“…The second attempt to refute No-metajustification targets its metaphysical underpinning: to wit, the claim that there are, or could be, several fundamentally different and irreconcilable epistemic systems. …”
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“…The primary use of total knee replacement TKR can be considered an alternative treatment for patients with intra-articular fractures of the tibia not extending past the metaphysical area to provide the patient with a stable and pain-free joint.…”
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“…Main features are bone conservation, metaphyseal anchoring and thus reducing stress shielding by proximal load transferring. …”
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“…Mostly they are located in the metaphyseal-diaphyseal region of long bones in children and adolescents. …”
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“…Serum alkaline phosphatase was very low on admission. Extensive metaphyseal abnormalities, bowing of long bones, and poor ossification of all bones were noted on skeletal survey (radiography). …”
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“…Radiographic examination revealed a fracture of the distal femur, predominantly involving the lateral condyle without any evidence of metaphyseal comminution, and lateral view showed a complete separation of both the condyles from the proximal shaft. …”
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“…The surgical technique includes an innovative method of closed reduction of the fracture in four steps, namely, distraction, compression, milking of the comminuted fragments, and repositioning of distal radio-ulnar joint, and a novel method of percutaneous pinning by creating two triangles in two planes by using six k-wires (1.6 mm) by encircling the metaphysis without interfering with the radio-carpal joint. Metaphyseal collapse is prevented by the role of k-wires such as the steel scaffolding in cement concreting, thereby maintaining the congruity of the radio-carpal joint and negative ulnar variance. …”
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“…It may reduce the number of procedures and allow early full weight-bearing, avoiding the above-mentioned complications. 1) Elderly (osteoporotic) patients with pre-existing (symptomatic) end-stage osteoarthritis. 2) Elderly (osteoporotic) patients with severe articular and metaphyseal destruction. 3) Pathological fractures of the distal femur and/or tibia. 4) Young patients with complete destruction of the distal femur and/or tibia. …”
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“…These become much more common in revision arthroplasty, where patients are associated with further complications such as surgical difficulty in extracting the humeral component, proximal metaphyseal bone loss due to stress shielding, intraoperative humeral shaft fractures, and incomplete cement removal. …”
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“…It occurs in epiphyseal and metaphyseal regions of long tubular bones of extremities. …”
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“…The fracture was treated with thorough debridement with normal saline, physeal injury reduction through the wound, and fixation with k-wire passed through the tip of the ring finger, metaphysic, physis, and the tip of the k-wire ending in the epiphysis of the distal phalanx. …”
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“…The prevailing interpretations also fail to explain the empirical irreversibility of wavefunction collapse without invoking untestable and untenable metaphysical implications. They fail to reconcile nonlocality and relativistic causality without invoking superdeterminism or unexplained superluminal correlations. …”
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“…Disorders associated with high serum PTH include neonatal severe hyperparathyroidism, familial hypocalciuric hypercalcaemia and Jansen’s metaphyseal chondrodysplasia. Conditions associated with low serum PTH include idiopathic infantile hypercalcaemia, Williams-Beuren syndrome and inborn errors of metabolism, including hypophosphatasia. …”
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“…We disambiguate the possible motivations for such a constraint into definitional, metaphysical, epistemological, and pragmatic considerations and argue that “Proceed with caution” (rather than “Stop!”) …”
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“…Short, anatomical, metaphyseal-fitting, cementless femoral stems were developed to reduce these postoperative risks. …”
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“…Open correction of the deformity, anatomical reduction of the articular surface, and realignment of the metaphyseal level of the fracture were performed. Six months postoperation, a painless flexion-extension arc of 110° and a normal rotation of the forearm was achieved. …”
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“…Yet, philosophical debates about the metaphysical nature of time often revolve around the idea that people hold one or more “common sense” assumptions about time: that there is an objective “now”; that the past, present, and future are fundamentally different in nature; and that time passes or flows. …”
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“…This new image stands in opposition to the traditional “levels” image of the behaving organism, and even the initial sketch we provide of it here offers hope for avoiding the dreary metaphysical debates about “emergence” and “downward causation,” and even the reduction vs. anti-reduction dispute, all dependent upon the familiar “levels” image.…”
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“…Differentiating between metaphysical images (which cannot be scientifically validated) and those that could, in principle, be put to empirical test. …”
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“…These spots were located on spongious bone tissue, and in the inner bone cortex located bilaterally in the epiphyses and metaphyses. We concluded the diagnosis of OPK. His mother was found to have the same lesions without any symptoms. …”
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