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A-1215 Paralytic
Gu?rsel Leblebicioglu, Turkey
Thursday, June 14, 2018 · 10:49 a.m. · 07m 18s
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uh i'd like to thank you for having me in
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this uh extraordinary organisation of writing papers a
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book on and had fractures and my topic is the the fractures in the pro think extremity
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uh and the structure and paralysis maybe i exist together if
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may develop simultaneously at the time of trauma such as
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the spinal cord injuries is uh during the time of a spine fracture
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clavicle fractures during boat or humorous factors associated with the radial nerve
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but sometimes it's if years after uh for poses
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is established and these are essentially that polish
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fracture such as he fractures or suffer from the fractures in patients with spinal cord injuries
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what ah the common features over the the fractures in the prosaic extremities
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they're usually young uh the treatment possibilities are usually limited
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and they're ran reported actually if you check the which which are most of many of us probably are seeing
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patients with the structure of paralysis but it's been reported and there's no solid evidence slide into treatment
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a high chance all my case records i'm specialise multitude partisan server posse
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and i have seen up to sixteen and a hundred cases and most of them are
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or true new retort of stuff but we just logically knives it could only fired
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surgical net fractures in three phases underfoot for um fractures in two cases
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and several posse there's a surgical neck fracture of the humorous and one to frequent the fracture
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uh what are the possible causes of won't uh fractures in these cases it's on building a
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ups of the police playing the role convulsions maybe a course of fractures no traffic
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the effects of nerves on the bones disappeared with perl disease eating shortened
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has a role and malnutrition including lack of a vitamin b.
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in crossing the diets may play a role in that final the
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alterations and body functions in endocrine functions and play a role
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uh and there are a couple of studies a which are conducted
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for the fractures in the several pause it and it is
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one of them uh a lead time fiscal a local we courses thirty to four hundred more than four hundred children
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uh there encountered seventeen up rick simply fractures and four to six lower
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extremity fractures and only fall was actually the factors in the hand
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here's another study uh on patients with spinal cord injury
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boomers the for a meta fifteenth in the upper extremity and
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one hundred thirty three cases and as you see there only to multiple fractures
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the rest are a humorous and the those distal and proximal dreamers fractures
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so the question is why to soar and the hand in patients with the power of the cans
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then i check the uh uh the studies uh perform been intermission space the stations
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they are working on your metabolism every options open to mechanical loading the
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and they really do it but it's a interesting studies the
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and he on the left hand side you see the most cell phone in the astronauts yay
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which is my direct uh during the first six months and this is the boneless ins final call
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in patients with spinal cord injury so there are some similarities but it's for the lower extremity
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yep
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this is again a good calcium balance in the it also was working
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in this file that when you say one in real density
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in the r. doesn't change significantly and body composition and
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only nine doesn't change at all with white christmas
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so this is a graph showing the ball was this is the boss part and this is
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the increase showing the increasing intensity will double is you see
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the problem was is very significant have ascended lower extremity but if you look at the arts and the cat
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the balls all be is caught it's increasing actually if if
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most of the proposals is it isn't the powerless and the arms and you hand the the snowballs at all
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so there's a question for the audience how do you think uh the also
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cites proceed sends the mechanic and whatnot that two options a and b.
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could you please rise or hands who thinks that was your size has able to sense there uh environment
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like this or like this could you please raise your hands if of let's see who say say
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who says b.
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okay in half and half
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so this is an neural network in the human brain and this isn't that ripples justice is you
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see there is a very intensive networking they'd be in between the austere size beach makes them
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able to sense their environment their surroundings to hide with so they can respond to mechanical voting
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we'll uh is shaped by the forces generated by the gravitation and the muscle force
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oh and there with the band you want the homes be fluid in
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the uh uh won't channels television system most and this stimulates
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or depresses the functions of the austere size that's why loading
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increasing its peak intensity to mineral in the whole
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so all suicide sorry uh ah i actually orchestrating uh than the kind of regulation of the bond with
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so that's why uh in the space i think astronauts uses their
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hands jennifer extent to to move from somewhere to uh to
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another instead of using their backs that's what they're moaning thereafter
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extent it is very similar to a paraplegic patients active
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well i looked for that so uh what's uh how we can manage to protein fractures in
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the hand don't know quickly also okay how can i go back like that yes
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uh international we can use the calcium vitamin d. and some medications by force when aids and
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shot will be most effective way is to a little double all the results are inconclusive
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and we just all covered intake is certainly playing the role indications of some sort or or or or
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thank you and the what can we do for the management of the product
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structures all the hand we have now uh we have no conclusive guidelines
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uh surgeries usually performed to facilitate itself k. and to we should aim
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to have the patient to return their previous uh functional level
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general there no human problems and uh it's most the surgeons decisions to operate or not
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operate if patients which or which i'd like
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