Posterior cruciate ligament (PCL) injury

first_imgDefinitionA posterior cruciate ligament injury is a partial or complete tearing or stretching of any part of the posterior cruciate ligament (PCL), which is located inside the knee joint.Alternative NamesCruciate ligament injury – posterior; PCL injury; Knee injury – posterior cruciate ligament (PCL); Hyperextended kneeConsiderationsYour doctor will perform a physical examination to check for signs of PCL injury. This includes moving the knee joint in various ways.Your doctor may also check if there is fluid in the knee joint. This test may show bleeding into the joint.These tests may be ordered:Knee MRIKnee joint x-rayCausesThe posterior cruciate ligament (PCL) is the strongest ligament in the knee. It extends from the top-rear surface of the tibia (bone between the knee and ankle) to the bottom-front surface of the femur (bone that extends from the pelvis to the knee).The ligament prevents the knee joint from posterior instability. This means it prevents the tibia from moving too much and going behind the femur.The PCL is usually injured by overextending the knee (hyperextension). This can happen if you land awkwardly after jumping. The PCL can also become injured from a direct blow to the flexed knee, such as smashing your knee in a car accident (called “dashboard injury”) or falling hard on a bent knee.Most PCL injuries occur with other ligament injuries and severe knee trauma. Often the knee is dislocatedand thenerves and blood vessels are injured. If you suspect PCL injury, it is important to be seen by a doctor right away.advertisementSymptomsKnee swelling and tenderness in the space behind the knee (popliteal fossa)Knee joint instabilityKnee joint painFirst AidAt first, a PCL injury is treated by:Checking the pulse and circulation in the areaSplintingApplying ice to the areaElevating the joint (above the level of the heart)Taking nonsteroidal anti-inflammatory drugs (NSAIDs) for painLimit physical activity until the swelling is down, motion is normal, and the pain is gone. Physical therapy can help you regain joint and leg strength. If the injury happens suddenly (acute) or you have a high activity level, you may need surgery. This may be either knee arthroscopy or open surgical reconstruction.Age has an effect on treatment. Younger patients are more likely to have problems without surgery, because chronic instability may lead to arthritis symptoms many years later. Many people do well without surgery. Injuries in which the bone is pulled off with the ligament, or multiple ligaments are injured need to be repaired with surgery.When to Contact a Medical ProfessionalCall your health care provider if:You have symptoms of PCL injuryYou are being treated for PCL injury and instability in your knee worsensPain or swelling return after they went awayYour injury does not appear to be getting better with timeYou re-injure your kneeYou have loss of sensation and decreased circulation in your footPCL injuriesoften occurwith other ligament injuries or severe knee trauma. You should be checked early for these other conditions.PreventionUse proper techniques when playing sports or exercising. Many cases are accidents and are not preventable.ReferencesHonkamp NJ, Ranawat AS, Harner CD. Knee: Posterior cruciate ligament injuries in the adult. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Elsevier Saunders; 2009:chap 23, section E.Honkamp NJ, Ranawat AS, Harner CD. Knee: Posterior cruciate ligament injuries in the child. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Elsevier Saunders; 2009:chap 23, section E.Review Date:4/16/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.last_img read more

Mastering the Juggling Act 4 Successful Moms in Tech

first_imgMay 9, 2014 Julia Hartz of EventbriteImage credit: eventbrite.com Hunker down, mamas. You’ve got your work cut out for you, whether you’re at home or in the office. Because every mother is a working mother, even if only some collect a paycheck.No matter which side of the Mommy Wars you’re on — Team Stay-Home-Mom or Team Career Mama — the truth is, you’ll always be waging the war to balance the endless demands of motherhood to some level.So, in honor of Mother’s Day — which, mark your calendars and start planning those handmade cards and breakfasts-in-bed, kids, is this Sunday — this full-time working tech journalist mama of three put together a list of remarkable moms in tech, masters of what feels to me like biggest, most challenging juggling act of them all: Simultaneously rocking your career and motherhood.  Related: Richard Branson on Business Lessons From ParentingNot only are these inspiring women busy breaking down the gender barrier in Silicon Valley’s male-dominated technology industry, they’re raising kids while doing it.Hats off to these four awesome mamas in tech. I hope you get the love, respect and pampering you deserve on your special day, or at least a breather.   Sheryl Sandberg, Lean InImage credit: leanin.org/book 2. Sheryl SandbergYou probably know Sheryl Sandberg as the controversial author of Lean In: Women, Work and the Will to Lead (Knopf, 2013). The Facebook chief operating officer and former Googler wrote the best-selling advice book to “encourage women to pursue their ambitions” and change “the conversation from what we can’t do to what we can do.” Nearly a year to the day of Lean In’s release last year, she challenged the world to “Ban bossy” and “Encourage girls to lead.”  In Lean In the Silicon Valley glass ceiling-smashing mother of two and self-made billionaire criticizes the uncomfortable question moms — typically not dads — get asked all the time: “How do you do it all?” Yet, she encourages women to chase after that ever elusive life-work “balance,” then use it to “lean in” to their careers and “run the world.”Related: How to Raise Entrepreneurial KidsThe high-powered (and incredibly high-paid) top female tech executive in a definitively male-dominated industry reportedly “leans in” to her family life by leaving work every night at 5:30 p.m. to have dinner with her children, among other less written about ways she’s likely involved. Also, the TED speaker’s “equal partner” husband shares 50 percent of the parenting duties. There’s a concept I can definitely get behind. 1. Julia HartzJulia Hartz is a mother of two and the co-founder and CEO of Eventbrite, a San Francisco tech startup that democratized event ticketing. The self-service online ticketing platform allows anyone — not just headliner bands and major sports teams — to organize, social media promote and sell tickets for venues.Since launching in 2006, the company grossed $2 billion in ticket sales in 198 countries. Hartz, a former TV executive who helped the goof-offs behind Jackass blow up in the mainstream, oversees a team of some 300 “Britelings,” all while juggling daily mom duties, a subject she has intimately written about on Eventbrite’s blog.Her two saving graces, she wrote, in the battle to “do it all” as a mom and as tech executive have been the ability to prioritize and realizing that it’s okay to accept others’ help.  Related: 5 Parenting Skills That Make You Better at Running a Business“Getting over the stigma of needing to appear as if I do it all myself took about 12 months,” Hartz wrote. “I finally realized that the only way to be a successful happy mother, founder, wife, and daughter, was to accept the help that was being offered to me.” This hands-on workshop will give you the tools to authentically connect with an increasingly skeptical online audience. Free Workshop | August 28: Get Better Engagement and Build Trust With Customers Nowcenter_img Enroll Now for Free 8 min read 4. Mariam NaficyEarly internet pioneer, serial entrepreneur and Yelp board member Mariam Naficy is a mother of two and co-founder of Minted.com. Launched in 2008, her San Francisco startup crowdsources independent graphic designs from around the world (many of them from mothers) and turns them into gorgeous, high-end designer stationery. In 1998, in the web’s early days, Naficy co-founded Eve.com, which later sold for more than $100 million.Fellow high-powered moms in tech, Marissa Mayer, Yahoo CEO, and Eventbrite’s Julia Hartz, have invested in Minted, along with Benchmark, Menlo Ventures and others. The 70-plus employee social e-commerce company has raised some $51 million in venture capital to date, according to its CrunchBase profile.The startup is committed to improving the health and wealthfare of mothers, donating proceeds from each of its children’s art sales to Every Mother Counts, model and activist Christy Turlington Burns’ maternal health nonprofit aimed at reducing pregnancy- and childbirth-related deaths across the globe.  Related: How One Entrepreneur Mom Won the Work-Life Balance GameNaficy recently told an online publication run by her alma mater, the Stanford Graduate School of Business, that she agrees “with a lot of Sheryl’s [Sandberg’s] points about [women] not quitting [work] too early,” but adds that women should “take more risk than men early in their careers.” That way, once they make “the tradeoff between children and work,” they’ll be more likely to be in a better position to have more and stronger career path choices.“I have two children,” Naficy said in the article. “I could have stayed home, or I could have started a business. Because I took risks early on — starting a business right out of GSB [Stanford Graduate School of Business] in 1998 and selling it successfully — I had great options. You need to have money set aside, you need leverage to negotiate with your boss, and you need to have great contacts.”Related: Mom’s Startup Success Story: ‘Open Table’ Reservation Service for Babysitters Lisa Stone, BlogHerImage credit: www.blogher.com/lisa-stone Mariam Naficy, MintedImage credit: minted.com/executive-team 3. Lisa StoneIn 1997, about a year and a half after the birth of her son, recently divorced Lisa Stone exited her CNN newsroom job in search of flexible, parenting-friendly hours. She went on to trailblaze a then-brand new social media business model in the brave new world of the internet. Her traditional journalism colleagues didn’t take her dive into online media seriously, but she charged ahead into uncharted territory anyway, specifically online women’s content, which there wasn’t nearly enough of at the time.   “People thought I was nuts and I had no idea where I was going or what my job would be,” Stone said in a Makers video. “I took advantage of finding myself in Silicon Valley as a single mother with a one-and-a-half-year-old and went for it. People in Silicon Valley were saying ‘Women will never go online.’ and I thought, ‘That’s crazy talk!’ I have a 1-year-old. I’m a single mom. I’m working. My only life is online.”Stone, the first internet journalist to be awarded Harvard University’s Nieman Fellowship, served as the editor in chief and vice president of programming for Women.com. In 2005 she co-founded and took the helm as CEO of one of the internet’s largest, most successful online communities for and by women and mothers, BlogHer.com. The popular blogging hub, originally created to “answer the question, ‘Where are the women bloggers?’”, now reaches 100 million women each month.Related: Why You Should Hire Your Kids This SummerWhen I asked Stone how she balances her mom and work life, she didn’t mince words. “Balance is baloney,” she said. “What I am is choosey — I choose to be a parent, hence I choose not to do LOTS of other things for the (tragically!) short time I have with my kids at home. And that’s a privilege.” Her son is now 18 and they live in Palo Alto, Calif. with Stone’s partner and his children.last_img read more

How to Run a Virtual Meeting That Gets Results

first_imgJanuary 22, 2016 With the proliferation of online resources, social media and cellular phones, the landscape of the “workplace” has changed forever. No longer do we need to show up at a brick-and-mortar building, or gather in the oak-paneled conference room for our weekly meeting. Nowadays, most everything can be done virtually.Although this gives us abundant freedom, it also creates challenges in coordinating both people and information flow. Here are some guidelines for becoming better at virtual communications.Set an agenda.If your meeting includes a number of people, it is wise to create and disseminate an agenda that includes the timing and objectives for each item. This will help focus on the goals for the meeting and keep everyone on the same page.Practice.Don’t use a new technology for the first time; instead, go through a “dress rehearsal” and practice its navigation and features beforehand. It’s always a good idea to have a contingency plan in case technology fails you at a critical moment.Related: Secrets to Yawn-Free Board MeetingsStay focused.Put your cell phone aside, and concentrate on running the meeting. You’ll have enough to do with coordinating speakers, running the agenda and facilitating the technology without checking messages every few minutes.Be the first on the call.As the host, be the first to log into the call. Arrive at least five minutes early to make sure there are no glitches before the meeting begins. Introduce yourself and greet each person as they “arrive” and ask who has joined the call.Introduce everyone.Once everyone is present, make introductions including names, titles and roles. Start your meeting when everyone knows who’s on the call.Include an introduction.Before the meeting begins, take a couple of minutes to make some small talk to get everyone warmed up. Tell a brief story, relate an experience, or ask everyone about his or her week. Their comfort level will rise and it will be easier to transition into the agenda.Related: This App Will Make Your Next Virtual Meeting AwesomeKeep up the pace.Don’t let the meeting lag, or let any one person dominate or drag down the conversation. Remain in charge and set limits on speakers, or table conversations for later discussion. Ask everyone to be mindful of any ambient noise or activity in the background that others might hear. Also, ask everyone to disengage their music-on-hold feature just in case they have to tend to an urgent matter and leave the conference momentarily.Create a FlowYour advance preparation will aid in creating a cohesive flow to your online presentation. Don’t jump around from file to file, or open new programs, if possible, or flip from page to page or move your cursor quickly around, making it difficult to follow.Encourage participation.Be sure to include all attendees in the conversation. Go “around the room” and ask everyone for input. This will keep everyone engaged, so they don’t get bored or lose focus. Everyone should feel like their presence is important.Do a recap.At the end of the meeting, recap what has been covered, what has been assigned, and to whom it has been entrusted. It’s best to set the time and date for the next meeting while you have everyone together.Follow up.If possible, send out a copy of the meeting notes and action items to all in attendance. Thank them for their participation and encourage them with words of praise.Running any meeting is a skill, and more so when it is virtual. Incorporate these tips, and some of your own, to create a productive and interesting presentation each and every time.Related: 6 Ways to Manage a Virtual Work Force Free Webinar | Sept. 9: The Entrepreneur’s Playbook for Going Global 4 min read Opinions expressed by Entrepreneur contributors are their own. Growing a business sometimes requires thinking outside the box. Register Now »last_img read more

8 Steps to Setting Up Ad Conversion Tracking the Right Way

first_img 5 min read The following excerpt is from Perry Marshall, Mike Rhodes and Bryan Todd’s book Ultimate Guide to Google AdWords. Buy it now from Amazon | Barnes & Noble | iTunes | IndieBoundDo you run a lead-generation site where a visitor can fill in a form and get a free brochure? We’ll walk you through how to set up your Google account to track it.1. Create a new conversion and name it.First, tell Google what kind of conversion you want tracked. Click the three dots at the very top of your AdWords page and select “Conversions.” On the resulting page, click the big blue “+ Conversion” button.Next, click the “Website” option since you’re tracking something that happens on your site.Google will ask you to name your conversion. Choose a name that tells you what the conversion is (e.g., “Opt in for brochure”) and select “Webpage.”Related: 10 Laws of Social Media Marketing2. Set your conversion category.You’ll be asked to choose one of the following categories for your conversion type:Purchase saleSign upLeadView of a key pageOtherIn this example, “Sign up” and “Lead” are probably both applicable, but “Lead” is a little more relevant.3. Set a conversion value.If you’re not running an e-commerce site, you may be tempted to skip this one, but please don’t. Setting a conversion value right from the beginning is going to make your data far more valuable in the long run.Think of the conversion value as a point system that rates the relative value of the different types of conversions that exist within your business. For example, you can assign 50 points to a conversion that involves a visitor completing your quiz but 100 points if they complete a “please call me” lead-capture form. If your site is very basic and only offers one conversion action, then you can simply set the conversion value as 1.4. Set a conversion count.There are two options: You can choose “every” or “one.””Every” measures every single sale or lead. If you were to pick “one,” then if visitors did the same thing multiple times, it would only be counted as just one conversion per visitor even if they “convert” multiple times.E-commerce site owners will want to keep track of every specific product purchased and would select “All Conversions — Every.” On the other hand, information marketers who provide PDFs for download may be more interested in simply knowing the total number of individuals who download one or more items. They would choose “Unique Conversions — One.” If you’re not sure, go with “All Conversions — Every.” You still get data for both types.Related: 5 Social Media Rules Every Entrepreneur Should Know5. Set your conversion window.This indicates how many days or weeks you want Google to keep tracking the user after they click the first time. The default is 30 days, which is more than adequate for this exercise. If a person clicked on your ad but didn’t opt in for your brochure in 30 days’ time, they’re probably not worth following. Unless you have a very good reason for needing a different conversion window, leave this on the default setting.6. Decide what to include in conversions.You now get to choose whether a particular conversion type you’re setting up should be included in the total conversions count. For example, if yours is an e-commerce store, you might want to have two conversion actions. One would be every time somebody adds a product to their shopping cart and another one would be for when they buy. When in doubt, stick with the default setting (which is Yes to include).7. Choose your attribution type.A visitor may have clicked through to your site multiple times and from multiple places. This setting is where you tell Google which one of those clicks gets credit for the sale. Google defaults to the setting called “last click attribution.” We recommend you stick with it. There are special cases where the other options are useful, but there’s no reason to change to any of them unless you really want to.Related: 12 Social Media Mistakes That Entrepreneurs Make8. Install code.You’re ready to ensure that your site ends up with the necessary code to allow Google to track your conversions. You’ve got two options: Install it manually, in which case Google will give you a snippet of code to place on your key pagesEnter the email address of your web developer and Google will send the code there along with instructions. If you’re not comfortable handling this part of the process and you don’t have a web developer, find a freelancer to handle this for you.Important: The most reliable way to keep conversion tracking running smoothly is to ensure that your conversion action always results in your visitor being directed to a separate page that has a unique, static web address. In our current example, once your visitor completes the lead-capture form, you want them to be redirected to a unique thank-you page that has an ordinary static URL. If you create multiple landing pages, each with a lead-capture form, you can have one thank-you page for all of them, or you can have a different thank-you page to go with each one.Either way, simpler is better. This is the only way to ensure that your conversion tracking doesn’t break further down the line and that you don’t end up making decisions based on bad data. Growing a business sometimes requires thinking outside the box. Opinions expressed by Entrepreneur contributors are their own. Free Webinar | Sept. 9: The Entrepreneur’s Playbook for Going Global October 11, 2017 Register Now »last_img read more

NewLeaf doubles summer capacity on highdemand routes

first_imgTags: New Routes, NewLeaf Travel Share Posted by Travelweek Group Monday, February 6, 2017 center_img WINNIPEG — NewLeaf Travel Company’s summer 2017 schedule has fewer destinations but more frequencies on its most-travelled routes.This is NewLeaf’s fourth schedule release since it began operating in July 2016. The company, which offers flights on Flair Airlines, recently flew its 150,000 passenger.The summer schedule runs May 1 – Oct. 30 and includes: flights between Abbotsford and Edmonton (five times weekly); Abbotsford and Winnipeg (nine times weekly); Edmonton and Winnipeg (three times weekly); Hamilton and Edmonton (five times weekly); Hamilton and Abbotsford (six times weekly); Winnipeg and Hamilton (five times weekly); Hamilton and Halifax (five times weekly) and Edmonton and Halifax (five times weekly).Back in November NewLeaf announced a U.S. sun program with direct flights from Hamilton International Airport to Orlando Melbourne International Airport as well as three times weekly service from Calgary and once weekly service from Edmonton to Phoenix-Mesa Gateway Airport.Days later WestJet announced new service to Phoenix-Mesa Gateway Airport from Calgary and Edmonton. In January NewLeaf said it was cancelling plans to offer flights between Alberta and Phoenix-Mesa, and also that it was postponing its service to Florida from Hamilton. NewLeaf doubles summer capacity on high-demand routes << Previous PostNext Post >>last_img read more