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The risk of causing septic arthritis is extremely low; however, this condition remains the most feared complication. Gray and Gottlieb6 reported 2 cases of infection in more than 100,000 injections; Hollander7 described 18 cases in more than 250,000 injections. A postinjection flare, thought to be a result of corticosteroid crystal induced inflammation, may occur in up to 15% of patients8; it may be confused with the occurrence of septic arthritis.
Gosper is set to guide the sport through one of the key periods in its history with a hard won return to the Olympic programme scheduled for 2016 and the first World Cup staged in outside a traditional stronghold for the game and in Asia. He is clearly determined to ensure the sport makes great strides in the coming years but first he aims to get up to speed.
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“It’s all commercial. If you have the money in your pocket, you’ll get your belt,” says Grover. He explains that teachers can’t afford to lose disappointed students. Plus, the fees for tests are as high as Rs 2,000 much more when a Japanese master is involved. Though it varies, teachers’ earnings are often in five figures.