2015年08月

Osteoarthritis (OA) is the most common form of arthritis and affects more than 28 million Americans. It is a disease that is caused by premature deterioration of articular hyaline cartilage.

Hyaline cartilage is the tough gristle that caps the ends of long bones in the joint. The genesis of OA is a complicated process that is initiated when cartilage undergoes injury. Since cartilage is avascular and aneural (there are no nerves or blood vessels inside cartilage), the capacity to repair itself is minimal. Genetic factors also play a significant role.

Once the disease begins, there is a progressive loss of cartilage resiliency. A complex interplay of inflammation of the joint lining as well as abnormal metabolic behavior within the cartilage itself appear to both play important roles. There is new evidence that cartilage cells called chondrocytes may participate in a generalized inflammatory and destructive process that leads to the cartilage damage.

The underlying bone beneath the cartilage is also involved with the progressive growth of osteophytes (spurs.) Bone may contribute in other ways to the development of OA.

Since this is a generalized metabolic process, this makes OA different from conditions where there is an isolated area of cartilage injury.

There have been a number of procedures that have been performed in order to repair damaged cartilage.

For example, microfracture has been touted as a popular option for localized cartilage defects.

The theory is that by breaking through cartilage and bone by fracturing it, openings are created for mesenchymal stem cells to escape into the knee joint with subsequent repair of cartilage defects. It has been shown that mesenchymal stem cells from bone marrow have the ability to differentiate into cartilage and bone.

Autologous cartilage plugs are another option. These are plugs of cartilage and bone that are taken from non-weight-bearing areas of the knee joint such as the intercondylar notch and then "plugged" into cartilage defects.

Autologous chondrocyte implantation is another procedure where cartilage cells are removed from the patient, cultured in a laboratory, and then re-implanted back into the injured knee underneath a thin membrane in the cartilage defect. The patient then cannot weight-bear for several months.

These procedures have had mixed reviews since controlled studies are difficult to do and the actual success rate is hard to determine. One point that must be emphasized is that none of these procedures has been shown to be effective for OA. The probable reason is, as stated earlier, that OA is a metabolic failure of cartilage rather than an isolated injury.

One option that does appear to have promise is the use of mesenchymal stem cells along with growth factors and biomatrix. Further research is needed to confirm the anecdotal reports that have been produced so far. For more information about this procedure, here is a reference:

Wei N, Beard S, Delauter S, Bitner C, Gillis R, Rau L, Miller C, Clark T. Guided Mesenchymal Stem Cell Layering Technique for Treatment of Osteoarthritis of the Knee. J Applied Res. 2011; 11: 44-48

Nathan Wei, MD FACP FACR is a board-certified rheumatologist and nationally known arthritis authority and expert. For more info: Arthritis Treatment and Arthritis Treatment CenterOnce you come across Windows Error 2 Itunes problems, please try to reinstall itunes first and see if it works
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REMARKABLE!!!! INCREDIBLE! Very easy to schedule appointment along with the whole refinishing process took but several hours. Really little noise and almost no odor! We refinished the floor in my newborn's room and will probably be pulling up the carpet and doing the whole house in several months. Staff was courteous, friendly, professional, and made positive I was an informed consumer. Definite five stars!! -Krista S.

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Almost everyone has been told by their mothers to wipe their feet before coming inside. By that same token, almost everyone has forgotten to do so and left a trail of dirt and mess as they walked through the house. If you want to keep a truly clean home, wiping your feet on the doormat before entering is a big help.

However, we all know that doormats don’t get the bottom of your shoes completely clean. How do we know this? The floors need mopping and the carpet needs vacuuming all too soon, even in a house where feet are wiped upon each entry.

If you want to know that your floors are clean enough to eat off of, you need a tacky mat. Tacky mats are not your average door mat. These high tech mats actually remove all dirt and debris from your shoes and some are even equipped to sanitize your shoes.

As you can imagine, tacky mats were not invented for the obsessive compulsive home owner. Tacky mats are most often used in business, labs, and clean rooms in which the area needs to be kept completely clean and sanitary. Tacky mats keep those entering the area from carrying germs, dirt, and debris into the room along with their shoes.

But just how do these wonder mats work their magic? How Tacky mats work has remained a mystery for many, but it’s actually quite simple. In fact, the name ‘tacky mat’ is a big clue as to how tacky mats work to eliminate shoe bottom filth.

Also known as sticky mats, tacky mats are comprised of layer upon layer of adhesive film. The highly powerful adhesive on the film effectively removes dirt, grime, and even grease from the bottoms of shoes, bare feet, wheels, and even animal paws. The adhesive in tacky mats is not your average sticker glue. You might say that it’s adhesive on steroids!

Many tacky mat manufacturers also include anti-microbial germicide that also kills germs. Not only are floors free of dirt and debris, but you can feel confident that your floors and rooms are sanitary and safe.

Best of all, when your tacky mat is full of dirt and debris, a fresh layer of adhesive is just a few minutes away. Simply peel away the top layer to reveal a fresh mat of industrial strength adhesive. Many tacky mats have as many as thirty layers to ensure you never run out of cleanliness. You never have to wash, clean or maintain your tacky mat.

Tacky mats are even used in hospitals to ensure the highest levels of sanitation and cleanliness. When used in the home, tacky mats help you keep a fresh and sanitary home without additional cleaning time on your part.

For home owners and business owners that want to work smarter and not harder, but still want to maintain a clean and sanitary space, tacky mats are a very valuable tool. You’ll love knowing that your tacky mat is working on your behalf to keep your home and your business clean.

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If you enjoy writing and you want to make money working from home then you will want to read this article. Specifically we'll discuss how to go about finding freelance writing opportunities and five ways to maximize your revenue.

If you have previous writing experience then you have the upper hand, however if you don't have experience you can still work as a writer. As long as you are meticulous, creative and have a good command of the English language you will be able to get writing jobs. Initially you will not be paid as much as you would like to but as soon as you have been writing for some time, you can increase your prices. If you are a professional writer or a copywriter then you will definitely start off making a good amount of money online.

There are two main ways of going about writing online.

First, there are websites that work on bidding systems where a client will request what they are looking for you then place a bid on the offer and the best bid wins. The tough part can be that there are a lot of writers that charge minimal amounts because they are either not great writers or they live in countries where $2 to $5 translates to a decent earning.

The second way to find writing work is to advertise in online communities where you set your own price and hopefully get a few orders. With these sites you may need to build up a re[censored] tion so you could initially offer your articles for free in return for a review.

When you start writing articles for pay you should follow these tips to help you increase your earnings.

1) You want return customers so make sure that you provide articles that are informative, well researched and free from spelling and grammatical errors.

2) Make sure that you understand exactly what your customer wants. There may be some ambiguity in their desires, so if you are unsure about anything always clear it up before you start writing the article.

3) The most important aspect of writing for webmasters is that your content needs to be original. If you copy directly from other articles your customers will want a refund. Make sure that you content is completely unique.

4) Be sure to research the subject thoroughly. Often you will not have the knowledge to write on particular subjects. If you want to keep your customers coming back you need to keep them happy.

5) You need to include the keywords that have been given to you. Some clients may request that you repeat the keywords many times throughout the article while some may only want their keyword to appear two or three times.

Remember, that to be a successful writer you need to satisfy your customers needs so always make sure that you give them what they want. Over time you will establish a good re[censored] tion along with a satisfied client-base.

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The fitness and conditioning industry is very alive nowadays. Everywhere we see people getting at it, sweating and working out, very mindful of those sexy curves and firm, solid muscles. But there is one particular thing that is building excitement in the community. “Core training,” also known as “core conditioning” is the popular talk these days. It is the brainchild of fitness coaches that had become widely accepted over the years. Your core muscles are the target of this particular fitness exercise, and the Ab Rocket Abdominal Trainer is one fitness machine that answers the demands of this core training exercise.

The core is a collection of important muscles that resides at the center of a person’s body; it holds your head and upper limbs with that of your lower limbs and acts as a fastener to attach them firmly together. You simply can’t move around without it, and for certain, you won’t be able to accomplish anything. It is considered vital for your everyday physical activities as it operates to create force like lifting, creates stability during movement, and it acts as medium during the transfer of energy when you jump. Training and exercising these muscles is critical to condition your body against the demands of various everyday physical activities.

The Ab Rocket Abdominal Trainer is perfect for those people who cannot find time and spare money regularly to go to the gym. It is designed to train and exercise your abdominal muscles right at the comfort of your home. The machine uses a high-tech resistance system to facilitate a full body workout. It can also be fitted with the Ab Rocket Flex Master under the device as an added feature to introduce total body training. All you need to do is sit down comfortably in the device and commence training in all regions, top, middle, down, and the sides. It boasts of three resistance levels for flexibility. Five-minute workouts a day is generally recommended. You won’t need to worry about neck or back strains as it comes fully complete with supporting apparatus to handle those parts. Instead you will feel that certain, mild massage sensation from its rolling cushion feature as you work on your middle. You will also get a free DVD that contains instructions complete with work-out exercises and planning for low-calorie meals if you every the Ab Rocket trainer. Despite having a busy day, squeezing even only a few minutes with the trainer can be of great help to your goal of sculpting that midsection. It requires less space in your house as it can be easily folded for storage when you’re not using it.

The Ab Rocket trainer, like any small-sized training equipment, has compatibility issues in terms with different body types. It won’t well for people over six feet tall and to those who weigh two hundred pounds or more. Its slim frame works best for smaller people. Even advanced users will not be able to get much as it’s not exactly advisable for intense workouts. Casual people are much more welcome.

To say that strong abs best go hand in hand with sexy, tight-fitted clothes is an understatement. Having well-developed abdominal muscles is as equally important to the physical conditioning and general well-being of our bodies. And with the help of the Ab Rocket training machine, we can be sure that in the long run, having a healthy and well-built body will make living a happy and meaningful experience.

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