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It is hard trying to figure out when is the right time to potty train your child. Most children are usually ready for potty training between the ages of 18 to 24 months. During the whole potty training process, parents should always try to keep their sense of humors about them and keep things upbeat, making potty training a fun time for the child. Here are a couple of tips to get you started on potty training:

* Use a Drink and Wet Doll to demonstrate to your child how to go to the potty. After you pour water into the doll’s mouth, you can have your child walk the doll to the potty chair, pull the doll’s underwear down, seat it on the potty and watch the doll “pee”. This is a good visual aid to motivate your child to do the same.

* Give your child a lot of fluids so that he has to go to the potty more often. The more often he goes, the quicker the child will be potty trained, and the more he will be trained to hold it in.

* If your child looks like she wants to go, then take the child to the potty every thirty minutes or so until he pees.

* If the child does not urinate right away, have him remain seated on the potty for a couple of minutes and maybe read a book together until he is ready to pee. You could also try placing his feet in warm water or turning on the faucet to encourage him to pee.

* Have your child look at learning aids such as books, videos and DVDs as they are an educational and fun introduction to potty training.

* Play games such as the blue and yellow make green game. Put some drops of blue food coloring into the toilet water, have your child urinate and he will see the water turn green much to the child’s delight.

* Drop a couple of cheerios cereal into the toilet water and have your child aim and pee at them.

* Use charts and stickers to positively encourage and reinforce the habit. You can give stickers to your child for going to the potty, sitting on the potty, peeing successfully into the potty, or for been accident-free

* Use potty training toys such as musical potty chairs that play tunes when your child uses the potty, or potty training watches that vibrate at a set time to remind your child that it’s potty time.

* Get rid of the diapers and put toilet training pants on your child for easier toilet training.

Sue Jan

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Before sealing your grout, wait at least 24 hours since you have acid washed the floor. If not, the sealer will not adhere to the grout correctly. Also, make sure you are satisfied with how the grout looks, once the seal is applied it will be too late to change your mind. Of course, you should not be sealing your grout unless you have acid washed the floor first.

Not many supplies are needed for this job and there is a good chance you have everything on this list except for the sealer. Buy a good quality sealer, somewhere between $50 to $100 per gallon. It will hold up much longer than the cheap stuff. Measure you floor and buy more sealer than you need, you can always get a refund on extra bottles. Before you start, tape up any surface you do not want the sealer to contact. Also, make sure your mustard bottle is completely clean! I would wash it a few times so there is absolutely no mustard in the bottle or the spout. The mustard will mix with the grout and create some staining on your tile.

Grout Sealer
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Empty Mustard Bottle

Fill your mustard bottle about 3/4 full with the grout sealer. If it is full, it may come out too fast. You can also adjust the spout to get the desired flow needed to perform the job comfortably. It will take you a few grout lines to get the feel for sealing, just be patient and try not to waste too much of the product. Work an area about 30 to 50 sq. ft. any larger than this and you run the risk of having the sealer dry on the tile to a point where you can’t wipe it off with your wet towel. Paint both the vertical and horizontal lines working backwards, so you don’t come in contact with the sealer you have already put down. Use a smooth, even stroke when applying the grout sealer and try to stay inside the grout lines as best you can. After finishing the first 30 to 50 sq. ft. begin wiping off the excess sealer from the tile.

Using a damp terry cloth, begin wiping up any excess sealer from the tile. Work in a circular motion, going over the area two or three times to make sure there is no sealer left on the tile. Wet and wring out your rag often, so it stays clean throughout the entire sealing process. You can even use new rags every 100 sq. ft. if you wish. Repeat process on the next 30 to 50 sq. ft. until you are completely finished. The sealer will need 3 to 5 days to completely cure, so wet mopping is not recommended.
Bobby Walker is a 14 year cleaning industry veteran who owns and operates Carpet Cleaning of Dallas, a carpet, tile and upholstery restoration company. He is also a webmaster for 4 websites, including 2 do it yourself sites.

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Mistake # 1. Spending thousands of dollars buying books, tapes and attending seminars and then putting all of that information on a bookshelf and never looking at (or using) it.

Comment: I’m continually amazed at the number of “would be” investors who have spent a bundle of money attending seminars, getting an education and then never using it to start

their investment program. Not only is it a waste of thousand of dollars but it could be the

biggest financial mistake you can make.

Mistake # 2. Failure to learn the basics of real estate investing.

Comment: The other extreme to Number 1 above, are potential investors who realize real estate is the best way to accumulate wealth and venture into the purchase of properties without knowing the basics of real estate investing. Those investors are almost certain to get into financial trouble.

Mistake # 3. Fear of making a huge financial mistake

Comment: We all fear making mistakes, especially a large financial one. If you follow the advice in Number 2 above, you won’t have to worry about making a financial mistake.

Mistake # 4. Not looking at enough properties

Comment: Don’t fall in love with the first property you look at. Too many investors buy properties because they “look nice” or they are just to lazy to see what else is currently on the market that may be better. Part of sound real estate investing is in giving yourself a choice so you can select the best one, financially.

Mistake # 5. “A better deal may be just around the corner” syndrome

Comment: This is the opposite mistake of Number 4. This investor never starts his or her real estate investment program because they always hope a better deal may be out there somewhere

if they just wait…and wait…and wait.

Mistake # 6. Thinking that real estate investing is strictly a complicated game that only the wealthy can play.

Comment: First of all real estate is NOT complicated if you learn how to do it first.

Did you know that even professional investors use a simple nine step process to analyze the financial feasibility of an investment property?

Here’s a brief idea of the nine simple steps they use in analyzing any type or size investment property.

A Basic Financial Property Analysis

1. Scheduled Gross Income (Income if 100% leased) = $ 26,000

2. Less: Allowance for vacancies (5% of Gross Income) -1,300

3. Operating Income before expense & Mtg. Pmts. $ 24,700

4. Less Operating Expenses (Taxes, insurance, utilities,

repairs and maintenance etc.) 40% - 9,846

5. Equals: Operating Income (Income before Mtg. Pmts.) $ 14,854

6. Minus: Mortgage Payments: -12,863

7. Equals Cash Flow 1,991 = 6%

8. Plus: Mortgage Principle Payment +1,697

9. Total Return: $ 3,688 = 10%

There’s a lot more to it than that, but you just read the basic nine step procedure most professional investors use when analyzing any income producing investment property.

Mistake # 7. Falling in love with a property

Comment: Once you get your feet wet and become a real estate investor, you’ll wonder why you waited so long to begin. Now you’ll face another problem. Many investors fall in love with their property. They have seen how well it is doing, cash flow has been going up each year, and they have fallen in love with their tenants (not literally). Two big mistakes are made here.

First, never fool yourself into thinking your property is doing too well to sell or trade up because your cash flow is considerably higher than when you purchased the property.

The second part of mistake number 7 is getting so friendly with your tenants that you fail to maintain rental standards based on what the market will bear. This greatly hinders your growth potential. .

Mistake # 8. Failure to plan your financial goals

Comment: Before you purchase that first property, which, of course, you financially analyzed, determine what you expect from your investments…your financial goals.

It’s known as “The ‘time vs. money’” concept. The more you have of one the less you need of the other in order to reach your financial goals.

Mistake # 9. Trying to purchase properties that the seller is not motivated to sell

Comment: I’ve seen potential buyers continually try to purchase investment properties that

are not really on the market. This includes property owners with the attitude that “Sure, it’s for sale… for a price”. Unfortunately the ‘for a price’ part usually means it will make no financial sense for a buyer.

Mistake # 10. Believing you can get rich quick overnight with no money invested of your own.

Comment:. Getting rich overnight will not happen . . . (regardless of what some of the so

called “experts” tell you). It takes some time, effort and knowledge of real estate investing to do

it with minimum financial risk.

The important thing to remember is that YOU can do it, too. You can join the millions of investors who create sizable incomes by investing in real estate.

Mistake # 11. No money down investing usually isn’t.

Comment: Somewhere, somehow there will be some money required to put a transaction together and make it profitable.

It may be closing costs, repairs or upgrading, whatever. But somewhere, some money will be needed. There are ways around this problem without getting into a high risk situation. You may be able to finance every dollar you need, but it can come back to haunt you in the form

of mortgage payments you cannot afford to make. Again, learn what you are doing first.

Mistake # 12. Not financially analyzing a potential investment property.

Comment: This is the most serious mistake an investor, or potential investor, can make. I’ve seen a few pros in the business rely on a “worthless and inaccurate” rule of thumb to make a huge financial decision to purchase, with total disregard for how well the property will perform.

Oh, yes, there is one more major mistake many investor make:

Mistake # 13. Thinking it’s important to pay off your mortgage as soon as you can

because mortgages are a ‘necessary evil’.

Comment: First of all as a real estate investor, mortgages are good and not a necessary evil. You must learn why this is true. You must learn how, in the right situation, a second or third mortgage can be a good thing.

Second: mortgages are one of the keys to creating wealth in real estate. You must learn how to use financing as one of the keys to creating your own financial estate, without concern for it being “risky”.

Milt Tanzer
http://www.investmentre.com
http://www.realestate-supermarket.com

Milt Tanzer has been a Commercial/Investment real estate broker and investor for over 25 years. Author of 7 books on real estate investing. Gave seminars to both the general public plus Realtor Association meetings for several years. Published by Prentice Hall division of Penguin Putnam.

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Originally a spin-off from a one-minute segment of The Tracy Ullman Show, The Simpsons morphed into the then-burgeoning FOX network’s most successful program. As the longest running animated television show in history, and the longest running prime-time show of any type, The Simpsons is an American treasure - a combination of humor, wit, and satire that examines not just the lives of its eccentric characters, but also the society, culture, and world in which we live. Fun for adults and children alike, The Simpsons is a cutting edge television comedy that, like Seinfeld, changed the television landscape in the 1990’s by creating a new genre of TV fun that spawned large network investments in new animated series such as King of the Hill, Futurama, and The Family Guy.

Like all new things which smash the paradigm of life, The Simpsons is unrivaled by its knockoffs, and the show doesn’t show signs of slowing down. If you haven’t yet visited Springfield, then I definitely recommend that you pick up The Simpsons DVD (Season 1) to catch a glimpse for yourself. You have no idea what you’ve been missing…

The Simpsons (Season 6) DVD features a number of hilarious episodes including the season premiere “Bart of Darkness” in which the Simpson family is enduring the sweltering summer heat without the aid of air conditioning. When Bart and Lisa beg Homer for a pool, he gives in, and all the kids in the neighborhood raid the Simpson’s backyard. While jumping into the pool from his tree house, Bart breaks his leg. Alone in his room, he thinks he sees Ned Flanders commit a murder… Other notable episodes from Season 6 include “Lisa on Ice” in which Lisa’s perfect transcript is threatened by a possible failing grade in gym, and “Lisa’s Wedding” in which Lisa imagines her wedding in the year 2010. At first, her suitor seems perfect, but his reluctance to accept her socially inept family ruins the engagement…

Below is a list of episodes included on The Simpsons (Season 6) DVD:

Episode 104 (Bart of Darkness) Air Date: 09-04-1994
Episode 105 (Lisa’s Rival) Air Date: 09-11-1994
Episode 106 (Another Simpson Clip Show) Air Date: 09-25-1994
Episode 107 (Itchy & Scratchyland) Air Date: 10-02-1994
Episode 108 (Sideshow Bob Roberts) Air Date: 10-09-1994
Episode 109 (Tree House of Horror V) Air Date: 10-30-1994
Episode 110 (Bart’s Girlfriend) Air Date: 11-06-1994
Episode 111 (Lisa on Ice) Air Date: 11-13-1994
Episode 112 (Homer Badman) Air Date: 11-27-1994
Episode 113 (Grandpa vs. Sexual Inadequacy) Air Date: 12-04-1994
Episode 114 (Fear of Flying) Air Date: 12-18-1994
Episode 115 (Homer the Great) Air Date: 01-08-1995
Episode 116 (And Maggie Makes Three) Air Date: 01-22-1995
Episode 117 (Bart’s Comet) Air Date: 02-05-1995
Episode 118 (Homie the Clown) Air Date: 02-12-1995
Episode 119 (Bart vs. Australia) Air Date: 02-19-1995
Episode 120 (Homer vs. Patty and Selma) Air Date: 02-26-1995
Episode 121 (A Star is Burns) Air Date: 03-05-1995
Episode 122 (Lisa’s Wedding) Air Date: 03-19-1995
Episode 123 (Two Dozen and One Greyhounds) Air Date: 04-09-1995
Episode 124 (The PTA Disbands) Air Date: 04-16-1995
Episode 125 (Round Springfield) Air Date: 04-30-1995
Episode 126 (Springfield Connection) Air Date: 05-07-1995
Episode 127 (Lemon of Troy) Air Date: 05-14-1995
Episode 128 (Who Shot Mr. Burns?: Part 1) Air Date: 05-21-1995

Britt Gillette is author of The DVD Report, a blog where you can find where you can find more reviews of movies and TV series. Source: http://thedvdreport.blogspot.com/2006/02/simpsons-season-6-dvd.html.

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One major concept that everyone seems to be confusing now-a-days is muscle fatigue versus muscle power, in search for techniques that will allow you to build and gain muscle weight.

When your main goal is to gain as much muscle weight as possible, you have to know exactly which of the two “factors” you are training for, either to “fatigue” the muscle, closely related to “pumping” and “burning” it, or to use “power”, meaning lifting as much weight as possible, regardless of getting a pump or not.

There is a major difference between taking a set to failure (which you should be doing on your “real sets”) because of fatigue, or reaching failure because of having no more strength, or power, in the muscle to continue to lift the weight.

I’m sure you have experienced doing a high-rep set and quitting because the pain and burning (”fatigue”) just got too much to support.

However, deep down inside you knew that you still had enough strength to actually complete another 2 or 3 reps.

On the other hand, I’m sure you’ve also done sets that no matter how much effort you put into it, no matter if every vein in your body was popping out because of the strain, you just could not complete one more rep because you simply had no more strength left.

If it’s fatigue that causes you to stop a set, all you are going to be building is muscle endurance.

That’s fine and dandy if you’re training to climb mountains or chop logs for 8 hours straight.

All fatiguing a muscle does is fill it with stale blood, without any oxygen, and forms lactic acid and other waste products…….all of which do nothing for building muscle mass and gaining weight!

But if you want to build and gain muscle mass, what should stop you from continuing a set is that you have no more stength / power in the muscle.

That will build strength, and as a result, forces more fibers to come into play, to work, and is what will cause overload in the muscle…………all factors that lead to bigger and stronger muscles.

Period.

You can go on ahead and get all the pump and burn you want, but if it’s big muscles you’re after, you need to train for stronger muscles.

To illustrate: you can do 100 push ups and get a real good pump and burn, fatiguing the muscle in the chest.

But what do you think is going to give you a bigger chest……100 push ups, or lifting 315 pounds for 13 reps??

Remember, if you want to gain muscle weight, train for power, not fatigue.

Copyright 2006 Jonathan Perez

How did a Cleveland Firefighter discover how to gain over 40 pounds of muscle weight WITHOUT using any supplements, no special diet, eating very low protein, and working out only 2 hours a week? Jonathan Perez has created the *ultimate* guide - “From Skinny To Muscular!…..How To Gain Muscle Eating Any Foods You Want, Using No Supplements Whatsoever, and Performing Only 2 Special Sets Per Week Per Muscle”

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The piano, while similar in some of its features too many other kinds of musical instruments, differs materially in several important points from all other kinds. It resembles the Violin, Harp, Guitar, Zither, Dulcimer, in its being stringed. It resembles the Drum, Triangle, Cymbals, Tambourine, Dulcimer, in its being dependent on percussion for the production of its tone; and it resembles the Organ, Clarinet, Concertina, in its being keyed.

But it differs from all of these instruments in the following important points. Firstly, in its being dependent on the player’s method of finger push on the key for its quality of tone. Secondly, in its being dependent on rapidity of finger push for its quantity of tone and thirdly, in its being dependent on keys for the means of producing percussion. The actual mechanism of percussion, namely, the hammers, being reachable only through the pressing of the keys.

It is probably from a want of appreciation of this last fact, that the piano has come to be considered rather as a keyed instrument than as a stringed one.

The distinctive feature of the piano is, then, the system of its key mechanism.

As the seat of tone, the wire, is made to sound only by a series of communication, starting with the key, it is therefore necessary to understand the method by which this communication is conducted and kept open.

The piano key is, basically, a lever that’s lifts the hammer that strikes the string. It is a lever of the first class, its fulcrum, or prop, lying between the power and the weight. In the case of the piano, this fulcrum, or centre on which the lever works, is placed about halfway between its two ends, the hammer (with some small intermediate mechanism) being the weight, and the finger the power acting on it. The very limited area should be noticed within which the action of the key is confined.

The immediate factor of tone is the hammer. The hammer, by means of intermediate mechanism, being in direct and close contact with the far end of the key, is raised when the near end is depressed by the finger or any weight; and the force with which the hammer is made to strike the string is in proportion to the speed brought to bear on the piano key by the finger at the moment of the push. Quantity of tone is thus the result of the amount of speed used in pushing the key down.

When the string has been struck by the hammer, the hammer falls back immediately, to allow the string to vibrate freely. This fallback of the hammer is, however, not a return to the position occupied by it before the stroke; it does not fall completely back until the key is allowed to rise. When the piano key rises, the hammer returns to its original position, and is ready for the next key push.

It is of great importance for the student to remember that the hammer is always at some distance from the wire. Except during the very short period of time spent in striking; that after having struck the wire it leaves it instantaneously to assume the half position described above; and that it is powerless to do any more work until after the key has been allowed to rise.

Mike Shaw is an organist and music teacher who has produced a selection of downloadable music books for anyone who wishes to learn to play the piano, organ or keyboard. To find out more visit his websites http://www.mikesmusicroom.co.uk and http://www.keyboardsheetmusic.co.uk

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We have all seen then the bumper stickers that say I would rather push a Ford than drive a Chevy. For many people, it is the truth. There is a great deal of consumer loyalty when it comes to Ford and Chevy. In fact, there is even a Playstation 2 game called Ford vs. Chevy. It may have to do with owning a particular vehicle that excelled so they stayed with that manufacturer. Maybe their family owned Ford’s or Chevy’s and they went with what was familiar.

Ford and Chevy continue to be stiff competitors out there. Ford does seem to excel though in many areas. If you want speed the Ford Mustang will out do the Chevy Corvette hands down. Chevy is in the process of making a come back with the Chevy Camaro but fans of the Camaro aren’t taking to the new design very well.

Ford Pickups are available in a variety of sizes from small trucks to large work trucks. The Ford F-150 is their basic full size truck, but they have smaller models, such as the Ranger, and larger models like the F-850 for super heavy duty hauling. Chevy has several of them as well. The safety ratings for Ford are slightly better though when several of the same style of pickups were compared to each other.

Mini vans are very popular these days as they look sporty and they offer plenty of room. The Ford Windstar and the Chevy Venture both offer plenty of room. Yet the Ford Windstar is more stylish and offers more features.

Ford also has the Ford Escape, which Chevy does not really have a good answer to. The Escape has good mpg, at about 24, but it still has the power to tow 3,500 pounds with the towing package. It’s a great vehicle for anyone who does need the extra room and towing power larger SUVs offer, because the Escape is great on gas, easy and fun to drive, and affordable.

Gabriel Adams

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These days many parents have not had a lot of experience with babies until their first baby comes along. If you are one of these parents you will probably find you have many questions about this new person who has come into your life and who is so small and helpless. It can be overwhelming and scary when you realize your baby is so dependent on you for everything, especially if you feel you don’t know a lot about babies. Understanding what babies are like may help to make it easier to care for your baby.

Birth to 4 months

At this time babies are adjusting to life in the world. Most of each day will be spent sleeping but with increasing periods of time awake. Babies are totally dependent on you for their basic needs. As babies grow and spend more time awake they become more alert to what is happening around them. At this stage, crying is a normal and natural way that babies communicate their needs.

Between birth and 4 months your baby is learning to:
• Focus for longer periods
• Observe surroundings and follow a person or object with their eyes
• Enjoy close visual and verbal stimulation
• Recognize and turn head to familiar voices
• Coo and make sounds
• Watch and clasp hands
• Play with fingers and bring hands to mouth
• Hit dangling objects with hands or feet
• Hold head up when lying on tummy
• Show pleasure by wriggling body and smiling
• Respond to sound that are louder than normal

4 to 8 months

Babies are now becoming their own person. They are very excited about the world. Everything they see is of interest and they are developing curiosity about their surroundings. At this time babies like to be in places they know with people they know.

Between 4 months and 8 months your baby is learning to:
• Recognize name by turning when name is spoken
• Roll over
• Bring hands together to play and grasp
• Bring objects to mouth to explore
• Transfer objects from one hand to the other
• Lift head and chest using forearms for support
• Prop on one hand or elbow while reaching for a toy with the other
• Pull feet to mouth
• Sit without support
• Show the need for attention and affection
• Mix different sounds, squeal and laugh
• Listen with interest and turn head to loud sounds
• Be aware of being separated from mother or father
• Cope with the introduction of pureed food, moving on to more lumpy textures.

8 to 12 months

Babies are becoming more excited and intensely curious about the world as they become more independently mobile. They are now on the move and are getting into everything, but will keep an eye on the people around them. They like to have mother/carer close by.

Between 8 months and 12 months your baby is learning to:
• Point, gesture and make sounds to indicate what they want and need
• Show anger by stiffening body and screaming
• Jabber and babble expressively
• Uses voices to attract attention
• Enjoy simple and repetitive games
• Repeat actions and sounds that they enjoy making
• Crawl
• Pull up onto furniture and cruise around the furniture
• Stand briefly by themselves
• Pick up small objects with thumb and index finger
• Intentionally drop objects to have them picked up
• Show anxiety around unfamiliar people
• Eat food with fingers
• Watch an adult walking across the room
• Look for objects hidden from view
• Turn head to sounds that are at the side or below

9 months old

Babies between 7-12 months are learning to crawl, climb, stand, cruise and eventually walk. They are learning sounds and are learning that they are separate people from their parents. Babies are beginning to relate differently to their main caregiver.

Mobility
Babies between 7-12 months are learning to crawl, climb, stand, cruise and eventually walk. It is during this time, if not before, that the house needs to be made safe for a little explorer. All precious and dangerous objects need to be removed.

• Babies at this stage are intensely curious
• They are developing their fine motor skills and will reach for very small objects
• They enjoy experiencing a variety of shapes, textures, colors and sounds
• Everything of interest is banged, felt, tasted and thrown
• They need room to move in a supervised, safe environment

12 to 18 months

Children are now walking and pleased to be out with the big kids, but they still need constant care and attention. Seemingly independent, they venture out alone, but keep an eye on those around them. They can watch, listen and take part in the social life of the family, and be an active listener.

Between 12 to 18 months your child is learning to:
• Use words e.g. “mum”, “dad”, “ball”, “water”, “more”
• Shake and nod their head for “yes” and “no”
• Use long strings of sounds that often sound like another language
• Understand more and more words and can follow simple directions e.g. “get your bottle”, “show me your nose”
• Move and dance to music
• Walk alone with wobbly steps
• Push and pull large toys
• Walk upstairs holding a hand or rail
• Climb
• Be more assertive and independent
• Enjoy banging and stacking blocks and putting thins into containers
• Be very curious and into everything
• Constantly look for new activities although attention span can be short
• Stop and pick up object they have dropped
• Turn head to sounds that are above or below

Growing and learning in the family

The first and most important learning in a child’s life happens within the family. Children learn from the way people treat them and from what they see, hear and experience as soon as they are born. Children are natural learners. Between birth and five years, and especially to three years, children grow and learn at the fastest rate of their lifetime. It is easy to see the enormous opportunity parents, and those who care for children, have in these early years to help shape children’s learning before they start school.

Anita Eracybab provides free advice on her site and has established an online community for those looking for information on how to care for their baby. Head on over to http://www.101babycare.com for more information on Baby Development Stages.

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Osteoarthritis, the commonest form of arthritis affects the knee joint most often in India. Elderly afflicted by this chronic painful disease need joint replacements as a permanent solution to improve their quality of life and put an end to disabling pain. However it is increasingly common to see many young people also suffer from the earlier manifestations of the disease. In this group alternate solutions have to be recommended considering the age, increased demands like participation in sports and work. Joint replacements cannot obviously be a solution to young men and women.

Osteoarthritis is a age related wear of Articular cartilage which covers the end of the long bones in a joint. It is smooth, elastic, shining tissue. It is responsible for lubrication, shock absorption, and pain-free movements. Unlike other tissues of the body, it has limited capability of regeneration and repair as it has no blood supply and nerve supply. This limited repair capacity decreases with aging and leads to depletion in the arthritis knee. Pain and stiffness ensue, necessitating medication or surgery.

Osteoarthritis does not involve the whole of the joint to begin with. A localized area of cartilage damage called a lesion is the precursor and harbinger of the disease. If left untreated, lesions greater than 1. 5 cm will lead to arthritis after 15 years.

Some generalized and local conditions predispose to early cartilage damage. These are mechanical, chemical, and bilogoical. Occupations, Obesity, mal-alignment or structural damage can predispose to cartilage damage.

Ligaments and menisci stabilize the knee. Menisci dissipate stresses, help in lubrication, increase joint conformity and confer additional stability. The ligaments inside the joint are called the cruciate ligaments. These are torn in many sports, or two wheeler accidents. An ACL injury is the commonest ligamentous injury. Un-repaired ACL’s lead to further tearing of the menisci and both in association can lead to osteo-arthritis.

Meniscal tears can occur in isolation in sports or domestic accidents. After the importance of the menisci was realized and arthroscopic surgery came into vogue, attempts are made to resect and remove only the damaged portion of the menisci and preserve the rest. However, it is not always possible to do so as the damage is beyond repair and a total or subtotal Menisectomy is necessary. Such knees are also predisposed to develop secondary osteoarthritis (occurring in younger persons at an earlier age) cf Primary osteoarthritis which occurs in the elderly.

Some people have deformities around the knee. These may be situated in the thigh bone or leg bone. Normally in the standing position, there should be no gap between the inner side of the knee and ankle joint. If a gap exists between the knees, then the person has bow legs( Genu varum) and if a gap exists between the ankles, then the legs diverge at the ankle, causing knock knees( Genu valgum). Both these deformities can lead to one sided wear of the knee joint and arthritis in one half of the knee.

Surgical solutions are to prevent or treat early arthritis. These alternatives avoid knee pain from arthritis. These knee reconstructive procedures attempt to restore the anatomy of the joint and are mainly of a biological nature. They do not involve joint replacement. Examples are

1) Knee ligament reconstruction- ACL reconstruction is possible through tiny ke-hole incisions (arthroscopic surgery). Graft is taken from the patient’s own body (autograft) or from a brain dead person, (allograft). This tendon graft is threaded through bony tunnels in the leg and thigh bones and is fixed with screws, buttons or other devices.

2) Meniscal suture- This is a procedure in which attempt is made to suture a torn meniscus if situated in a suitable position. Concomitant ACL reconstruction is required if there is an injury to this ligament also.

3) Meniscal transplant- This procedure is to be introduced shortly. In this menisci are harvested from the knee joints of brain dead living donors or non heart beating donors. These are preserved and then grafted into the damaged knee.

4) Reparative cartilage procedure are availble to salvage localised cartilage defects and prevent their progression to extensive involvement. Cartilage plugs are harvested from non weight bearing portion of the knee and re-implanted into the lesions.

5) Corrective osteotomy- Mal-aligned joints can be corrected by an osteotomy( division of bone). After this surgery, stresses across a joint are distributed more evenly excess wear from one half of the joint is minmized. This again prevent rapid progression of osteoarthitis and can postpone the need for a replacement.

Information posted by Forerunners Healthcare Cosultants-India

Web- http://www.forerunnershealthcare.com
http://www.dheerajbojwani.com

Dheeraj Bojwani-MD is the international patient consultant of Forerunners Healthcare -India ,which is the premiermost medical and health tourism company of India having served more than 400 patients across the globe specially from USA and UK.

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Being a Parent

Being a parent is considered the hardest job in the world, and everyone needs a little help and advice from time to time. There are many books written by parenting experts and doctors to help guide you through your baby’s first 12 months. It’s okay to get advice and help from other people when it comes to raising your child. After all, babies don’t come with an instruction manual. You’ll find many books that can help you with such issues as breastfeeding, teething, nutrition, and parenting.

Parenting Books for the First 12 Months

These books are all great tools for parents who want to do a little research, or get some tips when it comes to raising children:

Mayo Clinic Complete Book of Pregnancy & Baby’s First Year

Mayo Clinic

Hardcover, William Morrow & Company, 1994, ISBN # 0688117619

This book delves into the world of motherhood, exploring issues such as breastfeeding and the changes in a woman’s body. Family issues and parenting advice are also offered.

The Contented Little Baby Book: The Simple Secrets of Calm, Confident Parenting

Ford, Gina

Paperback, New American Library, 2001, ISBN # 0451202430

This book discusses what’s best for the baby, delving into sleeping and nutritional information to help guide you. Many simple strategies are featured in this book that will help parents establish rules and patterns to ensure the continued health and happiness of their child.

The Everything Get Ready for Baby Book: From Buying the Right Gear to Learning the Best Lullabies

Jones, Katina

Paperback, Adams Media Corporation, 1998, ISBN # 1558508449

This book is filled with invaluable advice about selecting a name, a pediatrician, and proper feeding methods. You can start preparing for your baby’s arrival in advance with the advice found in the pages of this guide.

The Mother of All Baby Books

Douglas, Ann

Paperback, Hungry Minds, 2002, ISBN # 0764566164

This book explores healthy infant development, feeding, sleeping, and medical advice for the first year of your baby’s life.

The Joy of Fatherhood: The First Twelve Months Expanded 2nd Edition (Paperback)

Marcus Jacob Goldman MD

Even fathers need help when it comes to raising a child, and there’s no reason that new fathers should be left out. This book offers invaluable advice and tips for fathers who want to have a hands-on role in their child’s early development.

Your Baby’s First Year Week by Week

Glade B Curtis

ISBN: 1555612326

This book takes you week-by-week through your child’s development, offering advice and tips through the earliest stages of your baby’s development.

Rookie Dad: Fun and Easy Exercises and Games for Dads and Babies in Their First Year

Susan Fox

For fathers who want to find ways to connect with their child, this book offers great advice and activities. You want your child to get to know you as soon as possible, and some fathers feel a little left out of the special mother-child bond that arises. This book helps fathers get close to their children, beginning at an early age.

Keeping the Baby Alive till Your Wife Gets Home

Walter Roark

This humorous look at fatherhood is one that new fathers will immediately identify with. This book can serve as a guide to fathers who are inexperienced when it comes to babies - as so many of them are.

When it comes to raising your baby, you can never learn too much. Check out some of these parenting books for the first 12 months of your baby’s life to get started on the right foot when it comes to parenthood.

Jacqueline Courtiol, M.A. Ed. is a veteran teacher, mother and business owner. She is the founder/co-developer of Colic Calm Gripe Water - http://www.coliccalm.com a natural homeopathic remedies for relief of infant colic and gas that is recommended by pediatricians, doulas and lactation consultants. More information about colic can be found here: http://www.coliccalm.com/baby_infant_newborn_articles/baby_colic_treatment.htm.

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