• 제목/요약/키워드: Initial treatment

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초음파검사 및 호르몬검사에 의한 젖소 번식검진과 발정유도 II. 황체가 존재하는 난소낭종의 진단과 치료 (Reproductive Monitoring and Estrus Induction Using Ultrasonography and Hormone Assay in Dairy Cows II. Differential Diagnosis and Treatment of Coexist of Cysts and Corpus luteum)

  • 오기석;박상국;김방실;고진성;신종봉;백종환;홍기강;문광식;임원호
    • 한국임상수의학회지
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    • 제20권3호
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    • pp.376-383
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    • 2003
  • To establish the differential diagnosis and treatment method in bovine ovarian cysts, specially ovarian cysts with corpus luteum, serum progesterone concentration, rectal palpation and ultrasonography for measuring the cystic wall thickness and diameter of cyst and corpus luteum were investigated from 1,188 dairy cows with ovarian cysts. The plasma progesterone concentrations were 0.3$\pm$0.4 (mean$\pm$SD) ng/ml in 629 cows with follicular cysts, 3.7$\pm$1.1 ng/ml in 431 cows with luteal cysts, and 3.8$\pm$1.2 ng/ml in 128 cows with coexist of ovarian cysts and corpus luteum, respectively. The cystic wall thickness by ultrasonography were 1.6$\pm$0.4 mm in 629 cows with follicular cysts, 4.2$\pm$1.5 mm in 431 cows with luteal cysts, and 1.6$\pm$0.6 mm in 128 cows with coexist of ovarian cysts and corpus luteum, respectively. The days from initial treatment to insemination in follicular cysts were 28.1$\pm$6.9 days in treatment of GnRH alone, 15.9$\pm$2.9 days in combination of GnRH and dinoprost, and 15.1$\pm$3.1 days in combination of GnRH and cloprostenol. The percentages of cows conceived within 100 days after initial treatment were 61 %, 68% and 73% in treatment of GnRH alone, combination of GnRH and dinoprost, and combination of GnRH and cloprostenol, respectively. The days from initial treatment to insemination in luteal cysts were 3.8$\pm$0.6 days in treatment of dinoprost alone and 3.8$\pm$0.7 in cloprostenol alone. The percentages of cows conceived within 100 days after initial treatment were 69.5% and 68.5% in treatment of dinoprost and cloprostenol, respectively. The days from initial treatment to insemination in coexist of cysts and corpus luteum were 3.7$\pm$0.7 days in treatment of dinoprost alone and 3.8$\pm$0.6 in cloprostenol alone. The percentages of cows conceived within 100 days after initial treatment were 87% and 84% in treatment of dinoprost and cloprostenol, respectively. These results suggest that the best choice for treatment agents in ovarian cysts were combination of GnRH and PGF$_2$$\alpha$ in follicular cysts, and the PGF$_2$$\alpha$ in luteal cysts and in coexist of cysts and corpus luteum, respectively. In conclusion, it is suggest that ultrasonography is useful diagnostic tool for diagnosis and selection of treatment remedy in cystic ovaries of bovine.

중증 아토피피부염 환자 89명의 한의학적 치료 효과에 대한 후향적 연구 (Retrospective Study about the Effectiveness of Korean Medicine Treatment on 89 Severe Atopic Dermatitis Patients)

  • 조아라;한수련;박건;서산
    • 한방안이비인후피부과학회지
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    • 제29권2호
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    • pp.161-179
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    • 2016
  • Objectives : The purpose of this study is to report the effectiveness of a Korean Medicine Treatment on 89 severe atopic dermatitis patients all through 12 months. Methods : The degree of atopic dermatitis was measured in Objective SCORAD Index (OSI) with photos of patients. Then, the OSI score was estimated according to gender, age and intensity. Results : 1. The ratio of male to female was 41.57 : 58.43. The 24.72% of patients were in 0~11 year-old group, 16.85% were in 12~18 year-old group and 58.43% were in the group above 19 years old. 2. The initial OSI score was 64.43 and the final was 37.03 after 12 months. After 3, 6, 9, 12 months, the OSI score was significantly lower than the initial visit. 3. There was no significant difference between male and female patients on age, OSI scores and OSI improvements. 4. The patients who treated acupuncture were significantly older then who not treated. The OSI improvement had no significant difference whether treated with acupuncture or not. 5. There was no significant difference among 3 different age groups on initial OSI scores. The OSI improvement of 0~11 year-old group was significantly higher than the other groups after 12 month treatment. 6. The OSI score of 97.75% was decreased after 12 month treatment compared to initial visit. 7. After 12 month treatment, the distribution of severe atopic dermatitis was decreased from 100% to 37.08%. 8. There was no significant difference betweent steroid group and non-steroid group on OSI scores at initial visit and after 12 month treatment. Conclusions : The OSI Score of severe atopic dermatitis patients was decreased on the significant rate with Korean medicine treatment for 12 months.

Hypopharynx Cancer의 VMAT 치료 시 Neck 3D Bolus 적용에 대한 유용성 평가 (The Application of 3D Bolus with Neck in the Treatment of Hypopharynx Cancer in VMAT)

  • 안예찬;김진만;김찬양;김종식;박용철
    • 대한방사선치료학회지
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    • 제32권
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    • pp.41-52
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    • 2020
  • 목 적: Hypopharynx Cancer의 VMAT 치료 시 Neck 부분에 Commercial Bolus(이하 CB)와 3D Printing 기술로 제작한 3D Bolus를 각각 적용한 두 치료 계획을 비교함으로써 3D Bolus 적용의 선량학적 유용성, setup 재현성 및 효율성을 알아보고 임상적 적용 가능성을 평가하고자 한다. 대상 및 방법: CB를 적용한 RANDO phantom의 CT image를 바탕으로 3D Bolus를 동일한 형태로 제작하였다. 3D Bolus는 OMG SLA 660 Printer, MaterialiseMagics software를 이용하여 SLA기법을 통해 밀도 1.2 g/㎤의 폴리우레탄 아크릴레이트 수지로 출력하였다. CB와 3D Bolus를 적용한 두 CT image를 바탕으로 Hypopharynx Cancer의 VMAT 치료를 가정하여 치료 계획을 수립하였다. 수립한 두 치료 계획을 각각 18회에 걸쳐 CBCT image를 획득하였고, 매 회 setup time을 측정하여 치료 효율성을 평가하였다. 획득한 CBCT image를 바탕으로 전산화 치료계획 시스템 Pinnacle을 통해 Adaptive Plan을 진행함으로써 Target, 정상 장기 선량 평가와 Bolus Volume의 변화를 평가하였다. 결 과: 각 치료 계획에 대한 setup time은 CB 적용 치료 계획에 비해 3D Bolus 적용 치료 계획에서 평균 28 sec 감소하였다. 치료 전 기간 내 Bolus Volume 변화는 CB Initial Plan 83.9㎤에서 86.1±2.70㎤, 3D Bolus Initial Plan 92.2㎤에서 99.8±0.46㎤로 나타났다. CTV Min Value의 변화는 CB Initial Plan 191.6cGy에서 167.4±19.38cGy, 3D Bolus Initial Plan 167.3cGy에서 149.5±18.27cGy로 나타났다. CTV Mean Value의 변화는 CB Initial Plan 227.1cGy에서 228.3±0.38cGy, 3D Bolus Initial Plan 225.9cGy에서 227.7±0.30cGy로 나타났다. PTV Min Value의 변화는 CB Initial Plan 128.5cGy에서 74.9±19.47cGy, 3D Bolus Initial Plan 139.9cGy에서 83.2±12.92cGy로 나타났다. PTV Mean Value의 변화는 CB Initial Plan 225.4cGy에서 226.2±0.83cGy, 3D Bolus Initial Plan 224.1cGy에서 225.8±0.33cGy로 나타났다. 정상 장기 Spinal Cord에 대한 Max Value는 매 회 평균 135.6cGy로 동일하게 나타났다. 결 론: 본 논문의 실험 결과를 통해 불균등한 체표면에 대한 3D Bolus의 적용이 Commercial Bolus 적용에 비해 선량학적으로 유용하고 setup 재현성 및 효율성 또한 우수함을 알 수 있었다. 추후 3D Printing 재료의 다양성에 대한 연구와 함께 추가적인 사례 연구가 진행된다면 방사선 치료 분야에서 3D Bolus의 적용이 더욱 활발하게 진행될 것으로 사료된다.

Surface treatment, liquid, and aging effects on color and surface properties of monolithic ceramics

  • Sertac Sariyer;Meryem Gulce Subasi
    • The Journal of Advanced Prosthodontics
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    • 제16권3호
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    • pp.174-188
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    • 2024
  • PURPOSE. The purpose of this study was to investigate the effects of surface treatments, liquids, and aging on color, translucency, and surface properties of monolithic ceramics. MATERIALS AND METHODS. Lithium disilicate (LDS) and zirconia-reinforced lithium silicate (ZLS) ceramics (n = 135 each) were cut and divided into three groups [crystallization+glaze (single stage), crystallization-glaze (two stages), and crystallization-polish (two stages)]. One sample from each group was examined using scanning electron microscopy (SEM). Remaining samples were divided into four subgroups (distilled water, coffee, grape juice, and smoothie) (n = 11 each), stored for 12 d in the respective liquids, and thermally aged. One sample from each subgroup was analyzed using SEM. The color, gloss, and roughness values of the samples were analyzed after surface treatment (initial) and storage under different liquids+aging conditions. The initial data and both the aged data and data change values were analyzed using robust two- and three-way analyses of variance. RESULTS. The glazed groups exhibited smoother surfaces. Ceramic type and ceramic-surface treatment interactions affected the initial translucency parameter (TP) (P < .001) and the initial and aged roughness values (P ≤ .001). Surface treatment type affected the color change (P < .001), and ceramic type affected the aged TP values (P < .001). Type of ceramic, surface treatment, and their interactions affected both the initial and aged gloss (P ≤ .001) and TP change values (P ≤ .015). Surface treatment type and ceramic-surface treatment interactions affected the gloss change values (P ≤ .001). CONCLUSION. Although both ceramics and all surface treatments are clinically applicable, crystallization-glaze is recommended. When gloss and smoothness are important or when translucency is important, ZLS or LDS may be preferred, respectively.

Bell's Palsy의 경과에 대한 예후인자 분석 (An Analysis of Clinical Prognosis Factors of Bell's Palsy)

  • 민영광;안창범;장경전;윤현민;김철홍;송춘호;김수민;김정은;박재흥
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.163-177
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    • 2008
  • Objectives : This study was designed to evaluate clinical prognosis factors of Bell's palsy patients. Methods : The 100 subjects were chosen from 262 patients over 20years old who was diagnosised Bell's palsy through Acupuncture & Moxibustion and ENT medical specialist after visiting the hospital within 8days of onset of peripheral facial palsy and after Oriental-Western Medicine Treatment, recovered completely or had over three months cares because of incomplete recovery Oriental-Western Medicine Treatment included Acupuncture Treatment, Herb med treatment, medicines treatment, Physical therapy and Electrodiagnostic Test was operated after 7 to 10days after outbreaks of the disease. Clinical prognosis factors were analyzed using House-Brackmann grading system(HBGS) as a measurement of the degree of Facial Palsy. Collected data were analyzed as Chi-Square test, ANOVA test, Independent-Samples t-test regression analysis using SPSS 12.0 WIN Program. Results : 1. There was a significant difference in the results of treatment according to site of palsy, degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset as clinical prognosis factors of Bell's Palsy, However, a statistically significant difference was not shown in the results of treatment according to gender, age, existence of Post Auricular Pain, Hypertension, Diabetes and existence of relapse. 2. As a result of overall treatment, 85% of patients were recovered almost entirely and 15% were not recovered completely. 3. There was a significant difference in the onset of Post Auricular Pain and duration of Post Auricular Pain according to the degree of Post Auricular Pain. 4. There was a significant difference in the degree of initial palsy and degree of palsy after 3weeks from onset according to the existence of Post Auricular Pain. However, a statistically significant difference was not shown in the period of time until initial treatment, The time of initial recovery, (H-B), The period from onset to recovey, ENoG value. Conclusions : Based on the above results, prognosis of Bell's palsy was affected by degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset.

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카본블랙류 미세입자 포집을 위한 유리섬유 필터백의 고분자 표면처리에 관한 연구 (A study on the Polymer surface treatment of GF-filter bag for collection of fine Particle like carbon black)

  • 이봉;최희락;문창권
    • 동력기계공학회지
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    • 제12권3호
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    • pp.55-59
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    • 2008
  • In this paper, we have investigated on collection efficiency of fine particle of glass fiber-filter bag according to the surface treatment. The solution consisted of polytetrafluoroethylene(teflon), graphite powder, silicon resin and water was used as a basic surface treatment agent. Tensile strength of glass filter-bag increased with up to 3hrs and then decreased with surface treatment time. Tensile strength and initial modulus of the glass fiber-filter bag treated by iodine after basic surface treatment for 3hrs were lower than those of basic surface treatment for 3hrs, however collection efficiency and fracture strain were higher than those of basic surface treatment for 3hrs. Glass fiber-filter bag with lower initial modulus and more strain will be extend the durable period and the one treated by iodine after basic surface treatment 3or 3hrs is expected high collection efficiency of fine particle. This method makes it possible to manufacture glass fiber-filter bag of the optimum condition.

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Potential of Initial CA Condition on Quality Maintenance of 'Fuji' Apples during Export Simulation after Long-term Storage

  • Park, Youn-Moon;Park, Hyo-Geun
    • 원예과학기술지
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    • 제30권4호
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    • pp.400-408
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    • 2012
  • Effects of initial controlled atmosphere (CA) treatment on quality maintenance of 'Fuji' apples were assessed and compared with 1-methylcyclopropene (1-MCP) treatment and continuous CA storage. Apples were harvested twice at different maturity, treated with 1 ${\mu}L{\cdot}L^{-1}$ 1-MCP and then stored for 8 months at $0^{\circ}C$ under 3 conditions: air, CA for the first month followed by air (initial CA), and continuous CA (full CA). CA storage was performed with 1.5 kPa $O_2$ and < 1.0 kPa ($N_2$ balance). Following long-term storage, export simulation, refrigerated shipment and local distribution, were performed by holding apples at $0^{\circ}C$ for 2 weeks and on the shelf at $20^{\circ}C$ for 7 days. Both the application of 1-MCP and CA storage reduced ethylene production and respiration rates. Initial CA storage was also effective on reducing the metabolism although the effects were not as noticeable as full CA. Full CA storage with or without 1-MCP treatment maintained titratable acidity, flesh firmness, and sensory quality at the acceptable to excellent level even after the export simulation following 8-month storage regardless of harvest maturity. In contrast, effects of initial CA storage were limited to the maintenance of firmness and texture in early-harvested apples. Overall results indicated that harvest maturity is the critical factor for export fruit quality after long-term storage when separate treatment of initial CA storage or 1-MCP treatment is applied as a postharvest program.

치근활택술과 치은박리소파술 후 치아동요도 변화에 관한 연구 (Clinical Evaluation of Tooth Mobility Following Root Planing and Flap Operation)

  • 방은경;채중규;김종관;조규성
    • Journal of Periodontal and Implant Science
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    • 제29권4호
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    • pp.893-914
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    • 1999
  • Tooth mobility may be the decisive factor that determines whether dental treatment of any kind is undertaken. Although tooth mobility in isolation says little in itself, the finding of increased tooth mobility is of both diagnostic and prognostic importance. Only the detection of an increase or decrease in mobility makes an evaluation possible. Thus prior to treatment, we must understand the pathologic process causing the observed the tooth mobility and decide whether the pattern and degree of observed tooth mobility is reversible or irreversible. And then it must be decided whether retention and treatment or extraction and replacement. The purpose of this study was to compare tooth mobility at different time period during root planing and flap operation and to relate changes in mobility to each treatment method. Twenty-one patients (287 teeth) with chronic adult periodontitis were treated with root planing(control group) and flap operation(experimental group), and each group was divided 3 subgroups based upon initial probing pocket depth (1-3mm, 4-6mm, 7mm and more). Tooth mobility was measured with $Periotest^{(R)}$ at the day of operation, 4 days, 1 week, 2 weeks, 3 weeks, 4 weeks, 8 weeks, 12 weeks after each treatment. Tooth mobility, attachment loss, radiographic bone loss, and bleeding on probing were measured at the day of operation, 4 weeks, 8 weeks and 12 weeks after treatment. 1. In group initial probing depth was 1-3mm, tooth mobility had no significant difference after root planing and flap operation. 2 . In group initial probing depth was 4-6mm, 7mm and more, tooth mobility had decreased in 12 weeks after root planing(p<0.01). And the mobility had increased after flap operation(p<0.01) and was at peak in 1 week, and decreased at initial level in 4 weeks, below the initial level in 12 weeks(p<0.01). 3. In 1 week, significant difference in tooth mobility between control and experimental group was found(p<0.01) but, in 12 weeks no difference between two groups was found. 4. Change of immediate tooth mobility after treatment was more larger in deep pocket than in shallow one. In group with the same probing pocket depth, the change of tooth mobility in molar group was greater than that of premolar group. 5. Tooth mobility before treatment was more strongly correlated with radiographic bone loss (r=0.5325) than probing depth, attachment loss and bleeding on probing, in 12 weeks after treatment, was more strongly correlated with attachment loss($r^2$=0.4761) than probing depth and bleeding on probing. Evaluation of the treatment effect and the prognosis after root planing and flap operation were meaningful on tooth initial probing depth 4mm and more. After flap operation, evaluation of the prognosis should be performed at least in 4 weeks and in 12 weeks after treatment, no difference in tooth mobility between two groups was observed. Radiographic bone loss and attachment loss were good clinical indicators to evaluate tooth mobility.

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골다공증성 흉요추부 압박 골절에서의 보존적 치료 (Conservative treatment of Osteoporotic Compression Fractures in Thoracolumbar spine)

  • 강규복;고영도
    • Journal of Trauma and Injury
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    • 제18권2호
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    • pp.107-111
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    • 2005
  • Backgrounds: To evaluate the effectiveness of conservative treatment in osteoporotic thoraco-lumbar compression fractures and to identify the factors influencing the progression of compression. Materials and Methods: From January 2003 to October 2004, Patients who were admitted to our hospital for osteoporotic thoraco-lumbar compression fractures were reviewed retrospectively with follow-up more than 12 months (ave. 14.6 months). With simple x-ray lateral view, we evaluate wedge compression ratio (WCR) and kyphotic angle (KA) at initial and final follow-up. We separate the patients into two groups baesed on the amount of progression of vertebral compression and evaluate a relation with BMD, vertebral fracture level, initial WCR, initial KA. All datas were statistically analyzed. Results: An average of T-score was -3.5 and the changes of KA between initial and final follow-up were average $3.5^{\circ}$. Compression of anterior column were progressed to 8.5%. The changes between initial and final WCR in Group I (N=24) was 17.8%, and Group II (N=18) was 3.3%. T-score in group I was -3.4 and group II was -3.8 (p=0.228). vertebral fracture level were 10 T12, 12 L1, 2 L2 in group I; 6 T12, 6 L1, 6 L2 in group II (p=0.156). Initail WCR was 0.74 in group I, 0.63 in group II, and there was statistical difference between two groups(p=0002). Initial kyphotic angle was $13.9^{\circ}$in group I, $16.2^{\circ}$in group II repectively (p=0.392). Conclusion: The conservative treatment with short-term bed rest and early embulation is effective and valuable method to patients who have osteoporotic thoraco-lumbar compression fractures. There was no statistical difference between two groups according to BMD, vertebral fracture level, KA. But in comparison with initail WCR between two groups, there was statistical difference. That means, in the case of small initial compression of anterior column, the progression of compression was bigger than else. In these patients, more strict use of appropriate brace and careful follow-up should be needed.

The effect of initial stress induced during the steel manufacturing process on the welding residual stress in multi-pass butt welding

  • Park, Jeong-ung;An, Gyubaek;Woo, Wanchuck
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제10권2호
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    • pp.129-140
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    • 2018
  • A residual stress generated in the steel structure is broadly categorized into initial residual stress during manufacturing steel material, welding residual stress caused by welding, and heat treatment residual stress by heat treatment. Initial residual stresses induced during the manufacturing process is combined with welding residual stress or heat treatment residual stress, and remained as a final residual stress. Because such final residual stress affects the safety and strength of the structure, it is of utmost importance to measure or predict the magnitude of residual stress, and to apply this point on the design of the structure. In this study, the initial residual stress of steel structures having thicknesses of 25 mm and 70 mm during manufacturing was measured in order to investigate initial residual stress (hereinafter, referred to as initial stress). In addition, thermal elastic plastic FEM analysis was performed with this initial condition, and the effect of initial stress on the welding residual stress was investigated. Further, the reliability of the FE analysis result, considering the initial stress and welding residual stress for the steel structures having two thicknesses, was validated by comparing it with the measured results. In the vicinity of the weld joint, the initial stress is released and finally controlled by the weld residual stress. On the other hand, the farther away from the weld joint, the greater the influence of the initial stress. The range in which the initial stress affects the weld residual stress was not changed by the initial stress. However, in the region where the initial stress occurs in the compressive stress, the magnitude of the weld residual compressive stress varies with the compression or tension of the initial stress. The effect of initial stress on the maximum compression residual stress was far larger when initial stress was considered in case of a thickness of 25 mm with a value of 180 MPa, while in case of thickness at 70 mm, it was 200 MPa. The increase in compressive residual stress is almost the same as the initial stress. However, if initial stress was tensile, there was no significant change in the maximum compression residual stress.