• Title/Summary/Keyword: Wedge Effect

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The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion

  • Huh, Up;Kim, Yeong-Dae;Cho, Jeong Su;I, Hoseok;Lee, Jon Geun;Lee, Jun Ho
    • Journal of Chest Surgery
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    • v.45 no.5
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    • pp.316-319
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    • 2012
  • Background: The standard operative treatment of primary spontaneous pneumothorax (PSP) is thoracoscopic wedge resection, but necessity of pleurodesis still remains controversial. Nevertheless, pleural procedure after wedge resection such as pleurodesis has been performed in some patients who need an extremely low recurrence rate. Materials and Methods: From January 2000 to July 2010, 207 patients who had undergone thoracoscopic wedge resection and pleurodesis were enrolled in this study. All patients were divided into two groups according to the methods of pleurodesis; apical parietal pleurectomy (group A) and pleural abrasion (group B). The recurrence after surgery had been checked by reviewing medical record through follow-up in ambulatory care clinic or calling to the patients, directly until January 2011. Results: Of the 207 patients, the recurrence rate of group A and B was 9.1% and 12.8%, respectively and there was a significant difference (p=0.01, Cox's proportional hazard model). There was no significant difference in age, gender, smoking status, and body mass index between two groups. Conclusion: This study suggests that the risk of recurrence after surgery in PSP is significantly low in patients who underwent thoracoscopic wedge resection with parietal pleurectomy than pleural abrasion.

Improved Patient Outcomes with Electrocauterization Following Wedge Resection and Curettage for Ingrown Toenails: A Prospective Comparative Study

  • Marzouq Amarin;Raed Al-Taher;Khaled Daradka;Amal Ibraheem Abd al Qader Abu Harb;Rawan Abd AlMohsen Mohammad Habashneh;Nadwa Basem Bustami;Yazan Hijazein;Hiba Hadadin;Sondos Wa'el Sa'dat Al-Najjar
    • Archives of Plastic Surgery
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    • v.51 no.2
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    • pp.202-207
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    • 2024
  • Background Ingrown toenail is a common condition that results in chronic pain, recurrent infections, and difficulty in performing daily activities. Our aim is to compare two surgical methods for the treatment of ingrown toenails: wedge resection with curetting versus wedge resection curetting followed by electrocauterization of the nail bed. Methods A prospective, comparative study that included 130 patients with ingrown toenails. All patients had stage II or III disease. We divided the participants into two groups according to the type of surgery and all patients were followed up for 6 months. The outcomes measured were the incidence of postoperative bleeding and infection, recovery time, patient satisfaction, and recurrence rate 6 months after surgery. Results Of the 130 patients included, 59 (45.4%) underwent excision and curetting of the nail matrix (group 1) and 71 (54.6%) underwent excision, curetting, and electrocauterization of the nail matrix (group 2). The postoperative infection rates were 20.3 and 4.2% in the first and second groups, respectively (p = 0.004). Patient satisfaction was 76.3% among the first group, while 91.5% of patients in the second group were satisfied with the results of surgery. Six months postoperatively, recurrence rates were 25.4 and 4.2% in the first and second groups, respectively (p = 0.001). Conclusion Wedge excision and curettage, followed by electrocauterization of the ingrown toenail is a safe treatment modality with a high success rate, that is evident by a lower recurrence rate, and greater patient satisfaction, with no effect on postoperative pain score or recovery time.

Effect of Contact Stiffness on Lateral Force Calibration of Atomic Force Microscopy Cantilever (원자 현미경 탐침의 수평방향 힘 교정에 미치는 접촉 강성의 영향)

  • Tran, Da Khoa;Jeon, Ki-Joon;Chung, Koo-Hyun
    • Tribology and Lubricants
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    • v.28 no.6
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    • pp.289-296
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    • 2012
  • Atomic force microscopy (AFM) has been used for imaging surfaces and measuring surface forces at the nano-scale. Force calibration is important for the quantitative measurement of forces at the nano-scale using AFM. Normal force calibration is relatively straightforward, whereas the lateral force calibration is more complicated since the lateral stiffness of the cantilever is often comparable to the contact stiffness. In this work, the lateral force calibrations of the rectangular cantilever were performed using torsional Sader's method, thermal noise method, and wedge calibration method. The lateral optical lever sensitivity for the thermal noise method was determined from the friction loop under various normal forces as well. Experimental results showed that the discrepancies among the results of the different methods were as large as 30% due to the effect of the contact stiffness on the lateral force calibration of the cantilever used in this work. After correction for the effect of contact stiffness, all the calibration results agreed with each other, within experimental uncertainties.

Evaluation of Surface Dose for Field-in-Field (FIF) Technique in Breast Radiotherapy (유방암 방사선치료에서 Field-in-Field (FIF) 기법의 조사면 주변 선량 분석)

  • Il-Hoon, Cho;Daehong, Kim
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.851-856
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    • 2022
  • The purpose of this study is to confirm the effect of reducing the surface dose around the radiation field in breast cancer radiotherapy using the Field-in-Field (FIF) technique. X-ray was exposed from a linear accelerator (Linac) was used for irradiation, and the surface dose was measured with a glass dosimeter. The source-to-surface distance (SSD) was 90 cm, the field size is 10 × 10 cm2, and the X-ray energy was 6 MV and 10 MV, respectively. The surface dose of the FIF was compared with the dose measured in the physical wedge (PW) and dynamic wedge (DW). Wedge angles of 15° and 30° were used in the PW and DW, respectively. Surface dose was measured at 1 cm, 3 cm, and 5 cm from the center of the field size, respectively. According to the results, FIF showed lower surface dose compared to PW and DW regardless of the energy of the X-ray beam, wedge angle, and dose measurement point. Since FIF could reduce the radiation dose in periphery of the field size in breast cancer treatment, it is expected to be able to reduce the secondary damage caused by the radiation beam as well as to obtain a uniform dose distribution on the target.

Effects of a Heel Wedge on the Knee Varus Torque During Walking (보행 시 무릎관절 내번토크에 미치는 후족왯지의 영향)

  • 정임숙;김사엽;김영호;정도영;권오윤
    • Journal of Biomedical Engineering Research
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    • v.25 no.4
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    • pp.289-293
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    • 2004
  • In the present study, knee varus torque and mediolateral accelerations were measured using the three-dimensional motion analysis system and a linear accelerometry in odor to determine the effect of heel wedges during walking. Wedges were inclined with 10$^{\circ}$ and 15$^{\circ}$ in medial and lateral directions respectively Both knee varus torques and mediolateral accelerations showed two distinct positive peaks in loading response and preswing. Medial wedges resulted in significantly increased both knee varus torque and lateral acceleration in loading response, compared with the barefoot walking(p<0.05). On the other hand, lateral wedges decreased them in loading response(p<0.05). This became more significant for more inclined wedges. However, no significant correlations were found between knee varus torque and lateral acceleration according to the angle of heel wedges in preswing. From this study, it was found that a lateral wedge would be helpful to treat osteoarthritis, decreasing knee varus torque in loading response. In addition, lateral acceleration of the knee joint might be an alternative to determine the effect of wedges and the alignment of the knee joint during walking, instead of measuring knee torque by the three-dimensional motion analysis.

A Study on the Loading Capacity According to the Source Positions in Externally Pressurized Air Journal Bearing with Two Row Sources (2열 외부가압 공기 저어널 베어링에서 급기구 위치에 따른 부하지지 특성에 관한 연구)

  • 이종열;성승학;이득우
    • Tribology and Lubricants
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    • v.17 no.5
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    • pp.365-372
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    • 2001
  • This paper has been presented the hydrodynamic effect by the journal speed, eccentricity and source positions in order to overcome the defects of air bearing such as low stiffness and damping coefficient. Choosing the two row source position of air bearing is different from existed investigations in the side of pressure distribution of air film because of the high speed of journal and the wedge effects by the eccentricity. These optimal chooses of the two row source positions enable us to improve the performance of the film reaction force and loading force as making the high speed spindle. In this paper, The pressure behavior in theory of air film according to the eccentricity of journal and the source positions analyzed. The results of investigated characteristics may be applied to precision devices like ultra-precision grinding machine and ultra high speed milling.

A study on the prizm pattern replication in injection molding (사출 도광판의 프리즘 패턴 전사성에 관한 실험적 연구)

  • Kim, Chang-Wan;Yoo, Yeong-Eun;Kim, Tae-Hoon;Je, Tae-Jin;Choi, Doo-Sun
    • Proceedings of the KSME Conference
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    • 2007.05a
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    • pp.1537-1541
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    • 2007
  • We injection molded a wedge type of plate with micro prizm patterns on its surface and investigated the fidelity of replication of the micro pattern depending on the process parameter such as mold temperature, melt temperature, injection rate or packing pressure. The size of the size of the $90^{\circ}$ prizm pattern is $50{\mu}m$ and the size of the plate is about 300㎜${\times}$200㎜. The thicknesses are 2.6㎜. and 0.7mm at each edge of the wedge type of plate. The fidelity of the replication turned out quite different according to the process parameters and location of the patterns on the plate. We measured the cavity pressure and temperature in real-time during the molding to analyze the effect of the local melt pressure and temperature on the micro pattern replication.

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Design charts for yield acceleration and seismic displacement of retaining walls with surcharge through limit analysis

  • Aminpoor, Mohamad Mahdi;Ghanbari, Ali
    • Structural Engineering and Mechanics
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    • v.52 no.6
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    • pp.1225-1256
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    • 2014
  • Calculating the seismic displacement of retaining walls has an important role in the optimum design of these structures. Also, studying the effect of surcharge is important for the calculation of active pressure as well as permanent displacements of the wall. In this regard, some researchers have investigated active pressure; but, unfortunately, there are few investigations on the seismic displacement of retaining walls with surcharge. In this research, using limit analysis and upper bound theorem, permanent seismic displacement of retaining walls with surcharge was analyzed for sliding and overturning failure mechanisms. Thus, a new formulation was presented for calculating yield acceleration, critical angle of failure wedge, and permanent displacement of retaining walls with surcharge. Also, effects of surcharge, its location and other factors such as height of the wall and internal friction angle of soil on the amount of seismic displacements were investigated. Finally, designing charts were presented for calculating yield acceleration coefficient and angle of failure wedge.

The Effect of Hedges and the Electrical Characteristics of the Turbo-generator Rotor of SSR Phenomena (차동기 공진현상에서 터어보 발전기 회전자의 전기적 특성과 Wedge 의 영향)

  • Lee, Eun-Hoong;Lee, Min-Myung;Kim, Il-Jung
    • Proceedings of the KIEE Conference
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    • 1989.07a
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    • pp.28-30
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    • 1989
  • This paper is analyzed the electrical characteristics of the round solid rotor of turbo-generator without damper cage influence the induction generation modes and the torsional interaction modes of the SSR phenomena, and then examines the problem of representing electrical characteristics which is dependent on frequency and different wedge materials. The basic model of turbo-generator used in the field analysis is viewed as 5-regions of different permeability and conductivity characteristics. The analytical method, which is used in this paper is based on solving a boundary value problem involving 3-D fields, and the basic function consists of the 2-D Fourier series.

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Electro-Optic Characteristics of the Dual Domain Fringe-Field Switching(FFS) Mode using the Liquid Crystal with Negative Dielectric Anisotropy (유전율 이방성이 음인 액정을 이용한 이중 도메인 FFS 모드의 전기광학 특성)

  • 김향율;고재완;노정동;서대식;이승희
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.15 no.8
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    • pp.720-725
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    • 2002
  • The fringe-field switching (FFS) mode was known to exhibit both a wide viewing angle and high transmittance, especially when using the liquid crystal (LC) with negative dielectric anisotropy. In the device, the LC director rotates almost in-plane. However, in the bright state the device shows bluish and yellowish color along parallel and perpendicular to the LC director at off-normal directions since the LC director rotates only in one direction. Such a problem was greatly improved using a wedge shape of only pixel electrodes. In this way two different field directions exist in a pixel, enabling the LC director to rotate in two opposite directions. Consequently, owing to dual domain effect when using the LC with negative dielectric anisotropy, the viewing angle characteristics are greatly improved.