Cuban and Spanish cigar workers. Ybor City 's factories rolled their first cigars in 1886, and many different cigar manufacturers moved their operations to town in ensuing years. Many Italian and

9202-459: The risk of progression by considering age, Cobb angle increase over a six-month period, Risser sign, and clinical presentation. People who are still growing who present with Cobb angles greater than 30° should be braced. However, these are guidelines and not every person will fit into this table. For example, a person who is still growing with a 17° Cobb angle and significant thoracic rotation or flatback could be considered for nighttime bracing. On

9309-466: The risk of worsening. They may be done alone or along with other treatments such as bracing. Evidence that chiropractic manipulation , dietary supplements, or exercises can prevent the condition from worsening is weak. However, exercise is still recommended due to its other health benefits. Scoliosis occurs in about 3% of people. It most commonly develops between the ages of ten and twenty. Females typically are more severely affected than males with

9416-478: The risk that the curvature will progress. Mild scoliosis (less than 30° deviation) and moderate scoliosis (30–45°) can typically be treated conservatively with bracing in conjunction with scoliosis-specific exercises. Severe curvatures that rapidly progress may require surgery with spinal rod placement and spinal fusion. In all cases, early intervention offers the best results. A specific type of physical therapy may be useful. Evidence to support its use, however,

9523-445: The scoliosis curves and the kyphosis and lordosis , as these can also be affected in individuals with scoliosis. Full-length standing spine X-rays are the standard method for evaluating the severity and progression of scoliosis, and whether it is congenital or idiopathic in nature. In growing individuals, serial radiographs are obtained at 3- to 12-month intervals to follow curve progression, and, in some instances, MRI investigation

9630-479: The south. A 1748 British map had "B. del Spirito Santo" for Tampa Bay and "Carlos Bay" to the south. A Spanish map of 1757 renamed Tampa Bay as "San Fernando". As late as 1774, Bernard Romans called Tampa Bay "Bay of Espiritu Santo", with "Tampa Bay" restricted to the Northwest arm, what is now Old Tampa Bay, and the northeast arm named "Hillsborough Bay". The name may have come from the Calusa language or possibly,

9737-441: The spine, it has been shown to influence the pneumonic function, balance while standing and stride execution in children. The impact of carrying backpacks on these three side effects have been broadly researched. Incidence of idiopathic scoliosis (IS) stops after puberty when skeletal maturity is attained, however further curvature may occur during late adulthood due to vertebral osteoporosis and weakened musculature. Ever since

9844-431: The spine. Vertebrae of the spine, especially in the thoracic region, are, on average, asymmetric. The mid-axis of these vertebral bodies tends to point systematically to the right of the median body plane . A strong asymmetry of the vertebrae and their musculature, may lead to mechanical instability of the column, especially during phases of rapid growth. The asymmetry is thought to be caused by an embryological twist of

9951-610: The state of Florida. The tallest building in the city is 100 North Tampa , formerly the AmSouth Building, which rises 42 floors and 579 ft (176 m) in Downtown Tampa. The structure was completed in 1992, and is the tallest building in Florida outside of Miami and Jacksonville . The Sulphur Springs Water Tower , a landmark in the Sulphur Springs section of the city, stands 214 feet tall and

10058-746: The tagline, "Love to the Rescue." In 1920, the Imperial Session of the Shriners was held in Portland, Oregon . During that session the membership unanimously passed a resolution put forward by W. Freeland Kendrick who (while serving as Imperial Potentate) put forth the resolution that created the Shriners Hospitals for Children. The first hospital in the system opened in 1922 in Shreveport , Louisiana . It provided pediatric orthopaedic care. Shriners Hospitals for Children worked closely with

10165-401: The time—now discredited—was that the condition needed to be detected early to halt its progression, and so some schools made screening for scoliosis mandatory. Measurements of shoulder height, leg length and spinal curvature were made, and the ability to bend forwards, along with body posture, was tested, but students were sometimes misdiagnosed because of their poor posture. An early treatment

10272-442: The town of Tanpa at the mouth of Charlotte Harbor . The entrances to Tampa Bay and Charlotte Harbor are obscured by barrier islands , and their locations, and the names applied to them, were a source of confusion to explorers, surveyors and map-makers from the 16th century to the 18th century. Bahía Tampa and Bahía de Espíritu Santo were each used, at one time or another, for the modern Tampa Bay and Charlotte Harbor. Tampa Bay

10379-634: The treatment and rehabilitation of burned children. After visiting 21 university-based medical institutions, the decision was made to build their first pediatric burn hospital on the campus of the University of Texas Medical Branch in Galveston, Texas . In 1994, the Chronicle of Philanthropy , an industry publication, released the results of the largest study of charitable and non-profit organization popularity and credibility. The study showed that

10486-570: The world. The Ybor City District is home to several buildings on the National Register of Historic Places and has been declared a National Historic Landmark . Notable structures include El Centro Español de Tampa , Centro Asturiano de Tampa and other social clubs built in the early 1900s . Including L'Unione Italiana or the Italian Club, at 1731 East 7th Avenue in Ybor City. The Italian Club mission "is to preserve and honor

10593-475: The worst offenders in government and the mob were not charged, the trials helped to end the sense of lawlessness which had prevailed in Tampa for decades. Tampa grew considerably as a result of World War II . Prior to the United States' involvement in the conflict, construction began on MacDill Field , which served as a main base for Army Air Corps and later Army Air Forces operations just before and during World War II, with multiple auxiliary airfields around

10700-463: Was able to openly thrive only because of kick-backs and bribes to key local politicians and law enforcement officials, and many were on the take. Profits from the bolita lotteries and Prohibition -era bootlegging led to the development of several organized crime factions in Tampa. Charlie Wall was the first major boss, but various power struggles culminated in consolidation of control by Sicilian mafioso Santo Trafficante Sr. and his faction in

10807-459: Was built by Grover Poole in the late 1920s. This 1920s boom period for Florida also saw the construction of an ornate movie palace , the Tampa Theatre , a Mediterranean revival on Davis Islands , and Bayshore Boulevard , which borders Hillsborough Bay from downtown Tampa to areas in South Tampa. The road has a 6 mi (10 km) continuous sidewalk on the eastern end, the longest in

10914-479: Was decommissioned in 1883, further impacting the local economy in the short run, but opening up the waterfront for development. Except for two cannons displayed on the University of Tampa campus, all traces of the fort are gone. In the mid-1880s, Tampa's fortunes took several sudden turns for the better. In 1883, phosphate was discovered in the Bone Valley region southeast of Tampa. The mineral, vital for

11021-433: Was found to be 2% more than that of the general population. Later (2006–) studies corroborate these findings, adding that they are "reassuring for the adult patient who has adolescent onset idiopathic scoliosis in approximately the 50–70° range." These modern landmark studies supersede earlier studies (e.g. Mankin-Graham-Schauk 1964) that did implicate moderate idiopathic scoliosis in impaired pulmonary function. Generally,

11128-464: Was founded as a military center in the 19th century, with the establishment of Fort Brooke . The cigar industry was brought to Tampa by Vincente Martinez Ybor , after whom Ybor City is named. Tampa was reincorporated as a city in 1887 following the Civil War . Tampa's economy is driven by tourism, health care, finance, insurance, technology, construction, and the maritime industry. The bay's port

11235-693: Was labeled Bahía de Espíritu Santo (Bay of the Holy Spirit) in the earliest Spanish maps of Florida. It became known as B. Tampa ( Bahía Tampa or Tampa Bay) as early as 1576. In 1601, "B. Tampa", corresponding to Tampa Bay, appeared for the first time on a printed map in Antonio de Herrera y Tordesillas's Description del Destricto del Audiencia de la Espanola, from his book Descripcion de las Indias Ocidentales, printed in Madrid. A 1705 British map also shows B. Tampa, with "Carlos Bay" for Charlotte Harbor to

11342-555: Was officially incorporated as the "Village of Tampa." It was home to 185 civilians, or 974 total residents including military personnel, in 1850. Tampa was reincorporated as a town on December 15, 1855. During the Civil War , Florida seceded along with most of the southern states to form the Confederate States of America , and Fort Brooke was defended by Confederate troops. Martial law was declared in Tampa in January 1862, and Tampa's city government ceased to operate for

11449-503: Was provided at other Shriners Hospitals for Children. The Shriners had considered closing facilities in Shreveport, Louisiana ; Greenville, South Carolina ; Erie, Pennsylvania ; Spokane, Washington ; Springfield, Massachusetts and Galveston, Texas , eliminating a total of 225 beds. However, in July 2009, the Shriners National Convention voted overwhelming against closing any hospitals and to repair and reopen

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