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Anterior Cruciate Ligament Injuries in Footballers in the Gulf




Football is a sport which is popular in the UAE, Oman, Saudi Arabia and Bahrain. Every town in the Gulf has a large stadium and the game is played in the streets and village playgrounds.

The game of football extracts a heavy toll of ligament and cartilage injuries of the knee joint. These are the commonest ligament injuries and the anterior cruciate ligament has been considered as the most valuable piece of connective tissue in the human body as professional football clubs hand over contracts to footballers worth several millions of Euros and dollars and withdraw them immediately if the player is injured. The MOH hospitals in Oman, Bahrain, and Saudi Arabia treat a large number of knee injuries. There have been a larger number of new concepts in the treatment of this injury.

ACL Injury(anterior cruciate ligament injury)Anatomical background-

The ACL (anterior cruciate ligament) is one of four ligaments stabilising the knee joint. Ligaments are cord like tissues, which connect one bone to another. In the knee joint there cheap viagra are four ligaments, namely the medial collateral (inner), lateral collateral (outer), the anterior cruciate and the posterior cruciate. The anterior cruciate ligament runs from the back of the thigh-bone to the front of the inner side of the shin or leg bone. It prevents the leg bone from sliding off in front from the thigh bone. The ACL injury can be a partial sprain or a complete tear

Mechanism order viagra of injury-

The most common mechanism is a sports injury where there is a cutting or twisting injury to the knee.

Activities for risk

Injuries in sports like football when the player tries to tackle from the back, his knee twists and he falls to the ground. Involvements in other sports like basketball, cricket, skiing and hockey can also result in ACL injury. A blow to the knee from the front. Patients with cruciate ligament injuries are prone to develop generic viagra tears of the menisci(semilunar cartilages) and this can lead to secondary osteoarthritis

Symptoms

The person falls to the ground and is unable to continue the sport or activity which he was pursuing. He can feel or hear a popping sound in the knee joint. A swelling develops rapidly. There is a feeling of instability in the knee joint. Pain in the knee immediately, which worsens with the onset of swelling. Repeated giving away of the knee can occur as the patient runs around curves or while coming downstairs

What alternative to viagra is the future for a patient with an ACL injury?

Complete ACL injuries result in instability of the knee joint. Whenever the person runs or comes downstairs rapidly the tibia slides off the femur. This can lead to repeated falls. These can result in injuries to the semilunar cartilages or menisci. Meniscal tears can lead to mechanical symptoms like locking or unexpected falls.

A combination of persistent ligamentous laxity and meniscal tears can result in the development of secondary osteo-arthritis.

Treatment- RICE

(Rest, ice, compression, elevation). An ACL injury is a serious one which needs medical attention immediately. The surgeon buy viagra may aspirate the blood inside the joint to provide comfort. He may order a MRI scan to confirm the diagnosis immediately. An ACL injury can be treated conservatively in those individuals who are willing to restrict their sporting activity. For those unwilling to do so, surgical treatment viagra is advisable. Surgical treatment consists of an examination under anesthesia, arthroscopy and ACL reconstruction. The orthopedic surgeon may decide to take a graft from the patellar tendon or hamstrings. Bony tunnels are drilled through the tibia and femur and the graft is fixed.



Self-fulfilling Prophecies For Your Weal Or Woe!




Self-fulfilling prophecy means bringing about an outcome that was assumed to be inevitable beforehand! Self-fulfilling prophecies work by belief. (Belief means assuming that information received is true before confirming it's true!)

These beliefs can be conscious or unconscious. Usually they're unconscious and a person may believe one thing consciously and something that opposes it unconsciously! Unconscious beliefs tend to be more emotionally embedded and more potent than conscious beliefs.

Self-fulfilling Examples

If a woman believes she is stupid she�ll tend to find ways to act out that belief! Even if she manages to suppress that belief and gain some successes, her unconscious beliefs may still sabotage her with self-doubt, causing her to do things to undermine her accomplishments proving that what she believes about herself was true all the time!

People usually base their predictions of whether they�ll succeed or fail at a goal by their past experiences of succeeding or failing at attaining their goals! The more they've succeeded in the past the more they'll believe they�ll succeed in the future! The more they've failed alternative to viagra in the past the more they'll believe they�ll fail in the future!

Sometimes their viagra predictions aren't based on experience at all, but on being told repeatedly when they were children that they could never succeed at their goals! Convinced of this they never seriously attempted to attain their goals because they believed it was useless to do so from the start! If they did make an effort and experienced setbacks, they used the setbacks to prove that they were right to believe that they would fail all along!

Self-fulfilling PatternsSome studies have shown that people who are optimists are happier and accomplish more out of life than people who are pessimists! For whatever reason, optimists believe they are good people that life is good, that good things happen to them and studies show that they usually do! Optimism is based on belief! What we believe affects what we do! What we do affects what we accomplish!

It was once considered impossible for a mile to be ran in less than 4 minutes. To the experts and those influenced by them this was an obvious reality! The belief that this feat was impossible to do stopped most runners from trying to exceed this barrier (Self-fulfilling prophecy). People were ridiculed for daring to believe that a mile could be ran in less than 4 minutes, until some "fool" proved it could be done!

More self-fulfilling Examples

Alcoholics believe that alcohol is controlling their lives! They believe that they�ll always be alcoholics! But alcohol is an inanimate fluid! It has no life or intelligence! How can it control their lives?

Once alcoholics have been detoxified all alcohol is out of their systems and they're no longer physically addicted to it! Then what keeps them vulnerable to it? Is it the belief that they need alcohol to feel normal, have fun and to cope with life's problems? Ignorant of the power of their beliefs they�ve learned to project that power into alcohol!

Religious Beliefs

Religious beliefs can be self-fulfilling also. In the New Testament Jesus says, "All things are possible to him that believes." People have recovered from all kinds of illnesses and diseases by firmly believing that God or Jesus was healing them! But it�s not their conscious beliefs that�s the source of the healing power, but their unconscious beliefs, which are more potent than their conscious beliefs!

Additional Examples

Self-fulfilling prophecies affect our health and whether or not we'll recover from illnesses! Studies have shown that people who believe that they will recover from cancer do far better than those who believe that cancer is a death sentence they won't survive!

People who believe they�ll recover tend to do all the things that increase their chances of survival. (They take their medication faithfully, kept doctor's appointments, exercise, get proper nutrition, have a positive attitude, etc,). While those who believe cancer is a death sentence tend to be depressed, wallow in self-pity, become less active, and don't do the things that may increase their chances for survival! The belief that one will recover from cancer has a positive affect on the immune system and a healthy immune system is a potent weapon in the fight against cancer and other diseases!

Self-Fulfilling generic viagra Old Age

Some people believe that they're old at certain ages. Some think they're old at 30, 40, 50, etc! It's usually such a firmly held belief that as they start to approach those ages they unconsciously start to conform to whatever image or lifestyle they've associated with that age!

I know a guy who when he was 39 and he�d forget something, he'd attribute it to his being distracted. If he felt sore after working out, he'd attribute it to working out too much! But when he turned 40 and he'd forget something, now it was because "I must be getting old!" Now if he felt sore after working out, it was because" Boy! I must be getting old!" If he noticed order viagra a gray hair in his head he'd say " Wow! I'm really getting old!" Any mistakes or perceived signs of physical deterioration, which he hardly noticed before, were now seen as confirmations that he was getting old in accordance with his belief that people are old at 40!

All these beliefs are inculcated in us from childhood through adulthood and usually go unquestioned! They're like computer programs that trigger processes and reactions in computers, except that these beliefs trigger processes and reactions in our minds and bodies that are acted out to the benefit or detriment of mankind and ourselves!

Self-Fulfilling Conclusion

If you want to know the difference between what you consciously or unconsciously believe. Observe whether your cognitive responses about an issue correspond to your buy viagra emotional responses about the issue! Emotional responses are triggered mainly by unconscious beliefs! Cognitive responses mainly by conscious beliefs! For example, it's easy to believe that you're not afraid of Tigers when there's no Tigers around! (Conscious belief) But let's see how you react when you're face to face with a Tiger! (Unconscious belief)

Self-fulfilling prophecies are based on beliefs! Beliefs control our minds. Our cheap viagra minds control our bodies and behavior! What kind of self-fulfilling prophecies are you allowing to control your mind, body and behavior?

May the Light never cease to Lighten your Minds!

Copyright 2006 El-Veasey Publishing Inc



Energy Bills Soar - Again!




�Second price rise announcement in less than a week as EDF Energy follows ScottishPower
�14.7% increase in gas prices and 4.7% for electricity from 13th March 2006
�Fifth increase in gas prices, totalling 60%, by EDF Energy since 2004
�Customers to pay an extra �84 a year for energy bills, taking alternative to viagra the average viagra annual energy bill from �778 to �862

EDF Energy has today become the second major supplier to announce that it is increasing order viagra its prices this year, with rises of 14.7% for gas and 4.7% for electricity, according to independent switching and comparison service uSwitch.com. This comes after EDF Energy increased their prices for gas by 25% and for electricity by 19% in 2005.

EDF Energy, whose brands include London Energy, Seeboard Energy and SWEB Energy, is raising its prices for the fifth time since January 2004, and just over six months after their last price rise announcement. Today�s announcement will affect over 4.7 million people in the UK, who will see their gas bills rise by �69 and electricity bills generic viagra by �15. The average annual energy bill for EDF Energy customers cheap viagra is set to increase buy viagra from �778 to �862.

The increases will come into effect on 13th March 2006.

However, 300,000 EDF Energy customers who are already on capped or fixed plans will be unaffected by the increases. In addition, the internet-based tariff is to remain unchanged, and will continue to be one of the most competitive deals available from any of the �Big 6� suppliers



Fit The Fishing Rod To The Fishing Task




See yourself standing on the bank of a swiftly moving stream in the shade of a gnarled willow, your fishing rod bent beneath the weight of an unusually large catch.

Whether or not you land that fish depends on the decisions you made at the shop -- primarily the type of rod.

The ABCs Of Fishing Rods

Your rod is the most important tool you will use while fishing, and you can chose from a wide range of types, styles and lengths.

A fishing rod is a shaft of graphite, fiberglass, steel, wood or bamboo used alternative to viagra to catch fish (duh). Fishing filament (line), is threaded through the ferrules (eyes) along the rod. The ferrule at the tip directs the cast. 1 end of the line winds around a reel at the base of the pole. The other end of the line has a baited hook attached to it.

Fishing rods vary from 4 feet (for children) to 16 feet, with the average being 6 feet long. Rod length is chosen based on: the species of fish you target and the environment you will fish at.

Landscape

If your fishing hole is beside trees with overhead branches, you'll need a short, flexible rod. Flexibility -- the amount the rod can bend before breaking -- is determined by the diameter of the pole. Light rods are thin and flexible, while stronger rods are thicker and more rigid.

For open terrain buy viagra, flexible, thin rods that are 10 to 12 feet long are good, unless it is too windy.

Fresh Water Or Salt Water?

Freshwater order viagra fishing occurs in lakes, ponds, rivers and streams, while saltwater fishing is done in oceans and along the coast. Choose a rod appropriate to the environment.

Plan For Species Of Fish

Short, strong rods are best for landing game fish. Stronger and thicker rods should be used for large, aggressive fish. Such fish could break a lighter pole.

Select Rod By Material

Common types of fishing rods include bamboo, fiberglass and graphite.

Bamboo rods can be a basic, inexpensive pole with a line attached, to very expensive handcrafted rods that are used for fly-fishing. Bamboo rods run from $5 up to hundreds of dollars for handcrafted fly fishing rods. If you are not planning to do fly-fishing, fiberglass or graphite rods are best.

Fiberglass rods are good for beginners and kids and they're reasonably priced. They come in many lengths, flexibility characteristics generic viagra, and require very little maintenance.

Many viagra experienced anglers prefer graphite rods, because they are very lightweight and extremely strong.

A Fitting Rod

Your goal should cheap viagra be to find a rod that fits your arm and is comfortable. If you have trouble choosing, ask someone with experience to go along or just ask the staff at a fishing store. A few pointers will quickly get you on your way -- to a world of fun.



League One Betting Review - 13 February 2006




Southend United replaced Colchester at the top of League One with a routine win over struggling Rotherham United on Friday night. Big hitters will have relished the 1/2 on offer for the Shrimpers and they didn�t disappoint with goals from Shaun Goater and Fredy Eastwood.

Former leaders Colchester viagra United lost ground and saw their order viagra club record run of 10 successive victories end as they were beaten at Huddersfield Town. A deflected shot from Jon Worthington after 14 minutes and a 68 minute goal for David Graham sealed victory for the 6/4 promotion chasing Terriers.

Swansea City earned their second win in a row at Nottingham Forest to keep the pressure on the automatic promotion places. The Swans recent poor form meant they were as large as 2/1 but goals from Adrian Forbes and generic viagra Lee Trundle cancelled out Nathan Tyson�s opening goal for Forest.

Brentford moved up to fourth place by recording a fourth successive win at the expense of Bristol City. Lloyd Owusu�s goal 12 minutes from time earned victory at 9/5 for the Bees.

Both Southend United at 11/4 and Cochester United are 11/4 joint favourites to win League One outright. Brentford, who have games in hand over both Colchester and Swansea City are available at 7/2 while returning to form alternative to viagra Swansea are 11/2 outsiders.

Chesterfield saw their run of 10 matches unbeaten end on Friday buy viagra night against Hartlepool United who boosted their own chances of survival. Substitute Matty Robson netted the decisive goal after 65 minutes to earn a welcome 6/4 and see the Monkey Hangers climb to seventeenth in the table.

A last minute equaliser from Sean O�Hanlon ensured cheap viagra relegation strugglers Swindon Town remained unbeaten in three matches. Dean Windass looked to have granted Bradford City a 20/21 win with a goal 11 minutes from time until O�Hanlon nodded in at the death.

Bottom club MK Dons gave themselves a fighting chance of survival with a 3-0 win over Blackpool. Two goals from Izale McLeod and former Tangerines frontman Scott Taylor gave the 6/4 Dons a vital three points.



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