Multiple ACL surgery techniques effective in helping athletes return to play

Public release date: 23-Mar-2013
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Contact: Lisa Weisenberger
lisa@aossm.org
847-655-8647
American Orthopaedic Society for Sports Medicine

Orthopaedic surgeons have debated the effectiveness of the single versus double-bundle method of anterior cruciate ligament (ACL) repair for years. However new data shows both techniques lead to similarly effective outcomes for patients, according to researchers presenting their work today at the American Orthopaedic Society for Sports Medicine's Specialty Day in Chicago, IL.

"We examined 98 patients who underwent reconstructions to repair ruptured ACLs using either one of these methods after two years," commented lead researcher Mattias Ahldn, MD, of Sahlgrenska University Hospital in Mlndal, Sweden. "Using the pivot shift test to determine knee instability, 79% of the double bundle group and 67% of the single-bundle group showed normal knee function, a relatively minor difference."

The patients studied, ranging in age from 18-52, opted for ACL reconstructions after contact-sport injuries. The sample was comparable in terms of gender, time between injury and reconstruction, and length of follow-up period.

"Our study was not intended to show the overall effectiveness of ACL surgery, but instead determine if one surgical approach is better than another in promoting a return to normal activity," noted Ahldn. "The data shows that in fact multiple surgical approaches can help patients enjoy a return to normalcy after knee injuries."

The study did not examine long-term effects of ACL injury recovery such as osteoarthritis in patients' knees as it related to single and double bundle techniques.

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The American Orthopaedic Society for Sports Medicine (AOSSM) is a world leader in sports medicine education, research, communication and fellowship, and includes national and international orthopaedic sports medicine leaders. The Society works closely with many other sports medicine specialists, including athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention, treatment, and rehabilitation of sports injuries. AOSSM is also a founding partner of the STOP Sports Injuries campaign to prevent overuse and traumatic injuries in kids. For more information on AOSSM or the STOP Sports Injuries campaign, visit http://www.sportsmed.org or http://www.stopsportsinjuries.org

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Public release date: 23-Mar-2013
[ | E-mail | Share ]

Contact: Lisa Weisenberger
lisa@aossm.org
847-655-8647
American Orthopaedic Society for Sports Medicine

Orthopaedic surgeons have debated the effectiveness of the single versus double-bundle method of anterior cruciate ligament (ACL) repair for years. However new data shows both techniques lead to similarly effective outcomes for patients, according to researchers presenting their work today at the American Orthopaedic Society for Sports Medicine's Specialty Day in Chicago, IL.

"We examined 98 patients who underwent reconstructions to repair ruptured ACLs using either one of these methods after two years," commented lead researcher Mattias Ahldn, MD, of Sahlgrenska University Hospital in Mlndal, Sweden. "Using the pivot shift test to determine knee instability, 79% of the double bundle group and 67% of the single-bundle group showed normal knee function, a relatively minor difference."

The patients studied, ranging in age from 18-52, opted for ACL reconstructions after contact-sport injuries. The sample was comparable in terms of gender, time between injury and reconstruction, and length of follow-up period.

"Our study was not intended to show the overall effectiveness of ACL surgery, but instead determine if one surgical approach is better than another in promoting a return to normal activity," noted Ahldn. "The data shows that in fact multiple surgical approaches can help patients enjoy a return to normalcy after knee injuries."

The study did not examine long-term effects of ACL injury recovery such as osteoarthritis in patients' knees as it related to single and double bundle techniques.

###

The American Orthopaedic Society for Sports Medicine (AOSSM) is a world leader in sports medicine education, research, communication and fellowship, and includes national and international orthopaedic sports medicine leaders. The Society works closely with many other sports medicine specialists, including athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention, treatment, and rehabilitation of sports injuries. AOSSM is also a founding partner of the STOP Sports Injuries campaign to prevent overuse and traumatic injuries in kids. For more information on AOSSM or the STOP Sports Injuries campaign, visit http://www.sportsmed.org or http://www.stopsportsinjuries.org

---

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Source: http://www.eurekalert.org/pub_releases/2013-03/aosf-mas031813.php

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'Book of Mormon' already breaks record in London

NEW YORK (AP) ? The seemingly unstoppable hit "The Book of Mormon" has broken another record ? this time on the other side of the Atlantic.

The quirky, profane musical opened Thursday night to some critical bashing, but the next day earned the highest one-day gross in London theater history.

Between 10 a.m. and midnight Friday, 2.1 million pounds ($3.2 million) was taken in at the box office, according to preliminary estimates. By comparison, the Broadway version only earned $1.5 million the day after it opened to rapturous reviews. Finals numbers in London are expected overnight.

"London can be tough," Scott Rudin, an influential theater and film producer who has steered "The Book of Mormon," said by phone Friday night after flying back from England. "American musicals tend to get knocked in the teeth in London, by and large. It's a tougher place."

The show is now booked at the Prince of Wales Theatre until January, but Rudin predicts it may be in London for a long time to come.

To put the staggering one-day take in perspective, the highest single-week gross in the West End ? from another Yankee show, "Wicked" ? was just over 1 million pounds over nine productions during the final week of 2010.

"The Book of Mormon" by "South Park" creators Trey Parker and Matt Stone and "Avenue Q" composer Robert Lopez tells the story of two Mormon missionaries sent to spread the word in Uganda.

In New York, "The Book of Mormon" won nine Tony Awards in 2011, including best musical. The show also won a Grammy Award and recouped its $11.4 million capitalization after just nine months. It remains the toughest ticket to get on Broadway.

A production has opened in Chicago ? it set a house record for the Bank of America Theatre and has been extended three times until September ? and a national tour kicked off in August in Denver, where it has broken box office records as it crosses the country.

The tour is currently in Detroit ? where it already has broken the Fisher Theatre's house record for a standard eight-performance week ? through the weekend, and then goes to Pittsburgh, Boston, Toronto, Cleveland and Washington, D.C.

In London, most critics praised the production's skill and the English cast's energy, though some were left uncharmed, including the Daily Mail critic, who "tired of it after 10 minutes." The Guardian called it "mildly amusing."

Rudin said despite some grousing by London critics, the crowds have been enthusiastic, particularly the English fans of "South Park." Pent-up demand for the show has been roiling since the New York opening. And, unlike in New York, London audiences knew what to expect.

Though Rudin admits he was anxious in the days leading to the London opening, he recognized that the show's humor ? jokes about African dictatorships, AIDS and poverty ? would translate.

"The story and humor of 'The Book of Mormon' is deeply influenced by Monty Python's Flying Circus," he said. "I knew that would work over there."

The West End has just enjoyed its ninth successive year of record box office returns and attendance went up slightly in 2012 to 13.9 million. This season, in addition to "The Book of Mormon," the West End is hosting the musicals "Once" and "Charlie and the Chocolate Family" and plays with Helen Mirren and by John Logan.

Rudin, who has also produced the films "No Country for Old Men" and "The Social Network," has been busy on Broadway this season, putting on the Scarlett Johansson-led "Cat on a Hot Tin Roof" revival and the upcoming "The Testament of Mary."

___

Online:

http://bookofmormonthemusical.com

___

Follow Mark Kennedy on Twitter at http://twitter.com/KennedyTwits

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/4e67281c3f754d0696fbfdee0f3f1469/Article_2013-03-22-US-Theater-Book-of-Mormon/id-0119dbd898d14cd4b2f7658fd51e5028

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Kerry meets Palestinian, Israeli leaders after Obama visit

JERUSALEM (Reuters) - U.S. Secretary of State John Kerry met with Israeli Prime Minister Benjamin Netanyahu in Jerusalem on Saturday after earlier talking to Palestinian President Mahmoud Abbas in Jordan in a bid to revive stalled peace talks.

Kerry's back-to-back meetings followed up on President Barack Obama's visits to Israel and the Palestinian Territories this week in which he called for fresh diplomatic efforts but offered no new peace proposals of his own.

Kerry, who had accompanied Obama on his trip and then stayed on in the region, met privately for two hours with Abbas in Jordan's capital of Amman, a Palestinian source told Reuters.

A State Department official said earlier that Kerry planned "to continue the conversations they started with President Obama and the secretary earlier this week".

Neither side issued any formal statements after Kerry's meeting with Abbas, and their senior aides declined initially to divulge any details.

A Palestinian source speaking on condition of anonymity said the talks had focused on "trying to find common ground between both sides to see if there is ground to resume peace talks", and cautioned against expecting any quick results.

"It could take some time" to achieve a formal resumption of negotiations, the source said.

Peace talks ran aground in late 2010 in a dispute over Jewish settlement building in land Israel captured in a 1967 war that Palestinians seek for a state.

In Jerusalem, Kerry was photographed meeting with Netanyahu but no official statements were released.

Obama promised that Kerry, Washington's new top diplomat, would dedicate time and energy to the Israeli-Palestinian problem, one in which the president failed to make progress during his first term.

(Reporting by Matt Spetalnick in Amman, Ali Sawafta in Ramallah and Allyn Fisher-Ilan in Jerusalem; Editing by Michael Roddy)

Source: http://news.yahoo.com/kerry-meets-palestinian-israeli-leaders-obama-visit-201025789.html

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1 in 10 US Deaths Blamed on Salt

Mar 21, 2013 4:24pm

One in ten U.S. death are linked to salt, researchers say. (Image credit: Stockimage/Getty Images)

On the heels of a study linking sugary drinks to 25,000 U.S. deaths a year, new research suggests salty food is even more dangerous.

The new study, by the same Harvard research team, linked excessive salt consumption to nearly 2.3 million cardiovascular deaths worldwide in 2010. One in 10 Americans dies from eating too much salt, the researchers found.

?The burden of sodium is much higher than the burden of sugar-sweetened beverages,? said Dr. Dariush Mozaffarian, an epidemiologist at the Harvard School of Public Health and author of both the salt and sugary drink studies. ?That?s because sugar-sweetened beverages are just one type of food that people can avoid, whereas sodium is in everything.?

Mozaffarian and colleagues used data from 247 surveys on sodium intake and 107 clinical trials that measured how salt affects?blood pressure, and how blood pressure contributes to cardiovascular disease like heart attacks and stroke.

?From that we could determine the health effects of sodium,? he said, adding that one out of three deaths due to excessive sodium occurred before age 70. ?It?s really affecting younger adults, not just the elderly.?

The study, presented today at the American Heart Association?s annual meeting in New Orleans, adds to mounting evidence that packaged and processed foods containing high levels of salt for flavor and shelf life can take a heavy toll on cardiovascular health.

?It?s really amazing how pervasive it is,? Mozaffarian said of salt. ?For the average person, it?s very hard to avoid salt ? you have to be incredibly motivated, incredibly educated, have access to a range of foods and do all the cooking yourself.?

But not everything is easy to whip up at home, Mozaffarian added. Bread and cheese are the top two sources of sodium in the U.S.

?It?s everywhere,? he said.

For the study, the researchers set the ideal level of salt consumption at 1,000 milligrams per day ? less than half of the upper limit recommended by the U.S. Centers for Disease Control and Prevention and less than a third of the average American intake.

The Salt Institute took issue with the unrealistic threshold.

?This misleading study did not measure any actual cardiovascular deaths related to salt intake, since, by the authors? own admission, no country anywhere in the world consumes the low levels of salt they recommend,? Morton Satin, vice president of science and research for the Virginia-based institute said in a statement.

Satin also stressed that Mozaffarian?s research is yet to be published in a peer-reviewed journal, and said it ?reveals an agenda far more rooted in sensationalist politics than in science.?

?The Salt Institute does not consider this misleading modeling exercise helpful in furthering our knowledge of the role of salt on our health,? Satin said. ?On the contrary, it is disingenuous and disrespectful of consumers.?

Mozaffarian said he plans to submit the study for publication later this year, and stressed that politics has nothing to do with it.

?We have no vested interest in what the research shows,? he said. ?This is not sensational. The point is to objectively look at the impact of salt using the best possible science, and that?s what we have done.?

Mozaffarian said he hopes the study will impel policy makers to set sodium limits in prepared foods and make it easier for Americans to lower their salt intake. In the meantime, however, some smart shopping can help.

?One way you can have more control is to shop the perimeter of the supermarket,? said ABC News? chief health and medical editor Dr. Richard Besser. ?That?s where you will find fresh fruits and vegetables, meats and dairy products.? When you cook with these ingredients you have control over how much salt you take in.?

Another tip: Read food labels. Table salt is listed as sodium chloride.

?You might be surprised at all the foods that have hidden salt,? Besser said.

Karen Keller contributed to this story.

Source: http://abcnews.go.com/blogs/health/2013/03/21/1-in-10-u-s-deaths-blamed-on-salt/

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Is the Left Cracking Up? (Powerlineblog)

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President Assad vows to clean Syria of extremists

AAA??Mar. 22, 2013?3:49 AM ET
President Assad vows to clean Syria of extremists
AP

In this photo released by the Syrian official news agency SANA, the Eman Mosque is seen destroyed after a suicide bomber blew himself up, killing Sheikh Mohammad Said Ramadan al-Buti, an 84-year-old cleric known to all Syrians as a religious scholar, at the Mazraa district, in Damascus, Syria, Thursday, March 21, 2013. A suicide bomber blew himself up during evening prayers inside a mosque in Damascus Thursday, killing a top Sunni Muslim preacher and longtime supporter of President Bashar Assad and least 13 other people, state TV reported. Al-Buti's death is a big blow to Syria's embattled leader, who is fighting mainly Sunni rebels seeking his ouster. (AP Photo/SANA)

In this photo released by the Syrian official news agency SANA, the Eman Mosque is seen destroyed after a suicide bomber blew himself up, killing Sheikh Mohammad Said Ramadan al-Buti, an 84-year-old cleric known to all Syrians as a religious scholar, at the Mazraa district, in Damascus, Syria, Thursday, March 21, 2013. A suicide bomber blew himself up during evening prayers inside a mosque in Damascus Thursday, killing a top Sunni Muslim preacher and longtime supporter of President Bashar Assad and least 13 other people, state TV reported. Al-Buti's death is a big blow to Syria's embattled leader, who is fighting mainly Sunni rebels seeking his ouster. (AP Photo/SANA)

Map locates suicide bombing Syria

In this photo released by the Syrian official news agency SANA, the Eman Mosque is seen destroyed after a suicide bomber blew himself up, killing Sheikh Mohammad Said Ramadan al-Buti, an 84-year-old cleric known to all Syrians as a religious scholar, at the Mazraa district, in Damascus, Syria, Thursday, March 21, 2013. A suicide bomber blew himself up during evening prayers inside a mosque in Damascus Thursday, killing a top Sunni Muslim preacher and longtime supporter of President Bashar Assad and least 13 other people, state TV reported. Al-Buti's death is a big blow to Syria's embattled leader, who is fighting mainly Sunni rebels seeking his ouster. (AP Photo/SANA)

In this undated photo released by the Syrian official news agency SANA, Sheikh Mohammad Said Ramadan al-Buti, an 84-year-old cleric known to all Syrians as a religious scholar, speaks at a press conference. Al-Buti, a top Sunni Muslim preacher and longtime supporter of President Bashar Assad was killed in a suicide bombing in the Eman Mosque, at the Mazraa district, in Damascus, Syria, Thursday, March 21, 2013, state TV reported . (AP Photo/SANA)

In this photo released by the Syrian official news agency SANA, the desk of Sheikh Mohammad Said Ramadan al-Buti, an 84-year-old cleric known to all Syrians as a religious scholar, is seen after a suicide bomber blew himself up at the Eman Mosque in the Mazraa district, in Damascus, Syria, Thursday, March 21, 2013. A suicide bomber blew himself up during evening prayers inside a mosque in Damascus Thursday, killing a top Sunni Muslim preacher and longtime supporter of President Bashar Assad and least 13 other people, state TV reported. Al-Buti's death is a big blow to Syria's embattled leader, who is fighting mainly Sunni rebels seeking his ouster. (AP Photo/SANA)

BEIRUT (AP) ? Syria's president has vowed to rid the country of Muslim extremists whom he blamed for a suicide bombing that killed 42 people, including a top Sunni preacher.

Friday's statement by Bashar Assad came hours after the explosion ripped through a mosque in the heart of Damascus, killing Sheikh Mohammad Said Ramadan al-Buti.

It was one of the most stunning assassinations of the two-year civil war and the first time a suicide bomber struck inside a mosque.

Al-Buti was a staunch supporter of Assad. More than 84 were wounded in the attack.

In the statement carried by Syria's state news agency, Assad says al-Buti represented true Islam in facing "the forces of darkness and extremist" ideology.

Assad says his forces will "wipe out" and "clean our country" of the attackers.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2013-03-22-Syria/id-7a1d95cf34524ad0ba15f202d37d9012

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Satellite captures space view of spring equinox

It's that time of year again: the first day of spring.

On this special date, the length of the day and night are about the same for most of the planet. The amount of solar energy delivered to the Northern and Southern Hemisphere is also equal.

You can see that effect in an image taken this morning (March 20) at 7:45 a.m. Eastern Daylight Time (11:45 a.m. Universal Time) by the National Oceanographic and Atmospheric Administration's GOES-13 satellite. The photo shows both hemispheres equally lit. As spring wears on, the Northern Hemisphere will receive more sun than the Southern Hemisphere, creating the familiar seasons in each region (summer and winter, respectively).

This image was taken moments after the exact occurrence of the equinox, which happened at 7:02 a.m. EDT (11:02 a.m. Universal Time).

The dawning of spring comes on different dates (from March 19-21) and different times each year for two reasons. First, the year is not an exact number of whole days; it takes the Earth about 365 and one-quarter days to orbit the sun (which is why we have a leap day every four years). Second, Earth circles the sun in a slightly non-elliptical orbit, and that, in addition to the gravitational pull of the other planets, changes Earth's orientation to the sun from year to year. Equinoxes (which mark the onset of spring and autumn) and solstices (which mark the beginnings of summer and winter) are points in time and space that designate a transition in the planet's annual trip around the sun.

In the higher latitudes of the Northern Hemisphere, the time of "equal day and night" occurs a few days before the spring equinox, while in the Southern Hemisphere that date comes after the March equinox, according to the National Weather Service.

The sun in this image was created artificially, though the GOES spacecraft does have sensors which constantly monitor the sun for solar activity, NOAA reports.

Email Douglas Main?or follow him @Douglas_Main. Follow us?@OAPlanet, Facebook?or Google+. Original article on LiveScience's OurAmazingPlanet.

Copyright 2013 LiveScience, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Source: http://news.yahoo.com/spring-equinox-looks-space-202441328.html

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