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Here is your pdf: Partial and total knee arthroplasty home exercise program

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Ira K. Evans III, M.D.

David J. Fehnel, M.D.

Clay D. Miller, M.D.

Richard M. Ozuna, M.D.

Jeffrey A. Polansky, M.D.

Sherwin H. Ritter, M.D.

John B. Sledge III, M.D.

Robert M. Wood, M.D.

Jonathan A. Uroskie, M.D.

PARTIAL AND TOTAL KNEE ARTHROPLASTY HOME EXERCISE PROGRAM

The home exercise program will assist your recovery and improve strength. It is important that you take

time to exercise every day. The exercise program will take approximately 30 minutes to complete and

should be done two times per day. If you are having any problems with the exercises, please call Sports

Medicine North at 978-818-6350.

Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. It

is important to be patient, to be an active participant in your exercise program, and to strictly follow the

guidelines outlined in the enclosed packet.

Important Information

Now that you are home, you must keep working on bending and straightening your leg, as well as help

increase the range of motion of your knee. This will enable you to walk, climb stairs and curbs, and sit on

chairs or on the toilet.

1. It will take approximately six months for the swelling in your knee to go down. Therefore, it is

important to ice your knee 3-4 times per day for at least the first six weeks after surgery. This should be

done for 10-20 minutes at a time. The best time to ice is after you exercise or do a lot of walking. To ice,

you can use storage sized Ziplock bags filled with ice, or two large (10″ X 14″) gel packs, which can be

purchased at a surgical supply store. The best way for icing your knee is with the knee extended, i.e.,

straight with a towel rolled under your ankle.

2. Try not to sit for more than 45 minutes at any given time because your knee may become stiff and/or

swelling of the entire leg may occur. If you wish to sit for longer periods of time, i.e., watching a movie

or TV., you should stand and walk a short distance and attempt to bend and straighten your knee several

times.

3. Do not sleep or sit with anything under your knee, i.e., a pillow.

4. If at anytime you notice persistent fever, swelling, pain, or drainage from your wound, immediately call

your surgeon.

5. It is important that all physicians and dentists caring for you to know that you have a joint prosthesis.

You will require antibiotics before and after any invasive procedures or dental work to protect against

infection. You will be given a “medical alert” card.

6. Your new knee may activate metal detectors in airports and department stores. This is noted on your

Sports Medicine North Orthopaedic Surgery, Inc. One Orthopedics Drive Peabody, MA 01960 Tel: (978) 818-6350

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(continued on p.11)

(continued on p.9)INSIDE…Vol. XIX No. 6A Report on Non-Ionizing RadiationNovember/December 1999

Standards Harmonization Meeting:Russia and West Far Apart

East met West in September at a Moscow conference on radiation safetyÑ

but neither side blinked.Russian limits for radiofrequency and microwave (RF/MW) radiation ex-

posures are up to 100 times stricter than those in the U.S. and Western Europe.

Despite extensive discussions and vodka toasts at the Moscow conference, no

compromise is in sight. It appears that the gulf that has separated the two sidesfor more than 30 years will remain for some time to come.The latest effort to bridge the gapÑor to ÒharmonizeÓ RF/MW standardsÑ

took place at the 2nd International Conference on Problems of Electromag-

netic Safety of the Human Being, held in Moscow, September 20-24. The meet-

ing was sponsored by the Russian National Committee on Non-Ionizing Ra-

diation Protection (RNCNIRP) and a host of other Russian scientific groups,

in cooperation with the World Health Organization (WHO), the International

Commission on Non-Ionizing Radiation Protection (ICNIRP) and the U.S.

Air Force (USAF). Scientists from 12 countries took part.

ÒSo far we have entirely different approaches to harmonization,Ó Professor

Yuri Grigoriev stated at the conference. Grigoriev chairs the recently formedRNCNIRP and is a senior research scientist at the Institute of Biophysics inMoscow.

GrigorievÕs point was underscored by the fact that the meeting did not

result in adoption of any joint statement or action plan on harmonization.Western standard-setting organizations have emphasized protection from

Wireless Industry Seeks To Raise

RF/MW Exposure Limit for the Ear

Wireless phone manufacturers want to relax the radiation exposure stan-dard for the outer ear, and the Institute of Electrical and Electronics Engineers

(IEEE) is

expected to give its approval. The request came just weeks after a

report that many mobile phones violate current limits by overexposing the ear.

ÒC.K. Chou [of Motorola] proposed that, for the general public, the outerear should be considered an extremity, similar to the hands, feet, wrists and

ankles,Ó said Ron Petersen, secretary of the IEEEÕs Standards Coordinating

Committee 28 (SCC-28). The IEEEÕs RF/MW standard allows higher expo-

sures for these extremities than for the rest of the body.

Chou introduced the subject in Atlanta at the October 17 meeting of SCC-

28Õs Subcommittee 4 (SC-4), which deals with standards from 3 kHz to 300

GHz. Dr. Veli Santomaa of Nokia then gave a presentation in support of the

proposal. Although Òthe SAR in the ear is the highest in the body,Ó Santomaa

EMF NEWS pp.2-4

Workplace Exposures Linked toHormone-Related Cancers in Swedish Study

No Childhood Cancer Link in U.K. Epi Study;Aerosol Pollutants Stronger near Power LInesInteragency Committee RAPID Report StalledIEEEÕs New Try for an Exposure Standard

HIGHLIGHTS pp.5-11

Wireless Notes:Cordless Phone Cancer Case Report ¥Mortality Study Updated ¥ BEMS Workshop

¥ German Activists Issue Challenge ¥ The

Future Is Wireless ¥ Marketing Phones to

Kids ¥ Furby Menace RecedesFDA Seeks Government Animal Studies

Senator Asks GAO To Probe Phone Safety

SAR Search: Ò20/20Ó Fallout ¥ and more

CTIA and FDA Plan Research CollaborationNavy Radar in California Under ScrutinyCanada Sets Voluntary Eye Exposure Limit

GSM Radiation Affects Sleep in Swiss Study

RF/MW Limits: Russia vs. ICNIRP

Russian on ÒSpecial ImportanceÓ of Mobiles

FROM THE FIELD pp.12-15

Hot New Papers: Childhood Leukemia aTwo-Step Process ¥ and much more

Across the SpectrumGerman Conference on Phones and CancerFlashback: 5, 10, 15 Years Ago

2000 Conference Calendar (Part I)

UPDATES pp.16-18

EMP Threat from North Korea? ¥ TheftDetectors and Defibrillators Redux ¥ PeopleIn the News ¥ NIOSH VDT Anthology

Keeping Current: Follow-Up on the News

VIEWS ON THE NEWS p.19

Wireless Phones and Health: Industry Rules

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Here is your pdf: Ambiguity as strategy in organizational communication

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1Ambiguity as Strategy inOrganizational CommunicationWritten more than two decades ago, this essay was my first attempt to counter

the prevailing ideology of clarity and openness in organizational communication

theory and research that stood in sharp contrast to most people’s experience of

organizational life. Cited hundreds of times in the fields of Communication and

Organizational Studies, this essay identified four functions of strategic ambiguity—

specifically, its capacity to promote unified diversity, to preserve privileged posi-

tions, to foster deniability, and to facilitate organizational change. The discussion of

plausible deniability foreshadowed a central theme of the Iran-Contra hearings,

during which an American Lieutenant Colonel (Oliver North) testified to the U.S.

Congress about the role and importance of “plausible deniability” in the illegal sale

of weapons to the Nicaraguan Contras. The lack of serious consequences for the

Colonel or anyone else connected to the case showed the power as well as the poten-

tial for abuse inherent in this kind of communication.In retrospect, this essay reflects my youthful desire to edify and explore the more

mysterious and less rational aspects of human connection (I was 23 when I began

work on it and 26 when it was published). In focusing on these things, I paid little

attention to other dynamics, such as how ambiguity can mask and sustain abuses of

power. Looking back, I am also unsure about my relational definition of strategic

ambiguity; it seemed to make sense at the time, but has proven difficult to study.

Nevertheless, the paper accomplished what I had hoped it would, prompting schol-

ars and practitioners alike to reflect on their assumptions about the centrality of

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DOT HS 811 037

September 2008This document is available to the public from the National Technical Information Service, Springfield, Virginia 22161

The Influence of

Rear Turn Signal

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