Archives August 2023

By Nathan Wei

If you have weird sounding knees, this article may explain why that happens. Read on

Often patients will come to the office complaining their knees crack, or pop or snap. If your knees sound like a bowl of Rice Krispies, there are a number of possibilities.

Popping in the knees can occur at any age. Even young people will sometimes describe a popping sound with certain movements. Young women who present with this symptom along with some dull aching in the front of the knee usually have a condition called chondromalacia patella. This is a condition where the cartilage behind the kneecap softens. Usually this problem responds to conservative measures such as exercises, medications, and physical therapy.

However if the abnormal sounds are accompanied by other symptoms such as stiffness, aching, or pain, and the patient is older, then further investigation is probably indicated.

When symptoms of pain and stiffness are present, its likely there is damage to cartilage. Cartilage is the gristle at the end of long bones that cushions the joint. The knee joint consists of the femur (upper leg bone), tibia (lower leg bone) and patella (knee cap). Each of these bones has a cap of cartilage that allows the bones to glide against each other. There is also a thin layer of lubricating material called synovial fluid.

Cartilage consists of cells called chondrocytes that sit inside a matrix composed of a mixture of proteoglycans and collagen. With age, particularly if there is a history of trauma, the cartilage cells and the matrix undergo changes. Water content initially increases, then decreases. The ratio of proteoglycans to collagen changes. Cartilage cells also undergo metabolic changes. Destructive enzymes are produced and the cartilage begins to form small cracks, called fissures. Another problem is the thin layer of synovial fluid no longer functions properly.

With further deterioration, cartilage begins to flake. This leads to the creation of abnormal sounds called crepitus.

This crepitus is very apparent if you place your hand against the knee cap and bend the knee. Crepitus is due to irregularities occurring in the cartilage on the underside of the knee cap.

While crepitus by itself is not a major concern, it is something that bears watching. That is because over time the likelihood of other symptoms occurring is increased.

Symptoms of aching and stiffness often signify the presence of osteoarthritis. Further evaluation by a rheumatologist with history, physical examination, and x-rays are indicated. X-rays, unfortunately, are not sufficiently sensitive to pick up early osteoarthritis. Sometimes more sensitive techniques like magnetic resonance imaging are called for. Laboratory tests might be needed to exclude other diagnostic possibilities.

If osteoarthritis is diagnosed, a program consisting of weight control, exercise, analgesics or anti-inflammatory drugs, injections of corticosteroids or viscosupplements (lubricants), braces, and physical therapy can provide needed relief. The exact mix of treatments will be determined by the findings determined by the medical work-up.

About the Author: Nathan Wei, MD FACP FACR is a rheumatologist and Director of the Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine. For more info:

Arthritis Treatment

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You have to know these in order to trade the Forex Market.PIPSThis is the smallest fraction of any currency and is used as an incremental/decremental for the currency pair. In dollar currency, 1 pips represent 0.001 Dollar. In Cross trades Japan currency, 1 pips represent 0.01 Yen. Trades are executed by entering the pips of the currency. Profit take and stop loss are measure in terms of pips also. By looking at any currency price chart, you will find the currency values in pips.Currency PairAll Forex are traded in currency pair. One currency is paired with another currency to form a paired currency and using this rate to establish the exchange between to country. Every country have their individual currency note. If you are holding on to United State Dollar and you intend to change it to Europe Euro, you will be using the USD/EUR rate.Buy or SellIn trading of Forex, you will always be holding a currency as the default or holding capital. And use it to buy or sell another currency. Due to the conversion of currency via the foreign exchange market, you can buy another currency and sell it later, or sell another currency first then buy in later. Either way you are still using your default capital money to use for the trade. As a rule of thumb, always buy low sell high, irrelevant of the time involved.Now you know the basic, you can begin trading Forex in 3 simple steps.Step 1Create a trading account with your preferred Forex Broker. The broker am using is InterbankFX Australia and Alpari UK. They are established and provide MT4 platform for trading Forex. The deposit and withdraw are fast and hassle-free.Step 2Fund your capital. Next is to get your money into your newly created trading account. The default holding currency is United States Dollars. While you can choose many other but am using USD as the main currency because of the currency pair that I normal trade are the Major and USD related currency pair.Step 3The last step is to buy and activate the Expert Advisor on your trading account. You can choose a number of program to run but there is a few which I have filtered and give good results in the long run. Simply install your MT4 and run your EA program on your trading account and see your results.The above are 3 simple steps where you dont need to go thru many hours of trading or training to learn Forex. You can see my review of the Forex Broker and the Expert Advisor program at my website. Simply choose your preferred broker, create an trading account, fund your capital, buy a EA and install MT4 and run your EA on your trading account to gain passive income.Source: http://www.bestforexranking.com

byadmin

Replacing the windows in your home is something that is not an everyday topic around the dinner table but when the time comes to choose a window company in Honolulu HI to supply and install replacement windows there are a number of things you will want to brush up on. You will want to know that the company you finally choose is one which will have provided you with excellent advice during the assessment stage and has a verifiable track record for excellence.

There are a number of salient questions that should be asked as you go through the process of selecting the Window Company in Honolulu HI that will eventually be given your business. Any top-tier window company will gladly answer all your questions and just as it makes a lot of senses to get more than one quotation; it makes equal sense to ask several window companies the same questions. It is important that you feel confident that you have chosen the best windows available and the best window company to supply and install them.

Here are a few critical questions that you should ask the candidates for your business:

* Get the full name and address of the company. If all you get is a PO Box number then insist on their street address. If at all possible try to eventually choose a window company which is reasonably close to your home, you can usually expect better service and response in the future.

* Is the company fully insured? Do not consider working with a window company that does not carry liability insurance and workers comp, these insurances will protect you in the event there is an unfortunate accident while the company personnel are on site.

* Make sure the company is licensed by the state or city whichever is applicable. Remember, having a license to operate means that the contractor has had to pass certain criteria. A business license is not the same; it is a tax requirement and bears no relevance to the skills of the contractor.

* Find out how long the company has been in business. The longer the better is the key, any company that say less than five years old might still be learning the business. Of course, every business has to start somewhere; this is when it’s a good idea to check references and the BBB to see if there have been any problems in the past that have not been satisfactorily solved.

Along with the warranty on workmanship and the company’s record in solving problems all you have to do is ask the companies that you feel comfortable with for a written proposal that fully details what you and the window company have agreed upon in full.

CCC; Custom Contracts, Inc. are a window company in Honolulu HI that have been servicing the needs of the community for over 25 years. As specialists in window replacement they have been selected to install over 200,000 windows and counting.

By Jennifer Akre

Traditional kitchen tables have always been at the center of all family activities and were considered the heart of home dcor for generations. Today, however, furniture is undergoing a transformation just like the home and the workplace. Lavish kitchen tables that can accompany large gatherings used to be the standard in most homes but now they may not be appropriate for a society that is always on the go. Fewer and fewer of us can truly sit down to a good meal every night and eat together as a family. Therefore, it is no longer necessary to have grand dining room tables that can seat large numbers of people.

Just as we are asked to multi-task, so too must our furnishings be able to adapt to multiple functions. In addition to this added functionality, modern kitchen tables must be able to adapt to the changing dcor of contemporary homes. It is no longer a given that homeowners will need or even want the traditional kitchen table made from wood and accentuated with matching chairs. Nowadays, many homes are fashioned in the contemporary style with clean lines and modern materials meaning that the tables must complement the tastes in design.

The Oregano dining table is perfect for the contemporary or casual home and lifestyle. Featuring a metal frame with curved legs bound by a triple ring center support, this kitchen table is right at home in contemporary settings. It is large enough to accommodate formal dining while small enough to use outdoors or for other purposes.

However, some of us still like the more traditional tables fashioned from wood but dont want a piece of furniture that will require a moving crew if you should want to use it in another room. Therefore, with a 40 diameter and crafted from quality hardwoods, the Dominique is a perfect compromise between the traditional aesthetics and modern functionality.

Without question, contemporary kitchen tables are undergoing a transformation in both design and function. While many homeowners are repurposing the traditional dining room and using it as a home office or spare bedroom, this has forced the kitchen table back into the cooking area. Thus, tables must be smaller and easy to relocate if necessary. Online retailers have a large selection of beautiful kitchen tables at great prices that can accommodate the needs of the modern home while still providing the perfect setting for a well-deserved and seemingly rare family meal!

About the Author: Jennifer Akre, owner of numerous sites specializing in coffee tables, console tables, and home decor, makes it easy to find contemporary and modern

Console Tables

and

Kitchen Tables

. Learn how to decorate your living room and kitchen in style-Click Today:

Only Tables.com

.

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By Dave Marx

For renovated or new homes alike, granite has grown in popularity more and more. There are many reasons for this due to the many benefits of of granites use as a kitchen countertop material. The entire list would be too long for this article, so we’ve compiled the top benefits listed below.

1. The natural beauty of a granite counter top. Vast arrays of shades, colors, and textures are available. Colors to compliment any decor can be found weather its a neutral color or something bright, your personal tastes can always be satisfied. One note here, if your counter top will need more than one slab to complete, make sure they come from the same mine batch or color shades could be objectionably different between slabs.

2. The durability of kitchen granite countertops. Granite is one of the most durable materials available. Unlike Formica, it isn’t subject to burning by hot pots or pans being cooked with. Granite is resistant to staining and discoloring when properly sealed on a regular basis. Sealing is easily done by anyone, and a properly sealed granite countertop will maintain a beautiful shiny luster for a lifetime.

3. Every slab of granite will have different feature from the next. Patterns, color textures, distribution and depth can all vary from slab to slab, providing different character. Any type of cabinet hardware fixtures can be complemented as well as cabinet finish or flooring. A richness is added to your kitchen, one that simple cannot be duplicated with other materials.

4. Although granite will add some expense to your kitchen remodel project, there are few better investments in your homes value. Using granite for your kitchen granite countertop will increase your home value, whether you’re planning on selling your home soon or not. Home shoppers are more inclined towards a recently remodeled kitchen void of repair needs. They’re more likely to pay more for the home, or go from feeling indifferent to preferred.

Builders and contractors have noticed an increase in demand for granite countertops over the recent decade or so, and it’s no wonder with all the benefits of granite. Weather using granite to enjoy the luxury yourself, or looking to sell your home, there are a few things to keep in mind:

1. Consider the decor of your home while choosing the pattern and color of granite to be used. Will you be changing the decor or do you have something new in store. Neutral colors are more flexible with any decor changes due in the future.

2. Always make sure you are the one who chooses the actual granite slab to be used in your kitchen countertop. Since every slab is different, sample chips wont match exactly what’s available. If your countertop is big enough to require more than one granite slab, make sure the slabs are from the same quarry batch. Different granite quarry batches will vary in hue for the same granite type. It would be a disaster if slabs from different batches were used.

3. Never try to recycle fixtures such as the faucet or sink. With granite applications, an undermount sink looks best – mounted on the underside of the granite, with a silicon sealant preventing leaks. An undermount sink can not be installed or replaced after the granite is in place. So purchase the best quality sink you can afford.

With these few points in mind, you’re ready to go and have your kitchen countertop transformed with gorgeous granite. Don’t be alarmed when friends and neighbors see it for the first time and gasp at the transformation.

About the Author: Dave Marx – writer for

Kitchen-Remodeling-Pictures.com

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Submitted by: Amaya Dixit

Businesses are striving to create a digital identity. Making a brand famous online amongst all the competition can be a very challenging task. Organizations need to understand their online competition if they want to carve their niche in the online marketplace. Understanding your competitors will help you gain a competitive edge that will ultimately drive sales and profits for your company

Understand Competition- Who Are They?

It is important to have a good understanding of exactly who your competitors are. You can find them by typing in your keywords on search engines and the ones that outrank you are to be considered as competition. Competitors who rank higher on SERPs with your target keywords are driving your customers to their websites. Understand what they are offering and at what price points. This may help you to differentiate yourself from the competition and bring value to your clients.

Study their Website

By surveying their website you will get an idea why they are topping the SERPs. Compare your website with theirs and work on your areas for improvement. Customers tend to visit more than one website before engaging companies. Analyse the quality of their content, know how effectively they are driving their message, understand the incentives that they offer and find what is attracting people to their website.

Know their SEO Srategies

Distinct SEO strategies play a key role in establishing your identity in the digital world. Find out your competitors SEO tactics that are helping them successfully captivate peoples attention.

Checking out the keywords that competitors are using should be a priority. Using appropriate keywords continues to be the most effective SEO technique. Find out the keywords your competitors are using and the positions where they are used like title tags, meta tags, header tags, etc.

Backlinks are highly regarded by search engines. Search for your competitors backlinks and evaluate their relevance and quality. This will let you know the potential websites from where you can earn quality backlinks.

Know their Marketing Strategies

Understand the marketing strategies of your competitors. Know how they are promoting their brand through different online channels. Check out their presence on social networking sites and see how they are engaging customers. Accordingly, you can improve your marketing tactics to drive your brands message to larger masses.

Use Effective Online Tools to undestand the Competition

To make your work all easier, there are online tools available at your disposal. Using these tools you can find out what your competitors are up to and what is driving their success. Be it their search engine performance or their presence on social media, you can know about your competitors activities through these tools.Hubspots Marketing Grader, Simply Measured, & SEMrush are a few such tools that can assist you in monitoring your competitors.

Devoting the time it takes to understand your competition may seem to be a tedious and a time consuming task, but it will present you with an opportunity for improvement. This will in turn help align you with the competition and will give you the competitive edge you need.

About the Author: Evolve Creative is a web development agency in Toronto, Canada with distinctive expertise in animation, digital marketing, SEO, Mobile app and Dedicated hiring.

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