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Total Knee Replacement Surgery

Total Knee Replacement surgery or TKR is an operative procedure where the damaged knee is replaced using an artificial knee. During the surgery, the ends of the thighbone are ejected and replaced with an artificial metal shell the edge of the leg bone is replaced with a plastic piece over a manmade metal stem.

Many designs with different materials are used in total knee replacement surgery in Chennai. At Bharath Orthopaedics, we use advanced implants to deliver the best clinical outcomes and increase lifestyle.

Procedures followed
There are 3 types of procedures followed Total, Unicondylar / Partial and Revision Knee Replacements for the total knee replacement surgery in Chennai.
Benefits of total knee replacement surgery
Pain relief
Increased movements in the joints
Correction of deformity or straight knee
Strengthens the leg
Quality of life is improved
Ability to return to normal life
Below mentioned are the non-surgical procedures followed

Hyaluronic acid injections or knee shots
Platelet-rich plasma or PRP injections
Stem cell therapy
Hyaluronic acid or knee shots
Hyaluronic acid is like a substance that occurs in the joints, and it acts as a lubricant as well as a shock absorber, helping the joint to work properly. Hyaluronic acid injections are also known as HA or gel injections. They are used in treating knee pain of patients with osteoarthritis or for whom other treatments have been ineffective.

How do hyaluronic acid joint injections work?
1. For a healthy joint, a fluid named hyaluronan provides lubrication. But, if are infected with osteoarthritis, there would be less supply of this fluid. Hyaluronic acid joint injections complement the joint’s hyaluronan with hyaluronic acid.2. It is a basic procedure performed during the total knee replacement surgery in Chennai where the doctor injects hyaluronic acid directly in and around the joints’ area. The injections will depend on the specific type of usage of hyaluronan preparation, but most of the people are injected for three to five weeks.3. If the treatment is effective, you can experience good results within days. Sometimes, the relief often lasts for several months when your doctor may recommend repetitions.

Platelet rich plasma or PRP injections
Plasma is a liquid part of the human blood mostly made of water and protein. It allows red, and white blood cells along with the platelets to move through your bloodstream. Platelets make your blood clot as they play a major role in healing.

How do PRP injections work?
To collect plasma, the surgeon takes samples of blood from your body and to separate the platelet-rich plasma from the blood he uses the machine. Then the area of your body is being treated with PRP injections.

The surgeon uses a needle during the total knee replacement surgery in Chennai to inject the plasma by making the area of your body numb. PRP injections are used to treat torn tendons, muscle injuries, joint injuries, tendinitis and, arthritis.

Stem cell therapy
Stem cells are special cells that act as building blocks and have the potential to distinguish the types of cells within the human body. It is a strategy to repair degenerative cartilage than implantation with a key focus of tissue on the functional replacement of cartilage and meniscus regeneration.

How does stem cell therapy work?
During the procedure, your physician will draw the blood through a peripheral vein. Then the physician will extract a sample of your bone marrow from the iliac crest which is considered one of the most fruitful sites to harvest stem cells.

The blood samples and bone marrow samples are used for the total knee replacement surgery in Chennai to prepare an injection of growth factors from the blood and stem cells processed out of the bone marrow. This mixture is injected into the affected orthopaedic therapy targeted area to promote healing and recovery.

Also in some cases, total knee replacement surgery in Chennai includes knee cartilage transplants in which the damaged cartilage will be replaced with a new one.

When do you require total knee replacement surgery in Chennai?
1. If you are aged above 55 2. If you have severe knee pain which limits your routine activities like walking, sitting, and climbing stairs.3. If the moderate pain increases gradually to severe knee pain, especially while resting4. If you have any deformities5. If you are intaking drugs for a long period causing you side effects6. If you have Osteoarthritis which is nothing but the wear and tear of the protective cartilage7. If your immune system weakens with pain in joints or other areas. 8. If you have been swelling with pain around the knee.

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Donations, Groupon and refunds in QuickBooks

While our QuickBooks accountants were answering QuickBooks related questions on Yahoo Answers asked by small business accountants, they came across a few interesting ones regarding how to book income coming from Groupon and donations (the last for a nonprofit organization) or giving customers a refund. We thought to put the answers and questions together in case you find yourselves needing to book similar transactions in your QB accounting business software.

Q1: Customer refund in QuickBooks?
I make a customer receipt for every payment the customer makes. At the end of the day, I go to “record deposits” tab and check every payment; this will make my deposit amount. Sometimes I have to give a cash refund to the customer for the service they have already used and those money was already deposited before. When I make a refund in QuickBooks it does not reduce my deposit amount in the deposit screen. How do I reduce the amount of money in the “record deposit screen”?

A: If you use the “Use Credit To” functionality of a credit memo, it will only allow you to record the refund directly against your bank account, instead of grouping it with other Undeposited Funds. The simplest method to do this would be to create a Journal Entry instead of using the Credit Memo/Refund transaction. You would debit the Income account and credit Undeposited Funds for the amount of the refund. This will then show in the Payments to deposit window as a negative amount. Keep in mind that QuickBooks will not let you make a negative ‘deposit’, however, so you will need to have more to deposit than refund for the day.

Q2: How do you book income Groupon in QuickBooks?
I am a bookkeeper and I have a new client that is using Groupon to promote his business.
Two Questions:
1) I want to book the income as Unearned Revenue and as service is used book that amount as sales. Is that the correct way anyone else is handling Groupon Revenue?
2) What if the Groupon is not redeemed, the amount I assume stays in Unearned Revenue, but what if they customer never shows or uses the Groupon?

A: I would recommend treating the Groupon similar to a gift certificate. You can create another charge item and link it to a liability account. If the customer never redeems the Groupon, then you would move the amount from the liability to income. Keep in mind that you would have to reverse this transaction if the customer ever did show up.

Q3: Can you use Intuit QuickBook as a donation method?
I work at a non-profit charter school. We use QuickBooks for employee paychecks and use QuickBooks for an after school program for requesting payment. The payment is through QuickBooks. The parents get an invoice and they pay that payment through a billpay.quickbooks.com link.
We want to set up a similar method for people want to do donations. Can we do this? So instead of payments, it would be a donation account? A separate account where this money goes?

A: QuickBooks can track donations to a separate account, but you would first have to create an invoice for the amount in order for it to show up on billpay.quickbooks.com.
There is a preference you can turn on that will let you select which account a payment is going to be going to (by default, it’s Undeposited Funds). You can specify a separate bank account for any donation payments received.

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Create Your Own Winery with a Wine Making System

Make your own wine at home with a wine making system. A good many people around the world love the taste of wine. Many of them take this love of wine and start creating their own wine collection. Some plan their vacations around traveling to the famous winemaking regions around the world. You can dedicate your entire house to your love of wine. However, you can take this love of wine to a whole new level when you start making your own. If you are ready to become a homemade vintner, then get ready to make a few bottles of wine.

With a few easy steps, a wine making system allows you to create your own personal vintage. The first step in creating your wine is to clean and sanitize everything in the kit. You want to make sure that the wine only receives the elements you add to it. After completing that step, the next step is to choose which grapes you want to use for your wine. While you can use other fruits like elderberry and plum, most people start out their winemaking life with grapes. The choice comes down to what type of grapes you want to use. White grapes tend to create white wine while the deep purples are perfect for red lines.

Take your love of wine in new directions with a wine making system. Actually once you start making your own wine, you can start experimenting with different grapes. You may find that your love of white wine changes as you start experimenting with rosé and red wines. You can try different combinations of grapes to see what flavors you can get with your own vintage of wine. Different times of the year bring different grapes into your local supermarket. Unless you are into growing your own, you can experiment with whatever is on the shelf.

Enjoy new flavors with wine from your own wine making system. Some people take their love of wine and start experimenting with blended flavors. Many of the most famous wines in the world are actually blends of different flavors. You might start experimenting with combining tart grapes with the sweeter varieties. A blend of red and white can bring up interesting flavors. The world is your limit when it comes to making your own wine. Where do you want to take your first journey into making your own wine?

This article is free for republishing
Source: http://brant.articlealley.com/create-your-own-winery-with-a-wine-making-system-2055365.html

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