Obstacles and also Crony Industrialism

Since the opening up of the global economic climate in the 1990s, numerous hitherto Developing nation in Asia and also Africa started to liberalize as well as integrate themselves into the global economic system. This suggested that there were even more opportunities for business owners in these countries as well as from abroad to prosper because of the business pleasant plans pursued by the federal governments in these nations. This likewise had the effect of spurring financial investment and also incubating brand-new endeavors either as a result of equity capital financial investments from the West or due to internally generated or sourced methods for investment. While the previous was aided by the opening up of the economic markets of countries such as India to international funding, the latter was helped by the speeding up financial growth in these countries which freed up capital of business residences that can then spare some cash for moneying new start-ups as well as new endeavors.

Obstacles and also Crony Industrialism
Having stated that, it has to also be noted that regardless of the liberalization as well as the self-government approach taken by these nations, numerous barriers remained in the means of business owners when they ventured right into business world. As an example, though India saw a start-up boom in the last decade, up until lately, entrepreneurs had to emulate managing bureaucracy and bureaucracy which indicated that usually, they needed to face hold-ups in protecting approvals and licenses to begin their endeavors.

Moreover, in the first thrill to open new ventures, several entrepreneurs in the emerging economies in Asia such as Indonesia, Thailand, and India turned to “crony industrialism” which meant that they did well not due to the fact that they had a game changing idea or due to the fact that their company models were superior, but since they had the ideal calls and the appropriate links that made it easier for them to protect licenses, financing, as well as other facets.

The Collapsing Startups
For that reason, these ventures frequently started with a bang and also finished with a whimper once the predicted revenues did not materialize because of the shortage in their organization design or as a result of the fact that most of the stratospheric estimates that they made to safeguard financing were based on lightweight and impractical growth as well as profits expectations. Issues were also not aided by the global economic crisis of 2008 which saw several such ventures falling down due to the funding that dried up along with as a result of the truth that most of these ventures were based upon dubious organization methods. Tyler Tysdal Lone Tree On top of that, the regulators that by now recognized these roguishness quickly began to look much deeper right into these endeavors which meant that they can not rely upon their links alone to maintain themselves. Further, the civil society and the lobbyists battling such techniques came to be more mindful as well as more mindful of these methods which led to higher scrutiny.

Success Stories
Naturally, this does not imply that all new endeavors launched during the economic boom were always based on flawed and corrupt practices. For instance, there are many Oriental business who not just ended up being leaders in their chosen organization location but additionally took their brand names international as well as did well in winning in the global market. Without a doubt, the truth that Eastern brand names were now recognized for their worth and inherent worth generating capabilities is exhibited in the success of the Indian IT Sector, the success of the Chinese companies such as Alibaba, as well as the spectacular development of Latin American and also African companies. Nevertheless, the fact continues to be that in the results of the breast of 2008, several Western venture capitalists watched out for moneying emerging market start-ups without due persistance and also began to demand “revealing them the money” or to have robust business designs.

A New Boom?
Lastly, the situation as it stands currently is that eCommerce companies such as Flipkart, Snapdeal, and Myntra in India have drawn in Billions of Dollars in financing in recent years. Tyler T. Tysdal While one can not repaint them with the same brush as well as conclude that their business models are suspect, the fact continues to be that most of these eCommerce firms including Uber base their revenue development forecasts as well as price quotes on future service in addition to gross sales which after discounting can not be said to produce much in earnings. Undoubtedly, the reality that several concerns are being raised about the sustainability of these business have to certainly caution financiers as well as sector experts regarding whether these firms would not meet the fate of the Dotcom ones that broke down during the bursting of the technology bubble as well as various other startups that broke down in the after-effects of the 2008 dilemma.

Fresh Food Fights Cancer

Fresh Food Fights Cancer

According to a new report from the World Health Organisation, regardless of significant advances in treatment, cancer cases will rise by 57% worldwide throughout the next twenty years.

By embracing an enhanced weight reduction and nutrition plan, managing stress, avoiding smoking cigarettes and undertaking routine physical exercise, 374,000 new cases of cancer could be avoided anually.

According to scientists from the University of Michigan and the Fred Hutchinson Cancer Research Centre in Seattle, the danger of passing away from cancer is lowered by 10% if each of these healthy steps are undertaken and by 61% if all actions are carried out.

The worlds leading cause of cancer deaths is smoking tobacco. Usually, cigarette smokers try to give up cigarette smoking eight to ten times before effectively giving up for good. A diet plan that includes a great deal of red and processed meat products increases the risk of colon cancer by 28%. Sugars, syrups and refined flours can increase inflammation and cancer-feeding glucose levels. By consuming excess alcohol, you raise the risk for cancers of the mouth, colon, breast and liver.

To improve immunity and keep your gut bacteria in cancer – fighting mode, eat lots of food filled with fibre such as vegetables, fruit and whole grains. These also produce phytochemicals that protect your DNA and calm inflammation. More details about this can be discovered in “Cancer Uncensored, Your Step-by-Step Guide to Cancer Prevention, Early Detection and Cancer Survival” by CEO of Medical, Health and Education Ltd.

By consuming whole grains and fresh fruit and vegetables, you will gain cancer fighters like lutein from tomatoes, anthocyanins from raspberries and blueberries, indoles from cabbage and broccoli and lignans and phenolics in whole grains.

The odds for cancers of the pancreas, gallbladder, esophagus, breast and colon are increased if you carry additional weight, particularly around your waist. Foods recommended to assist lose the additional pounds at your waist are fibre rich 100% whole grains, non fried fish rich in omega-3 and omega-7 fatty acids, vegetables, avocados, walnuts and almonds.

To also aid with weight loss and reduce your cancer risk by improving immunity and helping to prevent your body’s over production of cancer fuelling compounds like prostaglandins, insulin and some hormones, carry out a minimum of thirty minutes daily activity.

For more health and nutrition information about wellbeing and longevity, visit This feature is brought to you by Medical, Health and Education Ltd, professionals in Covid-19 testing, alcohol and drug tests in the house and in the work environment.

Overview Of A Nose Surgery Procedure

Nose surgery is a common cosmetic plastic surgery to improve the size or shape of the nose. It involves making an incision in the nose and lifting the skin along the sides of the nose to increase the tip height. Sometimes the nose may need to be enlarged by a significant amount to balance the appearance of the face. When this is done, the tip of the nose may need to be increased causing additional prominence of the bridge of the nose and nasal airways. Sometimes, nasal airways may also be corrected with rhinoplasties.

In general, nose surgery procedures are performed under general anesthesia. This means that the patient will remain awake during the entire procedure. The surgeon will talk to you during the consultation period to determine your nasal shape and size before the operation takes place. You will be asked a series of questions to determine your eligibility for the procedure. These questions include things such as: Do you have any structural abnormalities that affect your nose?

Rhinoplasties and surgical procedures to increase the size or shape of the nose can be performed all together or separately. In most cases, patients are advised to go through more than one procedure prior to getting a successful result. A rhinoplasty is typically preformed in the doctor’s office and leaves after two to three days. Most nose surgery procedures are performed under general anesthesia.

Visit website before going under a nose surgery procedure, make sure you fully understand the risks that can occur. Some people who have rhinoplasties experience severe facial swelling and bruising. There is also a risk of infection if the surgical facility does not follow safe procedures. Talk to the staff at the surgical facility to learn more about the risks you may face during your surgical procedure.

When you decide to get a nose surgery procedure, the first thing you will need to do is select a good nose job surgeon. The surgeon should have an excellent reputation for making nose jobs look great. Your doctor will usually take a look at photographs of noses with yours and determine how he or she would like yours to look. In some cases, the general anesthesia surgeon will make the final decisions on what types of incisions will be made and where those incisions will be made.

After you have the surgery, you will need to recover from the operation and may require bed rest for about six weeks. You may be given some oral pain medication. Recovery after surgery usually takes about six weeks. You may have to take regular pain medications in order to stay comfortable. Most likely, your surgeon will give you an over the counter pain medication to help you feel better in a week or two.

For more information about rhinoplasty in Portland Oregon visit The Portland Rhinoplasty Center and talk to board certified facial plastic surgeon Dr William Portuese.

Learn About The Top Surgical Instruments

With the wide variety of medical instruments that are used in hospitals today, finding the best surgical instruments for your practice is essential. While there are many brands to choose from and many different types of equipment, a large part of the equation for finding the right equipment revolves around finding the most cost effective models. Hospitals are operating a greater volume of equipment and with so many on hand, it is important to keep cost as low as possible while still providing excellent service.

The list of top manufacturers of general surgical instruments includes brands like Apiary, Roth, SurgicalTech, Aquasonic, Bacterialex, CEN, Cepia, and Deltec. A relatively new manufacturer is Aquasonic, which makes both dental and veterinary medical instruments. Of these brands, SurgicalTech leads the pack in price, cost per unit, and efficiency. They have the highest density of dental devices and equipment and they also lead in terms of product longevity. The next three manufacturers on the list have a lower density and lower price points, but they all manufacture dental products.

General anesthesia is one of the more popular specialties, due to the fact that it is required in a large number of hospitals across the country. One of the main considerations with buying Apiary surgical instruments or other manufacturer’s instruments is whether or not the devices are FDA approved. This is especially true of general anesthesia, which is used in surgeries involving the patient’s neck, face, or mouth. These devices need to be approved by the FDA before going on the market, and they must meet strict guidelines. Brands that are FDA approved include Mention, Steri Paste, Zoll, and Deltec.

Ultrasound is another area of surgery that requires the use of general surgical instruments. Before anesthesia is used during surgery, it is necessary to have the right tools in order to ensure that the patient is comfortable and safe. Ultrasound machines provide this type of service, and some of the best brands for these machines include Siemens, Hitachi, and Philips. Depending on what type of procedure is being performed, different types of ultrasonic cleaners will be needed. For example, a root canal requires a very different type of cleaner than a gum lift does.

When it comes to incision techniques, the best surgical instruments manufacturers will typically choose an operating room equipped with the most up-to-date technology. This includes not only the latest crescent blades but also knives that are designed for precision and that cut down on contamination. Some of the best surgical equipment manufacturers are Mastron, Bell & Ross, Tumi, Invacare, and Edan Instruments. Some other companies that provide these kinds of tools are Olympus, Hitachi, JML, Stryker, and Medix.

Basic surgical supplies are items that every surgeon will need to perform surgery, regardless of specialty. Some of the best manufacturers of these basic medical supplies are Apiary Medical, KEGA, Meliway, Surgical-Surgical, and A&D. These brands offer a wide selection of items in all different price ranges, so whether you are just beginning your career or have been performing surgery for years, there will be a suitable piece of equipment for your needs. However, keep in mind that medical equipment does not always translate into better service, sometimes a brand name may actually be less reliable than another. For this reason, you should do plenty of research before purchasing any kind of equipment, regardless of whether it is surgical supplies or not.

Entrepreneurship in Arising Economic Climates

Since the opening up of the global economic situation in the 1990s, several hitherto Developing nation in Asia and Africa began to liberalize and also integrate themselves right into the global financial system. This meant that there were more possibilities for business owners in these countries and also from abroad to prosper due to the business pleasant plans pursued by the federal governments in these countries. This additionally had the effect of spurring investment and also breeding new endeavors either due to venture capital financial investments from the West or as a result of inside generated or sourced methods for investment. While the previous was assisted by the opening up of the monetary markets of countries such as India to foreign funding, the latter was assisted by the speeding up economic development in these countries which maximized resources of the business residences that can then save some money for moneying new startups as well as brand-new endeavors.

Barriers and also Crony Capitalism
Having said that, it has to additionally be kept in mind that in spite of the liberalization and the freedom approach taken by these countries, several obstacles stayed in the method of entrepreneurs when they ventured right into the business world. For example, though India observed a start-up boom in the last years, up until lately, business owners needed to emulate taking care of bureaucracy and bureaucracy which meant that usually, they needed to deal with delays in safeguarding authorizations and licenses to start their ventures.

Furthermore, in the initial rush to open brand-new ventures, several business owners in the arising economic situations in Asia such as Indonesia, Thailand, and India considered “crony commercialism” which indicated that they did well not since they had a game changing suggestion or due to the fact that their service versions were superior, yet due to the fact that they had the appropriate contacts as well as the ideal links that made it easier for them to safeguard licenses, financing, and other aspects.

The Collapsing Startups
Consequently, these ventures frequently started with a bang and finished with a whimper once the predicted earnings did not appear because of the deficiency in their service design or due to the truth that a lot of the dizzying estimates that they made to protect financing were based upon flimsy and impractical development as well as revenue expectations. Issues were additionally not aided by the international recession of 2008 which saw several such ventures falling down because of the funding that ran out in addition to due to the fact that many of these ventures were based upon suspicious business practices. On top of that, the regulatory authorities that now recognized these roguishness rapidly started to look deeper into these ventures which indicated that they could not rely upon their connections alone to maintain themselves. Tyler Tysdal SEC Further, the civil society and the protestors battling such methods ended up being more conscious and also extra mindful of these practices which caused higher analysis.

Success Stories
Naturally, this does not suggest that all new endeavors introduced throughout the economic boom were necessarily based on problematic and also corrupt techniques. For example, there are lots of Asian business who not just came to be leaders in their picked company location however additionally took their brand names international and did well in winning in the international industry. Indeed, the truth that Asian brand names were now acknowledged for their worth and also fundamental worth creating capabilities is exemplified in the success of the Indian IT Market, the success of the Chinese business such as Alibaba, and the incredible growth of Latin American as well as African companies. Nevertheless, the reality stays that in the aftermath of the bust of 2008, several Western venture capitalists were wary of moneying emerging market startups without due diligence and started to insist on “showing them the money” or to have robust business versions.

A New Boom?
Finally, the situation as it stands now is that eCommerce firms such as Flipkart, Snapdeal, and also Myntra in India have attracted Billions of Dollars in funding over the last few years. While one can not paint them with the very same brush as well as end that their company models are suspect, the reality stays that the majority of these eCommerce companies including Uber base their profits development forecasts as well as price quotes on future service in addition to gross sales which after discounting can not be stated to produce much in earnings. Indeed, Tyler T. Tysdal the fact that several concerns are being raised regarding the sustainability of these firms should definitely warn financiers as well as industry analysts as to whether these business would not satisfy the destiny of the Dotcom ones that broke down throughout the bursting of the technology bubble and also various other start-ups that broke down in the consequences of the 2008 dilemma.

Breast Augmentation in Tacoma WA

Breast augmentation is one of the most popular cosmetic plastic surgery procedures in the United States and understandably so. Women love the way their breasts look and feel, and breast implants can enhance a woman’s self-confidence and improve her quality of life. The truth is that there are two kinds of breast implants available for women: silicone gel and saline. Although saline implants have been around for many years, they are considered to be a more expensive option by many surgeons and women.

There are basically two kinds of saline implants: the demi-orbitant and the forward flexure. Demi-orbitant are made up of tiny beads that are similar to beads found in sand or seashells. These beads, when inserted into the crevice under the breast, create a small but noticeable mound on the outer edge of the breast. This mound is slightly higher than the mound created by a forward flexure. Because of the difference in height, the recovery time for these two kinds of breast augmentation is very different.

Silicone gel breast implants are considered to be the best of the two kinds. While they cannot provide as striking an appearance as saline-filled implants can, they are a far more durable substance, and silicone gel breast implants are also more reliable. While saline-filled breast implants rupture easily and do not last as long, silicone gel breast implants do not break easily, are not prone to rupture and do not leak. Silicone gel breast implants also have a much longer shelf life than saline-filled breast implants. All these factors contribute to the increasing popularity of silicone breast implants among women who undergo cosmetic surgery.

The biggest advantage of silicone breast implants is that they provide a natural, noticeable change in size and shape that gives a woman a truly youthful appearance. Since silicone breast implants are designed to fill the natural breasts, they don’t make any obvious outward signs of their presence. These implants feel very natural and do not visibly detract from a woman’s appearance. It is this seamless look that makes silicone breast implants the best kind of postoperative breast augmentation. They can be used to restore fullness or minimize sagging and drooping of the natural breasts.

Another advantage of silicone breast implants is that they do not cause any real problems with the body’s endocrine system. Because saline is made of a combination of water and fats, it can be a very heavy fluid, which can be very uncomfortable and can even cause excessive weight gain. Silicone, on the other hand, is a very light fluid that does not weigh an ounce.

Finally, silicone breast implants are far more secure than saline breast implants, as a result of their composition. They do not contain silica sand or calcium sand, as is common in many saline breast implants. Instead, the substance used to make the implant is hyaluronic acid gel, which provides a hard shell to the substance filled within. Hyaluronic acid is what allows silicone to maintain its shape over time, as well as its firmness, while also maintaining a smooth surface for ease of insertion into the body.

What Is Fee-For-Service Dentistry?

DeFabio Dental Design is a Fee-For-Service Colts Neck dentist. The reason they chose this business model is simple. “Without the limitations put on dentists from the insurance companies we are able to provide a level of care that you cannot get at a traditional dental practice. We love this model because it allows us to spend time with our patients, explain treatment options and soothe the anxious patient. As a dentist that treats people not just teeth our patients come from all over the state for the care we offer.”

We all know how horrible going to the dentist can be. One of the reasons for this is because we don’t get the treatment we want from most dental offices. With most dental practices we are shuffled in and rushed out. The dentist doesn’t take the time to explain the treatment, our options, and is obviously in a rush to get us out and the next patient in.

During a pandemic, this not only makes it more stressful, but it also makes the act of going to the dentist more dangerous. To keep their doors open they need to see as many patients as they can. This leads to less than ideal COVID-19 prevention and gives them little time to sterilize the office in between appointments. 

Whereas an FFS provider is in a position to be able to limit patients to one at a time with time in between appointments to thoroughly sterilize the office. 

Insurance is the reason your dentist rushes your treatment

The reason your dentist is in a rush to get you out is because of the way dental insurance works. Dentists are capped at what they receive from the insurance company based on the treatment. They are paid a flat rate per procedure. This gives them an incentive to hurry the treatment and fit in as many patients in a day as possible. Whether a root canal takes them 30 minutes or 2 hours, they are getting the same rate for it. This is the reason that Fee For Service is a much better option for the dental patient that desires a higher level of treatment and care. 

Does FFS Mean I Have To Pay For Dental Treatment Out Of Pocket? 

This is a common misconception patients have regarding FFS dental care. Just because we don’t directly accept insurance does not mean that your treatment will not be covered. In fact, most FFS providers submit the claim to your insurance company on your behalf. And often the out-of-pocket cost is minimal. You are only responsible for the difference between what your insurance provider charges and what the dental treatment cost. 

Even if you have great dental insurance you should consider an FFS dentist if you are an anxious patient or if you just want a higher level of care and better dental treatment for you and your family. 


DeFabio Dental Design

440 NJ-34

Colts Neck, NJ 07722

(732) 780-7790

About Occupational Medical Exams in Mexico

Workers have specific rights that are protected by federal laws. The Occupational Health and Safety Act (OHSA) in the U.S., and the Federal Labor Law in Mexico, set strict guidelines for how employees can be treated at work to ensure their safety from hazardous substances like lead paint or asbestos while also promoting a safe working environment with measures such as providing protective clothing when necessary. To maintain an ideal integration of productivity and health, the best-run companies choose for occupational exam outsourcing.

Safety is of paramount importance to all businesses, and that includes occupational health. Compliance with standards not only mandates workplace compliance, but also helps ensure that production is conducted in a safe manner without placing employees’ well-being at risk.

There are many details you should be aware of when it comes to these exams for your staff:


Many businesses do not realize the many benefits pre-employment exams offer to their business’s occupational health and safety standards. 

Pre-employment exams should always include a medical history questionnaire, physical examination by a physician, drug testing etc. Some people who are unaware of these procedures may think that they will just be inconvenienced by the exam, and that it won’t really matter if no one follows through correctly; but this is untrue. Without proper compliance on behalf of employers, there would be more risks present during work hours than necessary. Many risks can have long-term effects, even fatal ones, such as developing cancer later down the road. Some others can include diabetes and hypertension, which, if left untreated, could warrant early retirement, or worse, death.

Hazards can include exposure to lead and asbestos fibers in places such as construction sites.

The pre-employment physical examination includes general exams by a physician, an analysis of the worker’s medical history, and drug/anti-doping tests. 

The need for a proper, accurate pre-employment exam cannot be stressed enough. Employers should ensure that their employees are medically fit to work in order to keep them safe from harm and liability risks. 

Periodic Exams

It is also important for employers to periodically check the health of their employees. By routinely performing a medical examination, an employer can proactively search for limitations that may eventually impede an employee’s ability to work, and plan accordingly for their position. 

In the course of their employment, internal or external circumstances may affect an employee’s health with respect to fitness for work. This is reason enough that periodic exams should be conducted in order to provide a current and complete picture of their emotional & physical well-being, so long as it does not conflict with any other current medication they’re on. 

An employer must always have current information at hand about the employee, so they can determine if said individual will remain safe on the job, while still working with intensity levels appropriate for their current situation.

Retirement Exams

A medical examination at the time of retirement can help an employee understand their current health condition and any limitations they may have with continuing to work. If it’s determined that the employee is unable to work due to these conditions, they may be eligible for a disability pension in addition to other benefits depending on company policy. 

Certain diseases such as diabetes or hypertension might arise while working; if this is found out early enough, steps can be taken so that physical tasks are not too strenuous before there’s need for more drastic measures.
To keep your company culture healthy and ensure output is not hindered by any undetected illness, choose to outsource occupational exams today to CERTOLAB. This way you can be proactive in ensuring that all of the employees are taken care of!

Swimming – Great For Health and Exercise

Swimming is a great way to lose weight. Swimming is the act of propelling oneself through water for the purpose of leisure, sport, exercise, or survival. Swimming has been shown in studies to help people lose weight (and body fat) while also increasing muscle mass. Swimming has been shown to be a very successful form of weight loss and fat loss. Swimming is a common sport in many cultures because it is a low-impact aerobic exercise that can be performed even in a pool, and it is very good for survival, sport, and leisure.

Swimming was a popular activity for warriors (such as soldiers) in ancient cultures such as the Greeks, Spartans, Chinese, and Indians, and was considered a key physical training form in ancient times. Swimming was a part of the ancient warfare technique for both the Romans and the Greeks.

Swimming is a great workout that can burn up to 40% more calories than jogging and 50% more calories than walking, and it’s gentle enough for all – with the exception of the elderly and those with poor joints. Swimming is a great cardiovascular workout for both men and women, as well as a great way to tone and tighten muscles.

Swimming has many advantages and is an ideal way to begin aerobic exercise. Swimming is a fantastic physical activity for people of all ages and could be the best type of aerobic exercise to start with. It’s a fantastic way to lose weight and keep it off. Swimming is a low-impact aerobic exercise that doesn’t put too much strain on the joints. Swimming is a low-impact type of exercise that improves blood circulation and aids weight loss.

Swimming is a low-impact movement that has no negative effects on joints. Swimming may be performed in a pool, outside of a pool, or even inside. Swimming in a bank is possible, or rather, the water provides a very soft surface for the legs and upper body to swim on. Swimming may be done outside without causing damage to joints or requiring the use of other joints. You’re in a small pool the whole time; the water isn’t too deep to place any pressure on your knees or back.

Swimming – Good For Your Health and a Good Exercise

Swimming is excellent for weight loss. Swimming is the self-propulsion of a person through water, usually for recreation, sport, exercise, or survival. Studies have found that swimmers lost weight (and body fat) and also gained muscle mass at the same time. This has proven that swimming is a very effective method of weight reduction and fat loss. Swimming is a trendy sport across many cultures, as it is a low-impact aerobic exercise, which can be done even in the pool, and for survival, sport, and recreation, it is very effective.

In ancient times, swimming was considered a primary physical training method and was a common sport for warriors (such as soldiers) in ancient cultures such as the Greeks, Spartans, Chinese, and Indians, etc. The Romans and the Greeks both practiced swimming, and it was part of their ancient warfare strategy.

Swimming is an excellent exercise and can burn up to 40% MORE calories than jogging and 50% more calories than walking, and it’s gentle enough for everyone – except the older generation and those with weak joints. Swimming is an excellent cardiovascular exercise for women and men alike, and it is a perfect way to tone and tighten muscles.

Swimming has many benefits and is considered an excellent way to start the aerobic exercise. Swimming may be the best form of aerobic exercise to begin and is a great physical exercise for all ages. It is a great way to get and stay slim. Swimming is a very low-impact form of aerobic exercise and does not place a lot of stress on the joints. Swimming is considered a gentle way to exercise that will improve blood circulation and help you lose weight.

Swimming is a gentle way to exercise and has no impact on joints. Swimming can be done in the pool, outside the pool, and indoors. It is possible to swim in a bank, or rather, the water makes the legs and the upper body a very soft surface to swim on. Outside in, it is possible to swim without impacting on joints and without using any other joints. All the while, you are in a shallow pool; the water is deep enough not to put a strain on your knees and your back.