BROKEN BONES 5 SCRIPT!
Welcome to Broken Bones 5! This Roblox game is currently in beta, but Wavey Games have huge plans for the game. There are already lots of bones to smash (of course), but new biomes and areas to explore are being added all the time. The aim of the game is simple: throw yourself down increasingly dangerous slopes and earn points! You get more points for smashing up your character.
BROKEN BONES 5 SCRIPT!
Broken Bones 5 codes are free rewards handed out by the devs at Wavey Games. They are typically released for new updates, events, and potentially alongside milestones. The game is still new, so we will have to see what the codes reward in the future, but so far they will give you free potions for coin boosts & other useful stuff to get you smashing more bones.
Treatment of a broken leg will vary, depending on the type and location of the break. Stress fractures may require only rest and immobilization, while other breaks may need surgery for best healing. Fractures are classified into one or more of the following categories:
For a broken bone to heal properly, its movement needs to be restricted. A splint or a cast is often used to immobilize the broken bone. You may need to use crutches or a cane to keep weight off the affected leg for at least 6 weeks.
Immobilization with a cast or splint heals most broken bones. However, you may need surgery to implant plates, rods or screws to maintain proper position of the bones during healing. This type of surgery is more likely in people who have:
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Traditional methods of bone retrieval from embalmed cadaver are not able to meet the demand of medical colleges as they are time consuming & tedious, thus there is need of evaluating an alternative approach that includes use of laundry detergent. The purpose of the study was to compare & establish the most effective method between laundry detergent and 10 % antiformin solution methods to procure clean bones. Thirty-two bones of the right side that were included in the inclusion criteria obtained from the four embalmed cadaver were cleaned by laundry detergent and of the left side by 10 % antiformin solution methods. Retrieved clean bones were evaluated for their cleanness using the scale from 0 to 5. The mean cleanness scores of the bones cleaned by laundry detergent method were not significantly different at 95 % confidence interval than the mean cleanness scores of the bones cleaned by 10 % antiformin solution method. The study found that though there is no significant difference in the mean cleanness score of the bones cleaned by two employed methods nevertheless, bones were found to be cleaner by using 10 % antiformin solution method and bones obtained by using laundry detergent method had smooth surface as well as more suitable for flat bones.
Anatomy is one of the core subject in modern medical education which is taught during the inception of medical carrier of an individual and the acquired knowledge is applied throughout his/her carrier (Paranjape et al., 2017). Two hundred and six bones that form the human skeleton are demonstrated & taught to the undergraduate students with the purpose of making them understand how the body framework is formed & provide them the knowledge of the location, structure, parts as well as muscles attached to each individual bone.
Despite of a twenty-fold growth of medical college in the last forty-two years, the culture of body donation for medical education has not been well established in Nepal. Apart from academic purpose retrieval of clean bones, are also required by the forensic experts to deal with the medico legal cases (Aggarwal et al., 2016). Traditional methods of bone retrieval by manual cleaning, cooking, water maceration, insect consumption and enzymatic maceration are not able to meet the demand of medical colleges as they are time consuming & tedious (Modi et al., 2014). Thus there is a need of evaluating alternative approach to procure clean bones from embalmed cadaver that is convenient to process and is feasible.
In this comparative cross sectional study approved by the Institutional Research Committee (IRC), BPKIHS (Ref. No. Acd. 484/076/077), upper & lower limbs were disarticulated and further defleshed using scalpel without causing any damage to the bones from four embalmed cadavers.
For every liter of distilled water, the laundry detergent solution contained 35 g of detergent (Ariel Matic top load washing machine powder; Procter & Gamble, India). The defleshed bones of right side were immersed in the solution that was pre heated to the temperature of 60 ºC, contained in the airtight heat resistant plastic container (12-gallon Life Latch drum, USA). The container was placed back in the bacteriological incubator where the temperature was maintained at 60 ºC. After 24 h the bones were removed from the solution, cleaned & evaluated (Mairs et al., 2004).
Bones of left side were placed in 10 % antiformin solution prepared by combining solution of 150 g sodium carbonate (Thermo Fisher scientific, Mumbai, India) in 250 mL of distilled water & 10 g calcium hypochlorite (HiMedia Laboratories, Mumbai, India) in 750 mL of distilled water; shake at 30-min interval for 3 h. The solution was filtered using cotton cloth & equal volume of 15 % sodium Hydroxide (Loba Chemie PVT.LTD, Mumbai, India) in distilled water was added (Motz et al., 2008). After 24 h the bones were removed, cleaned & evaluated.
In both methods, bones that were not completely clean after 24 h were placed back in their respective solution for another 24 h after which they were again removed from the solution, cleaned & reevaluated. The process was repeated till the completely clean bones were retrieved or till the seventh day of the procedure.
The cleaned bones obtained by both methods were immersed in solution of 6 % hydrogen peroxide (Merk Life Sciences PVT LTD, Mumbai, India) for 15 minutes (Sullivan & Romney, 1999) then rinsed under running tap for 5 min and immersed in pails containing water for next 24 h. Next day the bones were removed & dried under the sunlight for 5 h each day for four consecutive days (Aggarwal et al., 2016). The bones procured by both methods were reevaluated on twelfth day for the last time.
All cleaned and dried bones were immersed in turpentine for half an hour, then were allowed to dry for next 24 h (Paranjape et al., 2017). Finally, a coat of wood polish (touchwood , Asian paints, India) was applied to all the bones (Aggarwal et al., 2016).
Table I shows the score of bones cleaned by antiformin solution method on various days of study. Only small amount of tissue could be removed (cleanness score, S=1) from all the bones except scapula, where appreciable amount of tissue was removed (S=2) on day one, but on the second day all the scapula were digested at its different parts and were not included in the study further. Though appreciable amount of tissue were removed (S=2) from most area of all bones on day two, significant amount of tissue was still present over the site of muscle attachment, obscuring the visibility of the bone except for patella where still only a small amount of tissue could be removed (S=1). On day three some of tissue could be seen (S=3) on the all bones at the site of muscles attachment except fibula, where we could feel the tissue (S=4) whereas on day four some tissue was seen (S=3) only on femur, tibia & humerus and over the others, tissue could be felt (S=4) except for patella where appreciable amount of tissue was removed (S=2) for the first time. Completely clean (S=5) fibula & radius were retrieved on day five; tissue could be seen (S=3) over patella and felt (S=4) over all other bones. Completely clean (S=5) ulna bones were obtained on day six and there was no change noted over patella. In the notch/ fossae of the femur, tibia & humerus few tissue could still be felt (S=4) on day six and seven; over the patella too tissue could be felt (S=4) on seventh day which were noted to be completely clean (S=5) on twelfth day after drying them for four consecutive days.
Table II shows the score of bones cleaned by laundry detergent method on various days of study. By LD method θ on day one and day two only small amount of tissue could be removed (S=1) from the bones. Appreciable amount of tissue could be removed (S=2) from all bones on day three except on patella. On day four, minimal amount of tissue could be seen (3) on all bones at the site of attachment of muscles except patella where appreciable amount of tissue was removed (S=2) for the first time. Some tissue was still seen (S=3) on femur, patella & scapula at the site of attachment of muscles & over the remaining bones tissue could be felt (S=4) on the fifth day. On the next two consecutive days few tissue could be still seen (S=3) only on femur at the site of muscle attachment & over the other bones minimal amount of tissue could be felt (S=4). Even after drying the bones for 4 consecutive days, dried tissue could be seen (S=3) on the femur and felt (S=4) over all the remaining bones.
The mean score of bones cleaned by two employed methods, when compared, found that there was no significant difference (p>0.05) at 95 % CI (Table III). Comparison of the score of each bone by the two methods employed in the study is presented in Figures 1 to 7.
During the study while cleaning the bones by 10 % AFS & LD method, few bones were noted to have mild avulsion & some even broke down. Superficial flakes could be seen on the surface of all the bones except over patella and few bones were noted to have formation of small aperture by 10 % AFS. After drying the bones under sunlight, longitudinal cracks were noted on few bones cleaned by both methods (Figs. 8 and 9). Though no significant difference was noted, study found that the bones were cleaner by using 10 % AFS method & LD method was found to be more suitable for cleaning of flat bones as the scapula did not get digested till the end of the study (Fig. 10). 041b061a72
