Jun 18th, 2015
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Abraham Lincoln University
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While at Iowa, he met Virginia Varns, an instructor in the nursing school. They married and later had two daughters. After graduating, he took a postdoctoral position at the Wichita Guidance Center in Wichita, Kansas

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Case studyGERIATRICS WITH BILATERAL KNEE OSTEOARTHRITIS.Introduction Joint composed of articular cartilage, subchondral bone, synovial membrane, synovial fluid and joint capsule. Normal synovial joints allow a significant amount of motion along extremely smooth articular surface. The articular surface of synovial joints consists of articular cartilage that protects the subchondral bone by distributing large loads, maintaining low contact stresses, and reducing friction at the joint. Synovial fluid is formed through a serum ultrafiltration process by cells that form the synovial membrane. It supplies nutrients to the avascular articular cartilage and provides the viscosity to absorb shock and elasticity required to absorb shock from rapid and slow movements.Carlos,2012 state osteoarthritis(OA) is a degenerative disorder that results from the biochemical breakdown of articular cartilage in the synovial joints. Although, the current concept holds that OA involves not just the articular cartilage but the entire joint organ, including the subchondral bone and synovium. Mostly patient having OA due to advancing age, obesity, trauma, menopause, muscle dysfunction and genetics. High risk patient include sex hormones, muscle weakness, repetitive use and Infection.The early stage, chondrocyte will repair damage cartilage while increase production of proteoglycans and resulting in swelling of the cartilage in most cases and may last for a years or decades. Progressing stage, pr

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