elbow instability cartagena

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    Dnelw gkstiegngty

    Agijklsgs ika Qrditfdkt

    Bcrgstgik Auflktgdr, FA, _cA

    Juiadnlupd, @rikbd

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    Dnelw gkstiegngty 

    •  Ibutd vs Bcrlkgb

    • Ngjifdkts vs elkd

    • G` elky irbcgtdbturd gs flagda ik dnelw

    bikklt ed stiend !

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    Rtiegngzgkj `ibtlrs l` tcd dnelw

    ird l` ukdquin gfplrtikbd

    • Elkds

    • Fusbnds

    • Ngjifdkts

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    Fusbunir stiegngzgkj

    `ibtlrs

    •  Ikjunir vdnlbgty gs edtwddk

    59??-5:??¿/sdb

    • Dstgfitda nlia lk tcd FBN gs 57? K

    • Nlia tl `ignurd l` FBN gs 509 K

    •  I _gtbcdr scluna tlrk cgs FBN lk

    dvdry pgtbc !. FBN gs prltdbtda eytcd fdagin fusbnds +++ (@AR lr @BT

    edgkj tcd flst gfplrtikt)

    Tainn MC dt in. D!dbts l` stdxlr-prlkitlr fusbnd nliagkj lk vinjus stiegngty l` tcd dnelw wgtc ik gktibt, strdtbcda, ikrdsdbtda fdagin unkir blnnitdrin ngjifdkt. M Rclunadr Dnelw Rurj (5??7) 93, ::2-::3

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    Ngjifdktlus stiegngzgkj `ibtlrs

    • Fdagin blnnitdrin ngjifdkt

    • Gs siga tl ed rdsplksgend l` :3% l`

    tcd stiegngty gk tcd `rlktin IKA

    sijgttin pnikds

    • Nitdrin blnnitdrin ngjifdkt

    • Qcd cufdrl-unkir ngjifdkt gs siga tl

    ed tcd flst gfplrtikt tl prdvdkt

    rltitlry suenuxitglk

    <

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    Bcrlkgb dnelw gkstiegngty 

    •  Pirus = Kl•  Pinjus

    • _lstdrl-nitdrin

    FBN

    NBN

    <

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    Zcgbc ngjifdkt gs tcd fimlr

    stiegngzdr l` tcd dnelw <

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    Cgstlrgbin rdvgdw

    • Qrditfdkt l` rdburrdkt dnelwagsnlbitglk alkd ey i pngbitglkl` tcd nitdrin ngjifdkt blfpndx(Lselrkd & Blttdrgnn - 9700)

    • „ik lstdlbclkarin `ribturd gk tcd plstdrlnitdrin firjgk l` tcd bipgtdnnuf wgtc

    lr wgtclut i britdr lr sclvdn-nghd ad`dbt gk

    tcd riagin cdia‖

    •  Dxpdrgfdktin wlrhs= tcdfdagin ngjifdkt gs rdsplksgend`lr :3% l` dnelw stiegngty gk tcdvinjus pnikd

    <

    Lselrkd J, Blttdrgnn _. Udburrdkt agsnlbitglk l` tcd dnelw. M Elkd Mlgkt Rurj Er 97008 13=21?‒210

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    •Bgiual dt in. Eisds ikitlfgquds plur nds nuxitglks rçbgagviktds aubluad. Eunn. Isslb. Kikby 973?8 01= 104-1:0

    • L‗Argsblnn dt in. _lstdrlnitdrin rltitlry gkstiegngty l` tcd dnelw. M

    Elkd Mlgkt Rurj If 97798:2(2)=11?‒0.)

    Dxpnikitglk `lr tcgsblktriagbtglk <

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    •  Dxtdrkin rltitglk (supgkitglk) l` tcd `lrdirf gk supgkitglk ukadrtcd irf innlws tcd riagin cdia tl dkjijd ukadr tcd bipgtunuf g`tcd nitdrin blnnitdrin ngjifdkt gs adcgsbdkt

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    •  Ibblragkj tl tcd riagin cdia agspnibdfdkt, gt bik prdsdkt is igkstiegngty l` tcd dnelw, i suenuxitglk lr i trud agsnlbitglk

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    Ltcdr ndsglks <

    • Elky ndsglks (stgjfitis tcit

    `ivlr rdburrdkbd)

    • Agsruptglk l` tcd blfflk

    dxtdkslr lrgjgk (00% l` 05

    bisds)

    FbHdd FA, Rbcdfgtsbc DC, Rini FM, dt in. Qcd pitclikitlfy l` nitdrin ngjifdktlus agsruptglk gk blfpndx dnelw gkstiegngty. MRclunadr Dnelw Rurj 5??2895(1)=279‒0.

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    Rl tcd cufdrl-unkir ngjifdkt

    gs tcd flst gfplrtikt <

    • Klt sl sgfpnd - Gk dnelw agsnlbitglks, ndsglks sddf tl stirt

    lk tcd fdagin sgad

    •  S-Uiys ika FUG stuay l` plstdrl-nitdrin dnelw agsnlbitglks=

    ndsglks stirt lk tcd fdagin sgad (Ucylu)

    • 05 vgadls l` dnelw agsnlbitglks lk ylutued (Rbcrdgedr)=

    • 75% wdrd gk dxtdksglk, wgtc tcd `lrdirf gk prlkitglk (03%),sclunadr gk ieaubtglk (7:%) ika stdxglk (02%).

    Ucylu GC, Hgf WR. Kdw fdbcikgsf l` tcd plstdrglr dnelw agsnlbitglk. Hkdd Rurj Rplrts Qriufitln Irtcrlsb. 5?95 Adb8

    5?(95)=5424-19

    Rbcrdgedr MM, Zirrdk U@, Cltbchgss UK, Ainugshg I. Ik lkngkd vgadl gkvdstgjitglk gktl tcd fdbcikgsf l` dnelw agsnlbitglk. M

    Cika Rurj If. 5?92 Fir823(2)=133-71.

    http://www.ncbi.nlm.nih.gov/pubmed/23391358http://www.ncbi.nlm.nih.gov/pubmed?term=Hotchkiss%20RN%5BAuthor%5D&cauthor=true&cauthor_uid=23674780http://www.ncbi.nlm.nih.gov/pubmed?term=Warren%20RF%5BAuthor%5D&cauthor=true&cauthor_uid=23674780http://www.ncbi.nlm.nih.gov/pubmed?term=Schreiber%20JJ%5BAuthor%5D&cauthor=true&cauthor_uid=23674780http://www.ncbi.nlm.nih.gov/pubmed/22228377http://www.ncbi.nlm.nih.gov/pubmed?term=Kim%20YS%5BAuthor%5D&cauthor=true&cauthor_uid=23674780http://www.ncbi.nlm.nih.gov/pubmed?term=Rhyou%20IH%5BAuthor%5D&cauthor=true&cauthor_uid=23674780

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    FUG stuay 

    • Yuingty l` ngjifdkts

    • Blfpndtdny tlrk ;:?%, ika sdvdrd 2?% `lr tcd FBN

    • Blfpndtdny tlrk 02% `lr TBN, eut tcd ltcdr bisds bik ed gktibt

    • Rtirt lk tcd nitdrin sgad <

    • Gk 9??% l` bisds, tcdrd wis i vinjus gkstiegngty, gk 27% l`

    bisds i virus gkstiegngty it tdstgkj

    • Elkd < Blrlklga ndsglks wdrd lkny sddk wgtc isslbgitda ndsglks

    l` tcd TBN

    Rbcrdgedr dt in. Fijkdtgb rdslkikbd gfijgkj kagkjs gk ibutd dnelwagsnlbitglk= gksgjct gktl fdbcikgsf.MCR 5?91827(5)=977-5?4

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    Qcdrd fiy ed twl dnelw

    vinjus gkstiegngty <

    •  Pdry sgfgnir eut klt dxibtny

    tcd sifd

    • Lkd gk tcd `rlktin pnikd, aud

    tl agsruptglk l` tcd FBN

    • Lkd gk i rltitglkin pnikd, audtl gksu`bgdkby l` tcd NBN

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     Pinjus dnelw gkstiegngty 

    •  I`tdr dnelw agsnlbitglk

    • 3% ird ukstiend (Ikihwd)

    • Tp tl 24% l` gkstiegngty (Fdncl``)

    • 51 pitgdkts lut l` 4? cia gkstiegngty

    it 7 ydirs @T (Dyjdkaiin)

    • _lst-triufitgb (fibrl lr fgbrltriufi- _gtbcdrs)

    Fdncl`` QN, Klend _B, Edkkdtt ME, dt in. Rgfpnd agsnlbitglk l` tcd dnelw gk tcd iaunt= rdsunts i`tdr bnlsda trditfdkt. M Elkd Mlgkt Rurj

     If 97338:?= 511‒7.

     Ikihwd UD dt in. _itgdkt-rdplrtda lutblfds i`tdr sgfpnd agsnlbitglk l` tcd dnelw. MEMRIf 5?99872=955?-9550.Dyjdkaiin A, Pdradjiin RC, Ledrfikk ZU, vik Pujt IE, _ðnn UJ, Ulzgkj _F. _lstdrlnitdrin agsnlbitglk l` tcd dnelw mlgkt. Udnitglkscgp

    tl fdagin gkstiegngty. M Elkd Mlgkt Rurj If. 5??? Ipr835(1)=444-0?.

    http://www.ncbi.nlm.nih.gov/pubmed/?term=Rozing%20PM%5BAuthor%5D&cauthor=true&cauthor_uid=10761945http://www.ncbi.nlm.nih.gov/pubmed/?term=P%C3%B6ll%20RG%5BAuthor%5D&cauthor=true&cauthor_uid=10761945http://www.ncbi.nlm.nih.gov/pubmed/?term=van%20Vugt%20AB%5BAuthor%5D&cauthor=true&cauthor_uid=10761945http://www.ncbi.nlm.nih.gov/pubmed/?term=Obermann%20WR%5BAuthor%5D&cauthor=true&cauthor_uid=10761945http://www.ncbi.nlm.nih.gov/pubmed/?term=Verdegaal%20SH%5BAuthor%5D&cauthor=true&cauthor_uid=10761945http://www.ncbi.nlm.nih.gov/pubmed/?term=Eygendaal%20D%5BAuthor%5D&cauthor=true&cauthor_uid=10761945

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     Pinjus dnelw gkstiegngty 

    • Gksu`bgdkby l` tcd FBN gkbrdisds tcd nlias l` tcd `lrdirf lvdr tcd

    cufdrus

    • Birtgnijd blktusglk tcdk irtcrgtgs l` tcd FDAGIN sgad l` tcd lndbriklkit tcd edjgkkgkj

    94 yrs

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     Pinjus dnelw gkstiegngty 

    • _igk, dnelw stdxuf, unkir kdrvd

    grrgtitglk (1?%)

    • _cysgbin dxif=

    • _igk`un pinpitglk l` tcd FBN,

    • Gkbrdisd vinjus nixgty gk

    prlkitglk,

    •  Pinjus ad`lrfgty (2?%)

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    Rtrdss tdsts

    • Flvgkj tdst= @rlf stdxglk tl dxtdksglk

    (ika lpplsgtd) wgtc tcd dnelw pnibda gk

    vinjus. _igk edtwddk :?-95?¿ gs plsgtgvd

    `lr i iktdrglr FBN gkmury

    • Fgnh tdst= Zgtc tcd klk-gkmurda cika, ylu

    clna tcd tcufe l` tcd gkmurda sgad wcgbc

    pnibds tcd dnelw gk vinjus dk stdxglk.

    FBN pigk gs plsgtgvd `lr ik gkmury

    L‗Argsblnn RZ, Niwtlk UN, Rfgtc IF. Qcd ––flvgkj vinjus strdss tdst‗‗ `lr fdagin blnnitdrin ngjifdkt tdirs l` tcd

    dnelw. If M Rplrts Fda 5??4822(5)= 529‒7.

     Pdntrg AF, L‗Ergdk RM, @gdna NA, dt in. Qcd Fgnhgkj Fikduvdr= I Kdw Qdst tl Dvinuitd tcd FBN l` tcd Dnelw gk tcd

    Qcrlwgkj Itcndtd. _rdsdktda it tcd 9?tc Lpdk Fddtgkj l` tcd Ifdrgbik Rclunadr ika Dnelw Rurjdlks RpdbgintyAiy. Kdw Lrndiks, NI, @deruiry 9:, 9771.

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    Gfijgkj tdbckgquds

    •  S-riys bik sclw elkd

    stgjfiti

    • Rtrdss S-Uiys ird ag`bunt tlpdr`lrf ika i plsgtgvd

    agspnibdfdkt bik ed is sfinn

    is ?,4 ff

    • Rlkljripcy +++

    •  IrtcrlBQ/FUG

    Erubd MU. Clw fubc vinjus gkstiegngty bik ed dxpdbtda wgtc unkir blnnitdrin ngjifdkt (TBN) gkmurgds< I rdvgdw l` 5:2 eisdeinn pniydrswgtc TBN gkmurgds. M Rclunadr Dnelw Rurj (5?91) 52, 9459-9450

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     Irtcrlsblpgb agijklstgb

    • 5?-2?% l` tcd iktdrglr eukand l` tcd FBN

    gs vgsgend wgtc i :?¿ irtcrlsblpd usgkj i

    prlxgfl-nitdrin ipprlibc (lkny 94-5?%

    wgtc i 2?¿ sblpd)

    • 2?-4?% l` tcd plstdrglr eukand gs vgsgend

    tcrlujc i plstdrglr plrtin

    • 9 ff lpdkgkj l` tcd cufdrl-unkir mlgkt

    wcdk tdstda gk vinjus it 0?¿ dnelw stdxglk(ika prlkitglk) gs plsgtgvd `lr iktdrglr

    eukand agsruptglk l` tcd FBN. 1 ff

    lpdkgkj gs sddk gk blfpndtd FBN rupturd

    Qgffdrfik NI. Cgstlnljy ika irtcrlsblpgb ikitlfy l` tcd unkir blnnitdrin ngjifdkt l` tcd dnelw. If M Rplrts.Fda 97718 55= 00:-0:2)

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    Biusds l` plstdrl-nitdrin

    dnelw gkstiegngty 

    • _rdvglus dnelw agsnlbitglk (0?%) lr

    rdpditda vinjus fgbrl-trufi (9?%)

    • Gitrljdkgb (5?%)= tdkkgs dnelw surjdry

    lr riagin cdia rdsdbtglk

    • Buegtus virus ad`lrfgty i`tdr

    supriblkaynir `ribturd gk bcgnaclla

    • Tkdxpnigkda (9?%)

    M. Rikbcdz-Rltdnl, E. @. Flrrdy, R. Z. L‗Argsblnn8 Ngjifdktlus rdpigr ika rdblkstrubtglk `lr plstdrlnitdrin rltitlry gkstiegngty l` tcddnelw8 M Elkd Mlgkt Rurj XErV 5??483:-E=41-09.

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    Bngkgbin agijklsgs

    • Nitdrin pigk

    • Rkippgkj lr bngbhgkj dnelw

    • @ddngkj l` ik ukstiend dnelw

    • Flstny gk dnelw dxtdksglk ika `lrdirf gk supgkitglk

    • Dxtdksglk adbgt (4-5?¿) gk 4?% l` bisds

    P  d  r  y  s  g  f  g  n i  r  t l  F B N  g  k s t i  e  g  n  g t  y  d  x b d  p t  `  l  r  

    t  c d  s  g t d  l ̀    p i  g  k 

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    _cysgbin dxifgkitglk

    • _igk lvdr tcd ngjifdkt gksdrtglk

    • Gkbrdisda gkstiegngty gk vinjus tdstgkj

    (`lrdirf gk supgkitglk)

    • _lsgtgvd ariwdr tdst

    • plsgtgvd Nitdrin pgvlt scg`t tdst (rirdw/l ikdstcdsgi )

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    Rtrdss tdsts

    • _igk +/- gkstiegngty wcdk rigsgkj `rlf

    i bcigr

    • _usc-ups tdst= dnelw stdxda it 7?¿,

    `lrdirf gk supgkitglk ika tcd irf

    nitdrin tl tcd sclunadrs

    • Flrd sdksgtgvd tcit tcd nitdrin pgvlt

    scg`t tdst gk iwihd pitgdkts

    Udjik Z, Nipkdr _B. _rlspdbtgvd dvinuitglk l` twl agijklstgb ipprdcdksglk sgjks `lr plstdrlnitdrin gkstiegngty l` tcddnelw. M Rclunadr Dnelw Rurj 5??08 92=211‒0.

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    Nllh

    Gitrljdkgb gkmury l` tcd NBN i`tdr dnelw irtcrlnysgs.

    Uiagin cdia suenuxitglk aurgkj pusc-up tdst

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    Gfijgkj

    • Rtitgb S-riys ird rirdny

    dvlbitgvd

    • Bcgp `ribturd l` tcd nitdrin

    blkaynd

    •  Iktdrglr gfpibtglk l` tcd

    riagin cdia

    • Qgp `ribturd l` tcd blrlklga

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    Rtrdss S-riys fiy cdnp

    • Tsuinny ag`bunt tl gktdrprdt

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     IrtcrlBQ lr IrtcrlFUG

    • Fiy sclw elky stgjfiti

    l` gkstiegngty

    • Gksu`bgdkby l` NBN (elky

    ivunsglk, ndihijd,…)

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     Irtcrlsblpgb agijklstgb

     I nitdrin pgvlt scg`t tdst biked alkd ukadr irtcrlsblpy

    usgkj i prlxgfl-fdagin

    ipprlibc

    • Mlgkt wgadkgkj IKA riagin

    cdia triksnitglk

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    Qrditfdkt l` _NUG

    • Blksdrvitgvd trditfdkt ird

    usdndss

    • Rurjgbin trditfdkt= ngjifdkt

    rdgksdrtglk, pngbitglk lr

    iujfdktitglk

    • Klt tl `lrjdt prdvdktgvdtrditfdkt= Udblkstrubtglk l`

    NBN gk nitdrin dnelw surjdry

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    Ngjifdkt iujfdktitglk usgkj i strgp l` tcd DBT tdkalk

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    • Qdkalk rd-gksdrtglk wgtc

    bipsunir pngbitglk

    • Ngjifdktlpnisty wgtc

    bipsunir pngbitglk

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    Ngjifdktlpnisty 

    • Tsgkj Biadkit-Hlbcdr ipprlibc

    • @gka tcd supgkitlr brdst

    • Qcrdd clnds tl rdblkstrubt ik gslfdtrgb

    ngjifdkt

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    Bcdukj, BLUU

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    _NUG aud tl

    blkaynir

    cyplpnisgi=

    ngjifdktlpnisty+ cufdrin

    lstdltlfy,

    9 yr @T

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    Udsunts l` _NUG trditfdkt

    • 14 pts, 0 yrs @T (22 ngjifdktlpnisty, 95 agrdbt rdpigr)

    •  Inn stiend eut 4

    • FD_R= 34 plgkts (0? tl 9??).

    • Dxbdnndkt rdsunts gk 97, jlla gk 92, `igr gk sdvdk ika

    pllr gk vd pitgdkts. 30% suemdbtgvdny sitgsda

    • Edttdr rdsunts= plst-triufitgb (p 6 ?.?2), suemdbtgvd

    syfptlfs it prdsdktitglk (p 6 ?.??0), tdkalk jri`t (p 6

    ?.?1).

    M. Rikbcdz-Rltdnl, E. @. Flrrdy, R. Z. L‗Argsblnn8 Ngjifdktlus rdpigr ika rdblkstrubtglk `lr plstdrlnitdrin rltitlry gkstiegngty l` tcddnelw8 M Elkd Mlgkt Rurj XErV 5??483:-E=41-09.

    L

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    Ltcdr sdrgds l` _NUG

    trditfdkt

    • 3 /9? pitgdkts jlla tl

    dxbdnndkt rdsunt

    • Rupdrglr rdsunts gk

    pitgdkts wgtc i tdkalk

    jri`t.

    • Fgna stdxglk blktribtglk

    (9?¿)

    Ndd E, Qdl N. Rurjgbin rdblkstrubtglk `lr

    plstdrlnitdrin rltitlry gkstiegngty l` tcd dnelw. M

    Rclunadr Dnelw Rurj 5??2895=1:0‒7.

    • 5? irtcrlsblpgb rdpigr ika

    59 lpdk

    • Eltc lemdbtgvd ika

    suemdbtgvd pirifdtdrs

    gfprlvda gk eltc jrlups

    • 9? pitgdkts trditda dirny

    civd edttdr rdsunts

    Rivlgd @C= Irtcrlsblpgb ika lpdk riagin unklcufdrin

    ngjifdkt rdblkstrubtglk `lr _NUG l` tcd dnelw. Cika

    Bngk 5??78 54= 252-257

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    _rdvdktgvd trditfdkt

    •  Irtcrlsblpgb sdbtglkgkj l` eltc tcd NTBN ika tcd riagin blnnitdrin

    ngjifdkt gs rdqugrda tl biusd sgjkgbikt _NUG (Fib Iaifs8

    Aukkgkj) ! Aurgkj surjgbin ipprlibcds, prdsdrvd dgtcdr tcd

    iktdrglr lr plstdrglr rdjglks l` tcd NBN blfpndx ika/lr rdpigr gt

    • Bngkgbin ika eglfdbcikgbin stuagds blrlklga prlbdss ika

    riagin cdia blktrgeutd sgjkgbiktny tl plstdrlnitdrin rltitlry

    stiegngty. Dxbgsglk l` tcd riagin cdia rdsunts gk adbrdisda tdksglk

    gk tcd NTBN, wcgbc pdrfgts nixgty tl lbbur aurgkj virus ika

    dxtdrkin rltitlry strdssds ! _rdsdrvd riagin cdia

    Mdksdk R, Lnsdk E, Qyrain R, dt in. Dnelw mlgkt nixgty i`tdr dxpdrgfdktin riagin cdia dxbgsglk ika nitdrin blnnitdrin ngjifdkt rupturd=

    d`biby l` prlstcdtgb rdpnibdfdkt ika ngjifdkt rdpigr. M Rclunadr Dnelw Rurj 5??4891=:3‒31.

    Rbckddedrjdr IJ, Rialwshg FF, Mible CI. Blrlklga prlbdss ika riagin cdia is plstdrlnitdrin rltitlry stiegngzdrs l` tcd dnelw.

    M Elkd Mlgkt Rurj If 5??1830(4)=7:4‒35.

     Pik Jnieeddh @, Pik Ugdt U, Eiuf`dna M, dt in. Adtrgfdktin d``dbts l` lvdrstu`kj lr ukadrstu`kj wgtc i riagin cdia rdpnibdfdkt

    gk tcd fdagin blnnitdrinngjifdkt adbgdkt dnelw. M Elkd Mlgkt Rurj If 5??1830=5057‒24.