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Thursday, June 14, 2018 · 11:30 a.m. · 10m 04s
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i'd chain of thank you for a a fascinating yeah presentation ah on the
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uh_huh
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the the yeah i think if a fast a presentation
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on the impact of what okay and causation
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my my only question isn't i think this comes back to some
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of what kevin was saying about outside the quality of information
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we know you fairly well that its primary determinants
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of cup towels and um i'll be annoying
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your cardiovascular status your farming um school is directly related to us
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good cop towels and them obesity has a massive impact
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and i notice that you quoted boston and uh who said in a study
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that the better the quality of paper that we can be association
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given that there is no evidence but there's response curve unless we
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uh includes the paper by sony which was a frontier rubbish
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um and that there is no part in physiological theory
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of causation to cop towels environment hon transmits vibration
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and that we all know note is known have a have a affected by hand transmitted
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vibration do you think the epidemiology should be believed or should we discovered it
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the yeah this is a question about hand on vibrations and couple times in them and the association here
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well uh um there are several studies showing this association but i think that difficulties
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eh in this eh it feels is actually that you can if you
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a a i exposed to hand on bad places your also
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exposed to very forceful menu for us with the hands
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and day and the simple fact has been bad me yeah yeah it that it that
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back that could cause couple transcendence actually i think that that difficult to use
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to what a distinguish between you and a between these factors
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so maybe maybe you're right that they it's not the hand
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on migration it's actually the forceful menu first backhand dice
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with these handheld tools uh eh that causes the association
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yeah the italian one
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uh
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but there are there are there's a quite well uh yeah to it
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the phone studies it by approving say yeah and they buy something and some of the finish it it seems
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actually showing yeah yeah
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and increased risk for carpal tunnel syndrome i i i
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yeah
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oh
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i
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okay
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uh_huh
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i think i think not you've made your point when i well which is
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but is that we've got lots of information about um um i'll uh sort of a link what we
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do not know whether it's cause and effect and that is essentially what you saying i'm uh
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i i i think the the step in between all your work room
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and uh with our side of being able to say to
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me oh causation is to look at the plateau physiology
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and to be able to say that this led to this and this caused
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increased pressure and on that note because in that the only correct
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um inference from your work is that that's the no sound like this
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would increases the volume and the what was the disk email
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than uh than so the demonstration that needs to happen is in that group that is the no sign of like this
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so in the group that gina stop not your your discussion around paris
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you know so so that would be a link that would be that that might be any yeah
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yeah yeah yeah hasn't yet been clearly established it has all those who mackinnon look that
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um the uh the pathology of sign opium and identified
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differences between those using high repetition high falls
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so that was sort of a very tiny as bit of evidence creeping up
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but it has been eh yeah yeah there's been a lot of discussion about it so it's a rather than the issue
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and the that's probably what you know much more about than i do
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but they also that the treatment effect of operation is say
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for for a couple ten syndrome i eh if it's supposed to be
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cost by eh a hand on my patience then eh it then if it's at the
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courses i don't know if that's too but that some some start as such
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okay pointed that okay we have just time for one more question
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so while i think it i think the key thing is will be too
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well the difference when schools of symptoms and the calls of the which
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answer my questions someone most patients or is she would call constant
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room yes must one for women because it's more common one
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but most of them do not have to listen about just they have
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one particle goals and i'm a multi in occupations dimple repetitive use
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but if those patients went and did something repetitive they would get symptoms does
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not the case that doing something repetitive schools is the only g.
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the results and i'm having the sometimes when they didn't repetitive tossed something that
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the classic example that we used for and it's like this is that
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patients you haven't joined or they get chest pain when they woke up hills
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walking up the hill to small cools the narrowing of the corn vessels that that is the calls the problem
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so i think is professor tossing some schools in fact and is repair bills can repetitive
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use actually cool changes and pathology and is that any of buttons that it does
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uh i'm just prefer to dustin of any evidence of that you'd use
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yes there it is yeah that there is a incentive incentive because
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there's several studies stuff uh emission and stuff couple time pressure
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doing different kinds of hand tasks to showing that eh if you kind of have some yeah yeah
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some may is a state of pressure then a few uh
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if you have some adverse effects of then of
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so that's that's the suggested mechanism
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yeah but i doubt that very much like to thank you also to to at the speakers
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uh and um and you have to you you post a quest and funny and the beginning and that
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i am saying that couldn't we identified those tool where prone to have couple times in them
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uh instead of uh it to see how it goes i don't know if if we have any possibilities of that
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uh but uh in but i would uh if i try to argue that you should
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eh it that that what should be found more less everyone and the and that that was the way that you should
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look at it and you had to speak out us a just to to find i say
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i would really uh in a him take this david the opportunity say that yes we really need
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collaboration between us a cheating as the two leading team
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and asked as say those who can and who can i yeah i had a connection to the working place
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yeah yeah it in order to get back the people back to work
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in a in a bit of weight and we're doing it now to the collaboration his mostly
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yeah wanted what is just one one comment because the time constraint i think
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that it's it's very difficult to have apply 'cause they mean about
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where the work all those cop what was the cop puppet on little because the whole spectral worked activities
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and this also the industry does have a huge risk of getting caught all for example the key
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uh measures publication which is likely series and i. t. ninety six it other
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bombing in the meat packing light which you actually show when the pictures
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people ponder and submit the bristol couple call it up like this huge which means that the government the goal in in
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in the kind of it just it's somewhat places and went up quite a bit so there's a whole spectrum what
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type activities and so we can't really say one job versus the other you have to look at specific occupation
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exposures and okay i guess that would be the last remark because time
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frowning and we have to let over to another session out
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i'd like to thank the audience and that sort of of or something like that huh
