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POOJA MUKUL MD TECHNICAL CONSULTANT
BMVSS JAIPUR FOOT ORGANIZATION
CLINICAL DIRECTOR CENTER FOR RECONSTRUCTION & REHABILITATION
JAIPUR INDIA
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BBC FILM ‘WHERE ANGELS FEAR TO TREAD’ BBC FILM – ‘WHERE ANGELS FEAR TO TREAD’
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PATIENT PROFILE
` AGE ` ETIOLOGY OF AMPUTATIONETIOLOGY OF AMPUTATION ` ECONOMIC STATUS ` LIFESTYLELIFESTYLE
` AVAILABILITY OF PROSTHETIC SERVICES AVAILABILITY OF PROSTHETIC SERVICES ` ACCESS TO PROSTHETIC SERVICES
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AGE AGE
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`̀ OVER 300 000 CHILDREN ARE SEVERLY OVER 300 000 CHILDREN ARE SEVERLY DISABLED BECAUSE OF LANDMINES
SIGNIFICANT ADDITION EVERY YEAR
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ETIOLOGY OF AMPUTATION ETIOLOGY OF AMPUTATION
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SINGLE LARGEST CAUSE SINGLE LARGEST CAUSE
? ?
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` NORMAL VASCULATURE ` GOOD MUSCLE TONE GOOD MUSCLE TONE ` SENSATE SKIN ` NO CO MORBIDITY NO CO MORBIDITY
` EXTREME FUNCTIONAL DEMANDS ` WAGE EARNERS
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AFGANISTAN ` ANGOLA ` IRAQ
` AFGANISTAN
IRAQ ` KUWAIT ` CAMBODIACAMBODIA ` WESTERN SAHARA ` MOZAMBIQUEMOZAMBIQUE ` SOMALIA ` BOSNIABOSNIA ` CROATIA
9 500 000 9 000 000 7 500 000
9 500 000
7 500 000 5 000 000 5 500 000 5 500 000 1 500 000 1 500 000 1 500 000 1 000 000 1 000 000 1 000 000 1 000 000
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RAPID FIT TECHNOLOGY RAPID FIT TECHNOLOGY
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ECONOMIC STATUS ECONOMIC STATUS
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` AFFORDABLE ` DURABLEDURABLE ` ACCESSIBLE PROSTHETIC SERVICES
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LIFESTYLE LIFESTYLE
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`̀ SQUATTING SQUATTING ` SITTING CROSS LEGGED ` NEGOTIATING UNEVEN TERRAIN NEGOTIATING UNEVEN TERRAIN ` WALKING BAREFOOT ` WORKING IN WATER WORKING IN WATER
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ACTIVITYACTIVITY MECH REQUIREMENT MECH.REQUIREMENT Squatting Dorsiflexion Cross legged Cross legged Transverse rotationTransverse rotation Uneven terrain Inversion-Eversion B fBarefoot R b & C i ll Robust & Cosmetically
like N foot Farming Waterproof
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DEMAND>>>>>>> SUPPLY DEMAND>>>>>>> SUPPLY LACK OF AWARENESS
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SYSTEM OF MULTIPLE SEQUENTIAL SYSTEM OF MULTIPLE SEQUENTIAL APPOINTMENTS
LONG DRAWN PERIOD OF FITTING
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` MATERIAL PROPERTIES ` COSTCOST ` LOCAL AVAILABILITY ` FAMILIARITY OF LOCAL PEOPLE FAMILIARITY OF LOCAL PEOPLE
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` APPROPRIATE ` LOW COST LOW COST ` SIMPLE ` RAPID FIT RAPID FIT ` DURABLE
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REGARDLESS OF ALL COMPARISON, PROSTHETICS IN BOTH DEVELOPED & PROSTHETICS IN BOTH DEVELOPED & DEVELOPING COUNTRIES ARE EXPENSIVE LEAVING A SIZABLE NUMBER OF AMPUTEESLEAVING A SIZABLE NUMBER OF AMPUTEES UNABLE TO AFFORD THEM
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SOCIAL CULTURAL & ECONOMICSOCIAL,CULTURAL & ECONOMIC CONSIDERATIONS ARE AS IMPORTANT AS TECHNOLOGICAL ISSUESTECHNOLOGICAL ISSUES
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IT’S OK TO BE DIFFERENT !
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MIT OpenCourseWarehttp://ocw.mit.edu
EC.722 Special Topics at Edgerton Center:Developing World ProstheticsSpring 2010
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