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Sample records for anterior opening wedge

  1. Leg length change after opening wedge and closing wedge high tibial osteotomy: A meta-analysis.

    Science.gov (United States)

    Kim, Jun-Ho; Kim, Hyun-Jung; Lee, Dae-Hee

    2017-01-01

    Theoretical considerations suggest that leg length increases after opening wedge high tibial osteotomy (HTO) and decreases after closing wedge HTO; however, in vivo studies have yielded conflicting results. This meta-analysis therefore assessed changes in leg length after opening wedge and closing wedge HTO. All studies comparing pre- and postoperative leg length in patients who underwent opening and/or closing wedge HTO were included. Two reviewers independently recorded data from each study in terms of sample size as well as preoperative and postoperative leg length of open wedge and/or closed wedge HTO groups. Four studies were included in the meta-analysis. Although pooled results showed leg length changes from before to after surgery were -6.93 mm (95% confidence interval [CI]: -17.53 to 3.67 mm; P = 0.20) in opening wedge HTO and 1.97 mm (95% CI: -7.13 to 11.07 mm; P = 0.67) in closing wedge HTO, respectively, these values were statistically not significant. However, the difference in the pooled mean leg length change from before to after surgery between opening wedge and closing wedge HTO was 8 mm, a difference that was significant (95% CI: 6.53 to 9.46 mm; Pleg length was not statistically significant for either opening or closing wedge HTO. However, leg length change from before to after surgery was 8 mm greater for opening wedge HTO than for closing wedge HTO.

  2. Filling Transitions in Acute and Open Wedges.

    Czech Academy of Sciences Publication Activity Database

    Malijevský, Alexandr; Parry, A.O.

    2015-01-01

    Roč. 91, č. 5 (2015), s. 052401 ISSN 1539-3755 R&D Projects: GA ČR GA13-09914S Grant - others:EPSRC(GB) EP/J009636/1; EPSRC(GB) EP/I019111/1 Institutional support: RVO:67985858 Keywords : wetting transitions * wedges * density functional theory Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 2.288, year: 2014

  3. [Distal femoral osteotomy using a lateral opening wedge technique].

    Science.gov (United States)

    Feucht, M J; Mehl, J; Forkel, P; Imhoff, A B; Hinterwimmer, S

    2017-08-01

    To shift the weight-bearing axis of the lower limb medially by opening a lateral-based metaphyseal osteotomy at the distal femur. Femoral-based valgus malalignment and symptomatic lateral unicompartimental osteoarthritis, lateral hyperpression syndrome, cartilage therapy of the lateral compartment, lateral meniscal replacement/transplantation, medial instability with valgus thrust, reconstruction of the medial collateral ligament, patellar instability and/or maltracking. Advanced cartilage damage (>grade 2) or subtotal meniscal loss of the medial compartment, age >65 years (relative), nicotine abuse, body mass index >30, flexion contracture >25°, corrections with a wedge base >10 mm in case of congenital deformities, inflammatory or septic arthritis, severe osteoporosis. Lateral approach to the distal femur; biplanar osteotomy (frontal + axial osteotomy), gradual opening of the osteotomy, osteotomy fixation with a locking plate. Free range of motion. Partial weight bearing with 20 kg for 2 weeks, followed by progressive weight bearing thereafter. Mean improvement of knee scores from 20-30 points and mean 10-year survival rate of 80% in patients with lateral unicompartimental osteoarthritis. Mean complication rate of 9%.

  4. The opening base wedge osteotomy and subsequent lengthening of the first metatarsal: an in vitro study.

    Science.gov (United States)

    Budny, Adam M; Masadeh, Suhail B; Lyons, Michael C; Frania, Stephen J

    2009-01-01

    Traditionally, the opening base wedge osteotomy has been indicated in a moderate to severe hallux abducto valgus deformity with a short first metatarsal. This in vitro study aimed to address the question of how much lengthening is inherent to the geometric design of an opening wedge in the first metatarsal. The preosteotomy length of a first metatarsal segment was compared with postosteotomy length after performing transverse and oblique basilar osteotomies while maintaining the opening wedge with a prefabricated spacer. In the current bench study, it was found that the opening base wedge osteotomy does indeed lengthen the first metatarsal, albeit a small percentage of the total length (1%-2.8%), and there was no significant difference between the lengths achieved through a transverse or oblique osteotomy based on a confidence interval of 95%. 5.

  5. Mechanism of bone incorporation of beta-TCP bone substitute in open wedge tibial osteotomy in patients.

    NARCIS (Netherlands)

    Gaasbeek, R.D.A.; Toonen, H.G.; Heerwaarden, R.J. van; Buma, P.

    2005-01-01

    A histological study was performed of bone biopsies from 16 patients (17 biopsies) treated with open wedge high tibial osteotomies for medial knee osteoarthritis. The open wedge osteotomies were filled with a wedge of osteoconductive beta tricalcium phosphate (beta-TCP) ceramic bone replacement. At

  6. Variations in depth-dose data between open and wedge fields for 4-MV x-rays

    International Nuclear Information System (INIS)

    Sewchand, W.; Khan, F.M.; Williamson, J.

    1978-01-01

    Central-axis depth-dose data for 4-MV x rays, including tissue-maximum ratios, were measured for wedge fields. Comparison with corresponding open-field data revealed differences in magnitude which increased with depth, field size, and wedge thickness. However, phantom scatter correction factors for the wedge fields differed less than 1% from corresponding open-field factors. The differences in central-axis percent depth doses between the two types of fields indicate beam hardening by the wedge filter. This study also implies that the derivation of tissue-maximum ratios from central-axis percent depth is as valid for wedge as for open fields

  7. Anterior open bite: aetiology and management.

    Science.gov (United States)

    Sandler, Paul Jonathan; Madahar, Arun K; Murray, Alison

    2011-10-01

    Anterior open bite has a multi-factorial aetiology comprising: genetically inherited skeletal pattern, soft tissue effect and digit-sucking habits. To formulate an appropriate treatment plan, accurate diagnosis is essential. Simple open bites may sometimes resolve completely during the transition from mixed to permanent dentition, if the digit-sucking habit is broken. More significant open bites, however, sometimes extending right back to the terminal molars, rarely resolve spontaneously and will often require complex orthodontic treatment, involving active molar intrusion or even major orthognathic surgery. Unfortunately, surgery has associated risks attached, including pain, swelling, bruising, altered nerve sensation and, occasionally, permanent anaesthesia, as well as involving significant costs, as with any major surgical procedure under general anaesthesia. The introduction of Temporary Anchorage Devices (TADs) has expanded the possibilities of orthodontic treatment, beyond traditional limitations of tooth movement. Molar intrusion can be successfully carried out without the need for major surgical intervention, thus avoiding all the attendant risks and disadvantages. This paper provides an overview of anterior open bite and uses an illustrative case where open bite was successfully treated with a combination of fixed appliance therapy and TADs. Anterior open bite is commonly seen in general practice. A knowledge of the possible aetiological factors and their potential management should be understood by general dental practitioners. The increased popularity of TADS allows a new and less invasive approach to management of these cases.

  8. Geometry of anterior open bite correction.

    Science.gov (United States)

    Abramson, Zachary R; Susarla, Srinivas M; Lawler, Matthew E; Choudhri, Asim F; Peacock, Zachary S

    2015-05-01

    Correction of anterior open bite is a frequently encountered and challenging problem for the craniomaxillofacial surgeon and orthodontist. Accurate clinical evaluation, including cephalometric assessment, is paramount for establishing the diagnosis and appropriate treatment plan. The purposes of this technical note were to discuss the basic geometric principles involved in the surgical correction of skeletal anterior open bites and to offer a simple mathematical model for predicting the amount of posterior maxillary impaction with concomitant mandibular rotation required to establish an adequate overbite. Using standard geometric principles, a mathematical model was created to demonstrate the relationship between the magnitude of the open bite and the magnitude of the rotational movements required for correction. This model was then validated using a clinical case. In summary, the amount of open bite closure for a given amount of posterior maxillary impaction depends on anatomic variables, which can be obtained from a lateral cephalogram. The clinical implication of this relationship is as follows: patients with small mandibles and steep mandibular occlusal planes will require greater amounts of posterior impaction.

  9. Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A one-year randomised controlled study.

    NARCIS (Netherlands)

    Gaasbeek, R.D.A.; Nicolaas, L.; Rijnberg, W.J.; Loon, C.J.M. van; Kampen, A. van

    2010-01-01

    In a randomised clinical trial in 50 patients with symptomatic osteoarthritis of the medial compartment of the knee, the clinical results of high tibial osteotomy (HTO) according to the open wedge osteotomy (OWO) and closed wedge osteotomy (CWO) were compared. In both groups locked plate fixation

  10. Management of valgus extra-articular calcaneus fracture malunions with a lateral opening wedge osteotomy.

    Science.gov (United States)

    Aly, Tarek

    2011-01-01

    A total of 34 cases of symptomatic valgus deformity of the hindfoot secondary to a malunited extra-articular calcaneal fracture were corrected with laterally based open wedge calcaneal osteotomy. The pre- and postoperative radiographic parameters were compared, and a postoperative clinical evaluation was performed using the American Orthopedic Foot and Ankle Society ankle and hindfoot scoring system. The mean follow-up period was 56.2 (range 24.1 to 97) months. The most significant radiographic changes were improvement in the talonavicular coverage angle (mean 17.3°) on the anteroposterior view. The mean postoperative American Orthopedic Foot and Ankle Society hindfoot and ankle score was 90, with 23 excellent, 8 good, and 3 poor results. Laterally based opening wedge osteotomy of the calcaneus is effective in the management of a valgus heel resulting from malunited extra-articular calcaneal fractures. Lateral decompression of the peroneal tendons and the sural nerve was achieved indirectly through opening wedge lateral calcaneal osteotomy that shifted the weight-bearing axis laterally. Copyright © 2011 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Clinical and radiological outcome after mini-open Latarjet technique with fixation of coracoid with Arthrex wedge mini-plate.

    Science.gov (United States)

    Chaudhary, Deepak; Goyal, Ankit; Joshi, Deepak; Jain, Vineet; Mohindra, Mukul; Mehta, Nitin

    2016-01-01

    Technical faults leading to coracoid fractures during screw insertion and coracoid graft osteolysis are concerns with standard screw fixation techniques in Latarjet procedure. The purpose of this study is to share our experience using Arthrex wedge profile plate with mini-open technique for graft fixation, that ensures better load distribution between coracoid graft and glenoid. We did retrospective analysis of 24 patients with recurrent anterior shoulder instability after failed arthroscopic Bankart's repair. Arthroscopic examination of affected shoulder was done in lateral position before making patient supine for open Latarjet. A low profile wedge plate (Arthrex) with two screws was used for the procedure. CT analysis was performed post-operatively at 6 months to see graft union and results were evaluated using the Rowe and Walch Duplay score. Mean follow-up time was 26 months. Postoperatively, mean forward elevation was 170.6 + 4.6° (loss of average 5.9°) and mean external rotation was 42.5 + 5.3° (loss of average 3.1°). All patients returned to their previous occupation. None reported to be having any recurrent subluxation. Functional assessment done using Rowe score and Walch Duplay score showed statistically significant improvement (p value 0.034). There were no implant-related complications and no case of coracoid graft osteolysis. Mini-open Latarjet with graft fixation with Arthrex mini-plate provides satisfactory outcome in patients who require reoperation due to dramatic bone loss and failed soft tissue reconstruction. The modified incision improves exposure enabling plate fixation and the secure fixation accelerates rehabilitation.

  12. Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity

    DEFF Research Database (Denmark)

    Wester, Jens Ulrik; Hamborg-Petersen, Ellen; Herold, Niels

    2016-01-01

    BACKGROUND: Different techniques of proximal osteotomies have been introduced to correct severe hallux valgus. The open wedge osteotomy is a newly introduced method for proximal osteotomy. The aim of this prospective randomized study was to compare the radiological and clinical results after...... operation for severe hallux valgus, comparing the open wedge osteotomy to the crescentic osteotomy which is our traditional treatment. METHODS: Forty-five patients with severe hallux valgus (hallux valgus angle >35̊, and intermetatarsal angle >15̊) were included in this study. The treatment was proximal...... and 12 months after the operation. RESULTS: In group 1 the hallux valgus angle decreased from 39.0̊ to 24.1̊ after 4 months and 27.9̊ after 12 months. In group 2 the angle decreased from 38.3̊ to 21.4̊ after 4 months and 27.0̊ after 12 months. The intermetatarsal angle in group 1 was 19.0̊ preoperatively...

  13. Numerical study on flow rate limitation of open capillary channel flow through a wedge

    Directory of Open Access Journals (Sweden)

    Ting-Ting Zhang

    2016-04-01

    Full Text Available The flow characteristics of slender-column flow in wedge-shaped channel under microgravity condition are investigated in this work. The one-dimensional theoretical model is applied to predict the critical flow rate and surface contour of stable flow. However, the one-dimensional model overestimates the critical flow rate for not considering the extra pressure loss. Then, we develop a three-dimensional simulation method with OpenFOAM, a computational fluid dynamics tool, to simulate various phenomena in wedge channels with different lengths. The numerical results are verified with the capillary channel flow experimental data on the International Space Station. We find that the three-dimensional simulation perfectly predicts the critical flow rates and surface contours under various flow conditions. Meanwhile, the general behaviors in subcritical, critical, and supercritical flow are studied in three-dimensional simulation considering variations of flow rate and open channel length. The numerical techniques for three-dimensional simulation is validated for a wide range of configurations and is hopeful to provide valuable guidance for capillary channel flow experiment and efficient liquid management in space.

  14. Early weight bearing versus delayed weight bearing in medial opening wedge high tibial osteotomy: a randomized controlled trial.

    Science.gov (United States)

    Lansdaal, Joris Radboud; Mouton, Tanguy; Wascher, Daniel Charles; Demey, Guillaume; Lustig, Sebastien; Neyret, Philippe; Servien, Elvire

    2017-12-01

    The need for a period of non-weight bearing after medial opening wedge high tibial osteotomy remains controversial. It is hypothesized that immediate weight bearing after medial opening wedge high tibial osteotomy would have no difference in functional scores at one year compared to delayed weight bearing. Fifty patients, median age 54 years (range 40-65), with medial compartment osteoarthritis, underwent a medial opening wedge high tibial osteotomy utilizing a locking plate without bone grafting. Patients were randomized into an Immediate or a Delayed (2 months) weight bearing group. All patients were assessed at one-year follow-up and the two groups compared. The primary outcome measure was the IKS score. Secondary outcome measures included the IKDC score, the VAS pain score and rate of complications. The functional scores significantly improved in both groups. The IKS score increased from 142 ± 31 to 171 ± 26 in the Immediate group (p bearing after medial opening wedge high tibial osteotomy had no effect on functional scores at 1 year follow-up and did not significantly increase the complication rate. Immediate weight bearing after medial opening wedge high tibial osteotomy appears to be safe and can allow some patients a quicker return to activities of daily living and a decreased convalescence period. II.

  15. Amelogenesis Imperfecta with Anterior Open Bite: A Rare Case Report

    OpenAIRE

    Singhal, Ruchi; Pathak, Anuradha; Goenka, Puneet

    2011-01-01

    This clinical report describes the treatment plan for a young patient affected by amelogenesis imperfecta with anterior open bite. The objectives of the treatment were to eliminate tooth sensitivity while enhancing esthetics and restoring masticatory function. Treatment included resin composite laminate veneers on maxillary anterior teeth and stainless steel crowns for posterior teeth.

  16. Open-wedge osteotomy using an internal plate fixator in patients with medial-compartment gonarthritis and varus malalignment

    DEFF Research Database (Denmark)

    Niemeyer, Philipp; Schmal, Hagen; Hauschild, Oliver

    2010-01-01

    PURPOSE: Our purpose was to evaluate the 3-year clinical results of patients with medial-compartment osteoarthritis of the knee and varus malalignment who underwent open-wedge high tibial osteotomy (HTO) with an internal plate fixator (TomoFix; Synthes, Solothurn, Switzerland). Clinical results...... of patients reported discomfort related to the implant at some point during the follow-up period (40.6%). CONCLUSIONS: Open-wedge osteotomy by use of the TomoFix system leads to reliable 3-year results. Results do not depend on the severity of medial cartilage defects, whereas partial-thickness defects...

  17. Preoperative varus laxity correlates with overcorrection in medial opening wedge high tibial osteotomy.

    Science.gov (United States)

    Ogawa, Hiroyasu; Matsumoto, Kazu; Ogawa, Takahiro; Takeuchi, Kentaro; Akiyama, Haruhiko

    2016-10-01

    Medial opening wedge high tibial osteotomy (HTO) is a realignment of the lower limb. Despite accurate preoperative planning and careful surgical techniques, many HTOs result in alignment correction errors. These alignment correction errors may be due to soft tissue laxity around the knee such as varus or valgus laxity. The purpose of this study was to examine the relationship of varus and valgus laxity of the knee and alignment correction errors, and to have a formula to predict the subsequent degree of these correction errors. Fifty knees from 41 patients undergoing opening wedge HTO for knee osteoarthritis were involved. Standing full-length anteroposterior radiographs of the lower limb and the tibia, and varus and valgus stress radiographs of the knee were used to evaluate alignment and joint laxity. Parameters were global correction (the change in the hip-knee-ankle angle), bony correction (the change in the medial proximal tibial angle), and soft tissue correction (global correction - bony correction). The average of global correction, bony correction, and soft tissue correction were 12.8° ± 4.3°, 9.4° ± 3.2°, and 3.4° ± 2.5°, respectively. Preoperative varus laxity was moderately correlated with soft tissue correction (R = 0.58), and in which the slope of the line in the scatter plot represented 0.59, implying that soft tissue correction increases by 0.59° for every 1° of preoperative varus laxity. Preoperative varus laxity is correlated with soft tissue correction, suggesting that more accurate alignment correction could be achieved by surgical planning taking into account preoperative varus laxity as a factor of soft tissue correction.

  18. Anterior open bite treated with myofunctional therapy and palatal crib.

    Science.gov (United States)

    Asiry, Moshabab A

    2015-03-01

    This case report demonstrates the treatment effects of palatal crib combined with the myofunctional therapy in a child with anterior open bite (AOB) due to thumb sucking and habitual anterior and low tongue position. The patient, an 11-year-old boy, had an anterior open bite and flared and spaced upper and lower incisors. Palatal cribs in conjunction with myofunctional therapy were used to discourage sucking habit and to adapt normal tongue position. Successful correction of the AOB with adequate overjet and overbite were achieved with total treatment time of 7 months. The importance of myofunctional therapy in adopting normal tongue position and in maintaining the stability of open bite correction is emphasized.

  19. Classification of anterior open bite using individualized cephalometry.

    Science.gov (United States)

    Bock, Jens Johannes; Bock, Franziska; Böhm, Bernhard; Fuhrmann, Robert A

    2005-09-01

    The objective of this study was to describe the cephalometric characteristics of the open bite, and to classify the open bite according to individualized norms. The lateral cephalograms of 134 patients with an anterior open bite (min -0.5 mm) were analyzed. Patients were classified according to the inclination of the jaws, applying the principles of individualized cephalometry. The harmony box described by Hasund was used to define individualized norms for the inclination of the upper and lower jaws in each patient. The open bite was classified into four sub-types: (1) dental, (2) skeletal with enlarged ML-NSL angle, (3) skeletal with reduced ML-NSL angle, and (4) skeletal with deviations in upper and lower jaws. A skeletal open bite was found in 89 patients (66.4%). A dental open bite was found in 45 patients (33.6%). A number of significant differences were found between these four groups using single-factor variance analysis and the Bonferroni a posteriori test, (p < or = 0.05, p < or = 0.01, p < or = 0.001). The most prominent variables were index value of anterior facial hight, total facial height ratio, gonial angle, and Y-axis. No significant differences were found for overbite, however. It was possible to use individualized norms to classify the open bite into four sub-types. The demarcation between the four groups was supported statistically. The extent of the anterior open bite does not allow any conclusions as to the craniofacial pattern.

  20. Open Anterior Dislocation of the Hip in Togo

    Science.gov (United States)

    Anani, Abalo; Yannick, Dellanh; Gamal, Ayouba; Assang, Dossim

    2016-01-01

    Anterior traumatic dislocations of the hip are much less common than posterior dislocations. To date, 14 cases of open anterior dislocation of the hip associated with such injuries, acetabular and femoral head fractures and femoral vascular and nerve damage have been reported. We present a case of a 23-year-old male who sustained open anterior dislocation of the hip with ipsilateral fracture of the greater trochanter after an accident on the public highway. Additional lesions included an iliac wing fracture and a perineal wound. We report this case because of the rarity and seriousness of this injury due to its progressive complications and difficulties related to its management, which are typical to a developing country like ours. PMID:27247749

  1. Etiology and pathogenesis of anterior open bite: A review | Wanjau ...

    African Journals Online (AJOL)

    Objective: To review the etiology and pathogenesis of anterior open bite malocclusion. Data source: Review of literature was affected through Pubmed, Google scholar and Science direct. References identified from articles found from the primary search were also reviewed. Study selection: Published data on etiology and ...

  2. Innovation in prediction planning for anterior open bite correction.

    Science.gov (United States)

    Almuzian, Mohammed; Almukhtar, Anas; O'Neil, Michael; Benington, Philip; Al Anezi, Thamer; Ayoub, Ashraf

    2015-05-01

    This study applies recent advances in 3D virtual imaging for application in the prediction planning of dentofacial deformities. Stereo-photogrammetry has been used to create virtual and physical models, which are creatively combined in planning the surgical correction of anterior open bite. The application of these novel methods is demonstrated through the surgical correction of a case.

  3. Mini-Open Latarjet Procedure for Recurrent Anterior Shoulder Instability

    OpenAIRE

    Numa Mercier; Dominique Saragaglia

    2011-01-01

    Anterior shoulder instability is a common problem. The Latarjet procedure has been advocated as an option for the treatment of anteroinferior shoulder instability. The purpose of this paper is to explain our surgical procedure titled ?Mini-open Latarjet Procedure.? We detailed patient positioning, skin incision, subscapularis approach, and coracoid fixation. Then, we reviewed the literature to evaluate the clinical outcomes of this procedure.

  4. Anterior chamber gas bubbles in open globe injury.

    Science.gov (United States)

    Barnard, E B G; Baxter, D; Blanch, R

    2013-01-01

    We present a case of a 40-year-old soldier who was in close proximity to the detonation of an improvised explosive device (IED). Bubbles of gas were visible within the anterior chamber of his left eye. The authors propose that intraocular gas, present acutely after trauma, is diagnostic of open globe injury and is of particular importance in remote military environments.

  5. Open Wedge High Tibial Osteotomy with Distal Tubercle Osteotomy Lessens Change in Patellar Position

    Directory of Open Access Journals (Sweden)

    Hoon Park

    2017-01-01

    Full Text Available The purpose of this study was to investigate the change in patellar position after open wedge high tibial osteotomy (OWHTO with distal tubercle osteotomy (DTO, comparing outcomes of conventional OWHTO in young adults with proximal tibia varus deformity but no arthritic manifestations. Thirty-three patients (mean age, 31.8 years subjected to OWHTO/DTO were matched with 30 patients (mean age, 33.5 years undergoing conventional OWHTO. Patellar position, as measured in pre- and postoperative standing lateral radiographs, was compared. Patellar height was assessed via Insall-Salvati ratio, modified Insall-Salvati ratio, Blackburne-Peel (BP index, Caton-Deschamps (CD index, and modified Miura-Kawamura index. Computed tomography was used to measure lateral patellar tilt and shift. In the OWHTO group, all patellar height indices decreased significantly following surgery. Although mean values of BP and CD indices decreased significantly in the OWHTO/DTO group, other determinants of patellar height showed no significant postoperative differences. Significant postoperative declines in average lateral patellar tilt were also evident in both groups, but pre- and postoperative lateral patellar shift did not differ significantly. OWHTO/DTO can be performed without significant changes in patellar height. The results obtained support that OWHTO/DTO is suitable for relatively young patients with proximal tibia vara but no arthritic change.

  6. Dilemmas in Treatment of Recurrent Recalcitrant Dental Anterior Open Bite.

    Science.gov (United States)

    Palencar, Adrian J

    2016-01-01

    An anterior open bite is one of the most difficult occlusal abnormalities to treat. Quite often this aberration entails dental component and/or skeletal component. The skeletal open bite will require intrusion of the posterior sextants with the assistance of bite blocks, temporary anchorage devices, high pull headgear, and as a last resort - orthognathic surgery. The orthodontic treatment should be augmented with the orofacial myofunctional therapy. In this article, the author describes 3 different variations of treatment of the dental anterior open bite, first on acrylic models, and then on the actual patients. Consideration should be given to patients with a 'short upper lip," and in this case, surgical correction should be entertained.

  7. Correction of anterior open bite in a case of achondroplasia

    Directory of Open Access Journals (Sweden)

    Karpagam S

    2005-01-01

    Full Text Available Treatment planning for patients with skeletal deformities is often considered challenging. This article reports a female patient with achondroplasia who presented with severe maxillary retrognathism and vertical excess along with anterior open bite. The clinical and cephalometric findings of the patient are detailed here. The treatment plan consisted of modified anterior maxillary osteotomy for simultaneous vertical and sagittal augmentation along with orthodontic intervention. The course of surgical-orthodontic treatment and the results are presented. This treatment is to be followed by correction of vertical maxillary excess after completion of growth. This paper concludes that the dentoalveolar component of a skeletal deformity can be handled independent of the craniofacial management.

  8. Stability of anterior open-bite treatment with occlusal adjustment.

    Science.gov (United States)

    Janson, Guilherme; Crepaldi, Marcus Vinicius; Freitas, Karina Maria Salvatore; de Freitas, Marcos Roberto; Janson, Waldyr

    2010-07-01

    In this study, we aimed to evaluate the long-term stability of anterior open-bite treatment with occlusal adjustment and the dentinal sensitivity caused by this procedure in the long term. The sample comprised 17 open-bite patients who experienced relapse of the negative vertical overbite after orthodontic treatment and were retreated with occlusal adjustment. The cephalometric changes were evaluated on lateral cephalograms obtained before and after the occlusal adjustment and in the long term (mean, 3.4 years after occlusal adjustment). Dentinal sensitivity was also evaluated before the occlusal adjustment, and 1.35 months, 4.61 months, and 3.4 years later. The cephalometric statuses between the 3 evaluations were compared with analysis of variance (ANOVA) and Tukey tests. The percentages of clinically significant relapse were calculated. To compare dentinal sensitivity at the several stages, nonparametric Friedman and Wilcoxon tests were performed. Statistically significant relapse of anterior open bite occurred in 33.3% of the patients. Those who had the procedure before 21 years of age were most likely to experience relapse. Dentinal sensitivity remained within the normal range in the long term. Despite the statistically significant relapse of anterior open bite, clinically significant stability was found in 66.7% of the patients. Copyright (c) 2010 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  9. High Rate of Recurrence Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate Hallux Valgus.

    Science.gov (United States)

    Iyer, Sravisht; Demetracopoulos, Constantine A; Sofka, Carolyn M; Ellis, Scott J

    2015-07-01

    The proximal medial opening wedge (PMOW) osteotomy has become more popular to treat moderate to severe hallux valgus with the recent development of specifically designed, low-profile modular plates. Despite the promising results previously reported in the literature, we have noted a high incidence of recurrence in patients treated with a PMOW. The purpose of this study was to report the clinical and radiographic outcomes of an initial cohort of patients treated with a PMOW osteotomy for moderate hallux valgus. We retrospectively analyzed prospectively gathered data on a cohort of 17 consecutive patients who were treated by the senior author using a PMOW osteotomy for moderate hallux valgus deformity. Average time to follow-up was 2.4 years (range, 1.0-3.5 years). The intermetatarsal angle (IMA), the hallux valgus angle (HVA), and the distal metatarsal articular angle (DMAA) were assessed on standard weightbearing radiographs of the foot preoperatively and at all follow-up visits. The Foot and Ankle Outcome Score (FAOS) was collected on all patients preoperatively and at final follow-up. Despite demonstrating good correction of their deformity initially, 11 of the 17 patients (64.7%) had evidence of recurrence of their hallux valgus deformity at final follow-up. Patients who recurred had a greater preoperative HVA (P = .023) and DMAA (P = .049) than patients who maintained their correction. Improvement in the quality-of-life subscale of the FAOS was noted at final follow-up for all patients (P = .05). There was no significant improvement in any of the other FAOS subscales. There was a high rate of recurrence of the hallux valgus deformity in this cohort of patients. Recurrence was associated with greater preoperative deformity and an increased preoperative DMAA. The PMOW without a concomitant distal metatarsal osteotomy may be best reserved for patients with mild hallux valgus deformity without an increased DMAA. Level IV, retrospective case series. © The Author

  10. Mini-Open Latarjet Procedure for Recurrent Anterior Shoulder Instability

    Science.gov (United States)

    Mercier, Numa; Saragaglia, Dominique

    2011-01-01

    Anterior shoulder instability is a common problem. The Latarjet procedure has been advocated as an option for the treatment of anteroinferior shoulder instability. The purpose of this paper is to explain our surgical procedure titled “Mini-open Latarjet Procedure.” We detailed patient positioning, skin incision, subscapularis approach, and coracoid fixation. Then, we reviewed the literature to evaluate the clinical outcomes of this procedure. PMID:22191039

  11. Mini-Open Latarjet Procedure for Recurrent Anterior Shoulder Instability

    Directory of Open Access Journals (Sweden)

    Numa Mercier

    2011-01-01

    Full Text Available Anterior shoulder instability is a common problem. The Latarjet procedure has been advocated as an option for the treatment of anteroinferior shoulder instability. The purpose of this paper is to explain our surgical procedure titled “Mini-open Latarjet Procedure.” We detailed patient positioning, skin incision, subscapularis approach, and coracoid fixation. Then, we reviewed the literature to evaluate the clinical outcomes of this procedure.

  12. Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity - A prospective comparative study.

    Science.gov (United States)

    Wester, Jens Ulrik; Hamborg-Petersen, Ellen; Herold, Niels; Hansen, Palle Bo; Froekjaer, Johnny

    2016-03-01

    Different techniques of proximal osteotomies have been introduced to correct severe hallux valgus. The open wedge osteotomy is a newly introduced method for proximal osteotomy. The aim of this prospective randomized study was to compare the radiological and clinical results after operation for severe hallux valgus, comparing the open wedge osteotomy to the crescentic osteotomy which is our traditional treatment. Forty-five patients with severe hallux valgus (hallux valgus angle >35̊, and intermetatarsal angle >15̊) were included in this study. The treatment was proximal open wedge osteotomy and fixation with plate (Hemax), group 1, or operation with proximal crescentic osteotomy and fixation with a 3mm cannulated screw, group 2. The mean age was 52 years (19-71). Forty-one females and four males were included. Clinical and radiological follow-ups were performed 4 and 12 months after the operation. In group 1 the hallux valgus angle decreased from 39.0̊ to 24.1̊ after 4 months and 27.9̊ after 12 months. In group 2 the angle decreased from 38.3̊ to 21.4̊ after 4 months and 27.0̊ after 12 months. The intermetatarsal angle in group 1 was 19.0̊ preoperatively, 11.6̊ after 4 months and 12.6̊ after 12 months. In group 2 the mean intermetatarsal angle was 18.9̊ preoperatively, 12.0̊ after 4 months and 12.6̊ after 12 months. The AOFAS score improved from 59.3 to 81.5 in group 1 and from 61.8 to 84.8 in group 2 respectively measured 12 months postoperatively. The relative length of the 1 metatarsal compared to 2 metatarsal bone was 0.88 and 0.87 preoperatively and 0.88 and 0.86 for group 1 and 2 respectively measured after 12 months. Crescentic osteotomy and open wedge osteotomy improve AOFAS score and VAS scores on patients operated with severe hallux valgus. No significant difference was found in the two groups looking at the postoperative improvement of HVA and IMA measured 4 and 12 months postoperatively. The postoperative VAS score and AOFAS score were

  13. Three-level anterior cervical discectomy and fusion in elderly patients with wedge shaped tricortical autologous graft: A consecutive prospective series

    Directory of Open Access Journals (Sweden)

    Lee Suk

    2008-01-01

    Full Text Available Background: Treatment of multilevel cervical spondylotic myelopathy/radiculopathy is a matter of debate, more so in elderly patients due to compromised physiology. We evaluated the clinical and radiological results of cervical fusion, using wedge-shaped tricortical autologous iliac graft and Orion plate for three-level anterior cervical discectomy in elderly patients. Materials and Methods: Twelve elderly patients with mean age of 69.7 years (65-76 years were treated between April 2000 and March 2005, for three-level anterior cervical discectomy and fusion, using wedge-shaped tricortical autologous iliac graft and Orion plate. Outcome was recorded clinically according to Odom′s criteria and radiologically in terms of correction of lordosis angle and intervertebral disc height span at the time of bony union. The mean follow-up was 29.8 months (12-58 months. Results: All the patients had a complete recovery of clinical symptoms after surgery. Postoperative score according to Odom′s criteria was excellent in six patients and good in remaining six. Bony union was achieved in all the patients with average union time of 12 weeks (8-20 weeks. The mean of sum of three segment graft height collapse was 2.50 mm (SD = 2.47. The average angle of lordosis was corrected from 18.2° (SD = 2.59° preoperatively to 24.9° (SD = 4.54° at the final follow-up. This improvement in the radiological findings is statistically significant (P < 0.05. Conclusion: Cervical fusion with wedge-shaped tricortical autologous iliac graft and Orion plate for three-level anterior cervical discectomy is an acceptable technique in elderly patients. It gives satisfactory results in terms of clinical outcome, predictable early solid bony union, and maintenance of disc space height along with restoration of cervical lordosis.

  14. Effect of Computer Navigation on Accuracy and Reliability of Limb Alignment Correction following Open-Wedge High Tibial Osteotomy: A Meta-Analysis

    OpenAIRE

    Han, Seung-Beom; Kim, Hyun Jung; Lee, Dae-Hee

    2017-01-01

    Background It is unclear whether computer navigation can improve the accuracy and reliability of targeted lower limb alignment correction following open-wedge high tibial osteotomy (HTO). This meta-analysis was designed to compare the accuracy and reliability of limb alignment correction between computer navigated and conventional open-wedge HTOs. Methods Studies that compared postoperative coronal alignment, including mechanical axis (MA) and weight bearing line (WBL) ratio, outliers of alig...

  15. Orthodontic and orthopaedic treatment for anterior open bite in children.

    Science.gov (United States)

    Lentini-Oliveira, Débora A; Carvalho, Fernando R; Rodrigues, Clarissa Garcia; Ye, Qingsong; Prado, Lucila B F; Prado, Gilmar F; Hu, Rongdang

    2014-09-24

    Anterior open bite occurs when there is a lack of vertical overlap of the upper and lower incisors. The aetiology is multifactorial including: oral habits, unfavourable growth patterns, enlarged lymphatic tissue with mouth breathing. Several treatments have been proposed to correct this malocclusion, but interventions are not supported by strong scientific evidence. The aim of this systematic review was to evaluate orthodontic and orthopaedic treatments to correct anterior open bite in children. The following databases were searched: the Cochrane Oral Health Group's Trials Register (to 14 February 2014); the Cochrane Central Register of Controlled Trials (CENTRAL)(The Cochrane Library 2014, Issue 1); MEDLINE via OVID (1946 to 14 February 2014); EMBASE via OVID (1980 to 14 February 2014); LILACS via BIREME Virtual Health Library (1982 to 14 February 2014); BBO via BIREME Virtual Health Library (1980 to 14 February 2014); and SciELO (1997 to 14 February 2014). We searched for ongoing trials via ClinicalTrials.gov (to 14 February 2014). Chinese journals were handsearched and the bibliographies of papers were retrieved. All randomised or quasi-randomised controlled trials of orthodontic or orthopaedic treatments or both to correct anterior open bite in children. Two review authors independently assessed the eligibility of all reports identified. Risk ratios (RRs) and corresponding 95% confidence intervals (CIs) were calculated for dichotomous data. The continuous data were expressed as described by the author. Three randomised controlled trials were included comparing: effects of Frankel's function regulator-4 (FR-4) with lip-seal training versus no treatment; repelling-magnet splints versus bite-blocks; and palatal crib associated with high-pull chincup versus no treatment.The study comparing repelling-magnet splints versus bite-blocks could not be analysed because the authors interrupted the treatment earlier than planned due to side effects in four of ten patients

  16. A new skeletal retention system for retaining anterior open bites

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    Bodore Albaker

    2013-01-01

    Full Text Available Objectives: Relapse of anterior open bite after treatment poses a challenge to orthodontists and warrants finding new methods. We aimed to compare the effect of a skeletal retention (SR system to the conventional retention (CR commonly used. Materials and Methods: Twenty patients participated in this study. SR group ten patients (five females and five males with mean age of 16.2 years, CR group ten patients (five females and five males with mean age of 17.1 years in pretreatment stage. The SR system is comprised of four self-drilling miniscrews and vacuum retainers with interarch elastics where the CR group is comprised of removable or fixed retainers. Pretreatment (T1, posttreatment (T2, and 1-year follow up (T3 lateral cephalograms were taken and analyzed to compare the stability of both retention modalities. Results: The overbite in the CR group showed more relapse in the form of significant reduction when compared to the SR group (P < 0.001. The overbite was reduced only by 0.1 mm (±0.3 in the SR group compared to 1.4 mm (±0.9 in the CR group. In the CR group, the upper incisors and first molar showed a more significant relapse compared to the SR group (P < 0.05. Conclusion: Skeletal retention using miniscrews and vertical elastic is an effective method for retention of anterior open bite cases.

  17. Prevalence and factors associated with anterior open bite in 2 to 5 ...

    African Journals Online (AJOL)

    Prevalence and factors associated with anterior open bite in 2 to 5 year old children in Benin city, Nigeria. ... Background: Anterior open bite is said to exist when there is an actual vertical gap between the upper and lower incisors with the teeth in centric occlusion. This could occur in the anterior or posterior region, and may ...

  18. Anterior cruciate ligament reconstruction in children with open growth plates

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    Rustam Sh Sadykov

    2016-09-01

    Full Text Available Introduction. Anterior cruciate ligament (ACL tears are observed in 10%–32% of all traumatic lesions of the knee joint in children. Open growth plates are a serious problem in the treatment of ACL tears. Most modern methods of ACL reconstruction use transepiphyseal channels, which go through the growth plates. This may lead to angle deformity of the knee development, limb shortening and early arthritis. Material and methods. We observed 12 patients (11–17 years old; mean age, 13.2 years with ACL tears with opened growth plates, who were operated on between 2006 and 2010. ACL reconstruction was performed arthroscopically using the BTB-technique and synthetic grafts DONA-M. Results. In all cases, we achieved poor results, especially when the operation was done by BTB. We avoided shortening of the leg, but arthritis was common and progressed quickly. When we tried stabilize the joint, we achieved the reverse effect – pain in the knee, with a decreased quality of life. Conclusion. Our results demonstrate that ACL reconstruction in children with opened growth pates is not effective; we suggest performing the procedure after the growth has finished.

  19. Orthodontic treatment of anterior open bite: a review article--is surgery always necessary?

    Science.gov (United States)

    Reichert, Isabelle; Figel, Philipp; Winchester, Lindsay

    2014-09-01

    Anterior open bite cases are very difficult to treat satisfactorily because of their multifactorial aetiology and their very high relapse rate. Dependent on the origin of the anterior open bite malocclusion and the patient's age, there are several treatment possibilities ranging from deterrent appliances, high-pull headgear, fixed appliances with and without extractions to orthognathic surgery, and skeletal anchorage with miniplates or miniscrews. The gold standard treatment of skeletal anterior open bite cases is the combined approach of orthodontic treatment with fixed appliances and orthognathic surgery. In recent years, temporary anchorage devices (TAD) have been developed to correct anterior open bites orthodontically. With the introduction of TAD as an effective treatment modality, orthognathic surgery may be avoidable in selected anterior open bite cases. This is a relatively new technique and to date there remains a lack of evidence of long-term stability of anterior open bite closure with TAD.

  20. Anterior open bite correction by Le Fort I osteotomy with or without anterior segmentation: which is more stable?

    Science.gov (United States)

    Ismail, I N; Leung, Y Y

    2017-06-01

    A retrospective cohort study was conducted to analyze the relapse rate of anterior open bite (AOB) correction comparing Le Fort I osteotomy with and without anterior segmentation. The risk factors that might contribute to relapse were also assessed. Lateral cephalograms obtained at six different times were analyzed. A total of 81 patients with AOB were recruited. Thirty-five patients underwent Le Fort I osteotomy without anterior segmentation and 46 patients underwent anterior segmentation. Le Fort I osteotomy with anterior segmentation resulted in significantly more AOB relapse when compared to that without anterior segmentation at 7 weeks postoperative (15.2% vs. 0%, P=0.016). During the early postoperative period, factors that contributed to AOB relapse in Le Fort I osteotomy with anterior segmentation were AOB closure ≥4mm and inferior positioning of the anterior segment >2mm. Over the long term, AOB closure ≥4mm and intraoral vertical ramus osteotomy as the only mandibular procedure were factors identified as causing more AOB relapse in those treated by Le Fort I osteotomy with anterior segmentation. In conclusion, Le Fort I osteotomy without anterior segmentation was found to be more stable in the surgical correction of AOB in the early and late postoperative periods. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  1. Stress analysis of the tibial plateau according to the difference of blade path entry in opening wedge high tibial osteotomy

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jun Woo; Xin, YuanZhu; Yang, Seok Jo [Chungnam National University, Daejeon (Korea, Republic of); Ji, Jong Hun; Panchal, Karnav; Kwon, Oh Soo [The Catholic University of Korea, Daejeon (Korea, Republic of)

    2015-03-15

    High tibial osteotomy (HTO) has been used to successfully treat patients with genu varus deformities that can improve mechanical function and condition in the knee joint. Clinical studies have reported that bow legs often occur with a concentrated load on the varus of the tibia. This study aimed to analyze and verify the clinical test data result by utilizing the three-dimensional (3D) static finite element method (FEM). The 3D model of lower extremities, which include the femur, tibia, meniscus, and knee articular cartilage, was created using the images from a computer tomography scan and magnetic resonance imaging. In this report, we compared changes in stress distribution and force reaction on the tibial plateau because of critical problems caused by unexpected changes in the tibial posterior-slope angle because of HTO. The results showed that the 5 .deg. wedge-angle virtual opening wedge HTO without and with the posterior-slope angle shows has a load concentration of approximately 60% and 45% in the medial region, respectively.

  2. Cephalometric evaluation of adult anterior open bite non-extraction treatment with Invisalign

    OpenAIRE

    Moshiri, Shuka; Araújo, Eustáquio A.; McCray, Julie F.; Thiesen, Guilherme; Kim, Ki Beom

    2017-01-01

    ABSTRACT Objective: The purpose of this study was to evaluate, by means of cephalometric appraisal, the vertical effects of non-extraction treatment of adult anterior open bite with clear aligners (Invisalign system, Align Technology, Santa Clara, CA, USA). Methods: Lateral cephalograms of 30 adult patients with anterior open bite treated using Invisalign (22 females, 8 males; mean age at start of treatment: 28 years and 10 months; mean anterior open bite at start of treatment: 1.8 mm) were...

  3. Ipsilateral open anterior hip dislocation and open posterior elbow dislocation in an adult

    Directory of Open Access Journals (Sweden)

    Kumar Sunil

    2014-02-01

    Full Text Available 【Abstract】Open anterior dislocation of the hip is a very rare injury, especially in adults. It is a hyperabduction, external rotation and extension injury. Its combination with open posterior dislocation of the elbow has not been described in English language-based medical literature. Primary resuscitation, debridement, urgent reduction of dislocation, and adequate antibiotic support resulted in good clinical outcome in our patient. At 18 months follow-up, no signs of avascular necrosis of the femoral head or infection were observed.

  4. First Metatarsal Proximal Opening Wedge Osteotomy for Correction of Hallux Valgus Deformity: Comparison of Straight versus Oblique Osteotomy

    Science.gov (United States)

    Han, Seung Hwan; Park, Eui Hyun; Jo, Joon; Koh, Yong Gon; Lee, Jin Woo; Choi, Woo Jin

    2015-01-01

    Purpose The aim of this study was to compare clinical and radiographic outcomes of proximal opening wedge osteotomy using a straight versus oblique osteotomy. Materials and Methods We retrospectively reviewed 104 consecutive first metatarsal proximal opening wedge osteotomies performed in 95 patients with hallux valgus deformity. Twenty-six feet were treated using straight metatarsal osteotomy (group A), whereas 78 feet were treated using oblique metatarsal osteotomy (group B). The hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle, and distance from the first to the second metatarsal (distance) were measured for radiographic evaluation, whereas the American Orthopaedic Foot and Ankle Society (AOFAS) forefoot score was used for clinical evaluation. Results Significant corrections in the HVA, IMA, and distance from the first to the second metatarsal were obtained in both groups at the last follow-up (p<0.001). There was no difference in the mean IMA correction between the 2 groups (6.1±2.7° in group A and 6.0±2.1° in group B). However, a greater correction in the HVA and distance from the first to the second metatarsal were found in group B (HVA, 13.2±8.2°; distance, 25.1±0.2 mm) compared to group A (HVA, 20.9±7.7°; distance, 28.1±0.3 mm; p<0.001). AOFAS scores were improved in both groups. However, group B demonstrated a greater improvement relative to group A (p=0.005). Conclusion Compared with a straight first metatarsal osteotomy, an oblique first metatarsal osteotomy yielded better clinical and radiological outcomes. PMID:25837181

  5. First Metatarsophalangeal Contact Properties Following Proximal Opening Wedge and Scarf Osteotomies for Hallux Valgus Correction: A Biomechanical Study.

    Science.gov (United States)

    Kia, Cameron; Yoshida, Ryu; Cote, Mark; DiVenere, Jessica; Geaney, Lauren E

    2017-04-01

    Proximal opening wedge osteotomy (POWO) is an established procedure for moderate to severe hallux valgus. A common concern of this procedure is that it results in lengthening of the first metatarsal, which could cause increased intra-articular pressure of the first metatarsophalangeal joint (MTP) and may ultimately lead to arthritis because of these altered mechanics. The purpose of this study was to use a cadaveric model to compare intra-articular pressures and articulating contact properties of the MTP joint following either scarf osteotomy or POWO. Fresh-frozen cadaveric below-knee specimens with pre-existing hallux valgus (n = 12) and specimens without hallux valgus (n = 6, control group) were used. The hallux valgus specimens were stratified into 2 groups (n = 6 each): POWO or scarf osteotomy. The groups were matched based on the degree of deformity. Peak intra-articular pressure, force, and area were measured in all normal, preoperative, and postoperative specimens with a simulated weightbearing model. These measurements were made with a pressure transducer placed within the first MTP joint. Postoperatively POWO group had slightly higher contact forces and pressures compared to the scarf group and lower contact forces and pressures than those of the normal group but were not statistically significant ( P > .05). Normal specimens had higher intra-articular force, pressure, and area than postoperative specimens but the difference was not found to be significant. First metatarsal lengthening was found in both the scarf and POWO specimens; however, neither increase was found to be significant ( P > .05). The results from this study show that after operative correction, contact properties of the fist MTP joint among normal, POWO, and scarf osteotomy groups revealed no significant differences. First MTP joints in those with hallux valgus had significantly lower contact force and pressure compared to those without hallux valgus. With little long-term outcomes of

  6. Relaxation of the MCL after an Open-Wedge High Tibial Osteotomy results in decreasing contact pressures of the knee over time

    NARCIS (Netherlands)

    van Egmond, N.; Hannink, G.; Janssen, D.; Vrancken, A.C.; Verdonschot, N.; van Kampen, A.

    2017-01-01

    Purpose: The objective of this study was to investigate the effect of a medial open-wedge osteotomy (OWO) and the release of the superficial medial collateral ligament (MCL) on the tibiofemoral cartilage pressure, the MCL tension and the valgus laxity of the knee. Methods: Seven fresh-frozen, human

  7. Relaxation of the MCL after an Open-Wedge High Tibial Osteotomy results in decreasing contact pressures of the knee over time

    NARCIS (Netherlands)

    Egmond, N. van; Hannink, G.J.; Janssen, D.W.; Vrancken, A.C.; Verdonschot, N.J.; Kampen, A. van

    2017-01-01

    PURPOSE: The objective of this study was to investigate the effect of a medial open-wedge osteotomy (OWO) and the release of the superficial medial collateral ligament (MCL) on the tibiofemoral cartilage pressure, the MCL tension and the valgus laxity of the knee. METHODS: Seven fresh-frozen, human

  8. EVALUATION OF FUNCTIONAL RESULTS OF MEDIAL OPENING WEDGE HIGH TIBIAL OSTEOTOMY FOR UNICOMPARTMENTAL OSTEOARTHRITIS VARUS KNEE

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    Shyam Sundar Bakki

    2017-01-01

    Full Text Available BACKGROUND Osteoarthritis commonly affects the medial compartment of knee giving rise to varus deformity in majority of cases. Significant varus deformity further aggravates the pathology due to medialisation of the weight bearing line osteotomy of the proximal tibia realigns this weight bearing axis, thereby relieving pressure on the damaged medial compartment. OWHTO is a promising option in this scenario because it is associated with high accuracy in correcting the deformity and less number of complications when compared to lateral closing wedge HTO or UKA. In this study, we evaluate the functional outcome of HTO in patients with unicompartmental osteoarthritis. MATERIALS AND METHODS This is a prospective study of patients who attended the orthopaedic outpatient clinic in Government Hospital, Kakinada, between August 2013 to August 2015. The patients were evaluated by clinical examination and weight bearing radiographs. The patients who were found to have unicompartmental osteoarthritis with knee pain not relieved by conservative management and who satisfy the inclusion criteria were selected. RESULTS Excellent results can be achieved by appropriate selection criteria and planning with long limb weight bearing radiographs. There is an excellent relief of pain, which can be achieved within first few months postoperatively, which is assessed by VAS score. The KSS- knee score is excellent in 35%, good in 40%, fair in 20% and poor in 5%. The KSS- function score is excellent in 30%, good in 45%, fair in 20% and poor in 5%. There is significant improvement in the range of movement of the knee joint postoperatively. CONCLUSION In this study, we conclude that medial OWHTO is the preferred modality for unicompartmental OA in those aged <60 years and in developing nations like India where squatting is an important function, it has major role as it can restore near normal knee function without disturbing anatomy.

  9. Factors associated with anterior open bite in children with developmental disabilities.

    Science.gov (United States)

    de Castilho, Lia Silva; Abreu, Mauro Henrique Nogueira Guimarães; Pires E Souza, Luiz Gustavo de Almeida; Romualdo, Leiliane Teresinha de Almeida; Souza E Silva, Maria Elisa; Resende, Vera Lúcia Silva

    2018-01-01

    To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities. This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite analyzed was determined based on clinic exam. These variables were also analyzed: gender, age, education level of mother, International Code of Diseases (ICD), mouth breathing, use of anticonvulsant drugs, hyperkinesis, pacifier use, thumb sucking, seizure, and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without anterior open bite. Variables with a p-value of open bite than nasal breathers. Pacifier users are more likely to have an anterior open bite (3.32-fold, 95% CI: 1.62-6.77). Individuals with reported involuntary movements had a 2.66-fold (95% CI: 1.26-5.63) greater chance of exhibiting anterior open bite. Users of anticonvulsants drugs had a 3.05 (95% CI: 1.57-5.92) greater chance of showing anterior open bite. Involuntary movements, mouth breathing, using anticonvulsant drugs, and using pacifier are factors associated with anterior open bite in patients with developmental disabilities. © 2017 Special Care Dentistry Association and Wiley Periodicals, Inc.

  10. Reliability of the imaging software in the preoperative planning of the open-wedge high tibial osteotomy.

    Science.gov (United States)

    Lee, Yong Seuk; Kim, Min Kyu; Byun, Hae Won; Kim, Sang Bum; Kim, Jin Goo

    2015-03-01

    The purpose of this study was to verify a recently developed picture-archiving and communications system-photoshop method by comparing reliabilities between real-size paper template and the PACS-photoshop methods in preoperative planning of open-wedge high tibial osteotomy. A prospective case series was conducted, including patients with medial osteoarthritis undergoing open-wedge high tibial osteotomy. In the preoperative planning, the picture-archiving and communications system-photoshop method and real-size paper template method were used simultaneously in all patients. Preoperative hip-knee-ankle angle, height, and angle of the osteotomy were evaluated. The reliability of this newly devised method was evaluated, and the consistency between the two methods was also evaluated using intra-class correlation coefficient. Using the picture-archiving and communications system-photoshop method, the mean correction angle and height of osteotomy gap of rater-1 were 11.7° ± 3.6° and 10.7 ± 3.6 mm, respectively. The mean correction angle and height of osteotomy gap of rater-2 were 12.0 ± 2.6 and 10.8 ± 3.6, respectively. The inter- and intra-rater reliabilities of the correction angle were 0.956 ~ 0.979 and 0.980 ~ 0.992, respectively. The inter- and intra-rater reliabilities of the height of the osteotomy gap were 0.968 ~ 0.985 and 0.971 ~ 0.994, respectively (p photoshop method, mean values of the correction angle and height of the osteotomy gap were 11.9° ± 3.6° and 10.8 ± 3.6 mm, respectively. Consistency between the two methods by comparing the means of the correction angle and the height of the osteotomy gap were 0.985 and 0.985, respectively (p photoshop method enables direct measurement of the height of the osteotomy gap with high reliability.

  11. Anterior open-bite treatment by means of zygomatic miniplates: a case report.

    Science.gov (United States)

    Beycan, Kadir; Erverdi, Nejat

    2017-01-01

    This case report presents the treatment of a patient with skeletal Cl II malocclusion and anterior open-bite who was treated with zygomatic miniplates through the intrusion of maxillary posterior teeth. A 16-year-old female patient with a chief complaint of anterior open-bite had a symmetric face, incompetent lips, convex profile, retrusive lower lip and chin. Intraoral examination showed that the buccal segments were in Class II relationship, and there was anterior open-bite (overbite -6.5 mm). The cephalometric analysis showed Class II skeletal relationship with increased lower facial height. The treatment plan included intrusion of the maxillary posterior teeth using zygomatic miniplates followed by fixed orthodontic treatment. At the end of treatment Class I canine and molar relationships were achieved, anterior open-bite was corrected and normal smile line was obtained. Skeletal anchorage using zygomatic miniplates is an effective method for open-bite treatment through the intrusion of maxillary posterior teeth.

  12. Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study.

    Science.gov (United States)

    Al Hamadi, Wisam; Saleh, Fayez; Kaddouha, Mohamad

    2017-01-01

    The purpose of this study was to present early and adult cases of anterior open bite that were treated efficiently using different treatment approaches and mechanics. Five patients of different age groups (from 7 to 27 years), suffering from a clear Anterior open bite deformity, were properly diagnosed and relevant treatment modality for each was selected. Positive overbite was efficiently achieved for all patients. Patient compliance is a key factor in using removable habit breakers. However, fixed palatal crib gave the same results but in shorter time. Anterior open bite of skeletal components should be thoroughly evaluated before selecting camouflage or orthognathic surgery treatment modality.

  13. Minimally invasive opening wedge tibia outpatient osteotomy, using screw-to-plate locking technique and a calcium phosphate cement.

    Science.gov (United States)

    Schwartz, Claude

    2018-01-10

    Medial knee osteoarthritis on angular varus deformity of a lower limb is very common. Open-wedge high tibial osteotomy is a treatment of choice if cartilage is not excessively worn (Allback 1 or 2). The technique based on a plate fixation and the bone defect filled with calcium phosphate cement is thoroughly described. Data at 1, 3, 6 months and 1 year of a 19 cases continuous and prospective series are collected and analysed. Mean age at the time of operation was 55 years. The average preoperative varus deformity was 5° and corrected to an average postoperative valgus of 4° (range 3°-6°). Each control includes the collection of eventual complications, the measurement of health status (quality of life and functional scores) and antero-posterior and lateral X-rays. All osteotomies were considered healed at 6 weeks without any correction loss except one, probably result of a technical error. There was no difference in clinical and functional results between the group and the literature, but the final result occurred earlier in the treatment when the bone defect was filled with either calcium phosphate cement. Faster recovery involved no specific complication and enabled outpatient treatment in a majority of patients.

  14. Tratamiento ortodóncico-quirúrgico de una adaquia anterior Orthodontic-surgical treatment of anterior open bite

    Directory of Open Access Journals (Sweden)

    Anselmo López Rodríguez

    2004-08-01

    Full Text Available En la práctica y desarrollo de la cirugía ortognática en el Hospital Universitario "Comandante Manuel Fajardo" a lo largo de los años, la morbilidad de diferentes anomalías del desarrollo maxilo-mandibulares ha mostrado que la adaquia o mordida abierta anterior es bastante frecuente. Desde tempranas edades se detectan y son tratadas por el especialista en Ortodoncia. El cerrar una adaquia en ocasiones se torna difícil y es cuando el análisis del paciente debe realizarse en el grupo multidisciplianrio integrado por cirujanos maxilofaciales, ortodoncistas y protesistas. Se han detectado diferentes causas que pueden producir una adaquia y en su mayor parte son hábitos nocivos que perduran en el paciente; por ejemplo, la interferencia con el centro de crecimiento condilar, la succión del pulgar, la deglución atípica o lengua protractil, la respiración bucal, entre otras. Este trabajo está encaminado en mostrar los diferentes tratamientos que en la actualidad se emplean para reducir una mordida abierta anterior y presenta el caso de una niña de 14 años de edad portadora de una adaquia de más de 18 mm.In the context of orthognathic surgery practice and development at "Comandante Manuel Fajardo" university hospital, morbidity from several anomalies in the maxillomandibular growth has shown that anterior open bite is pretty common. Such anomalies are detected and treated by the orthodontist at early childhood. To close an anterior open bite is difficult sometimes and requires the analysis of the patient by a multidisciplinary group made up of maxillofacial surgeons, orthodontists and denture specialists. A number of causes may be the origin of anterior open bite, mainly harmful habits that persist in the patient such as interference with the condylar growth center, dummy sucking, atypical deglutition or proctatile tongue, mouth breathing, among others. This paper is aimed at showing different therapies that presently reduce anterior open

  15. Correction of Anterior Open Bite and Facial Profile by Orthognathic Surgery– A Case Report

    Directory of Open Access Journals (Sweden)

    Quazi Billur Rahman

    2010-07-01

    Full Text Available This case report describes the treatment of a severe anterior open bite, Class III malocclusion with a history of digitsucking. An 18 years-old male presented with a significant anteroposterior and vertical discrepancy of face. The patient’sface was concave with procumbent lips. He had an anterior open bite of 11 mm, a reverse overjet of 8 mm, and atransverse maxillary deficiency on right side. The orthognathic surgery was elected as an option of treatment to correctthe anterior open bite with improvement of facial profile.Keywords: Anterior open bite; Transverse maxillary deficiency; Vertical excess; Orthognathic surgery.DOI: 10.3329/bsmmuj.v3i1.5512BSMMU J 2010; 3(1: 31-34

  16. Capsular phimosis with complete occlusion of the anterior capsular opening after intact continuous curvilinear capsulorrhexis

    International Nuclear Information System (INIS)

    AlKharashi, Soliman A

    2009-01-01

    Shrinkage and whitening of the anterior capsule opening - capsular contraction syndrome - is a well-known complication after continuous curvilinear capsulorrhexis. A 72-year-old women underwent continuous curvilinear capsulorrhexis, phacoemulsification, and implantation of posterior chamber intraocular lens with polymethylmethacrylate haptics. Four months postoperatively, the patient reported deterioration in visual acuity that was resulted due to complete occlusion of anterior capsular opening by fibrotic tissue. The fibrous membrane was excised surgically in capsulorrhexis fashion. (author)

  17. Skeletal and Dentoalveolar Cephalometric Features of Anterior Open Bite among Yemeni Adults

    OpenAIRE

    Daer, Ammar Abdulkareem; Abuaffan, Amal Hussein

    2016-01-01

    Objective. The aim of this study is to determine the cephalometric features for a sample of Yemeni adults with anterior open bite. Material and Methods. Lateral cephalometric radiographs were taken for 65 Yemeni university students (46 males and 19 females), 18?25 years old, with clinical anterior open bite (vertical overbite ? 0?mm) and no previous orthodontic treatment. The radiographs were manually traced; twelve angular, five linear measurements, and facial index were assessed, analyzed s...

  18. Studying the effect of medial open wedge high tibial osteotomy on the posterior slope of tibia among patients with Genu varum

    Directory of Open Access Journals (Sweden)

    Seyyed Raza Sharifzadeh

    2017-09-01

    Full Text Available Background A slight change in the posterior slope of tibia results in complications such as limited movement of knee joint and higher risks of Osteoarthritis. Aims The present research seeks to study levels of tibia’s posterior slope change and limited movement of knee joint and knee stability following medial open wedge osteotomy used to treat patients with genu varum. Methods The present research is a clinical trial conducted in the form of a before and after study on patients with genu varum resorting to Imam Reza (PBUH, Khanevade, and Fajr hospitals from 2009 to 2012. As many as 40 knees (32 patients were studied and the posterior slope of tibia before and after medial open wedge high tibial osteotomy was measured by someone totally unaware of the research using true lateral radiography. Movement limitation and stability of the knee was measured before and after the operation using scope of motion and Lachman and Drawer test. Paired sample test was used in this research and SPSS was used to analyse the data. Results The average posterior slope of tibia before the operation was 9.912, while this value changed to 11.625 after the operation signifying a significant increase. In terms of limited knee joint movement, 7 patients were diagnosed with grade 5 Extension LAG after operation, while the remaining 33 patients had a normal motion range (Extension LAG=0. Conclusion Medial open wedge osteotomy above tibia can help increase the posterior slope of tibia.

  19. Effect of Computer Navigation on Accuracy and Reliability of Limb Alignment Correction following Open-Wedge High Tibial Osteotomy: A Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Seung-Beom Han

    2017-01-01

    Full Text Available Background. It is unclear whether computer navigation can improve the accuracy and reliability of targeted lower limb alignment correction following open-wedge high tibial osteotomy (HTO. This meta-analysis was designed to compare the accuracy and reliability of limb alignment correction between computer navigated and conventional open-wedge HTOs. Methods. Studies that compared postoperative coronal alignment, including mechanical axis (MA and weight bearing line (WBL ratio, outliers of alignment correction, and change in tibial posterior slope, following open-wedge HTO performed using computer navigated and conventional methods were included. Results. Ten studies were included in the meta-analysis. The MA (0.93°; 95% confidence interval [CI]: 0.45–1.41°; P<0.001 and WBL ratio (1.5%; 95% CI: 0.03–2.98%; P=0.048 were significantly greater for computer navigated HTO than for conventional HTO. Outliers of alignment correction after surgery were significantly lower in patients who underwent computer navigated HTO than in those who underwent conventional HTO (odds ratio: 0.25; 95% CI: 0.08–0.79; P=0.02. Changes in posterior tibial slope from before to after surgery, however, were similar for the two approaches. Conclusion. Computer navigated HTO resulted in slightly more valgus postoperative alignment and effectively reduced outliers of alignment correction but had no effect on change in posterior tibial slope when compared with conventional HTO.

  20. Radiographic and computed tomographic evaluation of bone union after medial opening wedge high tibial osteotomy with filling gap.

    Science.gov (United States)

    Kobayashi, Hideo; Akamatsu, Yasushi; Kumagai, Ken; Kusayama, Yoshihiro; Saito, Tomoyuki

    2017-10-01

    We evaluated bone union and remodelling in patients undergoing opening-wedge high tibial osteotomy (OWHTO) with bone gaps filled with beta-tricalcium phosphate. We examined the effectiveness of radiography and computed tomography (CT) for the evaluation of bone union and remodelling, and investigated whether lateral hinge fractures affected bone union. Sixty-six cases underwent OWHTO with a combination of a TomoFix plate and a bone substitute. Bone union and remodelling were assessed using the rating system for OWHTO at three and six months, postoperatively. Radiographic evaluation showed that bone union of the lateral hinge was 85% and 100% at three and six months, respectively. Based on CT evaluation, bone union of the lateral hinge and the flange was achieved in all cases at six months, and the bone union of the posterior cortex reached Zone 3 in 83% at six months. Based on radiographic evaluation, bone remodelling phases of bone substitute had progressed in each zone in six months compared with three months. Radiographic and CT analyses identified a Takeuchi type I hinge fracture in fourteen (21.2%) and five (7.6%) knees at two weeks postoperatively, respectively. There were no differences in bone union with and without the lateral hinge fracture. The use of CT enabled us to evaluate the bone union of the flange and the extent of the bone union of the posterior cortex. Plain radiographs are useful to evaluate bone union of the lateral hinge similar to CT analysis. The presence of a Takeuchi type I hinge fracture did not affect bone union. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Correction of moderate to severe hallux valgus with combined proximal opening wedge and distal chevron osteotomies: a reliable technique.

    Science.gov (United States)

    Jeyaseelan, L; Chandrashekar, S; Mulligan, A; Bosman, H A; Watson, A J S

    2016-09-01

    The mainstay of surgical correction of hallux valgus is first metatarsal osteotomy, either proximally or distally. We present a technique of combining a distal chevron osteotomy with a proximal opening wedge osteotomy, for the correction of moderate to severe hallux valgus. We reviewed 45 patients (49 feet) who had undergone double osteotomy. Outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) and the Short Form (SF) -36 Health Survey scores. Radiological measurements were undertaken to assess the correction. The mean age of the patients was 60.8 years (44.2 to 75.3). The mean follow-up was 35.4 months (24 to 51). The mean AOFAS score improved from 54.7 to 92.3 (p hallux valgus and intermetatarsal angles were improved from 41.6(o) to 12.8(o) (p < 0.001) and from 22.1(o) to 7.1(o), respectively (p < 0.001). The mean distal metatarsal articular angle improved from 23(o) to 9.7(o). The mean sesamoid position, as described by Hardy and Clapham, improved from 6.8 to 3.5. The mean length of the first metatarsal was unchanged. The overall rate of complications was 4.1% (two patients). These results suggest that a double osteotomy of the first metatarsal is a reliable, safe technique which, when compared with other metatarsal osteotomies, provides strong angular correction and excellent outcomes with a low rate of complications. Cite this article: Bone Joint J 2016;98-B:1202-7. ©2016 The British Editorial Society of Bone & Joint Surgery.

  2. Coronal subluxation of the proximal tibia relative to the distal femur after opening wedge high tibial osteotomy.

    Science.gov (United States)

    Akamatsu, Yasushi; Ohno, Satoshi; Kobayashi, Hideo; Kusayama, Yoshihiro; Kumagai, Ken; Saito, Tomoyuki

    2017-01-01

    The coronal subluxation of the proximal tibia relative to the distal femur is a common radiological finding in patients with knee osteoarthritis. The purpose was to evaluate whether the coronal subluxation was corrected after opening wedge high tibial osteotomy (OWHTO), and whether this subluxation was one cause of inconsistency between the actual and predicted alignments (correction loss). Fifty-one patients (55 knees) were treated with OWHTO. The change of location between the intersection points of the femoral and tibial axes on the tibial plateau (subluxation-C), the change of location between the lines through the most lateral points of the lateral femoral and tibial condyles (subluxation-L), and joint space angle (JSA) were compared in standing knee radiographs before and one year after OWHTO. The subluxation-C and subluxation-L were converted to a percentage of the tibial plateau width. The mean subluxation-C of 6.5% before OWHTO significantly increased to a mean subluxation-C of 7.3% one year after OWHTO. The mean subluxation-L of 6.3% and JSA of 4.5° before OWHTO significantly decreased to a subluxation-L of 1.8% and JSA of 3.3° one year after OWHTO. The change in subluxation-L correlated with the change in femorotibial angle and correction loss (r=0.634, P<0.001 and r=0.463, P<0.001, respectively). The proximal tibia shifted medially relative to the distal femur after OWHTO. This medial shift correlated with the correction loss. The coronal subluxation might be one cause of correction loss. Copyright © 2016 Elsevier B.V. All rights reserved.

  3. Cervical vertebral column morphology and head posture in preorthodontic patients with anterior open bite.

    Science.gov (United States)

    Kim, Phong; Sarauw, Martin Toft; Sonnesen, Liselotte

    2014-03-01

    Cervical vertebral column morphology and head posture were examined and related to craniofacial morphology in preorthodontic children and adolescents with anterior open bite. One hundred eleven patients (ages, 6-18 years) with an anterior open bite of more than 0 mm were divided into 2 groups of skeletal or dentoalveolar open bite. The skeletal open-bite group comprised 38 subjects (19 girls, 19 boys). The dentoalveolar open-bite group comprised 73 subjects (43 girls, 30 boys). Visual assessment of the cervical column and measurements of craniofacial morphology and head posture were made on profile radiographs. Deviations in the cervical vertebral column morphology occurred in 23.7% of the subjects in the skeletal open-bite group and in 19.2% in the dentoalveolar open-bite group, but the difference was not significant. Head posture was significantly more extended in the skeletal open-bite group compared with the dentoalveolar open-bite group (craniovertical angle [Mx/VER], P open bite. No significant differences in the cervical vertebral column's morphologic deviations were found between the skeletal and the dentoalveolar open-bite groups. Significant differences were found in head posture between the groups and with regard to associations with craniofacial dimensions. This might indicate a respiratory etiologic component in children with anterior open bite. Copyright © 2014 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  4. Correction of post-traumatic anterior open bite by injection of botulinum toxin type A into the anterior belly of the digastric muscle: case report.

    Science.gov (United States)

    Seok, Hyun; Park, Yong-Tae; Kim, Seong-Gon; Park, Young-Wook

    2013-08-01

    Post-traumatic anterior open bite can occur as a result of broken balance among the masticatory muscles. The superior hyoid muscle group retracts the mandible downward and contributes to the anterior open bite. Denervation of the digastric muscle by injection of botulinum toxin type A (BTX-A) can reduce the power of the digastric muscle and help to resolve the post-traumatic anterior open bite. A patient with a bilateral angle fracture had an anterior open bite even after undergoing three operations under general anesthesia and rubber traction. Although the open bite showed some improvement by the repeated operation, the occlusion was still unstable six weeks after the initial treatment. To eliminate the residual anterior open bite, BTX-A was injected into the anterior belly of the digastric muscle. Following injection of BTX-A, the anterior open bite showed immediate improvement. Complication and relapse were not observed during follow-up. Long-standing post-traumatic open bite could be successfully corrected by injection of BTX-A into the anterior belly of the digastric muscle without complication.

  5. [Etiology and treatment options of anterior open bite in growing patients: a narrative review].

    Science.gov (United States)

    Caprioglio, Alberto; Fastuca, Rosamaria

    2016-12-01

    Anterior open bite represents a malocclusion that is still under study because of the still lacking evidence about etiology and best treatment options in growing subjects according to success rate and stability. Etiology involves the interaction of environmental factors such as prolonged sucking habits, mouth breathing, tongue or lip thrusting, tongue dimension, eruption disturbances with a genetically determined vertical facial growth pattern. The treatment options for the early treatment of anterior open bite are still controversial. The aim of this study was to evaluate the actual available evidence on treatments of anterior open bite in the mixed dentition in order to assess the effectiveness of the early treatment in reducing open bite, the most efficacious treatment strategy and the stability of the results. © EDP Sciences, SFODF, 2016.

  6. Static and fatigue strength of a novel anatomically contoured implant compared to five current open-wedge high tibial osteotomy plates.

    Science.gov (United States)

    Diffo Kaze, Arnaud; Maas, Stefan; Belsey, James; Hoffmann, Alexander; Pape, Dietrich

    2017-12-08

    The purpose of the present study was to compare the mechanical static and fatigue strength of the size 2 osteotomy plate "Activmotion" with the following five other common implants for the treatment of medial knee joint osteoarthritis: the TomoFix small stature, the TomoFix standard, the Contour Lock, the iBalance and the second generation PEEKPower. Six fourth-generation tibial bone composites underwent a medial open-wedge high tibial osteotomy (HTO), according to standard techniques, using size 2 Activmotion osteotomy plates. All bone-implant constructs were subjected to static compression load to failure and load-controlled cyclic fatigue failure testing, according to a previously defined testing protocol. The mechanical stability was investigated by considering different criteria and parameters: maximum forces, the maximum number of loading cycles, stiffness, the permanent plastic deformation of the specimens during the cyclic fatigue tests, and the maximum displacement range in the hysteresis loops of the cyclic loading responses. In each test, all bone-implant constructs with the size 2 Activmotion plate failed with a fracture of the lateral cortex, like with the other five previously tested implants. For the static compression tests the failure occurred in each tested implant above the physiological loading of slow walking (> 2400 N). The load at failure for the Activmotion group was the highest (8200 N). In terms of maximum load and number of cycles performed prior to failure, the size 2 Activmotion plate showed higher results than all the other tested implants except the ContourLock plate. The iBalance implant offered the highest stiffness (3.1 kN/mm) for static loading on the lateral side, while the size 2 Activmotion showed the highest stiffness (4.8 kN/mm) in cyclic loading. Overall, regarding all of the analysed strength parameters, the size 2 Activmotion plate provided equivalent or higher mechanical stability compared to the previously tested

  7. Cervical vertebral column morphology and head posture in preorthodontic patients with anterior open bite

    DEFF Research Database (Denmark)

    Kim, Phong; Sarauw, Martin Toft; Sonnesen, Liselotte

    2014-01-01

    INTRODUCTION: Cervical vertebral column morphology and head posture were examined and related to craniofacial morphology in preorthodontic children and adolescents with anterior open bite. METHODS: One hundred eleven patients (ages, 6-18 years) with an anterior open bite of more than 0 mm were...... posture were made on profile radiographs. RESULTS: Deviations in the cervical vertebral column morphology occurred in 23.7% of the subjects in the skeletal open-bite group and in 19.2% in the dentoalveolar open-bite group, but the difference was not significant. Head posture was significantly more...... extended in the skeletal open-bite group compared with the dentoalveolar open-bite group (craniovertical angle [Mx/VER], P posture was associated with craniofacial morphology: extended posture was associated with a large cranial base angle...

  8. Survivorship of medial opening wedge high tibial osteotomy in the elderly: two to ten years of follow up.

    Science.gov (United States)

    Ruangsomboon, Pakpoom; Chareancholvanich, Keerati; Harnroongroj, Thos; Pornrattanamaneewong, Chaturong

    2017-10-01

    Medial opening wedge high tibial osteotomy (MOWHTO) is a well-accepted procedure, which has been widely used for pain relief and varus deformity correction in the osteoarthritic (OA) knee, especially in the young patient. However, in the elderly patient, the efficacy of this procedure is still unknown. Therefore, this study aims to evaluate the survivorship of MOWHTO in elderly patients as the primary outcome. The secondary outcome is to evaluate the loss of correction angle that is the common complication after MOWTHO. A retrospective study of 50 elderly patients (≥ 60 years) was conducted to track survivorship of MOWHTO. All patients were diagnosed with varus OA knee and underwent MOWHTO at our institute. The patients who had previous knee surgery or incomplete data were excluded. Medical records and radiographs of eligible patients were reviewed for recruiting the data. Survivorship of MOWHTO was analyzed using Kaplan-Meier curves. The starting point was the time of operation and the end point was the time of subsequent TKA. The loss of correction angle was defined as the change of medial proximal tibial angle (MPTA) between three months and one year post-operatively. The mean age of patients was 66 ± 5.0 years. The majority of patients were female (74%). The mean correction angle was 10.6 ± 3.6 degrees. The union rate of osteotomy site was 100%. In survival analysis, the median follow-up time was 6.0 ± 3.0 years. Two patients required subsequent conversions to TKA. The survivorship of MOWHTO at four years was 95.5% (95%CI, 96.0 to 98.0). For radiographic assessment, the loss of correction angle was 1.0 ± 0.5 degrees at one year post-operatively. This study proved that MOWHTO in patient ≥60 years had good mid-term survivorship with acceptable complications. This procedure can be the alternative option for the treatment of varus OA knee in the elderly.

  9. Periodontal and gingival incisor findings in patients with anterior open bite in the mixed dentition.

    Science.gov (United States)

    Bechtold, Till Edward; Briegleb, Henning K

    2010-05-01

    The objective of this study was to investigate any association between anterior open bite and periodontal health of the front teeth during mixed dentition. We investigated the periodontal and gingival status of the teeth with dysfunctional and/or subfunctional loading in the open-bite area in 9- to 12-year-old children. We examined 36 subjects with anterior open bite between the ages of 9 and 12 years who had presented for the first time at the Department of Orthodontics, University of Tübingen. A control group of 36 children of the same age with a physiologic incisor relationship--vertical overbite and sagittal overjet were between 1 and 3 mm--were compared. In addition to overjet, the Silness-Löe plaque index, the modified Löe-Silness gingival index, pocket depth and attachment loss were measured and documented at each of the four surfaces (mesial, distal, oral and vestibular) of the upper and lower incisors. The subjects with anterior open bite exhibited significantly more plaque in the malocclusion area than children with a physiologic incisor relationship; the differences were statistically highly significant. The subjects with anterior open bite demonstrated slightly higher degrees of inflammation and a slight increase in periodontal pocket depths than the control group. Periodontal attachment loss was diagnosed in very few areas in both study groups, while attachment loss was slightly more frequent in those with anterior open bite. We observed a higher risk for caries in the malocclusion area in the late mixed dentition phase, as the subjects with anterior open bite presented significantly more plaque accumulation in the incisor area. However, no pathological periodontal anomalies have been detected so far.

  10. [Occlusal plane orientation and postoperative anterior open bite relapse].

    Science.gov (United States)

    Olivi, P; Cheynet, F; Chossegros, C; Blanc, J-L

    2009-11-01

    Most published data on relapse in open bite maxillo-mandibular deformities give raw results but do not suggest any specific therapy. Indeed, their authors compare the various osteotomy techniques but without identifying risk factors for relapse (dysfunctional or architectural). We studied the predictive value of occlusal plane tilting, in the long-term relapse of open bite maxillo-mandibular deformity. Fifty patients were included between 1996 and 2007. For each patient, Delaire cephalometric analysis was performed on preoperative, immediate and late postoperative teleradiographs. Immediate real postoperative occlusal plane tilting was analyzed and compared with "ideal" theoretical occlusal plane tilting (calculated with Delaires' analysis). The patients were classified in two groups: one with slight discrepancy between these two planes (+/-3.75 degrees) and one with large discrepancies between these two planes (greater than 3.75 degrees or lesser than 3.75 degrees). Postoperative relapse was seven times more frequent when the postoperative plane tilting was superior to +/-3.75 degrees in reference to the ideal plane. Postoperative occlusal plane tilting is a predictive factor of postoperative open bite relapse.

  11. Efficacy of a novel pacifier in the prevention of anterior open bite.

    Science.gov (United States)

    Zimmer, Stefan; Barthel, Claudia R; Ljubicic, Ruzi; Bizhang, Mozhgan; Raab, Wolfgang H M

    2011-01-01

    The purpose of this study was to test a novel pacifier (Dentistar) regarding the development of anterior open bite in infants. One hundred twenty-nine newborn children were randomly assigned to 2 experimental groups: NUK (N; N =73); and Dentistar (D; N=56. Children (N=42) who did not use a pacifier served as the control (C). At 10- to 26-months old, the children were re-examined (via a blind operator) regarding the existence of an anterior open bite. One hundred twenty-one toddlers (66 females, 55 males) were included in the final analysis (N: N=42; D: N=43; C: N=36). The mean age was 15.9 (±3.9 SD) months. In Group N, 16 children (38%) showed an anterior open bite, 2 (5%) in Group D, and 0 in Group C. The incidence of open bites was significantly less in Groups D and C vs N (chi-square test, PPacifier use may promote open bites in 16-month-old infants. Compared to a commonly used pacifier, the Dentistar caused almost no anterior open bites and, therefore, can be recommended for children younger than 16 months old.

  12. Skeletal and Dentoalveolar Cephalometric Features of Anterior Open Bite among Yemeni Adults.

    Science.gov (United States)

    Daer, Ammar Abdulkareem; Abuaffan, Amal Hussein

    2016-01-01

    Objective. The aim of this study is to determine the cephalometric features for a sample of Yemeni adults with anterior open bite. Material and Methods. Lateral cephalometric radiographs were taken for 65 Yemeni university students (46 males and 19 females), 18-25 years old, with clinical anterior open bite (vertical overbite ≤ 0 mm) and no previous orthodontic treatment. The radiographs were manually traced; twelve angular, five linear measurements, and facial index were assessed, analyzed statistically, and compared to 194 Yemeni norms (89 males and 105 females) as well as cephalometric features of open bite subjects in previous studies. Results. Statistically significant differences were observed in skeletal and dental cephalometric values of Yemeni patients with anterior open bite when compared to Yemeni norms; mainly in the anteroposterior relation, the open bite individuals had higher significant value in SNA, SNB, and SNPg angles. In addition, a higher statistical significant difference was recorded in all variables of vertical relation when compared with norms. In contrast, NL-NSL angle revealed higher value among normal individuals. Dental variables among open bite individuals showed a greater degree of dental proclination, higher statistically significant value in [Formula: see text]-NA°, [Formula: see text]-NA mm and I-NB mm, and a lower significant value in U1-L1 in open bite group. Conclusion. Open bite Yemeni individual's skeletal and dentoalveolar variables significantly differ from Yemeni norms in the extent of the anteroposterior, vertical developmental pattern and dental relations.

  13. Early risk factors for posterior crossbite and anterior open bite in the primary dentition.

    Science.gov (United States)

    Germa, Alice; Clément, Céline; Weissenbach, Michel; Heude, Barbara; Forhan, Anne; Martin-Marchand, Laetitia; Bonet, Mercedes; Vital, Sibylle; Kaminski, Monique; Nabet, Cathy

    2016-09-01

    To investigate risk factors specific to posterior crossbite and anterior open bite at the age of 3 years. The study included 422 children of the French EDEN mother-child cohort. The main outcomes were the presence of posterior crossbite and anterior open bite assessed by dentists at 3 years. Social characteristics (collected during pregnancy), neonatal characteristics (collected at birth), duration of breast-feeding (collected prospectively), sucking habits at 3 years, and open lips (as a proxy for mouth breathing) were studied and two logistic regressions conducted. Preterm birth appears to be a risk factor specific for posterior crossbite (OR: 3.13; 95% CI: 1.13-8.68), whereas small for gestational age seems to be associated with a lower risk of posterior crossbite (OR: 0.32; 95% CI: 0.12-0.87). Ongoing pacifier or thumb sucking at 3 years is a risk factor for both posterior crossbite and anterior open bite. Children born preterm seem to be more at risk for posterior crossbite than those born at term. Different mechanisms may be involved in posterior crossbite and anterior open bite.

  14. ANTERIOR OPEN-BITE TREATMENT BY MEANS OF ZYGOMATIC MINIPLATES: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Kadir BEYCAN

    2017-01-01

    Full Text Available This case report presents the treatment of a patient with skeletal Cl II malocclusion and anterior open-bite who was treated with zygomatic miniplates through the intrusion of maxillary posterior teeth. A 16-year-old female patient with a chief complaint of anterior open-bite had a symmetric face, incompetent lips, convex profile, retrusive lower lip and chin. Intraoral examination showed that the buccal segments were in Class II relationship, and there was anterior open-bite (overbite -6.5 mm. The cephalometric analysis showed Class II skeletal relationship with increased lower facial height. The treatment plan included intrusion of the maxillary posterior teeth using zygomatic miniplates followed by fixed orthodontic treatment. At the end of treatment Class I canine and molar relationships were achieved, anterior open-bite was corrected and normal smile line was obtained. Skeletal anchorage using zygomatic miniplates is an effective method for open-bite treatment through the intrusion of maxillary posterior teeth.

  15. Management of severe anterior open-bite in an adult patient using miniscrews as skeletal anchorage.

    Science.gov (United States)

    Rachala, Madhukar Reddy; Harikrishnan, Pandurangan

    2010-01-01

    Anterior open bite is often caused by a downward rotation of the mandible and/or by excessive eruption of the posterior teeth. In such cases, it is difficult to establish absolute anchorage for molar intrusion by traditional orthodontic mechanics. This is a case report of successful treatment of a severe anterior open bite using miniscrew anchorage. A female patient of 20 yrs presented with symmetrical frontal facial appearance, increased anterior facial height, convex profile and incompetent lips. Dentally, she had lost both mandibular first molars due to caries and both maxillary first molars were extruded. She had class II canine relationship, 5 mm overjet, 5 mm anterior open bite, 3 mm mandibular midline diastema and a spacing of 2 mm in the maxillary arch. The treatment objectives were to correct the anterior open bite and establish ideal overjet and overbite and to restore the mandibular first molars with fixed prosthesis. Titanium miniscrews (1.3 mm diameter and 9 mm length) were implanted bilaterally in the maxillary arch between the second premolar and the first molar, and an intrusion force was applied with NiTi closed coil springs for 8 months. After molar intrusion, the same screws were used for en masse retraction of the entire dentition (third molars were extracted) for 4 months. The results showed that, after an active treatment of 20 months, the maxillary molars were intruded about 4 mm each and good occlusion was achieved. In conclusion, the miniscrews were very useful in the non-surgical management of adult anterior open bite cases.

  16. Anatomic predictors for anterior chamber angle opening after laser peripheral iridotomy in narrow angle eyes.

    Science.gov (United States)

    Huang, Guofu; Gonzalez, Eduardo; Lee, Roland; Osmonavic, Senad; Leeungurasatien, Thidarat; He, Mingguang; Lin, Shan C

    2012-07-01

    To investigate anterior chamber parameters and biometric factors associated with degree of angle opening after laser peripheral iridotomy (LPI) for narrow angles. In this prospective cohort study, patients with narrow angles who were scheduled for LPI were recruited. Anterior chamber parameters by anterior segment coherence tomography (ASOCT) under dark conditions were compared before and after LPI. Only the right eye was used for analysis if both eyes were eligible. Measurements performed by customized software included anterior chamber depth, iris area, angle opening distance at 500 µm (AOD500) anterior to the scleral spur, iris thickness at 750 µm from sclera spur (IT750), trabecular-iris space area 500 (TISA500), and iris curvature (I-Curv). Univariate and multiple regression analyses were performed to determine the predictive factors of angle opening after LPI. Eighty-one patients with narrow angles were prospectively recruited in this study. The AOD500 increased significantly from 0.128 ± 0.081 mm (before) to 0.209 ± 0.087 mm (after) in the nasal quadrant, and from 0.103 ± 0.067 mm (before) to 0.197 ± 0.071 mm (after) in the temporal quadrant (p chamber angle widening after LPI were older age, smaller iris area, and steeper iris.

  17. Treatment of chronic anterior shoulder dislocation by open reduction and simultaneous Bankart lesion repair

    Directory of Open Access Journals (Sweden)

    Rouhani Alireza

    2010-06-01

    Full Text Available Abstract Background Untreated chronic shoulder dislocation eventually leads to functional disability and pain. Open reduction with different fixation methods have been introduced for most chronic shoulder dislocation. We hypothesized that open reduction and simultaneous Bankart lesion repair in chronic anterior shoulder dislocation obviates the need for joint fixation and leads to better results than previously reported methods. Methods Eight patients with chronic anterior dislocation of shoulder underwent open reduction and capsulolabral complex repair after an average delay of 10 weeks from injury. Early motion was allowed the day after surgery in the safe position and the clinical and radiographic results were analyzed at an average follow-up of one year. Results The average Rowe and Zarin's score was 86 points. Four out of eight shoulders were graded as excellent, three as good and one as fair (Rowe and Zarins system. All patients were able to perform their daily activities and they had either mild or no pain. Anterior active forward flexion loss averaged 18 degrees, external active rotation loss averaged 17.5 degrees and internal active rotation loss averaged 3 vertebral body levels. Mild degenerative joint changes were noted in one patient. Conclusion The results show that the overall prognosis for this method of operation is more favorable than the previously reported methods and we recommend concomitant open reduction and capsulolabral complex repair for the treatment of old anterior shoulder dislocation. Level of Evidence Therapeutic study, Level IV (case series [no, or historical, control group

  18. Implementation of Open and Closed Kinetic Chain Quadriceps Strengthening Exercises after Anterior Cruciate Ligament Reconstruction.

    Science.gov (United States)

    Ross, Michael D.; Denegar, Craig R.; Winzenried, Jay A.

    2001-01-01

    Reviews the effects of open kinetic chain (OKC) and closed kinetic chain (CKC) exercise on anterior cruciate ligament (ACL) strain and patellofemoral joint stress, suggesting a combination of the two for quadriceps strengthening after ACL reconstruction. Both OKC and CKC exercises may be modified and implemented for quadriceps strengthening after…

  19. [Stability of orthodontic-maxillofacial surgical treatment of anterior open bite deformities

    NARCIS (Netherlands)

    Hoppenreijs, T.J.M.; Freihofer, H.P.M.; Stoelinga, P.J.W.; Tuinzing, D.B.

    2001-01-01

    A sample of 267 patients with maxillary hyperplasia, a Class I or Class II occlusion and anterior open bite, collected from three different institutions, was analysed regarding stability after Le Fort I intrusion osteotomies or bimaxillary osteotomies. Skeletal and dento-alveolar stability of the

  20. Treatment results and long-term stability of anterior open bite malocclusion.

    NARCIS (Netherlands)

    Remmers, D.; Hullenaar, B.W. van 't; Bronkhorst, E.M.; Berge, S.J.; Katsaros, C.

    2008-01-01

    OBJECTIVES: To evaluate treatment results and long-term stability of anterior open bite malocclusion and to identify predictive factors for both treatment results and their stability. DESIGN: Retrospective study. SETTING AND SAMPLE POPULATION: The Department of Orthodontics and Oral Biology at the

  1. Comparison of posterior occlusion between patients with anterior open bite and scissor deep bite.

    Science.gov (United States)

    Qi, Kun; Xu, Yifei; Hou, Yuxia; Wang, Mei-Qing

    2018-01-01

    Objective A minor alteration in the posterior occlusal height elicits a large transformation in the anterior vertical dimension. Thus, the present study was performed to determine whether a posterior cusp-to-cusp relation that increases the posterior vertical dimension contributes to an anterior open bite. Methods Study casts were examined from orthodontic patients aged 10 to 27 years, 21 with an open bite and 28 with a scissor deep bite. A logistic regression model was used to analyze the contribution of various factors to these two anterior occlusal patterns. The dental arch width and number of worn cusps were compared between the two groups. Results Patients with an open bite had a significantly higher incidence of a posterior buccal-lingual cusp-to-cusp relation, wider mandibular arch in the molar region, and larger numbers of worn maxillary buccal cusps and mandibular lingual cusps than patients with a scissor deep bite. Conclusions A posterior buccal-lingual cusp-to-cusp relation is associated with a larger anterior vertical dimension, such as that in patients with an open bite.

  2. Root surface areas of maxillary permanent teeth in anterior normal overbite and anterior open bite assessed using cone-beam computed tomography.

    Science.gov (United States)

    Suteerapongpun, Piyadanai; Sirabanchongkran, Supassara; Wattanachai, Tanapan; Sriwilas, Patiyut; Jotikasthira, Dhirawat

    2017-12-01

    The aim of this study was to compare the root surface areas of the maxillary permanent teeth in Thai patients exhibiting anterior normal overbite and in those exhibiting anterior open bite, using cone-beam computed tomography (CBCT). CBCT images of maxillary permanent teeth from 15 patients with anterior normal overbite and 18 patients with anterior open bite were selected. Three-dimensional tooth models were constructed using Mimics Research version 17.0. The cementoenamel junction was marked manually. The root surface area was calculated automatically by 3-Matic Research version 9.0. The root surface areas of each tooth type from both types of bite were compared using the independent t-test ( P <.05). The intraclass correlation coefficient was used to assess intraobserver reliability. The mean root surface areas of the maxillary central and lateral incisors in individuals with anterior open bite were significantly less than those in those with normal bite. The mean root surface area of the maxillary second premolar in individuals with anterior open bite was significantly greater than in those with normal bite. Anterior open-bite malocclusion might affect the root surface area, so orthodontic force magnitudes should be carefully determined.

  3. Clinical implementation of enhanced dynamic wedge

    International Nuclear Information System (INIS)

    Klein, Eric E.; Zhu Xiaorong; Low, Daniel A.; Drzymala, Robert E.; Harms, William B.; Purdy, James A.

    1996-01-01

    Purpose/Objective: Our clinic has been using dynamic wedge since 1993. We appreciate the customized wedge shaped distributions (independent of field size) and the positive aspects of replacing filters with dynamic jaw motion. Varian recently introduced enhanced dynamic wedge (EDW) software. The EDW can be delivered over; a 30 cm field, asymmetric fields (in both wedged and non-wedged directions), and additional wedge angles (10, 15, 20, 25, 30, 45, 60). The EDW software creates customized segmented treatment tables (STTs) for the desired wedge angle and field size. The STT is created from a 'golden' fluence profile of 60 deg. over 30 cm. The wedge STT is derived using ratio-of-tangents and the truncated field segment extracted from the 'golden' table. A review of our dosimetric studies will be presented as well as a discussion of clinical implementation issues including treatment planning and quality assurance. Methods and Materials: We tested a set of angle and field size combinations chosen to encompass clinical needs. The wedge factor (WF) was measured using an ionization chamber along central axis for symmetric fields ranging from 4 to 20 cm, and asymmetric fields to 30 cm. The non-wedged field dimension was found to be inconsequential. An algorithm was developed to predict the wedge factor for any angle and field dimension. Isodoses were measured with film and used for profile evaluation and treatment planning development. The 'golden' fluence table was used to create a universal 60 deg. 'physical' wedge for planning. The universal wedge is combined with an open field (to derive intermediate wedge angles) and blocked according to the treatment field segment. A quality assurance program was developed that relies on multi-point diode measurements. Results: We found the WF is a function of wedge angle and field settings of the final sweep position. There is a nearly linear dependence of WF vs. field size thus allowing a minimal WF table. This eliminates a

  4. Nonsurgical treatment of skeletal anterior open bite in adult patients: Posterior build-ups.

    Science.gov (United States)

    Vela-Hernández, Arturo; López-García, Rocio; García-Sanz, Verónica; Paredes-Gallardo, Vanessa; Lasagabaster-Latorre, Felicidad

    2017-01-01

    To (1) evaluate the efficacy of build-ups in the correction of anterior open bite in adults, (2) evaluate their efficacy in producing molar intrusion, (3) analyze skeletal and dental changes, and (4) assess the long-term stability. The sample consisted of 93 lateral cephalograms from 31 patients with skeletal and dental anterior open bite. The patients had received orthodontic treatment consisting of bonded resin blocks on the maxillary molars combined with Tip-Edge Plus bracket appliances. Cephalometric measurements were performed on radiographs taken before treatment (T1), after treatment (T2), and after a retention period (T3), which were analyzed and compared. Significant dental and skeletal changes were observed after treatment. Molar intrusion averaging 1 mm; 1.44 and 1.57 mm extrusion of mandibular and maxillary incisors, respectively; and a mean of 3.98 mm overbite increase were observed. The mandibular plane angle showed a mean closure of 1.19°, and there was a mean decrease in anterior facial height of 0.7 mm. A mild relapse tendency was observed, but long-term stability was acceptable. Build-ups are an effective treatment alternative for anterior open bite in adults. Outcomes remain significantly stable during the retention period.

  5. Rethinking wedges

    Science.gov (United States)

    Davis, Steven J.; Cao, Long; Caldeira, Ken; Hoffert, Martin I.

    2013-03-01

    Abstract Stabilizing CO2 emissions at current levels for fifty years is not consistent with either an atmospheric CO2 concentration below 500 ppm or global temperature increases below 2 °C. Accepting these targets, solving the climate problem requires that emissions peak and decline in the next few decades, and ultimately fall to near zero. Phasing out emissions over 50 years could be achieved by deploying on the order of 19 'wedges', each of which ramps up linearly over a period of 50 years to ultimately avoid 1 GtC y-1 of CO2 emissions. But this level of mitigation will require affordable carbon-free energy systems to be deployed at the scale of tens of terawatts. Any hope for such fundamental and disruptive transformation of the global energy system depends upon coordinated efforts to innovate, plan, and deploy new transportation and energy systems that can provide affordable energy at this scale without emitting CO2 to the atmosphere. 1. Introduction In 2004, Pacala and Socolow published a study in Science arguing that '[h]umanity can solve the carbon and climate problem in the first half of this century simply by scaling up what we already know how to do' [1]. Specifically, they presented 15 options for 'stabilization wedges' that would grow linearly from zero to 1 Gt of carbon emissions avoided per year (GtC y-1 1 Gt = 1012 kg) over 50 years. The solution to the carbon and climate problem, they asserted, was 'to deploy the technologies and/or lifestyle changes necessary to fill all seven wedges of the stabilization triangle'. They claimed this would offset the growth of emissions and put us on a trajectory to stabilize atmospheric CO2 concentration at 500 ppm if emissions decreased sharply in the second half of the 21st century. The wedge concept has proven popular as an analytical tool for considering the potential of different technologies to reduce CO2 emissions. In the years since the paper was published, it has been cited more than 400 times, and

  6. Correction of transverse maxillary deficiency and anterior open bite in an adult Class III skeletal patient

    Directory of Open Access Journals (Sweden)

    Prerna Hoogan Teja

    2016-01-01

    Full Text Available Transverse maxillary deficiency may be associated with sagittal or vertical problems of the maxilla or mandible. It may contribute to unilateral or bilateral posterior crossbite, anterior dental crowding, and unesthetic black buccal corridors on smiling. An adequate transverse dimension is important for stable and proper functional occlusion. Surgically, assisted rapid palatal expansion has been the treatment of choice to resolve posterior crossbite in skeletally mature patients. The following case report presents an adult Class III skeletal patient with an anterior open bite and bilateral posterior crossbite which was treated by surgically assisted rapid maxillary expansion with satisfactory outcomes.

  7. Cephalometric evaluation of adult anterior open bite non-extraction treatment with Invisalign

    Directory of Open Access Journals (Sweden)

    Shuka Moshiri

    Full Text Available ABSTRACT Objective: The purpose of this study was to evaluate, by means of cephalometric appraisal, the vertical effects of non-extraction treatment of adult anterior open bite with clear aligners (Invisalign system, Align Technology, Santa Clara, CA, USA. Methods: Lateral cephalograms of 30 adult patients with anterior open bite treated using Invisalign (22 females, 8 males; mean age at start of treatment: 28 years and 10 months; mean anterior open bite at start of treatment: 1.8 mm were analyzed. Pre- and post-treatment cephalograms were traced to compare the following vertical measurements: SN to maxillary occlusal plane (SN-MxOP, SN to mandibular occlusal plane (SN-MnOP, mandibular plane to mandibular occlusal plane (MP-MnOP, SN to mandibular plane (SN-MP, SN to palatal plane (SN-PP, SN to gonion-gnathion plane (SN-GoGn, upper 1 tip to palatal plane (U1-PP, lower 1 tip to mandibular plane (L1-MP, mesiobuccal cusp of upper 6 to palatal plane (U6-PP, mesiobuccal cusp of lower 6 to mandibular plane (L6-MP, lower anterior facial height (LAFH, and overbite (OB. Paired t-tests and descriptive statistics were utilized to analyze the data and assess any significant changes resulting from treatment. Results: Statistically significant differences were found in overall treatment changes for SN-MxOP, SN-MnOP, MP-MnOP, SN-MP, SN-GoGn, L1-MP, L6-MP, LAFH, and OB. Conclusions: The Invisalign system is a viable therapeutic modality for non-extraction treatment of adult anterior mild open bites. Bite closure was mainly achieved by a combination of counterclockwise rotation of the mandibular plane, lower molar intrusion and lower incisor extrusion.

  8. Cephalometric evaluation of adult anterior open bite non-extraction treatment with Invisalign.

    Science.gov (United States)

    Moshiri, Shuka; Araújo, Eustáquio A; McCray, Julie F; Thiesen, Guilherme; Kim, Ki Beom

    2017-01-01

    The purpose of this study was to evaluate, by means of cephalometric appraisal, the vertical effects of non-extraction treatment of adult anterior open bite with clear aligners (Invisalign system, Align Technology, Santa Clara, CA, USA). Lateral cephalograms of 30 adult patients with anterior open bite treated using Invisalign (22 females, 8 males; mean age at start of treatment: 28 years and 10 months; mean anterior open bite at start of treatment: 1.8 mm) were analyzed. Pre- and post-treatment cephalograms were traced to compare the following vertical measurements: SN to maxillary occlusal plane (SN-MxOP), SN to mandibular occlusal plane (SN-MnOP), mandibular plane to mandibular occlusal plane (MP-MnOP), SN to mandibular plane (SN-MP), SN to palatal plane (SN-PP), SN to gonion-gnathion plane (SN-GoGn), upper 1 tip to palatal plane (U1-PP), lower 1 tip to mandibular plane (L1-MP), mesiobuccal cusp of upper 6 to palatal plane (U6-PP), mesiobuccal cusp of lower 6 to mandibular plane (L6-MP), lower anterior facial height (LAFH), and overbite (OB). Paired t-tests and descriptive statistics were utilized to analyze the data and assess any significant changes resulting from treatment. Statistically significant differences were found in overall treatment changes for SN-MxOP, SN-MnOP, MP-MnOP, SN-MP, SN-GoGn, L1-MP, L6-MP, LAFH, and OB. The Invisalign system is a viable therapeutic modality for non-extraction treatment of adult anterior mild open bites. Bite closure was mainly achieved by a combination of counterclockwise rotation of the mandibular plane, lower molar intrusion and lower incisor extrusion.

  9. Long-term stability of anterior open-bite closure with bilateral sagittal split osteotomy.

    Science.gov (United States)

    Fontes, Adelina M; Joondeph, Donald R; Bloomquist, Dale S; Greenlee, Geoffrey M; Wallen, Terry R; Huang, Greg J

    2012-12-01

    Maxillary impaction and bimaxillary osteotomies are used to treat anterior open-bite malocclusions but can have adverse soft-tissue effects. Correcting an anterior open bite with a single mandibular procedure avoids these undesirable soft-tissue effects, but the stability of this procedure is unknown. The purpose of this study was to assess the long-term stability of anterior open-bite correction with bilateral sagittal split osteotomy and rigid internal fixation. Orthognathic surgical records of 1 oral surgeon were searched for all patients treated for anterior open bite with bilateral sagittal split osteotomy and surgical closing rotation of the mandible with rigid internal fixation. Cephalometric films from initial consultation, presurgery, postsurgery, orthodontic appliance removal, and a mean of 4.5 years after orthodontic appliance removal were collected, traced, and measured. Thirty-one patients fit the inclusion criteria for this study and had an initial mean open bite of -2.6 mm (SD, 1.1 mm). The patients experienced an average mandibular closing rotation of 3.7° (SD, 2.4°) with surgery. By orthodontic appliance removal, the mandible rotated open 1.1°, and incisor overlap was 1.4 mm (SD, 1.0 mm). Approximately 4.5 years after orthodontic appliance removal, the mean incisor overlap was maintained at 1.0 mm (SD, 1.0 mm), yet the mandible rotated open an additional 1.1°. Only 3 patients relapsed to no incisor overlap in the long term, and only 3 patients experienced relapse greater than 1 mm in the long term. Approximately 90% of the treated patients had a positive incisor overlap 4.5 years after orthodontic appliance removal. Despite a 60% loss of mandibular surgical closing rotation, only 10% of the patients relapsed to no incisor overlap in the long term. Bilateral sagittal split osteotomy and surgical closing rotation of the mandible by using rigid internal fixation should be considered a stable alternative in the treatment of mild

  10. CarD uses a minor groove wedge mechanism to stabilize the RNA polymerase open promoter complex.

    Science.gov (United States)

    Bae, Brian; Chen, James; Davis, Elizabeth; Leon, Katherine; Darst, Seth A; Campbell, Elizabeth A

    2015-09-08

    A key point to regulate gene expression is at transcription initiation, and activators play a major role. CarD, an essential activator in Mycobacterium tuberculosis, is found in many bacteria, including Thermus species, but absent in Escherichia coli. To delineate the molecular mechanism of CarD, we determined crystal structures of Thermus transcription initiation complexes containing CarD. The structures show CarD interacts with the unique DNA topology presented by the upstream double-stranded/single-stranded DNA junction of the transcription bubble. We confirm that our structures correspond to functional activation complexes, and extend our understanding of the role of a conserved CarD Trp residue that serves as a minor groove wedge, preventing collapse of the transcription bubble to stabilize the transcription initiation complex. Unlike E. coli RNAP, many bacterial RNAPs form unstable promoter complexes, explaining the need for CarD.

  11. Open anterior dislocation of the hip in an adult: a case report and review of literature.

    Science.gov (United States)

    de Oliveira, Anderson Luiz; Machado, Eduardo Gomes

    2014-01-01

    Open anterior hip dislocation is a rare condition and results from high-energy trauma. Ten cases of open anterior dislocation have been described in the literature so far. Its rarity is due to the inherent stability of the joint, its deep position in the pelvis, with strong ligaments and bulky muscles around the articulation. Several factors influence the prognosis, such as the degree of compounding, the associated soft tissue injuries, the age of the patient and, mainly, the delay in reduction. The main complications are: arthrosis of the hip, with incidence of 50% of cases, when associated with fractures of the femoral head; and osteonecrosis of the femoral head, with incidence between 1.7 and 40% (in closed anterior dislocation). Because of the rarity and the potential disability of this lesion, we report a case in a 46-year-old man, involved in an automobile accident. The hip was reduced (anterior superior dislocation) in the first three hours of the trauma. The patient was kept non-weight bearing until sixth week, with complete weight bearing after 10th week. After one year follow-up, the functional result was poor (Harris Hip Score: 52), probably because of the associated labral tear, but without signs of osteonecrosis of the femoral head in magnetic resonance imaging.

  12. Cephalometric configuration of the occlusal plane in patients with anterior open bite.

    Science.gov (United States)

    Choi, Yoon Jeong; Kim, Dong Jae; Nam, Jaewook; Chung, Chooryung J; Kim, Kyung-Ho

    2016-03-01

    This study was performed to investigate the cephalometric configuration of the occlusal plane in patients with anterior open bite. Of 61 subjects with open bite (overbite ≥3.75 mm) who had been recruited consecutively from January 2006 to November 2013 and had no history of orthodontic treatment, 14 cephalometric landmarks indicating the incisal edge or the buccal or mesiobuccal cusp tips of each tooth were used for K-means clustering to classify the occlusal plane configuration. For the open-bite group and a control group with normal occlusion (n = 38), dentoalveolar height, which is the perpendicular distance of each tooth to the palatal or mandibular plane, was compared among the clusters and between the 2 groups. The open-bite subjects were divided into 2 clusters according to occlusal contact of the premolars: Y-form and V-form (with and without premolar contact, respectively). The normalized dentoalveolar heights of the 4 mandibular teeth (lateral incisor to second premolar) were significantly greater in the Y-form class than in the V-form class. The dentoalveolar heights of the 5 maxillary teeth (lateral incisor to first molar) were significantly greater in the open-bite group than in the control group. For anterior open-bite treatment, the cephalometric configuration of the occlusal plane should be considered based on the occlusal contacts of the premolars. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  13. Radial wedge flange clamp

    Science.gov (United States)

    Smith, Karl H.

    2002-01-01

    A radial wedge flange clamp comprising a pair of flanges each comprising a plurality of peripheral flat wedge facets having flat wedge surfaces and opposed and mating flat surfaces attached to or otherwise engaged with two elements to be joined and including a series of generally U-shaped wedge clamps each having flat wedge interior surfaces and engaging one pair of said peripheral flat wedge facets. Each of said generally U-shaped wedge clamps has in its opposing extremities apertures for the tangential insertion of bolts to apply uniform radial force to said wedge clamps when assembled about said wedge segments.

  14. Anterior open-bite orthodontic treatment in an adult patient: A clinical case report.

    Science.gov (United States)

    Gracco, Antonio; Siviero, Laura; de Stefani, Alberto; Bruno, Giovanni; Stellini, Edoardo

    2016-06-01

    A 45-year-old woman presented with an anterior open-bite complaining chiefly of her unpleasant smile esthetics and masticatory and speech problems. Treatment included speech therapy initiated immediately after bonding. Lingual spurs were positioned on the mandibular incisors in order to help tongue rehabilitation. During the working phase, temporary anchorage devices (TADs) were used at the mandibular anterior segment to intrude the lower left premolars. A splint was used to ensure retention in the upper and lower arches; an enveloppe linguale nocturne (ELN) was provided. Non-surgical open-bite treatment could offer a valid alternative to orthognanthic surgery when cephalometric evaluation shows no vertical growth pattern; patient compliance is essential to prevent relapse. Copyright © 2016 CEO. Published by Elsevier Masson SAS. All rights reserved.

  15. Corticotomy assisted treatment of anterior open bite in an adult patient

    Directory of Open Access Journals (Sweden)

    Eshan Awasthi

    2016-01-01

    Full Text Available This case report discusses orthodontic treatment combined with the corticotomy technique to accelerate tooth movement and shorten the treatment time in a 34-year-old female patient with an anterior open bite and flared and spaced upper and lower incisors. Fixed orthodontic appliances (MBT 0.018″ edgewise brackets were bonded, and 4 months later, buccal and lingual corticotomy with alveolar augmentation procedure in the maxillary arch from canine to canine was performed. Orthodontic therapy proceeded with frequent activation of the appliances to retract the incisors every 2 weeks. The total treatment time was 10 months with an active period of 4 months and no adverse effects were observed at the end of active treatment. The addition of the decortication procedure to the conventional orthodontic therapy decreased the duration of treatment significantly. Successful closure of the anterior open bite with adequate overbite and interdigitation of the teeth was achieved.

  16. Anterior open-bite and sucking habits in Italian preschool children.

    Science.gov (United States)

    Silvestrini-Biavati, A; Salamone, S; Silvestrini-Biavati, F; Agostino, P; Ugolini, A

    2016-03-01

    To evaluate the consequences of prolonged sucking habits on the development of the orofacial complex in deciduous dentition. A cross-sectional study was carried out involving 235 preschool children. A questionnaire for children parents and clinical examinations were carried out by calibrated blinded examiners. The chi-square test and the T-Student test were used for statistical analysis. The prevalence of non-nutritive sucking habits (NNSH) in the sample was 74%. Anterior open-bite (AOB) was detected in 18%, and it was significantly related to non-nutritive sucking habits, bottle-feeding (only in the 3-year-old group) and persistent use of pacifier (p<0.05). NNSH and type of feeding were important contributing factors in the development of anterior open-bite in deciduous dentition.

  17. Comparative Study Between Pedicle Subtraction Osteotomy (PSO) and Closing-Opening Wedge Osteotomy (Fish-Mouth PSO) for Sagittal Plane Deformity Correction.

    Science.gov (United States)

    Park, Jong-Hwa; Hyun, Seung-Jae; Kim, Ki-Jeong; Jahng, Tae-Ahn

    2017-08-01

    A retrospective study. To evaluate the safety and efficacy of closing-opening wedge osteotomy (fish-mouth pedicle subtraction osteotomy [PSO]), for sagittal plane deformity correction and to compare the radiographical outcomes for patients undergoing conventional- and fish-mouth PSO. The closing-opening wedge osteotomy has been developed to achieve a large magnitude of correction at a single level for patients with severe fixed sagittal imbalance. We retrospectively reviewed the medical records and the radiographs of patients who underwent PSO by a single surgeon between June 2012 and December 2015. Forty patients were included and were divided into 2 groups according to surgical technique (fish-mouth- vs. conventional PSO group). Radiographical measurements included pelvic incidence, thoracic kyphosis, lumbar lordosis, global kyphosis (GK), sagittal vertical axis, osteotomized vertebra angle (OVA), and the height of the osteotomized vertebra (HOV). The preoperative, immediate postoperative, ultimate follow-up and correction of thoracic kyphosis, lumbar lordosis, thoracolumbar junction, and sagittal vertical axis did not show significant differences between the groups. Preoperative GK and OVA were significantly larger in fish-mouth group (GK: 47.1° ± 28.8° vs. 23.7° ± 16.0°, P PSO group (GK: 48.8° ± 24.5° vs. 34.8° ± 17.4°, P PSO group (2.3 vs. 1.7 cm, P PSO and PSO group, respectively. Fish-mouth PSO can provide a larger magnitude of correction compared to classic PSO without compromising spinal cord function for fixed sagittal plane deformity. 3.

  18. Association between anterior open bite and impact on quality of life of preschool children.

    Science.gov (United States)

    Ramos-Jorge, Joana; Motta, Thiago; Marques, Leandro Silva; Paiva, Saul Martins; Ramos-Jorge, Maria Letícia

    2015-01-01

    The aim of this study was to evaluate the association between different types of malocclusion and the impact on quality of life among preschoolers and their families. A cross-sectional study was carried out involving 451 children 3-5 years of age. A clinical exam was performed to evaluate the malocclusions according to criteria proposed by Foster and Hamilton. This examination was conducted by a calibrated dentist. Parents/caregivers answered the Early Childhood Oral Health Impact Scale (ECOHIS) for the assessment of Oral Health-Related Quality of Life (OHRQoL) and the questionnaire on socioeconomic and demographic characteristics. Data analysis involved descriptive statistics, chi-square, Mann-Whitney and hierarchically adjusted Poisson regression. The prevalence of malocclusion was 28.4%. The most frequent conditions were posterior crossbite (20.4%), anterior open bite (9.5%) and increased overjet (8.4%). A significant association was found between anterior open bite and OHRQoL (p open bite and a negative impact on quality of life (PR = 2.55; 95%CI: 1.87 to 3.47; p open bite was associated with a negative impact on the quality of life of preschoolers.

  19. Combining traditional techniques to correct anterior open bite and posterior crossbite.

    Science.gov (United States)

    Menezes, Luciane Macedo de; Ritter, Daltro Eneas; Locks, Arno

    2013-03-01

    The treatment of anterior open bite often requires the use of skeletal anchorage to prevent excessive eruption of the posterior teeth and consequent downward rotation of the mandible. However, this procedure might not always be accomplished. This article reports the successful treatment of an anterior open bite and a posterior crossbite in a young boy, combining traditional techniques and involving high-pull maxillary traction to help growth to correct the skeletal Class II malocclusion without skeletal anchorage. The vertical dentoalveolar contribution of maxillary growth was also favorable to close the bite, whereas cross-elastics corrected the axial inclination of the mandibular posterior teeth, eliminating the inverted posterior crossbite. The open bite was completely closed with edgewise appliances, which also achieved normal overjet, intercuspation, and incisor exposure on smiling. Traditional mechanics for the treatment of open bite and crossbite remain a useful alternative when patients do not accept skeletal anchorage. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  20. The effect of lower anterior high pull headgear on treatment of moderate open bite in adults

    Directory of Open Access Journals (Sweden)

    Rahman Showkatbakhsh

    2012-01-01

    Full Text Available Background and Aims: Various methods are used for treatment of open bite. The objective of this study was to investigate the effects of Lower Anterior High Pull Headgear (LAHPH appliance in Class I subjects with moderate open bite and high lower lip line.Materials and Methods: The study group was composed of 10 subjects with a mean age of 15.8±2.5 years and 3.05 ± 0.07 mm moderate open bite. All the patients rejected orthognathic surgery. The treatment included extraction of upper and lower second premolars followed by leveling, banding, bonding, posterior space closure, and anterior retraction. After these procedures, the open bite was reduced to 2.04±1.17 mm. Afterwards, LAHPH was applied for 18 hours per day for 8±2 months. LAHPH appliance was composed of High Pull Headgear and two hooks mounted on its inner bow. Two elastics (1.8, light, Dentaurum connected the upper hooks on the inner bow to the lower hooks on the mandibular canines vertically. The forces produced by the prescribed elastics were 10 and 60 g during mouth closing and opening, respectively. Paired T-test was used to evaluate pre-andpost-treatment outcomes.Results: The pre-and post-treatment cephalometric evaluations showed that the LAHPH reduced effectively the open bite of the patients to 0.15±1.7 mm (P<0.001.Conclusion: This appliance can be used as an acceptable method for closing the open bite in Class I subjects.

  1. Mordida aberta anterior e hábitos orais em crianças Anterior open bite and oral habits in children

    Directory of Open Access Journals (Sweden)

    Gabriela Nascimento Lima

    2010-01-01

    Full Text Available OBJETIVO: Verificar o número de pré-escolares com mordida aberta anterior e a associação com os hábitos orais. MÉTODOS: O universo do estudo foi formado por 275 pré-escolares, de ambos os gêneros, com idade entre quatro e seis anos, com dentição decídua completa. Este estudo foi desenvolvido em duas etapas: uma triagem para selecionar as crianças que apresentavam mordida aberta anterior e aplicação de questionário sobre aleitamento materno e hábitos orais com pais/responsáveis das 59 crianças, cuja mordida aberta anterior foi detectada. Os dados foram analisados estatisticamente pelo teste de Igualdade de Duas Proporções e o teste Qui-quadrado. RESULTADOS: A porcentagem de crianças com mordida aberta anterior foi de 21,45% (N=59, sem variação significativa quanto ao gênero. Verificou-se que 93,20% (N=55 das crianças foram amamentadas, sendo que 54,5% (N=30 destas o fizeram por um período igual ou maior que seis meses. Constatou-se que a maioria das crianças com mordida aberta anterior apresentou hábitos de sucção como mamadeira, chupeta e dedo, 98,30% (N=58. Foi encontrada maior ocorrência para as crianças que permaneciam com a boca aberta durante a noite e que também faziam uso de mamadeira (90,9%. Dentre os hábitos orais, a associação mais prevalente foi de mamadeira e chupeta, com 49,2%. CONCLUSÃO: Os resultados indicaram presença de mordida aberta anterior, associação do uso de mamadeira e chupeta, relação da mordida aberta anterior e hábitos orais como mamadeira e chupeta, e relação entre crianças que permaneciam com a boca aberta durante a noite e uso de mamadeira.PURPOSE: To verify the number of preschool children with anterior open bite and the association with oral habits. METHODS: The universe of the study was formed by 275 preschool children, both male and female, with ages between four and six years, and complete deciduous dentition. This study was developed in two stages: a screening to

  2. Complicações da osteotomia em cunha de abertura medial do joelho: estudo retrospectivo Complications following medial opening wedge osteotomy of the knee: retrospective study

    Directory of Open Access Journals (Sweden)

    Wilson Alves de Mello Junior

    2011-01-01

    Full Text Available OBJETIVO: Realizar um levantamento retrospectivo das complicações mais frequentes da osteotomia tibial alta (OTA em cunha de abertura medial. Esse procedimento vem a cada vez ganhando mais espaço no tratamento da artrose do joelho como uma das opções para pacientes jovens e ativos. Apesar dos resultados satisfatórios e seus benefícios, não é procedimento isento de complicações. MÉTODOS: Foram avaliados, retrospectivamente, todos os pacientes submetidos à OTA supratuberositária medial de cunha de abertura e fixados com placa do tipo Puddu, realizadas no período de 1 de outubro de 1987 a 30 de outubro de 2008, no Hospital e Maternidade Celso Pierro da Pontifícia Universidade Católica de Campinas (PUC-Campinas e no Instituto Wilson Mello em Campinas. Foram excluídos pacientes com menos de 12 meses de seguimento, com prontuários incompletos, e os que tinham osteotomias bilaterais. RESULTADOS: Dos 67 casos avaliados, 55 eram do sexo masculino e 12 do feminino, com média de idade de 49,5 anos. O tamanho médio da cunha foi de 10,15mm e as complicações mais frequentes foram dor moderada e grave (13,04%, seguida de rigidez (6,52%, quebra de material (4,4%, fratura da cortical lateral intraoperatória (4,4% e infecção (4,4%. CONCLUSÃO: Foi observado aumento de probabilidade de complicações quando há retardo na consolidação da osteotomia (p OBJECTIVE: To retrospectively survey the most frequent complications from medial opening wedge high-tibial osteotomy. This procedure is becoming increasingly important in treating knee arthrosis, as one of the options for young and active patients. Despite satisfactory results and its benefits, it is not a complication -free procedure. METHODS: All cases of medial opening wedge high-tibial osteotomy above the tibial tubercle with fixation using a Puddu plate that were performed at the Celso Pierro Hospital and Maternity Hospital, Pontifical Catholic University of Campinas (PUC -Campinas

  3. Breastfeeding and non-nutritive sucking patterns related to the prevalence of anterior open bite in primary dentition.

    Science.gov (United States)

    Romero, Camila Campos; Scavone-Junior, Helio; Garib, Daniela Gamba; Cotrim-Ferreira, Flávio Augusto; Ferreira, Rívea Inês

    2011-04-01

    Nutritional, immunological and psychological benefits of exclusive breastfeeding for the first 6 months of life are unequivocally recognized. However, mothers should also be aware of the importance of breastfeeding for promoting adequate oral development. This study evaluated the association between breastfeeding and non-nutritive sucking patterns and the prevalence of anterior open bite in primary dentition. Infant feeding and non-nutritive sucking were investigated in a 3-6 year-old sample of 1,377 children, from São Paulo city, Brazil. Children were grouped according to breastfeeding duration: G1--non-breastfed, G2--shorter than 6 months, G3--interruption between 6 and 12 months, and G4--longer than 12 months. Three calibrated dentists performed clinical examinations and classified overbite into 3 categories: normal, anterior open bite and deep bite. Chi-square tests (pbreastfeeding and non-nutritive sucking on the prevalence of anterior open bite was analyzed using binary logistic regression. The prevalence estimates of anterior open bite were: 31.9% (G1), 26.1% (G2), 22.1% (G3), and 6.2% (G4). G1 would have significantly more chances of having anterior open bite compared with G4; in the total sample (OR=7.1) and in the subgroup without history of non-nutritive sucking (OR=9.3). Prolonging breastfeeding for 12 months was associated with a 3.7 times lower chance of having anterior open bite. In each year of persistence with non-nutritive sucking habits, the chance of developing this malocclusion increased in 2.38 times. Breastfeeding and non-nutritive sucking durations demonstrated opposite effects on the prediction of anterior open bite. Non-breastfed children presented significantly greater chances of having anterior open bite compared with those who were breastfed for periods longer than 12 months, demonstrating the beneficial influence of breastfeeding on dental occlusion.

  4. Factors associated with the prevalence of anterior open bite among preschool children: a population-based study in Brazil.

    Science.gov (United States)

    Machado, Daniella Borges; Brizon, Valéria Silva Cândido; Ambrosano, Gláucia Maria Bovi; Madureira, Davidson Fróis; Gomes, Viviane Elisângela; de Oliveira, Ana Cristina Borges

    2014-01-01

    The aim of this study was to identify factors associated with the prevalence of anterior open bite among five-year-old Brazilian children. A cross-sectional study was undertaken using data from the National Survey of Oral Health (SB Brazil 2010). The outcome variable was anterior open bite classified as present or absent. The independent variables were classified by individual, sociodemographic and clinical factors. Data were analyzed through bivariate and multivariate analysis using SPSS statistical software (version 18.0) with a 95% level of significance. The prevalence of anterior open bite was 12.1%. Multivariate analysis showed that preschool children living in Southern Brazil had an increased chance of 1.8 more times of having anterior open bite (CI 95%: 1.16-3.02). Children identified with alterations in overjet had 14.6 times greater chances of having anterior open bite (CI 95%: 8.98-24.03). There was a significant association between anterior open bite and the region of Brazil where the children lived, the presence of altered overjet and the prevalence of posterior crossbite.

  5. Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition

    Directory of Open Access Journals (Sweden)

    Lucia Pisani

    2016-09-01

    Full Text Available Abstract Background The treatment options for the early treatment of anterior open bite are still controversial. The aim of this study was to evaluate the actual available evidence on treatments of anterior open bite in the mixed dentition in order to assess the effectiveness of the early treatment in reducing open bite, the most efficacious treatment strategy and the stability of the results. Materials and methods A literature survey was done on November 15, 2015, by means of appropriate Medical Subject Headings (MeSH using the following databases: PubMed, EMBASE, Cochrane Library, LILACS, VHL, and WEB OF SCIENCE. Randomized clinical trials and studies with a control group (treated or untreated were then selected by two authors. Trials including patients with syndromes or in the permanent dentition and studies concerning treatment with extractions, full-fixed appliances, or surgery were not considered. Full articles were retrieved for abstracts or titles that met the initial inclusion criteria or lacked sufficient detail for immediate exclusion. Results Two thousand five hundred sixty-nine studies about open bite were available; the search strategy selected 240 of them. Twenty-four articles have been judged suitably for the final review, and their relevant data were analyzed. Discussion Although this review confirms the effectiveness of early treatment of open bite, particularly when no-compliance strategies are employed, meta-analysis was unfeasible due to lack of standardization, important methodological limitations, and shortcomings of the studies. Conclusions A more robust approach to trial design in terms of methodology and error analysis is needed. Besides, more studies with longer periods of follow-up are required.

  6. Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition.

    Science.gov (United States)

    Pisani, Lucia; Bonaccorso, Laura; Fastuca, Rosamaria; Spena, Raffaele; Lombardo, Luca; Caprioglio, Alberto

    2016-12-01

    The treatment options for the early treatment of anterior open bite are still controversial. The aim of this study was to evaluate the actual available evidence on treatments of anterior open bite in the mixed dentition in order to assess the effectiveness of the early treatment in reducing open bite, the most efficacious treatment strategy and the stability of the results. A literature survey was done on November 15, 2015, by means of appropriate Medical Subject Headings (MeSH) using the following databases: PubMed, EMBASE, Cochrane Library, LILACS, VHL, and WEB OF SCIENCE. Randomized clinical trials and studies with a control group (treated or untreated) were then selected by two authors. Trials including patients with syndromes or in the permanent dentition and studies concerning treatment with extractions, full-fixed appliances, or surgery were not considered. Full articles were retrieved for abstracts or titles that met the initial inclusion criteria or lacked sufficient detail for immediate exclusion. Two thousand five hundred sixty-nine studies about open bite were available; the search strategy selected 240 of them. Twenty-four articles have been judged suitably for the final review, and their relevant data were analyzed. Although this review confirms the effectiveness of early treatment of open bite, particularly when no-compliance strategies are employed, meta-analysis was unfeasible due to lack of standardization, important methodological limitations, and shortcomings of the studies. A more robust approach to trial design in terms of methodology and error analysis is needed. Besides, more studies with longer periods of follow-up are required.

  7. Mini-open Anterior Lumbar Interbody Fusion for Recurrent Lumbar Disc Herniation Following Posterior Instrumentation.

    Science.gov (United States)

    Mamuti, Maiwulanjiang; Fan, Shunwu; Liu, Junhui; Shan, Zhi; Wang, Chongyan; Li, Shengyun; Zhao, Fengdong

    2016-09-15

    A retrospective study. The aim of this study is to evaluate, clinically and radiographically, the efficacy of mini-open retroperitoneal anterior lumbar discectomy followed by anterior lumbar interbody fusion (ALIF) for recurrent lumbar disc herniation following primary posterior instrumentation. Recurrent disc herniation following previous disc surgery occurs in 5 to 15% of cases. This is often treated by further surgical intervention where posterior approach is generally preferred. However, posterior surgery may be problematic if the initial surgery involved posterior instrumentation. An anterior approach may be indicated in these patients, and recent findings suggest that a "mini-open" procedure may have some benefits when compared with traditional open techniques and their associated morbidities. A total of 35 recurrent lumbar disc herniation patients (10 male, 25 female) following primary posterior instrumentation with an average age of 52.8 years (range: 34-70 yrs) who underwent the mini-open ALIF procedures between August 2001 and February 2012 were evaluated retrospectively. The ALIF was performed at the levels L4-L5 (n = 14), L5-S1 (n = 15), or both L4-L5 and L5-S1 (n = 6). Visual Analog pain Scale (VAS) and Oswestry Disability Index (ODI) together with radiological results were assessed. The mean operating time, intraoperative estimated blood loss, and hospital stay were 115 minutes, 70 mL, and 6 days, respectively. No blood transfusion was needed. Transient complication was recorded in two patients. Postoperative follow-up was a minimum 24.3 months. VAS score and ODI percentage decreased significantly from 7.9 ± 0.8 and 78.8% ± 12.4% pre-operatively to 1.4 ± 0.6 and 21.7 ± 4.2% at final follow-up, respectively. There was no neurological worsening and radicular pain improved significantly compared with pre-operation in all the patients. Computed tomographic reconstruction 12 and 24 months after surgery showed bony fusion

  8. Cephalometric Improvement of Severe Microretrognathia With an Anterior Open Bite Using Curvilinear Mandibular Distraction Osteogenesis.

    Science.gov (United States)

    Li, Jing; Gerety, Patrick A; Xu, Wen; Bartlett, Scott P; Taylor, Jesse A

    2017-07-01

    Curvilinear mandibular distraction osteogenesis (MDO) provides for multidimensional augmentation and rotation in mandibles with complex, abnormal morphology. This study aims to demonstrate cephalometric changes after curvilinear MDO.A prospectively maintained craniofacial database was queried for patients undergoing curvilinear MDO from 2009 to 2015. Demographic and operative data were collected. Cephalometric measurements were obtained from preoperative and postdistraction imaging, including sella-nasion-B point angle (SNB), mandibular plane angle (MPA), occlusal plane angle (OPA), and gonial angle (GA). Measurements were compared using a paired t test.Nine patients exhibiting microretrognathia and an anterior open-bite deformity had a mean age of 8.4 ± 6.0 years and a mean follow-up of 23.2 ± 25.3 months. Mean distance distracted was 32.6 ± 7.2 mm, with augmentation in length and height, and rotatory closure of anterior open bites. Preoperative SNB versus postdistraction was 66.9 ± 4.2 versus 78 ± 9.1° (P = 0.0029). MPA, OPA, and GA all decreased (61.0 ± 10.7 vs. 45.7 ± 11.1°, P = 0.0066, 37.3 ± 8.9 vs. 25.7 ± 6.0°, P = 0.0025, 140.3 ± 16.1 vs. 127.3 ± 13.2°, P = 0.0019, MPA, OPA, and GA, respectively), trending toward normalization. Airway diameter increased by 7.1 ± 2.8 mm. Anterior bite improved by 7.2 ± 1.9 mm. Complications arose in 2 subjects including device malfunction and wound infection.Curvilinear MDO results in dramatic cephalometric improvement in patients with severe microretrognathia and anterior open-bite. The procedure is associated with a high rate of complications, and long-term stability of movement has yet to be documented.

  9. Open Versus Arthroscopic Latarjet Procedure for Anterior Shoulder Instability: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Hurley, Eoghan T; Lim Fat, Daren; Farrington, Shane K; Mullett, Hannan

    2018-03-01

    Anterior shoulder instability with significant glenoid bone loss is a challenging condition. The open Latarjet procedure is the established standard treatment method in this setting, but there is an increasing use of the arthroscopic technique. To systematically review the current evidence in the literature to ascertain if the open or arthroscopic Latarjet procedure resulted in improved patient outcomes. Systematic review and meta-analysis. A literature search of MEDLINE, EMBASE, and the Cochrane Library was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Cohort studies comparing the open and arthroscopic Latarjet procedures for anterior shoulder instability were included. Clinical outcomes were compared, with all statistical analysis performed using Review Manager (version 5.3). A P value of Latarjet procedures resulted in a similar number of total recurrent instability (2.0% vs 2.4%; P = .75), revision procedures (2.4% vs 5.4%; P = .06), and total complications (13.8% vs 11.9%; P = .50), but the open procedure had a lower rate of persistent apprehension (10.2% vs 35.7%; P Latarjet procedures result in significant improvements in patient function and outcome scores, with low rates of recurrent instability and similar complication rates. While technically challenging, the arthroscopic procedure has been shown to be a safe and viable alternative. However, there is a significant learning curve associated with the arthroscopic Latarjet procedure. The significant learning curve associated with this procedure suggests the arthroscopic procedure may be advisable to perform only in high-volume centers with experienced arthroscopists.

  10. Factors related to the incidence of anterior disc displacement without reduction and bony changes of the temporomandibular joint in patients with anterior open bite.

    Science.gov (United States)

    Ooi, Kazuhiro; Yura, Shinya; Inoue, Nobuo; Totsuka, Yasunori

    2014-12-01

    We aimed to investigate factors related to the prevalence of anterior disc displacement without reduction (ADDwoR) and bony changes of the condylar head (bony changes) in the temporomandibular joints (TMJs) of patients with anterior open bite. Subjects are comprised of 36 preoperative patients (72 joints) with skeletal anterior open bite without facial asymmetry who had undergone orthognathic surgery at the Hokkaido University Hospital; magnetic resonance imaging of the TMJ and cephalometric analysis were performed before treatment. Logistic regression analysis was performed to clarify relationships among age, overbite, overjet, ANB angle, sella to nasion (SN) to mandibular plane angle (SN-MP angle), SN to ramus plane angle (GZN angle), gonial angle, and incidence of ADDwoR or bony changes in patients with anterior open bite. Fifteen patients had bilateral ADDwoR, and five patients had unilateral ADDwoR; 17 patients had bilateral bony changes, and five patients had unilateral bony changes. SN-MP angle was greater in 20 patients with ADDwoR than that in 16 patients without ADDwoR (p < 0.05). GZN angle was greater in the 20 patients showing bony changes than that in the 16 patients without bony changes (p < 0.05). In terms of dentofacial morphology, SN-MP angle appears to be associated with the incidence of ADDwoR, and GZN angle appears to be associated with bony changes in the TMJ.

  11. Clinical and Radiological Results with Second-Look Arthroscopic Findings after Open Wedge High Tibial Osteotomy without Arthroscopic Procedures for Medial Meniscal Root Tears.

    Science.gov (United States)

    Lee, Hyun Il; Park, Dongjun; Cho, Jinho

    2018-03-01

    To identify the structural integrity of the healing site after medial open wedge high tibial osteotomy (MOWHTO) in patients with a posterior root tear of the medial meniscus (PRTMM) and chondral lesion by second-look arthroscopy and to determine the clinical and radiological findings. From August 2010 to June 2016, 52 consecutive patients underwent MOWHTO and arthroscopic examination without a chondral resurfacing procedure and meniscal treatment for PRTMM. Twenty-four patients were available for second-look arthroscopic evaluation. The mean follow-up period was 19.5 months (range, 5 to 46 months). Clinical evaluation was based on the Lysholm knee scores and Hospital for Special Surgery (HSS) scores. There were 5 lax healing, 6 scar tissue, 13 failed healing of PRTMM. Definite change of chondral lesion was not observed. The Kellgren-Lawrence grade did not improve according to the follow-up plain radiograph. The mean Lysholm score improved from 34.7 preoperatively to 77.1 at the last follow-up, and the mean HSS score significantly increased from 36.5 to 82.4. This study revealed a low rate of healing potency of PRTMM and chondral lesion after MOWHTO without any attempt for meniscal treatment or chondral resurfacing. The cartilage and healing status of PRTMM was not associated with improved clinical outcomes and radiological findings.

  12. Management of an Infected Nonunion of an Opening-Wedge High Tibial Osteotomy with 2-Stage Implantation of Rotating Hinge Knee Prosthesis

    Directory of Open Access Journals (Sweden)

    Sandrine Mariaux

    2018-01-01

    Full Text Available Introduction. High tibial osteotomy (HTO is a frequent and effective treatment for unicompartmental gonarthritis. Only a few articles are focused on the treatment of infected nonunion. Patient and Method. A 50-year-old obese patient was operated on by medial opening-wedge HTO. She developed a painful nonunion treated by hardware removal, allograft, and plate fixation. However, the nonunion persisted. 2 years later, cellulitis appeared with an abscess adjacent to the HTO plate. Despite surgical debridement and antibiotics, septic knee arthritis occurred. In a situation of infected nonunion and septic arthritis with chondrolysis, she was scheduled for a 2-stage total knee replacement (TKR. The infected tibial articular block was first resected and replaced by a cement spacer. After a short interval, the TKR was implanted. After 2 years, the patient walked pain-free with good knee function. Discussion. In the literature, different efficient treatments exist for infected nonunion after HTO, but comprehensive studies are missing for a consensus treatment. Current data are mostly based on case reports, since this pathology is quite rare. Conclusion. In a difficult situation of infected nonunion with septic knee arthritis, we performed a 2-stage knee prosthesis implantation. This led to an early mobilization and fast recovery.

  13. Anterior Open Bite In 27 Months Old Children after Use of a Novel Pacifier - A Cohort Study.

    Science.gov (United States)

    Zimmer, Stefan; Zuralski, Hanna; Bizhang, Mozhgan; Ostermann, Thomas; Barthel, Claudia R

    2016-01-01

    The aim of the present cohort study was to evaluate the influence of a novel pacifier on the first formation of malocclusion, the anterior open bite in children. 129 newborn children whose parents had decided to use pacifiers were randomly attributed to two experimental groups (D=Dentistar, n=56, Novatex, Pattensen, Germany; N=NUK, n=73, Mapa, Zeven, Germany). Children (n=42) who did not use a pacifier were not randomized and served as reference (C). Primary outcome was the presence of anterior open bite. It was hypothesized that D would result in lower incidence when compared to N. At the age of 27 months the children were examined with respect to anterior open bite. Fisher's exact test served to detect significant differences between groups D and N (SPSS 22.0). 121 children with a mean age of 26.7 months were included in the final analysis (D: n=45; N: n=42; C: n=34). In group D three children (6.7%) showed an anterior open bite. The respective values were 21 (50.0%) for N and 0 for C. The results for group D compared to N were significantly different (chi(2)-test, ppacifier the novel one causes significantly less anterior open bites.

  14. Dosimetry verifications of the physical parameters of virtual wedge on a Siemens accelerator

    International Nuclear Information System (INIS)

    Zhong Heli; Li Xiaodong; Li Longxing

    2002-01-01

    Objective: To verify the wedge angle of virtual wedge and the relation between wedge factor and beam energy, field size, wedge angle and to study the difference in percent depth dose (PDD) of virtual wedge field, hard wedge field and open field. Methods: Using wedge angle and wedge factor of 15 degree, 30 degree, 45 degree and 60 degree virtual wedge of Siemens Mevatron 6 MV and Primus 8 MV, 18 MV X rays were measured by RFA-plus 3D water phantom and RK finger chamber the PDD of the virtual wedge field, hard wedge field and open field were measured by Kodak XV-2 verifying film and FDM-300 film dosimeter. These PDDs were normalized to Dmax then compared. Results: There was good conformation between virtual wedge measured by four point method and set value. The virtual wedge was almost equal to 1, with a maximal variation of 0.031 no matter what the value of beam energy, field size or wedge angle was. Generally, for certain energy and field size, the wedge factor of larger wedge angle was slightly larger than smaller wedge angle. For certain energy and wedge angle, the wedge factor of larger field was also a little larger than smaller field. The PDD of virtual wedge field was similar to that of open field. Conclusions: The four point method measurement for virtual wedge angle is good for daily QA. Radiotherapy of virtual wedge field is not only simpler than hard wedge field, but also spares the beam output. The PDD conferment between virtual field and open field simplifies radiation treatment planning and increases the accuracy of wedge field therapy

  15. Comparison of open acromioplasty outcomes according to approach type; anterior and lateral

    Directory of Open Access Journals (Sweden)

    Kemal Kayaokay

    2017-12-01

    Full Text Available Aim: Subacromial impingement syndrome appears to be one of the most frequent causes of shoulder pain. Acromioplasty is the surgical intervention modality where conservative treatment no longer gives effect. Even though arthroscopic techniques keep arising popularity, open acromioplasty  yet  is very often used surgery. Our main goal was to compare clinical success of anterior and lateral open techniques whether or not these techniques affect final range of motion, DASH , UCLA & CONSTANT scoresMethods: We assembled 37 regularly followed cases (26 female, 11 male over 18 years old, operated between 2014-2016. We then ultimately evaluated comparison among variations such as age,  sex,  dominant extremity,  postoperative follow-up time,  approach type,  operation duration,  acromion type and most recent form where CONSTANT, DASH and UCLA scores , ROM(range of motion , developed complications were assessed. We divided cases to 2 main groups ; group1 anterior approach and group 2 lateral approach. Comparison throughout this particular study mainly went on these 2 groups.Results: 70.3% (26 cases were female , 29.7% (11 cases were male. Mean age was 57.64 ± 9.17 (avg 45-84years . 75.6 % (28 cases had symptoms on dominant limb. Postoperative mean follow-up 18,49±5.37 months (avg 8-28 months. Mean operation duration was 35 minutes for group 1 and 37 minutes for group 2. No complications were presented. Patients also filled out prepared subjective survey papers at final clinical examination. Mean CONSTANT score was 88.5 for group1 and 83.57 for group 2.  Postoperative  recovery  lasted  upon  7.1 ± 3.3 weeks (avg 1-12 week and 6.6 ± 3.9 weeks (avg 1-14 wk in group 2. CONSTANT,  UCLA  and  DASH scores were evaluated separately and showed no significant difference in ordinary comparison,  whereas very  same CONSTANT  scores  were  put to  odds  ratio  calculator  and  presented surprising result ;  according to preoperative

  16. Temporalis and masseter muscle activity in patients with anterior open bite and craniomandibular disorders

    DEFF Research Database (Denmark)

    Bakke, Merete; Michler, L

    1991-01-01

    Activity in temporalis and masseter muscles, and traits of facial morphology and occlusal stability were studied in 22 patients (19 women, 3 men; 15-45 yr of age) with anterior open bite and symptoms and signs of craniomandibular disorders. Facial morphology was assessed by profile radiographs......, occlusal stability by tooth contacts, and craniomandibular function by clinical and radiological examination. Electromyographic activity was recorded by surface electrodes after primary treatment with a reflex-releasing, stabilizing splint. Maximal voluntary contraction was reduced compared to reference....... Relative loading of the muscles was markedly increased during resting posture. It was concluded that reduced occlusal stability and long-face morphology were associated with weak elevator muscle activity with disposition overload and tenderness. The results also indicated that increase of occlusal...

  17. Relationship between facial morphology, anterior open bite and non-nutritive sucking habits during the primary dentition stage.

    Science.gov (United States)

    Nogueira Fialho, Melissa Proença; Pinzan-Vercelino, Célia Regina Maio; Nogueira, Rodrigo Proença; Gurgel, Júlio Araújo

    2014-01-01

    Non-nutritive sucking habits can cause occlusal alterations, including anterior open bite. However, not all patients develop this malocclusion. Therefore, the emergence of AOB does not depend on deleterious habits, only. Investigate a potential association between non-nutritive sucking habits (NNSHs), anterior open bite (AOB) and facial morphology (FM). 176 children in the primary dentition stage were selected. Intra and extraoral clinical examinations were performed and the children's legal guardians were asked to respond to a questionnaire comprising issues related to NNSHs. A statistically significant relationship was found between NNSHs and AOB. However, no association was found between these factors and children's facial morphology (FM). Non-nutritive sucking habits during the primary dentition stage play a key role in determining anterior open bite malocclusion regardless of patient's morphological facial pattern.

  18. Breastfeeding and non-nutritive sucking patterns related to the prevalence of anterior open bite in primary dentition

    Directory of Open Access Journals (Sweden)

    Camila Campos Romero

    2011-04-01

    Full Text Available OBJECTIVE: Nutritional, immunological and psychological benefts of exclusive breastfeeding for the frst 6 months of life are unequivocally recognized. However, mothers should also be aware of the importance of breastfeeding for promoting adequate oral development. This study evaluated the association between breastfeeding and non-nutritive sucking patterns and the prevalence of anterior open bite in primary dentition. MATERIAL AND METHODS: Infant feeding and non-nutritive sucking were investigated in a 3-6 year-old sample of 1,377 children, from São Paulo city, Brazil. Children were grouped according to breastfeeding duration: G1 - non-breastfed, G2 - shorter than 6 months, G3 - interruption between 6 and 12 months, and G4 - longer than 12 months. Three calibrated dentists performed clinical examinations and classifed overbite into 3 categories: normal, anterior open bite and deep bite. Chi-square tests (p<0.05 with odds ratio (OR calculation were used for intergroup comparisons. The impact of breastfeeding and non-nutritive sucking on the prevalence of anterior open bite was analyzed using binary logistic regression. RESULTS: The prevalence estimates of anterior open bite were: 31.9% (G1, 26.1% (G2, 22.1% (G3, and 6.2% (G4. G1 would have signifcantly more chances of having anterior open bite compared with G4; in the total sample (OR=7.1 and in the subgroup without history of non-nutritive sucking (OR=9.3. Prolonging breastfeeding for 12 months was associated with a 3.7 times lower chance of having anterior open bite. In each year of persistence with non-nutritive sucking habits, the chance of developing this malocclusion increased in 2.38 times. CONCLUSIONS: Breastfeeding and non-nutritive sucking durations demonstrated opposite effects on the prediction of anterior open bite. Non-breastfed children presented signifcantly greater chances of having anterior open bite compared with those who were breastfed for periods longer than 12 months

  19. Contralateral breast dose reduction using a virtual wedge

    International Nuclear Information System (INIS)

    Yeo, In Hwan; Kim, Dae Yong; Kim, Tae Hyun; Shin, Kyung Hwan; Chie, Eui Kyu; Park, Won; Lim, Do Hoon; Huh, Seung Jae; Ahn, Yong Chan

    2005-01-01

    To evaluate the contralateral breast dose using a virtual wedge compared with that using a physical wedge and an open beam in a Siemens linear accelerator. The contralateral breast dose was measured using diodes placed on a humanoid phantom. Diodes were placed at 5.5 cm (position 1), 9.5 cm (position 2), and 14 cm (position 3) along the medial-lateral line from the medial edge of the treatment field. A 6-MV photon beam was used with tangential irradiation technique at 50 and 230 degrees of gantry angle. Asymmetrically collimated 17 x 10 cm field was used. For the first set of experiment, four treatment set-ups were used, which were an open medial beam with a 30-degree wedged lateral beam (physical and virtual wedges, respectively) and a 15-degree wedge medial beam with a 15-degree wedged lateral beam (physical and virtual wedges, respectively). The second set of experiment consists of setting with medial beam without wedge, a 15-degree wedge, and a 60-degree wedge (physical and virtual wedges, respectively). Identical monitor units were delivered. Each set of experiment was repeated for three times. In the first set of experiment, the contralateral breast dose was the highest at the position 1 and decreased in order of the position 2 and 3. The contralateral breast dose was reduced with open beam on the medial side (2.70± 1.46%) compared to medial beam with a wedge (both physical and virtual) (3.25 ± 1.59%). The differences were larger with a physical wedge (0.99 ± 0.18%) than a virtual wedge (0.10 ± 0.01%) at all positions. The use of a virtual wedge reduced the contralateral breast dose by 0.12% to 1.20% of the prescribed dose compared to a physical wedge with same technique. In the second experiment, the contralateral breast dose decreased in order of the open beam, the virtual wedge, and the physical wedge at the position 1, and it decreased in order of a physical wedge, an open beam, and a virtual wedge at the position 2 and 3. The virtual wedge equipped

  20. Dentoskeletal changes following mini-implant molar intrusion in anterior open bite patients.

    Science.gov (United States)

    Hart, Tyler R; Cousley, Richard R J; Fishman, Leonard S; Tallents, Ross H

    2015-11-01

    To evaluate skeletal and dental changes after intrusion of the maxillary molars in subjects with anterior open bite. This retrospective cephalometric study evaluated skeletal and dental changes resulting from the use of maxillary orthodontic mini-implants in 31 consecutively treated patients. Radiographs were taken at the start and end of maxillary molar intrusion to evaluate the associated changes. Statistical analysis was performed using a one-sample t-test. The mean treatment observation time was 1.31 years (SD  =  2.03). The maxillary first molars (P  =  0.0026) and second molars (P  =  0.039) were intruded. However, the mandibular first molars (P  =  0.0004) and second molars (P  =  0.003) erupted in adolescent patients. Both the maxillary and mandibular first molars inclined distally (P  =  0.025 and P  =  0.044, respectively). The mandibular plane angle decreased (P  =  0.036), lower facial height decreased (P  =  0.002), and the occlusal plane angle increased (P  =  0.009). The overbite increased (P open bite. However, simultaneous eruption or extrusion of the mandibular molars should be controlled. Adolescent patients tend to demonstrate more favorable effects of mandibular autorotation than do adults.

  1. Stability of anterior open bite correction of adults treated with lingual appliances.

    Science.gov (United States)

    Geron, Silvia; Wasserstein, Atalia; Geron, Zachi

    2013-10-01

    The aim of this study was to evaluate retrospectively the stability of treatment outcomes of adult anterior open bite (AOpB) cases, treated non-surgically, using a conservative approach with lingual orthodontics (LO). Thirty-nine adult AOpB patients consecutively treated by one operator (SG), with Ormco™ Generation 7 LO brackets and a conservative treatment protocol, with or without extractions, were evaluated clinically before treatment, at the end of active orthodontic treatment, and after a follow-up period, divided into a short-term group (ST): 1-2 years post-treatment, and a long-term group (LT): more than 2 years and up to 11 years post-treatment. All patients had a positive overbite at the end of active treatment (T2). Stability of the open bite correction was seen in 87.2 per cent of the patients (T3). Relapse to a negative overbite was seen in one patient (2.5 per cent). Post-treatment improvement of the overbite was demonstrated, with no difference between the ST and the LT groups. Stability of the transverse molar relations was significantly correlated with stability of AOpB correction. The LO appliance with the presented treatment protocol is a viable procedure for AOpB correction in adult patients, who are not suitable for surgical procedures, to improve or to enhance facial aesthetics. Post-treatment improvement of the overbite was observed in patients treated with this treatment approach in this study.

  2. Tratamiento ortodóncico-quirúrgico de una adaquia anterior Orthodontic-surgical treatment of anterior open bite

    OpenAIRE

    Anselmo López Rodríguez; Ángel Soto Fernández; Humberto Sarracent Pérez; Herminia Pérez Varela; Delfina Pantoja Valdés; Elina Muñiz Manzano

    2004-01-01

    En la práctica y desarrollo de la cirugía ortognática en el Hospital Universitario "Comandante Manuel Fajardo" a lo largo de los años, la morbilidad de diferentes anomalías del desarrollo maxilo-mandibulares ha mostrado que la adaquia o mordida abierta anterior es bastante frecuente. Desde tempranas edades se detectan y son tratadas por el especialista en Ortodoncia. El cerrar una adaquia en ocasiones se torna difícil y es cuando el análisis del paciente debe realizarse en el grupo multidisci...

  3. Interdisciplinary management of an adult patient with class II div 1 Malocclusion, Anterior Open Bite and multiple missing molars

    Directory of Open Access Journals (Sweden)

    Rohit Mehrotra

    2014-01-01

    Full Text Available This case report describes the esthetic and functional rehabilitation of a female patient in her mid forties having Class II Div 1 malocclusion, anterior open bite and multiple missing molars, with orthodontics and implant prosthodontics. The patient had bilaterally missing upper first and third molars and lower first and second molars. Orthodontic treatment using skeletal anchorage was performed to retract and align the upper anteriors and correct the open bite. In the upper arch, first molar spaces were closed and no prosthesis was needed. In the lower arch, the anteriors and premolars were aligned and implants were placed bilaterally to replace the missing molars and provide proper occlusion with the upper posteriors. Significant improvement in the occlusion, smile and facial esthetics was achieved. This article highlights the importance of an interdisciplinary team approach for providing optimum treatment to many adult patients.

  4. Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach.

    Science.gov (United States)

    Bianchi, Jonas; Pinto, Ary Dos Santos; Ignácio, Jaqueline; Obelenis Ryan, Daniel Patrick; Gonçalves, João Roberto

    2017-12-01

    An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range of intervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclusions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement. Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to maintaining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-old woman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patient received both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomography was used to create 3-dimensional models of the condyles with regional superposition, and assessment of bone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment time was approximately 12 months. The results provided a stable correction of the patient's anterior open bite with a 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  5. Anterior Interosseous Nerve Neuropraxia Secondary to Shoulder Arthroscopy and Open Subpectoral Long Head Biceps Tenodesis

    Directory of Open Access Journals (Sweden)

    Jeremiah T. Steed

    2017-01-01

    Full Text Available Arthroscopic rotator cuff tendon repair is a common elective procedure performed by trained orthopaedic surgeons with a relatively low complication rate. Specifically, isolated neuropraxia of the anterior interosseous nerve (AIN is a very rare complication of shoulder arthroscopy. An analysis of peer-reviewed published literature revealed only three articles reporting a total of seven cases that describe this specific complication following standard shoulder arthroscopic procedures. This article reports on three patients diagnosed with AIN neuropraxia following routine shoulder arthroscopy done by a single surgeon within a three-year period. All three patients also underwent open biceps tenodesis immediately following completion of the arthroscopic procedures. The exact causal mechanism of AIN neuropraxia following shoulder arthroscopy with biceps tenodesis is not known. This case report reviews possible mechanisms with emphasis on specific factors that make a traction injury the most likely etiology in these cases. We critically analyze our operating room setup and patient positioning practices in light of the existing biomechanical and cadaveric research to propose changes to our standard practices that may help to reduce the incidence of this specific postoperative complication in patients undergoing elective shoulder arthroscopy with biceps tenodesis.

  6. Functional outcome after transphyseal anterior cruciate ligament reconstruction in young patients with open growth plates.

    Science.gov (United States)

    Holwein, C; Hinterwimmer, S; Mayr, H O; Lämmle, L; Brucker, P U; Münch, E O; Imhoff, A B

    2016-12-01

    This study evaluates sports ability, rotational laxity and potential growth changes in children after transphyseal ACL reconstruction with metaphyseal fixation technique, considering physis biology by placing drill holes vertically in the femoral anatomic origin in order to reduce volumetric injury to the physis. In this retrospective trial of 42 patients data were collected. Thirty-seven were reviewed measuring rotational laxity and anteroposterior tibial translation using the Laxitester (ORTEMA Sport Protection, Markgroeningen, Germany) and the KT1000. Clinical examination was evaluated with the IKDC 2000 knee examination form. Leg axis was determined with digital photography and leg length was assessed clinically. Sports ability was assessed with questionnaires including subjective IKDC, Tegner Activity Scale, Activity Rating Scale and a questionnaire on sports and level of sports. Mean follow-up was 24.9months. Mean age at surgery was 13.2years in boys and 13.1years in girls. IKDC 2000 grading was A or B in 28 patients and C in nine patients. Significant increased anterior tibial translation was observed in neutral position and in external tibia rotation. No growth abnormalities were seen. Fifty-seven percent of the patients were able to participate in competitive sports at follow-up. Transphyseal ACL reconstruction with metaphyseal fixation in children with open growth plates can be done with low risk of growth changes. Return to competitive sports is possible although low rotational laxity still exists. IV. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. Ten-Year Results of Medial Open-Wedge High Tibial Osteotomy and Chondral Resurfacing in Severe Medial Osteoarthritis and Varus Malalignment.

    Science.gov (United States)

    Schuster, Philipp; Geßlein, Markus; Schlumberger, Michael; Mayer, Philipp; Mayr, Raul; Oremek, Damian; Frank, Sebastian; Schulz-Jahrsdörfer, Martin; Richter, Jörg

    2018-03-01

    High tibial osteotomy (HTO) is a widely used treatment option for medial osteoarthritis and varus malalignment, especially in young patients with early osteoarthritis. Limited outcome data are available for this procedure in severe osteoarthritis, and no long-term data are available using newer implants. To determine survivorship and functional results of medial open-wedge HTO combined with a chondral resurfacing (CR) procedure (abrasion plus microfracture) in severe medial osteoarthritis (Kellgren-Lawrence grade 3 and 4) and varus malalignment. Furthermore, factors that potentially influence the outcome were analyzed. Case series; Level of evidence, 4. From September 2005 to December 2008, all cases of HTO (fixation with an angular-stable internal fixator) combined with CR were prospectively surveyed with regard to survival (Kaplan-Meier-method, not requiring arthroplasty) and functional outcome (subjective International Knee Documentation Committee [IKDC] score). Cartilage regeneration at the time of hardware removal, tibial bone varus angle (TBVA), pre- and postoperative mechanical medial proximal tibial angle (MPTA), and postoperative alignment were analyzed with regard to the result. Seventy-nine knees were included (73 patients; mean age 50.9 ± 7.6 years). The follow-up rate was 90% at 10.0 ± 1.2 years (range, 8.3-12.1 years). Pre- and postoperative mechanical tibiofemoral axis were 9.6° ± 3.0° of varus and 0.6° ± 2.7° of valgus, respectively. Survival rate was 81.7% (95% CI, 72.5%-90.9%) at 10 years. Subjective IKDC score significantly improved from 44 ± 11 preoperatively to 70 ± 13 at one, 66 ± 15 at three, 66 ± 15 at five, and 65 ± 17 at ten years ( P 95°) with inferior functional outcome at final follow-up, respectively. Even in cases of severe medial osteoarthritis and varus malalignment, HTO in combination with a CR procedure is a good to excellent treatment option. The role of the CR procedure remains unclear. Although good results are

  8. Opening-wedge high tibial osteotomy without bone grafting in severe varus osteoarthritic knee. Rate and risk factors of non-union in 41 cases.

    Science.gov (United States)

    Siboni, R; Beaufils, P; Boisrenoult, P; Steltzlen, C; Pujol, N

    2018-03-16

    Using locking plates in opening-wedge high tibial osteotomy (OWHTO) via a medial opening theoretically allows early weight-bearing without need for bone or bone-substitute grafting. It incurs a risk of non-consolidation in case of large correction (> 10°), although rates and risk factors of non-union are not known. The present retrospective study compared OWHTO with correction 10°, with a view to determining: 1) complications rates (non-union) according to degree of correction, and 2) risk factors for such complications. OWHTO with correction greater than 10° without graft shows normal consolidation and allows early weight-bearing. Forty-one patients treated by OWHTO for medial osteoarthritis of the knee between January 2101 and November 2015 were included in a retrospective study. HKA angle was assessed by long-leg axis radiographs, preoperatively and at 3 months. Clinical and radiological follow-up at 6 weeks, 3 months and 6 months assessed consolidation in terms of >40% filling of the osteotomy site. Partial (contact) weight-bearing was allowed from the first postoperative day, with full weight-bearing at 6 weeks. Mean patient age was 59 ± 5 years. Mean body-mass index (BMI) was 30.3 ± 5.2; 17 patients (41.5%) had BMI >30. Mean initial HKA angle was 173.5° ± 3° (range, 167° - 178°) and mean correction was 10.7°± 2.7° (range, 5° - 15°). There were 27 corrections of 10° or more, and 14 less than 10°. At 3 months, mean HKA was 182.9° ± 2.5° (range, 178° - 187°). Twelve cases showed lateral tibial cortex fracture after opening. Thirty-six patients (87.8%) showed consolidation, at a mean 5 ± 3 months. Five patients showed osteotomy site non-union; in all these cases, the lateral cortex was broken initially (p=0.003); all had BMI >30 (mean, 37.2± 3.8; p 30 (OR=1.18; 95% CI, (1.03-1.41)) and correction ≥10° (OR=10.50; 95% CI, (2.49-53.86)) were associated with delayed consolidation. On multivariate analysis, only degree of osteotomy was

  9. Association between anterior open bite and pacifier sucking habit in schoolchildren in a city of southern Brazil

    Directory of Open Access Journals (Sweden)

    Claudiane Tibolla

    2012-12-01

    Full Text Available OBJECTIVE: The objective of this study was to verify from a school-based epidemiological survey, the prevalence of anterior open bite, analyzing the influence of pacifier habit in the school. METHODS: The first step was a questionnaire for the parents, and later clinical examinations in 237 school children, 3-14 years old, in the city of Santo Expedito do Sul/RS, Brazil. RESULTS: The population gender distribution was 50.3% boys and 49.4% girls with a mean age of 8.63 years, and 16% had primary dentition, 50.2% mixed dentition and 33.8 % permanent dentition. There was a 22.8% prevalence of anterior open bite, obtaining a significant association between anterior open bite and the pacifier sucking habit on the three dentitions. CONCLUSION: The duration and frequency of the habit were strongly associated with anterior open bite malocclusion in the deciduous and mixed dentitions.OBJETIVO: o objetivo deste estudo foi verificar, a partir de um levantamento epidemiológico de base escolar, a prevalência de mordida aberta anterior, analisando a influência do hábito da chupeta no seu estabelecimento. MÉTODOS: na primeira etapa, foi aplicado um questionário aos responsáveis e, posteriormente, foram feitos exames clínicos em 237 escolares de 3 a 14 anos do município Santo Expedito do Sul/RS. RESULTADOS: o tamanho da população, segundo o sexo, foi de 50,3% meninos e 49,4% meninas, com média de idade de 8,6 anos, sendo que 16% possuíam dentição decídua; 50,2%, dentição mista; e 33,8%, dentição permanente. Verificou-se uma prevalência de 22,8% de mordida aberta anterior, obtendo-se associação significativa entre a mordida aberta anterior e o hábito de sucção de chupeta, nas três dentições. CONCLUSÃO: a duração e a frequência do hábito estiveram fortemente associadas à má oclusão de mordida aberta anterior nas dentições decídua e mista.

  10. Bone-level implants placed in the anterior maxilla: an open-label, single-arm observational study

    OpenAIRE

    Gao, EnFeng; Hei, Wei-Hong; Park, Jong-Chul; Pang, KangMi; Kim, Sun Kyung; Kim, Bongju; Kim, Soung-Min; Lee, Jong-Ho

    2017-01-01

    Purpose This study assessed marginal bone remodeling and soft tissue esthetics after the loading of single bone-level implants in the anterior maxilla. Methods An open, single-arm observational clinical trial with 3 years of follow-up was performed, including 22 implants. The patients presented with a single tooth gap in the anterior maxilla (tooth positions 14–24), with natural or restored adjacent teeth. An implant was placed at least 8 weeks post-extraction and healed submerged for 6 weeks...

  11. Retrospective study of maxillary sinus dimensions and pneumatization in adult patients with an anterior open bite.

    Science.gov (United States)

    Ryu, Jesung; Choi, Sung-Hwan; Cha, Jung-Yul; Lee, Kee-Joon; Hwang, Chung-Ju

    2016-11-01

    The aim of this study was to evaluate differences in the maxillary sinus floor levels between adults with an anterior open bite and those without. This retrospective study included 30 subjects: 15 adults with an anterior open bite (mean age, 21.5 ± 4.3 years) and 15 control subjects with normal occlusion (mean age, 21.7 ± 3.1 years). Cone-beam computed tomography and lateral cephalograms were analyzed before treatment. The open-bite group exhibited a significantly greater maxillary posterior alveolar height (P open bite group (40.5 and 39.0 mm, respectively) than in the control group (36.7 and 34.7 mm, respectively; P open-bite group than in the control group (P open bite than in those without, whereas basal bone height in the maxillary posterior region is lower in the open-bite patients. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  12. Modelling the wedge shape for the virtual wedge

    International Nuclear Information System (INIS)

    Chang Liyun; Ho Shengyow; Chen, Helen H W

    2003-01-01

    We present a method to model the virtual wedge shape in a 3D treatment planning system as a physical wedge. The virtual wedge shape was determined using the measured dose profile of the virtual wedge at a chosen reference depth. The differences between the calculated and the measured dose profiles for the virtual wedge were within 0.5% at the reference depth, and within 2.5% at other depths. This method provides a fast and accurate way to implement the virtual wedge into our planning system for any wedge angles. This method is also applicable to model the physical wedge shapes with comparable good results

  13. Studying wedge factors and beam profiles for physical and enhanced dynamic wedges

    Directory of Open Access Journals (Sweden)

    Ahmad Misbah

    2010-01-01

    Full Text Available This study was designed to investigate variation in Varian′s Physical and Enhanced Dynamic Wedge Factors (WF as a function of depth and field size. The profiles for physical wedges (PWs and enhanced dynamic wedges (EDWs were also measured using LDA-99 array and compared for confirmation of EDW angles at different depths and field sizes. WF measurements were performed in water phantom using cylindrical 0.66 cc ionization chamber. WF was measured by taking the ratio of wedge and open field ionization data. A normalized wedge factor (NWF was introduced to circumvent large differences between wedge factors for different wedge angles. A strong linear dependence of PW Factor (PWF with depth was observed. Maximum variation of 8.9% and 4.1% was observed for 60° PW with depth at 6 and 15 MV beams respectively. The variation in EDW Factor (EDWF with depth was almost negligible and less than two per cent. The highest variation in PWF as a function of field size was 4.1% and 3.4% for thicker wedge (60° at 6 and 15 MV beams respectively and decreases with decreasing wedge angle. EDWF shows strong field size dependence and significant variation was observed for all wedges at both photon energies. Differences in profiles between PW and EDW were observed on toe and heel sides. These differences were dominant for larger fields, shallow depths, thicker wedges and low energy beam. The study indicated that ignoring depth and field size dependence of WF may result in under/over dose to the patient especially doing manual point dose calculation.

  14. Studying wedge factors and beam profiles for physical and enhanced dynamic wedges

    Science.gov (United States)

    Ahmad, Misbah; Hussain, Amjad; Muhammad, Wazir; Rizvi, Syed Qaisar Abbas; Matiullah

    2010-01-01

    This study was designed to investigate variation in Varian's Physical and Enhanced Dynamic Wedge Factors (WF) as a function of depth and field size. The profiles for physical wedges (PWs) and enhanced dynamic wedges (EDWs) were also measured using LDA-99 array and compared for confirmation of EDW angles at different depths and field sizes. WF measurements were performed in water phantom using cylindrical 0.66 cc ionization chamber. WF was measured by taking the ratio of wedge and open field ionization data. A normalized wedge factor (NWF) was introduced to circumvent large differences between wedge factors for different wedge angles. A strong linear dependence of PW Factor (PWF) with depth was observed. Maximum variation of 8.9% and 4.1% was observed for 60° PW with depth at 6 and 15 MV beams respectively. The variation in EDW Factor (EDWF) with depth was almost negligible and less than two per cent. The highest variation in PWF as a function of field size was 4.1% and 3.4% for thicker wedge (60°) at 6 and 15 MV beams respectively and decreases with decreasing wedge angle. EDWF shows strong field size dependence and significant variation was observed for all wedges at both photon energies. Differences in profiles between PW and EDW were observed on toe and heel sides. These differences were dominant for larger fields, shallow depths, thicker wedges and low energy beam. The study indicated that ignoring depth and field size dependence of WF may result in under/over dose to the patient especially doing manual point dose calculation. PMID:20177568

  15. Relaxation of the MCL after an Open-Wedge High Tibial Osteotomy results in decreasing contact pressures of the knee over time.

    Science.gov (United States)

    van Egmond, N; Hannink, G; Janssen, D; Vrancken, A C; Verdonschot, N; van Kampen, A

    2017-03-01

    The objective of this study was to investigate the effect of a medial open-wedge osteotomy (OWO) and the release of the superficial medial collateral ligament (MCL) on the tibiofemoral cartilage pressure, the MCL tension and the valgus laxity of the knee. Seven fresh-frozen, human cadaveric knees were used. Medial and lateral mean contact pressure (CP), peak contact pressure (peakCP), and contact area (CA) were measured using a pressure-sensitive film (I-Scan; Tekscan, Boston, MA). The MCL tension was measured using a custom-made device. These measurements were continuously recorded for 5 min after an OWO of 10°. After the osteotomy, the valgus laxity was measured with a handheld Newtonmeter. For one knee, the measurements were continued for 24 h. At the end, a complete release of the superficial MCL was performed and the measurements were repeated at 10°. There was relaxation of the MCL after the osteotomy; the tension dropped in 5 min with 10.7% (mean difference 20.5 N (95% CI 16.1-24.9)), and in 24 h, the tension decreased by 24.2% (absolute difference 38.8 N) (one knee). After the osteotomy, the mean CP, peakCP and CA increased in the medial compartment (absolute difference 0.17 MPa (95% CI 0.14-0.20), 0.27 MPa (95% CI 0.24-0.30), 132.9mm 2 (95% CI 67.7-198.2), respectively), and decreased in the lateral compartment (absolute difference 0.02 MPa (95% CI 0.03 -0.01), 0.08 MPa (95% CI 0.11 - 0.04), 47.0 mm 2 (95% CI -105.8 to 11.8), respectively). Only after a release of the superficial MCL, the mean CP, peak CP and CA significantly decreased in the medial compartment (absolute difference 0.17, 0.27 MPa, 119.8 mm 2 , respectively), and increased in the lateral compartment (absolute difference 0.02, 0.11 MPa, 52.4 mm 2 , respectively). After the release of the superficial MCL, a mean increase of 7.9° [mean difference - 0.1° (95% CI -1.9 to 1.6)] of the valgus laxity was found. A release of the superficial MCL helps achieve the goal of

  16. Changes of oral sensibility in subjects with partial anterior open bite and the incorrect position of the tongue.

    Science.gov (United States)

    Koczorowski, Maciej; Gedrange, Tomasz; Koczorowski, Ryszard

    2012-03-20

    Neuromuscular disorders lead to an imbalance in the position of the jaw. The aim of this study has been to analyse gnostic sensibility in subjects with partial anterior open bite and the incorrect position of the tongue. The study involved 20 subjects with partial anterior open bite and an incorrect tongue position. The control group consisted of 20 individuals with correct occlusion and tongue position. The basic study method was a stereognostic examination using 4 silicon shapes - a square, triangle, circle and semicircle. The accuracy of shape identification and the time that the subjects needed to identify the shapes were analysed before and after the tip of the tongue was anaesthetized. Results showed that correct identification of the shapes was 7.4% worse in the study group than in the control group and that the difference was greatest when the tip of the tongue was anaesthetized - 28.8%. The time needed to identify the shapes was shorter in the study group than in the control group. The results indicate that people with partial anterior open bite and incorrect tongue position exhibit impaired gnostic sensibility, especially at the tip of the tongue. Impaired gnostic sensibility, which is a symptom of the disturbed sensomotoric correlation of the tongue, leads to the tongue's incorrect position in the process of swallowing and speaking. Copyright © 2011 Elsevier GmbH. All rights reserved.

  17. Temporalis and masseter muscle activity in patients with anterior open bite and craniomandibular disorders

    DEFF Research Database (Denmark)

    Bakke, Merete; Michler, L

    1991-01-01

    values, particularly in subjects with muscular affection, but maximal activity increased significantly when biting on the splint. Maximal voluntary contraction was positively correlated to molar contact and negatively to anterior face height, mandibular inclination, vertical jaw relation and gonial angle...

  18. Physical characteristics comparison of virtual wedge device with physical wedge

    International Nuclear Information System (INIS)

    Choi, Dong Rak; Shin, Kyung Hwan; Lee, Kyu Chan; Kim, Dae Yong; Ahn, Yong Chan; Lim, Do Hoon; Kim, Moon Kyung; Huh, Seung Jae

    1999-01-01

    We have compared the characteristics of Siemens virtual wedge device with physical wedges for clinical application. We investigated the characteristics of virtual and physical wedges for various wedge angles (15, 30, 45, and 60 ) using 6- and 15MV photon beams. Wedge factors were measured in water using an ion chamber for various field sizes and depths. In case of virtual wedge device, as upper jaw moves during irradiation, wedge angles were estimated by accumulated doses. These measurements were performed at off-axis points perpendicular to the beam central axis in water for a 15 cm x 20 cm radiation field size at the depth of 10 cm. Surface doses without and with virtual or physical wedges were measured using a parallel plate ion chamber at surface. Field size was 15 cm x 20 cm and a polystyrene phantom was used. For various field sizes, virtual and physical wedge factors were changed by maximum 2.1% and 3.9%, respectively. For various depths, virtual and physical wedge factors were changed by maximum 1.9% and 2.9%, respectively. No major difference was found between the virtual and physical wedge angles and the difference was within 0.5 .deg. . Surface dose with physical wedge was reduced by maximum 20% (x-ray beam: 6 MV, wedge angle: 45 .deg. , SSD: 80cm) relative to one with virtual wedge or without wedge. Comparison of the characteristics of Siemens virtual wedge device with physical wedges was performed. Depth dependence of virtual wedge factor was smaller than that of physical wedge factor. Virtual and physical wedge factors were nearly independent of field sizes. The accuracy of virtual and physical wedge angles was excellent. Surface dose was found to be reduced using physical wedge

  19. Dentoskeletal effects produced by removable palatal crib, bonded spurs, and chincup therapy in growing children with anterior open bite.

    Science.gov (United States)

    Insabralde, Natalia Martins; de Almeida, Renato Rodrigues; Henriques, José Fernando Castanha; Fernandes, Thais Maria Freire; Flores-Mir, Carlos; de Almeida, Marcio Rodrigues

    2016-11-01

    To evaluate the dentoskeletal effects of different anterior open bite treatment modalities in children. This cephalometric study assessed changes resulting from different treatment approaches on 77 growing children with anterior open bite. A control group (n = 30) was used for comparison. Lateral cephalograms were available before treatment and after 12 months. The sample was divided into four groups: removable palatal crib associated with a chincup (G1), bonded spurs associated with a chincup (G2), chincup (G3), and nontreated control (G4). Statistical comparisons among the four groups were performed on T1 and the treatment changes using analysis of variance with Tukey's post hoc tests. No statistically significant changes in skeletal variables were found among the groups, except for lower anterior face height (LAFH) increase in G1. Overall, effects in all of the treated groups were exclusively dentoalveolar. A larger overbite (OB) increase was observed in G1 and G2 when compared with G3 and G4. The maxillary incisors in G1 showed increased palatal tipping, retrusion, and more vertical dentoalveolar development as well as increased lingual tipping among mandibular incisors. There was less vertical development of maxillary and mandibular molars in G3. A removable palatal crib provided an improvement in OB (97.5%), followed by the bonded spurs (84.5%). Conversely, the chincup-only group did not have positive OB effects.

  20. Chronic anterior shoulder instability with significant Hill-Sachs lesion: Arthroscopic Bankart with remplissage versus open Latarjet procedure.

    Science.gov (United States)

    Bah, A; Lateur, G M; Kouevidjin, B T; Bassinga, J Y S; Issa, M; Jaafar, A; Beaudouin, E

    2018-02-01

    The objective of this study was to compare short-term shoulder stability after arthroscopic Bankart repair with remplissage versus the open Latarjet procedure in patients who had chronic anterior shoulder instability with a significant Hill-Sachs lesion. The dislocation recurrence rate is higher after Bankart repair with remplissage than after open Latarjet. An observational non-randomised retrospective cohort study was conducted at two surgical centres in patients treated for chronic anterior shoulder instability with a significant Hill-Sachs defect between January 2009 and July 2014. The study compared 43 patients managed by arthroscopic Bankart repair and remplissage and 43 patients managed with open Latarjet. The two groups were matched on age at surgery and on follow-up duration. All patients were evaluated by independent observers based on a questionnaire including recurrences, range of motion, and functional outcomes (Shoulder Subjective Value [SSV], Walch-Duplay score, and Rowe score). Mean follow-up was 47.3 months (range, 24-67 months). The recurrence rate at last follow-up was not significantly different between the two groups (9.3% versus 11.2%; P=0.67). The Bankart group had significantly greater loss of external rotation and a significantly higher proportion of patients with residual pain (21% versus 9%, P=0.023). The SSV, Walch-Duplay score, and Rowe score values were similar between groups. In patients who had chronic anterior shoulder instability with a significant Hill-Sachs lesion, arthroscopic Bankart repair with remplissage and open Latarjet were reliable and safe procedures associated with low and similar recurrence rates. However, loss of external rotation and residual pain were significantly more common with the combined Bankart-remplissage procedure. III; comparative retrospective study. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  1. Diagnosis and treatment of anteroinferior capsular redundancy associated with anterior shoulder instability using an open Latarjet procedure and capsulorrhaphy.

    Science.gov (United States)

    Ropars, Mickaël; Cretual, Armel; Kaila, Rajiv; Bonan, Isabelle; Hervé, Anthony; Thomazeau, Hervé

    2016-12-01

    There is a paucity of data detailing management of anterior capsular redundancy (ACR) when using the Latarjet procedure for unidirectional instability. This study aimed to describe the surgical management and to assess the clinical profile of patients presenting with anterior capsular redundancy [ACR(+)] with anterior shoulder instability. Seventy-seven patients who had a Latarjet procedure were followed for a 55-month period. Per-operative ACR was assessed during surgery. ACR was considered present if the inferior capsular flap of a Neer T-shaft capsulorrhaphy was able to cover the superior capsular flap with the arm in the neutral position. Patients with ACR(+) received an additional Neer capsulorrhaphy, while patients with ACR(-) did not. This per-operative finding was correlated with demographics, clinical, radiological pre-operative data and surgical outcome. Patients presenting with a per-operative ACR(+) were significantly associated with a sulcus sign (P 4 (P 85°. Open standard Latarjet procedures with Neer capsulorrhaphy in ACR(+) patients showed excellent or good results and stability rate of 95 %. All patients except four who presented with a new dislocation after surgery were satisfied with their outcome. Thirteen patients (16 %) had a persistent apprehension sign at the last follow-up. ACR(+) and ACR(-) groups did not show significant difference in the mean values of Rowe, Walch-Duplay and Constant-Murley scores. ACR correlated with a sulcus sign, Beighton score and instability history. In anterior shoulder instability associated with ACR, the Latarjet procedure with a Neer capsulorrhaphy appears a satisfactory treatment alternative to arthroscopic or open capsular shift. It decreased apprehension in comparison with Latarjet procedures without capsular repair. Cases series, treatment study, Level IV.

  2. [Treatment of open tile type C pelvic fractures by open reduction and internal fixation through anterior and posterior approaches at early stage].

    Science.gov (United States)

    Li, Baichuan

    2014-05-01

    To explore the effectiveness of open reduction and internal fixation through anterior and posterior approaches in treatment of open Tile type C pelvic fractures at early stage. Between January 2009 and April 2012, 12 patients with open Tile C pelvic fractures were treated. There were 7 males and 5 females, aged 6-53 years (median, 31 years). Of 12 cases, 4 were classified as Tile type C1, 6 as Tile type C2, and 2 as Tile type C3; 5 were rated as Gustilo type II and 7 as Gustilo type III. The injury severity score was 18-57 (mean, 37.2). The interval of injury and admission ranged from 15 minutes to 3 days (median, 50 minutes). The debridement and external fixation were performed at first stage; then open reduction and internal fixation were used through anterior approach (reconstruction plate) and posterior approach (cannulated lag screws). The vacuum sealing drainage was performed during treatment until the wounds healed. Delayed healing of incison was obtained in 12 cases because of wound infection. Anatomical reduction or approximate anatomical reduction was achieved in all 12 cases. The patients were followed up 3-39 months (median, 18 months). No loosening of internal fixation or fracture displacement was observed during follow-up. The fracture healing time was 7-13 weeks (mean, 9.7 weeks). At last follow-up, according to the Matta standard, the outcome was excellent in 10 cases and good in 2 cases; according to Majeed score, the results were excellent in 9 cases, good in 1, and poor in 2. Early internal fixation operation of open Tile type C pelvic fractures can effectively restore the pelvic anatomical structure and stability, reduce the complication, and achieve satisfactory effectiveness.

  3. What is the best internal fixation in pelvic fracture models with open-book injury and anterior sacroiliac joint disruption?

    Directory of Open Access Journals (Sweden)

    Ismail H. Dilogo

    2015-12-01

    Full Text Available Background: The best operative management for open-book pelvic injury with anterior sacroiliac disruption (OTA/AO B1.1 classification is still debated. This biomechanical study aimed to find the best internal fixation technique for such injury. Methods: Open-book injury with anterior sacroiliac joint disruption was simulated on 25 artificial pelvic bones. Twenty five artificial pelvic bones were divided into 5 groups (n=5 /group and fixated with five different fixation techniques: 1. 1SP+1IS; 2. 2SP; 3. 2SP+2SIP; 4. 1SP+2IS S1, and 5. 1SP+1IS S1+S2. Biomechanical properties of each fixation technique were assessed using Tensilon® RTF-1310 to measure the resistance to translation and load to failure. Data were statistically analyzed using one-way ANOVA followed by post-hoc Bonferroni test.Results: The highest mean load to failure of axial forces (1490.36 N was achieved by the fixation technique using one symphyseal plate and two iliosacral screws located at S1 dan S2. The addition of one iliosacral screw significantly increased the mean load to failure for axial compression (p<0.05.Conclusion: The addition of sacroiliac joint posterior fixation, either with plate or screw, will increase the fixation biomechanical strength. Single symphyseal plate and two iliosacral screws on S1 and S2 provided the best mechanical resistance to axial loading. Thus, it can be concluded that such fixation technique is best for open-book pelvic injury with anterior sacroiliac disruption.

  4. Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure.

    Science.gov (United States)

    Zimmermann, Stefan M; Scheyerer, Max J; Farshad, Mazda; Catanzaro, Sabrina; Rahm, Stefan; Gerber, Christian

    2016-12-07

    Various operative techniques are used for treating recurrent anterior shoulder instability, and good mid-term results have been reported. The purpose of this study was to compare shoulder stability after treatment with the 2 commonly performed procedures, the arthroscopic Bankart soft-tissue repair and the open coracoid transfer according to Latarjet. A comparative, retrospective case-cohort analysis of 360 patients (364 shoulders) who had primary repair for recurrent anterior shoulder instability between 1998 and 2007 was performed. The minimum duration of follow-up was 6 years. Reoperations, overt recurrent instability (defined as recurrent dislocation or subluxation), apprehension, the subjective shoulder value (SSV), sports participation, and overall satisfaction were recorded. An open Latarjet procedure was performed in 93 shoulders, and an arthroscopic Bankart repair was done in 271 shoulders. Instability or apprehension persisted or recurred after 11% (10) of the 93 Latarjet procedures and after 41.7% (113) of the 271 arthroscopic Bankart procedures. Overt instability recurred after 3% of the Latarjet procedures and after 28.4% (77) of the Bankart procedures. In the Latarjet group, 3.2% of the patients were not satisfied with their result compared with 13.2% in the Bankart group (p = 0.007). Kaplan-Meier analysis of survivorship, with apprehension (p Latarjet procedure and the decreasing effectiveness of the arthroscopic Bankart repair over time. Twenty percent of the first recurrences after arthroscopic Bankart occurred no earlier than 91 months postoperatively, as opposed to the rare recurrences after osseous reconstruction, which occurred in the early postoperative period, with only rare late failures. In this retrospective cohort study, the arthroscopic Bankart procedure was inferior to the open Latarjet procedure for repair of recurrent anterior shoulder dislocation. The difference between the 2 procedures with respect to the quality of outcomes

  5. The Effect of a Unique Pacifier on Anterior Open Bite and Overjet in the Primary Dentition: A Pilot Study.

    Science.gov (United States)

    Nowak, Arthur J; Kim, Amy S; Scott, Jo Anna M; Berg, Joel H

    2016-01-01

    Pacifiers are the most common device used by children to satisfy their sucking needs. Because of their design, reports of anterior open bite and increased overjet are common. The purposes of this pilot study were to measure the effects of a unique pacifier in toddlers who have existing open bites and increased overjets; and secondly to determine the feasibility of recruiting and retaining toddlers for a six-month study. Toddlers with existing open bite and increased overjet currently using a conventional pacifier were recruited from a university pediatric dental clinic. Baseline information was obtained. Visual examination and intraoral measurements were obtained. The study pacifier was introduced to replace the existing pacifier. Follow-up data was collected at three and six months post-intervention. Eight of the 11 toddlers (73 percent) completed the study. Recruitment was challenging because of the inclusion criteria and transportation; retaining participants required numerous reminders to parents. There was a significant difference between initial and final open bite and overjet measurements. It is feasible to recruit and retain toddlers but it required significant staff interventions. There was a significant improvement in reducing existing open bite and overjet with the pacifier after six months.

  6. Diagnostic model of anterior open bite--a new way to predict skeletal type: a cross-sectional study.

    Science.gov (United States)

    Urzal, Vanda; Braga, Ana Cristina; Ferreira, Afonso P

    2014-09-01

    The aim of this study was to determine a differential diagnostic model for anterior open bite (AOB) in children in order to predict evolution with growth in cases of skeletal or dysfunctional dysplasia. The sample was composed of 128 subjects divided into 2 groups according to overbite values: a control group with normal occlusion and 2.5 ± 1mm overbite, and an AOB group with a negative overbite. Measurements of hyoid bone position, gonial angle, SN/Go-Gn, FMA, height of alveolar processes, upper lip height, height of the anterior nasal spine to stomion superior, upper incisor and menton, antegonial notch, symphysis anatomy, condyle anatomy, convexity, facial axis, lower oropharyngeal area and curve of Spee were obtained for all subjects, based on lateral cephalometric radiographs and lateral photos. All data were analyzed, and multivariate logistic regression was applied. The area under the receiver operating characteristic (ROC) curve was calculated for the models obtained by logistic regression, in order to evaluate them. Statistical analysis was performed in IBM(®) SPSS(®) Statistics version 21.0. The results demonstrated that the AOB model was capable of predicting skeletal anterior open bite with an accuracy of 93%. The seven variables selected were: lower face height (LFH), height of mandibular alveolar process, antegonial notch, symphysis direction, symphysis thickness, gonial angle and facial axis. Measurements of facial morphology made it possible to construct a model able to differentiate, with a small margin of error, between the two distinct forms of AOB: skeletal and dysfunctional. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  7. Effects of palatal crib and bonded spurs in early treatment of anterior open bite: A prospective randomized clinical study.

    Science.gov (United States)

    Leite, Juliana S; Matiussi, Luciano B; Salem, Anne C; Provenzano, Maria G A; Ramos, Adilson L

    2016-09-01

    To evaluate the overbite correction of fixed palatal crib (FPC) and bonded lingual spur (BLS) in the early treatment of anterior open bite (AOB) in mixed dentition (primary outcome) as well as its influence on dental and skeletal cephalometric measurements (secondary outcome). The selected patients had AOB and a mean age of 8.23 years. They were divided into the following three groups by casting lots: control (n  =  13), palatal crib (n  =  13), and spur (n  =  13). Data from the lateral teleradiography was obtained at the beginning, at 6 months, and after 1 year. The cephalometric analysis was performed by Cef-X program, recording the values of SNA, SNB, ANB, SnG oGn, 1.PP, IMPA, nasolabial angle, overbite, and overjet. Intergroup and intragroup comparisons were obtained via one-way analysis of variance. The degree of AOB was similar at baseline (P > .05). At 6 months and then after 1 year all groups showed improvement in the overbite. However, only the crib and spur groups showed positive overbite. No cephalometric measurements changed significantly over the period analyzed. We conclude that the FPC and BLS are simple and effective for the treatment of anterior open bite, with the advantage given to the FPC.

  8. Wedges of Anxiety

    DEFF Research Database (Denmark)

    Hellström, Maria; Brandt, Eva

    2005-01-01

    The Heraclitian notion of a reality in constant flux seems to have settled even in the public consciousness. We are, to an ever-increasing extent, on the move; in motion between different places of abode, between domiciles and places of residence, between temporary addresses and provisory settlem...... cones of light, as the cut their way into the unknown, like wedges of anxiety...

  9. Analytical approach for determining beam profiles in water phantom of symmetric and asymmetric fields of wedged, blocked, and open photon beams.

    Science.gov (United States)

    Tahmasebi Birgani, Mohamad Javad; Chegeni, Nahid; Arvandi, Shole; Razmjoo Ghalaee, Sasan; Zabihzadeh, Mansoor; Khezerloo, Davood

    2013-11-04

    Nowadays, in most radiotherapy departments, the commercial treatment planning systems (TPS) used to calculate dose distributions needs to be verified; therefore, quick, easy-to-use, and low-cost dose distribution algorithms are desirable to test and verify the performance of the TPS. In this paper, we put forth an analytical method to calculate the phantom scatter contribution and depth dose on the central axis based on the equivalent square concept. Then, this method was generalized to calculate the profiles at any depth and for several field shapes - regular or irregular fields - under symmetry and asymmetry photon beam conditions. Varian 2100 C/D and Siemens Primus Plus linacs with 6 and 18 MV photon beam were used for irradiations. Percentage depth doses (PDDs) were measured for a large number of square fields for both energies and for 45° wedge, which were employed to obtain the profiles in any depth. To assess the accuracy of the calculated profiles, several profile measurements were carried out for some treatment fields. The calculated and measured profiles were compared by gamma-index calculation. All γ-index calculations were based on a 3% dose criterion and a 3 mm dose-to-agreement (DTA) acceptance criterion. The γ values were less than 1 at most points. However, the maximum γ observed was about 1.10 in the penumbra region in most fields and in the central area for the asymmetric fields. This analytical approach provides a generally quick and fairly accurate algorithm to calculate dose distribution for some treatment fields in conventional radiotherapy.

  10. Shock detachment from curved wedges

    Science.gov (United States)

    Mölder, S.

    2017-09-01

    Curved shock theory is used to show that the flow behind attached shocks on doubly curved wedges can have either positive or negative post-shock pressure gradients depending on the freestream Mach number, the wedge angle and the two wedge curvatures. Given enough wedge length, the flow near the leading edge can choke to force the shock to detach from the wedge. This local choking can preempt both the maximum deflection and the sonic criteria for shock detachment. Analytical predictions for detachment by local choking are supported by CFD results.

  11. Anterior cruciate ligament reconstruction using quadriceps tendon autograft for adolescents with open physes- a technical note

    Directory of Open Access Journals (Sweden)

    Mauch Christian

    2011-04-01

    Full Text Available Abstract Background One major concern in the treatment of ACL lesions in children and adolescents with open physes is the risk of iatrogenic damage to the physes and a possibly resulting growth disturbance. Purpose The primary purpose of this article is to describe our technique of a transphyseal ACL reconstruction using quadriceps tendon-bone autograft in children and adolescents with open growth plates. The secondary aim is to report our early results in terms of postoperative growth disturbances which are considered to be a major concern in this challenging group of patients. It was our hypothesis that with our proposed technique no significant growth disturbances would occur. Methods From January 1997 to December 2007 49 consecutive children and adolescents with open growth plates were treated for a torn ACL using the aforementioned surgical technique. The patients (28 males and 21 females with a median age at surgery of 13 (range 8-15 years were retrospectively evaluated. Outcome measures were follow-up radiographs (weight-bearing long leg radiographs of the injured and uninjured knee, anteroposterior and lateral views, a tangential view of the patella and a tunnel view of the injured knee and follow-up notes (6 weeks, 3, 6, 12 months and until closing of physes for occurrence of any tibial and/or femoral growth changes. Results: All of the 49 patients had a sufficient clinical and radiological follow-up (minimum 5 years, rate 100%. 48 cases did not show any clinical and radiological growth disturbance. One case of growth disturbance in a 10.5 years old girl was observed. She developed a progressive valgus-flexion deformity which was attributed to a malplacement of the autograft bone block within the femoral posterolateral epiphyseal plate leading to an early localized growth stop. None of the patients were reoperated due to ACL graft failure. Five of the patients underwent revision ACL surgery due to another adequate sports trauma after

  12. INTEGRITY OF THE SUBSCAPULARIS TENDON AFTER OPEN SURGERY FOR THE TREATMENT OF ANTERIOR SHOULDER INSTABILITY: A CLINICAL AND RADIOLOGICAL EVALUATION.

    Science.gov (United States)

    Lech, Osvandré; Piluski, Paulo; Tambani, Renato; Castro, Nero; Pimentel, Gilnei

    2009-01-01

    To evaluate the integrity of the subscapularis tendon by strength, function and magnetic resonance imaging after deltopectoralis access for anterior shoulder instability. 20 patients with anterior shoulder instability have been evaluated. Minimum follow-up was 12 months, with a mean of 40 months. Only male patients were included, with a mean of age of 29 years (20 - 42 years). The patients have been submitted to physical examinations of mobility, muscular strength, Belly Test and Gerber Test. The isokinetic strength in internal and external rotation, in angular speeds of 60(0)/s and 180(0)/s, for both shoulders was measured using a dynamometer. In 15 patients magnetic resonance imaging (MRI) was carried out on both shoulders for evaluating the thickness, cross-sectional area and atrophy of the subscapularis muscle. A significant difference was found between torque peaks at the speed of 60(0)/s for internal (p=0.036) and external (p=0.008) rotation. However, at 180(0)/s the opposite happens (internal rotation: p=0.133; external rotation: p=0.393). Subscapularis muscle thickness and area are significantly smaller than the normal side, with a deficit of 19% and 23%, respectively. According to Rowe and UCLA scores, we find excellent and good results for the majority of patients, with a mean of 88 and 31.6 points, respectively. Despite of the good functional results, open surgery can limit strength and reduce the thickness and the cross-sectional area of subscapularis muscle. However, the best results were found in the patients who had the dominant side operated.

  13. Occlusal and cephalometric characteristics of anterior open-bite among Colombian 5-10 years old school children

    Directory of Open Access Journals (Sweden)

    María Ximena González

    2016-09-01

    Full Text Available Objetive. The aim of this study was to determine oclussal and skeletal characteristics of anterior open bite (AOB according to sex and socioeconomic status (SES in school children in the municipality of Pasto, Colombia. Methodology. A cross-sectional study was carried out involving 384 children between 5 and 10 years of age. A clinical assessment was performed to evaluate AOB, and information regarding socio-demographic variables, such as sex and SES according to Colombian standards, was obtained. Standardized lateral cephalograms and cast models were taken from participating subjects. A statistical analysis was performed using frequencies, percentages, t-student, ANOVA, Mann-Whitney and Kruskal-Wallis tests. Results. Prevalence of AOB was 8.1%, showing a significant difference according to SES. The most common Angle’s classification was Class II with 70.6% in the right molars, and 58.8% in the left molars, according to occlusal characteristics. Statistically significant differences were observed in the ratio of posterior and anterior facial height (PFH:AFH (p=0.050 according to sex. The distance between the upper first molar and palatal plane (U6-PP (p=0.028, the Overbite (p=0.032 and Gonial° (p=0.033 values showed statistically significant differences according to SES in vertical skeletal measures. The 64.7% of AOB were of dental origin. Conclusion. Results suggest variations in some vertical skeletal measures according to sex and SES in children with AOB. Since a high percentage of AOB is caused by dental factors, preventive programs are required to control this condition.

  14. INTEGRITY OF THE SUBSCAPULARIS TENDON AFTER OPEN SURGERY FOR THE TREATMENT OF ANTERIOR SHOULDER INSTABILITY: A CLINICAL AND RADIOLOGICAL EVALUATION

    Science.gov (United States)

    Lech, Osvandré; Piluski, Paulo; Tambani, Renato; Castro, Nero; Pimentel, Gilnei

    2015-01-01

    Objective: To evaluate the integrity of the subscapularis tendon by strength, function and magnetic resonance imaging after deltopectoralis access for anterior shoulder instability. Methods: 20 patients with anterior shoulder instability have been evaluated. Minimum follow-up was 12 months, with a mean of 40 months. Only male patients were included, with a mean of age of 29 years (20 − 42 years). The patients have been submitted to physical examinations of mobility, muscular strength, Belly Test and Gerber Test. The isokinetic strength in internal and external rotation, in angular speeds of 600/s and 1800/s, for both shoulders was measured using a dynamometer. In 15 patients magnetic resonance imaging (MRI) was carried out on both shoulders for evaluating the thickness, cross-sectional area and atrophy of the subscapularis muscle. Results: A significant difference was found between torque peaks at the speed of 600/s for internal (p=0.036) and external (p=0.008) rotation. However, at 1800/s the opposite happens (internal rotation: p=0.133; external rotation: p=0.393). Subscapularis muscle thickness and area are significantly smaller than the normal side, with a deficit of 19% and 23%, respectively. According to Rowe and UCLA scores, we find excellent and good results for the majority of patients, with a mean of 88 and 31.6 points, respectively. Conclusion: Despite of the good functional results, open surgery can limit strength and reduce the thickness and the cross-sectional area of subscapularis muscle. However, the best results were found in the patients who had the dominant side operated. PMID:27004190

  15. Bone-level implants placed in the anterior maxilla: an open-label, single-arm observational study.

    Science.gov (United States)

    Gao, EnFeng; Hei, Wei-Hong; Park, Jong-Chul; Pang, KangMi; Kim, Sun Kyung; Kim, Bongju; Kim, Soung-Min; Lee, Jong-Ho

    2017-10-01

    This study assessed marginal bone remodeling and soft tissue esthetics after the loading of single bone-level implants in the anterior maxilla. An open, single-arm observational clinical trial with 3 years of follow-up was performed, including 22 implants. The patients presented with a single tooth gap in the anterior maxilla (tooth positions 14-24), with natural or restored adjacent teeth. An implant was placed at least 8 weeks post-extraction and healed submerged for 6 weeks. After the second-stage operation, a fixed provisional prosthesis was provided. The final restoration was placed 6 months after the provisional restoration. The time of the provisional crown connection was considered to be the baseline in this study. Esthetic parameters and the marginal bone level were assessed at 6, 12, 24, and 36 months. All implants were well integrated in the bone. A statistically significant increase was found in the mean implant stability quotient between the time of the provisional prosthesis and the time of the final prosthesis. Most implants (95.5%) revealed marginal bone resorption (implant (4.5%) showed a change of 2.12 mm from baseline to 36 months (mean 0.07±0.48 mm), while the crestal bone level decreased significantly, from 2.34±0.93 mm at baseline to 1.70±1.10 mm at 36 months. The facial gingival margin and papilla were stable and the esthetic scores indicated high patient and dentist satisfaction. Platform-switching bone-level implants placed in maxillary single-tooth gaps resulted in successful osseointegration with minimal marginal bone resorption. The peri-implant soft tissue was also esthetically satisfying and stable.

  16. Bone-level implants placed in the anterior maxilla: an open-label, single-arm observational study

    Science.gov (United States)

    2017-01-01

    Purpose This study assessed marginal bone remodeling and soft tissue esthetics after the loading of single bone-level implants in the anterior maxilla. Methods An open, single-arm observational clinical trial with 3 years of follow-up was performed, including 22 implants. The patients presented with a single tooth gap in the anterior maxilla (tooth positions 14–24), with natural or restored adjacent teeth. An implant was placed at least 8 weeks post-extraction and healed submerged for 6 weeks. After the second-stage operation, a fixed provisional prosthesis was provided. The final restoration was placed 6 months after the provisional restoration. The time of the provisional crown connection was considered to be the baseline in this study. Esthetic parameters and the marginal bone level were assessed at 6, 12, 24, and 36 months. Results All implants were well integrated in the bone. A statistically significant increase was found in the mean implant stability quotient between the time of the provisional prosthesis and the time of the final prosthesis. Most implants (95.5%) revealed marginal bone resorption (<0.5 mm), and just 1 implant (4.5%) showed a change of 2.12 mm from baseline to 36 months (mean 0.07±0.48 mm), while the crestal bone level decreased significantly, from 2.34±0.93 mm at baseline to 1.70±1.10 mm at 36 months. The facial gingival margin and papilla were stable and the esthetic scores indicated high patient and dentist satisfaction. Conclusions Platform-switching bone-level implants placed in maxillary single-tooth gaps resulted in successful osseointegration with minimal marginal bone resorption. The peri-implant soft tissue was also esthetically satisfying and stable. PMID:29093988

  17. Intraoral Vertical Ramus Osteotomy Results in Good Long-Term Mandibular Stability in Patients With Mandibular Prognathism and Anterior Open Bite.

    Science.gov (United States)

    Choi, Sung-Hwan; Cha, Jung-Yul; Park, Hyung-Sik; Hwang, Chung-Ju

    2016-04-01

    Few studies have evaluated the outcomes of intraoral vertical ramus osteotomy (IVRO) for the correction of skeletal Class III malocclusion with an anterior open bite and the potential for postoperative relapse. Therefore, this study evaluated the stability of outcomes of IVRO for mandibular prognathism with and without an anterior open bite. This retrospective cohort study included consecutive patients with skeletal Class III malocclusion with (AOB group) and without (NAOB group) an anterior open bite who underwent IVRO at Yonsei Dental Hospital (Seoul, Korea). Lateral cephalograms were analyzed for predictor (open bite, yes or no) and outcome (horizontal and vertical relapse in the mandible) variables before and 7 days, 1 year, and 2 years after surgery. Other variables included the patients' demographic characteristics. Data were analyzed using independent t tests, repeated measures analysis of variance, Pearson correlation coefficients, and multiple linear regression analysis. The 2 groups (n = 15 each) were matched for baseline demographic characteristics. During the 2-year postoperative period, anterior and superior mandibular movements were observed in the NAOB group, whereas posterior and superior movements were observed in the AOB group. However, there were no meaningful intergroup differences in horizontal and vertical relapses of the mandible at all time points, although the amount of postoperative inferior relapse increased with a decrease in the amount of initial overbite. IVRO for the correction of skeletal Class III malocclusion resulted in good postoperative stability over time, regardless of the presence of a preoperative open bite, although the amount of postoperative inferior relapse showed a weak negative correlation with the initial overbite. Thus, IVRO can be a clinically acceptable treatment for skeletal Class III malocclusion with an anterior open bite. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by

  18. Arthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature.

    Science.gov (United States)

    Lenters, Tim R; Franta, Amy K; Wolf, Fredric M; Leopold, Seth S; Matsen, Frederick A

    2007-02-01

    Both arthroscopic and open surgical repairs are utilized for the management of anterior glenohumeral instability. To determine the evidence supporting the relative effectiveness of these two approaches, we conducted a rigorous and comprehensive analysis of all reports comparing arthroscopic and open repairs. A systematic analysis of eighteen published or presented studies was performed to determine if there were significant differences between the two approaches with regard to recurrence (recurrent dislocation, subluxation, and/or apprehension and/or a reoperation for instability), return to work and/or sports, and Rowe scores. We also performed subgroup analysis to determine if the quality of the study or the arthroscopic technique influenced the results. We identified four randomized controlled trials, ten controlled clinical trials, and four other comparative studies. Results were influenced both by the quality of the study and by the arthroscopic technique. Meta-analysis revealed that, compared with open methods, arthroscopic repairs were associated with significantly higher risks of recurrent instability (p < 0.00001, relative risk = 2.37, 95% confidence interval = 1.66 to 3.38), recurrent dislocation (p < 0.0001, relative risk = 2.74, 95% confidence interval = 1.75 to 4.28), and a reoperation (p = 0.002, relative risk = 2.32, 95% confidence interval = 1.35 to 3.99). When considered alone, arthroscopic suture anchor techniques were associated with significantly higher risks of recurrent instability (p = 0.01, relative risk = 2.25, 95% confidence interval = 1.21 to 4.17) and recurrent dislocation (p = 0.004, relative risk = 2.57, 95% confidence interval = 1.35 to 4.92) than were open methods. Arthroscopic approaches were also less effective than open methods with regard to enabling patients to return to work and/or sports (p = 0.03, relative risk = 0.87, 95% confidence interval = 0.77 to 0.99). On the other hand, analysis of the randomized clinical trials

  19. Single-level lumbar pyogenic spondylodiscitis treated with mini-open anterior debridement and fusion in combination with posterior percutaneous fixation via a modified anterior lumbar interbody fusion approach.

    Science.gov (United States)

    Lin, Yang; Li, Feng; Chen, Wenjian; Zeng, Heng; Chen, Anmin; Xiong, Wei

    2015-12-01

    This study evaluated the efficacy and safety of mini-open anterior debridement and lumbar interbody fusion in combination with posterior percutaneous fixation for single-level lumbar pyogenic spondylodiscitis. This is a retrospective study. Twenty-two patients with single-level lumbar pyogenic spondylodiscitis underwent mini-open anterior debridement and lumbar interbody fusion in combination with posterior percutaneous fixation via a modified anterior lumbar interbody fusion (ALIF) approach. Patients underwent follow-up for 24 to 38 months. Clinical data, etiological examinations, operative time, intraoperative blood loss, American Spinal Injury Association (ASIA) grade, Japanese Orthopaedic Association (JOA) lumbar function score, visual analog scale (VAS) score, Oswestry Disability Index (ODI), postoperative complications, and the bony fusion rate were recorded. The mean operative time was 181.1 ± 22.6 minutes (range 155-240 minutes). The mean intraoperative blood loss was 173.2 ± 70.1 ml (range 100-400 ml). Infection was found in lumbar vertebrae L2-3, L3-4, and L4-5 in 2, 6, and 14 patients, respectively. Bacterial cultures were positive in 15 patients, including 4 with Staphylococcus aureus, 6 with Staphylococcus epidermidis, 4 with Streptococcus, and 1 with Escherichia coli. Postoperative complications included urinary retention, constipation, and numbness in the thigh in 5, 3, and 2 patients, respectively. Compared with before surgery, the VAS scores and ODI were significantly lower at the final follow-up, the JOA scores were significantly higher, and the ASIA grades had improved. All patients achieved good intervertebral bony fusion. Mini-open anterior debridement and lumbar interbody fusion in combination with posterior percutaneous fixation via a modified ALIF approach results in little surgical trauma and intraoperative blood loss, acceptable postoperative complications, and is effective and safe for the treatment of single-level lumbar pyogenic

  20. Prevalence and associated factors for the development of anterior open bite and posterior crossbite in the primary dentition.

    Science.gov (United States)

    de Sousa, Raulison Vieira; Ribeiro, Gabriella Lima Arrais; Firmino, Ramon Targino; Martins, Carolina Castro; Granville-Garcia, Ana Flávia; Paiva, Saul Martins

    2014-01-01

    The aim of the study was to verify the prevalence of anterior open bite (AOB) and posterior cross-bite (PC) in the primary dentition and the association with sociodemographic factors, presence and duration of nutritive and non-nutritive habits. A cross-sectional study was carried out with 732 preschoolers in Campina Grande, PB, Brazil. Clinical exams were performed by three calibrated examiners (Kappa: 0.85-0.90). A questionnaire addressing sociodemographic data as well as nutritive and non-nutritive sucking habits was administered to parents/caregivers. Data analysis involved descriptive statistics and Poisson regression analysis (α=5%). The prevalence of AOB and PC was 21.0% and 11.6%, respectively. AOB was significantly associated with the three-year-old age group (PR: 1.37; 95%CI: 1.24-1.52), enrollment in public school (PR: 1.09; 95%CI: 1.01-1.17) and duration of pacifier sucking ≥ 36 months (PR: 1.41; 95%CI: 1.30-1.53). PC was associated with pacifier use (PR: 1.11; 95%CI: 1.05-1.17) and duration of breastfeeding Breastfeeding should be encouraged for longer periods and the use of pacifier beyond 3 years of age represents a predisposing factor for both types of malocclusion, especially AOB.

  1. Oral habits as risk factors for anterior open bite in the deciduous and mixed dentition - cross-sectional study.

    Science.gov (United States)

    Urzal, V; Braga, A C; Ferreira, A P

    2013-12-01

    Anterior open bite (AOB) is an occlusal anomaly commonly associated with oral habits (OH). The aim of this study was to determine the prevalence of OH as a risk factor for the AOB. A group of children aged between 3 and 12 years were observed. The statistical methodology included independent chi-square test, Fisher's exact test and binary logistic regression. The frequency of oral habits was of 43.5% in the deciduous dentition and 54.2% in the mixed dentition. There was a statistically significant association of pacifier sucking: 61.7 and 16.1 odd ratios (OR), and tongue thrust: 3.9 and 9.2 OR with AOB in both groups, respectively. Thumb sucking occurred only in the deciduous dentition with 5.6 OR. OH and AOB have a high frequency in children. They hinder the normal development of dental and skeletal structures. As OH are risk factors for AOB, the damaging habits most frequently associated are: pacifier sucking, thumb sucking, and tongue thrust. Due to the correlation between the prevalence of AOB and OH, prevention strategies incorporating psychological data related to children should be integrated into a national public health programme.

  2. Prevalence of non-nutritive sucking habits and its relation with anterior open bite in children seen in the Odontopediatric Clinic of the University of Pernambuco

    Directory of Open Access Journals (Sweden)

    Luiza do Nascimento Cezar Magalhães

    2012-04-01

    Full Text Available OBJECTIVE: The aim of this work was to establish the prevalence of non-nutritive sucking habits (pacifier and/or digit sucking and to assess its relation with anterior open bite. METHODS: The sample consisted of 980 records of children of both genders, with ages between 3 and 12 years, who were treated at the Pediatrics Clinic of the University of Pernambuco (FOP/UPE, from February 2000 trough December 2005, both sexes. Pearson's Chi-square test at 5% level of significance was used for statistical assessment. RESULTS: It was observed that 17,7% of the sample had some habit at the moment of the anamnesis (9,6% of digit sucking habit, 8,8% of pacifier sucking habit and 0,7% of both habits and that the prevalence of open bite was 20,3%. The prevalence of sucking habits in girls was much higher than in boys (22,6% and 12,9%, respectively and this difference was statistically significant (p = 0,000. A correlation between habits and open bite was proved statistically (p = 0,000: Children with sucking habits had 8 times more chances of developing anterior open bite. CONCLUSIONS: Anterior open bite was associated to the presence of non nutritive sucking habits; sucking habits were more prevalent in girls and in children between three and six years of age.

  3. Nonsurgical treatment for a severe anterior and lateral open bite and multiple congenitally missing teeth: a case report with 4-year follow-up

    Directory of Open Access Journals (Sweden)

    Ana Paula Abdo Quintão

    Full Text Available ABSTRACT This case report describes the treatment of a severe anterior and lateral open bite combined with multiple congenitally missing teeth. A 10-year-old girl presented with an open gonial angle, absence of lip sealing, and soft tissue pogonion retrusion. She had an open bite of 8.5 mm, agenesis of the upper right and left lateral incisors and the upper left first premolar, and transverse maxillary deficiency. Nonsurgical treatment was planned aiming at controlling the vertical pattern, establishing the correct overbite, and closing the spaces on the upper arch, to provide satisfactory occlusion and facial and dental esthetics.

  4. Treating anterior open bite

    NARCIS (Netherlands)

    Ren, Yijin

    2007-01-01

    DATA SOURCE: The Cochrane Central Register of Controlled Trials, Medline, Embase, LILACS (Latin American & Caribbean Health Sciences Literature) , Brazilian Bibliography of Odontology and SciELO. Ten Chinese journals were searched by hand and the bibliographies of papers were retrieved. STUDY

  5. A new sand-wedge-forming mechanism in an extra-arid area

    Science.gov (United States)

    Li, Hongshou; Wang, Wanfu; Wu, Fasi; Zhan, Hongtao; Zhang, Guobing; Qiu, Fei

    2014-04-01

    A survey found that sand wedges are widely distributed in the extremely extra-arid Gobi region of Dunhuang, China. The sand wedges are still developing. Well-developed sand wedges are surrounded by polygonal areas showing fractal structures. The depth of a well-developed sand wedge is 50-60 cm and its maximum width is 50-60 cm, so the depth/width ratio is 1.0. The interface between the wedge and matrix is arc-shaped. The mechanical composition of the sand wedges compared to the matrix is such that 76.72% of the particles have diameters ≤ 0.25 mm and show vertical sand laminations in the sand wedge, while 55.19% of the particles in the matrix are ≥ 2.00 mm in diameter. The particle diameters are consistent with the width of the sand-wedge fractures. The salt content in the sand wedges is 3.13 g/kg, while that of the matrix is 40.86 g/kg. The large salinity difference shows that the sand in the wedges comes from drift sand or cladding layers where salinity is lower, and that the sand wedge was formed in an arid climate. Displacement and pressure are closely associated with the daily temperature variation; they fluctuate significantly following the temperature. Measurements reveal the movement of thermal-contraction fissures. Pressure monitoring identified that wet expansions occurred after rainfall, which made the sand wedges become tightly joined to the matrix. Following this, as the soil became desiccated and shrank, a crack opened in the middle of the sand wedge. This was then filled with drift sand. With the next rainfall, the system moved into another development cycle. The current article reveals a new mechanism for forming sand wedges in extra-arid conditions. Arid sand wedges are a unique drought-induced surface landmark resulting from long-term, natural, dry-climate processes.

  6. Treatment and retention of relapsed anterior open-bite with low tongue posture and tongue-tie: A 10-year follow-up.

    Science.gov (United States)

    Seo, Yu-Jin; Kim, Su-Jung; Munkhshur, Janchivdorj; Chung, Kyu-Rhim; Ngan, Peter; Kim, Seong-Hun

    2014-07-01

    The purpose of the current report is to present 6-year long-term stability and 10-year follow-up data for an adult patient who was treated with a tongue elevator for relapsed anterior open-bite. The 19-year-old male patient presented with the chief complaint of difficulty in chewing his food. Collectively, clinical and radiographic examinations revealed an anterior open-bite, low tongue posture, and tongue-tie. The patient opted for orthodontic treatment alone, without any surgical procedure. A lingual frenectomy was recommended to avoid the risk of relapse, but the patient declined because he was not experiencing tongue discomfort. Initial treatment of the anterior open-bite with molar intrusion and tongue exercises was successful, but relapse occurred during the retention period. A tongue elevator was used for retreatment, because the approach was minimally invasive and suited the patient's requirements regarding discomfort, cost, and time. The appliance changed the tongue posture and generated an altered tongue force, which ultimately resulted in intrusive dentoalveolar effects, and a subsequent counterclockwise rotation of the mandible. The results showed long-term stability and were maintained for six years through continual use of the tongue elevator. The results of this case indicated that a tongue elevator could be used not only as an alternative treatment for open-bite, but also as an active retainer.

  7. Bouncing and bursting in a wedge

    Science.gov (United States)

    Reyssat, Etienne; Cohen, Caroline; Quere, David

    2015-11-01

    Placed into an inhomogeneous confined medium, non-wetting drops tend to be expelled from the tightest regions, where their contact with the walls would be maximized. They preferentially explore more open areas which are favorable from the point of view of capillary energy. Following this principle, one may thus use the geometry of confined environments to control fluid droplets in various ways : displacing, filtering, fragmenting... In this communication, we present experimental results on the dynamics of Leidenfrost drops launched into a wedge formed by two quasi-horizontal glass plates. Influenced by the gradient of confinement, these non-wetting liquid pucks approach the apex of the wedge to a minimal distance where they bounce back. At higher impact velocity, we observe that drops tend to penetrate deeper into the wedge but often burst into a large number of small fragments. We also discuss ways to control the deviation of droplets from their initial trajectory. We propose scaling law analyses to explain the characteristics of the observed bouncing and bursting phenomena.

  8. Neutron microscope with refractive wedge

    International Nuclear Information System (INIS)

    Masalovich, S.V.

    1990-01-01

    A possibility of applying a refractive element in a mirror-neutron microscope using ultracold neutrons to reduce neutron aberrations is considered. Application of a refractive element in a neutron microscope with horizontal optical axis is studied. A scheme of neutron microscope with a refractive wedge is presented, evaluation of quartz wedge parameters is made. It is stressed that application of refractive elements in neutron microscopes facilitates aberration reduction in neutron-optical systems

  9. Phase Space Exchange in Thick Wedge Absorbers

    Energy Technology Data Exchange (ETDEWEB)

    Neuffer, David [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States)

    2017-01-01

    The problem of phase space exchange in wedge absorbers with ionization cooling is discussed. The wedge absorber exchanges transverse and longitudinal phase space by introducing a position-dependent energy loss. In this paper we note that the wedges used with ionization cooling are relatively thick, so that single wedges cause relatively large changes in beam phase space. Calculation methods adapted to such “thick wedge” cases are presented, and beam phase-space transformations through such wedges are discussed.

  10. Evaluation of long-term stability of skeletal anterior open bite correction in adults treated with maxillary posterior segment intrusion using zygomatic miniplates.

    Science.gov (United States)

    Marzouk, Eiman S; Kassem, Hassan E

    2016-07-01

    This study evaluated the long-term stability of maxillary molar intrusion and anterior open-bite correction in adults treated by maxillary posterior teeth intrusion with zygomatic miniplates. The sample included 26 skeletal anterior open-bite patients, who had maxillary posterior segment intrusion with zygomatic miniplates. Lateral cephalograms were taken at pretreatment, posttreatment, 1 year posttreatment, and 4 years posttreatment. The mean maxillary molar intrusion was 3.04 mm (P ≤0.01), and the mean bite closure was 6.93 mm (P ≤0.01). The intruded maxillary molars relapsed by 10.20% in the first year after treatment and by 13.37% by 4 years after treatment. Overbite relapsed by 8.19% and 11.18% after 1 year and 4 years posttreatment, respectively. The first year after treatment accounted for 76.29% and 73.2% of the total relapses of molar intrusion and overbite, respectively. The 4-year posttreatment relapse amounts of maxillary molar intrusion and overbite were positively correlated with the amount of pretreatment maxillary molar height and the initial open-bite severity, respectively, but negatively correlated with the amounts of maxillary molar intrusion and open-bite correction gained by treatment. Molar intrusion with zygomatic miniplates appears to be stable 4 years after treatment. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  11. Má oclusão Classe I de Angle, com mordida aberta anterior, tratada com extração de dentes permanentes Angle Class I malocclusion, with anterior open bite, treated with extraction of permanent teeth

    Directory of Open Access Journals (Sweden)

    Mírian Aiko Nakane Matsumoto

    2011-02-01

    Full Text Available A mordida aberta é uma anomalia com características distintas que, além da complexidade dos múltiplos fatores etiológicos, traz consequências estéticas e funcionais. Muitas alternativas têm sido utilizadas em seu tratamento, entre elas a grade palatina, forças ortopédicas, ajuste oclusal, camuflagem com ou sem exodontias, mini-implantes ou miniplacas e cirurgia ortognática. O diagnóstico preciso e a determinação da etiologia permitem estabelecer os objetivos e o plano de tratamento ideal para essa má oclusão. O presente relato descreve o tratamento de uma má oclusão Classe I de Angle, com padrão esquelético de Classe II e mordida aberta anterior, realizado em duas fases e que foi apresentado à diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO, representando a categoria 2, como parte dos requisitos para a obtenção do título de Diplomado pelo BBO.Open bite is an anomaly with distinct characteristics which, in addition to involving complex, multiple etiologic factors, entails aesthetic and functional consequences. Many alternative approaches have been employed to treat open bite, including palatal crib, orthopedic forces, occlusal adjustment, camouflage with or without extractions, mini-implants or mini-plates, and orthognathic surgery. By determining accurate diagnosis and etiology professionals can set the goals and ideal treatment plan for this malocclusion. This report, describing the two stages treatment of a Angle Class I malocclusion with Class II skeletal pattern and anterior open bite, was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO, representative of category 2, as partial fulfillment of the requirements for obtaining the title of BBO Diplomate.

  12. Nonsurgical treatment of severe Class II malocclusion with anterior open bite using mini-implants and maxillary lateral incisor and mandibular first molar extractions.

    Science.gov (United States)

    Pithon, Matheus Melo

    2017-05-01

    This clinical case report presents the nonsurgical orthodontic treatment of a patient with skeletal Class II malocclusion, posterior crossbite, anterior open bite, accentuated dental discrepancies in both arches, and an odontoma. The proposed treatment involved maxillary expansion, extraction of atypical maxillary lateral incisors and mandibular first molars, and intrusion of maxillary teeth with the aid of mini-implants. The results obtained with these procedures included good tooth alignment, normal overbite and overjet, removal of the odontoma, and a harmonious smile. In complex cases, an accurate diagnosis is the key to a favorable outcome. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  13. Voluntary enhanced cocontraction of hamstring muscles during open kinetic chain leg extension exercise: its potential unloading effect on the anterior cruciate ligament.

    Science.gov (United States)

    Biscarini, Andrea; Benvenuti, Paolo; Botti, Fabio M; Brunetti, Antonella; Brunetti, Orazio; Pettorossi, Vito E

    2014-09-01

    A number of research studies provide evidence that hamstring cocontraction during open kinetic chain knee extension exercises enhances tibiofemoral (TF) stability and reduces the strain on the anterior cruciate ligament. To determine the possible increase in hamstring muscle coactivation caused by a voluntary cocontraction effort during open kinetic chain leg-extension exercises, and to assess whether an intentional hamstring cocontraction can completely suppress the anterior TF shear force during these exercises. Descriptive laboratory study. Knee kinematics as well as electromyographic activity in the semitendinosus (ST), semimembranosus (SM), biceps femoris (BF), and quadriceps femoris muscles were measured in 20 healthy men during isotonic leg extension exercises with resistance (R) ranging from 10% to 80% of the 1-repetition maximum (1RM). The same exercises were also performed while the participants attempted to enhance hamstring coactivation through a voluntary cocontraction effort. The data served as input parameters for a model to calculate the shear and compressive TF forces in leg extension exercises for any set of coactivation patterns of the different hamstring muscles. For R≤ 40% 1RM, the peak coactivation levels obtained with intentional cocontraction (l) were significantly higher (P hamstring muscle, maximum level l was reached at R = 30% 1RM, corresponding to 9.2%, 10.5%, and 24.5% maximum voluntary isometric contraction (MVIC) for the BF, ST, and SM, respectively, whereas the ratio l/l 0 reached its maximum at R = 20% 1RM and was approximately 2, 3, and 4 for the BF, SM, and ST, respectively. The voluntary enhanced coactivation level l obtained for R≤ 30% 1RM completely suppressed the anterior TF shear force developed by the quadriceps during the exercise. In leg extension exercises with resistance R≤ 40% 1RM, coactivation of the BF, SM, and ST can be significantly enhanced (up to 2, 3, and 4 times, respectively) by a voluntary hamstring

  14. Comparison of dosimetric characteristics of Siemens virtual and physical wedges for ONCOR linear accelerator

    Directory of Open Access Journals (Sweden)

    Attalla Ehab

    2010-01-01

    Full Text Available Dosimetric properties of virtual wedge (VW and physical wedge (PW in 6- and 10-MV photon beams from a Siemens ONCOR linear accelerator, including wedge factors, depth doses, dose profiles, peripheral doses, are compared. While there is a great difference in absolute values of wedge factors, VW factors (VWFs and PW factors (PWFs have a similar trend as a function of field size. PWFs have stronger depth dependence than VWF due to beam hardening in PW fields. VW dose profiles in the wedge direction, in general, match very well with those of PW, except in the toe area of large wedge angles with large field sizes. Dose profiles in the nonwedge direction show a significant reduction in PW fields due to off-axis beam softening and oblique filtration. PW fields have significantly higher peripheral doses than open and VW fields. VW fields have similar surface doses as the open fields, while PW fields have lower surface doses. Surface doses for both VW and PW increase with field size and slightly with wedge angle. For VW fields with wedge angles 45° and less, the initial gap up to 3 cm is dosimetrically acceptable when compared to dose profiles of PW. VW fields in general use less monitor units than PW fields.

  15. Isokinetic Evaluation of Quadriceps Strength in Open and Closed Kinetic Chains in Patients with Anterior Cruciate Ligament Reconstruction

    Directory of Open Access Journals (Sweden)

    Ali Ashraf-Jamshidi

    2014-06-01

    Full Text Available Background: Strength of knee extension and squat were compared between anterior cruciate ligament reconstructed (ACLR patients and healthy subjects. Materials and Methods: Twenty ACLR and twenty control subjects were participated in this non-exprimental study. Isokinetic peak strength of knee extension and squat in involved and uninvolved side of the ACLR patient and control group were measured. Results: Concentric and eccentric knee extension strength of the involved leg was decreased but squat strength showed no difference. Conclusion: In spite of return to sport activity and normal squat strength weakness of knee extensor muscles in the involved side of the ACLR patient was existed.

  16. Poster - Thur Eve - 41: Effect of beam symmetry on enhanced dynamic wedge quality assurance and tolerance levels.

    Science.gov (United States)

    Meyer, T; Hudson, A

    2012-07-01

    Wedged fields are common in three dimensional conformal radiation therapy and require appropriate quality assurance (QA). Currently, our centre calculates the angle of enhanced dynamic wedge (EDW) deliveries with the PROFILER at a monthly frequency but Canadian guidelines on the recommended QA of enhanced dynamic wedges are not available yet. TG-142 recommendations include monthly validation of the central axis wedge factors with only annual verification of wedge profiles. Our monthly QA results have demonstrated a sensitivity of the calculated EDW angle to open beam symmetry. The goal of this work is to compare wedge angle and direct profile comparison as QA measures of EDW delivery and determine appropriate parameter tolerances. The impact of open field symmetry variations on EDW profiles was determined by varying beam symmetry with a test potentiometer and measuring the resulting EDW beam profile with the PROFILER. A calculated wedge angle and direct profile comparison were used to describe the deviations in EDW deliveries. The impact of the deviations on typical plans incorporating wedged fields was evaluated by constructing 'equivalent wedges' to the profile deviations using mixed 60 degree and open field beams and performing plan comparisons in Eclipse. Beam symmetry was observed to have a significant impact on wedge angle for small angle wedges, with a 1% symmetry tolerance allowing a 3.4 degree range of wedge angles for a nominal 10 degree wedge. Direct profile comparison allows a more consistent definition of a dose based tolerance range to be applied without angle dependent tolerances. © 2012 American Association of Physicists in Medicine.

  17. Electron wedges for radiation therapy

    International Nuclear Information System (INIS)

    Lief, Eugene P.; Lo, Y.-C.; Humm, John L.

    1998-01-01

    Purpose: Brain tumors can be advantageously treated with electron over photon radiation, by exploiting the rapid fall-off in dose with depth. This advantage could be further enhanced by utilizing multiple electron beams. However, in some beam configurations, wedged dose profiles would be necessary for the dose uniformity. Unlike photons, shaped pieces of material placed in electron beam severely degrade the energy, give additional scattering and, therefore, are suboptimal. The purpose of this study was to create wedged electron fields, using intensity modulation. The combination of electron wedges enables a more uniform coverage of brain tumors with a reduced dose to normal tissue. Methods and Materials: Intensity modulation was performed for 10 to 50 MeV electrons using a narrow scanning elementary beam of a racetrack Microtron accelerator, delivering radiation pulses with coordinates and intensities prescribed by a custom scan matrix. Dispensing more pulses (or longer pulses) within the field to increase the local dose, one can sharpen the penumbra at depth and generate wedged dose distributions of arbitrary angle as well as many other desired profiles. We modulated the electron beams, measured dose distributions using film in an anthropomorphic phantom, and compared the results with conventional techniques. Results: Intensity modulation of electron beams decreases the 50-90% penumbra at depth by 40% and increases the flatness by 80%. Wedged profiles at depth can be created for any angle up to about 70 deg. , depending on the beam energy. Multiple modulated electron beams give smaller 20-70% but larger 70-100% isodose regions than photon beams. Conclusions: Electron beams can improve dose distributions in brain compared to the same number of photon beams, reducing the 20-70% isodoses region in normal tissue by 30%. Intensity modulation significantly improves the dose distribution from combined electron beams providing a sharper penumbra, better conformity, and

  18. Effect of molar intrusion with temporary anchorage devices in patients with anterior open bite: a systematic review

    OpenAIRE

    Ahmad Saleem Alsafadi; Mohannad M. Alabdullah; Humam Saltaji; Anas Abdo; Mohamed Youssef

    2016-01-01

    Abstract Objective The objective of the study is to assess the effect of molar intrusion with temporary anchorage devices on the vertical facial morphology and mandibular rotation during open bite treatment in the permanent dentition. Methods We performed a systematic review of the published data in seven electronic databases up to September 2015. We considered studies for inclusion if they were examining the effects of posterior teeth intrusion on the vertical facial morphology with open bit...

  19. Early treatment of anterior open bite: Comparison of the vertical and horizontal morphological changes induced by magnetic bite-blocks and adjusted rapid molar intruders.

    Science.gov (United States)

    Albogha, Mhd Hassan; Takahashi, Ichiro; Sawan, Mhd Naser

    2015-01-01

    This prospective clinical study aims to determine the differences between two treatment modalities for anterior open bite in growing patients. The treatment modalities involved the use of magnetic bite-blocks (MBBs) or rapid molar intruders (RMIs) applied with posterior bite-blocks. Fifteen consecutive patients with a mean age of 11.2 (standard deviation [SD] = 1.6) years and a mean open bite of -3.9 mm were treated with MBBs. Another 15 consecutive patients with a mean age of 10.9 (SD = 1.8) years and a mean open bite of -3.8 mm were treated with RMIs applied on bite-blocks. Cephalometric radiographs were obtained before (T1) and immediately after appliance removal (T2). The treatments lasted four months, during which the appliances were cemented to the teeth. The morphological changes were measured in each group and compared using logistic regression analysis. The MBB group exhibited significantly greater decreases in SNA angle, ANB angle, overjet, and maxillary incisor angle (p open bites and maxillary incisor protrusions.

  20. Integrity of the subscapularis tendon after open surgery for the treatment of anterior shoulder instability: a clinical and radiological evaluation

    OpenAIRE

    Lech, Osvandré; Piluski, Paulo; Tambani, Renato; Castro, Nero; Pimentel, Gilnei

    2009-01-01

    OBJETIVO: Avaliar a integridade do músculo subescapular através da força, função e ressonância nuclear magnética após acesso deltopeitoral para tratamento da luxação glenoumeral anterior recidivante. MÉTODOS: Foram avaliados 20 pacientes com luxação recidivante do ombro. Todos os casos possuíam seguimento mínimo de 12 meses, com média de 40 meses. Os pacientes eram todos do sexo masculino, com média de idade de 29 anos (20-42 anos). Os pacientes foram submetidos a exame físico para avaliar mo...

  1. Thermal-wave fields in solid wedges using the Green function method: Theory and experiment

    Science.gov (United States)

    Tai, Rui; Zhang, Jie; Wang, Chinhua; Mandelis, Andreas

    2013-04-01

    In this work, we establish a theoretical model for a cylindrical rod of radius R with opening angle θ illuminated by a modulated incident beam. The model uses the Green function method in cylindrical coordinates. An analytical expression for the Green function and thermal-wave field in such a solid is presented. The theory is validated in the limit of reducing the arbitrary wedge geometrical structure to simpler geometries. For acute angle wedges, it is shown that the thermal-wave field near the edge exhibits confinement behavior and increased amplitude compared to a flat (reference) solid with θ = π. For obtuse angle wedges, it is shown that the opposite is true and relaxation of confinement occurs leading to lower amplitude thermal-wave fields. The theory provides a basis for quantitative thermophysical characterization of wedge-shaped objects and it is tested using an AISI 304 steel wedge and photothermal radiometry detection.

  2. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: A systematic review of historical studies.

    Science.gov (United States)

    van der List, Jelle P; DiFelice, Gregory S

    2017-10-01

    The general opinion is that outcomes of open primary repair of the anterior cruciate ligament (ACL) in the historical literature were disappointing. Since good outcomes of primary repair of proximal tears have recently been reported, we aimed to assess the role of tear location on open primary repair outcomes in the historical literature. All studies reporting outcomes of open primary ACL repair published between the inception of PubMed, Embase and Cochrane and 2000 were identified. Studies were included if tear location was reported. Outcome scores, return to sports, stability examinations, failures and patient satisfaction were collected and reviewed in the total study cohort and in a subgroup of studies treating only proximal tears. Spearman correlation analysis was performed between the percentage of proximal tears in the studies and all outcomes. Twenty-nine studies were included reporting outcomes of open primary in 1457 patients of which 72% had proximal and 23% midsubstance tears. Mean age was 30years, 65% were males, and mean follow-up was 3.6years. Good outcomes were noted in the total cohort, and excellent outcomes were noted following repair of proximal tears. Positive correlation was found between the percentage proximal tears in the studies and percentage satisfied patients (p=0.010). Tear location seems to have played a role on the outcomes of open primary ACL repair. Outcomes of open primary repair in patients with proximal tears were excellent, which confirms there may be a potential role for primary repair as treatment for proximal ACL tears. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Long-term stability of an anterior open-bite malocclusion treated in the mixed dentition: a case report Estabilidade a longo prazo do tratamento da mordida aberta anterior na dentadura mista: relato de caso clínico

    Directory of Open Access Journals (Sweden)

    Márcio Rodrigues de Almeida

    2006-12-01

    Full Text Available A clinical case with anterior open-bite, treated in the mixed dentition, is presented. This approach demonstrates one of the possible approaches of treatment, which is capable of interfering with growth and redirecting its vectors. Orthodontic and orthopedic methods were used, consisting of slow maxillary expansion, through a fixed palatal crib soldered in a bi-helix appliance, and high-pull traction on the mandible for 16 hours a day. After eight years of follow-up, stable outcomes were accomplished. These results may be explained by the fact that treatments were performed at the appropriate period of development, thus establishing perioral muscular equilibrium, matching the final period of facial growth. The combination of orthodontic and orthopedic treatments was necessary to prevent the need of further orthognathic surgery treatment.Apresentou-se um relato de caso clínico de mordida aberta anterior, tratada em dentadura mista, demonstrando uma das possíveis formas de tratamento, capaz de interferir no crescimento e redirecionar seus vetores. Os protocolos ortodônticos e ortopédicos utilizados foram a expansão lenta da maxila, utilizando grade palatina soldada a um expansor bihélice, com tração alta na mandíbula, num período diário de 16 horas. Oito anos de estabilidade foram alcançados, explicados pelo fato de o tratamento ter sido conduzido no momento oportuno do desenvolvimento, o que estabeleceu equilíbrio entre os músculos peribucais, em conjunto com o período final do crescimento. A combinação do tratamento ortodôntico e ortopédico foi necessária para se evitar a necessidade de tratamento cirúrgico.

  4. Comparison of Treatment Outcomes of Arthroscopic Bankart Lesion Repair with Open Bristow-Latarjet Technique in Patients with Anterior Shoulder Instability

    Directory of Open Access Journals (Sweden)

    Mohsen Mardani-Kivi

    2012-12-01

    Full Text Available Background & Objectives: Over 150 different surgical techniques for treatment of anterior shoulder instability has been suggested that there is no consensus in the orthopedics. This study seeks to compare treatment outcomes of arthroscopic Bankart lesion repair methods with Bristow - Latarjet open surgical technique in patients with anterior shoulder instability.   Methods: In this cross-sectional study all patients with recurrent shoulder dislocation from 2009-2011 was divided into two groups, arthroscopic Bankart treatment (28 cases and open Bristow - Latarjet (26 cases that all were treated by one orthopedic surgeon. Patients were visited in 2,4,6,8 weeks also in the third and sixth month post-op .The visual analog scale (VAS for patient satisfaction and Walsch-duplay and Rowe score for functional outcomes of treatment were used in six months follow up. These three criteria were analyzed again after recalling the patients.   Results: Mean age of 54 patients was 29.46±9.16 years and mean follow-up duration was 23.28 ± 6.2 months. Scores of patients in both groups were not statistically different after analyzing the functional outcomes of treatment by Walsch-duplay and Rowe score after six months and final follow-up. Scores of patients by Walsch-duplay measurement in arthroscopic Bankart and Bristow-Latarjet groups were 98.03±4.37 and 97.88±4.51 respectively and by Rowe index were 97.32±5.52 vs. 97.88±4.51at final follow-up. No recurrence was observed in both groups in final follow up. Patient satisfaction in Bankart and operation groups were 9.4 ±0.68 and 9.47±0.58 (p= 0.69.   Conclusion: In anterior shoulder instability, minimally invasive Arthroscopic Bankart procedures almost equal to open Bristow-Latarjet method with regards to shoulder stability, recurrence rate, and range of motion.

  5. Arthroscopic Bankart repair associated with subscapularis augmentation (ASA) versus open Latarjet to treat recurrent anterior shoulder instability with moderate glenoid bone loss: clinical comparison of two series.

    Science.gov (United States)

    Russo, R; Della Rotonda, G; Cautiero, F; Ciccarelli, M; Maiotti, M; Massoni, C; Di Pietto, F; Zappia, M

    2017-04-01

    The treatment of chronic anterior shoulder instability with glenoid bone loss is still debated. The purpose of this study is to compare short-term results of two techniques treating chronic shoulder instability with moderate glenoid bone loss: bone block according to open Latarjet-Patte procedure and arthroscopic Bankart repair in association with subscapularis augmentation. Ninety-one patients with moderate anterior glenoid bone loss underwent from 2011 to 2015. From these patients, two groups of 20 individuals each have been selected. The groups were homogeneous in terms of age, gender, dominance and glenoid bone loss. In group A, an open Latarjet procedure has been performed, and in group B, an arthroscopic Bankart repair associated with subscapularis augmentation has been performed. The mean follow-up in group A was 21 months (20-39 months), while in group B was 20 months (15-36 months). QuickDash score, Constant and Rowe shoulder scores, were used for evaluations of results. The mean preoperative rate of QuickDash score was 3.6 for group A and 4.0 for group B; Rowe Score was 50.0 for group A and 50.0 for group B. Preoperative mean Constant score was 56.2 for Latarjet-Patte and 55.2 for Bankart plus ASA. Postoperative mean QuickDash score was in group A 1.8 and 1.7 in group B; Rowe Score was 89.8 and 91.6; Constant Score was 93.3 and 93.8. No complications related to surgery have been observed for both procedures. Not statistically significant difference was reported between the two groups (p > .05). Postoperatively, the mean deficit of external rotation in ER1 was -9° in group A and -8 in group B; In ER2, the mean deficit was -5° in both groups (p = .0942). Arthroscopic subscapularis augmentation of Bankart repair is an effective procedure for the treatment of recurrent anterior shoulder instability with glenoid bone loss without any significant difference in comparison with the well-known open Latarjet procedure.

  6. Perawatan Ortodontik Gigitan Terbuka Anterior

    Directory of Open Access Journals (Sweden)

    Yuniar Zen

    2014-06-01

    Full Text Available Perawatan gigitan terbuka anterior telah lama dianggap sebagai tantangan bagi ortodontis. Prevalensi gigitan terbuka anterior antara 3,5% hingga 11% terdapat pada berbagai usia dan kelompok etnis, serta ada sekitar 17% pasien ortodonti memiliki gigitan terbuka. Stabilitas hasil perawatan gigitan terbuka anterior sangat sulit, karena adanya kombinasi diskrepansi anteroposterior dengan gigitan terbuka skeletal sehingga dibutuhkan tingkat keterampilan diagnosis dan klinis yang tinggi. Etiologi gigitan terbuka anterior sangat kompleks karena dapat melibatkan skeletal, dental, dan faktor-faktor habitual. Eliminasi faktor etiologi merupakan hal yang penting dalam perawatan gigitan terbuka anterior. Berbagai cara perawatan untuk koreksi gigitan terbuka anterior diantaranya bedah ortognatik dan perawatan ortodontik kamuflase, seperti high-pull headgear, chincup, bite blocks, alatfungsional, pencabutan gigi, multi-loop edgewise archwires dan mini implan. Stabilitas hasil perawatan adalah kriteria yang paling penting dalam menentukan cara perawatan gigitan terbuka anterior. Orthodontic Treatment of Anterior Open Bite. An anterior open bite therapy has long been considered a challenge to orthodontist. The prevalence of anterior openbite range from 3,5 % to 11% among various age and ethnic groups and it has been shown that approximately 17% of orthodontic patients have open bite. Stability of treatment result of anterior open bite with well-maintained results is difficult, because the combination of anteroposteriorly discrepancy with skeletal open bite requires the highest degree of diagnostic and clinical skill. The etiology is complex, potentially involving skeletal, dental and habitual factors. The importance of an anterior open bite therapy is to eliminate the cause of the open bite. Various treatment modalities for the correction of an anterior open bite have been proposed, orthognatic surgery and orthodontic camouflage treatment such as high

  7. Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-clinical results at short term follow-up.

    Science.gov (United States)

    Kordasiewicz, Bartłomiej; Małachowski, Konrad; Kicinski, Maciej; Chaberek, Sławomir; Pomianowski, Stanisław

    2017-05-01

    The aim of this study was to compare early clinical results after open and arthroscopic Latarjet stabilisation in anterior shoulder instability. Our hypothesis was the results of arthroscopic stabilisation were comparable with the results of open procedure. The clinical results of the patients after primary Latarjet procedure were analysed. Patients operated on between 2006 and 2011 using an open technique composed the OPEN group and patients operated on arthroscopically between 2011 and 2013 composed the ARTHRO group; 48 out of 55 shoulders (87%) in OPEN and 62 out of 64 shoulders (97%) in ARTHRO were available to follow-up. The average age at surgery was 28 years in OPEN and 26 years in ARTHRO. The mean follow-up was 54.2 months in OPEN and 23.4 months in ARTHRO. Intra-operative data were analysed regarding time of surgery, concomitant lesions and complications. Patient results were assessed with Walch-Duplay, Rowe, VAS scores and subjective self-evaluation of satisfaction and shoulder function. Computed tomography scan evaluation was used to assess the graft healing. Average time of surgery was significantly shorter in ARTHRO than OPEN: respectively 110 and 120 minutes. The number of intra-operative complications was six (12.5%) in OPEN and five (8.1%) in ARTHRO. The results were comparable in both groups, with no significant difference between OPEN and ARTHRO group: satisfaction rate - 96.8% and 91.9%, shoulder function - 92.2% and 90%, Walch-Duplay score - 83.9 and 76.7 respecively. A significant difference was reported in Rowe score: 87.8 in OPEN and 78.9 in ARTHRO. Another significant difference was found in the presence of "subjective apprehension"-a term referring to the subjective perception of instability with no signs of instability at clinical examination - 28.7% in OPEN and 50% in ARTHRO. Range of motion in both groups were comparable, however patients in OPEN had significantly lower loss of external rotation in adduction to the side comparing to the

  8. LONGITUDINAL IONIZATION COOLING WITHOUT WEDGES

    International Nuclear Information System (INIS)

    BERG, J.S.

    2001-01-01

    The emittance of a muon beam must be reduced very rapidly due to the finite lifetime of the muons. The most effective known way to accomplish this is ionization cooling. It is straightforward to reduce transverse emittance through ionization cooling, but the reducing the longitudinal emittance is more challenging. Longitudinal cooling is necessary for a muon collider, and would be helpful for a neutrino factory. The method traditionally proposed for longitudinal cooling is emittance exchange involving wedges of absorber material: the longitudinal emittance is reduced at the cost of increased transverse emittance. The larger transverse emittance can then be reduced straightforwardly. An alternative method is proposed here, which does not require wedges of material but instead makes slight modifications to the standard transverse cooling lattice. We demonstrate a lattice which is a slight modification to a standard Super FOFO transverse cooling lattice, which has linear eigenvalues all of which have magnitude less than one

  9. Utilization of an electronic portal imaging device for measurement of dynamic wedge data

    International Nuclear Information System (INIS)

    Elder, Eric S.; Miner, Marc S.; Butker, Elizabeth K.; Sutton, Danny S.; Davis, Lawrence W.

    1996-01-01

    Purpose/Objective: Due to the motion of the collimator during dynamic wedge treatments, the conventional method of collecting comprehensive wedge data with a water tank and a scanning ionization chamber is obsolete. It is the objective of this work to demonstrate the use of an electronic portal imaging device (EPID) and software to accomplish this task. Materials and Methods: A Varian Clinac[reg] 2300 C/D, equipped with a PortalVision TM EPID and Dosimetry Research Mode experimental software, was used to produce the radiation field. The Dosimetry Research Mode experimental software allows for a band of 10 of 256 high voltage electrodes to be continuously read and averaged by the 256 electrometer electrodes. The file that is produced contains data relating to the integrated ionization at each of the 256 points, essentially the cross plane beam profile. Software was developed using Microsoft C ++ to reformat the data for import into a Microsoft Excel spreadsheet allowing for easy mathematical manipulation and graphical display. Beam profiles were measured by the EPID with a 100 cm TSD for various field sizes. Each field size was measured open, steel wedged, and dynamically wedged. Scanning ionization chamber measurements performed in a water tank were compared to the open and steel wedged fields. Ionization chamber measurements taken in a water tank were compared with the dynamically wedged measurements. For the EPID measurements the depth was varied using Gammex RMI Solid Water TM placed directly above the EPID sensitive volume. Bolus material was placed between the Solid Water TM and the EPID to avoid an air gap. Results: Comparison of EPID measurements with those from an ion chamber in a water tank showed a discrepancy of ∼5%. Scans were successfully obtained for open, steel wedged and dynamically wedged beams. Software has been developed to allow for easy graphical display of beam profiles. Conclusions: Measurement of dynamic wedge data proves to be easily

  10. Effect of molar intrusion with temporary anchorage devices in patients with anterior open bite: a systematic review.

    Science.gov (United States)

    Alsafadi, Ahmad Saleem; Alabdullah, Mohannad M; Saltaji, Humam; Abdo, Anas; Youssef, Mohamed

    2016-01-01

    The objective of the study is to assess the effect of molar intrusion with temporary anchorage devices on the vertical facial morphology and mandibular rotation during open bite treatment in the permanent dentition. We performed a systematic review of the published data in seven electronic databases up to September 2015. We considered studies for inclusion if they were examining the effects of posterior teeth intrusion on the vertical facial morphology with open bite malocclusion in the permanent dentition. Study selection, risk of bias assessment, and data-extraction were performed in duplicate. Meta-analysis was not possible due to dissimilarity and heterogeneity among the included studies. Out of the 42 articles that met the initial eligibility criteria, 12 studies were finally selected. Low level of scientific evidence was identified after risk of bias assessment of the included studies with no relevant randomized controlled trial performed. Out of the 12 selected studies, five studies used miniplates and seven studies used miniscrews. Mandibular counterclockwise rotation was found to be between 2.3° and 3.9° in six studies (as sassed by mandibular plane angle, between MeGo or GoGn and SN or FH plane) while it was less than 2° in the remaining studies. Current weak evidence suggests that molar intrusion with temporary anchorage devices may cause mandibular counterclockwise autorotation. Future well-conducted and clearly reported multicenter randomized controlled trials that include a non-treatment control group are needed to make robust recommendations regarding the amount of mandibular rotation during open bite treatments.

  11. Effect of molar intrusion with temporary anchorage devices in patients with anterior open bite: a systematic review

    Directory of Open Access Journals (Sweden)

    Ahmad Saleem Alsafadi

    2016-03-01

    Full Text Available Abstract Objective The objective of the study is to assess the effect of molar intrusion with temporary anchorage devices on the vertical facial morphology and mandibular rotation during open bite treatment in the permanent dentition. Methods We performed a systematic review of the published data in seven electronic databases up to September 2015. We considered studies for inclusion if they were examining the effects of posterior teeth intrusion on the vertical facial morphology with open bite malocclusion in the permanent dentition. Study selection, risk of bias assessment, and data-extraction were performed in duplicate. Meta-analysis was not possible due to dissimilarity and heterogeneity among the included studies. Results Out of the 42 articles that met the initial eligibility criteria, 12 studies were finally selected. Low level of scientific evidence was identified after risk of bias assessment of the included studies with no relevant randomized controlled trial performed. Out of the 12 selected studies, five studies used miniplates and seven studies used miniscrews. Mandibular counterclockwise rotation was found to be between 2.3° and 3.9° in six studies (as sassed by mandibular plane angle, between MeGo or GoGn and SN or FH plane while it was less than 2° in the remaining studies. Conclusions Current weak evidence suggests that molar intrusion with temporary anchorage devices may cause mandibular counterclockwise autorotation. Future well-conducted and clearly reported multicenter randomized controlled trials that include a non-treatment control group are needed to make robust recommendations regarding the amount of mandibular rotation during open bite treatments.

  12. Dental implants in an orthodontically created spaces using NiTi open coil spring in anterior and premolar regions

    Directory of Open Access Journals (Sweden)

    Omar Fawzi Abduljabbar

    2017-08-01

    Full Text Available Background and objective: Orthodontic space opening is a common treatment for congenitally missing teeth. Dental implants are often used to replace the missing tooth to establish ideal esthetics without restoring the adjacent teeth. This study aimed to investigate the outcome of implants placed in orthodontically created bone. Methods: Fifty dental implants were used for rehabilitation of lost tooth/teeth in 30 patients after space creation using orthodontic treatment. Patients with congenital and traumatic missing tooth/teeth, who lost the space for accommodation of normal size crown, and patients with spacing were enrolled in the study. NiTi open coil spring was used for space creation. The patients were followed up clinically and radiographically (OPG. Results: Out of 50 implants, the success rate was 78% (39 implants. Eleven implants (22% failed to get osseointegration. Mean age of the patients was 26.33. Female patients constituted 63.33%, and male patients 36.67%. A new one replaced all the failed implants. Most of the failures were in the mandible. Conclusion: Orthodontic treatment can be used as a type of osteodistraction method for provision of an acceptable amount of bone for dental implants. The quality of the gained bone can be improved by offering sufficient time for healing.

  13. Combined pars plana lensectomy-vitrectomy with open-loop flexible anterior chamber intraocular lens (AC IOL) implantation for subluxated lenses.

    Science.gov (United States)

    Kazemi, S; Wirostko, W J; Sinha, S; Mieler, W F; Koenig, S B; Sheth, B P

    2000-01-01

    To review our experience with combined pars plana lensectomy-vitrectomy and open-loop flexible anterior chamber intraocular lens (AC IOL) implantation for managing subluxated crystalline lenses. Retrospective review of 36 consecutive eyes (28 patients), all of which had subluxated crystalline lenses, managed by pars plana lensectomy-vitrectomy with insertion of an open-loop flexible AC IOL. The study was performed at the Medical College of Wisconsin, Milwaukee, over an 8-year period. An average preoperative visual acuity of 20/163 (range, 20/25 to hand motions) improved to 20/36 (range, 20/20 to 4/200) with surgery after a mean follow-up of 14 months (range, 1 to 59 months) (P IOL implantation appears to be an excellent technique for managing subluxated crystalline lenses. It is associated with a significant improvement in visual acuity (P subluxated lens through a limbal wound. Additionally, use of an AC IOL offers a simplified alternative to placement of a ciliary sulcus sutured posterior chamber intraocular lens (PC IOL).

  14. Decarbonization Wedges. November 2015. Report

    International Nuclear Information System (INIS)

    Alazard-Toux, N.; Criqui, P.; Devezeaux de Lavergne, J.G.; Chevallet, L.; Gentier, S.; Hache, E.; Le Net, E.; Menanteau, Ph.; Thais, Fr.; Achard, JL.; Allard, Fr.; Authier, O.; Babarit, A.; Badin, Fr.; Bazile, F.; Bernard, O.; Birat, JP.; Brault, P.; Burnol, A.; Carre, Fr.; Delrue, F.; Dufour, A.; Duplan, JL.; Durand, P.; Duval, O.; Fabriol, H.; Ferrant, P.; Flamant, G.; Forti, L.; Garnier, J.; Gimenez, M.; Goyeneche, O.; Hadj Said, N.; Jasserand, Fr.; Kalaydjian, F.; Le Boulluec, M.; Legrand, J.; Lorne, D.; Lucchese, P.; Magand, S.; Malbranche, Ph.; Mermillod, N.; Monot, F.; Olivier, B.; Pacaud, P.; Papillon, Ph.; Ponsot-Jacquin, C.; Quenard, D.; Rachez, X.; Rapin, M.; Rocher, Ph.; Sanjuan, B.; Sauvant-Moynot, V.; Tilagone, R.; Vinot, S.; Berthomieu, R.; Vajnovszki, A.

    2015-01-01

    2015 is a particularly eventful year in the field of energy. From 30 November through 11 December, France will host the 21. Conference of the Parties on Climate Change (COP21) in Paris. The expectations for this international event are high. Its main goal is to obtain an agreement to keep global warming below 2 deg. C by securing a set of voluntary commitments from the various countries and regions of the world to reduce global greenhouse gas emissions and by mobilizing $100 billion per year from 2020 onwards to finance climate change policies, especially in developing countries. In France, the year 2015 was also marked by the adoption of the Energy Transition and Green Growth Act that set a course and defined a road-map, through a set of objectives, aimed at helping our country reduce its CO 2 emissions in the field of energy. In this context, ANCRE (French National Alliance for Energy Research Coordination) would like to reiterate the major role of energy research and innovation in reducing anthropogenic (i.e. human induced) greenhouse gas emissions through research conducted on decarbonization wedges, a key technology in the fight against climate change in the field of energy on a planetary scale. Limiting the temperature increase on the earth's surface to 2 deg. C by 2100 is a challenging target, but it could be achievable with the rapid, sustained development and wide dissemination of a broad set of technologies. However, to achieve this goal, it is indispensable to conduct research aimed at speeding up low carbon technologies deployment and at reducing their cost. Through this joint report to which numerous researchers and experts contributed, ANCRE wishes to continue its efforts to build a global strategic vision that an Alliance comprising nearly 19 different research institutions can provide. This study follows the work conducted on energy transition scenarios for France and the road-maps drawn up by the ten programmatic groups structuring the

  15. Dosimetric parameters of enhanced dynamic wedge for treatment planning and verification

    International Nuclear Information System (INIS)

    Leavitt, Dennis D.; Lee, Wing Lok; Gaffney, David K.

    1996-01-01

    Purpose/Objective: Enhanced Dynamic Wedge (EDW) is an intensity-modulated radiotherapy technique in which one collimating jaw sweeps across the field to define a desired wedge dose distribution while dose rate is modified according to jaw position. This tool enables discrete or continuous wedge angles from zero to sixty degrees for field widths from three cm to 30 cm in the direction of the wedge, and up to 40 cm perpendicular to the wedge direction. Additionally, asymmetric wedge fields not centered on the line through isocenter can be created for applications such as tangential breast irradiation. The unique range of field shapes and wedge angles introduce a new set of dosimetric challenges to be resolved before routine clinical use of EDW, and especially require that a simple set of independent dose calculation and verification techniques be developed to check computerized treatment planning results. Using terminology in common use in treatment planning, this work defines the effective wedge factor vs. field width and wedge angle, evaluates the depth dose vs. open field values, defines primary intensity functions from which specific dynamic wedges can be calculated in treatment planning systems, and describes the technique for independent calculation of Monitor Units for EDW fields. Materials and Methods: Using 6- and 18-MV beams from a CI2100C, EDW beam profiles were measured in water phantom for depths from near-surface to 30 cm for the full range of field widths and wedge angles using a linear detector array of 25 energy-compensated diodes. Asymmetric wedge field profiles were likewise measured. Depth doses were measured in water phantom using an ionization chamber sequentially positioned to depths of 30 cm. Effective wedge factors for the full range of field widths and wedge angles were measured using an ionization chamber in water-equivalent plastic at a depth of 10 cm on central axis. Dose profiles were calculated by computer as the summation of a series

  16. Comparing virtual with physical wedge for the transmission factors

    International Nuclear Information System (INIS)

    Lin Kuei-Hua; Lin Jao-Perng; Chu Tieh-Chi; Liu Mu-Tai

    2000-01-01

    This paper investigates the discrepancies between virtual wedge and physical wedge at the standard wedge angles of 15, 30, 45, and 60 degrees. The dose distributions for virtual wedge and physics wedge were measured by using a commercial multichamber detector array. The transmission factors of each virtual wedge and physical wedge were measured for Siemens PRIMUS 3008 linear accelerator by single ion chamber. These factors were used to set-up the clinical treatment data tables for clinical dosimetry for virtual wedge utilization. The Wellhoefer IC15, 0.13cc chamber was installed on the chamber frame of Wellhoefer water phantom (48x48x40 cm 3 ). The surface of water was at 100 cm SSD. The output factor in water were measured on the central axis of each field at 5 cm depth for 6MV or 10 cm depth for 15MV X-ray on virtual wedge and physical wedge. Comparing virtual wedge with physical wedge for transmission factor as field size range from 4x4 to 25x25 cm 2 . We have measured the dose distributions using the chamber array for 25x25 cm 2 virtual wedge fields and physical wedge fields at wedge angles of 15deg to 60deg. The dose profiles at various depths were also measured using the chamber array. The transmission factors of each physical wedge were slowly increased as field sizes increase, and had different value for each wedge angle. The transmission factors of each virtual wedge were almost constant value as 1.0 for each wedge angle. The results show that the dose profiles including the penumbra dose measured by the chamber array for virtual wedge agree with those measured for the physical wedge. For transmission factors of virtual wedge were constant value as 1.0 for each angles, namely output without wedge is almost equal to output with wedge on the central axis. Virtual wedge has practical and dosimetric advantages over physical wedge. (author)

  17. Is kyphoplasty better than vertebroplasty at restoring form and function after severe vertebral wedge fractures?

    Science.gov (United States)

    Landham, Priyan R; Baker-Rand, Holly L A; Gilbert, Samuel J; Pollintine, Phillip; Annesley-Williams, Deborah J; Adams, Michael A; Dolan, Patricia

    2015-04-01

    The vertebral augmentation procedures, vertebroplasty and kyphoplasty, can relieve pain and facilitate mobilization of patients with osteoporotic vertebral fractures. Kyphoplasty also aims to restore vertebral body height before cement injection and so may be advantageous for more severe fractures. The purpose of this study was to compare the ability of vertebroplasty and kyphoplasty to restore vertebral height, shape, and mechanical function after severe vertebral wedge fractures. This is a biomechanical and radiographic study using human cadaveric spines. Seventeen pairs of thoracolumbar "motion segments" from cadavers aged 70-98 years were injured, in a two-stage process involving flexion and compression, to create severe anterior wedge fractures. One of each pair underwent vertebroplasty and the other kyphoplasty. Specimens were then compressed at 1 kN for 1 hour to allow consolidation. Radiographs were taken before and after injury, after treatment, and after consolidation. At these same time points, motion segment compressive stiffness was assessed, and intervertebral disc "stress profiles" were obtained to characterize the distribution of compressive stress on the vertebral body and neural arch. On average, injury reduced anterior vertebral body height by 34%, increased its anterior wedge angle from 5.0° to 11.4°, reduced intradiscal (nucleus) pressure and motion segment stiffness by 96% and 44%, respectively, and increased neural arch load bearing by 57%. Kyphoplasty caused 97% of the anterior height loss to be regained immediately, although this reduced to 79% after consolidation. Equivalent gains after vertebroplasty were significantly lower: 59% and 47%, respectively (pconsolidation, but these mechanical effects were similar for kyphoplasty and vertebroplasty. After severe vertebral wedge fractures, vertebroplasty and kyphoplasty were equally effective in restoring mechanical function. However, kyphoplasty was better able to restore vertebral height

  18. Wedge-local quantum fields and interaction

    International Nuclear Information System (INIS)

    Lechner, G.

    2007-01-01

    In the construction of relativistic quantum field theories, field operators which are not point-localized, but rather localized in wedge-shaped regions of d-dimensional Minkowski space, are a novel tool. We present a family of concrete examples of such wedge-local quantum fields in 4-dimensional spacetime by making use of a correspondence between wedges and noncommutativity parameters. It is then discussed to which degree models formulated in terms of wedge-local fields comply with the principle of locality. One of our examples is closely related to the free field on non-commutative Minkowski space, which can also be understood as a wedge-local quantum field. (author)

  19. A prospective randomized trial comparing anterior cervical discectomy and fusion versus plate-only open-door laminoplasty for the treatment of spinal stenosis in degenerative diseases.

    Science.gov (United States)

    Jiang, Yun-Qi; Li, Xi-Lei; Zhou, Xiao-Gang; Bian, Chong; Wang, Han-Ming; Huang, Jian-Ming; Dong, Jian

    2017-04-01

    For three or more involved cervical levels, there is a debate over which approach yields the best outcomes for the treatment of multilevel cervical degenerative disease. Our objective is to compare the radiological and clinical outcomes of two treatments for multilevel cervical degenerative disease: anterior cervical discectomy and fusion (ACDF) versus plate-only open-door laminoplasty (laminoplasty). Patients were randomized on a 1:1 randomization schedule with 17 patients in the ACDF group and 17 patients in the laminoplasty group. Clinical outcomes were assessed by a visual analog scale (VAS), Japanese Orthopedic Association (JOA) scores, operative time, blood loss, rates of complications, drainage volume, discharge days after surgery, and complications. The cervical spine curvature index (CI) and range of motion (ROM) were assessed with radiographs. The mean VAS score, the mean JOA score, and the rate of complications did not differ significantly between groups. The laminoplasty group had greater blood loss, a longer operative time, more drainage volume, and a longer hospital stay than the ACDF group. There were no significant differences in the CI and ROM between the two groups at baseline and at each follow-up time point. ROM in both groups decreased significantly after surgery. Both ACDF and laminoplasty are effective and safe treatments for multilevel cervical degenerative disease. ACDF causes fewer traumas than laminoplasty.

  20. Radiographic evaluation of indirect decompression of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lateral interbody fusion for degenerated lumbar spondylolisthesis.

    Science.gov (United States)

    Sato, Jun; Ohtori, Seiji; Orita, Sumihisa; Yamauchi, Kazuyo; Eguchi, Yawara; Ochiai, Nobuyasu; Kuniyoshi, Kazuki; Aoki, Yasuchika; Nakamura, Junichi; Miyagi, Masayuki; Suzuki, Miyako; Kubota, Gou; Inage, Kazuhide; Sainoh, Takeshi; Fujimoto, Kazuki; Shiga, Yasuhiro; Abe, Koki; Kanamoto, Hiroto; Inoue, Gen; Takahashi, Kazuhisa

    2017-03-01

    Extreme lateral interbody fusion provides minimally invasive treatment of spinal deformity, but complications including nerve and psoas muscle injury have been noted. To avoid nerve injury, mini-open anterior retroperitoneal lumbar interbody fusion methods using an approach between the aorta and psoas, such as oblique lumbar interbody fusion (OLIF) have been applied. OLIF with percutaneous pedicle screws without posterior decompression can indirectly decompress the spinal canal in lumbar degenerated spondylolisthesis. In the current study, we examined the radiographic and clinical efficacy of OLIF for lumbar degenerated spondylolisthesis. We assessed 20 patients with lumbar degenerated spondylolisthesis who underwent OLIF and percutaneous pedicle screw fixation without posterior laminectomy. MR and CT images and clinical symptoms were evaluated before and 6 months after surgery. Cross sections of the spinal canal were evaluated with MRI, and disk height, cross-sectional areas of intervertebral foramina, and degree of upper vertebral slip were evaluated with CT. Clinical symptoms including low back pain, leg pain, and lower extremity numbness were evaluated using a visual analog scale and the Oswestry Disability Index before and 6 months after surgery. After surgery, significant increases in axial and sagittal spinal canal diameter (12 and 32 %), spinal canal area (19 %), disk height (61 %), and intervertebral foramen areas (21 % on the right side, 39 % on the left), and significant decrease of upper vertebral slip (-9 %) were found (P spondylolisthesis with back and leg symptoms.

  1. Comparison of two treatment strategies for the early treatment of an anterior skeletal open bite : Posterior bite block-vertical pull chin cup (PBB-VPC) vs. posterior bite block-high pull headgear (PBB-HPH).

    Science.gov (United States)

    Turkkahraman, Hakan; Cetin, Ebru

    2017-07-01

    Aim of the present study was to compare the effects of posterior bite block-vertical pull chin cup (PBB-VPC) and posterior bite block-high pull headgear (PBB-HPH) in the early treatment of anterior open bite. This retrospective study was carried out using pretreatment (T1) and posttreatment (T2) lateral cephalometric radiographs of 28 patients treated with either PBB-VPC or PBB-HPH and 14 age-matched control patients with anterior open bite. The treatment changes were evaluated with 20 measurements (7 angular and 13 linear). Intergroup comparisons of the cephalometric measurements were performed by ANOVA, and a post hoc Tukey test was used to perform multiple comparisons. There was no significant difference in the open bite correction between the two treatment groups, but both groups showed significantly greater increases in overbite than the controls (P open bite. Retrusion of the upper/lower incisors and a slight increase in the upper anterior dentoalveolar height were the most evident findings in the PBB-VPC group. In the PBB-HPH group, forward maxillary growth was significantly restricted, ANB and overjet were reduced, and the upper and lower incisors were significantly retruded.

  2. Open label smoking cessation with varenicline is associated with decreased glutamate levels and functional changes in anterior cingulate cortex: preliminary findings

    Directory of Open Access Journals (Sweden)

    Muriah Dawn Wheelock

    2014-07-01

    Full Text Available Rationale: Varenicline, the most effective single agent for smoking cessation, is a partial agonist at α4β2 nicotinic acetylcholine receptors. Increasing evidence implicates glutamate in the pathophysiology of addiction and one of the benefits of treatment for smoking cessation is the ability to regain cognitive control. Objective: To evaluate the effects of 12 week varenicline administration on glutamate levels in the dorsal anterior cingulate cortex (dACC and functional changes within the cognitive control network.Methods: We used single-voxel proton magnetic resonance spectroscopy (1H-MRS in the dACC and functional MRI (fMRI during performance of a Stroop color-naming task before and after smoking cessation with varenicline in 11 healthy smokers (open label design. Using the dACC as a seed region, we evaluated functional connectivity changes using a psychophysiological interaction (PPI analysis. Results: We observed a significant decrease in dACC glutamate + glutamine (Glx/Cr levels as well as significant blood oxygen level-dependent signal (BOLD decreases in the rostral ACC/medial orbitofrontal cortex and precuneus/posterior cingulate cortex. These BOLD changes are suggestive of alterations in default mode network (DMN function and are further supported by the results of the PPI analysis that revealed changes in connectivity between the dACC and regions of the DMN. Baseline measures of nicotine dependence and craving positively correlated with baseline Glx/Cr levels.Conclusions: These results suggest possible mechanisms of action for varenicline such as reduction in Glx levels in dACC and shifts in BOLD activities between large scale brain networks. They also suggest a role for ACC Glx in the modulation of behavior. Due to the preliminary nature of this study (lack of control group and small sample size, future studies are needed to replicate these findings.

  3. Measurement of hepatic venous pressure gradient revisited: Catheter wedge vs balloon wedge techniques

    Directory of Open Access Journals (Sweden)

    S Timothy Chelliah

    2011-01-01

    Full Text Available Aims: To evaluate the accuracy of measurement of hepatic venous pressure gradient by catheter wedge as compared to balloon wedge (the gold standard. Materials and Methods: Forty-five patients having a clinical diagnosis of intrahepatic portal hypertension were subjected to the two different types of pressure measurements (catheter wedge and balloon wedge during transjugular liver biopsy under fluoroscopic guidance. Statistical Analysis: Spearman′s rank correlation coefficient, Bland-Altman plot for agreement, and single measure intraclass correlation were used for analysis of data. Results: There was a close correlation between the results obtained by both the techniques, with highly significant concordance (P < 0.0001. Hepatic venous pressure gradients as measured by the catheter wedge technique were either equal to or less than those obtained by the balloon wedge technique. Conclusions: The difference in hepatic venous pressure gradients measured by the two techniques is insignificant.

  4. Use of Wedge Absorbers in MICE

    Energy Technology Data Exchange (ETDEWEB)

    Neuffer, D. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Summers, D. [Univ. of Mississippi, Oxford, MS (United States); Mohayai, T. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); IIT, Chicago, IL (United States); Snopok, P. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); IIT, Chicago, IL (United States); Rogers, C. [Science and Technology Facilities Council (STFC), Oxford (United Kingdom). Rutherford Appleton Lab. (RAL)

    2017-03-01

    Wedge absorbers are needed to obtain longitudinal cooling in ionization cooling. They also can be used to obtain emittance exchanges between longitudinal and transverse phase space. There can be large exchanges in emittance, even with single wedges. In the present note we explore the use of wedge absorbers in the MICE experiment to obtain transverse–longitudinal emittance exchanges within present and future operational conditions. The same wedge can be used to explore “direct” and “reverse” emittance exchange dynamics, where direct indicates a configuration that reduces momentum spread and reverse is a configuration that increases momentum spread. Analytical estimated and ICOOL and G4BeamLine simulations of the exchanges at MICE parameters are presented. Large exchanges can be obtained in both reverse and direct configurations.

  5. A Wedge Absorber Experiment at MICE

    Energy Technology Data Exchange (ETDEWEB)

    Neuffer, David [Fermilab; Mohayai, Tanaz [IIT, Chicago; Rogers, Chris [Rutherford; Snopok, Pavel [IIT, Chicago; Summers, Don [Mississippi U.

    2017-05-01

    Emittance exchange mediated by wedge absorbers is required for longitudinal ionization cooling and for final transverse emittance minimization for a muon collider. A wedge absorber within the MICE beam line could serve as a demonstration of the type of emittance exchange needed for 6-D cooling, including the configurations needed for muon colliders, as well as configurations for low-energy muon sources. Parameters for this test are explored in simulation and possible experimental configurations with simulated results are presented.

  6. Convergence in Macroeconomics: The Labor Wedge

    OpenAIRE

    Robert Shimer

    2009-01-01

    I review research on the behavior of the labor wedge, the ratio between the marginal rate of substitution of consumption for leisure and the marginal product of labor. According to competitive, market-clearing macroeconomic models, the ratio is easy to measure and should be equal to the sum of consumption and labor taxes. The observation that the wedge is higher in continental Europe than in the United States has proved useful for understanding the extent to which taxes can explain difference...

  7. Stability analysis for three-plane wedges

    Science.gov (United States)

    Tharp, Thomas M.

    Stability analysis for rock wedges bounded by three planar discontinuities is a time-consuming procedure usually carried out by stereographic projection. An algorithm is presented which identifies the behavior mode for wedges and calculates the factor of safety more accurately than is possible by graphical methods. The upper and lower hemisphere stereographic projections also are plotted. This is the standard presentation format and it allows a visual check of the influence of assumed geometries and friction angles.

  8. Aerodynamic Analysis Over Double Wedge Airfoil

    Science.gov (United States)

    Prasad, U. S.; Ajay, V. S.; Rajat, R. H.; Samanyu, S.

    2017-05-01

    Aeronautical studies are being focused more towards supersonic flights and methods to attain a better and safer flight with highest possible performance. Aerodynamic analysis is part of the whole procedure, which includes focusing on airfoil shapes which will permit sustained flight of aircraft at these speeds. Airfoil shapes differ based on the applications, hence the airfoil shapes considered for supersonic speeds are different from the ones considered for Subsonic. The present work is based on the effects of change in physical parameter for the Double wedge airfoil. Mach number range taken is for transonic and supersonic. Physical parameters considered for the Double wedge case with wedge angle (ranging from 5 degree to 15 degree. Available Computational tools are utilized for analysis. Double wedge airfoil is analysed at different Angles of attack (AOA) based on the wedge angle. Analysis is carried out using fluent at standard conditions with specific heat ratio taken as 1.4. Manual calculations for oblique shock properties are calculated with the help of Microsoft excel. MATLAB is used to form a code for obtaining shock angle with Mach number and wedge angle at the given parameters. Results obtained from manual calculations and fluent analysis are cross checked.

  9. Turbulent wedge spreading dynamics and control strategies

    Science.gov (United States)

    Suryanarayanan, Saikishan; Goldstein, David; Brown, Garry

    2017-11-01

    Turbulent wedges are encountered in some routes to transition in wall bounded flows, particularly those involving surface roughness. They are characterized by strongly turbulent regions that are formed downstream of large disturbances, and spread into the non-turbulent flow. Altering the wedge spreading mechanism is a possible drag reduction strategy. Following recent studies of Goldstein, Chu and Brown (Flow Turbul. Combust. 98(1), 2017) and Kuester and White (Exp. Fluids 57(4), 2016), we explore the relation between the base flow vorticity field and turbulent wedge spreading using immersed boundary direct numerical simulations. The lateral spreading rate of the wedges are similar for high Reynolds number boundary layers and Couette flow, but differences emerge in wall normal propagation of turbulence. We also attempt to utilize the surface texture based strategy suggested by Strand and Goldstein (J. Fluid Mech. 668, 2011) to reduce the spreading of isolated turbulent spots, for turbulent wedge control. The effects of height, spacing and orientation of fins on the dynamics of wedge evolution are studied. The results are interpreted from a vorticity dynamics point of view. Supported by AFOSR # FA9550-15-1-0345.

  10. Mantle wedge serpentinization effects on slab dips

    Directory of Open Access Journals (Sweden)

    Eh Tan

    2017-01-01

    Full Text Available The mechanical coupling between a subducting slab and the overlying mantle wedge is an important factor in controlling the subduction dip angle and the flow in mantel wedge. This paper investigates the role of the amount of mantle serpentinization on the subduction zone evolution. With numerical thermos-mechanical models with elasto-visco-plastic rheology, we vary the thickness and depth extent of mantle serpentinization in the mantle wedge to control the degree of coupling between the slab and mantle wedge. A thin serpentinized mantle layer is required for stable subduction. For models with stable subduction, we find that the slab dip is affected by the down-dip extent and the mantle serpentinization thickness. A critical down-dip extent exists in mantle serpentinization, determined by the thickness of the overriding lithosphere. If the down-dip extent does not exceed the critical depth, the slab is partially coupled to the overriding lithosphere and has a constant dip angle regardless of the mantle serpentinization thickness. However, if the down-dip extent exceeds the critical depth, the slab and the base of the overriding lithosphere would be separated and decoupled by a thick layer of serpentinized peridotite. This allows further slab bending and results in steeper slab dip. Increasing mantle serpentinization thickness will also result in larger slab dip. We also find that with weak mantle wedge, there is no material flowing from the asthenosphere into the serpentinized mantle wedge. All of these results indicate that serpentinization is an important ingredient when studying the subduction dynamics in the mantle wedge.

  11. Open complete anterior dislocation of the sacro-iliac joint in a 4-year-old boy: a case report of a rare injury with 5-year follow-up.

    Science.gov (United States)

    Elnahal, Walid A; Fahmy, Mahmoud; Acharya, Mehool

    2017-09-09

    Pelvic fractures are uncommon in children and account for between 0.3 and 7.5% of all pediatric injuries. Open pelvic fractures only account for up to 12.9% of all pediatric pelvic fractures. An unusual case of open complete anterior sacro-iliac joint dislocation in a 4-year-old boy is presented with a long-term follow-up. The multidisciplinary approach is reported with review of the current literature. A 4-year-old male presented to our institution in January 2012 after having been run over by a tractor. He presented with gross hemodynamical instability, MISS of 25, and an unstable lateral compression type III pelvic fracture with complete anterior dislocation of the left hemipelvis and a groin wound extending into the left thigh. The patient was managed in accordance with the ATLS and open fracture guidelines. Reduction in the dislocated SI joint was achieved via a posterior approach to the SI joint, followed by fixation with 2K wires in S1 and S2 sacral segments, with an anterior external fixator. Pelvic asymmetry post-reduction was 0.9 cm, compared to 16 cm post-injury, and asymmetry persisted till final follow-up at 5 years. At 5 years, patient regained full function, including recreational sport activities. Patients scored a 96/96 on the Majeed score (after excluding 4 points for sexual function). We believe that posterior reduction in an anteriorly dislocated SI joint in the pediatric population is a viable option. A coordinated, multidisciplinary approach and restoration of pelvic ring stability can lead to optimal outcome.

  12. Optical dating of relict sand wedges and composite-wedge pseudomorphs in Flanders, Belgium

    DEFF Research Database (Denmark)

    Buylaert, Jan-Pieter; Ghysels, Günther; Murray, Andrew S.

    2009-01-01

    We report on quartz Optically Stimulated Luminescence (OSL) dating of the infill of 14 relict sand wedges and composite-wedge pseudomorphs at 5 different sites in Flanders, Belgium. A laboratory dose recovery test indicates that the single-aliquot regenerative-dose (SAR) procedure is suitable for...... for these periglacial phenomena and allows secure palaeoenvironmental reconstructions to be made....

  13. Innovative wedge axe in making split firewood

    International Nuclear Information System (INIS)

    Mutikainen, A.

    1998-01-01

    Interteam Oy, a company located in Espoo, has developed a new method for making split firewood. The tools on which the patented System Logmatic are based are wedge axe and cylindrical splitting-carrying frame. The equipment costs about 495 FIM. The block of wood to be split is placed inside the upright carrying frame and split in a series of splitting actions using the innovative wedge axe. The finished split firewood remains in the carrying frame, which (as its name indicates) also serves as the means for carrying the firewood. This innovative wedge-axe method was compared with the conventional splitting of wood using an axe (Fiskars -handy 1400 splitting axe costing about 200 FIM) in a study conducted at TTS-Institute. There were eight test subjects involved in the study. In the case of the wedge-axe method, handling of the blocks to be split and of the finished firewood was a little quicker, but in actual splitting it was a little slower than the conventional axe method. The average productivity of splitting the wood and of the work stages related to it was about 0.4 m 3 per effective hour in both methods. The methods were also equivalent of one another in terms of the load imposed by the work when measured in terms of the heart rate. As regards work safety, the wedge-axe method was superior to the conventional method, but the continuous striking action and jolting transmitted to the arms were unpleasant (orig.)

  14. Anterior corpectomy via the mini-open, extreme lateral, transpsoas approach combined with short-segment posterior fixation for single-level traumatic lumbar burst fractures: analysis of health-related quality of life outcomes and patient satisfaction.

    Science.gov (United States)

    Theologis, Alexander A; Tabaraee, Ehsan; Toogood, Paul; Kennedy, Abbey; Birk, Harjus; McClellan, R Trigg; Pekmezci, Murat

    2016-01-01

    The authors present clinical outcome data and satisfaction of patients who underwent minimally invasive vertebral body corpectomy and cage placement via a mini-open, extreme lateral, transpsoas approach and posterior short-segment instrumentation for lumbar burst fractures. Patients with unstable lumbar burst fractures who underwent corpectomy and anterior column reconstruction via a mini-open, extreme lateral, transpsoas approach with short-segment posterior fixation were reviewed retrospectively. Demographic information, operative parameters, perioperative radiographic measurements, and complications were analyzed. Patient-reported outcome instruments (Oswestry Disability Index [ODI], 12-Item Short Form Health Survey [SF-12]) and an anterior scar-specific patient satisfaction questionnaire were recorded at the latest follow-up. Twelve patients (7 men, 5 women, average age 42 years, range 22-68 years) met the inclusion criteria. Lumbar corpectomies with anterior column support were performed (L-1, n = 8; L-2, n = 2; L-3, n = 2) and supplemented with short-segment posterior instrumentation (4 open, 8 percutaneous). Four patients had preoperative neurological deficits, all of which improved after surgery. No new neurological complications were noted. The anterior incision on average was 6.4 cm (range 5-8 cm) in length, caused mild pain and disability, and was aesthetically acceptable to the large majority of patients. Three patients required chest tube placement for pleural violation, and 1 patient required reoperation for cage subsidence/hardware failure. Average clinical follow-up was 38 months (range 16-68 months), and average radiographic follow-up was 37 months (range 6-68 months). Preoperative lumbar lordosis and focal lordosis were significantly improved/maintained after surgery. Patients were satisfied with their outcomes, had minimal/moderate disability (average ODI score 20, range 0-52), and had good physical (SF-12 physical component score 41.7% ± 10

  15. Diffraction by an immersed elastic wedge

    CERN Document Server

    Croisille, Jean-Pierre

    1999-01-01

    This monograph presents the mathematical description and numerical computation of the high-frequency diffracted wave by an immersed elastic wave with normal incidence. The mathematical analysis is based on the explicit description of the principal symbol of the pseudo-differential operator connected with the coupled linear problem elasticity/fluid by the wedge interface. This description is subsequently used to derive an accurate numerical computation of diffraction diagrams for different incoming waves in the fluid, and for different wedge angles. The method can be applied to any problem of coupled waves by a wedge interface. This work is of interest for any researcher concerned with high frequency wave scattering, especially mathematicians, acousticians, engineers.

  16. A review of dynamics modelling of friction wedge suspensions

    Science.gov (United States)

    Wu, Qing; Cole, Colin; Spiryagin, Maksym; Sun, Yan Quan

    2014-11-01

    Three-piece bogies with friction wedge suspensions are the most widely used bogies in heavy haul trains. Fiction wedge suspensions play a key role in these wagon systems. This article reviews current techniques in dynamic modelling of friction wedge suspension with various motivations: to improve dynamic models of friction wedge suspensions so as to improve general wagon dynamics simulations; to seek better friction wedge suspension models for wagon stability assessments in complex train systems; to improve the modelling of other friction devices, such as friction draft gear. Relevant theories and friction wedge suspension models developed by using commercial simulation packages and in-house simulation packages are reviewed.

  17. Graphene Plasmons in Triangular Wedges and Grooves

    DEFF Research Database (Denmark)

    Gonçalves, P. A. D.; Dias, E. J. C.; Xiao, Sanshui

    2016-01-01

    and tunability of graphene plasmons guided along the apex of a graphene-covered dielectric wedge or groove. In particular, we present a quasi-analytic model to describe the plasmonic eigenmodes in such a system, including the complete determination of their spectrum and corresponding induced potential...... and electric-field distributions. We have found that the dispersion of wedge/groove graphene plasmons follows the same functional dependence as their flat-graphene plasmon counterparts, but now scaled by a (purely) geometric factor in which all the information about the system’s geometry is contained. We...

  18. Wedge Shock and Nozzle Exhaust Plume Interaction in a Supersonic Jet Flow

    Science.gov (United States)

    Castner, Raymond; Zaman, Khairul; Fagan, Amy; Heath, Christopher

    2014-01-01

    Fundamental research for sonic boom reduction is needed to quantify the interaction of shock waves generated from the aircraft wing or tail surfaces with the nozzle exhaust plume. Aft body shock waves that interact with the exhaust plume contribute to the near-field pressure signature of a vehicle. The plume and shock interaction was studied using computational fluid dynamics and compared with experimental data from a coaxial convergent-divergent nozzle flow in an open jet facility. A simple diamond-shaped wedge was used to generate the shock in the outer flow to study its impact on the inner jet flow. Results show that the compression from the wedge deflects the nozzle plume and shocks form on the opposite plume boundary. The sonic boom pressure signature of the nozzle exhaust plume was modified by the presence of the wedge. Both the experimental results and computational predictions show changes in plume deflection.

  19. Are Pericentric Inversions Reorganizing Wedge Shell Genomes?

    Directory of Open Access Journals (Sweden)

    Daniel García-Souto

    2017-12-01

    Full Text Available Wedge shells belonging to the Donacidae family are the dominant bivalves in exposed beaches in almost all areas of the world. Typically, two or more sympatric species of wedge shells differentially occupy intertidal, sublittoral, and offshore coastal waters in any given locality. A molecular cytogenetic analysis of two sympatric and closely related wedge shell species, Donax trunculus and Donax vittatus, was performed. Results showed that the karyotypes of these two species were both strikingly different and closely alike; whilst metacentric and submetacentric chromosome pairs were the main components of the karyotype of D. trunculus, 10–11 of the 19 chromosome pairs were telocentric in D. vittatus, most likely as a result of different pericentric inversions. GC-rich heterochromatic bands were present in both species. Furthermore, they showed coincidental 45S ribosomal RNA (rRNA, 5S rRNA and H3 histone gene clusters at conserved chromosomal locations, although D. trunculus had an additional 45S rDNA cluster. Intraspecific pericentric inversions were also detected in both D. trunculus and D. vittatus. The close genetic similarity of these two species together with the high degree of conservation of the 45S rRNA, 5S rRNA and H3 histone gene clusters, and GC-rich heterochromatic bands indicate that pericentric inversions contribute to the karyotype divergence in wedge shells.

  20. Diffraction of electromagnetic waves by a rectangular wedge structure

    Science.gov (United States)

    Makarov, G. I.; Sozonov, A. P.

    A theoretical problem of electromagnetic wave diffraction in a system of two rectangular wedges is examined: a perfectly conducting wedge and a wedge with finite relative permittivity, the two wedges having a common face. For the Fourier component of the diffraction field, a shifting Riemann boundary value problem is obtained. This problem is reduced to a convolution-type integral equation for the semiaxis, with the kernel taking the form of the sum of the difference and regular kernels.

  1. 49 CFR 215.113 - Defective plain bearing wedge.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Defective plain bearing wedge. 215.113 Section 215... Suspension System § 215.113 Defective plain bearing wedge. A railroad may not place or continue in service a car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

  2. Pathologic evaluation of primary laryngeal anterior commissure carcinoma both in patients who have undergone open surgery as initial treatment and in those who have undergone salvage surgery after irradiation failure.

    Science.gov (United States)

    Ahmed, Wael A; Suzuki, Kenji; Horibe, Yoshimune; Kato, Ichiro; Fujisawa, Toshiyuki; Nishimura, Yoichi

    2011-05-01

    Laryngeal anterior commissure (AC) cancer has been the subject of much controversy. Our study was aimed at pathologically evaluating the tendency of AC cancer to invade the thyroid cartilage and analyzing the role of thyroid cartilage invasion by tumor cells at the AC as an anatomic cause for irradiation failure. Our study included 36 patients with glottic cancer involving AC. Patients with recurrent or persistent disease after radiotherapy underwent salvage surgery. Surgical specimens from 22 patients who had open surgery, either as primary or salvage surgery, were available for pathologic examination to identify the presence of cartilage invasion. We found microscopic invasion of the thyroid cartilage in 40.9% of the studied tumors. Only 21.4% of patients who had open salvage surgery showed evidence of cartilage invasion at the AC. We concluded that laryngeal AC cancers are more likely to invade the cartilage, and that anatomic risk factors are not the main cause of irradiation failure.

  3. Ocorrência de mordida aberta anterior e hábitos bucais deletérios em crianças de 4 a 6 anos Occurrence of anterior open bite and harmful oral habits in children from 4 to 6-year old

    Directory of Open Access Journals (Sweden)

    Maritza Zapata

    2010-04-01

    Full Text Available OBJETIVO: verificar a ocorrência de mordida aberta anterior e de hábitos orais deletérios em crianças de quatro a seis anos de idade. MÉTODOS: foram avaliadas 266 crianças de quatro a seis anos incompletos, de ambos os gêneros, na cidade de Suzano - São Paulo. As avaliações constaram de aplicação de ficha de avaliação para detecção de ocorrência de hábitos bucais deletérios aos responsáveis e da realização de exame clínico constituído por avaliação da oclusão das crianças. RESULTADOS: verificou-se que 221 crianças (83,1% apresentaram pelo menos um hábito bucal deletério, sendo o mais frequente o uso de mamadeira 167 (75,6%. A ocorrência simultânea de hábitos deletérios e alterações de oclusão dentária foi observada em 119 crianças (44,1% da amostra e nestas, a maior prevalência foi a presença da mordida aberta anterior, presente em 89 (79,8%. CONCLUSÃO: a mordida aberta anterior (MAA foi a alteração oclusal mais prevalente nas crianças, havendo associação estatisticamente significante entre hábitos orais deletérios, como uso de mamadeira, chupeta e ocorrência de bruxismo e presença de mordida aberta anterior.PURPOSE: to determine the occurrence of anterior open bite and harmful oral habits in children from four to six-year old. METHODS: a total of 266 four-to-six-year-old male and female children in the city of Suzano (São Paulo, Brazil were evaluated. An assessment chart for detecting the occurrence of harmful oral habits was administered to the guardians and clinical exams were performed for assessing occlusion in the children. RESULTS: a total of 221 children (83.1% had at least one harmful oral habit, the most frequent of which was the use of a feeding bottle (n=167; 75.6%. The occurrence of simultaneous harmful habits and dental occlusion abnormalities was observed in 119 children (44.1% of the sample; among these children, the greatest prevalence was of anterior open bite (n=89; 79

  4. Arthroscopic Versus Open Latarjet in the Treatment of Recurrent Anterior Shoulder Dislocation With Marked Glenoid Bone Loss: A Prospective Comparative Study.

    Science.gov (United States)

    Zhu, Yiming; Jiang, Chunyan; Song, Guanyang

    2017-06-01

    Very few studies have compared open Latarjet versus arthroscopic Latarjet procedures. To compare the clinical and computed tomographic outcomes between open and arthroscopic Latarjet procedures. Cohort study; Level of evidence, 3. A prospective, comparative study was performed. The open Latarjet group included 44 patients, and the arthroscopic Latarjet group included 46 patients. All patients had more than 2 years of clinical follow-up (range of motion, American Shoulder and Elbow Surgeons [ASES] score, Constant-Murley score, and Rowe score). The position of the transferred coracoid, the screw orientation, and graft resorption were evaluated on computed tomography (CT) scan. The surgery time for the open group was significantly shorter than that for the arthroscopic group ( P = .003). No recurrent dislocation occurred in either group. The apprehension test was negative in all patients in both groups. At the final follow-up, no significant difference was detected between the open group and the arthroscopic group regarding any of the clinical outcome measurements. The transferred coracoid graft was level with the glenoid in all patients in both groups. The open group had better position in the superior-inferior direction compared with the arthroscopic group ( P Latarjet group showed notably less graft resorption compared with patients in the open Latarjet group.

  5. Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-computed tomography evaluation at a short term follow-up. Part II.

    Science.gov (United States)

    Kordasiewicz, Bartłomiej; Kicinski, Maciej; Małachowski, Konrad; Wieczorek, Janusz; Chaberek, Sławomir; Pomianowski, Stanisław

    2018-05-01

    The aim of this study was to evaluate and to compare the radiological parameters after arthroscopic and open Latarjet technique via evaluation of computed tomography (CT) scans. Our hypothesis was that the radiological results after arthroscopic stabilisation remained in the proximity of those results achieved after open stabilisation. CT scan evaluation results of patients after primary Latarjet procedure were analysed. Patients operated on between 2006 and 2011 using an open technique composed the OPEN group and patients operated on arthroscopically between 2011 and 2013 composed the ARTHRO group. Forty-three out of 55 shoulders (78.2%) in OPEN and 62 out of 64 shoulders (95.3%) in ARTHRO were available for CT scan evaluation. The average age at surgery was 28 years in OPEN and 26 years in ARTHRO. The mean follow-up was 54.2 months in OPEN and 23.4 months in ARTHRO. CT scan evaluation was used to assess graft fusion and osteolysis. Bone block position and screw orientation were assessed in the axial and the sagittal views. The subscapularis muscle fatty infiltration was evaluated according to Goutallier classification. The non-union rate was significantly higher in OPEN than in ARTHRO: 5 (11.9%) versus 1 (1.7%) (p  0.05). These results should be evaluated very carefully due to significant difference in the follow-up of both groups. A significantly higher rate of partial graft osteolysis at the level of the superior screw was reported in ARTHRO with 32 patients (53.3%) versus 10 (23.8%) in OPEN (p  0.05). However, in the position between 3 and 5 o'clock there were 56.7% of the grafts in ARTHRO versus 87.8% in OPEN (p Latarjet stabilisation showed satisfactory radiographic results, comparable to the open procedure, however the short-term follow-up can bias this evaluation. Graft healing rate was very high in the arthroscopic technique, but yet osteolysis of the superior part of the graft and more superior graft position in the sagittal view were

  6. Checking the virtual treatment modality Wedge from Siemens; Verificacion de la modalidad de tratamiento virtual WEDGE de SIEMENS

    Energy Technology Data Exchange (ETDEWEB)

    Suero Rodrigo, M. A.; Marques Fraguela, E.

    2011-07-01

    The treatment modality Virtual Wedge (VW) or implemented by Siemens virtual wedge in electron linear accelerators achieved dose distributions are similar but not identical, to those obtained with physical wedges. Among the advantages against the latter is the greater ease of use, wedge factor close to one, and lower peripheral dose. However, these benefits are to be effective requires a through quality control dependence because a larger number of parameters that control the generation of the beam, the dose monitor system and the movement of the jaws of the collimator. We performed a study of the wedge taking into account different configurations that can affect their behavior from the dosimetric point of view.

  7. Comments related to infinite wedge representations

    OpenAIRE

    Grieve, Nathan

    2016-01-01

    We study the infinite wedge representation and show how it is related to the universal extension of $g[t,t^{-1}]$ the loop algebra of a complex semi-simple Lie algebra $g$. We also give an elementary proof of the boson-fermion correspondence. Our approach to proving this result is based on a combinatorial construction with partitions combined with an application of the Murnaghan-Nakayama rule.

  8. Localization of observables in the Rindler wedge

    Science.gov (United States)

    Asorey, M.; Balachandran, A. P.; Marmo, G.; de Queiroz, A. R.

    2017-11-01

    One of the striking features of QED is that charged particles create a coherent cloud of photons. The resultant coherent state vectors of photons generate a nontrivial representation of the localized algebra of observables that do not support a representation of the Lorentz group: Lorentz symmetry is spontaneously broken. We show in particular that Lorentz boost generators diverge in this representation, a result shown also by Balachandran et al. [Eur. Phys. J. C 75, 89 (2015), 10.1140/epjc/s10052-015-3305-0] (see also the work by Balachandran et al. [Mod. Phys. Lett. A 28, 1350028 (2013), 10.1142/S0217732313500284]. Localization of observables, for example in the Rindler wedge, uses Poincaré invariance in an essential way [Int. J. Geom. Methods Mod. Phys. 14, 1740008 (2017)., 10.1142/S0219887817400084]. Hence, in the presence of charged fields, the photon observables cannot be localized in the Rindler wedge. These observations may have a bearing on the black hole information loss paradox, as the physics in the exterior of the black hole has points of resemblance to that in the Rindler wedge.

  9. A 5° medial wedge reduces frontal but not saggital plane motion during jump landing in highly trained women athletes

    Directory of Open Access Journals (Sweden)

    Michael F Joseph

    2010-03-01

    Full Text Available Michael F Joseph1, Craig R Denegar1, Elaine Horn1, Bradley MacDougall1, Michael Rahl1, Jessica Sheehan1, Thomas Trojian2, Jeffery M Anderson1, James E Clark1, William J Kraemer11Department of Kinesiology, 2Department of Sports Medicine, University of Connecticut, Storrs, CT, USAAbstract: Lower extremity mechanics during landing have been linked to traumatic and nontraumatic knee injuries, particularly in women’s athletics. The effects of efforts to mitigate these risks have not been fully elucidated. We previously reported that a 5° medial wedge reduced ankle eversion and knee valgus. In the present report we further investigated the effect of a 5° medial wedge inserted in the shoes of female athletes on frontal plane hip motion, as well as ankle, knee, hip, and trunk saggital plane motion during a jump landing task. Kinematic data were obtained from 10 intercollegiate female athletes during jump landings from a 31 cm platform with and without a 5° medial wedge. Hip adduction was reduced 1.98° (95% CI 0.97–2.99° by the medial wedge but saggital plane motions were unaffected. A 5° medial wedge reduces frontal plane motion and takes the knee away from a position associated with anterior cruciate ligament injury and patellofemoral pain syndrome. Although frontal plane motion was not captured it is unlikely to have increased in a bilateral landing task. Thus, it is likely that greater muscle forces were generated in these highly trained athletes to dissipate ground reaction forces when a medial wedge was in place. Additional investigation in younger and lesser trained athletes is warranted to assess the impact of orthotic devices on knee joint mechanics.Keywords: jump landing, foot orthotic, lower extremity kinematics, knee biomechanics, knee injury

  10. Anterior Urethral Valves

    Directory of Open Access Journals (Sweden)

    Vidyadhar P. Mali

    2006-07-01

    Full Text Available We studied the clinical presentation and management of four patients with anterior urethral valves; a rare cause of urethral obstruction in male children. One patient presented antenatally with oligohydramnios, bilateral hydronephrosis and bladder thickening suggestive of an infravesical obstruction. Two other patients presented postnatally at 1 and 2 years of age, respectively, with poor stream of urine since birth. The fourth patient presented at 9 years with frequency and dysuria. Diagnosis was established on either micturating cystourethrogram (MCU (in 2 or on cystoscopy (in 2. All patients had cystoscopic ablation of the valves. One patient developed a postablation stricture that was resected with an end-to-end urethroplasty. He had an associated bilateral vesicoureteric junction (VUJ obstruction for which a bilateral ureteric reimplantation was done at the same time. On long-term follow-up, all patients demonstrated a good stream of urine. The renal function is normal. Patients are continent and free of urinary infections. Anterior urethral valves are rare obstructive lesions in male children. The degree of obstruction is variable, and so they may present with mild micturition difficulty or severe obstruction with hydroureteronephrosis and renal impairment. Hence, it is important to evaluate the anterior urethra in any male child with suspected infravesical obstruction. The diagnosis is established by MCU or cystoscopy and the treatment is always surgical, either a transurethral ablation or an open resection. The long-term prognosis is good.

  11. Surgeons’ Volume-Outcome Relationship for Lobectomies and Wedge Resections for Cancer Using Video-Assisted Thoracoscopic Techniques

    Directory of Open Access Journals (Sweden)

    Guy David

    2012-01-01

    Full Text Available This study examined the effect of surgeons’ volume on outcomes in lung surgery: lobectomies and wedge resections. Additionally, the effect of video-assisted thoracoscopic surgery (VATS on cost, utilization, and adverse events was analyzed. The Premier Hospital Database was the data source for this analysis. Eligible patients were those of any age undergoing lobectomy or wedge resection using VATS for cancer treatment. Volume was represented by the aggregate experience level of the surgeon in a six-month window before each surgery. A positive volume-outcome relationship was found with some notable features. The relationship is stronger for cost and utilization outcomes than for adverse events; for thoracic surgeons as opposed to other surgeons; for VATS lobectomies rather than VATS wedge resections. While there was a reduction in cost and resource utilization with greater experience in VATS, these outcomes were not associated with greater experience in open procedures.

  12. Bow wave and spray dynamics by a wedge

    OpenAIRE

    Wang, Zhaoyuan; Yang, Jianming; Stern, Frederick

    2010-01-01

    Flows around a wedge-shaped bow are simulated with the aim of investigating the wave breaking mechanism and small scale features of ship bow waves. This fluid dynamics video shows the plunging wave breaking process around the wedge including the thin water sheet formation, overturning sheet with surface disturbance, fingering and breaking up into spray, plunging and splashing, and air entrainment.

  13. Surface Geophysical Measurements for Locating and Mapping Ice-Wedges

    DEFF Research Database (Denmark)

    Ingeman-Nielsen, Thomas; Tomaskovicova, Sonia; Larsen, S.H.

    2012-01-01

    to test the applicability of DC electrical resistivity tomography (ERT) and Ground Penetrating Radar (GPR) to identifying and mapping ice-wedge occurrences. The site is located in Central West Greenland, and the ice-wedges are found in a permafrozen peat soil with an active layer of about 30 cm. ERT...

  14. Comparison of wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion in the treatment of ingrown toenails.

    Science.gov (United States)

    Huang, Jia-Zhang; Zhang, Yi-Jun; Ma, Xin; Wang, Xu; Zhang, Chao; Chen, Li

    2015-01-01

    The present retrospective study compared the efficacy of wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion for the treatment of ingrown toenails (onychocryptosis). Two surgical methods were performed in 95 patients with a stage 2 or 3 ingrown toenail. Each patient was examined weekly until healing and then at 1, 6, and 12 months of follow-up. The outcomes measured were surgical duration, healing time, recurrence rate, the incidence of postoperative infection, and cosmetic appearance after surgery. Of the 95 patients (115 ingrown toenails) included in the present study, 39 (41.1%) underwent wedge resection (Winograd procedure) and 56 (59%), wedge resection plus complete nail plate avulsion. The mean surgical duration for wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion was 14.9 ± 2.4 minutes and 15.1 ± 3.2 minutes, respectively (p = .73). The corresponding healing times were 2.8 ± 1.2 weeks and 2.7 ± 1.3 weeks (p = .70). Recurrence developed in 3 (3.2%) patients after wedge resection (Winograd procedure) and in 4 (4.2%) after wedge resection plus complete nail plate avulsion. In addition, postoperative infection occurred in 3 (3.2%) patients after wedge resection (Winograd procedure) and 2 (2.1%) after wedge resection plus complete nail plate avulsion. Both of the surgical procedures were practical and appropriate for the treatment of ingrown toenails, being simple and associated with low morbidity and a high success rate. However, cosmetically, wedge resection (Winograd procedure) would be the better choice because the nail plate remains intact. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  15. Ground penetrating radar estimates of permafrost ice wedge depth

    Science.gov (United States)

    Parsekian, A.; Slater, L. D.; Nolan, J. T.; Grosse, G.; Walter Anthony, K. M.

    2013-12-01

    Vertical ground ice wedges associated with polygonal patterning in permafrost environments form due to frost cracking of soils under harsh winter conditions and subsequent infilling of cracks with snow melt water. Ice wedge polygon patterns have implications for lowland geomorphology, hydrology, and vulnerability of permafrost to thaw. Ice wedge dimensions may exceed two meters width at the surface and several meters depth, however few studies have addressed the question of ice wedge depth due to challenges related to measuring the vertical dimension below the ground. Vertical exposures where ice wedges maybe observed are limited to rapidly retreating lake, river, and coastal bluffs. Coring though the ice wedges to determine vertical extent is possible, however that approach is time consuming and labor intensive. Many geophysical investigations have noted signal anomalies related to the presence of ice wedges, but no reliable method for extracting wedge dimensions from geophysical data has been yet proposed. Here we present new evidence that ground penetrating radar (GPR) may be a viable method for estimating ice wedge depth. We present three new perspectives on processing GPR data collected over ice wedges that show considerable promise for use as a fast, cost effective method for evaluating ice wedge depth. Our novel approaches include 1) a simple frequency-domain analysis, 2) an S-transform frequency domain analysis and 3) an analysis of the returned signal power as a radar cross section (RCS) treating subsurface ice wedges as dihedral corner retro-reflectors. Our methods are demonstrated and validated using finite-difference time domain FDTD) GPR forward models of synthetic idealized ice wedges and field data from permafrost sites in Alaska. Our results indicate that frequency domain and signal power data provide information that is easier to extract from raw GPR data than similar information in the time domain. We also show that we can simplify the problem by

  16. Effects of Lateral Heel Wedges and Lateral Forefoot Wedge on the Knee Adduction Moment in Healthy Male Students

    Directory of Open Access Journals (Sweden)

    Fatemeh Shamsi

    2012-01-01

    Full Text Available Objective: Lateral wedged insoles have been designed to decrease the force applied on the medial knee compartment. The aim of this study was to assess the effects of laterally wedged insoles regarding to the placement of the wedge under the sole (under the heel or under the forefoot on the knee adduction moment and the ground reaction forces. Material & Methods: In this pretest-posttest study, three-dimensional gait analysis was performed on 20 healthy men between 18-30 years old. Knee adduction moment and ground reaction forces were compared among following three types of insoles: a flat insole, a 6˚ laterally inclined heel wedged insole and a 6˚ laterally- inclined forefoot wedged insole. Results: there was no difference between three conditions (flat insole (9.72±1.501, lateral heel wedge (9.866±2.141 and lateral forefoot wedge (9.952±1.986 in peak knee adduction moment (P>0.05. Ground reaction forces and spatiotemporal parameters of gait were not affected by any types of these insoles (P>0.05. Conclusion: Based on the current finding, placement of the lateral wedge under the sole, that is, under the heel or under the forefoot has no effect on the efficacy of these insoles on the adduction moment of the knee and ground reaction forces.

  17. The Tax Wedge in Slovenia: International Comparison and Policy Recommendations

    Directory of Open Access Journals (Sweden)

    Primož Dolenc

    2005-09-01

    Full Text Available When taxes on labor are introduced, a “tax wedge” appears between the labor costs paid by the employer (gross wage and the net wage received by an employee. At a certain level of wage, a higher tax wedge increases unemployment and decreases employment, all other things being equal. The paper tackles three main questions: the characteristics of the tax wedge, unemployment and employment rates in OECD countries in the recent past, tax wedge policy in the EU15 and the new EU members and the tax system and its effects on the unemployment and employment rates in Slovenia. We found that the OECD countries can be classified into two groups of countries if the tax wedge, the unemployment rate and the employment rate are taken into consideration. The first group is the high tax wedge, high unemployment rate and low employment rate group of countries, whereas the other group has the opposite characteristics. European member states (old and new have on average a higher tax burden on labor than the OECD average, consequently suffering from higher unemployment rates. Slovenia has an unreasonably high tax wedge; in the EU only Belgium and Germany have a higher tax burden. According to previous and our empirical findings we suggest that Slovenia could benefit from a reduction in the tax wedge.

  18. Group sequential designs for stepped-wedge cluster randomised trials.

    Science.gov (United States)

    Grayling, Michael J; Wason, James Ms; Mander, Adrian P

    2017-10-01

    The stepped-wedge cluster randomised trial design has received substantial attention in recent years. Although various extensions to the original design have been proposed, no guidance is available on the design of stepped-wedge cluster randomised trials with interim analyses. In an individually randomised trial setting, group sequential methods can provide notable efficiency gains and ethical benefits. We address this by discussing how established group sequential methodology can be adapted for stepped-wedge designs. Utilising the error spending approach to group sequential trial design, we detail the assumptions required for the determination of stepped-wedge cluster randomised trials with interim analyses. We consider early stopping for efficacy, futility, or efficacy and futility. We describe first how this can be done for any specified linear mixed model for data analysis. We then focus on one particular commonly utilised model and, using a recently completed stepped-wedge cluster randomised trial, compare the performance of several designs with interim analyses to the classical stepped-wedge design. Finally, the performance of a quantile substitution procedure for dealing with the case of unknown variance is explored. We demonstrate that the incorporation of early stopping in stepped-wedge cluster randomised trial designs could reduce the expected sample size under the null and alternative hypotheses by up to 31% and 22%, respectively, with no cost to the trial's type-I and type-II error rates. The use of restricted error maximum likelihood estimation was found to be more important than quantile substitution for controlling the type-I error rate. The addition of interim analyses into stepped-wedge cluster randomised trials could help guard against time-consuming trials conducted on poor performing treatments and also help expedite the implementation of efficacious treatments. In future, trialists should consider incorporating early stopping of some kind into

  19. Anterior Horn Cell Diseases

    Directory of Open Access Journals (Sweden)

    Merve Firinciogullari

    2016-09-01

    Full Text Available The anterior horn cells control all voluntary movement. Motor activity, respiratory, speech, and swallowing functions are dependent upon signals from the anterior horn cells. Diseases that damage the anterior horn cells, therefore, have a profound impact. Symptoms of anterior horn cell loss (weakness, falling, choking lead patients to seek medical attention. In this article, anterior horn diseases were reviewed, diagnostic criteria and management were discussed in detail. [Archives Medical Review Journal 2016; 25(3.000: 269-303

  20. Physichal parameters for wedge filters used in radiotherapy

    International Nuclear Information System (INIS)

    Strunga, Emil

    1995-01-01

    Wedge filters using in radiotherapy up two important problems: attenuation of gamma rays introduced by the presence of wedge filters and spinning of isodoses curves plate. Depending of irradiation geometry, characterised by D w , - source filter distance, D c - source dose's estimate point distance, a - side of irradiation field; nature and size filter: α - wedge angle, μ - linear adsorption coefficient, ε - filter cover attenuation w - filter side, and nature of target volume characterised by μ' - linear absorption coefficient of medium has been estimated absorption factor of wedge filter (k w ) for two irradiation geometry: and spinning angle of isodose plate (Θ): 3) tg θ (μD w (μ'D c - 2 Calculated values has been compared with the experimental measured values, for a cobaltotherapy unit Rokus-M, and the result was that between the two series of dates it is a good concordance

  1. Reactive Atom Plasma Processing of Slumped Glass Wedges Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Reactive Atom Plasma (RAPTM) process will be evaluated as a rapid and practical method for fabricating precision wedges in glass sheets. The glass sheets are to...

  2. Regularization for Inverting the Radon Transform with Wedge Consideration (PREPRINT)

    National Research Council Canada - National Science Library

    Aganj, I; Bartesaghi, A; Borgnia, M; Liao, H. Y; Sapiro, G; Subramaniam, S

    2006-01-01

    ... than the full 180 deg mathematically required for density reconstruction. The use of standard full-range reconstruction algorithms produces results with notorious "butter-fly" or "wedge" artifacts...

  3. Wedge Heat-Flux Indicators for Flash Thermography

    Science.gov (United States)

    Koshti, Ajay M.

    2003-01-01

    Wedge indicators have been proposed for measuring thermal radiation that impinges on specimens illuminated by flash lamps for thermographic inspection. Heat fluxes measured by use of these indicators would be used, along with known thermal, radiative, and geometric properties of the specimens, to estimate peak flash temperatures on the specimen surfaces. These indicators would be inexpensive alternatives to high-speed infrared pyrometers, which would otherwise be needed for measuring peak flash surface temperatures. The wedge is made from any suitable homogenous material such as plastic. The choice of material is governed by the equation given. One side of the wedge is covered by a temperature sensitive compound that decomposes irreversibly when its temperature exceeds a rated temperature (T-rated). The uncoated side would be positioned alongside or in place of the specimen and exposed to the flash, then the wedge thickness at the boundary between the white and blackened portions measured.

  4. Thoracoscopic pulmonary wedge resection without post-operative chest drain

    DEFF Research Database (Denmark)

    Holbek, Bo Laksafoss; Hansen, Henrik Jessen; Kehlet, Henrik

    2016-01-01

    OBJECTIVE: Chest drains are used routinely after wedge resection by video-assisted thoracoscopic surgery (VATS), although this practice is based largely on tradition rather than evidence. Chest drains may furthermore cause pain, infections, and prolonged length of stay. The aim of this prospective...... observational study was to assess the feasibility of avoiding chest drains following VATS wedge resection for pulmonary nodules. METHODS: Between 1 February and 25 August 2015 166 consecutive patients planned for VATS wedge resection of pulmonary nodules were screened for inclusion using the following criteria...... effusion and coagulopathy. Chest X-rays were done twice on the day of surgery. 30-day complications were compiled from patient records. RESULTS: 49 patients underwent 51 unilateral VATS wedge resections without using a post-operative chest drain. No patient required reinsertion of a chest drain. 30 (59...

  5. Pilot Study: Foam Wedge Chin Support Static Tolerance Testing

    Science.gov (United States)

    2017-10-24

    Government. The fact that the Government formulated or supplied the drawings, specifications, or other data does not license the holder or any other...regarding the comfort, fit, and positive benefits that could potentially come from the use of the foam wedge to mitigate neck pain. Overall, testing showed... benefit to pilots that choose to use the foam wedge, and therefore feel that the device should be made available to aviators. From the results of this

  6. Effect of Ferrite Magnetic Wedge on Characteristics of Capacitor Motor under Asymmetrical Voltage Application

    Science.gov (United States)

    Kaga, Akio; Tajima, Katsubumi; Itoh, Tadahito; Yohkawa, Norihiko

    1995-04-01

    The characteristics of the capacitor motor under voltage control are highly applicable to home electric appliances. In this study, the supply voltage controlled by a triac has been applied to a split-phase capacitor motor. The capacitor motor usually produces an oscillative torque with a double supply frequency. When asymmetrical voltages controlled by the triacs are applied to the motor, the voltage and current behaviors are distorted. The authors have proposed a countermeasure of the insertion of ferrite magnetic wedges into the motor slot openings to smooth the flux density pulsation across the air gap. As a result, some significant relationships have been obtained.

  7. Conceptual design of heavy ion beam compression using a wedge

    Directory of Open Access Journals (Sweden)

    Jonathan C. Wong

    2015-10-01

    Full Text Available Heavy ion beams are a useful tool for conducting high energy density physics (HEDP experiments. Target heating can be enhanced by beam compression, because a shorter pulse diminishes hydrodynamic expansion during irradiation. A conceptual design is introduced to compress ∼100  MeV/u to ∼GeV/u heavy ion beams using a wedge. By deflecting the beam with a time-varying field and placing a tailor-made wedge amid its path downstream, each transverse slice passes through matter of different thickness. The resulting energy loss creates a head-to-tail velocity gradient, and the wedge shape can be designed by using stopping power models to give maximum compression at the target. The compression ratio at the target was found to vary linearly with (head-to-tail centroid offset/spot radius at the wedge. The latter should be approximately 10 to attain tenfold compression. The decline in beam quality due to projectile ionization, energy straggling, fragmentation, and scattering is shown to be acceptable for well-chosen wedge materials. A test experiment is proposed to verify the compression scheme and to study the beam-wedge interaction and its associated beam dynamics, which will facilitate further efforts towards a HEDP facility.

  8. Stem thrust prediction model for W-K-M double wedge parallel expanding gate valves

    International Nuclear Information System (INIS)

    Eldiwany, B.; Alvarez, P.D.; Wolfe, K.

    1996-01-01

    An analytical model for determining the required valve stem thrust during opening and closing strokes of W-K-M parallel expanding gate valves was developed as part of the EPRI Motor-Operated Valve Performance Prediction Methodology (EPRI MOV PPM) Program. The model was validated against measured stem thrust data obtained from in-situ testing of three W-K-M valves. Model predictions show favorable, bounding agreement with the measured data for valves with Stellite 6 hardfacing on the disks and seat rings for water flow in the preferred flow direction (gate downstream). The maximum required thrust to open and to close the valve (excluding wedging and unwedging forces) occurs at a slightly open position and not at the fully closed position. In the nonpreferred flow direction, the model shows that premature wedging can occur during ΔP closure strokes even when the coefficients of friction at different sliding surfaces are within the typical range. This paper summarizes the model description and comparison against test data

  9. Stem thrust prediction model for W-K-M double wedge parallel expanding gate valves

    Energy Technology Data Exchange (ETDEWEB)

    Eldiwany, B.; Alvarez, P.D. [Kalsi Engineering Inc., Sugar Land, TX (United States); Wolfe, K. [Electric Power Research Institute, Palo Alto, CA (United States)

    1996-12-01

    An analytical model for determining the required valve stem thrust during opening and closing strokes of W-K-M parallel expanding gate valves was developed as part of the EPRI Motor-Operated Valve Performance Prediction Methodology (EPRI MOV PPM) Program. The model was validated against measured stem thrust data obtained from in-situ testing of three W-K-M valves. Model predictions show favorable, bounding agreement with the measured data for valves with Stellite 6 hardfacing on the disks and seat rings for water flow in the preferred flow direction (gate downstream). The maximum required thrust to open and to close the valve (excluding wedging and unwedging forces) occurs at a slightly open position and not at the fully closed position. In the nonpreferred flow direction, the model shows that premature wedging can occur during {Delta}P closure strokes even when the coefficients of friction at different sliding surfaces are within the typical range. This paper summarizes the model description and comparison against test data.

  10. Open radical retropubic prostatectomy using high anterior release of the levator fascia and constant haptic feedback in bilateral neurovascular bundle preservation plus early postoperative phosphodiesterase type 5 inhibition: a contemporary series.

    Science.gov (United States)

    Hubanks, J Mikel; Umbreit, Eric C; Karnes, R Jeffrey; Myers, Robert P

    2012-05-01

    Patients with newly diagnosed localized prostate cancer who choose surgery want cure and decent quality of life, namely, pad-free urinary control and, often, erectile function satisfactory for sexual intercourse. Determine in a prospective study the positive surgical margin rate and functional outcomes for a consecutive series of patients undergoing open radical retropubic prostatectomy (ORRP) with bilateral neurovascular bundle preservation (BNVBP) performed by one experienced surgeon. Of 197 consecutive patients undergoing BNVBP during 2008, 123 were evaluable, allowing both immediate postoperative phosphodiesterase type 5 inhibition (PDE5i) and a third-party questionnaire with validated urinary and erectile function domains provided preoperatively and at 3, 6, and 12 mo postoperatively. Two interventions were used: (1) ORRP with ×4.3 optical loupes and constant digital tactile monitoring during BNVBP preceded by high anterior release (HAR) of levator fascia and neurovascular bundles and (2) early postoperative PDE5i. Age; biopsy Gleason score; clinical stage; preoperative prostate-specific antigen level; pathologic grade; stage; margin status; University of California, Los Angeles Prostate Cancer Index domain for urinary pad use and bother; and International Index of Erectile Function-5 (IIEF-5) were used. Surgical margins were positive in 1 of the 123 evaluable patients (1%). At 1 yr, 95% of patients were pad-free. Satisfactory erectile function was achieved by 109 patients (89%): 82 (67%) scored an IIEF-5 of 22-25, and 27 (22%) scored erection within the first year. Mean hospital stay was 1.3 d. Limitations were (1) observational, noncomparative, single-surgeon series and (2) in third-party methodology, failure to capture patient answers for all questionnaire intervals with resultant inability to address durability of functional results for all patients. ORRP using ×4.3 optical loupe magnification, constant haptic feedback in BNVBP with HAR, and immediate

  11. Wedge cells during regeneration of juvenile and adult feathers and their role in carving out the branching pattern of barbs.

    Science.gov (United States)

    Alibardi, Lorenzo

    2007-01-01

    The present ultrastructural study on regenerating feathers emphasizes the role of supportive cells in determining the branching pattern of barbs. Supportive cells are localized among developing barb and barbule cells, in marginal plates, and underneath the feather sheath, and their differentiative fate, in general, is a form of lipid degeneration. The Latter process determines the carving out of barb branching in both downfeathers and pennaceous feathers. In the latter feathers, some supportive cells (barb vane cells and cylindrical cells of marginal plates) degenerate within each barb ridge leaving separate barbules. Other supportive cells, here termed wedge cells, form columns of cornified material that merge into elongated corneous scaffolds localized among barbs and the rachis. This previously undescribed form of cornification of supportive cells derives from the aggregation of periderm and dense granules present in wedge cells. The latter cells give origin to a corneous material different from feather keratin that may initially sustain the early and soft barbules. After barbules are cornified the supportive cells scaffolds are eventually sloughed as the sheath breaks allowing the new feather to open up and form a planar vane. The corneous material of wedge cells may also contribute to molding of the overlapped nodes of barbule cells that form lateral spines or hooklets in mature barbules. Eventually, the disappearance of wedge cell scaffolding determines the regular spacing of barbs attached to the rachis in order to form a close vane.

  12. The evolving energy budget of accretionary wedges

    Science.gov (United States)

    McBeck, Jessica; Cooke, Michele; Maillot, Bertrand; Souloumiac, Pauline

    2017-04-01

    The energy budget of evolving accretionary systems reveals how deformational processes partition energy as faults slip, topography uplifts, and layer-parallel shortening produces distributed off-fault deformation. The energy budget provides a quantitative framework for evaluating the energetic contribution or consumption of diverse deformation mechanisms. We investigate energy partitioning in evolving accretionary prisms by synthesizing data from physical sand accretion experiments and numerical accretion simulations. We incorporate incremental strain fields and cumulative force measurements from two suites of experiments to design numerical simulations that represent accretionary wedges with stronger and weaker detachment faults. One suite of the physical experiments includes a basal glass bead layer and the other does not. Two physical experiments within each suite implement different boundary conditions (stable base versus moving base configuration). Synthesizing observations from the differing base configurations reduces the influence of sidewall friction because the force vector produced by sidewall friction points in opposite directions depending on whether the base is fixed or moving. With the numerical simulations, we calculate the energy budget at two stages of accretion: at the maximum force preceding the development of the first thrust pair, and at the minimum force following the development of the pair. To identify the appropriate combination of material and fault properties to apply in the simulations, we systematically vary the Young's modulus and the fault static and dynamic friction coefficients in numerical accretion simulations, and identify the set of parameters that minimizes the misfit between the normal force measured on the physical backwall and the numerically simulated force. Following this derivation of the appropriate material and fault properties, we calculate the components of the work budget in the numerical simulations and in the

  13. Multiple phases and vicious walkers in a wedge

    Directory of Open Access Journals (Sweden)

    Gesualdo Delfino

    2015-12-01

    Full Text Available We consider a statistical system in a planar wedge, for values of the bulk parameters corresponding to a first order phase transition and with boundary conditions inducing phase separation. Our previous exact field theoretical solution for the case of a single interface is extended to a class of systems, including the Blume–Capel model as the simplest representative, allowing for the appearance of an intermediate layer of a third phase. We show that the interfaces separating the different phases behave as trajectories of vicious walkers, and determine their passage probabilities. We also show how the theory leads to a remarkable form of wedge covariance, i.e. a relation between properties in the wedge and in the half plane, which involves the appearance of self-Fourier functions.

  14. Modeling and Stability Analysis of Wedge Clutch System

    Directory of Open Access Journals (Sweden)

    Jian Yao

    2014-01-01

    Full Text Available A wedge clutch with unique features of self-reinforcement and small actuation force was designed. Its self-reinforcement feature, associated with different factors such as the wedge angle and friction coefficient, brings different dynamics and unstable problem with improper parameters. To analyze this system, a complete mathematical model of the actuation system is built, which includes the DC motor, the wedge mechanism, and the actuated clutch pack. By considering several nonlinear factors, such as the slip-stick friction and the contact or not of the clutch plates, the system is piecewise linear. Through the stability analysis of the linearized system in clutch slipping phase, the stable condition of the designed parameters is obtained as α>arctan⁡(μc. The mathematical model of the actuation system is validated by prototype testing. And with the validated model, the system dynamics in both stable and unstable conditions is investigated and discussed in engineering side.

  15. Tool life of ceramic wedges during precise turning of tungsten

    Directory of Open Access Journals (Sweden)

    Legutko Stanislaw

    2017-01-01

    Full Text Available Properties, application and machinability of tungsten and its alloys have been demonstrated. The comparison of the tool life and wear of the wedges made of SiAlON and whisker ceramics during the precise turning at different cutting parameters have been presented. The CNC lathe DMG CTX 310 Ecoline and tungsten of 99.7 % purity were used during the experiments. Only the wedge of whisker ceramics has proved to be sufficiently suitable and only for relatively low cutting speeds.

  16. The Superimposed Paleocene-Miocene Tectonics of the middle part of the Nallihan Wedge (NW Turkey)

    Science.gov (United States)

    Şahin, Murat; Yaltirak, Cenk

    2015-04-01

    In the NW Turkey, the area between the suture zones of the Rhodope-Pontide Ocean and Izmir-Ankara Ocean, and North Anatolian Fault Zone (NAFZ) and Thrace-Eskişehir Fault Zone (TEFZ) is known as the Nallıhan Wedge. The shape of Nallıhan Wedge is a 90 degree counter-clockwise rotated isosceles triangle. The northwestern boundary is a part of NAFZ and the southwestern boundary is a part of TEFZ. The 160 km-long eastern boundary is located at around Beypazarı and western corner is on the Bursa Plain. Nallıhan is situated at the centre of this isosceles triangle. While all the thrusts and folds shrink towards to the west and show an imbricate-like structure, the characteristics of the folds turn into to the open folds. Thrusts faults are locally observed as blind and almost perpendicular thrusts at the fold limbs towards to the east. The rocks of the study area show different characteristics according to their types and basins of formation. On the other hand the structural properties of these rocks display the effects of the closure of the Intra-Pontide and Izmir-Ankara Oceans in between Paleocene and Early Oligocene. During Miocene, the thrust faults reactivated and a deformation formed the NEE-SWW left lateral strike-slip faults parallel to these thrust faults. Whereas the first events are related to the closure of the branches of Neo-Tethys, the Miocene deformation is probably based on the Miocene tectonics of the Western Anatolia by the reason of equivalent age of the TEFZ. In this framework, the deformation of the Nallıhan Wedge presents significant information about the period between the evolution of Paleotectonic and Neotectonic of Turkey.

  17. CONGENITAL ANTERIOR TIBIOFEMURAL SUBLUXATION

    Directory of Open Access Journals (Sweden)

    A. Shahla

    2008-06-01

    Full Text Available Congenital anterior tibiofemoral subluxation is an extremely rare disorder. All reported cases accompanied by other abnormalities and syndromes. A 16-year-old high school girl referred to us with bilateral anterior tibiofemoral subluxation as the knees were extended and reduced at more than 30 degrees flexion. Deformities were due to tightness of the iliotibial band and biceps femuris muscles and corrected by surgical release. Associated disorders included bilateral anterior shoulders dislocation, short metacarpals and metatarsals, and right calcaneuvalgus deformity.

  18. On size-effects in single crystal wedge indentation

    DEFF Research Database (Denmark)

    Niordson, Christian Frithiof; Kysar, Jeffrey W.

    2012-01-01

    Wedge indentation in single crystals is studied numerically, with emphasis on size-effects on the micron scale. Under the assumption of a perfectly sharp wedge indenter, a linear relationship between indentation force and indentation depth would be predicted from conventional theories lacking con...... are included in the model due to the addition of gradient terms in both the free energy as well as through a dissipation potential. The finite element solution method is presented, which delivers the slip-rate field and the velocity-field based on two minimum principles.......Wedge indentation in single crystals is studied numerically, with emphasis on size-effects on the micron scale. Under the assumption of a perfectly sharp wedge indenter, a linear relationship between indentation force and indentation depth would be predicted from conventional theories lacking...... constitutive length parameters to model sizeeffects. The problem is studied numerically using a strain gradient crystal visco-plasticity theory formulated along the lines proposed by Fleck andWillis (2009). It is shown how the force-indentation relation is affected due to size-dependence in the material. Size-effects...

  19. Flow Analysis for the Falkner–Skan Wedge Flow

    DEFF Research Database (Denmark)

    Bararnia, H; Haghparast, N; Miansari, M

    2012-01-01

    In this article an analytical technique, namely the homotopy analysis method (HAM), is applied to solve the momentum and energy equations in the case of a two-dimensional incompressible flow passing over a wedge. The trail and error method and Padé approximation strategies have been used to obtai...

  20. Fixed Points of Maps of a Nonaspherical Wedge

    Directory of Open Access Journals (Sweden)

    Merrill Keith

    2009-01-01

    Full Text Available Abstract Let be a finite polyhedron that has the homotopy type of the wedge of the projective plane and the circle. With the aid of techniques from combinatorial group theory, we obtain formulas for the Nielsen numbers of the selfmaps of .

  1. Complex Wedge-Shaped Matrices: A Generalization of Jacobi Matrices

    Czech Academy of Sciences Publication Activity Database

    Hnětynková, Iveta; Plešinger, M.

    2015-01-01

    Roč. 487, 15 December (2015), s. 203-219 ISSN 0024-3795 R&D Projects: GA ČR GA13-06684S Keywords : eigenvalues * eigenvector * wedge-shaped matrices * generalized Jacobi matrices * band (or block) Krylov subspace methods Subject RIV: BA - General Mathematics Impact factor: 0.965, year: 2015

  2. locally fabricated metal step wedge for quality assurance

    African Journals Online (AJOL)

    DR. AMINU

    has an appropriate quality assurance program in radiation protection, to ensure accurate diagnosis, and to keep doses as ... radiology department of the Jos University Teaching Hospital (JUTH) using locally acquired metals. ... Keywords: Quality Assurance, Step wedge, Optical density, Tube current, Exposure time, Peak.

  3. Implementation of enhanced dynamic wedges in pinnacle treatment planning system

    International Nuclear Information System (INIS)

    Alaei, Parham; Higgins, Patrick D.; Gerbi, Bruce J.

    2005-01-01

    Enhanced dynamic wedges (EDW) provide many advantages over traditional hard wedges for linear accelerator treatments. Along with these advantages comes the responsibility of ensuring that this complex technology delivers the correct dose to patients. This involves determining the enhanced dynamic wedge factors for various field sizes and depths for use in the hand calculation of monitor units (MUs). The accurate representation of dynamic wedges in the treatment planning computer must also be ensured. This is required so that the final isodose distributions are correct and the MUs calculated by the treatment planning computer match those determined by hand calculation. We have commissioned and implemented the use of EDW in the Pinnacle radiation therapy planning system. The modeled dose profiles agree with the measured ones with a maximum difference of 2%. The MUs generated by Pinnacle are also within 2% of those calculated independently. The process of data collection and verification, beam modeling, and a discussion of a potential pitfall encountered in this process are presented in this paper

  4. The Hardy inequality and the heat flow in curved wedges

    Czech Academy of Sciences Publication Activity Database

    Krejčiřík, David

    2016-01-01

    Roč. 73, č. 2 (2016), s. 91-113 ISSN 0032-5155 R&D Projects: GA ČR(CZ) GA14-06818S Institutional support: RVO:61389005 Keywords : Hardy inequality * heat equation * large-time behaviour * curved wedges * Dirichlet Laplacian * conical singularities * Brownian motion * subcriticality Subject RIV: BE - Theoretical Physics Impact factor: 0.735, year: 2016

  5. Dependence of wedge transmission factor on co-60 teletherapy ...

    African Journals Online (AJOL)

    Measuring the wedge factor (WF) for radiation field of 10 x 10 cm2 at a specified depth and Source to Surface Distance (SSD), and applying the value to all treatment depths and technique could introduce errors > ± 5 % of threshold stipulated for patient radiation dose delivery. Therefore, some Treatment Planning Systems ...

  6. Pre-assembly test of 3 HF wedges at a time

    CERN Multimedia

    Tiziano Camporesi

    2002-01-01

    To check the geometry of the individual HF wedges a special jig has been developed which allows mounting 3 HF wedges at a time. The jig simulates the exact geometry of the final shield where 9 wedges will be assembled forming the 'D' shaped half HF. Such pre-mounting has allowed to verify the accuracy of the construction of the individual wedges and made sure that the final assembly will not meet any structural problem.

  7. Restraint of fatigue crack growth by wedge effects of fine particles

    CERN Document Server

    Takahashi, I; Kotani, N

    2000-01-01

    Presents some experimental results which demonstrate restraint of fatigue crack growth in an Al-Mg alloy by wedge effects of fine particles. Fatigue test specimens were machined from a JIS A5083P-O Al-Mg alloy plate of 5 mm thickness and an EDM starter notch was introduced to each specimen. Three kinds of fine particles were prepared as the materials to be wedged into the fatigue cracks, i.e. magnetic particles and two kinds of alumina particles having different mean particle sizes of 47.3 mu m and 15.2 mu m. Particles of each kind were suspended in an oil to form a paste, which was applied on the specimen surface covering the notch zone prior to the fatigue tests. In order to make some fracture mechanics approaches, in situ observations of fatigue cracks were performed for the two cases using a CCD microscope, with a magnification of *1000. The crack length and the crack opening displacement (COD) at the notch root, delta , were measured. The crack retardation effect continues almost through the entire lifet...

  8. Posterior wedge osteotomy and debridement for Andersson lesion with severe kyphosis in ankylosing spondylitis.

    Science.gov (United States)

    Liang, Yan; Tang, Xiangyu; Zhao, Yongfei; Wang, Zheng

    2017-03-31

    Andersson lesion is a well-known complication in ankylosing spondylitis. Recently, owing to the worry about the healing of fracture, some scholars advocated additional anterior surgery or other procedures were necessary, which increase the risk of the nerve injury. The purpose of this study is to introduce our experience and to explore the efficacy and feasibility of posterior wedge osteotomy and debridement through Andersson Lesion for surgical treatment of severe kyphosis in ankylosing spondylitis. From January 2012 to January 2014, a retrospective study of 14 Andersson lesion patients with severe kyphosis in ankylosing spondylitis treated with surgery was completed with an at least 2-year follow-up. The debridement procedure, before posterior wedge osteotomy in posterior approach, must scrape all sclerosis bone until healthy cancellous bone appears. Radiographic and clinical results and complications were assessed with an average follow-up of 24 months. The CT scan was obtained preoperatively and at the final follow-up to assess the displacement of the fracture preoperatively, the safety of screw insertion, the healing of the fracture at the final follow-up. The Bridwell interbody fusion grading system was used to assess the healing of the fracture. Local kyphosis was substantially corrected from 51.7 ± 15.6 to 7.1 ± 19.5, with a mean correction of 44°. The global kyphosis (GK) changed from 60.6 ± 28.3 to 20.3 ± 10.3 (P = 0.000). The mean VAS back pain scores decreased from 6.7 ± 0.8 preoperatively to 0.75 ± 0.6 after a 2-year follow-up (P = 0.000). The ODI score improved from 60.56 ± 15.1% preoperatively to 23.46 ± 8.2% after a 2-year follow-up (P = 0.000). The CT scan showed solid fusion at the level of the AL, and no internal fixation loose. All patients achieved grade 1 fusion. No major complication occurred. The posterior wedge osteotomy and debridement through AL can be used to correct the severe

  9. Anterior ankle impingement

    NARCIS (Netherlands)

    Tol, Johannes L.; van Dijk, C. Niek

    2006-01-01

    The anterior ankle impingement syndrome is a clinical pain syndrome that is characterized by anterior ankle pain on (hyper) dorsiflexion. The plain radiographs often are negative in patients who have anteromedial impingement. An oblique view is recommended in these patients. Arthroscopic excision of

  10. Wedges, cones, cosmic strings and their vacuum energy

    Science.gov (United States)

    Fulling, S. A.; Trendafilova, C. S.; Truong, P. N.; Wagner, J.

    2012-09-01

    One of J Stuart Dowker’s most significant achievements has been to observe that the theory of diffraction by wedges developed a century ago by Sommerfeld and others provided the key to solving two problems of great interest in general-relativistic quantum field theory during the last quarter of the 20th century: the vacuum energy associated with an infinitely thin, straight cosmic string, and (after an interchange of time with a space coordinate) the apparent vacuum energy of empty space as viewed by an accelerating observer. In a sense the string problem is more elementary than the wedge, since Sommerfeld’s technique was to relate the wedge problem to that of a conical manifold by the method of images. Indeed, Minkowski space, as well as all cone and wedge problems, are related by images to an infinitely sheeted master manifold, which we call Dowker space. We review the research in this area and exhibit in detail the vacuum expectation values of the energy density and pressure of a scalar field in Dowker space and the cone and wedge spaces that result from it. We point out that the (vanishing) vacuum energy of Minkowski space results, from the point of view of Dowker space, from the quantization of angular modes, in precisely the way that the Casimir energy of a toroidal closed universe results from the quantization of Fourier modes; we hope that this understanding dispels any lingering doubts about the reality of cosmological vacuum energy. This article is part of a special issue of Journal of Physics A: Mathematical and Theoretical in honour of Stuart Dowker’s 75th birthday devoted to ‘Applications of zeta functions and other spectral functions in mathematics and physics’.

  11. Superior dislocation hip with anterior column acetabular fracture ...

    African Journals Online (AJOL)

    Superior variety of anterior dislocation of the hip is a rare injury. Its occurrence with acetabular fractures has been documented infrequently. We report a case of superior dislocation of the hip with anterior column acetabular fracture. Open reduction of the hip and internal fixation of the fracture was carried out using a twin ...

  12. A study on a characteristic of stem friction coefficient for motor operated flexible wedge gate valve

    International Nuclear Information System (INIS)

    Kim, Dae-Woong; Park, Sung-Geun; Lee, Sang-Guk; Kang, Shin-Cheul

    2009-01-01

    Stem friction coefficient is a coefficient that represents friction between thread leads of the stem and stem nut. It is an important factor to determine output thrust delivered from the actuator to the valve stem in assessing performance of motor operated valves. This study analyzes the effects of changes in differential pressure on stem friction coefficient, and determines the bounding value of stem friction coefficient. A dynamic test was conducted on multiple flexible wedge gate valves in various differential pressure conditions, and the test data was statistically analyzed to determine the bounding value. The results show that stem friction coefficient in middle and high differential pressure is influenced by fluid pressure, while stem friction coefficient in low differential pressure is almost not affected by fluid pressure. In addition, it is found that the bounding value of stem friction coefficient is higher in a closing stroke than in an opening stroke.

  13. Congenital anterior urethral diverticulum

    International Nuclear Information System (INIS)

    Jung, Hyun Sub; Chung, Young Sun; Suh, Chee Jang; Won, Jong Jin

    1985-01-01

    Two cases of congenital anterior urethral diverticular which have occurred in a 4 year old and one month old boy are presented. Etiology, diagnostic procedures, and its clinical results are briefly reviewed

  14. Anterior knee pain

    Science.gov (United States)

    ... thighbone where the kneecap normally rests is too shallow. You have flat feet. Anterior knee pain is ... the principles of the Health on the Net Foundation (www.hon.ch). The information provided herein should ...

  15. Direct FVM Simulation for Sound Propagation in an Ideal Wedge

    Directory of Open Access Journals (Sweden)

    Hongyu Ji

    2016-01-01

    Full Text Available The sound propagation in a wedge-shaped waveguide with perfectly reflecting boundaries is one of the few range-dependent problems with an analytical solution. This provides a benchmark for the theoretical and computational studies on the simulation of ocean acoustic applications. We present a direct finite volume method (FVM simulation for the ideal wedge problem, and both time and frequency domain results are analyzed. We also study the broadband problem with large-scale parallel simulations. The results presented in this paper validate the accuracy of the numerical techniques and show that the direct FVM simulation could be applied to large-scale complex acoustic applications with a high performance computing platform.

  16. Field size dependence of wedge factor: miniphantom vs full phantom measurements

    International Nuclear Information System (INIS)

    Allen Li, X.; Szanto, J.; Soubra, M.; Gerig, L. H.

    1995-01-01

    It is empirically known that the transmission factor for wedge in a high-energy photon beam is dependent upon field size and depth of measurement. The field-size dependence of wedge factors may be attributed to changes in (i) head scatter, (ii) phantom scatter, and (iii) backscatter from the wedge into the linac monitor chamber. In this work we present the results of studies designed to examine each of these factors in isolation. The wedge factors for wedges with nominal wedge angles of 15 deg. , 30 deg. , 45 deg. and 60 deg. were measured with a 3-g/cm 2 -diameter narrow cylindrical phantom (miniphantom), a brass cap with 1.5-g/cm 2 side-wall thickness and a full water phantom for 6-, 10- and 18-MV photon beams. The measurements were performed with and without flattening filter in place. The wedge factors measured with the miniphantom and the brass cap exclude the phantom scatter contribution. It has been found that the field-size behaviour of wedge factor measured with full water phantom is similar to that measured with the miniphantom and cap. This indicates that the head scatter radiation is the major contributor to the field size dependence of wedge factors. Wedge factors measured with water phantom are up to 5.0% smaller than those measured with miniphantom. This difference increases with wedge angle. When Measured with the flattening filter removed, the field size dependence of the wedge factor is reduced. This justify that the flattening filter is one of the major contributors to head scatters. The measurement results made with the brass cap agree well with those made by using the miniphantom. By measuring the monitor chamber output, it is found that the backscatters from the wedge into the linac ion chamber have little effect on the field size dependence of the wedge factor

  17. Monte Carlo simulation of the Varian Clinac 600C accelerator dynamic and physical wedges

    Energy Technology Data Exchange (ETDEWEB)

    Soares, S [Universidade da Beira Interior, Av. Marques d' Avila e Bolama, Covilha 6201-001 (Portugal); Chaves, A [Instituto Portugues de Oncologia Doutor Francisco Gentil (IPO), Av. Bissaya Barreto, Coimbra 3000-075 (Portugal); Peralta, L [Laboratorio de Instrumentacao e Fisica Experimental de PartIculas (LIP), Av. Elias Garcia no14 1o, Lisbon 1000-149 (Portugal); Lopes, Mc [Faculdade de Ciencias da Universidade de Lisboa, Campo Grande EdifIcio C5, Lisbon 1149-016 (Portugal)

    2007-06-15

    The present paper describes the study done on the dosimetric characteristics of the Varian Clinac 600C dynamic wedges (DW) and their comparison with the physical wedges (PW) in terms of the differences affecting the dose distributions, beam spectra, energy fluence and angular distributions. The geometry of the 4 MV photon beam and the dose distributions in a water phantom were simulated with GEANT3 and DPM Monte Carlo code systems. The DW was modelled through the constant movement of the upper jaws. The depth dose distributions and lateral profiles for the DW, PW and open fields were measured and compared with the Monte Carlo simulations and the global agreement was found to be within 3%. It was also found that the effects of a DW on beam spectral and angular distributions are much less significant than those produced by a PW. For example, in our study we found out that the 45{sup 0}PW, when compared with the corresponding open field, can introduce a 30% increase in the mean photon energy due to the beam hardening effect and that it can also introduce a 4.5% dose reduction in the build-up region because of the reduction of the contaminated electrons by the PW. For the DW neither this mean-energy increase nor such dose reduction was found. The PW, when compared to the DW, significantly alters the photon-beam spectrum and these dosimetric differences are significant and further investigation must be performed to quantify the impact in clinical use of these beams.

  18. Identifying anterior segment crystals.

    OpenAIRE

    Hurley, I W; Brooks, A M; Reinehr, D P; Grant, G B; Gillies, W E

    1991-01-01

    A series of 22 patients with crystals in the anterior segment of the eye was examined by specular microscopy. Of 10 patients with hypermature cataract and hyperrefringent bodies in the anterior chamber cholesterol crystals were identified in four patients and in six of the 10 in whom aspirate was obtained cholesterol crystals were demonstrated in three, two of these having shown crystals on specular microscopy. In 10 patients with intracorneal crystalline deposits, cholesterol crystals were f...

  19. Efeito do ajustamento da produção de leite para período de serviço anterior sobre os valores genéticos de bovinos da raça Holandesa Effect of adjusting production records for days open on breeding values in Holsteins

    Directory of Open Access Journals (Sweden)

    Nilson Milagres Teixeira

    2001-04-01

    Full Text Available Registros de produção e reprodução de 6.877 lactações de 4.673 vacas foram usados para se determinar o efeito do ajustamento para período de serviço anterior em avaliações genéticas. Os valores genéticos previstos para produção de leite em kg foram calculados usando-se três modelos: Modelo 1 - sem correção para período de serviço, com os efeitos fixos de rebanho-ano-estação de parto, grupo genético (1-PO, 2-PC, idade ao parto como covariável até 2º grau e os efeitos aleatórios de animal, meio permanente e erro; Modelo 2 - mesmo anterior com a inclusão de período de serviço anterior; Modelo 3 - mesmo que o modelo 1, com as produções padronizadas para 100 dias de período de serviço anterior, por meio de fatores de ajustamento. Os valores genéticos previstos obtidos para cada modelo foram comparados. Vacas entre as 2% melhores apresentaram, em média, mudanças de nove e onze posições, respectivamente, quando os modelos 2 e 3 foram usados, comparadas com suas ordens obtidas com o modelo 1. Além disso, oito e onze vacas foram excluídas da relação das 2% melhores quanto aos seus valores genéticos para produção de leite, quando avaliadas, respectivamente, pelos modelos 2 e 3. As confiabilidades dos valores genéticos previstos obtidos usando-se os três modelos foram semelhantes. As correlações de ordem entre os valores genéticos estimados, tanto para vacas quanto para touros, para todos os modelos foram próximas de um. Portanto, o ajustamento para período de serviço anterior não alterou a ordem dos animais nesta avaliação genética na raça Holandesa no Estado de Minas Gerais.Production and breeding records from 6,877 lactations of 4,673 cows were used to evaluate the effect of adjusting for previous days open on genetic evaluations. Predicted breeding values for kg of milk were calculated using three animal models. Model 1 - contained no adjustment for days open and accounted for the fixed effects

  20. Large scale test of wedge shaped micro strip gas counters

    CERN Document Server

    Ackermann, M; Aulchenko, V M; Bachmann, S; Baibusinov, B O; Barthe, S; Beaumont, W; Beckers, T; Beissel, F; Benhammou, Ya; Bergdolt, A M; Bernier, K; Blüm, H P; Bondar, A E; Bouhali, O; Boulogne, I; Bozzo, M; Brom, J M; Camps, C; Chorowicz, V; Coffin, J P; Commichau, V; Contardo, D; Croix, J; De Troy, J G; Drouhin, F; Eberle, H; Flügge, G; Fontaine, J C; Geist, Walter M; Goerlach, U; Gundlfinger, K; Hangarter, K; Haroutunian, R; Helleboid, J M; Henkes, T; Hoffer, M; Hoffmann, C; Huss, D; Ischebeck, R; Jeanneau, F; Juillot, P; Junghans, S; Kapp, M R; Kärcher, K; Knoblauch, D; Kräber, M H; Krauth, M; Kremp, J; Lounis, A; Lübelsmeyer, K; Maazouzi, C; Macke, D; Metri, R; Mirabito, L; Müller, T; Nagaslaev, V; Neuberger, D; Nowak, A; Pallarès, A; Pandoulas, D; Petertill, M; Pooth, O; Racca, C; Ripp, I; Ruoff, E; Sauer, A; Schmitz, P; Schulte, R; Schultz von Dratzig, A; Schunk, J P; Schuster, G; Schwaller, B; Shekhtman, L I; Siedling, R; Sigward, M H; Simonis, H J; Smadja, G; Stefanescu, J; Szczesny, H; Tatarinov, A A; Thümmel, W H; Tissot, S; Titov, V; Todorov, T; Tonutti, M; Udo, Fred; Van der Velde, C; Van Doninck, W K; Van Dyck, C; Vanlaer, P; Van Lancker, L; Verdini, P G; Weseler, S; Wittmer, B; Wortmann, R; Zghiche, A; Zhukov, V

    1999-01-01

    In order to check the system aspects of the forward-backward MSGC tracker designed for the future CMS experiment at LHC, 38 trapezoidal MSGC counters assembled in six multi-substrates detector modules were built and exposed to a muon beam at the CERN SPS. Results on the gain uniformity along the wedge-shaped strip pattern and across the detector modules are shown together with measurements of the detection efficiency and the spatial resolution. (8 refs).

  1. Large scale test of wedge shaped micro strip gas counters

    Energy Technology Data Exchange (ETDEWEB)

    Ackermann, M.; Atz, S.; Aulchenko, V.; Bachmann, S.; Baiboussinov, B.; Barthe, S.; Beaumont, W.; Beckers, T.; Beissel, F.; Benhammou, Y.; Bergdolt, A.M.; Bernier, K.; Bluem, P.; Bondar, A.; Bouhali, O.; Boulogne, I.; Bozzo, M.; Brom, J.M.; Camps, C.; Chorowicz, V.; Coffin, J.; Commichau, V.; Contardo, D.; Croix, J.; Troy, J. de; Drouhin, F.; Eberle, H.; Fluegge, G.; Fontaine, J.-C.; Geist, W.; Goerlach, U.; Gundlfinger, K.; Hangarter, K.; Haroutunian, R.; Helleboid, J.M.; Henkes, Th.; Hoffer, M.; Hoffman, C.; Huss, D.; Ischebeck, R.; Jeanneau, F.; Juillot, P.; Junghans, S.; Kapp, M.R.; Kaercher, K.; Knoblauch, D.; Kraeber, M.; Krauth, M.; Kremp, J.; Lounis, A.; Luebelsmeyer, K.; Maazouzi, C.; Macke, D.; Metri, R.; Mirabito, L.; Mueller, Th.; Nagaslaev, V.; Neuberger, D.; Nowack, A.; Pallares, A.; Pandoulas, D.; Petertill, M.; Pooth, O.; Racca, C.; Ripp, I.; Ruoff, E.; Sauer, A.; Schmitz, P.; Schulte, R.; Schultz von Dratzig, A.; Schunk, J.P.; Schuster, G.; Schwaller, B.; Shektman, L.; Siedling, R.; Sigward, M.H.; Simonis, H.J.; Smadja, G.; Stefanescu, J.; Szczesny, H.; Tatarinov, A.; Thuemmel, W.H.; Tissot, S.; Titov, V.; Todorov, T.; Tonutti, M.; Udo, F.; Velde, C. Vander. E-mail: vandervelde@hep.iihe.ac.be; Doninck, W. van; Dyck, Ch. van; Vanlaer, P.; Lancker, L. van; Verdini, P.G.; Weseler, S.; Wittmer, B.; Wortmann, R.; Zghiche, A.; Zhukov, V

    1999-11-01

    In order to check the system aspects of the forward-backward MSGC tracker designed for the future CMS experiment at LHC, 38 trapezoidal MSGC counters assembled in six multi-substrates detector modules were built and exposed to a muon beam at the CERN SPS. Results on the gain uniformity along the wedge-shaped strip pattern and across the detector modules are shown together with measurements of the detection efficiency and the spatial resolution.

  2. Spatial resolution of wedge shaped silicon microstrip detectors

    Science.gov (United States)

    Antičić, T.; Barnett, B.; Blumenfeld, B.; Chien, C.-Y.; Fisher, P.; Gougas, A.; Krizmanic, J.; Madansky, L.; Newman, D.; Orndorff, J.; Pevsner, A.; Spangler, J.

    1995-02-01

    Several wedge-shaped silicon microstrip detectors with pitches from 30 to 100 μm have been designed by our group and beam tested at the CERN SPS. We find the spatial resolution σ becomes larger at the rate of 0.21 μm per 1 μm increase in pitch, but the number of strips per cluster remains about the same as the pitch varies from 30 to 100 μm.

  3. Spatial resolution of wedge shaped silicon microstrip detectors

    International Nuclear Information System (INIS)

    Anticic, T.; Barnett, B.; Blumenfeld, B.; Chien, C.Y.; Fisher, P.; Gougas, A.; Krizmanic, J.; Madansky, L.; Newman, D.; Orndorff, J.; Pevsner, A.; Spangler, J.

    1995-01-01

    Several wedge-shaped silicon microstrip detectors with pitches from 30 to 100 μm have been designed by our group and beam tested at the CERN SPS. We find the spatial resolution σ becomes larger at the rate of 0.21 μm per 1 μm increase in pitch, but the number of strips per cluster remains about the same as the pitch varies from 30 to 100 μm. (orig.)

  4. Interpretation and inverse analysis of the wedge splitting test

    DEFF Research Database (Denmark)

    Østergaard, Lennart; Stang, Henrik

    2002-01-01

    to the wedge splitting test and that it is well suited for the interpretation of test results in terms of s(w). A fine agreement between the hinge and FEM-models has been found. It has also been found that the test and the hinge model form a solid basis for inverse analysis. The paper also discusses possible...... three dimensional problems in the experiment as well as the influence of specimen size....

  5. Measuring the reionization 21 cm fluctuations using clustering wedges

    Science.gov (United States)

    Raut, Dinesh; Choudhury, Tirthankar Roy; Ghara, Raghunath

    2018-03-01

    One of the main challenges in probing the reionization epoch using the redshifted 21 cm line is that the magnitude of the signal is several orders smaller than the astrophysical foregrounds. One of the methods to deal with the problem is to avoid a wedge-shaped region in the Fourier k⊥ - k∥ space which contains the signal from the spectrally smooth foregrounds. However, measuring the spherically averaged power spectrum using only modes outside this wedge (i.e. in the reionization window) leads to a bias. We provide a prescription, based on expanding the power spectrum in terms of the shifted Legendre polynomials, which can be used to compute the angular moments of the power spectrum in the reionization window. The prescription requires computation of the monopole, quadrupole, and hexadecapole moments of the power spectrum using the theoretical model under consideration and also the knowledge of the effective extent of the foreground wedge in the k⊥ - k∥ plane. One can then calculate the theoretical power spectrum in the window which can be directly compared with observations. The analysis should have implications for avoiding any bias in the parameter constraints using 21 cm power spectrum data.

  6. A study on the stem friction coefficient with differential pressure conditions for the motor operated flexible wedge gate valve

    International Nuclear Information System (INIS)

    Kim, Dae Woong; Park, Sung Keun; Kim, Yang Seok; Lee, Do Hwan

    2008-01-01

    Stem friction coefficient is very important parameter for the evaluation of valve performance. In this study, the characteristics of stem friction coefficient is analyzed, and the bounding value is determined. The hydraulic testing is performed for flexible wedge gate valves in the plant and statistical method is applied to the determination of bounding value. According to the results of this study, stem friction coefficient is not effected in low differential pressure condition, but it is showed different distribution in medium and high differential pressure condition. And the bounding value of closing stroke is higher than that of opening stroke

  7. Dose Distribution According to the Tissue Composition Using Wedge Filter by Radiochromic Film

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yon Lae [Dept. of Radiologic Technology, Choonhae College of Health Sciences, Ulsan (Korea, Republic of); Lee, Jeong Woo; Park, Byung Moon [Dept. of Radiation Oncology, Konku University Hospital, Seoul (Korea, Republic of); Jung, Jae Yong; Park, Ji Yeon; Suh, Tae Suk [Dept. of Biomedical Engineering, Catholic University, Seoul (Korea, Republic of)

    2012-06-15

    The purpose of this study is to analyze the dose distribution when wedge filter is used in the various tissue electron density materials. The dose distribution was assessed that the enhanced dynamic wedge filter and physical wedge filter were used in the solid water phantom, cork phantom, and air cavity. The film dosimetry was suitable simple to measure 2D dose distribution. Therefore, the radiochromic films (Gafchromic EBT2, ISP, NJ, USA) were selected to measure and to analyze the dose distributions. A linear accelerator using 6 MV photon were irradiated to field size of 10 x10 cm{sup 2} with 400 MUs. The dose distributions of EBT2 films were analyzed the in-field area and penumbra regions by using dose analysis program. In the dose distributions of wedge field, the dose from a physical wedge was higher than that from a dynamic wedge at the same electron density materials. A dose distributions of wedge type in the solid water phantom and the cork phantom were in agreements with 2%. However, the dose distribution in air cavity showed the large difference with those in the solid water phantom or cork phantom dose distributions. Dose distribution of wedge field in air cavity was not shown the wedge effect. The penumbra width, out of the field of thick and thin, was observed larger from 1 cm to 2 cm at the thick end. The penumbra of physical wedge filter was much larger average 6% than the dynamic wedge filter. If the physical wedge filter is used, the dose was increased to effect the scatter that interacted with photon and physical wedge. In the case of difference in electron like the soft tissue, lung, and air, the transmission, absorption, and scattering were changed in the medium at high energy photon. Therefore, the treatment at the difference electron density should be inhomogeneity correction in treatment planning system.

  8. [Finite element analysis on the effect of lateral wedge insole intervention on the contact characteristics of the subtalar joint].

    Science.gov (United States)

    Zhou, En-Chang; Tang, Ping; Zhu, Chuan-Ying; Liu, Shi-Ming

    2017-01-25

    To establish a three-dimensional finite element model of the lower limb bones, and investigate the changes of the contact characteristics of the subtalar joint after using laterally wedge insole intervention. Using the reverse modeling technology, the lower limb bones of normal adult volunteers was scanned by CT. Mimics 10.0 and Geomagic Studio 6.0 software were used to reconstruct the 3D morphology of bones and external soft tissue of the feet. The laterally wedge insole was designed in ProE 5.0. And then all the models were imported into Hyperwork 10.0 and meshed, and given the material properties. The finite element analysis was carried out in ABAQUS 6.9. A three-dimensional finite element model of the lower extremity was established, which was consisted of 95 365 nodes and 246 238 elements. The contact area of the standing state of the lower joint was larger than that of the anterior middle joint surface. The peak stress was concentrated in the anterior lateral part of the posterior articular surface, and the average stress value was(3.85±1.03) MPa. Compared with the model of 0°, the contact area of the subtalar joint was reduced accordingly. There was a significant correlation between anterior middle joint | r |=0.964, P =0.008, and posterior articular | r |=0.978, P =0.002. The equivalent stress of 0° model distributed from(3.07±1.14) MPa to(3.85± 1.03) MPa, which had no statistically difference. Compared with the 0° model, the equivalent stress of the anterior and middle joint surfaces of the 8° model was significantly reduced( P 0.05). Although a certain valgus can be obtained in subtalar by wearing LWI, the result comes at the cost of the stress concentration on posterior surface. Through this study, we can find that LWI with 8° tilt angle could provide appropriate valgus moment without causing excessive concentration. Therefore, in order to avoid secondary ankle complications, we should not increase the tilt angle blindly.

  9. Anterior Shoulder Instability in the Military Athlete

    Science.gov (United States)

    Waterman, Brian; Owens, Brett D.; Tokish, John M.

    2016-01-01

    Context: Given its young, predominately male demographics and intense physical demands, the US military remains an ideal cohort for the study of anterior shoulder instability. Evidence Acquisition: A literature search of PubMed, MEDLINE, and the Cochrane Database was performed to identify all peer-reviewed publications from 1950 to 2016 from US military orthopaedic surgeons focusing on the management of anterior shoulder instability. Study Design: Clinical review. Level of Evidence: Level 4. Results: The incidence of anterior shoulder instability events in the military occurs at an order of magnitude greater than in civilian populations, with rates as high as 3% per year among high-risk groups. With more than 90% risk of a Bankart lesion and high risk for instability recurrence, the military has advocated for early intervention of first-time shoulder instability while documenting up to 76% relative risk reduction versus nonoperative treatment. Preoperative evaluation with advanced radiographic imaging should be used to evaluate for attritional bone loss or “off-track” engaging defects to guide comprehensive surgical management. With complex recurrent shoulder instability and/or cases of clinically significant osseous lesions, potential options such as remplissage, anterior open capsular procedures, or bone augmentation procedures may be preferentially considered. Conclusion: Careful risk stratification, clinical evaluation, and selective surgical management for at-risk military patients with anterior shoulder instability can optimize the recurrence risk and functional outcome in this population. PMID:27694151

  10. Degradation and stabilization of ice wedges: Implications for assessing risk of thermokarst in northern Alaska

    Science.gov (United States)

    Kanevskiy, Mikhail; Shur, Yuri; Jorgenson, Torre; Brown, Dana R. N.; Moskalenko, Nataliya; Brown, Jerry; Walker, Donald A.; Raynolds, Martha K.; Buchhorn, Marcel

    2017-11-01

    Widespread degradation of ice wedges has been observed during the last decades in numerous areas within the continuous permafrost zone of Eurasia and North America. To study ice-wedge degradation, we performed field investigations at Prudhoe Bay and Barrow in northern Alaska during 2011-2016. In each study area, a 250-m transect was established with plots representing different stages of ice-wedge degradation/stabilization. Field work included surveying ground- and water-surface elevations, thaw-depth measurements, permafrost coring, vegetation sampling, and ground-based LiDAR scanning. We described cryostratigraphy of frozen soils and stable isotope composition, analyzed environmental characteristics associated with ice-wedge degradation and stabilization, evaluated the vulnerability and resilience of ice wedges to climate change and disturbances, and developed new conceptual models of ice-wedge dynamics that identify the main factors affecting ice-wedge degradation and stabilization and the main stages of this quasi-cyclic process. We found significant differences in the patterns of ice-wedge degradation and stabilization between the two areas, and the patterns were more complex than those previously described because of the interactions of changing topography, water redistribution, and vegetation/soil responses that can interrupt or reinforce degradation. Degradation of ice wedges is usually triggered by an increase in the active-layer thickness during exceptionally warm and wet summers or as a result of flooding or disturbance. Vulnerability of ice wedges to thermokarst is controlled by the thickness of the intermediate layer of the upper permafrost, which overlies ice wedges and protects them from thawing. In the continuous permafrost zone, degradation of ice wedges rarely leads to their complete melting; and in most cases wedges eventually stabilize and can then resume growing, indicating a somewhat cyclic and reversible process. Stabilization of ice wedges

  11. Thermodynamic and kinetic supercooling of liquid in a wedge pore.

    Science.gov (United States)

    Nowak, Dominika; Heuberger, Manfred; Zäch, Michael; Christenson, Hugo K

    2008-10-21

    Cyclohexane allowed to capillary condense from vapor in an annular wedge pore of mica in a surface force apparatus (SFA) remains liquid down to at least 14 K below the bulk melting-point T(m). This is an example of supercooling of a liquid due to confinement, like melting-point depression in porous media. In the wedge pore, however, the supercooled liquid is in equilibrium with vapor, and the amount of liquid (and thereby the radius of curvature r of the liquid-vapor interface) depends on the surface tension gamma(LV) of the liquid, not the interfacial tension between the solid and liquid. At coexistence r is inversely proportional to the temperature depression DeltaT below T(m), in accordance with a recently proposed model [P. Barber, T. Asakawa, and H. K. Christenson, J. Phys. Chem. C 111, 2141 (2007)]. We have now extended this model to include effects due to the temperature dependence of both the surface tension and the enthalpy of melting. The predictions of the improved model have been quantitatively verified in experiments using both a Mark IV SFA and an extended surface force apparatus (eSFA). The three-layer interferometer formed by the two opposing, backsilvered mica surfaces in a SFA was analyzed by conventional means (Mark IV) and by fast spectral correlation of up to 40 fringes (eSFA). We discuss the absence of freezing in the outermost region of the wedge pore down to 14 K below T(m) and attribute it to nonequilibrium (kinetic) supercooling, whereas the inner region of the condensate is thermodynamically supercooled.

  12. Thermodynamic and kinetic supercooling of liquid in a wedge pore

    Science.gov (United States)

    Nowak, Dominika; Heuberger, Manfred; Zäch, Michael; Christenson, Hugo K.

    2008-10-01

    Cyclohexane allowed to capillary condense from vapor in an annular wedge pore of mica in a surface force apparatus (SFA) remains liquid down to at least 14K below the bulk melting-point Tm. This is an example of supercooling of a liquid due to confinement, like melting-point depression in porous media. In the wedge pore, however, the supercooled liquid is in equilibrium with vapor, and the amount of liquid (and thereby the radius of curvature r of the liquid-vapor interface) depends on the surface tension γLV of the liquid, not the interfacial tension between the solid and liquid. At coexistence r is inversely proportional to the temperature depression ΔT below Tm, in accordance with a recently proposed model [P. Barber, T. Asakawa, and H. K. Christenson, J. Phys. Chem. C 111, 2141 (2007)]. We have now extended this model to include effects due to the temperature dependence of both the surface tension and the enthalpy of melting. The predictions of the improved model have been quantitatively verified in experiments using both a Mark IV SFA and an extended surface force apparatus (eSFA). The three-layer interferometer formed by the two opposing, backsilvered mica surfaces in a SFA was analyzed by conventional means (Mark IV) and by fast spectral correlation of up to 40 fringes (eSFA). We discuss the absence of freezing in the outermost region of the wedge pore down to 14K below Tm and attribute it to nonequilibrium (kinetic) supercooling, whereas the inner region of the condensate is thermodynamically supercooled.

  13. Modes of continental extension in a crustal wedge

    KAUST Repository

    Wu, Guangliang

    2015-07-01

    © 2015 Elsevier B.V. We ran numerical experiments of the extension of a crustal wedge as an approximation to extension in an orogenic belt or a continental margin. We study the effects of the strength of the lower crust and of a weak mid-crustal shear zone on the resulting extension styles. A weak mid-crustal shear zone effectively decouples upper crustal extension from lower crustal flow. Without the mid-crustal shear zone, the degree of coupling between the upper and the lower crust increases and extension of the whole crust tends to focus on the thickest part of the wedge. We identify three distinct modes of extension determined by the strength of the lower crust, which are characterized by 1) localized, asymmetric crustal exhumation in a single massif when the lower crust is weak, 2) the formation of rolling-hinge normal faults and the exhumation of lower crust in multiple core complexes with an intermediate strength lower crust, and 3) distributed domino faulting over the weak mid-crustal shear zone when the lower crust is strong. A frictionally stronger mid-crustal shear zone does not change the overall model behaviors but extension occurred over multiple rolling-hinges. The 3 modes of extension share characteristics similar to geological models proposed to explain the formation of metamorphic core complexes: 1) the crustal flow model for the weak lower crust, 2) the rolling-hinge and crustal flow models when the lower crust is intermediate and 3) the flexural uplift model when the lower crust is strong. Finally we show that the intensity of decoupling between the far field extension and lower crustal flow driven by the regional pressure gradient in the wedge control the overall style of extension in the models.

  14. Heat conduction problem of an evaporating liquid wedge

    Directory of Open Access Journals (Sweden)

    Tomas Barta

    2015-02-01

    Full Text Available We consider the stationary heat transfer near the contact line of an evaporating liquid wedge surrounded by the atmosphere of its pure vapor. In a simplified setting, the problem reduces to the Laplace equation in a half circle, subject to a non-homogeneous and singular boundary condition. By classical tools (conformal mapping, Green's function, we reformulate the problem as an integral equation for the unknown Neumann boundary condition in the setting of appropriate fractional Sobolev and weighted space. The unique solvability is then obtained by means of the Fredholm theorem.

  15. Effect of a lateral wedge on joint moments during gait in subjects with recurrent ankle sprain.

    Science.gov (United States)

    Kakihana, Wataru; Torii, Suguru; Akai, Masami; Nakazawa, Kimitaka; Fukano, Mako; Naito, Kenji

    2005-11-01

    This study assessed the biomechanic effects of wearing a lateral wedge on the subtalar joint moment during gait in athletes with and without an unstable lateral ankle. A crossover design was applied whereby 50 collegiate males walked with two different wedges: a 0 degrees control wedge and a 6 degrees lateral wedge. We investigated frontal plane angles and moments at the subtalar joint and the knee joint, as well as ground reaction forces and center of pressure excursion. Moments were derived using a three-dimensional inverse dynamics model of the lower extremity. The 6 degrees lateral wedge significantly increased the subtalar joint valgus moment (P knee joint varus moment (P < 0.001) when compared with no wedge. The differences between wedge conditions were associated with a laterally shifted location of the center of pressure during stance phase. However, there were diverse, sometimes reversed effects with the wedge among the athletes with an unstable lateral ankle. These results indicate that biomechanical indications and limitations of lateral wedges in unstable lateral ankles should be analyzed in more detail, possibly leading to new guidelines for the use of such foot orthoses.

  16. The effect of shoe design and lateral wedging on knee loading

    DEFF Research Database (Denmark)

    Mølgaard, Carsten; Kersting, Uwe G.

    -dimensional gait analysis. Barefoot walking, walking in a running shoe, an Oxford-type leather shoe, and a rocker shoe were analyzed. The shoes were tested both with and without a 10-degree full length laterally wedged insole. Results: Similar, significant reductions in the peak knee adduction moment with lateral...... wedges were observed in all three types of shoes. However, differences between shoe design were of similar magnitude as the effect of laterally wedged insoles. Only marginal changes in muscle activity for lateral hamstrings during barefoot toe-out walking and gastrocnemius when using the Oxford wedged...

  17. Triangular metal wedges for subwavelength plasmon-polariton guiding at telecom wavelengths

    DEFF Research Database (Denmark)

    Boltasseva, Alexandra; Volkov, V.S.; Nielsen, Rasmus Bundgaard

    2008-01-01

    We report on subwavelength plasmon-polariton guiding by triangular metal wedges at telecom wavelengths. A high-quality fabrication procedure for making gold wedge waveguides, which is also mass- production compatible offering large-scale parallel fabrication of plasmonic components, is developed....... Using scanning near-field optical imaging at the wavelengths in the range of 1.43 - 1.52 µm, we demonstrate low-loss (propagation length ~ 120 µm) and well-confined (mode width ≅ 1.3 µm) wedge plasmon-polariton guiding along triangular 6-µm-high and 70.5°- angle gold wedges. Experimental observations...

  18. anterior hyaloidal fibrovascular proliferation

    African Journals Online (AJOL)

    Okonkwo

    It most commonly occurs after phakic vitrectomy and scleral buckling for diabetic traction retinal detachment. It usually manifests with haemorrhage into the vitreous cavity or anterior hyaloid 3 to 12 weeks after vitrectomy and is the result of fibrovascular proliferation from the peripheral retina extending toward the equator of ...

  19. Análise radiológica do posicionamento dos túneis ósseos na cirurgia de reconstrução do ligamento cruzado anterior: comparação entre as técnicas aberta e artroscópica via portal anteromedial Radiological analysis of bone tunnel position in anterior cruciate ligament reconstruction surgery: comparison between the open technique and arthroscopy via an anteromedial portal

    Directory of Open Access Journals (Sweden)

    Jean Marcel Dambrós

    2011-01-01

    Full Text Available OBJETIVO: Avaliar e comparar o posicionamento dos túneis ósseos na cirurgia de reconstrução do ligamento cruzado anterior (LCA pela técnica artroscópica e pela técnica aberta através da artrotomia. MÉTODO: Foi realizado um estudo retrospectivo comparativo de 70 pacientes acometidos por lesão do LCA. Trinta e cinco pacientes foram submetidos à reconstrução do LCA por via aberta e 35 por via artroscópica utilizando a técnica via portal anteromedial. Todos os pacientes foram submetidos à reconstrução do LCA usando enxerto autólogo do terço central do tendão patelar fixado com parafusos de interferência. As radiografias pós-operatórias foram revisadas e o posicionamento do túnel femoral foi avaliado pelos métodos propostos por Harner e Aglietti, enquanto o túnel tibial foi avaliado pelo método proposto por Staubli e Rauschning. RESULTADOS: Foram observados 54 pacientes do sexo masculino e 16 do sexo feminino. A média de idade na ocasião do procedimento foi de 34 anos e três meses, variando de 17 a 58 anos. A técnica artroscópica mostrou-se mais precisa que a técnica aberta quanto ao posicionamento dos túneis ósseos, tanto femoral quanto tibial. CONCLUSÃO: Através da análise radiológica dos joelhos submetidos à reconstrução do LCA, observou-se que o posicionamento dos túneis ósseos, tanto femoral quanto tibial, apresenta menor variação quando a cirurgia é feita pela via artroscópica.OBJECTIVES: To evaluate and compare bone tunnel positioning in anterior cruciate ligament (ACL reconstruction surgery using the arthroscopic technique and the open technique consisting of arthrotomy. METHOD: A comparative retrospective study on 70 patients with ACL lesions was conducted. Thirty-five patients underwent ACL reconstruction by means of the open technique and 35 by means of the arthroscopic technique using an anteromedial portal. All the patients underwent ACL reconstruction using an autologous graft from the

  20. Esthetic correction in open bite

    Directory of Open Access Journals (Sweden)

    Swapnil Parlani

    2011-01-01

    Full Text Available Deleterious oral habits, which are persistent, can lead to poor esthetics of a beautiful face. Conventional treatment modalities for an open bite usually include orthodontic treatment and/or skeletal surgery. This article focuses on a different treatment modality for an anterior open bite.

  1. Wedge Experiment Modeling and Simulation for Reactive Flow Model Calibration

    Science.gov (United States)

    Maestas, Joseph T.; Dorgan, Robert J.; Sutherland, Gerrit T.

    2017-06-01

    Wedge experiments are a typical method for generating pop-plot data (run-to-detonation distance versus input shock pressure), which is used to assess an explosive material's initiation behavior. Such data can be utilized to calibrate reactive flow models by running hydrocode simulations and successively tweaking model parameters until a match between experiment is achieved. Typical simulations are performed in 1D and typically use a flyer impact to achieve the prescribed shock loading pressure. In this effort, a wedge experiment performed at the Army Research Lab (ARL) was modeled using CTH (SNL hydrocode) in 1D, 2D, and 3D space in order to determine if there was any justification in using simplified models. A simulation was also performed using the BCAT code (CTH companion tool) that assumes a plate impact shock loading. Results from the simulations were compared to experimental data and show that the shock imparted into an explosive specimen is accurately captured with 2D and 3D simulations, but changes significantly in 1D space and with the BCAT tool. The difference in shock profile is shown to only affect numerical predictions for large run distances. This is attributed to incorrectly capturing the energy fluence for detonation waves versus flat shock loading. Portions of this work were funded through the Joint Insensitive Munitions Technology Program.

  2. Anterior cruciate ligament repair - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100230.htm Anterior cruciate ligament repair - Series—Normal anatomy To use the sharing ... to slide 5 out of 5 Overview The anterior cruciate ligament (ACL) is a ligament in the center of ...

  3. Multidisciplinary management of anterior diastemata

    DEFF Research Database (Denmark)

    Furuse, Adilson Yoshio; Herkrath, Fernando José; Franco, Eduardo Jacomino

    2007-01-01

    Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiologic factors, previous gingival conditioning, and individual treatment planning are essential in the proper management of anterior diastemata. An integrated orthodontic-restorative approach may enhance...

  4. Transanal stent in anterior resection does not prevent anastomotic leakage

    DEFF Research Database (Denmark)

    Bülow, Steffen; Bulut, O; Christensen, Ib Jarle

    2006-01-01

    OBJECTIVE: A defunctioning transanal stent may theoretically reduce the leakage rate after anterior rectal resection. We present a randomized open study with the aim of comparing the leakage rate after anterior resection with a loop ileostomy, a transanal stent, both or neither. PATIENTS AND METH....... On this basis it was decided to discontinue the study prematurely for ethical reasons. CONCLUSION: Decompression of the anastomosis with a transanal stent does not reduce the risk of anastomotic leakage after anterior resection.......OBJECTIVE: A defunctioning transanal stent may theoretically reduce the leakage rate after anterior rectal resection. We present a randomized open study with the aim of comparing the leakage rate after anterior resection with a loop ileostomy, a transanal stent, both or neither. PATIENTS...... AND METHODS: Randomized open trial of 194 patients operated in 11 hospitals during September 2000 to September 2003 with anterior resection for a mobile rectal tumour, 115 men and 79 women, median age 68 years (range 37-90 years). The surgeon decided upon the use of a protective ileostomy, and after...

  5. Quality control of virtual wedge in a linear electron accelerator with a computerized radiography system (CR)

    International Nuclear Information System (INIS)

    Ordiales, J. M.; Alvarez, F. J.; Falero, B.

    2011-01-01

    For quality control of the virtual wedge there are several systems on the market as arrays of detectors or ionization chambers, linear or 2D configuration, radiochromic films or digital imaging systems incorporated in electron linear accelerators (ALE ). The present work aims at implementing a system of Computed Radiography (CR) for a routine check of the virtual wedge.

  6. Dissolved organic carbon loss from Yedoma permafrost amplified by ice wedge thaw

    Science.gov (United States)

    Vonk, J. E.; Mann, P. J.; Dowdy, K. L.; Davydova, A.; Davydov, S. P.; Zimov, N.; Spencer, R. G. M.; Bulygina, E. B.; Eglinton, T. I.; Holmes, R. M.

    2013-09-01

    Pleistocene Yedoma permafrost contains nearly a third of all organic matter (OM) stored in circum-arctic permafrost and is characterized by the presence of massive ice wedges. Due to its rapid formation by sediment accumulation and subsequent frozen storage, Yedoma OM is relatively well preserved and highly biologically available (biolabile) upon thaw. A better understanding of the processes regulating Yedoma degradation is important to improve estimates of the response and magnitude of permafrost carbon feedbacks to climate warming. In this study, we examine the composition of ice wedges and the influence of ice wedge thaw on the biolability of Yedoma OM. Incubation assays were used to assess OM biolability, fluorescence spectroscopy to characterize the OM composition, and potential enzyme activity rates to examine the controls and regulation of OM degradation. We show that increasing amounts of ice wedge melt water in Yedoma-leached incubations enhanced the loss of dissolved OM over time. This may be attributed to the presence of low-molecular weight compounds and low initial phenolic content in the OM of ice wedges, providing a readily available substrate that promotes the degradation of Yedoma OC. The physical vulnerability of ice wedges upon thaw (causing irreversible collapse), combined with the composition of ice wedge-engrained OM (co-metabolizing old OM), underlines the particularly strong potential of Yedoma to generate a positive feedback to climate warming relative to other forms of non-ice wedge permafrost.

  7. Checks for quality control of wedge dynamics in treatment units and the planning system

    International Nuclear Information System (INIS)

    Mateos Salvador, P.; Rodriguez Lopez, B.; Font Gelabert, J.; Hernandez Rodriguez, J.; Arino Gil, A.

    2013-01-01

    The objective of this study is to verify the implementation of enhanced dynamic wedge (EDW) vary in the Eclipse planning system and the experimental determination of the parameters that define the dosimetry characteristics of enhanced dynamic wedge of our treatment units. (Author)

  8. North Aegean core complexes, the gravity spreading of a thrust wedge

    NARCIS (Netherlands)

    Kydonakis, Konstantinos; Brun, Jean Pierre; Sokoutis, Dimitrios

    2015-01-01

    The North Aegean core complexes developed in middle Eocene soon after the end of continental block convergence and piling up of the Hellenic Thrust Wedge. They formed during back-arc extension, driven by the Hellenic slab rollback, at the back of the thrust wedge. A series of scaled laboratory

  9. Wedge gate valves selecting essentials in pipeline systems designing based on permissible operation parameters

    Science.gov (United States)

    Zakirnichnaya, M. M.; Kulsharipov, I. M.

    2017-10-01

    Wedge gate valves are widely used at the fuel and energy complex enterprises. The pipeline valves manufacturers indicate the safe operation resource according to the current regulatory and technical documentation. In this case, the resource value of the valve body strength calculation results is taken into consideration as the main structural part. However, it was determined that the wedge gate valves fail before the assigned resource due to the occurrence of conditions under which the wedge breaks in the hooks and, accordingly, the sealing integrity is not ensured. In this regard, it became necessary to assess the conditions under which the resource should be assigned not only to the valve body, but also to take into account the wedge durability. For this purpose, wedge resource calculations were made using the example of ZKL2 250-25 and ZKL2 300-25 valves using the ABAQUS software package FE-SAFE module under the technological parameters influence on the basis of their stressstrain state calculation results. Operating conditions, under which the wedge resource value is lower than the one set by the manufacturer, were determined. A technique for limiting the operating parameters for ensuring the wedge durability during the wedge gate valve assigned resource is proposed.

  10. Investigation of a Wedge Adhesion Test for Edge Seals

    Energy Technology Data Exchange (ETDEWEB)

    Kempe, Michael; Wohlgemuth, John; Miller, David; Postak, Lori; Booth, Dennis; Phillips, Nancy

    2016-09-26

    Many photovoltaic (PV) technologies have been found to be sensitive to moisture that diffuses into a PV package. Even with the use of impermeable frontsheets and backsheets, moisture can penetrate from the edges of a module. To limit this moisture ingress pathway from occurring, manufacturers often use a low permeability polyisobutylene (PIB) based edge seal filled with desiccant to further restrict moisture ingress. Moisture ingress studies have shown that these materials are capable of blocking moisture for the 25-year life of a module; but to do so, they must remain well-adhered and free of cracks. This work focuses on adapting the Boeing Wedge test for use with edge seals laminated using glass substrates as part of a strategy to assess the long-term durability of edge seals. The advantage of this method is that it duplicates the residual stresses and strains that a glass/glass module may have when the lamination process results in some residual glass bending that puts the perimeter in tension. Additionally, this method allows one to simultaneously expose the material to thermal stress, humidity, mechanical stress, and ultraviolet radiation. The disadvantage of this method generally is that we are limited by the fracture toughness of the glass substrates that the edge seal is adhered to. However, the low toughness of typical uncrosslinked or sparsely crosslinked PIB makes them suitable for this technique. We present data obtained during the development of the wedge test for use with PV edge seal materials. This includes development of the measuring techniques and evaluation of the test method with relevant materials. We find consistent data within a given experiment, along with the theoretical independence of fracture toughness measurements with wedge thickness. This indicates that the test methodology is reproducible. However, even though individual experimental sets are consistent, the reproducibility between experimental sets is poor. We believe this may be

  11. Comparison of the hamstring/quadriceps ratio in females during squat exercise using various foot wedges.

    Science.gov (United States)

    Yoo, Won-Gyu

    2016-08-01

    [Purpose] This study compared the hamstring/quadriceps ratio in females during squat exercise using various foot wedges. [Subjects and Methods] Nine females participated in this study. Surface electrodes measurements were taken over the hamstring and quadriceps under 3 squat exercise conditions, and the hamstring/quadriceps ratio was calculated. [Results] The hamstring/quadriceps ratio was significantly increased during squat exercise in inclined wedge condition (7.4 ± 1.8), compared to the declined wedge condition (5.3 ± 2.2) and no wedge condition (6.4 ± 3.2). [Conclusion] This study suggests that squat exercise in the inclined wedge condition may be effective for increasing the hamstring/quadriceps ratio in females.

  12. Pilot production of the wedge filter for the TBI (total body irradiation)

    International Nuclear Information System (INIS)

    Ikezaki, Hiromi; Ikeda, Ikuo; Maruyama, Yasushi; Nako, Yasunobu; Tonari, Ayako; Kusuda, Junko; Takayama, Makoto

    2007-01-01

    Total body irradiation (TBI) is performed by various methods, such as a long SSD method and a translational couch method. For patient safety in carrying out TBI, the patient should be placed on the supine position and prone position near the floor. TBI is performed from 2 opposite ports (AP/PA) with a linear accelerator (10 MV X-ray). We experimented with a wedge filter for TBI created by us, which makes dose distribution to a floor uniform. The wedge filter, made of iron alloy, was attached to the linear accelerator. In designing the wedge filter, thickness of the lead-made wedge filter can be calculated numerically from the ratio of linear attenuation coefficient of iron alloy and lead. In measuring the dose profile for a phantom of 20 cm thick, dose homogeneity less than 10% was proved by the wedge filter for TBI. (author)

  13. Dynamic analysis of dark-light changes of the anterior chamber angle with anterior segment OCT.

    Science.gov (United States)

    Leung, Christopher Kai-shun; Cheung, Carol Yim Lui; Li, Haitao; Dorairaj, Syril; Yiu, Cedric Ka Fai; Wong, Amy Lee; Liebmann, Jeffrey; Ritch, Robert; Weinreb, Robert; Lam, Dennis Shun Chiu

    2007-09-01

    To describe the use of anterior segment optical coherence tomography (OCT) in studying the dynamic dark-light changes of the anterior chamber angle. Thirty-seven normal subjects with open angles on dark-room gonioscopy and 18 subjects with narrow angles were analyzed. The dynamic dark-light changes of the anterior-chamber angle were captured with real-time video recording. The angle opening distance (AOD500) and trabecular iris space area (TISA500) of the nasal angle and the pupil diameter in each of the representative serial images were measured. Linear regression analysis was performed to investigate the association between AOD500/TISA500 and pupil diameter. Demographic and biometry measurements associated with the AOD difference (AOD500((light)) - AOD500((dark))) and TISA difference (TISA500((light)) - TISA500((dark))) were analyzed with univariate and multivariate regression models. The AOD500/TISA500 measured in the light in the open-angle and the narrow-angle groups were 694 +/- 330 microm/0.24 +/- 0.10 mm(2) and 265 +/- 78 microm/0.10 +/- 0.03 mm(2), respectively. These values were significantly greater than the AOD500/TISA500 measured in the dark (492 +/- 265 microm/0.16 +/- 0.08 mm(2) and 119 +/- 82 microm/0.05 +/- 0.04 mm(2), respectively, all with P chamber depth and the AOD/TISA difference. Fifty eyes showed significant correlations between AOD/TISA and pupil diameter, whereas one eye showed no association. Four eyes in the narrow angle group developed appositional angle closure in the dark. The dynamic dark-light changes of the anterior chamber angle can be imaged and analyzed with anterior segment OCT. Although the angle width generally decreased linearly with increasing pupil diameter, the differences of the angle width measured in the dark and in the light varied substantially among individuals.

  14. Isolating active orogenic wedge deformation in the southern Subandes of Bolivia

    Science.gov (United States)

    Weiss, Jonathan R.; Brooks, Benjamin A.; Foster, James H.; Bevis, Michael; Echalar, Arturo; Caccamise, Dana; Heck, Jacob; Kendrick, Eric; Ahlgren, Kevin; Raleigh, David; Smalley, Robert; Vergani, Gustavo

    2016-08-01

    A new GPS-derived surface velocity field for the central Andean backarc permits an assessment of orogenic wedge deformation across the southern Subandes of Bolivia, where recent studies suggest that great earthquakes (>Mw 8) are possible. We find that the backarc is not isolated from the main plate boundary seismic cycle. Rather, signals from subduction zone earthquakes contaminate the velocity field at distances greater than 800 km from the Chile trench. Two new wedge-crossing velocity profiles, corrected for seasonal and earthquake affects, reveal distinct regions that reflect (1) locking of the main plate boundary across the high Andes, (2) the location of and loading rate at the back of orogenic wedge, and (3) an east flank velocity gradient indicative of décollement locking beneath the Subandes. Modeling of the Subandean portions of the profiles indicates along-strike variations in the décollement locked width (WL) and wedge loading rate; the northern wedge décollement has a WL of ~100 km while accumulating slip at a rate of ~14 mm/yr, whereas the southern wedge has a WL of ~61 km and a slip rate of ~7 mm/yr. When compared to Quaternary estimates of geologic shortening and evidence for Holocene internal wedge deformation, the new GPS-derived wedge loading rates may indicate that the southern wedge is experiencing a phase of thickening via reactivation of preexisting internal structures. In contrast, we suspect that the northern wedge is undergoing an accretion or widening phase primarily via slip on relatively young thrust-front faults.

  15. Two-dimensional electronic spectroscopy with birefringent wedges

    Energy Technology Data Exchange (ETDEWEB)

    Réhault, Julien; Maiuri, Margherita; Oriana, Aurelio; Cerullo, Giulio [IFN-CNR, Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano (Italy)

    2014-12-15

    We present a simple experimental setup for performing two-dimensional (2D) electronic spectroscopy in the partially collinear pump-probe geometry. The setup uses a sequence of birefringent wedges to create and delay a pair of phase-locked, collinear pump pulses, with extremely high phase stability and reproducibility. Continuous delay scanning is possible without any active stabilization or position tracking, and allows to record rapidly and easily 2D spectra. The setup works over a broad spectral range from the ultraviolet to the near-IR, it is compatible with few-optical-cycle pulses and can be easily reconfigured to two-colour operation. A simple method for scattering suppression is also introduced. As a proof of principle, we present degenerate and two-color 2D spectra of the light-harvesting complex 1 of purple bacteria.

  16. Metamaterials based on wedge-shaped electrodynamic structures

    Directory of Open Access Journals (Sweden)

    Mitrokhin Vladimir

    2017-01-01

    Full Text Available The paper studies a possibility of simulation of artificial composite media with negative values of the real part of the equivalent dielectric (magnetic permittivity, by the use of segments of hollow composite waveguides with cylindrical guided waves in evanescent mode. Reactive evanescent fields of wedge-shaped waveguide eigenmodes are formed in the evanescent region before the critical section of the waveguide which separates the quasistatic field region from the distributing field of the evanescent waveguide mode. The possibility of simulation is determined by the equivalence of dispersion equation of the eigenmode propagation constant and the dispersion equation for the electric (magnetic permittivity of plasma-like medium if cut-off frequency and electric (magnetic plasma frequency of the medium are equal.

  17. Development of a 10-m wedged-pole undulator

    International Nuclear Information System (INIS)

    Robinson, K.E.; Gottschalk, S.C.; James, F.E.; Quimby, D.C.; Slater, J.M.; Valla, A.S.

    1989-01-01

    A 10-m rare earth permanent magnet hybrid undulator called a near infrared scalable undulator system (NISUS) is under construction at Spectra Technology for use in the Boeing FEL program series. The design was optimized for operation at a 1-μm wavelength with the Boeing accelerator parameters. A remotely adjustable compound taper is utilized to achieve optimum startup gain and high saturated extraction. A summary of the relevant design parameters is listed. A major goal was to build NISUS from modules which would allow easy scaling to longer lengths without redesign. Prototype tests for verification of field strength and quality are complete as well as the delivery and installation of the initial 5 m. Improvements relative to the technology used in the earlier tapered hybrid undulator (THUNDER) are highlighted. The wedged-pole configuration is employed for a major increase in field strength while operating the poles farther from saturation

  18. Two-dimensional electronic spectroscopy with birefringent wedges

    Science.gov (United States)

    Réhault, Julien; Maiuri, Margherita; Oriana, Aurelio; Cerullo, Giulio

    2014-12-01

    We present a simple experimental setup for performing two-dimensional (2D) electronic spectroscopy in the partially collinear pump-probe geometry. The setup uses a sequence of birefringent wedges to create and delay a pair of phase-locked, collinear pump pulses, with extremely high phase stability and reproducibility. Continuous delay scanning is possible without any active stabilization or position tracking, and allows to record rapidly and easily 2D spectra. The setup works over a broad spectral range from the ultraviolet to the near-IR, it is compatible with few-optical-cycle pulses and can be easily reconfigured to two-colour operation. A simple method for scattering suppression is also introduced. As a proof of principle, we present degenerate and two-color 2D spectra of the light-harvesting complex 1 of purple bacteria.

  19. Atypical anterior wall fracture of the acetabulum: case series of anterior acetabular rim fracture without involvement of the pelvic brim.

    Science.gov (United States)

    Lenarz, Christopher J; Moed, Berton R

    2007-09-01

    The purpose of this study was to describe a form of anterior wall acetabular fracture, which has been inadequately defined in the literature. Retrospective analysis of consecutive patients. Level 1 trauma center. A retrospective analysis of consecutive acetabulum patients treated by a single surgeon between 1999 and 2005 identified 6 patients with a form of anterior wall fracture without involvement of the pelvic brim. All fractures were treated operatively. Open reduction and internal fixation through an anterior surgical approach. Final radiographic appearance and modified Merle d'Aubigne score. All 6 cases demonstrated characteristics of an atypical fracture of the anterior wall, involving the anterior rim of the acetabulum similar in nature to those described for the posterior wall, rather than the standard anterior wall fracture type described by Letournel. Of the 6 cases that were identified, 5 had follow-up 1 year or greater with a mean modified Merle d'Aubigne Score of 17 (range: 17-18). A form of anterior wall acetabular fracture exists, which involves the anterior acetabular rim without involvement of the pelvic brim. It can occur in young patients with high-energy mechanisms of injury, as well as in the elderly with low-energy trauma. With appropriate surgical management, using a modified Smith-Peterson approach, good to excellent clinical outcomes should be expected.

  20. Pulmonary capillary wedge pressure, as inferred from lung areas in gated blood-pool scintigrams: concise communication

    International Nuclear Information System (INIS)

    Urbina, A.; Okada, R.D.; Palacios, I.; Osbakken, M.; Strauss, H.W.

    1981-01-01

    To determine whether the apex-to-base distribution of pulmonary blood volume, as obtained from gated cardiac blood-pool scans, could be used as a noninvasive method to estimate mean pulmonary capillary wedge pressure (PCWP), gated blood-pool scans were analyzed in 77 patients who also had PCWP measurements at cardiac catheterization. Ten of these patients had gated cardiac blood-pool scans and PCWP measurements both at rest and during exercise. The apex-to-base distribution of pulmonary blood volume was determined from the end-systolic frame of the left anterior oblique view by placing equal-sized regions of interest over the apex and base of the right lung. The ratio of apex counts over base counts (A/B ratio) was considered abnormal if greater than unity. The mean A/B ratio was 1.15 +/- 0.27 (1 s.d.) for the 32 studies associated with an abnormal mean PCWP (greater than 12 mm Hg). The mean A/B ratio was 0.85 +/- 0.23 for the 55 studies associated with a normal mean PCWP (p less than 0.01 comparing normal group with abnormal). The sensitivity of the A/B ratio for a mean PCWP greater than 12 mm Hg was 81%R (26/32). The specificity of the A/B ratio for a mean PCWP greater than or equal to 12 mm Hg was 89% (49/55). Thus, noninvasive determination of the pulmonary apex-to-base ratio from gated cardiac blood-pool scans appears to differentiate subjects with normal and abnormal mean pulmonary capillary wedge pressures

  1. Structure and tectonic evolution of the southwestern Trinidad dome, Escambray complex, Central Cuba: Insights into deformation in an accretionary wedge

    Science.gov (United States)

    Despaigne-Díaz, Ana Ibis; García Casco, Antonio; Cáceres Govea, Dámaso; Wilde, Simon A.; Millán Trujillo, Guillermo

    2017-10-01

    The Trinidad dome, Escambray complex, Cuba, forms part of an accretionary wedge built during intra-oceanic subduction in the Caribbean from the Late Cretaceous to Cenozoic. The structure reflects syn-subduction exhumation during thickening of the wedge, followed by extension. Field mapping, metamorphic and structural analysis constrain the tectonic evolution into five stages. Three ductile deformation events (D1, D2 and D3) are related to metamorphism in a compressional setting and formation of several nappes. D1 subduction fabrics are only preserved as relict S1 foliation and rootless isoclinal folds strongly overprinted by the main S2 foliation. The S2 foliation is parallel to sheared serpentinised lenses that define tectonic contacts, suggesting thrust stacks and underthrusting at mantle depths. Thrusting caused an inverted metamorphic structure with higher-grade on top of lower-grade nappes. Exhumation started during D2 when the units were incorporated into the growing accretionary wedge along NNE-directed thrust faults and was accompanied by substantial decompression and cooling. Folding and thrusting continued during D3 and marks the transition from ductile to brittle-ductile conditions at shallower crustal levels. The D4-5 events are related to extension and contributed to the final exhumation (likely as a core complex). D4 is associated with a regional spaced S4 cleavage, late open folds, and numerous extension veins, whereas D5 is recorded by normal and strike-slip faults affecting all nappes. The P-t path shows rapid exhumation during D2 and slower rates during D3 when the units were progressively incorporated into the accretionary prism. The domal shape formed in response to tectonic denudation assisted by normal faulting and erosion at the surface during the final stages of structural development. These results support tectonic models of SW subduction of the Proto-Caribbean crust under the Caribbean plate during the latest Cretaceous and provide

  2. Fluids confined in wedges and by edges: virial series for the line-thermodynamic properties of hard spheres.

    Science.gov (United States)

    Urrutia, Ignacio

    2014-12-28

    This work is devoted to analyze the relation between the thermodynamic properties of a confined fluid and the shape of its confining vessel. Recently, new insights in this topic were found through the study of cluster integrals for inhomogeneous fluids that revealed the dependence on the vessel shape of the low density behavior of the system. Here, the statistical mechanics and thermodynamics of fluids confined in wedges or by edges is revisited, focusing on their cluster integrals. In particular, the well known hard sphere fluid, which was not studied in this framework so far, is analyzed under confinement and its thermodynamic properties are analytically studied up to order two in the density. Furthermore, the analysis is extended to the confinement produced by a corrugated wall. These results rely on the obtained analytic expression for the second cluster integral of the confined hard sphere system as a function of the opening dihedral angle 0 < β < 2π. It enables a unified approach to both wedges and edges.

  3. Anterior knee pain

    Energy Technology Data Exchange (ETDEWEB)

    LLopis, Eva [Hospital de la Ribera, Alzira, Valencia (Spain) and Carretera de Corbera km 1, 46600 Alzira Valencia (Spain)]. E-mail: ellopis@hospital-ribera.com; Padron, Mario [Clinica Cemtro, Ventisquero de la Condesa no. 42, 28035 Madrid (Spain)]. E-mail: mario.padron@clinicacemtro.com

    2007-04-15

    Anterior knee pain is a common complain in all ages athletes. It may be caused by a large variety of injuries. There is a continuum of diagnoses and most of the disorders are closely related. Repeated minor trauma and overuse play an important role for the development of lesions in Hoffa's pad, extensor mechanism, lateral and medial restrain structures or cartilage surface, however usually an increase or change of activity is referred. Although the direct relation of cartilage lesions, especially chondral, and pain is a subject of debate these lesions may be responsible of early osteoarthrosis and can determine athlete's prognosis. The anatomy and biomechanics of patellofemoral joint is complex and symptoms are often unspecific. Transient patellar dislocation has MR distinct features that provide evidence of prior dislocation and rules our complication. However, anterior knee pain more often is related to overuse and repeated minor trauma. Patella and quadriceps tendon have been also implicated in anterior knee pain, as well as lateral or medial restraint structures and Hoffa's pad. US and MR are excellent tools for the diagnosis of superficial tendons, the advantage of MR is that permits to rule out other sources of intraarticular derangements. Due to the complex anatomy and biomechanic of patellofemoral joint maltracking is not fully understood; plain films and CT allow the study of malalignment, new CT and MR kinematic studies have promising results but further studies are needed. Our purpose here is to describe how imaging techniques can be helpful in precisely defining the origin of the patient's complaint and thus improve understanding and management of these injuries.

  4. Evaluating anterior knee pain.

    Science.gov (United States)

    Hong, Engene; Kraft, Michael C

    2014-07-01

    Musculoskeletal complaints account for about 20% to 30% of all primary care office visits; of these visits, discomfort in the knee, shoulder, and back are the most prevalent musculoskeletal symptoms. Having pain or dysfunction in the front part of the knee is a common presentation and reason for a patient to see a health care provider. There are a number of pathophysiological etiologies to anterior knee pain. This article describes some of the common and less common causes, and includes sections on diagnosis and treatment for each condition as well as key points. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. The anterior cingulate cortex

    Directory of Open Access Journals (Sweden)

    Pavlović D.M.

    2009-01-01

    Full Text Available The anterior cingulate cortex (ACC has a role in attention, analysis of sensory information, error recognition, problem solving, detection of novelty, behavior, emotions, social relations, cognitive control, and regulation of visceral functions. This area is active whenever the individual feels some emotions, solves a problem, or analyzes the pros and cons of an action (if it is a right decision. Analogous areas are also found in higher mammals, especially whales, and they contain spindle neurons that enable complex social interactions. Disturbance of ACC activity is found in dementias, schizophrenia, depression, the obsessive-compulsive syndrome, and other neuropsychiatric diseases.

  6. Anterior Cruciate Ligament Reconstruction Rehabilitation

    Science.gov (United States)

    Wright, Rick W.; Haas, Amanda K.; Anderson, Joy; Calabrese, Gary; Cavanaugh, John; Hewett, Timothy E.; Lorring, Dawn; McKenzie, Christopher; Preston, Emily; Williams, Glenn; Amendola, Annunziato

    2015-01-01

    Context: Anterior cruciate ligament (ACL) reconstruction rehabilitation has evolved over the past 20 years. This evolution has been driven by a variety of level 1 and level 2 studies. Evidence Acquisition: The MOON Group is a collection of orthopaedic surgeons who have developed a prospective longitudinal cohort of the ACL reconstruction patients. To standardize the management of these patients, we developed, in conjunction with our physical therapy committee, an evidence-based rehabilitation guideline. Study Design: Clinical review. Level of Evidence: Level 2. Results: This review was based on 2 systematic reviews of level 1 and level 2 studies. Recently, the guideline was updated by a new review. Continuous passive motion did not improve ultimate motion. Early weightbearing decreases patellofemoral pain. Postoperative rehabilitative bracing did not improve swelling, pain range of motion, or safety. Open chain quadriceps activity can begin at 6 weeks. Conclusion: High-level evidence exists to determine appropriate ACL rehabilitation guidelines. Utilizing this protocol follows the best available evidence. PMID:26131301

  7. Semi-analytical solutions of groundwater flow in multi-zone (patchy) wedge-shaped aquifers

    Science.gov (United States)

    Samani, Nozar; Sedghi, Mohammad M.

    2015-03-01

    Alluvial fans are potential sites of potable groundwater in many parts of the world. Characteristics of alluvial fans sediments are changed radially from high energy coarse-grained deposition near the apex to low energy fine-grained deposition downstream so that patchy wedge-shaped aquifers with radial heterogeneity are formed. The hydraulic parameters of the aquifers (e.g. hydraulic conductivity and specific storage) change in the same fashion. Analytical or semi-analytical solutions of the flow in wedge-shaped aquifers are available for homogeneous cases. In this paper we derive semi-analytical solutions of groundwater flow to a well in multi-zone wedge-shaped aquifers. Solutions are provided for three wedge boundary configurations namely: constant head-constant head wedge, constant head-barrier wedge and barrier-barrier wedge. Derivation involves the use of integral transforms methods. The effect of heterogeneity ratios of zones on the response of the aquifer is examined. The results are presented in form of drawdown and drawdown derivative type curves. Heterogeneity has a significant effect on over all response of the pumped aquifer. Solutions help understanding the behavior of heterogeneous multi-zone aquifers for sustainable development of the groundwater resources in alluvial fans.

  8. Statistical mechanics of fluids adsorbed in planar wedges: finite contact angle.

    Science.gov (United States)

    Henderson, J R

    2004-06-01

    I consider the statistical mechanics of inhomogeneous fluids applied to fluids adsorbed in planar wedges. Exact results are described that belong to an infinite subset of models defined as the intersection of any two identical semi-infinite planar wall-fluid potentials. This geometry is interesting as a generic example of adsorption onto structured interfaces and of interfacial phase transitions controlled by the substrate geometry. Previously described virial theorems are extended to the case of a general wall-fluid model. This enables the consideration of wedge filling when Young's contact angle far from the wedge apex is finite. The virial theorems generate two important relations: the wedge sum rules. The first sum rule links the interfacial free energy far from the wedge apex to the structure induced at the apex. The second sum rule links the free energy of the apex region to the structure induced by the apex. When Young's contact angle at the wedge walls is finite these relations further yield an exact result for the macroscopic contact angle in terms of the nanoscopic structure at the three-phase contact line (the intersection of the liquid-vapor surface with a wedge wall): the contact angle sum rule. These exact results are of direct relevance to computer simulation studies of adsorbed films. In addition, they take on special significance in the vicinity of continuous interfacial phase transitions: an approach to complete filling and the filling transition at bulk liquid-vapor coexistence.

  9. Capture zone of a multi-well system in confined and unconfined wedge-shaped aquifers

    Science.gov (United States)

    Samani, Nozar; Zarei-Doudeji, Somayeh

    2012-04-01

    In this paper we present the equation of capture zone of a multi-well system in wedge-shaped confined and unconfined aquifers. Three wedge boundary configurations: barrier-barrier wedge, barrier-constant head wedge and constant head-constant head wedge are considered. The well system may be consisted of any number of production or injection wells or a combination of both with various flow rates. Method of image wells is used in the wedge-shaped domain and an appropriate complex function is formulated to find the capture zone. The stream function and velocity potential are derived from the imaginary part and real part of the complex function, respectively. Solutions are provided for the wedge domains with and without a uniform regional flow and can also be used for aquifers of infinite extent. The presented equations are of general character and have removed the limitations of the previous equations in regards to well numbers, positions and types, extraction/injection rate, and regional flow rate and direction. Capture envelopes are presented in dimensionless form which can be used as tools in real engineering practices to plan pump-and-treat operations, groundwater remediation projects or well-head protection plans. It is also demonstrated that the equations may also be used for the verification of numerical models. The developed equations are constrained by the image well theory limitations.

  10. Carpal boss: effect of wedge excision depth on third carpometacarpal joint stability.

    Science.gov (United States)

    Vermeulen, G M; de With, M C J; Bleys, R L A W; Schuurman, A H

    2009-01-01

    We hypothesize that carpal-metacarpal (CMC) instability after carpal boss wedge excision is not caused only by damage to the dorsal ligament but mainly depends on the depth of the bony resection. To test our hypothesis, this study analyzes the effect of wedge excisions with different depths (0, 15%, 35%, 55% of the third CMC joint) and the effect of different forces (0, 50, 100 N.m) on the stability (measured as the passive flexion) of the third CMC joint using 12 fresh-frozen human cadaver wrists. The passive flexion is defined as the increase in angular motion of the third CMC joint and represents change in stability during flexion of the joint. The results show that the mean passive flexion measured in the wedge excisions of 15% and 35% of the joint did not differ from that of neutral controls. Joints analyzed after a 55% wedge excision showed a significant increase in angular motion (increased passive flexion). This relates to the 50 N.m as well as the 100 N.m loaded test position. This study shows that a wedge excision of clinically applicable depth of 35% does not create instability during flexion of the third CMC joint when loaded with physiologically relevant forces. Yet an extended and hardly clinically relevant 55% wedge excision results in a change in stability of the joint. To prevent instability when performing a wedge excision for symptomatic carpal boss, care must be taken to avoid excisions that exceed 35% of the third CMC joint.

  11. Study on the protection of fish larvae at water intakes using wedge-wire screening

    International Nuclear Information System (INIS)

    Heuer, J.H.; Tomljanovich, D.A.

    1978-01-01

    The Tennessee Valley Authority has conducted a laboratory study designed to evaluate the ability of several species of larval fish to avoid entrainment through and impingement against wedge-wire stationary screen (fish avoidance concept). The results are presented in this study. The fish avoidance concept features small-opening screens, low inlet velocities, and an unobstructed bypass. Its success is dependent on the ability of larvae to detect and swim away from the screens. The study was designed to test this concept in a flowing-water environment. All species showed some ability to avoid entrainment, and many species showed considerable avoidance of entraining flows. Safe bypass or avoidance of entrainment was generally related inversely to slot size and slot velocity. Best results were shown for the 0.5-mm slot and 7.6 cm/s (0.25 fps) slot velocity. At least one of the smallest species showed appreciable avoidance of the largest slot size (2.0 mm) tested. From a biological point of view this screening concept has the potential for protecting nearly all fish of impingeable size as well as a large portion of fish of entrainable size

  12. Anterior shoulder capsular tears in professional baseball players.

    Science.gov (United States)

    Gulotta, Lawrence V; Lobatto, Daniel; Delos, Demetris; Coleman, Struan H; Altchek, David W

    2014-08-01

    Tearing of the anterior capsule of the shoulder is a rare but debilitating injury for throwing athletes. However, there is very little in the literature to guide its diagnosis and treatment. In this case series, we outline our experience with anterior capsular tears of the shoulder in professional baseball players. Five professional baseball players were diagnosed with midsubstance tears of their anterior capsule. A trial of rest and rehabilitation failed in all patients, and they eventually underwent surgery. These patients were retrospectively reviewed. The presenting symptoms and findings were documented, and outcomes were assessed by the player's ability to return to play. The mean age was 33.5 years (range, 31-37 years), and all patients presented with anterior shoulder pain and the inability to throw. No patient had an acute traumatic injury. Magnetic resonance imaging provided the correct diagnosis in 4 patients, and the diagnosis was made with diagnostic arthroscopy in the fifth. Three underwent arthroscopic repair, and 2 underwent open repair of the anterior capsule. Of the 5 players, 4 (80%) returned to their preinjury level by a mean of 13.3 months (range, 8-18 months). Anterior capsular tears can occur in older throwing athletes. Surgical repair, whether arthroscopic or open, can yield good results in most patients. Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

  13. Observations of Lower Mississippi River Estuarine Dynamics: Effects of the Salt Wedge on Sediment Deposition

    Science.gov (United States)

    Ramirez, M. T.; Allison, M. A.

    2017-12-01

    The lowermost Mississippi River is subject to salt-wedge estuarine conditions during seasonally low flow, when seaward flow is unable to overcome density stratification. Previous studies in the Mississippi River salt wedge have shown the deposition of a fine sediment layer accumulating several mm/day beneath the reach where the salt wedge is present. Field studies were conducted during low flow in 2012-2015 utilizing ADCP, CTD, LISST, and physical samples to observe the physics of the salt wedge reach and to calculate rates and character of sediment trapping beneath the salt wedge. The field observations were summarized using a two-layer box-model representation of the reach to calculate water and sediment budgets entering, exiting, and stored within the reach. The salt wedge reach was found to be net depositional at rates up to 1.8 mm/day. The mechanism for transferring sediment mass from the downstream-flowing fluvial layer to the upstream-flowing marine layer appears to be flocculation, evidenced in LISST data by a spike in sediment particle diameters at the halocline. Applying reach-averaged rates of sediment trapping to a time-integrated model of salt-wedge position, we calculated annual totals ranging from 0.025 to 2.2 million tons of sediment deposited beneath the salt wedge, depending on salt-wedge persistence and upstream extent. Most years this seasonal deposit is remobilized during spring flood following the low-flow estuarine season, which may affect the timing of sediment delivery to the Gulf of Mexico, as well as particulate organic carbon, whose transport trajectory mirrors that of mineral sediment. These results are also relevant to ongoing dredging efforts necessary to maintain the economically-important navigation pathway through the lower Mississippi River, as well as planned efforts to use Mississippi River sedimentary resources to build land in the degrading Louisiana deltaic coast.

  14. [Anterior guidance in complete dentures].

    Science.gov (United States)

    Dubreuil, J; Trevelo, A

    1990-01-01

    Although the anterior guidance in complete dentures is not really a guide, the arrangement of the anterior maxillary and mandibular prosthetic teeth, defines a propulsive line called the virtual anterior guidance, a part from the cinematic criterias. The influence of this guide on cuspal movement is superior, in all mandibular points, to the influence of the condylar pathway. If this line is not respected, the practitioner may have to do excessive grindings during occlusal adjustments.

  15. Multidisciplinary management of anterior diastemata

    DEFF Research Database (Denmark)

    Furuse, Adilson Yoshio; Herkrath, Fernando José; Franco, Eduardo Jacomino

    2007-01-01

    Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiologic factors, previous gingival conditioning, and individual treatment planning are essential in the proper management of anterior diastemata. An integrated orthodontic-restorative approach may enhance...... the aesthetic results when orthodontic therapy itself is not feasible. This article presents integrated orthodonticrestorative solutions of anterior diastemata, associated with the conditioning of the gingival tissue with composite resin, and discusses the most relevant aspects related to their etiology...

  16. Intercomparison of wedge factor for symmetric field and asymmetric field used 6MV linac

    International Nuclear Information System (INIS)

    Ji, Youn Sang; Han, Jae Jin

    1999-01-01

    Therapy equipment have taken progress for Cancer make use of Radiation for the normal tissue system make much of important for shielding. In modern times independent jaw setting to used equipment as possible make use of asymmetric field. Therefore, the asymmetric field be leave out of consideration wedge factor because of with used wedge for the most of part. These experimentation find out have an effect on the dosimetry of out put compared with of the difference between the symmetric field and asymmetric field for the wedge factor

  17. Physical optics-based diffraction coefficient for a wedge with different face impedances.

    Science.gov (United States)

    Umul, Yusuf Ziya

    2018-03-20

    A new diffraction field expression is introduced with the aid of the modified theory of physical optics for a wedge with different face impedances. First, the scattered geometrical optics fields are determined when both faces of the wedge are illuminated by the incident wave. The geometrical optics waves are then expressed in terms of the sum of two different fields that occur for different impedance wedges. The diffracted fields are determined for the two cases separately, and the total diffracted field is obtained as a sum of these waves. Lastly, the uniform field expressions are obtained, and the resultant fields are numerically compared with the solution of Maliuzhinets.

  18. Anterior segment optical coherence tomography of acute primary angle closure.

    Science.gov (United States)

    Zhang, Hai Tao; Xu, Liang; Cao, Wei Fang; Wang, Ya Xing; Jonas, Jost B

    2010-06-01

    To assess anterior segment optical coherence tomographic measurements of patients after acute unilateral primary angle closure (APAC) compared with those of normal subjects. The clinical observational study included 41 hospital-based patients after unilateral APAC, their unaffected contralateral eyes, and 205 subjects. These were selected from the population-based Beijing Eye Study, and were matched with the APAC group for age, gender, and refractive error. All study participants underwent slit-lamp adapted optical coherence tomography (OCT). Compared with the unaffected contralateral eyes, eyes with APAC had a significantly shallower anterior chamber (P APAC and the unaffected contralateral eyes both showed more shallow anterior chambers (P APAC group, the anterior chamber angle was closed in three or more quadrants. Anterior segment OCT measurements show significant differences between eyes with APAC, contralateral eyes at risk for APAC, and normal eyes. This may open possibilities for a semi-automatic assessment of subjects at risk for APAC by anterior segment OCT. The anterior chamber angle was closed most often in the nasal quadrant, and, in APAC, the angle was closed in three or more quadrants.

  19. Bioengineered anterior cruciate ligament

    Science.gov (United States)

    Altman, Gregory (Inventor); Kaplan, David (Inventor); Vunjak-Novakovic, Gordana (Inventor); Martin, Ivan (Inventor)

    2001-01-01

    The present invention provides a method for producing an anterior cruciate ligament ex vivo. The method comprises seeding pluripotent stem cells in a three dimensional matrix, anchoring the seeded matrix by attachment to two anchors, and culturing the cells within the matrix under conditions appropriate for cell growth and regeneration, while subjecting the matrix to one or more mechanical forces via movement of one or both of the attached anchors. Bone marrow stromal cells are preferably used as the pluripotent cells in the method. Suitable matrix materials are materials to which cells can adhere, such as a gel made from collagen type I. Suitable anchor materials are materials to which the matrix can attach, such as Goinopra coral and also demineralized bone. Optimally, the mechanical forces to which the matrix is subjected mimic mechanical stimuli experienced by an anterior cruciate ligament in vivo. This is accomplished by delivering the appropriate combination of tension, compression, torsion, and shear, to the matrix. The bioengineered ligament which is produced by this method is characterized by a cellular orientation and/or matrix crimp pattern in the direction of the applied mechanical forces, and also by the production of collagen type I, collagen type III, and fibronectin proteins along the axis of mechanical load produced by the mechanical forces. Optimally, the ligament produced has fiber bundles which are arranged into a helical organization. The method for producing an anterior cruciate ligament can be adapted to produce a wide range of tissue types ex vivo by adapting the anchor size and attachment sites to reflect the size of the specific type of tissue to be produced, and also adapting the specific combination of forces applied, to mimic the mechanical stimuli experienced in vivo by the specific type of tissue to be produced. The methods of the present invention can be further modified to incorporate other stimuli experienced in vivo by the

  20. The high P/T Sambagawa extrusional wedge, Japan

    Science.gov (United States)

    Osozawa, Soichi; Pavlis, Terry

    2007-07-01

    A metamorphic inversion along the Asemigawa section of the Besshi unit in the Sambagawa high P/T metamorphic zone has been explained previously by S-vergent major recumbent folding or thrusting. Through careful structural field investigations, however, we recognize the D2 Asemigawa detachment fault at the boundary of the highest-grade (oligoclase-biotite zone) thermal culmination in the belt. We have also discovered a series of normal faults in the hanging wall of the major detachment in the upper domain and a series of thrust faults bounding every metamorphic mineral zone of the footwall in the lower domain. Outcrop-scale D2 asymmetric folds are closely associated with axial-planar pressure-solution cleavages, and are genetically related to the above D2 normal faulting and thrusting as fault-propagation folds. Northward fold vergence is found only in the upper domain and southward vergence is found only in the lower domain. Exceptions to this rule occur only for parasitic folds in the overturned limbs of mesoscopic folds, which indicates flexural slip as a likely fold mechanism. We propose an extrusion wedge model for the inverted metamorphism and accordingly, this mechanism may also account for a large part of the exhumation of the Sambagawa metamorphic rocks, although westward shear at the time of D1 stretching lineation has partly contributed to the exhumation by counter-flow in the accretionary wedge. We infer that M1 with its retrograde actinolite schists represents a D1 ductile shear zone, but it contributes as much as a component of the D2 Asemigawa detachment, other normal and thrust faults, and asymmetric folds, as reactivated brittle shear zones. Thus, shear direction had changed orthogonally and drastically between ductile D1 stretching and ductile-brittle transition to brittle D2 extrusion. We infer that this transition reflects the collision of an actively spreading mid-ocean ridge and is a consequence of increased coupling of plates and orogen

  1. The influence of wedge diffuser blade number and divergence angle on the performance of a high pressure ratio centrifugal compressor

    Science.gov (United States)

    Wang, Yi; Han, Ge; Lu, Xingen; Zhu, Junqiang

    2018-02-01

    Wedge diffuser is widely used in centrifugal compressors due to its high performance and compact size. This paper is aimed to research the influence of wedge diffuser blade number and divergence angle on centrifugal compressor performance. The impact of wedge diffuser blade number on compressor stage performance is investigated, and then the wedge diffusers with different divergence angle are studied by varying diffuser wedge angle and blade number simultaneously. It is found that wedge diffuser with 27 blades could have about 0.8% higher adiabatic efficiency and 0.14 higher total pressure ratio than the wedge diffuser with 19 blades and the best compressor performance is achieved when diffuser divergence angle is 8.3°.These results could give some advices on centrifugal compressor design.

  2. Evaluation of wedge-shaped phantoms for assessment of scanner display as a part of quality control of scanner performance

    International Nuclear Information System (INIS)

    Bergmann, H.; Havlik, E.

    1981-01-01

    Image manipulation in modern rectilinear scanners comprises background subtraction and contrast enhancement facilities. It has been the aim of this investigation to develop simple quality assurance methods suitable for checking the function of these features on a routine basis. Several types of phantoms have been investigated: an absorption step wedge, an emission step wedge and an emission continuous wedge. The absorption step wedge when used with a usual gamma-camera checking source gave the least satisfactory results. The emission step wedge is best suited for test procedures for background subtraction of the colour printer display and for contrast enhancement of the photo display, whereas the emission continuous wedge gave best results in testing the contrast enhancement of the colour printer display. An evaluation of the relative merits of the phantoms indicates that the emission step wedge is best suited for quality assurance tests. (author)

  3. The effect of internal fixation lamp on anterior chamber angle width measured by anterior segment optical coherence tomography.

    Science.gov (United States)

    Nakamine, Sakari; Sakai, Hiroshi; Arakaki, Yoshikuni; Yonahara, Michiko; Kaiya, Tadayoshi

    2018-01-01

    To study the effect of the internal fixation lamp on anterior chamber width measured by anterior segment optical coherence tomography. In a prospective cross sectional observational study, consecutive 22 right eyes of 22 patients (4 men and 18 women) with suspected primary angle closure underwent swept source domain anterior segment optical coherence tomography (AS-OCT), (CASIA SS-1000, Tomey, Nagoya, Japan). Anterior chamber parameters of angle opening distance (AOD), trabecular-iris angle (TIA), angle recess area (ARA) at 500 or 750 µm from scleral spur and pupil diameter were measured by AS-OCT in a three-dimensional mode in 4 quadrants (superior, inferior, temporal and nasal) in dark room setting both with and without internal fixation lamp. Anterior segment parameters of AOD 500 in superior, inferior and temporal quadrants, AOD 750 at superior and nasal, TIA 500 at superior, and inferior and TIA 750 at superior and nasal, and ARA 500 or 750 at superior and inferior with internal fixation lamp were greater and the pupil diameter was significantly (all P chamber angle is narrow but open, it is recommended that the internal fixation lamp be turned off to ensure a clear indication as to whether the angle is open or closed in the dark.

  4. Canonical quantization of the Proca field in the Rindler wedge

    International Nuclear Information System (INIS)

    Castineiras, Jorge; Correa, Emerson Benedito Sousa; Crispino, Luis Carlos Bassalo; Matsas, George Emanuel Avraam

    2009-01-01

    Full text. We perform the canonical quantization of a massive vector field in Rindler spacetime. We pay special attention to the zero frequency modes of the Proca field because these are the modes that interact with structureless sources which are static in the Rindler spacetime. Our motivation is the computation of the total response of a static source with some fixed proper acceleration a 0 in Rindler spacetime interacting with the zero energy massive vector particle of the Fulling-Davies-Unruh (FDU) thermal bath and compare it with the response of a static source with the same proper acceleration a 0 outside a Schwarzschild black hole interacting with the massive vector particles of the Hawking thermal radiation. Surprisingly, as it was already shown in a resent article, these responses would be identical if a massless scalar field is consider instead of the massive vector field, the field outside the Schwarzschild black hole is supposed to be in the Unruh vacuum and the source proper acceleration is the same in both cases. This came as a surprise because structureless static sources can only interact with zero-frequency field modes. Such modes can probe the global geometry of spacetime and are accordingly quite different in Schwarzschild spacetime and in the Rindler wedge. (author)

  5. Measurement of dynamic wedge angles and beam profiles by means of MRI ferrous sulphate gel dosimetry

    Science.gov (United States)

    Bengtsson, Magnus; Furre, Torbjørn; Rødal, Jan; Skretting, Arne; Olsen, Dag R.

    1996-02-01

    The purpose of this study is to examine the possible value of measuring the dose distribution in dynamic wedge photon beams using ferrous sulphate gel phantoms analysed by MRI. The wedge angles and dose profiles were measured for a field size of and for dynamic wedge angles of , , and using a 15 MV photon beam generated from a Clinac 2100 CD (Varian). The dose profiles obtained from MRI ferrous sulphate gel were in good agreement with the dose measurements performed with a diode detector array. Also, the wedge angles determined from the MRI ferrous sulphate gel agreed well with the values obtained by using film dosimetry and with calculations by use of TMS (treatment planning system) (Helax, Uppsala, Sweden). The study demonstrated that MRI ferrous sulphate gel dosimetry is an adequate tool for measurements of some beam characteristics of dynamic radiation fields.

  6. Diffraction of an inhomogeneous plane wave by an impedance wedge in a lossy medium

    CSIR Research Space (South Africa)

    Manara, G

    1998-11-01

    Full Text Available The diffraction of an inhomogeneous plane wave by an impedance wedge embedded in a lossy medium is analyzed. The rigorous integral representation for the field is asymptotically evaluated in the context of the uniform geometrical theory...

  7. Coupled edge plasmon modes of metal/dielectric multi-wedges

    International Nuclear Information System (INIS)

    Wang Xuan-Zhang

    2013-01-01

    We present a metallic/dielectric multi-wedge model to investigate the coupled edge plasmon modes (CEPMs), where all wedges have a common edge and the wave propagates along the edge direction. A general theoretical method valid to many practical structures is presented. The analytical dispersion relations of CEPMs in these structures are obtained and the CEPM properties are discussed with numerical results and the dispersion relations. For all structures mentioned in this paper, we find that the structures containing an even number of metallic wedges have four CEPMs and those with an odd-number of metallic wedges have two CEPMs. Further, the periodic structures containing any odd number of periods and any even number of periods possess their common CEPMs, respectively

  8. Development of Cone Wedge Ring Expansion Test to Evaluate Mechanical Properties of Clad Tubing Structure

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jy-An John [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-10-01

    To determine the hoop tensile properties of irradiated fuel cladding in a hot cell, a cone wedge ring expansion test method was developed. A four-piece wedge insert was designed with tapered angles matched to the cone shape of a loading piston. The ring specimen was expanded in the radial direction by the lateral expansion of the wedges under the downward movement of the piston. The advantages of the proposed method are that implementation of the test setup in a hot cell is simple and easy, and that it enables a direct strain measurement of the test specimen from the piston’s vertical displacement soon after the wedge-clad contact resistance is initiated.

  9. Contralateral breast doses in radiotherapy: effect of wedges introduction versus supraclavicular field

    International Nuclear Information System (INIS)

    Carrera, Francisco; Velazquez, Santiago; Bayo, Eloisa; Ojeda, Carmen; Ruiz-Cruzes, Rafael; Diez de los Rios, Antonio

    2001-01-01

    It is interesting the influence of physical wedges on medial tangential field, and subsequent extrafocal electronic contamination on the contralateral breast dose (CBD). This study compares effects produced by wedges versus internal scattering produced by supraclavicular field. An anthropomorphic phantom with wax breast was used. Average dose to every quadrant was evaluated; this was realized using data from treatment planning system (TPP) and, on the other hand, using lectures from TLD; versus distance to medial axis and lower edge from the medial tangential field. TPP does not have on account scattered radiation out of patient's contour. In conclusion, comparing supraclavicular field versus wedges influence, the importance of the last one on CBD is lower. It is casted doubt on the sacrifice of a distribution of a homogeneous dose to the treated breast in interest of the saving of CBD, although it is interesting the use of virtual wedges or external protection, having on account the influence of external scattering. (author)

  10. [Features of the new minimally invasive techniques facet fixation system «Facet Wedge» in the treatment of degenerative diseases of the lumbar spine in elderly patients.

    Science.gov (United States)

    Byvaltsev, V A; Kalinin, A A; Okoneshnikova, A K

    2017-01-01

    The aim of the study was a comparative analysis of the clinical and radiographic effectiveness of the use of interbody fusion and open pedicle screw stabilization of simultaneous and new minimally invasive techniques facet fixation system «Facet Wedge» in the treatment of degenerative diseases of the lumbar spine in elderly patients. The study included 39 elderly patients (older than 60), which carries out the transforaminal interbody fusion Cage «T-pal»: open transpedicaular stabilization was used in 1st group (n=23), ipsilateral open transpedicular stabilization with contralateral transfaset installing titanium Cage «facet Wedge» -in 2nd group (n=16). We used intraoperative interventions and specific post-operative patient management, clinical data and radiographic outcomes for a comparative analysis of the parameters. Dynamic assessment was made in a period of 8 to 36 months after surgery (median 24 mo.). As a result, it found that the use of the system «facet Wedge» allows you to achieve the best clinical outcomes and fewer postoperative complications compared with open transpedicular stabilization in similar radiographic findings of bone block formation. Low traumatic facet fixation makes it possible to use methods for the treatment of elderly patients with degenerative diseases of the lumbosacral spine.

  11. Application of slip-line analysis to the mechanical model of active accretionary wedge

    Science.gov (United States)

    Song, I.; Lee, H.; Kim, J.

    2012-04-01

    An active accretionary wedge is formed from sediments accreted continuously at a continental margin by a subducting plate and mechanically characterized by a plane-strain compressive frictional flow throughout its entire volume. Continuous deformation induced by incoming sediments raises the distortional stress eventually leading to an ultimate condition known as a critical state. According to the critical taper theory (Davis et al., JGR, 1983), the angle of wedge increases as the incoming materials are accreted into the wedge until it reaches a critical value where the shear force on the basal detachment is in equilibrium with the basal friction. Under this concept, we applied the plastic slip-line theory for the computation of stress and velocity fields throughout the continuously deforming area of the wedge. For the simplicity, we assumed that the tapered wedge overlying a basal décollement fault is described by a perfectly plastic rheology complying with the Coulomb failure criterion and the associated flow rule. A complete description of soil rheology at the critical state requires the determination of stress tensors and velocity vectors at given points within the deforming region. For the boundary condition of stress, the effective normal and shear tractions on the upper surface of wedge are equal to zero, and thus the maximum principal stress acts parallel to the surface. Considering the two-dimensional plane strain deformation, we numerically obtained the slip-line solution for the mean effective stress with respect to the orientation of the maximum principal stress at each intersection point of the potential (conjugate) slip lines given by the Coulomb criterion. Then the maximum shear stress was calculated using the failure criterion. After the stress solution was yielded, the velocity field was determined by the same procedure using the boundary condition of the velocity of incoming sediments obtained from the velocity of subducting plate. Our result

  12. Anterior vaginal repair for urinary incontinence in women.

    Science.gov (United States)

    Glazener, Cathryn Ma; Cooper, Kevin; Mashayekhi, Atefeh

    2017-07-31

    Anterior vaginal repair (anterior colporrhaphy) is an operation traditionally used for moderate or severe stress urinary incontinence (SUI) in women. About a third of adult women experience urinary incontinence. SUI imposes significant health and economic burden to the society and the women affected. To determine the effects of anterior vaginal repair (anterior colporrhaphy) on urinary incontinence in comparison with other management options. We searched the Cochrane Incontinence Group Specialised Trials Register (searched 1 September 2009) and the reference lists of relevant articles. Randomised or quasi-randomised trials that included anterior vaginal repair for the treatment of urinary incontinence. Two review authors independently extracted data and assessed trial quality. Three trial investigators were contacted for additional information. Ten trials were identified which included 385 women having an anterior vaginal repair and 627 who received comparison interventions.A single small trial provided insufficient evidence to assess anterior vaginal repair in comparison with physical therapy. The performance of anterior repair in comparison with bladder neck needle suspension appeared similar (risk ratio (RR) for failure after one year 1.16, 95% confidence interval (CI) 0.86 to 1.56), but clinically important differences could not be confidently ruled out. No trials compared anterior repair with suburethral sling operations or laparoscopic colposuspensions, or compared alternative vaginal operations.Anterior vaginal repair was less effective than open abdominal retropubic suspension based on patient-reported cure rates in eight trials both in the medium term (failure rate within one to five years after anterior repair 97/259 (38%) versus 57/327 (17%); RR 2.29, 95% confidence Interval (CI) 1.70 to 3.08) and in the long term (after five years, (49/128 (38%) versus 31/145 (21%); RR 2.02, 95% CI 1.36 to 3.01). There was evidence from three of these trials that this

  13. Vertebral cross-sectional growth: A predictor of vertebral wedging in the immature skeleton.

    Science.gov (United States)

    Poorghasamians, Ervin; Aggabao, Patricia C; Wren, Tishya A L; Ponrartana, Skorn; Gilsanz, Vicente

    2017-01-01

    The degree of vertebral wedging, a key structural characteristic of spinal curvatures, has recently been found to be negatively related to vertebral cross-sectional area (CSA). The purpose of this longitudinal study was to examine the relation between vertebral cross-sectional growth and vertebral wedging progression within the immature lumbar spine. Using magnetic resonance imaging (MRI), we analyzed the potential association between increases in lumbar vertebral CSA and changes in L5 vertebral wedging in 27 healthy adolescent girls (ages 9-13 years) twice within a two-year period. Vertebral CSA growth was negatively associated with changes in posteroanterior vertebral wedging (r = -0.61; p = 0.001). Multiple regression analysis showed that this relation was independent of gains in age, height, and weight. When compared to the 14 girls whose vertebral wedging progressed, the 13 subjects whose vertebral wedging decreased had significantly greater vertebral cross-sectional growth (0.39 ± 0.25 vs. 0.75 ± 0.23 cm2; p = 0.001); in contrast, there were no significant differences in increases in age, height, or weight between the two groups. Changes in posteroanterior vertebral wedging and the degree of lumbar lordosis (LL) positively correlated (r = 0.56, p = 0.002)-an association that persisted even after adjusting for gains in age, height, and weight. We concluded that in the immature skeleton, vertebral cross-sectional growth is an important determinant of the plasticity of the vertebral body; regression of L5 vertebral wedging is associated with greater lumbar vertebral cross-sectional growth, while progression is the consequence of lesser cross-sectional growth.

  14. WEDGE ABSORBERS FOR MUON COOLING WITH A TEST BEAM AT MICE

    Energy Technology Data Exchange (ETDEWEB)

    Neuffer, David [Fermilab; Acosta, J. [Mississippi U.; Summers, D. [Mississippi U.; Mohayai, T. [IIT, Chicago; Snopok, P. [IIT, Chicago

    2016-10-18

    Emittance exchange mediated by wedge absorbers is required for longitudinal ionization cooling and for final transverse emittance minimization for a muon collider. A wedge absorber within the MICE beam line could serve as a demonstration of the type of emittance exchange needed for 6-D cooling, including the configurations needed for muon colliders. Parameters for this test are explored in simulation and possible experimental configurations with simulated results are presented.

  15. [Research on the transmittance spectrum of wedge thin film filter with oblique incidence].

    Science.gov (United States)

    Yu, Kan; Huang, De-Xiu; Yin, Juan-Juan; Bao, Jia-Qi

    2013-08-01

    Angle-tuned thin film filter is widely used in the DWDM system for its broad tunable wavelength range and high rectangular degree. The transmissivity and the half bandwidth is greatly influenced not only by the incident angle, but also by the wedge angle of the non-paralleled thin film filter. In the present paper, the influences of the wedge angle on the transmissivity and the half bandwidth were detailedly analyzed. The proper wedge angle and the orientation can greatly improve the characteristics of the transmittance spectrum. The angle-tuned thin film filter with 0.8 degrees wedge angle was also fabricated. The experimental results show that keeping the wedge angle with the same orientation to the incident angle will worsen the transmissivity and the rectangular degree of the transmittance spectrum. However, keeping the wedge angle orientation reverse to the incident angle will greatly enhance the transmissivity and the rectangular degree of the filter and its tunable wavelength range will broaden by 10 nm.

  16. Static response of maximally pronated and nonmaximally pronated feet to frontal plane wedging of foot orthoses.

    Science.gov (United States)

    Pascual Huerta, Javier; Ropa Moreno, Juan Manuel; Kirby, Kevin A

    2009-01-01

    Research on foot orthoses has shown that their effect on the kinematics of the rearfoot is variable, with no consistent patterns of changes being demonstrated. It has also been hypothesized that the mechanical effect of foot orthoses could be subject specific. The purpose of our study was to determine if maximally pronated feet have a different response to frontal plane wedging of foot orthoses than do nonmaximally pronated feet during static stance. One hundred six feet of 53 healthy asymptomatic subjects were divided into two groups (maximally pronated and nonmaximally pronated) on the basis of their subtalar joint rotational position during relaxed bipedal stance. Functional foot orthoses were constructed for each subject and the relaxed calcaneal stance position was measured while standing on five separate frontal plane orthosis wedging conditions, 10 degrees valgus, 5 degrees valgus, no wedging, 5 degrees varus, and 10 degrees varus, to assess changes in calcaneal position. Relative to the no-wedging condition, there were statistically significant differences (P foot orthoses is variable between individuals. Maximally pronated subjects do not exhibit the same response to frontal plane wedging of foot orthoses as do nonmaximally pronated with 10 degrees wedging. Intrinsic biomechanical factors such as subtalar joint position may influence the response to foot orthoses.

  17. The application of wedge type compensation filter for uniform density on the endoscopic retrograde pancreatography

    International Nuclear Information System (INIS)

    Son, Soon Yong; Lee, Hee Jeong; Lee, Won Hong; Cho, Cheong Chan; Ryu, Meung Sun; Jung, Hong Ryang

    2001-01-01

    Over-density of pancreatic duct tail part on the endoscopic retrograde pancreatogram results from patient's position and inserted air during the study. The aim of this paper is to decide the filter angle to obtain an uniform density. Endoscopic retrograde pancratography was performed to 234 patients, and angled wedge filter was used differently. They are 10 deg (47), 20 deg (45), 30 deg (50). We also did not use wedge filter to 42 patients. We decided reliance degree in 95%. The statistical difference was p<0.05. The patients' sex rate was 1.8:1 between 18 and 87 years old(average age 58 years). Their body girth was 18.71 cm on the average. Of total 234 patients, difference of right and left average density was 0.01 by 30 deg wedge filter, -0.08 40 deg wedge filter and 0.27 non-wedge filter. These average values of difference density were very significant statistically, and standard deviation also was close to regular distribution. In conclusion, there is a usefulness of angled wedge filter for increasing diagnostic value of pancreatic duct tail part on the endoscopic retrograde pancreatogram

  18. Inestabilidad Anterior de Hombro

    Directory of Open Access Journals (Sweden)

    Pablo David Flint Kuran

    2013-11-01

    Full Text Available In­tro­duc­ción La luxación recidivante de hombro es una patología frecuente en pacientes jóvenes, laboralmente activos. Existen numerosas técnicas quirúrgicas para la inestabilidad glenohumeral. La técnica de Bristow, discutida por no ser anatómica y por sus complicaciones, continúa vigente debido al bajo índice de reluxaciones. Los objetivos fueron determinar el índice de recidiva, alteraciones funcionales e índice de consolidación del injerto. Materiales­ y­ Métodos Se evaluaron 24 pacientes del sexo masculino, de entre 19 y 40 años, operados por luxación anterior recidivante de hombro según la técnica de Bristow, entre enero de 2003 y agosto de 2011. Se evaluó la tasa de reluxación, la función articular según el puntaje de Constant y el posicionamiento del injerto con respecto a la superficie articular con tomografía y radiografías para evaluar la consolidación del injerto. Se registraron las complicaciones quirúrgicas. Resultados ­Todos los pacientes eran hombres, con rango de edad de 19 a 40 años. La causa fue traumática en 24 pacientes. Dieciséis pacientes presentaron más de 3 episodios de luxación prequirúrgicos. Según la escala de Constant, 21 obtuvieron entre 96 y 100 puntos, y los restantes, entre 90 y 95 puntos. No hubo nuevos episodios de luxaciones. La tomografía mostró la consolidación en todos los casos. Un paciente tuvo una imagen osteolítica alrededor del tornillo, sin compromiso funcional del hombro. Conclusión La técnica de Bristow para tratar la luxación anterior recidivante de hombro provocó un bajo índice de complicaciones, con resultados funcionales entre excelentes y buenos. No hubo episodios de reluxación y se logró la consolidación del injerto óseo en todos los casos.

  19. Gun barrel view of the anterior pelvic ring for percutaneous anterior column or superior pubic ramus screw placement.

    Science.gov (United States)

    Quercetti, Nicholas; Horne, Brandon; DiPaolo, Zac; Prayson, Michael J

    2017-07-01

    Traditionally, operative fixation of pelvic and acetabular injuries involves complex approaches and significant complications. Accelerated rehabilitation, decreased soft tissue stripping and decreased wound complications are several benefits driving a recent interest in percutaneous fixation. We describe a new fluoroscopic view to guide the placement of screws within the anterior pelvic ring. Twenty retrograde anterior pelvic ring screws were percutaneously placed in ten cadaveric specimens. Arranging a standard C-arm in a position similar to obtaining a lateral hip image, with angles of 54° ± 2° beam to body, 75° ± 5° of reverse cantilever and 14° ± 6° of outlet, a gun barrel view of the anterior pelvic ring is identified. Fluoroscopic images were taken, and the hemipelvi were harvested to examine the dimensions of the anterior pelvic ring and inspected for any cortical or articular perforation. The minimum cranial-to-caudal distance in the anterior pelvic ring was 9 mm (range 6.5-12 mm), and the minimum anterior-to-posterior dimension was 9 mm (range 5-15 mm). All but 2 screws were completely confined within the osseous corridors. Identifiable on final fluoroscopic evaluation, one screw perforated the psoas groove and a second perforated the acetabular dome. Overall, 90 % of our screws were accurately and safely placed, upon the first attempt, within the anterior pelvic ring using the described gun barrel view. Employing either open reduction, or following a closed or percutaneous reduction, the anterior pelvic ring gun barrel view can reproducibly guide safe placement of anterior pelvic ring screw fixation. IV.

  20. Cyclicity, episodicity, and continuity in accretionary wedge evolution: insights from geophysical imaging and physical analogue experiments

    Science.gov (United States)

    Kukowski, N.

    2009-04-01

    Geophysical profiles across active convergent margins reveal different styles and locations of sediment accretion, thrust slices dipping successively steeper towards the hinterland, splay faults, and blind thrusts as well as accumulation spaces e. g. thrust top basins and larger basins formed by regional subsidence, of very variable size and position. Morphologically, the continental slope at most margins can be sub-divided in a lower, middle, and upper slope, with often the middle slope being the most shallowly inclined, suggesting segmented wedges. Beneath the forearc, a subduction channel of a few hundred meters to a few km thickness marks a layer of material transport into greater depth that also hosts the plate interface and décollement zone. The petrographical composition of accretionary wedges and subduction channels as well as related pressures and temperatures are accessible through deep drilling or sampling fossil accretionary complexes now exhumed. The structure, lithology, and tectonic history of forearcs as identified from geophysical and geology field observations hint to parameters possibly controlling material transfer at convergent margins. Among them, sediment supply, which itself is largely controlled by climate, width of the subduction channel, and interplate frictional properties, which also exhibit control on plate coupling and therefore the seismic potential of a forearc, are suggested to be of major importance. These parameters further may undergo temporal fluctuation, e.g. when climate changes or when different material is entering the trench and therefore potentially also the subduction channel. High resolution monitoring of material flux and the evolution of fault zone kinematics of analogue experimental wedges made of granular materials exhibiting frictional behaviour equivalent to that of upper crustal rocks shows that accretionary cycles proceed as a chain of sub-processes, i.e. the development of a thrust slice from initial failure

  1. Anterior ankle arthrodesis

    Science.gov (United States)

    Slater, Gordon L; Sayres, Stephanie C; O’Malley, Martin J

    2014-01-01

    Ankle arthrodesis is a common procedure that resolves many conditions of the foot and ankle; however, complications following this procedure are often reported and vary depending on the fixation technique. Various techniques have been described in the attempt to achieve ankle arthrodesis and there is much debate as to the efficiency of each one. This study aims to evaluate the efficiency of anterior plating in ankle arthrodesis using customised and Synthes TomoFix plates. We present the outcomes of 28 ankle arthrodeses between 2005 and 2012, specifically examining rate of union, patient-reported outcomes scores, and complications. All 28 patients achieved radiographic union at an average of 36 wk; the majority of patients (92.86%) at or before 16 wk, the exceptions being two patients with Charcot joints who were noted to have bony union at a three year review. Patient-reported outcomes scores significantly increased (P plate offers added compression and provides a rigid fixation for arthrodesis stabilization. PMID:24649408

  2. Laboratory investigation of water extraction effects on saltwater wedge displacement

    Directory of Open Access Journals (Sweden)

    S. Noorabadi

    2017-12-01

    Full Text Available There is a close connection between saltwater intrusion into aquifers and groundwater extraction. Freshwater extraction in coastal aquifers is one of the most important reasons for the saltwater intrusion into these aquifers. Condition of extraction system such as well depth, discharge rate, saltwater concentration and etc. could affect this process widely. Thus, investigating different extraction conditions comprises many management advantages.  In the present study, the effects of freshwater extraction on saltwater interface displacement have been investigated in a laboratory box. Three different well depths (H were considered with combinations of 3 different extraction rates (Q and 3 saltwater concentrations (C for detailed investigation of the effects of these factors variations on saltwater displacement. SEAWAT model has been used to simulate all the scenarios to numerically study of the process. The experimental and numerical results showed that when the C and Q rates were small and the well depth was shallow, the saltwater interface wouldn’t reach the extraction well, so the extracted water remained uncontaminated. When the C and Q rates were increased and the well was deepened, the salinity of the extracted water became higher. When the Q and C rates were high enough, in the shallow well depth, the final concentration of the extracted water was low but a huge part of the porous media was contaminated by the saltwater, furthermore when the well was deepened enough, the final concentration of the extracted water was increased but a small part of the porous media was contaminated by the saltwater. Finally, the results showed that when the Q and H rates were high enough, the extraction well behaved like a barrier and didn’t allow the advancing saltwater wedge toe to be intruded beyond the wells.

  3. Grounding zone wedges, Kveithola Trough (NW Barents Sea)

    Science.gov (United States)

    Rebesco, Michele; Urgeles, Roger; Özmaral, Asli; Hanebuth, Till; Caburlotto, Andrea; Hörner, Tanja; Lantzsch, Hendrik; LLopart, Juame; Lucchi, Renata; Skøtt Nicolaisen, Line; Giacomo, Osti; Sabbatini, Anna; Camerlenghi, Angelo

    2014-05-01

    Swath bathymetry within Kveithola Trough (NW Barents Sea) shows a seafloor characterized by E-W trending megascale glacial lineations (MSGLs) overprinted by transverse Grounding Zone Wedges (GZWs), which give the trough a stair profile (Rebesco et al., 2011). GZWs are formed by deposition of subglacial till at temporarily stable ice-stream fronts in between successive episodic retreats (Rüther et al., 2012; Bjarnadóttir et al., 2012). Sub-bottom data show that present-day morphology is largely inherited from palaeo-seafloor topography of GZWs, which is draped by a deglacial to early Holocene glaciomarine sediments (about 15 m thick). The ice stream that produced such subglacial morphology was flowing from East to West inside Kveithola Trough during Last Glacial Maximum. Its rapid retreat was likely associated with progressive lift-offs, and successive rapid melting of the grounded ice, induced by the eustatic sea-level rise (Lucchi et al., 2013). References: Bjarnadóttir, L.R., Rüther, D.C., Winsborrow, M.C.M., Andreassen, K., 2012. Grounding-line dynamics during the last deglaciation of Kveithola, W Barents Sea, as revealed by seabed geomorphology and shallow seismic stratigraphy. Boreas, 42, 84-107. Lucchi R.G., et al. 2013. Postglacial sedimentary processes on the Storfjorden and Kveithola TMFs: impact of extreme glacimarine sedimentation. Global and Planetary Change, 111, 309-326. Rebesco, M., et al. 2011. Deglaciation of the Barents Sea Ice Sheet - a swath bathymetric and subbottom seismic study from the Kveitehola Trough. Marine Geology, 279, 141-14. Rüther, D.C., Bjarnadóttir, L.R., Junttila, J., Husum, K., Rasmussen, T.L., Lucchi, R.G., Andreassen, K., 2012. Pattern and timing of the north-western Barents Sea Ice Sheet deglaciation and indications of episodic Holocene deposition. Boreas 41, 494-512.

  4. Anterior segment indocyanine green angiography in anterior scleritis and episcleritis.

    Science.gov (United States)

    Guex-Crosier, Yan; Durig, Jacques

    2003-09-01

    To evaluate the pattern of anterior segment indocyanine green (ICG) angiography in episcleritis and scleritis. Prospective comparative (paired-eye) observational case series. Twenty subjects presenting clinical diseases compatible with episcleritis or scleritis. Anterior segment ICG angiography was performed according to a standard protocol in subjects presenting either episcleritis or scleritis. Photographs of the anterior segment were taken in the early phase (up to 3 minutes after dye injection), intermediate phase (10-12 minutes) and late phase (30-45 minutes). The inflamed zones were compared with the same regions of the controlateral eye. The amount of protein ICG exudation was scored by a masked observer as follows: zero for no exudation, one for slight exudation, two for moderate exudation, and three for severe exudation. Evaluation of dye leakage, which reflects protein exudation, with anterior segment ICG angiography in episcleritis and scleritis. Twenty subjects with a mean age of 43 +/- 15 years (7 male, 13 female) were enrolled in the study. Thirteen subjects had anterior scleritis (7 nodular, 5 diffuse, and 1 scleromalacia perforans), and 7 subjects had episcleritis. Only 1 out of 7 subjects with episcleritis showed a slight ICG leakage (a score of one), whereas all subjects with scleritis had ICG leakage scores of one or more (P = 0.0005, Fisher exact test). ICG angiography of the anterior segment of the eye is a good clinical test to differentiate episcleritis from scleritis.

  5. Perawatan Maloklusi Anterior Open-Bite (Laporan Kasus

    Directory of Open Access Journals (Sweden)

    Erwin Siregar

    2015-10-01

    Full Text Available Perawatan maloklusi dengan kelainan dalam arah vertikal pada umumnya lebih sulit dibandingkan dalam arah anteroposterior, dapat berupa memendek dan memanjangnya tinggi muka bawah. Seorang remaja putri dengan keluhan bahwa gigi geligi depan atas dan bawah tidak dapat mengatup dengan kebiasaan buruk tongue thrust dan profil yang cembung. Kemudian dilakukan perawatan ortodonti dengan menggunakan alat cekat sistim Begg selama 14 bulan dan dibantu dengan memakai tongue crib untuk menghilangkan kebiasaan buruk tongue thrust. Dari hasil perawatan, terlihat bahwa kunci keberhasilan terletak pada penanggulangan dalam menghilangkan kebiasaan buruk.

  6. etiology and pathogenesis of anterior open bite: a review

    African Journals Online (AJOL)

    2010-11-11

    Nov 11, 2010 ... Data analysis: All relevant articles were reviewed in full and necessary information eextracted as necessary. Conclusion: A clear .... resting tongue posture plays a role in the etiology of. AOB. In the airway obstruction cases, it is ... If these postural changes are to be maintained, the vertical equilibrium will be.

  7. Climate adaptation wedges: a case study of premium wine in the western United States

    Science.gov (United States)

    Diffenbaugh, Noah S.; White, Michael A.; Jones, Gregory V.; Ashfaq, Moetasim

    2011-04-01

    Design and implementation of effective climate change adaptation activities requires quantitative assessment of the impacts that are likely to occur without adaptation, as well as the fraction of impact that can be avoided through each activity. Here we present a quantitative framework inspired by the greenhouse gas stabilization wedges of Pacala and Socolow. In our proposed framework, the damage avoided by each adaptation activity creates an 'adaptation wedge' relative to the loss that would occur without that adaptation activity. We use premium winegrape suitability in the western United States as an illustrative case study, focusing on the near-term period that covers the years 2000-39. We find that the projected warming over this period results in the loss of suitable winegrape area throughout much of California, including most counties in the high-value North Coast and Central Coast regions. However, in quantifying adaptation wedges for individual high-value counties, we find that a large adaptation wedge can be captured by increasing the severe heat tolerance, including elimination of the 50% loss projected by the end of the 2030-9 period in the North Coast region, and reduction of the projected loss in the Central Coast region from 30% to less than 15%. Increased severe heat tolerance can capture an even larger adaptation wedge in the Pacific Northwest, including conversion of a projected loss of more than 30% in the Columbia Valley region of Washington to a projected gain of more than 150%. We also find that warming projected over the near-term decades has the potential to alter the quality of winegrapes produced in the western US, and we discuss potential actions that could create adaptation wedges given these potential changes in quality. While the present effort represents an initial exploration of one aspect of one industry, the climate adaptation wedge framework could be used to quantitatively evaluate the opportunities and limits of climate adaptation

  8. SU-E-T-178: Clinical Feasibility of Multi-Leaf Collimator Based Dynamic Wedge

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, C; Kwak, J; Ahn, S; Kim, J; Park, J; Yoon, S; Cho, B [Asan Medical Center, Seoul (Korea, Republic of)

    2015-06-15

    Purpose: A multi-leaf collimator (MLC) based dynamic wedge (MDW), which provide similar dose profile of physical wedge (PW) along x-jaw direction while significant monitor unit (MU) reduction, was developed and investigated for clinical use. Methods: A novel technique was used to create the wedge profile using MLC. A modification was applied to the DICOM-RT format file of the plan made with the PW to replace PW with MDW. The Varian enhanced dynamic wedge profile was used to produce MLC sequence, while the MU of the wedged field was recalculated using PW factor and fluence map. The profiles for all possible MDWs to substitute PWs were verified in 6/15 MV x-ray irradiations. New plans with MDWs were compared with the original plans in 5 rectal, 5 RT breast and 5 liver cases. Results: The wedge profile of the MDW fields were well matched with those of PWs inside the fields while less scatter than PW out of the fields. For plan comparisons of the clinical cases no significant dose discrepancy was observed between MDW plan and PW’s with the dose volume histograms. The maximum and mean doses in PTVs are agreed within 1.0%. The Result of OARs of MDW plans are slightly improved in the maximum doses (3.22 ∼ 150.4 cGy) and the mean doses (17.18 ∼ 85.52 cGy) on average for all cases while the prescribed doses are 45 Gy for rectal cases, 40 or 45 Gy for liver cases and 50 Gy for breast cases. The MUs of the fields which replace PW with MDW are reduced to 68% of those of PW. Conclusion: We developed a novel dynamic wedge technique with MLC that shows clinical advantage compared to PW.

  9. Measured Hydrologic Storage Characteristics of Three Major Ice Wedge Polygon Types, Barrow, Alaska

    Science.gov (United States)

    Chamberlain, A. J.; Liljedahl, A.; Wilson, C. J.; Cable, W.; Romanovsky, V. E.

    2014-12-01

    Model simulations have suggested that the hydrologic fluxes and stores of Arctic wetlands are constrained by the micro-topographical features of ice wedge polygons, which are abundant in lowland tundra landscapes. Recently observed changes in ice wedge polygon landscapes - in particular, ice wedge degradation and trough formation - emphasize the need to better understand how differing ice wedge polygon morphologies affect the larger hydrologic system. Here we present three seasons of measured end-of-winter snow accumulation, continuous soil moisture and water table elevations, and repeated frost table mapping. Together, these describe the hydrologic characteristics of three main ice wedge polygon types: low centered polygons with limited trough development (representative of a ~500 year old vegetated drained thaw lake basin), and low- and high-centered polygons with well-defined troughs. Dramatic spatiotemporal variability exists both between polygon types and between the features of an individual polygon (e.g. troughs, centers, rims). Landscape-scale end-of-winter snow water equivalent is similar between polygon types, while the sub-polygon scale distribution of the surface water differs, both as snow and as ponded water. Some sub-polygon features appear buffered against large variations in water levels, while others display periods of prolonged recessions and large responses to rain events. Frost table elevations in general mimic the ground surface topography, but with spatiotemporal variability in thaw rate. The studied thaw seasons represented above long-term average rainfall, and in 2014, record high June precipitation. Differing ice wedge polygon types express dramatically different local hydrology, despite nearly identical climate forcing and landscape-scale snow accumulation, making ice wedge polygons an important component when describing the Arctic water, nutrient and energy system.

  10. Chemical risk factors responsible for the formation of wedge-shaped lesions

    Directory of Open Access Journals (Sweden)

    Perić Dejan

    2015-01-01

    Full Text Available Introduction: Non-carious tooth substances loss pose a major health problem of a modern man. The literature often collectively describes all non-carious lesions and is therefore difficult to compare results obtained by different authors. Chemical factors are one of the predisposing factors responsible for the formation of wedge-shaped erosions. Aim: Examination of chemical risk factors as one of the predisposing causes responsible for the formation of wedge-shaped lesions. Method: We examined 62 patients with wedge-shaped erosions (mean age 45.52 ± 12.03 years, 58.1% of men and 60 patients without erosions in the control group (mean age 34.40 ± 9.28 years, 60% men . The entire examination was completed by using a questionnaire at the Dental Clinic of the University of Pristina - Kosovska Mitrovica. salivary pH was measured by the pH meter. Results: The results show that the wedge-shaped lesions often occur equally in both men and women. Considerably often it might appear in older people but can also occur in teenagers. Patients with wedge-shaped erosion have increased acidity of saliva, a heightened sense of acid in the mouth and consume a lot more carbonated drinks compared to patients without erosions. Conclusion: Wedge-shaped lesions are more common in people older than 40 years. Taking into account the results obtained in this study it can be concluded that the chemical risk factors truly fall within the predisposing factors that may be responsible for the creation of wedge-shaped erosions.

  11. Effect of Laterally Wedged Insoles on the External Knee Adduction Moment across Different Reference Frames.

    Directory of Open Access Journals (Sweden)

    Satoshi Yamaguchi

    Full Text Available Biomechanical effects of laterally wedged insoles are assessed by reduction in the knee adduction moment. However, the degree of reduction may vary depending on the reference frame with which it is calculated. The purpose of this study was to clarify the effect of reference frame on the reduction in the knee adduction moment by laterally wedged insoles.Twenty-nine healthy participants performed gait trials with a laterally wedged insole and with a flat insole as a control. The knee adduction moment, including the first and second peaks and the angular impulse, were calculated using four different reference frames: the femoral frame, tibial frame, laboratory frame and the Joint Coordinate System.There were significant effects of reference frame on the knee adduction moment first and second peaks (P < 0.001 for both variables, while the effect was not significant for the angular impulse (P = 0.84. No significant interaction between the gait condition and reference frame was found in either of the knee adduction moment variables (P = 0.99 for all variables, indicating that the effects of laterally wedged insole on the knee adduction moments were similar across the four reference frames. On the other hand, the average percent changes ranged from 9% to 16% for the first peak, from 16% to 18% for the second peak and from 17% to 21% for the angular impulse when using the different reference frames.The effects of laterally wedged insole on the reduction in the knee adduction moment were similar across the reference frames. On the other hand, Researchers need to recognize that when the percent change was used as the parameter of the efficacy of laterally wedged insole, the choice of reference frame may influence the interpretation of how laterally wedged insoles affect the knee adduction moment.

  12. Anterior Knee Pain (Chondromalacia Patellae).

    Science.gov (United States)

    Garrick, James G.

    1989-01-01

    This article presents a pragmatic approach to the definition, diagnosis, and management of anterior knee pain. Symptoms and treatment are described. Emphasis is on active involvement of the patient in the rehabilitation exercise program. (IAH)

  13. Anterior approach for knee arthrography

    International Nuclear Information System (INIS)

    Zurlo, J.V.; Towers, J.D.; Golla, S.

    2001-01-01

    Objective. To develop a new method of magnetic resonance arthrography (MRA) of the knee using an anterior approach analogous to the portals used for knee arthroscopy.Design. An anterior approach to the knee joint was devised mimicking anterior portals used for knee arthroscopy. Seven patients scheduled for routine knee MRA were placed in a decubitus position and under fluoroscopic guidance a needle was advanced from a position adjacent to the patellar tendon into the knee joint. After confirmation of the needle tip location, a dilute gadolinium solution was injected.Results and conclusion. All the arthrograms were technically successful. The anterior approach to knee MRA has greater technical ease than the traditional approach with little patient discomfort. (orig.)

  14. Influence of anterior segment biometric parameters on the anterior chamber angle width in eyes with angle closure.

    Science.gov (United States)

    Matsuki, Takaaki; Hirose, Fumitaka; Ito, Shin-Ichiro; Hata, Masayuki; Hirami, Yasuhiko; Kurimoto, Yasuo

    2015-02-01

    To predict angle narrowing in eyes with angle closure in a Japanese population using anterior segment optical coherence tomography (AS-OCT) quantitative parameters. AS-OCT was used to examine 118 eyes of 118 patients with angle closure and 40 eyes of 40 patients with open angle under dark conditions. After measuring the angle opening distance 500 (AOD500), anterior chamber depth, iris thickness (IT), iris convexity (IC), pupil diameter, anterior chamber width, and crystalline lens rise, multivariate regression analyses were performed for the AOD500 in each group. With the exception of IT, significant differences were observed between the AS-OCT parameters for the angle closure and open-angle groups. Anterior chamber depth, IT, and IC were the explanatory variables associated with AOD500 for each group (P≤0.001). A significant negative association was found between IT and IC only in the angle-closure group (Pchamber depth was a major mechanism of angle narrowing, and that both IT and IC had a strong impact on angle narrowing. Moreover, the negative association found between IT and IC in only the angle closure group indicated the existence of the stretch force placed on the iris by relative pupillary block.

  15. Radial head button holing: a cause of irreducible anterior radial head dislocation

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Su-Mi; Chai, Jee Won; You, Ja Yeon; Park, Jina [Seoul National University Seoul Metropolitan Government Boramae Medical Center, Department of Radiology, Seoul (Korea, Republic of); Bae, Kee Jeong [Seoul National University Seoul Metropolitan Government Boramae Medical Center, Department of Orthopedic Surgery, Seoul (Korea, Republic of)

    2016-10-15

    ''Buttonholing'' of the radial head through the anterior joint capsule is a known cause of irreducible anterior radial head dislocation associated with Monteggia injuries in pediatric patients. To the best of our knowledge, no report has described an injury consisting of buttonholing of the radial head through the annular ligament and a simultaneous radial head fracture in an adolescent. In the present case, the radiographic findings were a radial head fracture with anterior dislocation and lack of the anterior fat pad sign. Magnetic resonance imaging (MRI) clearly demonstrated anterior dislocation of the fractured radial head through the torn annular ligament. The anterior joint capsule and proximal portion of the annular ligament were interposed between the radial head and capitellum, preventing closed reduction of the radial head. Familiarity with this condition and imaging findings will aid clinicians to make a proper diagnosis and fast decision to perform an open reduction. (orig.)

  16. Open Chemistry: Realizing Open Data, Open Standards, and Open Source

    OpenAIRE

    Hanwell, Marcus; Harris, Chris; Lonie, David; Lutz, Kyle; Cole, David

    2012-01-01

    The Blue Obelisk has brought together the computational chemistry community and those who are passionate about Open Chemistry and realizing the promise of Open Data, Open Standards, and Open Software (ODOSOS); the three pillars the group promotes. We will present current work that has taken place over the past five years, which is inspired by these pillars, and present plans for future work.The group is actively engaged in multiple open source projects that rely on and promote open standards ...

  17. Wedge and spring assembly for securing coils in electromagnets and dynamoelectric machines

    Science.gov (United States)

    Lindner, M.; Cottingham, J.G.

    1996-03-12

    A wedge and spring assembly for use in electromagnets or dynamoelectric machines is disclosed having a housing with an axis therethrough and a plurality of coils supported on salient poles that extend radially inward from the housing toward the housing axis to define a plurality of interpole spaces. The wedge and spring assembly includes a nonmagnetic retainer spring and a nonmagnetic wedge. The retainer spring is formed to fit into one of the interpole spaces, and has juxtaposed ends defining between them a slit extending in a direction generally parallel to the housing axis. The wedge for insertion into the slit provides an outwardly directed force on respective portions of the juxtaposed ends to expand the slit so that respective portions of the retainer spring engage areas of the coils adjacent thereto, thereby resiliently holding the coils against their respective salient poles. The retainer spring is generally triangular shaped to fit within the interpole space, and the wedge is generally T-shaped. 6 figs.

  18. Modeling linear Rayleigh wave sound fields generated by angle beam wedge transducers

    Directory of Open Access Journals (Sweden)

    Shuzeng Zhang

    2017-01-01

    Full Text Available In this study, the reciprocity theorem for elastodynamics is transformed into integral representations, and the fundamental solutions of wave motion equations are obtained using Green’s function method that yields the integral expressions of sound beams of both bulk and Rayleigh waves. In addition to this, a novel surface integral expression for propagating Rayleigh waves generated by angle beam wedge transducers along the surface is developed. Simulation results show that the magnitudes of Rayleigh wave displacements predicted by this model are not dependent on the frequencies and sizes of transducers. Moreover, they are more numerically stable than those obtained by the 3-D Rayleigh wave model. This model is also applicable to calculation of Rayleigh wave beams under the wedge when sound sources are assumed to radiate waves in the forward direction. Because the proposed model takes into account the actual calculated sound sources under the wedge, it can be applied to Rayleigh wave transducers with different wedge geometries. This work provides an effective and general tool to calculate linear Rayleigh sound fields generated by angle beam wedge transducers.

  19. Very Distal Radius Wedge Osteotomy for Kienböck's Disease: Case Series.

    Science.gov (United States)

    Okubo, Hirotaka; Futenma, Chojo; Sunagawa, Hideyuki; Kinjo, Masaki; Kanaya, Fuminori

    2017-12-01

    Radius osteotomy is one of the standard surgical procedures for the treatment of Kienböck's disease. Unfortunately, radius osteotomy can result in an incongruous distal radio-ulnar joint (DRUj) postoperatively, because the procedure is performed proximal to the DRUj. A very distal radius wedge osteotomy was performed as a 15-degree lateral closing wedge osteotomy with the apex of the wedge distal to that of conventional lateral closing wedge osteotomy; this procedure was developed to avoid postoperative incongruous DRUj. We performed this procedure on 6 patients (stage III-A: 1, stage III-B: 5) with a mean age of 49 years. Clinical and radiographic evaluations were performed at a mean follow-up of 32 months. Wrist pain disappeared in all patients. Mean grip strength improved from 35% to 87% of the contralateral side (p = 0.0255). Mean range of motion, measured as flexion-extension arc, improved from 93 to 128 degrees. Nakamura's score was good in all patient. Mean lunate covering ratio increased from 61% to 90% (p = 0.0151) and mean sigmoid notch inclination angle, a radiographic parameter of DRUj congruency, was not significantly different between pre-operative and final follow-up evaluation. No clinical or radiographic DRUj osteoarthritis findings were observed. Our procedure of very distal radius wedge osteotomy provided satisfactory clinical results without an incongruous DRUj. This technique might prevent the occurrence of postoperative DRUj osteoarthritis.

  20. Characterizing and configuring motorized wedge for a new generation telecobalt machine in a treatment planning system

    Directory of Open Access Journals (Sweden)

    Kinhikar Rajesh

    2007-01-01

    Full Text Available A new generation telecobalt unit, Theratron Equinox-80, (MDS Nordion, Canada has been evaluated. It is equipped with a single 60-degree motorized wedge (MW, four universal wedges (UW for 150, 300, 450 and 600. MW was configured in Eclipse (Varian, Palo Alto, USA 3D treatment planning system (TPS. The profiles and central axis depth doses (CADD were measured with radiation field analyzer blue water phantom for MW. These profiles and CADD for MW were compared with UW in a homogeneous phantom generated in Eclipse for various field sizes. The absolute dose was measured for a field size of 10 x 10 cm2 only in a MEDTEC water phantom at 10 cm depth with a 0.13 cc thimble ion chamber (Scanditronix Wellhofer, Uppsala, Sweden and a NE electrometer (Nuclear Enterprises, UK. Measured dose with ion chamber was compared with the TPS predicted dose. MW angle was verified on the Equinox for four angles (15o, 30o, 45o and 60o. The variation in measured and calculated dose at 10 cm depth was within 2%. The measured and the calculated wedge angles were in well agreement within 2o. The motorized wedges were successfully configured in Eclipse for four wedge angles.

  1. Toxic anterior segment syndrome following deep anterior lamellar keratoplasty

    Directory of Open Access Journals (Sweden)

    Neslihan Sevimli

    Full Text Available ABSTRACT We present the case of a 31-year-old patient with toxic anterior segment syndrome (TASS that developed after undergoing deep anterior lamellar keratoplasty (DALK. She had keratoconus, and despite wearing hard contact lenses for many years in the left eye, her vision had deteriorated; therefore, DALK was performed on this eye. The preoperative visual acuity (VA was finger counting at 3 m. Routine DALK was performed using the "big-bubble" technique. The corneal entry incision was hydrated at the end of the surgery, which was terminated by air injection into the anterior chamber. On postoperative day 1, VA was at the level of hand movements, and the cornea was edematous. Topical high-dose dexamethasone and oral steroids were initiated considering the diagnosis of TASS. Subsequently, the patient's VA increased, and the corneal edema decreased. We believe that the use of re-sterilized cannulas may have been the likely cause of TASS. Although DALK can be performed without interfering with the anterior chamber, one should keep in mind that TASS may occur in response to the solution used to hydrate the incision site and the air injected into the anterior chamber.

  2. Sonourethrography in the evaluation of anterior urethral strictures

    International Nuclear Information System (INIS)

    Kim, Jong Chul; Kwag, Jin Geun

    1994-01-01

    To determine the reliability of sonourethrography (SUG) in the evaluation of male anterior urethral strictures. Both SUG with retrograde saline infusion and retrograde urethrography (RUG) were performed in 5 young normal volunteers and 20 patients with symptoms of impaired urine flow. Those findings were compared with urethroscopic and operative findings in all patients. SUG was more accurate in the evaluation of the stricture length and degree than RUG in 7 patients with anterior urethral strictures, when compared with their subsequent open urethroplasty findings. Only SUG could classify the degree of spongiofibrosis surrounding the strictures in 15 patients. So, SUG was diagnostically as efficacious as or, superior to, RUG in all 20 patients. SUG can be used as one of complementary and reliable tools for diagnosis, evaluation and follow-up of anterior urethral strictures

  3. Anterior ankle arthroscopy, distraction or dorsiflexion?

    NARCIS (Netherlands)

    de Leeuw, P.A.J.; Golanó, P.; Clavero, J.A.; van Dijk, C.N.

    2010-01-01

    Anterior ankle arthroscopy can basically be performed by two different methods; the dorsiflexion- or distraction method. The objective of this study was to determine the size of the anterior working area for both the dorsiflexion and distraction method. The anterior working area is anteriorly

  4. Effectiveness of a Wedge Probe to Measure Sonic Boom Signatures in a Supersonic Wind Tunnel

    Science.gov (United States)

    Wilcox, Floyd J., Jr.; Elmiligui, Alaa A.

    2013-01-01

    A wind tunnel investigation was conducted in the Langley Unitary Plan Wind Tunnel (UPWT) to determine the effectiveness of a wedge probe to measure sonic boom pressure signatures compared to a slender conical probe. A generic business jet model at a constant angle of attack and at a single model to probe separation distance was used to generate a sonic boom signature. Pressure signature data were acquired with both the wedge probe and a slender conical probe for comparison. The test was conducted at a Mach number of 2.0 and a free-stream unit Reynolds number of 2 million per foot. The results showed that the wedge probe was not effective in measuring the sonic boom pressure signature of the aircraft model in the supersonic wind tunnel. Data plots and a discussion of the results are presented. No tabulated data or flow visualization photographs are included.

  5. Carpal boss: destabilization of the third carpometacarpal joint after a wedge excision.

    Science.gov (United States)

    Citteur, J M; Ritt, M J; Bos, K E

    1998-02-01

    In a standard carpal boss procedure, the dorsal ligament of the involved carpometacarpal joint is cut in the process of performing a wedge excision. We studied the effect of such a dorsal ligament sectioning on the joint between the capitate and middle metacarpal bone in ten fresh-frozen wrist specimens. The passive range of motion of this joint was measured with the joint loaded into flexion and extension and in the unloaded neutral position. After the dorsal ligament of the carpometacarpal joint was cut, simulating a dorsal wedge excision, the passive range of motion was measured again. Analysis indicated that this simulated wedge excision approximately doubled the passive range of motion of the carpometacarpal joint. This study shows that such a procedure disturbs the normal anatomy and creates instability of the involved joint.

  6. A quantum hybrid with a thin antenna at the vertex of a wedge

    Energy Technology Data Exchange (ETDEWEB)

    Carlone, Raffaele, E-mail: raffaele.carlone@unina.it [Università “Federico II” di Napoli, Dipartimento di Matematica e Applicazioni “R. Caccioppoli”, MSA, via Cinthia, I-80126, Napoli (Italy); Posilicano, Andrea, E-mail: andrea.posilicano@uninsubria.it [DiSAT, Università dell' Insubria, via Valleggio 11, I-22100, Como (Italy)

    2017-03-26

    We study the spectrum, resonances and scattering matrix of a quantum Hamiltonian on a “hybrid surface” consisting of a half-line attached by its endpoint to the vertex of a concave planar wedge. At the boundary of the wedge, outside the vertex, homogeneous Dirichlet conditions are imposed. The system is tunable by varying the measure of the angle at the vertex. - Highlights: • Spectral characterization of a quantum Hamiltonian on “hybrid surface” consisting of a halfline attached to the vertex of a concave planar wedge. • The system is tunable by varying the measure of the angle at the vertex. • Relation between the conduction properties inside the hybrid and formation of resonances. • Easy generalization of the results to more complicated structures.

  7. The synthesis and adsorption properties of some carbohydrate-terminated dendrimer wedges

    CERN Document Server

    Ainsworth, R L

    1997-01-01

    A range of dendritic molecules that are designed to bind to a cotton surface has been synthesised. The architecture of the molecules allows the location of various functional, property modifying units at the focus and the attachment of recognition groups at the periphery of a dendritic molecule with wedge topology. The synthesis and characterisation of dendrimer wedges up to the second generation using a divergent approach has been performed. These wedges are readily built up using a simple and efficient stepwise pathway from the central core, and surface recognising species are subsequently attached to the molecule utilising procedures developed in conjunction with Unilever Research Laboratories. Work has been carried out to assess their adsorption onto a cotton surface and the postulated adsorption mechanism is discussed.

  8. Anterior cruciate ligament reconstruction: principles of treatment

    Science.gov (United States)

    Paschos, Nikolaos K.; Howell, Stephen M.

    2016-01-01

    Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures in sports medicine. Several areas of controversy exist in ACL tear management which have engaged surgeons and researchers in debates towards identifying an ideal approach for these patients. This instructional review discusses the principles of ACL reconstruction in an attempt to provide guidelines and initiate a critical thinking approach on the most common areas of controversy regarding ACL reconstruction. Using high-level evidence from the literature, as presented in randomised controlled trials, systematic reviews, and meta-analyses, operative versus conservative treatment, timing of surgery, and rehabilitation are discussed. Also, the advantages and disadvantages of the most common types of autografts, such as patellar tendon and hamstrings as well as allografts are presented. Key considerations for the anatomical, histological, biomechanical and clinical data (‘IDEAL’) graft positioning are reviewed. Cite this article: Paschos NK, Howell SM. Anterior cruciate ligament reconstruction: principles of treatment. EFORT Open Rev 2016;398-408. DOI: 10.1302/2058-5241.1.160032. PMID:28461919

  9. Application of super-omni wedge concept to conformal radiotherapy treatment planning

    International Nuclear Information System (INIS)

    Dai Jianrong; Fu Weihua; Hu Yimin

    2004-01-01

    Objective: To describe a method which can optimize beam weight, wedge angle, and wedge orientation simultaneously by combining the super-omni wedge (SOW) concept with the function of beam weight optimization provided by a commercial treatment planning system. Methods: A five-step procedure including: Step 1. To set up four 60 degree nominal wedged beams for each beam direction with the wedge orientations of 'LEFT', 'IN', 'RIGHT', 'OUT', respectively; Step 2. To define an optimization request, including an optimization goal and constraints. Authors use CMS Focus treatment planning system which allows us to choose 'maximize target dose' or 'minimize critical structure dose' as the optimization goal, and to set minimum target dose, maximum target dose, and maximum average dose of critical structures as constraints. Then the optimization process was launched as step 3; Step 4. To evaluate the plan using isodose distributions and dose-volume histograms. If acceptable, go to Step 5. Otherwise, go back to Step 2 to modify optimization constraints; and Step 5. Transform the SOW beams into the beams of omni wedge so as to reduce the number of to-be-delivered beams. Results: This procedure was found being able to demonstrate successfully in two clinical cases: an esophageal carcinoma and a brain tumor. Compared with manually designed plan, the optimized plan showed better dose homogeneity in the targets and better sparing of the critical structures. Conclusions: This method described is able to optimize beam weights while working with a treatment planning system. Not only does it improve treatment plans' quality, but also shorten the treatment planning process

  10. P-wave anisotropy, mantle wedge flow and olivine fabrics beneath Japan

    Science.gov (United States)

    Liu, Xin; Zhao, Dapeng

    2017-09-01

    We present a new 3-D anisotropic P-wave velocity (Vp) model for the crust and upper mantle of the Japan subduction zone obtained by inverting a large number of high-quality P-wave traveltime data of local earthquakes and teleseismic events. By assuming orthorhombic anisotropy with a vertical symmetry axis existing in the modeling space, isotropic Vp tomography and 3-D Vp azimuthal and radial anisotropies are determined simultaneously. According to a simple flow field and the obtained Vp anisotropic tomography, we estimate the distribution of olivine fabrics in the mantle wedge. Our results show that the forearc mantle wedge above the subducting Pacific slab beneath NE Japan exhibits an azimuthal anisotropy with trench-parallel fast velocity directions (FVDs) and Vhf > Vv > Vhs (here Vv is Vp in the vertical direction, Vhf and Vhs are P-wave velocities in the fast and slow directions in the horizontal plane), where B-type olivine fabric with vertical trench-parallel flow may dominate. Such an anisotropic feature is not obvious in the forearc mantle wedge above the Philippine Sea (PHS) slab under SW Japan, probably due to higher temperatures and more fluids there associated with the young and warm PHS slab subduction. Trench-normal FVDs and Vhf > Vv > Vhs are generally revealed in the mantle wedge beneath the arc and backarc in Japan, where E-type olivine fabric with FVD-parallel horizontal flow may dominate. Beneath western Honshu, however, the mantle wedge exhibits an anisotropy of Vv > Vhf > Vhs and so C-type olivine fabric may dominate, suggesting that the water content is the highest there, because both the PHS and Pacific slabs exist there and their dehydration reactions release abundant fluids to the overlying mantle wedge.

  11. Quantitative comparisons of analogue models of brittle wedge dynamics

    Science.gov (United States)

    Schreurs, Guido

    2010-05-01

    Analogue model experiments are widely used to gain insights into the evolution of geological structures. In this study, we present a direct comparison of experimental results of 14 analogue modelling laboratories using prescribed set-ups. A quantitative analysis of the results will document the variability among models and will allow an appraisal of reproducibility and limits of interpretation. This has direct implications for comparisons between structures in analogue models and natural field examples. All laboratories used the same frictional analogue materials (quartz and corundum sand) and prescribed model-building techniques (sieving and levelling). Although each laboratory used its own experimental apparatus, the same type of self-adhesive foil was used to cover the base and all the walls of the experimental apparatus in order to guarantee identical boundary conditions (i.e. identical shear stresses at the base and walls). Three experimental set-ups using only brittle frictional materials were examined. In each of the three set-ups the model was shortened by a vertical wall, which moved with respect to the fixed base and the three remaining sidewalls. The minimum width of the model (dimension parallel to mobile wall) was also prescribed. In the first experimental set-up, a quartz sand wedge with a surface slope of ˜20° was pushed by a mobile wall. All models conformed to the critical taper theory, maintained a stable surface slope and did not show internal deformation. In the next two experimental set-ups, a horizontal sand pack consisting of alternating quartz sand and corundum sand layers was shortened from one side by the mobile wall. In one of the set-ups a thin rigid sheet covered part of the model base and was attached to the mobile wall (i.e. a basal velocity discontinuity distant from the mobile wall). In the other set-up a basal rigid sheet was absent and the basal velocity discontinuity was located at the mobile wall. In both types of experiments

  12. Porous Flow and Diffusion of Water in the Mantle Wedge: Melting and Hydration Patterns

    Science.gov (United States)

    Conder, J. A.

    2005-12-01

    It is widely accepted that melting at volcanic arcs is primarily triggered by fluxing the mantle wedge from the dehydrating subducting slab. However, there is less concensus regarding how water moves into and within the mantle wedge. There are at least four possible mechanisms for water migration in the wedge: buoyant porous flow, diffusion through mineral crystals, advection of hydrated minerals, and compositionally buoyant diapers. The latter two mechanisms require at least one of the first two to occur to get water from the slab into the wedge before they can function. Using geodynamic models of mantle flow in a simplified subduction setting, we explore the implications of diffusion and porous flow of water in the wedge, particularly as they would affect the time for recycling water through the subduction factory and the predicted pattern of basalt hydration across the arc. The slab is assumed to dehydrate in a continuous fashion as the solubility of water in subducted oceanic crust decreases with temperature and pressure and the water then enters the wedge via one of the two transport mechanisms. Diffusion is controlled by temperature and by which minerals are present. Although olivine dominates the mantle mineral fraction, pyroxenes may control the diffusion of water in the wedge as the diffusivity of pyroxene is one or more orders of magnitude greater than olivine. Even assuming the faster diffusion rate of orthopyroxene in the models, diffusion can only be an important transport mechanism when subduction rates are slower than ~3 cm/yr. Flux melting occurs in the wedge above where the slab is ~100-160 km deep with the maximum above where the slab is ~120 km deep. Models including porous flow can result in melting at higher subduction rates provided the permeability of the mantle is greater than 10-17 m2. The true magnitude of the permeability likely varies with the corresponding porosity created by the free phase. With porous flow, melting occurs 20-30 km

  13. The AMS dating of pollen from syngenetic ice-wedge ice

    Energy Technology Data Exchange (ETDEWEB)

    Vasil' chuk, Alla C. E-mail: vasilch@orc.ru; Kim, Jong-Chan; Vasil' chuk, Yurij K

    2004-08-01

    The features of pollen occurrence in ice-wedge ice such as: size of pollen of tundra plants, incoming pollen into frost cracks together with melt water, dust and partially from host sediment and also clay envelopes around pollen grains caused the pretreatment methods of ice-wedge ice samples. Good preservation of thin-wall pollen grains of Salix and Liliaceae after pretreatment evidenced appropriate pretreatment procedure. There is evident correlation between pollen dates and re-deposited pollen and spores content. However an interpretation of {sup 14}C dating of pollen concentrate is required independent time scale such as annual laminas or the AMS dates of macro or microfossils.

  14. [Radiocarbon dating of pollen and spores in wedge ice from Iamal and Kolyma].

    Science.gov (United States)

    Vasil'chuk, A K

    2004-01-01

    Radiocarbon dating of pollen concentrate from late Pleistocene syngenetic wedge ice was carried out using acceleration mass spectrometry (AMS) in Seyakha and Bizon sections. Comparison of the obtained dating with palynological analysis and AMS radiocarbon dating previously obtained for other organic fractions of the same samples allowed us to evaluate accuracy of dating of different fractions. Quantitative tests for data evaluation were considered in terms of possible autochthonous or allochthonous accumulation of the material on the basis of pre-Pleistocene pollen content in these samples. Paleoecological information content of pollen spectra from late Pleistocene syngenetic wedge ice was evaluated.

  15. The importance of mantle wedge heterogeneity to subduction zone magmatism and the origin of EM1

    Science.gov (United States)

    Turner, Stephen J.; Langmuir, Charles H.; Dungan, Michael A.; Escrig, Stephane

    2017-08-01

    The composition of the convecting asthenospheric mantle that feeds the mantle wedge can be investigated via rear-arc lavas that have minimal slab influence. This "ambient mantle wedge" composition (the composition of the wedge prior to the addition of a slab component) varies substantially both worldwide and within individual arcs. 143Nd/144Nd measurements of rear-arc samples that have minimal slab influence are similar to 143Nd/144Nd in the stratovolcanoes of the adjacent volcanic fronts, suggesting that 143Nd/144Nd of arc-front volcanics are largely inherited from the ambient mantle composition. 143Nd/144Nd correlates with ratios such as Th/U, Zr/Nb, and La/Sm, indicating that these ratios also are strongly influenced by ambient wedge heterogeneity. The same phenomenon is observed among individual volcanoes from the Chilean Southern Volcanic Zone (SVZ), where along-strike variability of the volcanic front tracks that of rear-arc monogenetic volcanics. Depleted mantle wedges are more strongly influenced by slab-derived components than are enriched wedges. This leads to surprising trace element correlations in the global dataset, such as between Pb/Nb and Zr/Nb, which are not explicable by variable compositions or fluxes of slab components. Depleted ambient mantle is present beneath arcs with back-arc spreading; relatively enriched mantle is present adjacent to continents. Ambient mantle wedge heterogeneity both globally and regionally forms isotope mixing trajectories for Sr, Nd and Hf between depleted mantle and EM1-type enriched compositions as represented by Gough Island basalts. Making use of this relationship permits a quantitative match with the SVZ data. It has been suggested that EM1-type mantle reservoirs are the result of recycled lower continental crust, though such models do not account for certain trace element ratios such as Ce/Pb and Nb/U or the surprisingly homogeneous trace element compositions of EM1 volcanics. A model in which the EM1 end

  16. Monte Carlo simulation of the Varian Clinac 600C accelerator using dynamic wedges

    International Nuclear Information System (INIS)

    Moreno, S.; Chaves, A.; Lopes, M.C.; Peralta, L.; Universidade de Lisboa

    2004-01-01

    The advent of linear accelerators (linac) with computer-controlled dynamic collimation systems and functional and anatomical imaging techniques allowed a more exact delimitation and localisation of the target volume. These advanced treatment techniques inevitably increase the complexity level of dose calculation because of the introduction of the temporal variable. On account of this, it is mandatory the usage of more accurate modelling techniques of the collimator components, as it is the case of Monte Carlo (MC) simulation, which has created an enormous interest in research and clinical practice. Because the patients bodies are not homogenous nor are their body surfaces plane and regular, the dose distribution may differ significantly from the standard distribution from the linac calibration. It is in the treatment planning systems, which include algorithms that are usually measured in homogeneous water phantoms specific for each correction that the dose distributions from each case are obtained. In a real treatment, exception made to superficial lesions, two or more radiation fields are used in order to obtain the recommended dose distributions. The simplest arrangement is made from two parallel and opposed fields that originate a homogeneous dose distribution in almost all the irradiated volume. The available resources are, for example, different types of energies and of radiation, the application of bolus, the protection of healthy structures, the usage of wedged filters and the application of dynamic wedges. A virtual or dynamic wedge, modelled through the movement of one of the jaws, when compared with a set of physical wedges offers an alternative calculation method of an arbitrary number of wedged fields, instead of the four traditional fields of 15 deg, 30 deg, 45 deg and 60 deg angle and obtained with physical wedges. The goal of this work consists in the study of the application of dynamic wedges in tailoring the radiation field by the Varian Clinac 600

  17. Evaluation of the anterior chamber angle in pseudoexfoliation syndrome.

    Science.gov (United States)

    Iwanejko, Małgorzata; Turno-Kręcicka, Anna; Tomczyk-Socha, Martyna; Kaczorowski, Kamil; Grzybowski, Andrzej; Misiuk-Hojło, Marta

    2017-08-01

    Pseudoexfoliation syndrome (PEX) is the most frequently identifiable cause of secondary open-angle glaucoma, known as pseudoexfoliation glaucoma. The exact pathophysiology and etiology of PEX and associated glaucoma remains obscure. The purpose of this study was to determine the differences in the morphology of the anterior chamber angle in people with pseudoexfoliation syndrome and pseudoexfoliation glaucoma compared to a control group. We also evaluated the correlation between intraocular pressure (IOP) and pigmentation of the angle with the amount of exfoliated material in the anterior segment. The study group was composed of 155 eyes from 103 patients aged between 43 and 86 years. Each patient underwent a complete ophthalmological examination. Some difference was found in intraocular pressure between the PEX group and the control group and between the pseudoexfoliation glaucoma group and the control group, but no significant difference was found between the 2 study groups. There was a significant difference in the incidence of some degree of pigmentation in the anterior chamber angle and no difference in the widths of the angle between each group. A significant positive relationship was observed between intraocular pressure and the degree of pigmentation of the anterior chamber angle in both the PEX group and the pseudoexfoliation glaucoma group. The results of this study indicate that the amount of pigmentation and exfoliation material in the anterior segment significantly correlates with the level of IOP and possibly with the degree of trabecular dysfunction. It seems that for clear identification of PEX and pseudoexfoliation glaucoma factors, clinical assessment appears to be insufficient.

  18. Anterior ethmoid anatomy facilitates dacryocystorhinostomy.

    Science.gov (United States)

    Blaylock, W K; Moore, C A; Linberg, J V

    1990-12-01

    The ethmoid air cell labyrinth lies adjacent to the medial orbital wall, extending even beyond the sutures of the ethmoid bone. Its anatomic relationship to the lacrimal sac fossa is important in lacrimal surgery. We evaluated computed tomographic scans of 190 orbits with normal ethmoid anatomy to define the anatomic relationship of anterior ethmoid air cells to the lacrimal sac fossa. In 93% of the orbits, the cells extended anterior to the posterior lacrimal crest, with 40% entering the frontal process of the maxilla. This anatomic relationship may be used to facilitate the osteotomy during dacryocystorhinostomy. During a 10-year period (310 cases), one of us routinely entered the anterior ethmoid air cells to initiate the osteotomy during dacryocystorhinostomy. This technique has helped to avoid lacerations of the nasal mucosa.

  19. Anterior Cruciate Ligament Strain In Vivo

    Science.gov (United States)

    Luque-Seron, Juan Antonio; Medina-Porqueres, Ivan

    2016-01-01

    Context: Distinct exercises have been proposed for knee rehabilitation after anterior cruciate ligament (ACL) reconstruction. There is a need to understand ACL strain behavior during different rehabilitation exercises to protect the graft from excessive strain that could interfere with its healing process. Objective: To critically review studies that directly measured normal ACL strain in vivo during different movements, conditions, or exercises to gain insight into which of them may produce more strain on the ligament or the ligament graft in the case of reconstructed knees. Data Sources: A literature search of PubMed, CINAHL, SPORTDiscus, and PEDro databases was conducted. Keywords included anterior cruciate ligament, strain, stress, deformation, transducer, rehabilitation, rehabilitation exercise, physical therapy, and physiotherapy. Study Selection: Inclusion criteria were (1) peer-reviewed studies published in English or Spanish, (2) research conducted on adult human subjects with normal ACLs and healthy knees, and (3) ACL strain directly measured during different movements, conditions, or exercises by using a transducer. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Specific data were abstracted from the selected studies, including isometric quadriceps and hamstrings activity, active and passive flexion-extension of the knee, closed kinetic chain exercises, and application of joint compressive load. Results: A total of 10 studies met all criteria and were included in the final analysis. The strain values produced by closed kinetic chain and open kinetic chain exercises were similar. However, closed kinetic chain exercises appear to attenuate the strain increase that occurs in open kinetic chain exercises when increasing resistance. Conclusion: These data may be relevant to develop rehabilitation exercises or programs that do not endanger the healing ACL graft and to provide a basis for future clinical trials. PMID:27418161

  20. Galvanic vestibular stimulation may improve anterior bending posture in Parkinson's disease.

    Science.gov (United States)

    Okada, Yohei; Kita, Yorihiro; Nakamura, Junji; Kataoka, Hiroshi; Kiriyama, Takao; Ueno, Satoshi; Hiyamizu, Makoto; Morioka, Shu; Shomoto, Koji

    2015-05-06

    This study investigated the effects of binaural monopolar galvanic vestibular stimulation (GVS), which likely stimulates the bilateral vestibular system, on the anterior bending angle in patients with Parkinson's disease (PD) with anterior bending posture in a single-blind, randomized sham-controlled crossover trial. The seven PD patients completed two types of stimulation (binaural monopolar GVS and sham stimulation) applied in a random order 1 week apart. We measured each patient's anterior bending angles while he or she stood with eyes open and eyes closed before/after the stimulations. The anterior bending angles in both the eyes-open and the eyes-closed conditions were significantly reduced after the GVS. The amount of change in the eyes-closed condition post-GVS was significantly larger than that by sham stimulation. The amount of change in anterior bending angles in the GVS condition was not significantly correlated with Unified Parkinson's Disease Rating Scale motor score, disease duration, the duration of the postural deformities, and the anterior bending angles before the GVS. Binaural monopolar GVS might improve anterior bending posture in PD patients, irrespective of the duration and the severity of disease and postural deformities. Binaural monopolar GVS might be a novel treatment strategy to improve anterior bending posture in PD.

  1. On the opening of premixed Bunsen flame tips

    Science.gov (United States)

    Law, C. K.; Ishizuka, S.; Cho, P.

    1982-01-01

    The local extinction of Bunsen flame tip and edges of hydrocarbon/air premixtures has been experimentally investigated using a variety of burners. Results show that, while for both rich propane/air and butane/air mixtures tip opening occurs at a constant fuel equivalence ratio of 1.44 and is therefore independent of the intensity, uniformity, and configuration of the approach flow, for rich methane/air flames burning is intensified at the tip and therefore opening is not possible. These results substantiate the concept and dominance of the diffusional stratification mechanism in causing extinction, and clarify the theoretical predictions on the possible opening of two-dimensional flame wedges.

  2. Anatomic anterior cruciate ligament reconstruction: reducing anterior tibial subluxation

    NARCIS (Netherlands)

    Muller, Bart; Duerr, Eric R. H.; van Dijk, C. Niek; Fu, Freddie H.

    2016-01-01

    To measure and compare the amount of anterior tibial subluxation (ATS) after anatomic ACL reconstruction for both acute and chronic ACL-deficient patients. Fifty-two patients were clinically and radiographically evaluated after primary, unilateral, anatomic ACL reconstruction. Post-operative true

  3. The effect of shoe design and lateral wedges on knee load and neuromuscular control in healthy subjects during walking

    DEFF Research Database (Denmark)

    Mølgaard, Carsten Møller; Kersting, Uwe G.

    2013-01-01

    and second peak knee adduction moments. However, the variability of this moment between shoe designs was of similar magnitude as the effect of laterally wedged insoles. Only marginal changes in muscle activity for gastrocnemius when walking with the wedged Oxford shoe were revealed. Conclusion: Lateral...

  4. The effect of shoe design and lateral wedges on knee load and neuromuscular control in healthy subjects during walking

    DEFF Research Database (Denmark)

    Mølgaard, Carsten; Kersting, Uwe G.

    2014-01-01

    design/type on the effectiveness of lateral wedging has not been investigated so far. The Purpose of the present study was to explore alterations in knee loading due to lateral foot wedges in three different shoes. Methods: Thirteen healthy participants with no history of knee pain were tested using...

  5. [Craniomandibular relations and anti-gravity posture: stabilometric study disclusion wedges].

    Science.gov (United States)

    Decocq, Philippe; Honoré, Jacques; Auclair-Assaad, Catherine; Sequeira, Henrique; Bocquet, Emmanuelle

    2015-06-01

    Cephalometric parameters are thought to influence static posture. The present work evaluates the relationships between skeletal class or facial divergency, on one hand, and body posture, on the other hand. ANB and FMA angles were measured from profile cephalograms in twenty healthy adults. From each, stabilograms were recorded, with eyes open or shut, and with or without disclusion splints. Without splints, ANB and FMA proved to correlate with the accuracy of postural control. Adding splints changes the average position of the center of pressure exerted on the ground by the body, the anterior-posterior axis, and this effect is consistent with that of the typology. It also alters the displacement of the center of pressure on the same axis. These effects depend on whether the eyes are open or closed. The data reinforces the notion of the impact of cephalometric parameters and their mechanical changes on the static posture. They invite us to take greater account of postural impact of splints used in orthodontic practice. © EDP Sciences, SFODF, 2015.

  6. Latest Pleistocene Sediment Wedge on the New Jersey Outer Continental Shelf - Forced Regressive Paleo-Hudson Delta?

    Science.gov (United States)

    Santra, M.; Goff, J. A.; Steel, R. J.

    2011-12-01

    The offlapping sediment wedge on the outer shelf off New Jersey that overlies the regional reflector R-horizon shows many of the characteristic features of a progradational succession deposited during falling sea level (forced regression). This interpretation is consistent with the estimated latest Pleistocene age of the wedge - a well-established period of large-scale eustatic sea level fall. The sediment wedge occupies the outer shelf of New Jersey south of the Hudson Shelf Valley, extending down to the shelf edge. The sediment wedge appears to be strongly strike-oriented. The absence of any record of time-equivalent fluvial/distributary channels on the proximal part of the sediment wedge led some previous workers to the interpretation that the wedge was a product of redistribution of sediment on the shelf rather than a deltaic feature supplied by a fluvial source. The absence of fluvial and coastal plain deposits capping the proximal end of the wedge is actually a characteristic feature of forced regressive deposits and does not preclude a fluvial source for the sediments constituting the wedge. Reinterpretation of high-resolution (1-12 kHz), deep-towed and hull-mounted CHIRP seismic data collected on the New Jersey outer shelf in 2001, 2002 and 2006 shows possible terminal distributary channel deposits and mass transport deposits preserved in the distal part of the wedge that have not been described previously. These channel-like features are restricted in their distribution and their preservation in the sedimentary record is possibly due to punctuated sea-level rise within the overall falling trajectory of sea level that preceded the last glacial maximum (LGM). The presence of these channels and the mass transport complexes point to a direct fluvial feeder, which supplied the sediments to build the sediment wedge on New Jersey outer continental shelf. Detailed mapping of the sediment wedge using the CHIRP data shows that the sediment wedge is composed of

  7. Período seco anterior e período de serviço sobre a produção de leite e gordura na raça Holandesa no estado de Minas Gerais Previous days dry and days open on milk and fat yield in the Holstein cows of Minas Gerais State - Brazil

    Directory of Open Access Journals (Sweden)

    Antonio Ilson Gomes de Oliveira

    1999-01-01

    Full Text Available Para estudar efeitos dos períodos seco anterior (PSA e de serviço (PSER sobre produção de leite (L305 e gordura (G305 em até 305 dias de lactação e produção de leite (LDIA e gordura (GDIA por dia de intervalo de parto em vacas holandesas, 5454 lactações foram analisadas, provenientes dos arquivos de Controle Leiteiro da ACGHMG. Efeitos de núcleo (5, rebanho-ano:núcleo, grupo genético (1- 31/32 Holandês, 2- PC com geração controlada, GC's, e 3- PO, estação-idade ao parto em classe, período seco anterior (28 classes, período de serviço (21 classes e duração da lactação (efeito linear foram considerados no modelo. As médias, os erros-padrão e coeficientes de variação para L305, G305, LDIA e GDIA foram, respectivamente, 5.721,60 (13,87 kg - CV= 17,90%, 191,04(0,46 kg - CV = 18,20%, 15,04(0,04 kg - CV = 18,02% e 0,5041(0,0011kg - CV= 17,66%. Maior PSER foi associado à menor L305, G305, LDIA e GDIA, definidos pelas equações: L305 = 5.982,93 - 4,3042 PSER (R² = 85,15% e LDIA = 19,4569 - 0,04289 PSER (R² = 98,87%. As relações entre estas características com as médias das classes de PSA foram descritas por equações cúbicas: L305 = 4.910,70 + 14,0799 PSA - 0,0877 PSA² + 0,00016 PSA³ (R² = 53,99% e LDIA = 12,62 + 0,0396 PSA - 0,00025 PSA² + 0,00000045 PSA³ (R² = 56,58%. Os demais fatores também influenciaram todas as características avaliadas. O ajustamento, principalmente de LDIA e GDIA para período de serviço, deverá ser importante nas avaliações genéticas.To evaluate the effect of previous days dry (PDD and days open (DO on milk (M305 and fat (F305 yield in 305 days and milk (MDAY and fat (FDAY yield per day of calving interval in Holstein cows, a data set contained 5,454 lactations from the Minas Gerais Holstein Cattle Breeders Association were analyzed. The model included effects of: nucleus (5, heard-year: nucleus, genetic group (1- 31/32 Holstein, 2- upgraded Holstein with known genealogy and 3

  8. Comparison of anterior segment morphology following prophylactic laser peripheral iridotomy in Caucasian and Chinese eyes.

    Science.gov (United States)

    Lee, Roland Y; Kasuga, Toshimitsu; Cui, Qi N; Huang, Guofu; He, Mingguang; Lin, Shan C

    2014-07-01

    To compare anterior segment biometric parameters between Caucasians and Chinese before and after laser peripheral iridotomy. Prospective clinical cohort study. Caucasian and Chinese primary angle-closure suspects. Anterior segment optical coherence tomography images captured before and after laser peripheral iridotomy were analysed to measure anterior segment biometric parameters. Paired Student's t-tests were used for within-ethnic group comparisons. Univariate and linear mixed-effect regression models were used for between-ethnic group comparisons. Angle opening distance, angle recess area, iris thickness, iris curvature, anterior chamber area, anterior chamber volume and anterior chamber width. Caucasians had significantly greater preoperative angle recess area, anterior chamber width, and iris curvature and lower preoperative iris thickness compared to Chinese (P iris curvature were observed within both ethnic groups (P iris curvature did not differ between the two ethnic groups (P iris convexity after laser peripheral iridotomy. Although certain aspects of anterior segment anatomy differed between Caucasians and Chinese preoperatively, they did not translate into significant ethnic differences in the amount of laser peripheral iridotomy-induced changes in the anterior segment biometric parameters. © 2013 Royal Australian and New Zealand College of Ophthalmologists.

  9. Early age stress-crack opening relationships for high performance concrete

    DEFF Research Database (Denmark)

    Østergaard, Lennart; Lange, David A.; Stang, Henrik

    2004-01-01

    Stress–crack opening relationships for concrete in early age have been determined for two high performance concrete mixes with water to cementitious materials ratios of 0.307 and 0.48. The wedge splitting test setup was used experimentally and the cracked nonlinear hinge model based...

  10. Fracture of the anterior colliculus.

    Science.gov (United States)

    Skie, M C; Ebraheim, N A; Woldenberg, L; Randall, K

    1995-04-01

    The authors retrospectively reviewed 33 cases of fracture involving the anterior colliculus of the medial malleolus to examine clinical results of operative treatment for these fractures. Although this injury appears innocuous, it can be difficult to obtain stable fixation of the fragment intraoperatively, and painful nonunion can result. A simple reduction maneuver and method of tension band fixation are described.

  11. Varying frontal thrust spacing in mono-vergent wedges: An insight ...

    Indian Academy of Sciences (India)

    In this case, surface erosion caused the process of thrust progression unsteady, and prompted out- ... or ΔHe/He drops. 1. Introduction. Crustal lithosphere in the active convergent plate boundaries undergoes sequential thrusting, form- ing tectonic wedges in the mountain ..... (ΔHe/He > 0) causes thrust spacing to increase.

  12. Thick-Walled Cylinder Theory Applied on a Conical Wedge Anchorage

    DEFF Research Database (Denmark)

    Bennitz, Anders; Grip, Niklas; Schmidt, Jacob Wittrup

    2011-01-01

    Conical wedge anchorages are frequently used to anchor steel tendons in prestressing applications within the construction industry. To replace the steel tendons with non-corrosive and low weight FRPs (Fiber Reinforced Polymers), the different mechanical interactions between the steel and FRPs call...

  13. Comparison between dose calculation in XiO® and dosimetric measurements in virtual wedge photon beams

    International Nuclear Information System (INIS)

    Almeida, Laila G.; Amaral, Leonardo L.; Oliveira, Harley F.; Maia, Ana F.

    2012-01-01

    The virtual wedge is useful tool in the radiation treatment planning since it has series of advantages over the hard wedge. Quality control tests ensure correct performance of the planning done in treatment planning systems (TPS). This study aimed to compare doses calculated by TPS and doses measured by ionization chamber (CI) and an ionization chambers array in virtual wedge photon beams of 6 MV. Measures carried out in Primus linear accelerator with a solid water phantom and dosimeter positioned at 10 cm depth with gantry at 0° in many fields sizes and angles in the virtual wedge. Measurements on the central axis used as dosimeter an IC and on off-axis used an IC array. The simulation in CMS-XiO used the CT images of the phantom in the same configuration of the irradiation. Maximum and minimum values of the percentage differences between the doses provided by TPS and measurements with ionization chamber on the central axis were 1.43 and -0.10%, respectively, with average percentage difference of 0.08% and confidence limit of Δ=1.72%. In the region off-axis, the average percentage difference was 0.04%, with a maximum of 1.9%, minimum of 0% and confidence limit of Δ=1.91%. All values for dose percentage differences were below 2% and lower confidence limit of 3% are thus, according to the recommendations of the Technical Report Series - TRS-430. (author)

  14. Optical necklaces generated by the diffraction on a stack of dielectric wedges

    Energy Technology Data Exchange (ETDEWEB)

    Izdebskaya, Yana [Nonlinear Physics Centre, Research School of Physical Sciences and Engineering, Australian National University, Canberra ACT 0200 (Australia); Department of Physics, V.I. Vernandsky Taurida National University, Simferopol 95007, Crimea (Ukraine)], E-mail: yvi124@rsphysse.anu.edu.au

    2008-05-19

    We demonstrate that the regular ring-shaped arrays of Gaussian beams, or optical necklaces, can be generated using diffraction on a stack of dielectric wedges. A condition for self-similarity and structural stability of the beams has been derived and shows good comparison with experimental data.

  15. Combining valgus knee brace and lateral foot wedges reduces external forces and moments in osteoarthritis patients

    NARCIS (Netherlands)

    Jafarnezhadgero, Amir Ali; Oliveira, Anderson S.; Mousavi, Seyed Hamed; Madadi-Shad, Morteza

    Osteoarthritis progression can be related to the external knee adduction and flexion moments during walking. Lateral foot wedges and knee braces have been used as treatment for osteoarthritis, but little is known about their influence on knee joint moments generated in the sagittal and frontal

  16. A Novel Continuous Extrusion Process to Fabricate Wedge-Shaped Light Guide Plates

    Directory of Open Access Journals (Sweden)

    Wen-Tse Hsiao

    2013-01-01

    Full Text Available Backlight modules are key components in thin-film transistor liquid crystal displays (TFT-LCD. Among the components of a backlight module, the light guide plate (LGP plays the most important role controlling the light projected to the eyes of users. A wedge-shaped LGP, with its asymmetrical structure, is usually fabricated by an injection proces, but the fabrication time of this process is long. This study proposes a continuous extrusion process to fabricate wedge-shaped LGPs. This continuous process has advantages for mass production. Besides a T-die and rollers, this system also has an in situ monitor of the melt-bank that forms during the extrusion process, helping control the plate thickness. Results show that the melt bank has a close relationship with the plate thickness. The temperature of the bottom heater and roller was adjusted to reduce the surface deformation of the wedge-shaped plate. This continuous extrusion system can successfully manufacture wedge-shaped LGPs for mass production.

  17. Laterally wedged insoles in knee osteoarthritis: do biomechanical effects decline after one month of wear?

    Directory of Open Access Journals (Sweden)

    Bennell Kim L

    2009-11-01

    Full Text Available Abstract Objective This study aimed to determine whether the effect of laterally wedged insoles on the adduction moment in knee osteoarthritis (OA declined after one month of wear, and whether higher reported use of insoles was associated with a reduced effect on the adduction moment at one month. Methods Twenty people with medial compartment OA underwent gait analysis in their own shoes wearing i no insoles and; ii insoles wedged laterally 5° in random order. Testing occurred at baseline and after one month of use of the insoles. Participants recorded daily use of insoles in a log-book. Outcomes were the first and second peak external knee adduction moment and the adduction angular impulse, compared across conditions and time with repeated measures general linear models. Correlations were obtained between total insole use and change in gait parameters with used insoles at one month, and change scores were compared between high and low users of insoles using general linear models. Results There was a significant main effect for condition, whereby insoles significantly reduced the adduction moment (all p Conclusion Effects of laterally wedged insoles on the adduction moment do not appear to decline after one month of continuous use, suggesting that significant wedge degradation does not occur over the short-term.

  18. A new GTD slope diffraction coefficient for plane wave illumination of a wedge

    DEFF Research Database (Denmark)

    Lumholt, Michael; Breinbjerg, Olav

    1997-01-01

    Two wedge problems including slope diffraction are solved: one in which the incident field is a non-uniform plane wave, and one in which it is an inhomogeneous plane wave. The two solutions lead to the same GTD slope diffraction coefficient. This coefficient reveals the existence of a coupling...

  19. Numerical Simulation and Experimental Validation of an Integrated Sleeve-Wedge Anchorage for CFRP Rods

    DEFF Research Database (Denmark)

    Schmidt, Jacob Wittrup; Smith, Scott T.; Täljsten, Björn

    2011-01-01

    The tensioning of carbon fibre-reinforced polymer (CFRP) rods for prestressed concrete applications or post-tensioning repair and strengthening has met with mixed success. This is primarily due to limitations inherent in the use of traditional wedge anchors typically used for steel tendons...

  20. Climate adaptation wedges: a case study of premium wine in the western United States

    Energy Technology Data Exchange (ETDEWEB)

    Diffenbaugh, Noah [Stanford University; White, Michael A [Utah State University (USU); Jones, Gregory V [Southern Oregon University, Ashland, OR; Ashfaq, Moetasim [ORNL

    2011-01-01

    Design and implementation of effective climate change adaptation activities requires quantitative assessment of the impacts that are likely to occur without adaptation, as well as the fraction of impact that can be avoided through each activity. Here we present a quantitative framework inspired by the greenhouse gas stabilization wedges of Pacala and Socolow. In our proposed framework, the damage avoided by each adaptation activity creates an 'adaptation wedge' relative to the loss that would occur without that adaptation activity. We use premium winegrape suitability in the western United States as an illustrative case study, focusing on the near-term period that covers the years 2000 39. We find that the projected warming over this period results in the loss of suitable winegrape area throughout much of California, including most counties in the high-value North Coast and Central Coast regions. However, in quantifying adaptation wedges for individual high-value counties, we find that a large adaptation wedge can be captured by increasing the severe heat tolerance, including elimination of the 50% loss projected by the end of the 2030 9 period in the North Coast region, and reduction of the projected loss in the Central Coast region from 30% to less than 15%. Increased severe heat tolerance can capture an even larger adaptation wedge in the Pacific Northwest, including conversion of a projected loss of more than 30% in the Columbia Valley region of Washington to a projected gain of more than 150%. We also find that warming projected over the near-term decades has the potential to alter the quality of winegrapes produced in the western US, and we discuss potential actions that could create adaptation wedges given these potential changes in quality. While the present effort represents an initial exploration of one aspect of one industry, the climate adaptation wedge framework could be used to quantitatively evaluate the opportunities and limits of climate

  1. Analysis of Fault Spacing in Thrust-Belt Wedges Using Numerical Modeling

    Science.gov (United States)

    Regensburger, P. V.; Ito, G.

    2017-12-01

    Numerical modeling is invaluable in studying the mechanical processes governing the evolution of geologic features such as thrust-belt wedges. The mechanisms controlling thrust fault spacing in wedges is not well understood. Our numerical model treats the thrust belt as a visco-elastic-plastic continuum and uses a finite-difference, marker-in-cell method to solve for conservation of mass and momentum. From these conservation laws, stress is calculated and Byerlee's law is used to determine the shear stress required for a fault to form. Each model consists of a layer of crust, initially 3-km-thick, carried on top of a basal décollement, which moves at a constant speed towards a rigid backstop. A series of models were run with varied material properties, focusing on the angle of basal friction at the décollement, the angle of friction within the crust, and the cohesion of the crust. We investigate how these properties affected the spacing between thrusts that have the most time-integrated history of slip and therefore have the greatest effect on the large-scale undulations in surface topography. The surface position of these faults, which extend through most of the crustal layer, are identifiable as local maxima in positive curvature of surface topography. Tracking the temporal evolution of faults, we find that thrust blocks are widest when they first form at the front of the wedge and then they tend to contract over time as more crustal material is carried to the wedge. Within each model, thrust blocks form with similar initial widths, but individual thrust blocks develop differently and may approach an asymptotic width over time. The median of thrust block widths across the whole wedge tends to decrease with time. Median fault spacing shows a positive correlation with both wedge cohesion and internal friction. In contrast, median fault spacing exhibits a negative correlation at small angles of basal friction (laws that can be used to predict fault spacing in

  2. Válvula de uretra anterior Anterior urethral valves

    Directory of Open Access Journals (Sweden)

    Silvio Tucci Jr.

    2003-02-01

    Full Text Available Objetivo: apresentar os aspectos clínicos, diagnósticos e terapêuticos de pacientes portadores de válvula da uretra anterior. Descrição: em dois neonatos, o diagnóstico presuntivo de patologia obstrutiva do trato urinário foi sugerido pela ultra-sonografia realizada no período pré-natal, confirmando-se o diagnóstico de válvula de uretra anterior pela avaliação pós-natal. Os pacientes foram submetidos a tratamento cirúrgico paliativo, com vesicostomia temporária e, posteriormente, definitivo, pela fulguração endoscópica das válvulas. Ambos evoluíram com função renal normal. Comentários: a válvula da uretra anterior é anomalia rara que deve ser considerada em meninos com quadro radiológico pré-natal sugestivo de obstrução infravesical, secundariamente à hipótese mais comum de válvula da uretra posterior. Ressaltamos a utilização da vesicostomia como derivação urinária temporária nestes casos, prevenindo potenciais complicações pela manipulação da uretra do recém-nascido.Objective: to discuss clinical signs, diagnostic tools and therapeutics of anterior urethral valves, an obstructive anomaly of the urinary system in males. Description: signs of urinary tract obstruction were identified on pre-natal ultrasound in two male fetuses and the diagnosis of anterior urethral valves was made through post-natal evaluation. As an initial treatment, vesicostomy was performed in both patients. Later, the valves were fulgurated using an endoscopic procedure. During the follow-up period both patients presented normal renal function. Comments: anterior urethral valves are a rare form of urethral anomaly that must be ruled out in boys with pre-natal ultrasound indicating infravesical obstruction. Vesicostomy used as an initial treatment rather than transurethral fulguration may prevent potential complications that can occur due to the small size of the neonatal urethra.

  3. Integridade do músculo subescapular após a cirurgia aberta para tratamento da luxação recidivante glenoumeral: avaliação clínica e radiológica Integrity of the subscapularis tendon after open surgery for the treatment of anterior shoulder instability: a clinical and radiological evaluation

    Directory of Open Access Journals (Sweden)

    Osvandré Lech

    2009-10-01

    Full Text Available OBJETIVO: Avaliar a integridade do músculo subescapular através da força, função e ressonância nuclear magnética após acesso deltopeitoral para tratamento da luxação glenoumeral anterior recidivante. MÉTODOS: Foram avaliados 20 pacientes com luxação recidivante do ombro. Todos os casos possuíam seguimento mínimo de 12 meses, com média de 40 meses. Os pacientes eram todos do sexo masculino, com média de idade de 29 anos (20-42 anos. Os pacientes foram submetidos a exame físico para avaliar mobilidade, força muscular, "Belly" Teste e teste de Gerber. A força isocinética em rotação interna e externa, em velocidades angulares de 60º/s e 180º/s, em ambos os ombros, foi medida utilizando-se um dinamômetro. Em 15 pacientes foi realizada ressonância nuclear magnética (RNM em ambos os ombros para avaliação da espessura, área e possível hipotrofia do músculo subescapular. RESULTADOS: Houve diferença significativa entre os picos de torque para a velocidade de 60º/s para as rotações interna (p = 0,036 e externa (p = 0,008. Porém, para a velocidade de 180º/s a situação se inverte (rotação interna: p = 0,133; rotação externa: p = 0,393. A espessura e a área do subescapular são significativamente menores que as do lado normal, com déficit de 19% e 23%, respectivamente. De acordo com os escores de Rowe e da UCLA, observamos excelentes e bons resultados na maioria dos pacientes, com média de 88 e 31,6 pontos, respectivamente. CONCLUSÃO: Apesar dos bons resultados funcionais, a cirurgia aberta pode restringir a força, bem como reduzir a espessura e a área da seção transversal do músculo subescapular. Os melhores resultados ocorreram no lado dominante.OBJECTIVE: To evaluate the integrity of the subscapularis tendon by strength, function and magnetic resonance imaging after deltopectoralis access for anterior shoulder instability. METHODS: 20 patients with anterior shoulder instability have been evaluated

  4. Three Years of High Resolution Year-Round Monitoring of Ice-Wedge Thermal Contraction Cracking in Svalbard

    Science.gov (United States)

    Christiansen, H. H.

    2006-12-01

    Most likely ice-wedges are the most widespread periglacial landform in lowlands with continuous permafrost. With a changing climate it is important to understand better the geomorphological processes controlling ice- wedge growth and decay, as they might cause large changes to the surface of the landscape, particularly if the active layer thickness increases causing melting of the most ice-rich permafrost top layer. As most settlements on permafrost are located in lowland areas, ice-wedge formation can also influence the infrastructure. Understanding the processes of ice-wedge growth and their thaw transformation into ice-wedge casts are essential when using contemporary ice wedges as analogues of Pleistocene thermal contraction cracking in palaeoenvironmental reconstructions. As ice-wedges are largely controlled by winter conditions, improved understanding of the factors controlling their growth will enable better palaeoclimatic reconstructions both directly from ice-wedges, but also from ice-wedge casts, than just mean winter temperatures. Detailed studies of ice-wedge dynamics, including quantification of movement, have only been done in very few places in the Arctic. In high arctic Svalbard at 78°N climate at sea level locates these islands close to the southern limit of the continuous permafrost zone, with MAAT of as much as -4 to -6°C. However, thermal contraction cracking is demonstrated to be widespread in the Adventdalen study area in Svalbard. The year-round field access from the University Centre in Svalbard, UNIS, has enabled the collection of different continuous or high frequency ice-wedge process monitoring data since 2002 to improve the understanding of the geomorphological activity of this landform. In all the winters the air temperature was below -30°C for shorter or longer periods. During all the winters, the temperature in the top permafrost was below -15°C both in the ice-wedge top for shorter or longer periods. The snow cover was

  5. Role of ground ice dynamics and ecological feedbacks in recent ice wedge degradation and stabilization

    Science.gov (United States)

    Mark Torre Jorgenson,; Mikhail Kanevskiy,; Yuri Shur,; Natalia Moskalenko,; Dana Brown,; Wickland, Kimberly P.; Striegl, Robert G.; Koch, Joshua C.

    2015-01-01

    Ground ice is abundant in the upper permafrost throughout the Arctic and fundamentally affects terrain responses to climate warming. Ice wedges, which form near the surface and are the dominant type of massive ice in the Arctic, are particularly vulnerable to warming. Yet processes controlling ice wedge degradation and stabilization are poorly understood. Here we quantified ice wedge volume and degradation rates, compared ground ice characteristics and thermal regimes across a sequence of five degradation and stabilization stages and evaluated biophysical feedbacks controlling permafrost stability near Prudhoe Bay, Alaska. Mean ice wedge volume in the top 3 m of permafrost was 21%. Imagery from 1949 to 2012 showed thermokarst extent (area of water-filled troughs) was relatively small from 1949 (0.9%) to 1988 (1.5%), abruptly increased by 2004 (6.3%) and increased slightly by 2012 (7.5%). Mean annual surface temperatures varied by 4.9°C among degradation and stabilization stages and by 9.9°C from polygon center to deep lake bottom. Mean thicknesses of the active layer, ice-poor transient layer, ice-rich intermediate layer, thermokarst cave ice, and wedge ice varied substantially among stages. In early stages, thaw settlement caused water to impound in thermokarst troughs, creating positive feedbacks that increased net radiation, soil heat flux, and soil temperatures. Plant growth and organic matter accumulation in the degraded troughs provided negative feedbacks that allowed ground ice to aggrade and heave the surface, thus reducing surface water depth and soil temperatures in later stages. The ground ice dynamics and ecological feedbacks greatly complicate efforts to assess permafrost responses to climate change.

  6. Role of ground ice dynamics and ecological feedbacks in recent ice wedge degradation and stabilization

    Science.gov (United States)

    Jorgenson, M. T.; Kanevskiy, M.; Shur, Y.; Moskalenko, N.; Brown, D. R. N.; Wickland, K.; Striegl, R.; Koch, J.

    2015-11-01

    Ground ice is abundant in the upper permafrost throughout the Arctic and fundamentally affects terrain responses to climate warming. Ice wedges, which form near the surface and are the dominant type of massive ice in the Arctic, are particularly vulnerable to warming. Yet processes controlling ice wedge degradation and stabilization are poorly understood. Here we quantified ice wedge volume and degradation rates, compared ground ice characteristics and thermal regimes across a sequence of five degradation and stabilization stages and evaluated biophysical feedbacks controlling permafrost stability near Prudhoe Bay, Alaska. Mean ice wedge volume in the top 3 m of permafrost was 21%. Imagery from 1949 to 2012 showed thermokarst extent (area of water-filled troughs) was relatively small from 1949 (0.9%) to 1988 (1.5%), abruptly increased by 2004 (6.3%) and increased slightly by 2012 (7.5%). Mean annual surface temperatures varied by 4.9°C among degradation and stabilization stages and by 9.9°C from polygon center to deep lake bottom. Mean thicknesses of the active layer, ice-poor transient layer, ice-rich intermediate layer, thermokarst cave ice, and wedge ice varied substantially among stages. In early stages, thaw settlement caused water to impound in thermokarst troughs, creating positive feedbacks that increased net radiation, soil heat flux, and soil temperatures. Plant growth and organic matter accumulation in the degraded troughs provided negative feedbacks that allowed ground ice to aggrade and heave the surface, thus reducing surface water depth and soil temperatures in later stages. The ground ice dynamics and ecological feedbacks greatly complicate efforts to assess permafrost responses to climate change.

  7. Anterior cruciate ligament (ACL) injury -- aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000681.htm Anterior cruciate ligament (ACL) injury - aftercare To use the sharing features ... that connects a bone to another bone. The anterior cruciate ligament (ACL) is located inside your knee joint and ...

  8. Open Content in Open Context

    Science.gov (United States)

    Kansa, Sarah Whitcher; Kansa, Eric C.

    2007-01-01

    This article presents the challenges and rewards of sharing research content through a discussion of Open Context, a new open access data publication system for field sciences and museum collections. Open Context is the first data repository of its kind, allowing self-publication of research data, community commentary through tagging, and clear…

  9. Anterior Loop of the Mental Nerve and Its Radiologic Imaging: a Review

    OpenAIRE

    GÜMÜŞOK, Mustafa; KAYADÜĞÜN, Aylin; ÜÇOK, Özlem

    2013-01-01

    The mental foramen region is important for dental practise. Wheninferior alveolar nerve arises from the mandibular canal, it runsout ward, upward and backward to open at the mental foramenthen it was called as “anterior loop of mental nerve”. The correctvisualization of anterior loop has an important role for planning ofimplant placement in preventing complications like paresthesiaand bleeding. Reliability and precision of the images obtained withtwo-dimension conventional methods like periap...

  10. Anterior spinal cord syndrome of unknown etiology

    OpenAIRE

    Klakeel, Merrine; Thompson, Justin; Srinivasan, Rajashree; McDonald, Frank

    2015-01-01

    A spinal cord injury encompasses a physical insult to the spinal cord. In the case of anterior spinal cord syndrome, the insult is a vascular lesion at the anterior spinal artery. We present the cases of two 13-year-old boys with anterior spinal cord syndrome, along with a review of the anatomy and vasculature of the spinal cord and an explanation of how a lesion in the cord corresponds to anterior spinal cord syndrome.

  11. Death with "dignity": the wedge that divides the disability rights movement from the right to die movement.

    Science.gov (United States)

    Behuniak, Susan M

    2011-01-01

    Much of the American debate over physician assisted death (PAD) is framed as an ideological split between conservatives and liberals, pro life and pro choice advocates, and those who emphasize morality versus personal autonomy. Less examined, but no less relevant, is a split within the ranks of progressives--one that divides those supporting a right to die in the name of human rights from disability rights activists who invoke human rights to vehemently oppose euthanasia. This paper reviews how "dignity" serves both as a divisive wedge in this debate but also as a value that can span the divide between groups and open the way to productive discourse. Supporters of legalized euthanasia use "dignity" to express their position that some deaths might indeed be accelerated. At the same time, opponents adopt the concept to argue that physician assisted suicide stigmatizes life with a disability. To bridge this divide, the worldviews of two groups, Compassion & Choices and Not Dead Yet, are studied. The analysis concludes that the two organizations are more parallel than contrary--a finding that offers opportunities for dialogue and perhaps even advances in public policy.

  12. BIRTH INJURY RELATED UNILATERAL ANTERIOR NARES PARTIAL FIBROUS ATRESIA: A RARE CASE REPORT

    Directory of Open Access Journals (Sweden)

    Jayagar

    2016-02-01

    Full Text Available Congenital atresia of anterior nares has been rarely reported and it may co-exist along with posterior choanal atresia. (1,2 In our case, birth injury caused by forceps delivery has caused unilateral anterior nares partial atresia. Twenty eight years old male patient came with the complaints of left nostril blocked sensation since birth, aggravated with attacks of upper respiratory tract infections. On examination he had left anterior nares partial atresia caused by fibrous bands as a result of birth injury due to instrumental delivery. Rhinoplasty performed to open-up left nostril and patient relieved of his symptoms and also on cosmetic appearance

  13. 38 CFR 3.379 - Anterior poliomyelitis.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Anterior poliomyelitis. 3... Specific Diseases § 3.379 Anterior poliomyelitis. If the first manifestations of acute anterior poliomyelitis present themselves in a veteran within 35 days of termination of active military service, it is...

  14. Epidermoid cyst in Anterior, Middle

    Directory of Open Access Journals (Sweden)

    Kankane Vivek Kumar

    2016-09-01

    Full Text Available Epidermoid cysts are benign slow growing more often extra-axial tumors that insinuate between brain structures, we present the clinical, imaging, and pathological findings in 35 years old female patients with atypical epidermoid cysts which was situated anterior, middle & posterior cranial fossa. NCCT head revealed hypodense lesion over right temporal and perisylvian region with extension in prepontine cistern with mass effect & midline shift and MRI findings revealed a non-enhancing heterogeneous signal intensity cystic lesion in right frontal & temporal region extending into prepontine cistern with restricted diffusion. Patient was detoriated in night of same day of admission, emergency Fronto-temporal craniotomy with anterior peterousectomy and subtotal resection was done. The histological examination confirms the epidermoid cyst. The timing of ectodermal tissue sequestration during fetal development may account for the occurrence of atypical epidermoid cysts.

  15. [Anterior chest wall examination reviewed].

    Science.gov (United States)

    Lo Monaco, A; Santilli, D; Trotta, F

    2002-01-01

    Anterior chest wall involvement is not infrequently observed within inflammatory arthropaties, particularly if one considers seronegative spondyloarthritides and SAPHO syndrome. Physical examination is unreliable and conventional X-rays analysis is an unsatisfactory tool during diagnostic work-up of this region. Scintigraphic techniques yield informations both on the activity and on the anatomical extent of the disease while computerized tomography visualize the elementary lesions, such as erosions, which characterize the process. Moreover, when available, magnetic resonance imaging couple the ability to finely visualize such lesions with the possibility to show early alterations and to characterize the "activity" of the disease, presenting itself as a powerful tool both for diagnosis and follow-up. This review briefly shows the applications of imaging techniques for the evaluation of the anterior chest wall focusing on what has been done in the SAPHO syndrome which can be considered prototypical for this regional involvement since it is the osteo-articular target mainly affected by the disease.

  16. Chronic Anterior Uveitis in Children.

    Science.gov (United States)

    Couto, Cristóbal; Frick, Mercedes M; LaMattina, Kara; Schlaen, Ariel; Khoury, Marina; Lopez, Matilde María; Hurtado, Erika; Espada, Graciela

    2016-08-01

    To describe the visual prognosis and remission rate of chronic anterior uveitis in pediatric patients. A retrospective case series of children with chronic anterior uveitis treated in the University of Buenos Aires. Juvenile idiopathic arthritis was defined according to the International League of Associations for Rheumatology criteria. Uveitis remission was defined according to SUN criteria. There were 35 pediatric patients (61 eyes), mean age of uveitis onset was 7.69 ± 3 years, 60% were females and 74% had bilateral disease, median follow-up was 60 months (range: 12-192 months). JIA was more frequent in females (80.95 vs 21.43; pgood Received 30 August 2015; revised 6 March 2016; accepted 14 March 2016; published online 18 May 2016.

  17. Weak openness and almost openness

    Directory of Open Access Journals (Sweden)

    David A. Rose

    1984-01-01

    Full Text Available Weak openness and almost openness for arbitrary functions between topological spaces are defined as duals to the weak continuity of Levine and the almost continuity of Husain respectively. Independence of these two openness conditions is noted and comparison is made between these and the almost openness of Singal and Singal. Some results dual to those known for weak continuity and almost continuity are obtained. Nearly almost openness is defined and used to obtain an improved link from weak continuity to almost continuity.

  18. Anterior cingulotomy for intractable pain

    Directory of Open Access Journals (Sweden)

    Nitin Agarwal, MD

    2016-12-01

    Full Text Available Conservative therapy is often the first-line treatment for many symptoms of various disease processes, including pain. Nevertheless, if pharmacological or medical management fails for those patients with severe and chronic pain, a surgical strategy may be a reasonable option. First performed for psychiatric disorders, cingulotomy now has been recognized as a viable option for the management of pain. The authors review the literature on anterior cingulotomy for intractable pain to provide guidelines for management and expected outcomes.

  19. Anterior shoulder dislocations in sports.

    Science.gov (United States)

    Aronen, J G

    1986-01-01

    Anterior shoulder dislocations, primary and recurrent, are among the most disabling injuries to the shoulder that can plague the athlete. The diagnosis is easily made by the following: the physical appearance of the shoulder; loss of capability by the athlete to internally and externally rotate the shoulder with the elbow at his side; by evaluating the mechanism of injury; and x-rays. Anterior shoulder dislocations should be reduced as soon as possible after diagnosis, to minimise the stretching effect on the neurovascular structures while the humeral head is dislocated. The reduction is not done to allow the athlete to return immediately to sport. Use of a simple traction method in the first 10 to 15 minutes following the injury will result in a successful reduction in the vast majority of dislocations. Reduction of the humeral head can be confirmed by the athlete regaining the capability to internally and externally rotate his shoulder with his elbow at his side. Following reduction, the athlete should begin a treatment regimen which includes a restrengthening programme emphasising the muscles of internal rotation and adduction plus rigid restrictions of activities until the goals of the rehabilitation programme are satisfied. The author's experience with this treatment regimen with athletes at the United States Naval Academy, has shown a decrease of the recurrence rate of primary anterior shoulder dislocations to 25% versus the 80% recurrence rate we have become familiar with from studies done which did not stress specific rehabilitation programmes. The athlete should also be instructed in a self-performed traction method for reduction should a redislocation occur, to minimise the stretching effect on the neurovascular structures and allow relief from discomfort. Surgery for primary and recurrent anterior dislocations should only be considered when the athlete fails to achieve the desired goals after participating in a specific, progressive, adequate

  20. Anterior chest wall examination reviewed

    OpenAIRE

    F. Trotta; D. Santilli; A. Lo Monaco

    2011-01-01

    Anterior chest wall involvement is not infrequently observed within inflammatory arthropaties, particularly if one considers seronegative spondiloarthritides and SAPHO syndrome. Physical examination is unreliable and conventional X-rays analysis is an unsatisfactory tool during diagnostic work-up of this region. Scintigraphic techniques yield informations both on the activity and on the anatomical extent of the disease while computerized tomography visualize the elementary lesions, such as er...

  1. CHEMICAL AND ISOTOPIC CHARACTERISTICS OF ICE FROM AN ICE-WEDGE IN SEYMOUR ISLAND (ISLA VCOM. MARAMBIO), ANTARCTIC PENINSULA REGION (I)

    OpenAIRE

    カトウ, キクオ; / フクダ, マサミ; Kikuo, KATO; Arturo M., CORTE; Masami, FUKUDA

    1990-01-01

    In Seymour Island free of ice cover were found many ice-wedges and ice-wedge casts. In order to clarify chemical characteristics of ice in ice-wedges, chemical analyses were done on ice samples from an ice-wedge. The concentrations and compositions of chemical species in the ice body vary in an unexpectedly wide range and are greatly different between the upper and lower parts, even from the same ice-wedge ice body. Its lower part shows very high concentrations of Na^+ nas SC_4^, whereas its ...

  2. Open Innovation

    OpenAIRE

    Gassmann, Oliver; Enkel, Ellen

    2006-01-01

    In the past 10 years, numerous interesting articles, book chapters, and books have been written on open innovation strategies in mainly large companies. While closed innovation models have resulted in important breakthrough innovations, many large companies have abandoned vertical integration strategies in recent years and have moved toward a combination of both closed and open innovation models that are used for reaching different sets of innovative goals. The definition of open innovation a...

  3. Tongue Strength: Its Relationship to Tongue Thrusting, Open-Bite, and Articulatory Proficiency.

    Science.gov (United States)

    Dworkin, James P.; Culatta, Richard A.

    1980-01-01

    No significant differences in tongue strength were found between any of the three groups of 7- to 16-year old children: normal speaking with anterior tongue thrusting during swallow and open bite malocclusion, frontal lisping with anterior tongue thrusting during swallow and open bite malocclusion, and normal controls. (Author/DLS)

  4. Open innovation

    DEFF Research Database (Denmark)

    Bogers, Marcel; Chesbrough, Henry; Moedas, Carlos

    2018-01-01

    Open innovation is now a widely used concept in academia, business, and policy making. This article describes the state of open innovation at the intersection of research, practice, and policy. It discusses some key trends (e.g., digital transformation), challenges (e.g., uncertainty......), and potential solutions (e.g., EU funding programs) in the context of open innovation and innovation policy. With this background, the authors introduce select papers published in this Special Section of California Management Review that were originally presented at the second annual World Open Innovation...

  5. Open hardware for open science

    CERN Document Server

    CERN Bulletin

    2011-01-01

    Inspired by the open source software movement, the Open Hardware Repository was created to enable hardware developers to share the results of their R&D activities. The recently published CERN Open Hardware Licence offers the legal framework to support this knowledge and technology exchange.   Two years ago, a group of electronics designers led by Javier Serrano, a CERN engineer, working in experimental physics laboratories created the Open Hardware Repository (OHR). This project was initiated in order to facilitate the exchange of hardware designs across the community in line with the ideals of “open science”. The main objectives include avoiding duplication of effort by sharing results across different teams that might be working on the same need. “For hardware developers, the advantages of open hardware are numerous. For example, it is a great learning tool for technologies some developers would not otherwise master, and it avoids unnecessary work if someone ha...

  6. On the Effect of Structural Response on the Hydrodynamic Loading of a Free-Falling Wedge

    Science.gov (United States)

    Ikeda, Christine; Taravella, Brandon; Judge, Carolyn

    2016-11-01

    High-speed planing craft are subjected to repeated slamming events in waves that can be very extreme depending on the wave topography, impact angle of the ship, forward speed of the ship, encounter angle, and height out of the water. The current work examines this fluid-structure interaction problem through the use of wedge drop experiments and a theoretical prediction. The experimental program consisted of two 20° deadrise angle wedges dropped from a range of heights, 0 . 15 theory in order to determine the effects of flexibility on the hydrodynamic pressure. The code assumes a rigid structure, therefore, the results between the code and the first experiment are in good agreement. The second experiment shows pressure magnitudes that are lower than the predictions due to the energy required to deform the structure. This work is funded by the Office of Naval Research and the state of Louisiana Board of Regents Industrial Ties and Reseach Subprogram.

  7. Effects of radiation on convection heat transfer of Cu-water nanofluid past a moving wedge

    Directory of Open Access Journals (Sweden)

    Salama Faiza A.

    2016-01-01

    Full Text Available Heat transfer characteristics of a two-dimensional steady hydrodynamic flow of water-based copper(Cu nanofluid over a moving wedge, taking into account the effects of thermal radiation, have been investigated numerically. The Rosseland approximation is used to describe the radiative heat flux in the energy equation. The governing fundamental equations are first transformed into a system of ordinary differential equations and solved numerically by using the fourth-order Runge-kutta method with shooting technique. A comparison with previously published work has been carried out and the results are found to be in good agreement. The existence of unique and dual solutions for self-similar equations of the flow and heat transfer are analyzed numerically. The results indicate that there is strong dependence of the thermal gradient at the surface of the wedge on both velocity ratio parameter and thermal radiation.

  8. Dosimetry of normal and wedge fields for a cobalt-60 teletherapy unit

    International Nuclear Information System (INIS)

    Tripathi, U.B.; Kelkar, N.Y.

    1980-01-01

    A simple analytical method for computation of dose distributions for normal and wedge fields is described and the use of the method in planning radiation treatment is outlined. Formulas has been given to compute: (1) depth dose along central axis of cobalt-60 beam, (2) dose to off-axis points, and (3) dose distribution for a wedge field. Good agreement has been found between theoretical and experimental values. With the help of these formulae, the dose at any point can be easily and accurately calculated and radiotherapy can be planned for tumours of very odd shape and sizes. The limitation of the method is that the formulae have been derived for 50% field definition. For cobalt-60 machine having any other field definition, appropriate correction factors have to be applied. (M.G.B.)

  9. Air wedge with variable refractive index for precise laser beam steering in a small range.

    Science.gov (United States)

    Iwasińska-Kowalska, Olga

    2018-02-20

    This paper provides the results of work on a new method for metrological laser beam steering for the purpose of angular stabilization. Frequency stabilized metrological lasers are used for interference measurements of length and angle. Angular deviation of the beam may cause cosine errors when measuring displacements. This paper presents a method for metrological laser beam deflection with an air wedge of variable refractive index. The change in the index is achieved by changing the air pressure in the wedge volume. The implemented system produced a range of angular displacements of the 0.1 mrad (10 -4   rad; 100 μrad) beam with a resolution of 10 -7   rad.

  10. Laser Oscillator Incorporating a Wedged Polarization Rotator and a Porro Prism as Cavity Mirror

    Science.gov (United States)

    Li, Steven

    2011-01-01

    A laser cavity was designed and implemented by using a wedged polarization rotator and a Porro prism in order to reduce the parts count, and to improve the laser reliability. In this invention, a z-cut quartz polarization rotator is used to compensate the wavelength retardance introduced by the Porro prism. The polarization rotator rotates the polarization of the linear polarized beam with a designed angle that is independent of the orientation of the rotator. This unique property was used to combine the retardance compensation and a Risley prism to a single optical component: a wedged polarization rotator. This greatly simplifies the laser alignment procedure and reduces the number of the laser optical components.

  11. Refinement of the wedge bar technique for compression tests at intermediate strain rates

    Directory of Open Access Journals (Sweden)

    Stander M.

    2012-08-01

    Full Text Available A refined development of the wedge-bar technique [1] for compression tests at intermediate strain rates is presented. The concept uses a wedge mechanism to compress small cylindrical specimens at strain rates in the order of 10s−1 to strains of up to 0.3. Co-linear elastic impact principles are used to accelerate the actuation mechanism from rest to test speed in under 300μs while maintaining near uniform strain rates for up to 30 ms, i.e. the transient phase of the test is less than 1% of the total test duration. In particular, a new load frame, load cell and sliding anvil designs are presented and shown to significantly reduce the noise generated during testing. Typical dynamic test results for a selection of metals and polymers are reported and compared with quasistatic and split Hopkinson pressure bar results.

  12. Instability of a vortex sheet leaving a right-angled wedge

    Science.gov (United States)

    Llewellyn Smith, Stefan; Davis, Anthony

    2016-11-01

    We examine the dynamics of a semi-infinite vortex sheet attached not to a semi-infinite plate but instead to a rigid right-angled wedge, with the sheet aligned along one of its edges. The resulting linearised unsteady potential flow is forced by an oscillatory dipole in the uniform stream passing along the top of the wedge, while there is stagnant fluid in the remaining quadrant. The essentially quadrant-type geometry replaces the usual Wiener-Hopf technique by the Mellin transform. The core difficulty is that a first-order difference equation of period 4 requires a solution of period unity. As a result the complex fourth roots (+/- 1 +/- i) of - 4 appear in the complementary function. The Helmholtz instability wave is excited and requires careful handling to obtain explicit results for the amplitude of the instability wave.

  13. Soil carbon sequestration is a climate stabilization wedge: comments on Sommer and Bossio (2014).

    Science.gov (United States)

    Lassaletta, Luis; Aguilera, Eduardo

    2015-04-15

    Sommer and Bossio (2014) model the potential soil organic carbon (SOC) sequestration in agricultural soils (croplands and grasslands) during the next 87 years, concluding that this process cannot be considered as a climate stabilization wedge. We argue, however, that the amounts of SOC potentially sequestered in both scenarios (pessimistic and optimistic) fulfil the requirements for being considered as wedge because in both cases at least 25 GtC would be sequestered during the next 50 years. We consider that it is precisely in the near future, and meanwhile other solutions are developed, when this stabilization effort is most urgent even if after some decades the sequestration rate is significantly reduced. Indirect effects of SOC sequestration on mitigation could reinforce the potential of this solution. We conclude that the sequestration of organic carbon in agricultural soils as a climate change mitigation tool still deserves important attention for scientists, managers and policy makers. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Switched reluctance motor with magnetic slot wedges for automotive traction application

    Science.gov (United States)

    Belhadi, M.'Hamed; Krebs, Guillaume; Marchand, Claude; Hannoun, Hala; Mininger, Xavier

    2015-12-01

    The switched reluctance motor (SRM) is very attractive because of its many advantages especially in electric vehicle (EV). However, it presents two major drawbacks: torque ripples and stator vibrations. These phenomena are the cause of a disturbing noise. In order to reduce the torque ripples and the radial force (main cause of the stator vibrations), one solution is to add magnetic slot wedges. In this paper, a SRM with wedges is compared to the conventional one including some static and dynamic features. First, field lines, magnetization curves and static torques are discussed. Secondly, torque-speed curves, harmonic analyzes and cartographies with minimum ripples are compared. The last includes several operating points (speed-torque) in steady state.

  15. The Influence of External Disturbance on Buckling Patterns in Wedge-Shaped Fe Films

    Science.gov (United States)

    Zhou, Hong; Yu, Sen-Jiang; Zhang, Yong-Ju; Chen, Miao-Gen

    2013-07-01

    A wedge-shaped iron (Fe) film system, quenched by silicone oil during deposition, has been prepared on glass substrates by direct current magnetron sputtering, and the influence of external disturbance on buckling patterns is investigated. The experiment shows that the wedge-shaped Fe film possesses a high compressive stress, which is relieved by spontaneous formation of telephone cord buckles in the atmosphere condition. The growth process can last several days to more than a month. When the film is disturbed by an external force, the stored stress energy will release drastically to form straight-sided buckles within several seconds. The morphological characteristics, edge effect and formation mechanism of the straight-sided buckles are discussed in detail.

  16. Open Revolution.

    Directory of Open Access Journals (Sweden)

    Sean R Eddy

    2009-03-01

    Full Text Available Sean Eddy reviews "Opening Up Education," a collection of essays that explores how leaders in the "open education movement" intend to exploit digital communications technology, develop innovative and freely redistributable educational methods and resources, and improve education on a global level.

  17. Open Access

    Science.gov (United States)

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  18. Infarction and Laceration of Liver Parenchyma Caused by Wedged CO2 Venography Before TIPS Insertion

    International Nuclear Information System (INIS)

    Theuerkauf, Ingo; Strunk, Holger; Brensing, Karl August; Schild, Hans Heinz; Pfeifer, Ulrich

    2001-01-01

    We describe the fatal outcome of an elective TIPS procedure performed in a 43-year-old man with alcoholic cirrhosis. Wedged hepatic venography with CO 2 was the reason for infarction and laceration of liver parenchyma resulting in a subcapsular hematoma and subsequent intra-abdominal bleeding. This is the first report of this complication after the use of CO 2 in a cirrhotic patient

  19. NUMERICAL ANALYSIS OF SPLITTING WITHOUT WASTE BASED ON CROSS-WEDGE ROLLING IN DOUBLE ROLLING MECHANISM

    Directory of Open Access Journals (Sweden)

    Arkadiusz Tofil

    2013-03-01

    Full Text Available The article presents the results of numerical analysis of splitting without waste on the basis of cross wedge rolling in double rolling mechanism. The analysed process concerns rolling the charge of V-shaped groove, and rotary bending causing the split of the material. In the calculations a method of finite elements (FEM was used. The obtained results allowed detailed analysis of the splitting process in terms of the level of deformation, strains, material breaking, flow kinematics and strength parameters.

  20. Study of the longitudinal expansion velocity of the substorm current wedge

    Directory of Open Access Journals (Sweden)

    A. Belehaki

    Full Text Available In this work we examine simultaneous observations from the two geosynchronous satellites GOES-5 and GOES-6 located at 282°E and 265°E respectively, and from middle and low latitude ground observatories located within 250°E and 294°E geographic longitude, during isolated substorms of moderate activity. The spatial distribution of our observation points allows us to make a detailed study of the azimuthal expansion of the substorm current wedge. The data analysis shows evidence that the substorm initiation and development mechanism include the cross-tail current diversion/ disruption, the substorm current wedge formation and the azimuthal expansion of the inner plasma sheet. The triggering mechanism is initially confined in a longitudinally narrow sector, estimated to be less than 15° and located very close to local midnight to the east or to the west. The current disruption region expands both eastward and westward in the magnetotail, so that the location of major field-aligned currents flowing into the ionosphere shifts successively eastward, and the location of the currents flowing out of the ionosphere shifts successively westward. Evidence was found that the perturbation travels toward the west with velocities greater than those expanding the wedge eastward. The drastic decrease of the velocity with the azimuthal distance from the location of the disturbance initiation, i.e., the onset sector, indicates that the energy release is a very localized phenomenon. Finally, the transient D perturbation observed by the geosynchronous satellites suggests that the field-aligned currents forming the wedge have a longitudunally limited extent.

    Key words. Magnetospheric physics (current systems; magnetosphere-ionosphere interactions

  1. Stratification and salt-wedge in the Seomjin river estuary under the idealized tidal influence

    Science.gov (United States)

    Hwang, Jin Hwan; Jang, Dongmin; Kim, Yong Hoon

    2017-12-01

    Advection, straining, and vertical mixing play primary roles in the process of estuarine stratification. Estuaries can be classified as salt-wedge, partially-mixed or well-mixed depending on the vertical density structure determined by the balancing of advection, mixing and straining. In particular, straining plays a major role in the stratification of the estuarine water body along the estuarine channel. Also, the behavior of a salt wedge with a halocline shape in a stratified channel can be controlled by the competition between straining and mixing induced by buoyancy from the riverine source and tidal forcing. The present study uses Finite Volume Coastal Ocean Model (FVCOM) to show that straining and vertical mixing play major roles in controlling along-channel flow and stratification structures in the Seomjin river estuary (SRE) under idealized conditions. The Potential Energy Anomaly (PEA) dynamic equation quantifies the governing processes thereby enabling the determination of the stratification type. By comparing terms in the equation, we examined how the relative strengths of straining and mixing alter the stratification types in the SRE due to changes in river discharge and the depth resulting from dredging activities. SRE under idealized tidal forcing tends to be partially-mixed based on an analysis of the balance between terms and the vertical structure of salinity, and the morphological and hydrological change in SRE results in the shift of stratification type. While the depth affects the mixing, the freshwater discharge mainly controls the straining, and the balance between mixing and straining determines the final state of the stratification in an estuarine channel. As a result, the development and location of a salt wedge along the channel in a partially mixed and highly stratified condition is also determined by the ratio of straining to mixing. Finally, our findings confirm that the contributions of mixing and straining can be assessed by using the

  2. Wedge-Splitting Test – Determination of Minimal Starting Notch Length for Various Cement Based Composites

    Czech Academy of Sciences Publication Activity Database

    Seitl, Stanislav; Klusák, Jan; Veselý, V.; Řoutil, L.

    452-453, - (2011), s. 81-84 ISSN 1013-9826 R&D Projects: GA AV ČR KJB200410901; GA ČR GA103/08/0963 Institutional research plan: CEZ:AV0Z20410507 Keywords : wedge-splitting test, cementitious composites, quasi-brittle fracture, brittle fracture Subject RIV: JL - Materials Fatigue, Friction Mechanics www.scientific.net

  3. Slip vectors and fault mechanics in the Makran Accretionary Wedge, southwest Pakistan

    Science.gov (United States)

    Platt, John Paul; Leggett, Jeremy K.; Alam, S.

    1988-07-01

    The Makran is a broadly east-west trending arcuate accretionary wedge currently forming where the oceanic floor of the Gulf of Oman is being subducted north-northeastward beneath the south Asian margin. Two traverses across the Makran Coast Ranges, extending about 80 km inland from the coastline (which lies about 100 km north of the wedge front), show that the structure of this region is dominated by large back-rotated south directed thrust faults and associated folds. Related structures include duplexes, fault gouge containing Reidel shears, and melange along fault zones. These structures are cut by later north directed backthrusts, out-of-sequence south directed thrusts, and apparently conjugate sets of NNE trending sinistral and NW trending dextral strike-slip faults. Slip vectors were determined from slickenlines, fiber lineations, gouge fabrics, and Riedel shears. Vectors from early thrusts and bedding-parallel slip surfaces, corrected for tectonic rotation, form a broad south directed concentration lying between the normal to the regional strike (varying from 160° to 180°) and the present plate convergence vector (200°). Locally, the concentration is bimodal. This pattern may represent the interaction between plate forces and body forces in the accretionary wedge. The late thrusts have widely variable slip vectors and stair-step off the early thrusts. They overlap in orientation and slip vector with gently dipping sinistral strike-slip faults, suggesting that they also stair-step in plan off the latter. The steep strike-slip faults represent the final tectonic stage, involving minor N-S shortening and longitudinal extension. These three stages probably occurred in sequence in any one area but migrated diachronously southward as the wedge grew.

  4. Dehydration of chlorite explains anomalously high electrical conductivity in the mantle wedges.

    Science.gov (United States)

    Manthilake, Geeth; Bolfan-Casanova, Nathalie; Novella, Davide; Mookherjee, Mainak; Andrault, Denis

    2016-05-01

    Mantle wedge regions in subduction zone settings show anomalously high electrical conductivity (~1 S/m) that has often been attributed to the presence of aqueous fluids released by slab dehydration. Laboratory-based measurements of the electrical conductivity of hydrous phases and aqueous fluids are significantly lower and cannot readily explain the geophysically observed anomalously high electrical conductivity. The released aqueous fluid also rehydrates the mantle wedge and stabilizes a suite of hydrous phases, including serpentine and chlorite. In this present study, we have measured the electrical conductivity of a natural chlorite at pressures and temperatures relevant for the subduction zone setting. In our experiment, we observe two distinct conductivity enhancements when chlorite is heated to temperatures beyond its thermodynamic stability field. The initial increase in electrical conductivity to ~3 × 10(-3) S/m can be attributed to chlorite dehydration and the release of aqueous fluids. This is followed by a unique, subsequent enhancement of electrical conductivity of up to 7 × 10(-1) S/m. This is related to the growth of an interconnected network of a highly conductive and chemically impure magnetite mineral phase. Thus, the dehydration of chlorite and associated processes are likely to be crucial in explaining the anomalously high electrical conductivity observed in mantle wedges. Chlorite dehydration in the mantle wedge provides an additional source of aqueous fluid above the slab and could also be responsible for the fixed depth (120 ± 40 km) of melting at the top of the subducting slab beneath the subduction-related volcanic arc front.

  5. Lateral wedging of the cemented vertebra after balloon kyphoplasty: a case report

    OpenAIRE

    Wang, Heng; Sun, Zhenzhong; Nitesh, Joshi; Yang, Huilin; Jiang, Weimin

    2015-01-01

    Balloon kyphoplasty has been shown to be safe in treatment of vertebral compression fractures refractory to conservative management. However, few reports have focused on lateral wedging of cemented vertebra after kyphoplasty. A 72-year-old woman with a T12 osteoporotic compression fracture underwent kyphoplasty using polymethylmethacrylate (PMMA) via a bipedicular approach. The patient felt pain free, whereas she did not receive anti-osteoporosis treatment after the surgery. The abnormal spat...

  6. Muon Intensity Increase by Wedge Absorbers for Low-E Muon Experiments

    Energy Technology Data Exchange (ETDEWEB)

    Neuffer, D. V. [Fermilab; Stratakis, D. [Fermilab; Bradley, J. [Fermilab

    2017-09-01

    Low energy muon experiments such as mu2e and g-2 have a limited energy spread acceptance. Following techniques developed in muon cooling studies and the MICE experiment, the number of muons within the desired energy spread can be increased by the matched use of wedge absorbers. More generally, the phase space of muon beams can be manipulated by absorbers in beam transport lines. Applications with simulation results are presented.

  7. Core stability, knee muscle strength, and anterior translation are correlated with postural stability in anterior cruciate ligament-reconstructed patients.

    Science.gov (United States)

    Cinar-Medeni, Ozge; Baltaci, Gul; Bayramlar, Kezban; Yanmis, Ibrahim

    2015-04-01

    The purpose of this study was to investigate the relationship of postural stability and lower extremity performance with core stability, knee laxity, and muscle strength in patients with anterior cruciate ligament reconstruction. Twenty-eight anterior cruciate ligament-reconstructed subjects were included in the study. Anterior knee laxity tests, isokinetic knee muscle strength tests, and core stability tests were performed. Single-limb postural stability was assessed in both eyes-open and eyes-closed positions on a static surface and an eyes-open condition on a foam surface. A single-legged hop test was performed to assess lower extremity performance. To detect differences between the operated and healthy leg, a Mann-Whitney U test was performed, and a correlation analysis was performed using the Spearman correlation coefficient. Knee muscle strength and laxity were different between the operated and healthy legs (P stability scores correlated with core stability tests (P core stability, decreased knee muscle strength, and increased knee laxity correlated with single-limb postural stability. Better hop performance was demonstrated with better knee flexor and extensor muscle strength and was independent from core stability.

  8. Deciding laparoscopic approaches for wedge resection in gastric submucosal tumors: a suggestive flow chart using three major determinants.

    Science.gov (United States)

    Lee, Chung-Ho; Hyun, Myung-Han; Kwon, Ye-Ji; Cho, Sung-Il; Park, Sung-Soo

    2012-12-01

    The aim of this study was to determine the optimal laparoscopic approach for wedge resection of gastric submucosal tumors (SMTs) based on tumor characteristics. Between March 2008 and June 2010, 57 patients underwent laparoscopic wedge resection for suspected gastric SMT. Of these 57 patients, 40 underwent exogastric wedge resection (EWR), with the remaining undergoing transgastric wedge resection (TWR). Fifty-seven consecutive patients undergoing surgical resection of gastric SMT were reviewed, with 40 and 17 tumors treated with EWR and TWR, respectively. The average tumor size was significantly greater in the EWR group (p = 0.004). A circular tumor location was a decisive factor for selecting the laparoscopic approach (p = 0.011). Tumors presenting with exophytic growths were predominantly found in the EWR group, and those with endophytic growth were dominant in the TWR group (p pattern. Copyright © 2012 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  9. Effect of a pelvic wedge and belt on the medial and lateral hamstring muscles during knee flexion.

    Science.gov (United States)

    Yoo, Won-Gyu

    2017-01-01

    [Purpose] This study developed a pelvic wedge and belt and investigated their effects on the selective activation of medial and lateral hamstring muscles during knee flexion. [Subjects and Methods] Nine adults were enrolled. The participants performed exercises without and with the pelvic wedge and belt, and the electromyographic activities of the medial and lateral hamstring muscles were recorded. [Results] The activity of the medial hamstring was increased significantly when using the pelvic wedge and belt, while the activity of the lateral hamstring did not differ significantly. [Conclusion] The pelvic wedge and belt provide a self-locked position during knee flexion in the prone position. Prone knee flexion in this position is an effective self-exercise for balanced strengthening of the medial hamstring.

  10. Interaction of Structure and Physical Properties in Accretionary Wedges: Examples from the Cascadia and Nankai Trough Subduction Zones

    Science.gov (United States)

    Webb, Susanna I.

    Subduction zones are capable of producing large, megathrust earthquakes that are sometimes tsunamigenic. Structure and physical properties in the accretionary wedge play a role in how far rupture can propagate and how the wedge deforms coseismically. In this dissertation, I use seismic reflection data and velocity models from the Cascadia subduction zone and logging data from the Nankai Trough, Japan, to interpret structure, link structure to the broader wedge deformation history, and investigate the material properties at depth. I present a full structural interpretation of newly acquired seismic reflection data in the central Cascadia margin, which is characterized by dominantly landward vergent faulting in the outer wedge, a very low wedge taper angle, and a broad, lightly deformed lower slope terrace. Two decollements are active: an upper decollement within the sedimentary section, and a basal decollement at the sediment-basement interface. These interpretations help delineate the spatial extent of decollements and suggest that supra-wedge sedimentation may influence the development of the wedge, including the formation of the lower slope terrace and out of sequence fault activity. I use velocity models from central Cascadia to estimate excess pore fluid pressure and overpressure ratio at depth, which do not exceed 5 MPa and 0.15, respectively. No excess pore pressure is documented in the underthrust sediment section, but modest overpressure is likely present in the incoming sediment section and the footwalls of thrust sheets. The analysis of pore pressure shows that (1) if the base of the wedge is weak, it is due to mechanical properties of the sediments or a relatively thin underthrust layer and (2) the Cascadia wedge is relatively well-drained, and thus potentially strong, which can lead to a low wedge taper angle. In the Nankai Trough, Japan, I reprocessed sonic log data to obtain P-wave and S-wave velocity values and estimate elastic moduli. The logs

  11. Fifteen cases clinical analysis of wedge-shaped resection of uterus treating adenomyosis—CONSORT

    Science.gov (United States)

    Shu, ShanRong; Luo, Xin; Wang, ZhiXin; Yao, YuHong

    2016-01-01

    Abstract To investigate the improvement of dysmenorrhea and menorrhagia after wedge-shaped resection of uterus. The clinical data of 15 patients who experienced wedge-shaped resection of uterus for adenomyosis were retrospectively analyzed from September 2012 to October 2013. We use the amount of the completed soaked napkins to measure the menstrual blood volume, and the visual analog scale to evaluate the degree of dysmenorrhea. We used the 2 index to evaluate the improvement of dysmenorrhea and menorrhagia after operation. All operations were successful, no serious complication occurred. Before the operation, all 15 patients used more than 25 pieces of completed soaked napkins, after the operation, 13 patients had significantly decreased menstrual flow, the average amount of completed soaked napkins was 3.6. Meanwhile, 2 patients had no menstrual after surgery. Before the operation, among the 10 patients with severe dysmenorrhea, 9 patients had significant relief on pain, they only experienced slight pain after surgery, only 1 patient still experienced moderate pain. Two patients with slight pain had no pain after operation. Among the 3 patients with moderate pain, 2 patients experienced slight pain and 1 patient felt no pain after operation. The wedge-shaped resection of uterus is a safe and effective procedure to significantly reduce menorrhagia and alleviate the extent of dysmenorrhea, which is a promising alternative for patient who suffered from dysmenorrhea and menorrhagia for adenomyosis. PMID:27310956

  12. Analysis and design of wedge projection display system based on ray retracing method.

    Science.gov (United States)

    Lee, Chang-Kun; Lee, Taewon; Sung, Hyunsik; Min, Sung-Wook

    2013-06-10

    A design method for the wedge projection display system based on the ray retracing method is proposed. To analyze the principle of image formation on the inclined surface of the wedge-shaped waveguide, the bundle of rays is retraced from an imaging point on the inclined surface to the aperture of the waveguide. In consequence of ray retracing, we obtain the incident conditions of the ray, such as the position and the angle at the aperture, which provide clues for image formation. To illuminate the image formation, the concept of the equivalent imaging point is proposed, which is the intersection where the incident rays are extended over the space regardless of the refraction and reflection in the waveguide. Since the initial value of the rays arriving at the equivalent imaging point corresponds to that of the rays converging into the imaging point on the inclined surface, the image formation can be visualized by calculating the equivalent imaging point over the entire inclined surface. Then, we can find image characteristics, such as their size and position, and their degree of blur--by analyzing the distribution of the equivalent imaging point--and design the optimized wedge projection system by attaching the prism structure at the aperture. The simulation results show the feasibility of the ray retracing analysis and characterize the numerical relation between the waveguide parameters and the aperture structure for on-axis configuration. The experimental results verify the designed system based on the proposed method.

  13. Analysis of Mechanical Energy Transport on Free-Falling Wedge during Water-Entry Phase

    Directory of Open Access Journals (Sweden)

    Wen-Hua Wang

    2012-01-01

    Full Text Available For better discussing and understanding the physical phenomena and body-fluid interaction of water-entry problem, here mechanical-energy transport (wedge, fluid, and each other of water-entry model for free falling wedge is studied by numerical method based on free surface capturing method and Cartesian cut cell mesh. In this method, incompressible Euler equations for a variable density fluid are numerically calculated by the finite volume method. Then artificial compressibility method, dual-time stepping technique, and Roe's approximate Riemann solver are applied in the numerical scheme. Furthermore, the projection method of momentum equations and exact Riemann solution are used to calculate the fluid pressure on solid boundary. On this basis, during water-entry phase of the free-falling wedge, macroscopic energy conversion of overall body-fluid system and microscopic energy transformation in fluid field are analyzed and discussed. Finally, based on test cases, many useful conclusions about mechanical energy transport for water entry problem are made and presented.

  14. Bacciger bacciger (Trematoda: Fellodistomidae) infection effects on wedge clam Donax trunculus condition.

    Science.gov (United States)

    de Montaudouin, Xavier; Bazairi, Hocein; Mlik, Karima Ait; Gonzalez, Patrice

    2014-10-16

    Wedge clams Donax trunculus inhabit high-energy environments along sandy coasts of the northeastern Atlantic Ocean and the Mediterranean Sea. Two sites were sampled monthly, one in Morocco (Mehdia), where the density was normal, and one in France (Biscarosse), where the density was very low. We tested the hypothesis that the difference in density between the sites was related to infection by the trematode parasite Bacciger bacciger. Identity of both the parasite and the host were verified using anatomical and molecular criteria. Parasite prevalence (i.e. the percentage of parasitized clams) was almost 3 times higher at Biscarosse. At this site, overall prevalence reached 32% in July and was correlated with the migration of several individuals (with a prevalence of 88%) to the sediment surface. After this peak, prevalence decreased rapidly, suggesting death of parasitized clams. The deleterious effect of B. bacciger on wedge clams was also supported by our calculations indicating that the weight of the parasite made up to 56% of the total weight of the parasitized clams. However, condition indices of trematode-free clams were also lower in Biscarosse than in Mehdia or other sites, suggesting that other factors such as pollutants or microparasites (Microcytos sp.) may alter wedge clam population fitness in Biscarosse.

  15. Painful lateral knee condyle bone marrow edema after treatment with lateral wedged insole.

    Science.gov (United States)

    Chaler, Joaquim; Torra, Mercè; Dolz, Josep Lluís; Müller, Bertram; Garreta, Roser

    2010-05-01

    A 50-yr-old man arrived at our department for a rehabilitation prescription after a right knee medial collateral ligament sprain. Magnetic resonance imaging showed medial collateral ligament partial rupture and medial femoral condyle increased signal intensity indicating bone edema. After treatment, the patient still complained of weight-bearing knee medial compartment pain. A lateral wedged insole was prescribed to decrease medial compartment compression forces. Initial response to insole use was good, but soon after, the patient complained of severe worsening knee pain. On examination, the lateral joint line and condyle palpation were tender. Insole use discontinuation was recommended, and another magnetic resonance imaging scan was performed. It showed an high T2-weighted signal intensity, representing bone marrow edema comprising a volume of 5 x 5 x 4.5 cm of lateral femoral condyle. Discontinuation of orthosis use relieved the pain, and the edema disappeared. To our knowledge, lateral femoral condyle painful bone marrow edema after lateral wedged insole use has not been previously described. The findings of this case report indicate that lateral wedged insole prescription should be carefully evaluated.

  16. CFD Simulations of the IHF Arc-Jet Flow: Compression-Pad/Separation Bolt Wedge Tests

    Science.gov (United States)

    Goekcen, Tahir; Skokova, Kristina A.

    2017-01-01

    This paper reports computational analyses in support of two wedge tests in a high enthalpy arc-jet facility at NASA Ames Research Center. These tests were conducted using two different wedge models, each placed in a free jet downstream of a corresponding different conical nozzle in the Ames 60-MW Interaction Heating Facility. Each panel test article included a metallic separation bolt imbedded in Orion compression-pad and heatshield materials, resulting in a circular protuberance over a flat plate. The protuberances produce complex model flowfields, containing shock-shock and shock-boundary layer interactions, and multiple augmented heating regions on the test plate. As part of the test calibration runs, surface pressure and heat flux measurements on water-cooled calibration plates integrated with the wedge models were also obtained. Surface heating distributions on the test articles as well as arc-jet test environment parameters for each test configuration are obtained through computational fluid dynamics simulations, consistent with the facility and calibration measurements. The present analysis comprises simulations of the nonequilibrium flowfield in the facility nozzle, test box, and flowfield over test articles, and comparisons with the measured calibration data.

  17. CFD Simulations of the IHF Arc-Jet Flow: Compression-Pad Separation Bolt Wedge Tests

    Science.gov (United States)

    Gokcen, Tahir; Skokova, Kristina A.

    2017-01-01

    This paper reports computational analyses in support of two wedge tests in a high enthalpy arc-jet facility at NASA Ames Research Center. These tests were conducted using two different wedge models, each placed in a free jet downstream of a corresponding different conical nozzle in the Ames 60-MW Interaction Heating Facility. Each panel test article included a metallic separation bolt imbedded in Orion compression-pad and heatshield materials, resulting in a circular protuberance over a flat plate. The protuberances produce complex model flowfields, containing shock-shock and shock-boundary layer interactions, and multiple augmented heating regions on the test plate. As part of the test calibration runs, surface pressure and heat flux measurements on water-cooled calibration plates integrated with the wedge models were also obtained. Surface heating distributions on the test articles as well as arc-jet test environment parameters for each test configuration are obtained through computational fluid dynamics simulations, consistent with the facility and calibration measurements. The present analysis comprises simulations of the non-equilibrium flow field in the facility nozzle, test box, and flow field over test articles, and comparisons with the measured calibration data.

  18. Stress Analysis and Model Test of Rock Breaking by Arc Blade Wedged Hob

    Directory of Open Access Journals (Sweden)

    Ying-chao Liu

    2016-07-01

    Full Text Available Based on rock compression-shear damage theory, the mechanical characteristics of an arc blade wedged hob were analyzed to study the rock fragmentation mechanism of hob during excavation, and rock fragmentation forecasting model of the arc blade wedged hob was improved. A spoke type cutter model which is similar to the tunnel boring machine (TBM cutter head was designed to study the rock fragmentation efficiency in different cutter spacing by adjusting the bearing sleeve size to obtain different distances between the hobs. The results show that the hob-breaking rock force mainly comes from three directions. The vertical force along the direction of the tunnel excavation, which is associated with uniaxial compressive strength of rock mass, plays a key role in the process of rock fragmentation. Field project data shows that the prediction model’s results of rock fragmentation in this paper are closer to the measured results than the results of the traditional linear cutting model. The optimal cutter spacing exists among different cutter spacings to get higher rock fragmentation rate and lower energy consumption during rock fragmentation. It is of great reference significance to design the arc blade wedged hob and enhance the efficiency of rock fragmentation in rock strata.

  19. Pulses of earthquake activity in the mantle wedge track the route of slab fluid ascent

    Science.gov (United States)

    White, Lloyd; Rawlinson, Nicholas; Lister, Gordon; Tanner, Dominique; Macpherson, Colin; Morgan, Jason

    2016-04-01

    Earthquakes typically record the brittle failure of part of the Earth at a point in space and time. These almost invariably occur within the crust or where the upper surface of subducting lithosphere interacts with the overriding mantle. However, there are also reports of rare, enigmatic earthquakes beneath rifts, above mantle plumes or very deep in the mantle. Here we report another type of mantle earthquake and present three locations where earthquake clusters occur in the mantle wedge overlying active subduction zones. These earthquake clusters define broadly circular to ellipsoidal columns that are 50 km or greater in diameter from depths between ~150 km and the surface. We interpret these rare pulses of earthquakes as evidence of near vertical transport of fluids (and associated flux-melts) from the subducted lithosphere through the mantle wedge. Detailed temporal analysis shows that most of these earthquakes occur over two-year periods, with the majority of events occurring in discrete month-long flurries of activity. As the time and location of each earthquake is recorded, pulses of seismic activity may provide information about the rate of magma ascent from the dehydrated subducted slab to sub-arc/backarc crust. This work indicates that fluids are not transported through the mantle wedge by diapirism, but through sub-vertical pathways facilitated by fracture networks and dykes on monthly to yearly time scales. These rare features move us toward solving what has until now represented a missing component of the subduction factory.

  20. Value of wedge resection for lung cancer in poor cardiopulmonary status patients.

    Science.gov (United States)

    Mahesh, Balakrishnan; Forrester-Wood, Christopher; Amer, Khalid; Ascione, Raimondo

    2006-04-01

    The strategic management of primary lung cancer in patients with poor cardiopulmonary status is still controversial. The aim of this study was to ascertain the early and late results of wide-margin wedge resection with curative intent in this group of patients. Between January 1995 and January 2002, 24 patients (13 males; mean age, 69.96 years) with baseline poor cardiopulmonary status underwent wide-margin wedge resection of preoperatively diagnosed primary lung cancer. All patients suffered from chronic obstructive pulmonary disease and 9 (37.5%) also had symptomatic ischemic heart disease. Eight patients were in New York Heart Association class III and 12 were in class IV. There were no post-operative deaths. Complications included chest infection in 3, surgical emphysema with prolonged air leak in 1, and atrial fibrillation in 6. Overall 7-year survival was 23.3%. Three patients with ischemic heart disease suffered late non-cancer-related death due to myocardial infarction at 48, 60, and 60 months postoperatively. Cancer-free 5-year survival was 54.3%, with 7/24 (29%) late recurrences. Our study suggests that wide-margin wedge resection is a valuable surgical option for primary lung cancer in patients with poor cardiopulmonary status.

  1. Exploring postoperative outcomes for ingrown toenails. NaOH vs wedge resection techniques.

    Science.gov (United States)

    Pérez-Rey, Jorge; Mediavilla-Saldaña, Lazaro; Martínez-Nova, Alfonso

    2014-03-01

    Ingrown (or ingrowing) toenail is a commonly used term for onychocryptosis, in which the nail becomes inserted into the lateral fold of the toe. The resulting effect on a person's health, well-being, and ability to work suggests the importance of clear treatment guidance, but little consensus exists. To explore postoperative recovery after surgery for ingrown toenails using chemical (sodium hydroxide (NaOH)) or mechanical (wedge resection) matricectomy and thus contribute to understanding within the field on which to base treatment guidelines. One hundred sixty-one procedures were undertaken, 94 using NaOH and 67 using wedge resection. Four measures of postoperative recovery were recorded: recurrence, infection, time to discharge, and number of postoperative visits. Patients treated with NaOH had lower rates of recurrence (p = .048) and infection (p = .03) than those treated with wedge resection, and time to discharge was shorter (p = .02), but they had more postoperative visits (p = .003). Low rates of recurrence and infection and short postoperative recovery time were found after both procedures, with a small advantage with treatment with NaOH. The authors argue for the value of clinical intervention using matricectomy in early stages to avoid complications resulting from granulation tissue growth. © 2014 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

  2. Percutaneous dorsal closing wedge osteotomy of the metatarsal neck in management of metatarsalgia.

    Science.gov (United States)

    Lui, Tun Hing

    2014-12-01

    Metatarsalgia can be caused by plantarflexion of a central metatarsal or discrepancies in the metatarsals' length. Nonsurgical management is usually sufficient to achieve satisfactory results. For those recalcitrant cases, metatarsal osteotomy is needed to relieve the pain. We describe a technique of percutaneous dorsal closing wedge osteotomy of the metatarsal to manage the recalcitrant metatarsalgia. A case series was reviewed retrospectively. From March 2010 to March 2013, percutaneous dorsal closing wedge osteotomy of the metatarsal neck has been performed in 33 patients. Thirty six feet with 63 metatarsals were operated on. Thirty two second metatarsals, 22 third metatarsals, 5 fourth metatarsals and 4 fifth metatarsals were operated on. All the osteotomy sites healed up without any transverse plane deformity. The painful callosities subsided except in one operated metatarsal. Recurrence of painful callosities occurred in 2 operated metatarsals. Transfer metatarsalgia occurred in 2 feet. Floating toe deformity occurred in 2 operated rays. There was no nerve injury noted. Two patients had delayed wound healing with serous discharge and the wounds were eventually healed up with wound dressing. Percutaneous dorsal closing wedge osteotomy of the metatarsal neck is an effective and safe surgical treatment of recalcitrant metatarsalgia. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. Colloid retention in porous media: mechanistic confirmation of wedging and retention in zones of flow stagnation.

    Science.gov (United States)

    Johnson, W P; Li, Xiqing; Yal, Gozde

    2007-02-15

    A three-dimensional particle tracking model for colloid transport in porous media was developed that predicts colloid retention in porous media in the presence of an energy barrier via two mechanisms: (1) wedging of colloids within grain to grain contacts; (2) retention of colloids (without attachment) in flow stagnation zones. The model integrates forces experienced by colloids during transport in porous media, i.e., fluid drag, gravity, diffusion, and colloid-surface Derjaguin-Landau-Verwey-Overbeek interactions. The model was implemented for a fluid flow field that explicitly represented grain to grain contacts. The model utilized a variable time stepping routine to allow finer time steps in zones of rapid change in fluid velocity and colloid-surface interaction forces. Wedging was favored by colloid: collector ratios greater than about 0.005, with this threshold ratio increasing with decreasing fluid velocity. Retention in flow stagnation zones was demonstrated for colloid: collector ratios less than about 0.005, with this threshold decreasing with increasing fluid velocity. Both wedging and retention in flow stagnation zones were sensitive to colloid-surface interaction forces (energy barrier height and secondary energy minimum depth). The model provides a mechanistic basis for colloid retention in the presence of an energy barrier via processes that were recently hypothesized to explain experimental observations.

  4. Spatial variability of E. coli in an urban salt-wedge estuary.

    Science.gov (United States)

    Jovanovic, Dusan; Coleman, Rhys; Deletic, Ana; McCarthy, David

    2017-01-15

    This study investigated the spatial variability of a common faecal indicator organism, Escherichia coli, in an urban salt-wedge estuary in Melbourne, Australia. Data were collected through comprehensive depth profiling in the water column at four sites and included measurements of temperature, salinity, pH, dissolved oxygen, turbidity, and E. coli concentrations. Vertical variability of E. coli was closely related to the salt-wedge dynamics; in the presence of a salt-wedge, there was a significant decrease in E. coli concentrations with depth. Transverse variability was low and was most likely dwarfed by the analytical uncertainties of E. coli measurements. Longitudinal variability was also low, potentially reflecting minimal die-off, settling, and additional inputs entering along the estuary. These results were supported by a simple mixing model that predicted E. coli concentrations based on salinity measurements. Additionally, an assessment of a sentinel monitoring station suggested routine monitoring locations may produce conservative estimates of E. coli concentrations in stratified estuaries. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Integrated waste management as a climate change stabilisation wedge for the Maltese islands.

    Science.gov (United States)

    Falzon, Clyde; Fabri, Simon G; Frysinger, Steven

    2013-01-01

    The continuous increase in anthropogenic greenhouse gas emissions occurring since the Industrial Revolution is offering significant ecological challenges to Earth. These emissions are leading to climate changes which bring about extensive damage to communities, ecosystems and resources. The analysis in this article is focussed on the waste sector within the Maltese islands, which is the largest greenhouse gas emitter in the archipelago following the energy and transportation sectors. This work shows how integrated waste management, based on a life cycle assessment methodology, acts as an effective stabilisation wedge strategy for climate change. Ten different scenarios applicable to the Maltese municipal solid waste management sector are analysed. It is shown that the scenario that is most coherent with the stabilisation wedges strategy for the Maltese islands consists of 50% landfilling, 30% mechanical biological treatment and 20% recyclable waste export for recycling. It is calculated that 16.6 Mt less CO2-e gases would be emitted over 50 years by means of this integrated waste management stabilisation wedge when compared to the business-as-usual scenario. These scientific results provide evidence in support of policy development in Malta that is implemented through legislation, economic instruments and other applicable tools.

  6. Open bite treatment using clear aligners.

    Science.gov (United States)

    Guarneri, Maria Paola; Oliverio, Teresa; Silvestre, Ivana; Lombardo, Luca; Siciliani, Giuseppe

    2013-09-01

    A 35-year-old female patient with dentoalveolar open bite of 4 mm, molar Class I malocclusion, centered midlines, moderate crowding, and labial inclination of the lower incisor was treated with clear aligners to reduce protrusion and close the anterior open bite. The result showed that clear aligners were an effective method with which to correct this malocclusion. The treatment was complete after 18 months. The patient was satisfied with her new appearance and function.

  7. The chronology of Late Pleistocene thermal contraction cracking derived from sand wedge OSL dating in central and southern France

    Science.gov (United States)

    Andrieux, Eric; Bateman, Mark D.; Bertran, Pascal

    2018-03-01

    Much of France remained unglaciated during the Late Quaternary and was subjected to repeated phases of periglacial activity. Numerous periglacial features have been reported but disentangling the environmental and climatic conditions they formed under, the timing and extent of permafrost and the role of seasonal frost has remained elusive. The primary sandy infillings of relict sand-wedges and composite-wedge pseudomorphs record periglacial activity. As they contain well-bleached quartz-rich aeolian material they are suitable for optically stimulated luminescence dating (OSL). This study aims to reconstruct when wedge activity took place in two regions of France; Northern Aquitaine and in the Loire valley. Results from single-grain OSL measurements identify multiple phases of activity within sand wedges which suggest that wedge activity in France occurred at least 11 times over the last 100 ka. The most widespread events of thermal contraction cracking occurred between ca. 30 and 24 ka (Last Permafrost Maximum) which are concomitant with periods of high sand availability (MIS 2). Although most phases of sand-wedge growth correlate well with known Pleistocene cold periods, the identification of wedge activity during late MIS 5 and the Younger Dryas strongly suggests that these features do not only indicate permafrost but also deep seasonal ground freezing in the context of low winter insolation. These data also suggest that the overall young ages yielded by North-European sand-wedges likely result from poor record of periglacial periods concomitant with low sand availability and/or age averaging inherent with standard luminescence methods.

  8. Effect of a pelvic wedge and belt on the medial and lateral hamstring muscles during knee flexion

    OpenAIRE

    Yoo, Won-gyu

    2017-01-01

    [Purpose] This study developed a pelvic wedge and belt and investigated their effects on the selective activation of medial and lateral hamstring muscles during knee flexion. [Subjects and Methods] Nine adults were enrolled. The participants performed exercises without and with the pelvic wedge and belt, and the electromyographic activities of the medial and lateral hamstring muscles were recorded. [Results] The activity of the medial hamstring was increased significantly when using the pelvi...

  9. A multisatellite case study of the expansion of a substorm current wedge in the near-Earth magnetotail

    International Nuclear Information System (INIS)

    Lopez, R.E.; Lui, A.T.Y.

    1990-01-01

    This study presents observations made by four spacecraft (AMPTE CCE, AMPTE IRM, GOES 5, and GOES 6) and two ground stations (San Juan and Tucson) during a substorm that occurred at ∼0830 UT on April 19, 1985. The spacecraft were arrayed in a configuration that allows for the examination of the spatial evolution of the substorm current wedge, CCE was located between the GOES spacecraft in longitude, but at a radial distance of 8.0 R E . IRM was located west of the other three spacecraft in the same sector as Tucson, but at a radial distance of 11.6 R E . The relative times at which the signature of the substorm current wedge was first observed at the GOES spacecraft and the ground stations are consistent with a simple longitudinally expanding current wedge. However, the times at which IRM and CCE observed the current wedge are not consistent with a current wedge that expanded only longitudinally, IRM first observed the signature of the current wedge at about the same time the signature was observed by GOES 6 and Tucson, and CCE observed the current wedge only after both GOES satellites and the ground stations had done so. Moreover, both GOES spacecraft observed signatures consistent with entry into the central plasma sheet before CCE and IRM did, even though we estimate that CCE was slightly closer to the neutral sheet than the geosynchronous spacecraft. The sequence of events suggests that during this substorm the disruption of the cross-tail current sheet, the formation of the substorm current wedge, and the expansion of the plasma sheet began in the near-Earth region, and subsequently spread tailward as well as longitudinally

  10. Mantle wedge exhumation beneath the Dora-Maira (U)HP dome unravelled by local earthquake tomography (Western Alps)

    Science.gov (United States)

    Solarino, Stefano; Malusà, Marco G.; Eva, Elena; Guillot, Stéphane; Paul, Anne; Schwartz, Stéphane; Zhao, Liang; Aubert, Coralie; Dumont, Thierry; Pondrelli, Silvia; Salimbeni, Simone; Wang, Qingchen; Xu, Xiaobing; Zheng, Tianyu; Zhu, Rixiang

    2018-01-01

    In continental subduction zones, the behaviour of the mantle wedge during exhumation of (ultra)high-pressure [(U)HP] rocks provides a key to distinguish among competing exhumation mechanisms. However, in spite of the relevant implications for understanding orogenic evolution, a high-resolution image of the mantle wedge beneath the Western Alps is still lacking. In order to fill this gap, we perform a detailed analysis of the velocity structure of the Alpine belt beneath the Dora-Maira (U)HP dome, based on local earthquake tomography independently validated by receiver function analysis. Our results point to a composite structure of the mantle wedge above the subducted European lithosphere. We found that the Dora-Maira (U)HP dome lays directly above partly serpentinized peridotites (Vp 7.5 km/s; Vp/Vs = 1.70-1.72), documented from 10 km depth down to the top of the eclogitized lower crust of the European plate. These serpentinized peridotites, possibly formed by fluid release from the subducting European slab to the Alpine mantle wedge, are juxtaposed against dry mantle peridotites of the Adriatic upper plate along an active fault rooted in the lithospheric mantle. We propose that serpentinized mantle-wedge peridotites were exhumed at shallow crustal levels during late Eocene transtensional tectonics, also triggering the rapid exhumation of (U)HP rocks, and were subsequently indented under the Alpine metamorphic wedge in the early Oligocene. Our findings suggest that mantle-wedge exhumation may represent a major feature of the deep structure of exhumed continental subduction zones. The deep orogenic levels here imaged by seismic tomography may be exposed today in older (U)HP belts, where mantle-wedge serpentinites are commonly associated with coesite-bearing continental metamorphic rocks.

  11. Gnathostomiasis of the anterior chamber

    Directory of Open Access Journals (Sweden)

    Barua P

    2007-01-01

    Full Text Available Ocular involvement with Gnathostoma spinigerum occurs years after the initial infection that is acquired by ingestion of poorly cooked, pickled seafood or water contaminated with third stage larvae. Here we report a case of gnathostomiasis of the left eye of a 32-year-old lady hailing from Meghalaya, India. Her vision had deteriorated to hand movement. Slit lamp examination revealed a live, actively motile worm in the anterior chamber, which was extracted by supra temporal limbal incision and visual acuity was restored.

  12. RETAINED STONE PIECE IN ANTERIOR CHAMBER

    Directory of Open Access Journals (Sweden)

    ZvornicaninJasmin, Nadarevic-VodencarevicAmra

    2015-04-01

    Full Text Available ABSTRACT We read with interest the article by Surekha et al. regarding the retained stone piece in anterior chamber. Similar to the results of previous studies, the authors found that delayed intraocular foreign body (IOFB management can result in good visual outcome without an apparent increased risk of endophthalmitis or other deleterious side effects. However, the authors failed to explain the exact reason for the diminution of vision in patients left eye. It is unclear what the uncorrected visual acuity was and what kind of correction was used, more precisely type and amount of cylinder, given the presence of the corneal opacity. Since the size of the IOFB is approximately 4x4x1mm, significant irido-corneal angle changes resulting in intraocular pressure raise and optic nerve head damage can be expected. Traumatic glaucoma following open globe injury can occur in 2.7 to 19% of cases, with several risk factors associated with glaucoma development (advanced age, poor visual acuity at presentation,perforating rather than penetrating ocular injury,lens injury, presence of vitreous hemorrhage and presence of an IOFB. Earlier reportsof latetraumaticoptic neuropathy onset, even after several years, indicate that this possibility cannot be completely ruled out too. Therefore, repeated intraocular pressure measurements, gonioscopy, pupillary reaction assessment, together with through posterior segment examination including visual field and optical coherence tomography examinations can be useful in determining the possible optic nerve damage as one of the possible reasons for visual acuity reduction. The authors did not suggest any operative treatment at this time. However, it should bear in mind that the inert anterior chamber IOFB could be a risk factor for non-infectious endophthalmitis development even after many years. Also, long term retained anterior chamber foreign body leads to permanent endothelial cell loss and can even result in a corneal

  13. Open Source and Open Standards

    NARCIS (Netherlands)

    Koper, Rob

    2006-01-01

    Publication reference: Koper, R. (2008). Open Source and Open Standards. In J. M. Spector, M. Merrill, J. van Merriënboer & M. P. Driscol (Eds.), Handbook of Research on Educational Communications and Technology (3rd ed., pp. 355-368). New York: Routledge.

  14. Formation of wedge-like pattern on VLF spectrograms observed by DEMETER

    Science.gov (United States)

    Shklyar, David; Parrot, Michel; Chum, Jaroslav; Santolik, Ondrej; Titova, Elena

    2010-05-01

    The DEMETER satellite has almost circular polar orbit, with the altitude ~ 700 km. At middle latitudes, DEMETER typically stays in the region where the height-dependent variation of the lower hybrid resonance (LHR) frequency profile forms a trough, i.e. inside the so-called LHR waveguide. In this region, LHR phenomena reveal themselves most distinctly. A striking example of such phenomena is provided by wedge-like events (WLE) registered sometimes on overview VLF spectrograms (time duration ~ 2 minutes, frequency range 0 - 20 kHz) during thunderstorm activity. A characteristic feature of these spectrograms is the presence of unusual upper and lower cutoff frequencies. The upper cutoff frequency varies rapidly, approximately in proportion to L-3, where L is McIlwain parameter on the satellite orbit. On the contrary, the lower cutoff frequency is almost constant, so that the cutoffs cross at larger L. Between these cutoffs, which thus form a wedge, intense whistlers are observed, whereas only 0+ whistlers and, probably, ducted whistlers are found outside the cutoffs. We present numerous examples of such spectrograms, and explain the formation of wedge-like structures by the wave propagation features in the inner magnetosphere, and specific position of the satellite with respect to the LHR maximum. In general terms, this explanation is as follows. WLE consists of whistler mode waves originating from lightnings and, thus, is related to thunderstorm activity. The wedge as such is formed by quasi-resonance whistler waves that cannot propagate in the region where the wave frequency is below local LHR frequency. Then, the lower frequency cutoff is determined by the LHR maximum, as quasi-resonant waves with lower frequencies originating in opposite hemisphere do not reach the satellite due to LHR reflection above it. The appearance of an upper cutoff frequency is due to another feature of unducted VLF wave propagation, which consists in trajectories merging into a limiting

  15. Anterior chest wall examination reviewed

    Directory of Open Access Journals (Sweden)

    F. Trotta

    2011-09-01

    Full Text Available Anterior chest wall involvement is not infrequently observed within inflammatory arthropaties, particularly if one considers seronegative spondiloarthritides and SAPHO syndrome. Physical examination is unreliable and conventional X-rays analysis is an unsatisfactory tool during diagnostic work-up of this region. Scintigraphic techniques yield informations both on the activity and on the anatomical extent of the disease while computerized tomography visualize the elementary lesions, such as erosions, which characterize the process. Moreover, when available, magnetic resonance imaging couple the ability to finely visualize such lesions with the possibility to show early alterations and to characterize the “activity” of the disease, presenting itself as a powerful tool both for diagnosis and follow-up. This review briefly shows the applications of imaging techniques for the evaluation of the anterior chest wall focusing on what has been done in the SAPHO syndrome which can be considered prototypical for this regional involvement since it is the osteo-articular target mainly affected by the disease.

  16. [Anterior skull-base schwannoma].

    Science.gov (United States)

    Esquivel-Miranda, Miguel; De la O Ríos, Elier; Vargas-Valenciano, Emmanuelle; Moreno-Medina, Eva

    Schwannomas are nerve sheath tumours that originate in Schwann cells. They are usually solitary and sporadic and manifest on peripheral, spinal or cranial nerves. Intracranial schwannomas tend to manifest on the eighth cranial nerve, particularly in patients with neurofibromatosis type2. Anterior skull-base schwannomas represent less than 1% of all intracranial schwannomas. They are more frequent in young people and are typically benign. These tumours represent a diagnostic challenge due to their rarity and difficult differential diagnosis, and numerous theories have been postulated concerning their origin and development. In this article, we present the case of a 13-year-old male with a single anterior cranial-base tumour not associated with neurofibromatosis who presented with headache, papilloedema, eye pain and loss of visual acuity. Complete resection of the tumour was performed, which was histopathologically diagnosed as a schwannoma. The patient made a complete clinical recovery with abatement of all symptoms. We conducted a review of the literature and found 66 cases worldwide with this diagnosis. We describe the most relevant epidemiological and clinical characteristics of this kind of tumour and its relation with the recently discovered and similar olfactory schwannoma. Copyright © 2017 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Tailored anterior tension-free repair for the treatment of recurrent inguinal hernia previously repaired by anterior approach.

    Science.gov (United States)

    Erdas, E; Medas, F; Gordini, L; Licheri, S; Pisano, G; Nicolosi, A; Calò, P G

    2016-06-01

    The purpose of this study is to describe our policy in selecting different types of anaesthesia and anterior tension-free techniques for the repair of recurrent inguinal hernias previously treated by anterior approach and to evaluate early and late outcomes. The medical records of 111 patients who underwent recurrent inguinal hernia repair by anterior approach in the period 2000-2013 were reviewed. Fifty patients (45 %) were over 70 years old and 63 (56.7 %) had one or more co-morbidities. Hernias with large defects were the most frequently observed (59.5 %), and no-mesh techniques were the most frequent failed repair (75.7 %). Different anterior tension-free techniques and types of anaesthesia were used, depending on hernia and patient characteristics. Seventy-three patients (65.8 %) were operated on an outpatient basis. Mean follow-up period was 89 months (range 10-183). No perioperative deaths, medical events, or visceral injuries were recorded. Early postoperative complications occurred in 11 patients: 4 haematomas (3.6 %), 5 seromas (4.5 %), 1 superficial wound infection (0.9 %) and 1 ischemic orchitis (0.9 %). Late complications consisted in 3 cases of chronic moderate pain (3.2 %) and 2 re-recurrences (2.1 %). Recurrent inguinal hernia previously treated by open anterior technique can be repaired using the same approach, often on an outpatient basis, with a low rate of recurrence and postoperative complications. To be safe and effective, the repair should be performed by appropriately trained surgeons, well versed in the use of different types of anaesthesia and surgical techniques depending on patient and hernia characteristics.

  18. Open IS

    DEFF Research Database (Denmark)

    Germonprez, Matt; Crowston, Kevin; Avital, Michel

    2013-01-01

    The collective intelligence and collective action of “open” communities have produced a variety of complex knowledge goods and radical social change. The Information Systems (IS) community has invested significant effort into researching open communities and the ecosystems in which they operate...... therefore seeks to stimulate a thoughtful and dynamic discussion around the proposition that becoming a more open community will enhance the IS discipline’s scholarly inquiry and global impact....

  19. Dynamic analysis of iris configuration with anterior segment optical coherence tomography.

    Science.gov (United States)

    Cheung, Carol Yim-lui; Liu, Shu; Weinreb, Robert N; Liu, Jing; Li, Haitao; Leung, Dexter Yu-lung; Dorairaj, Syril; Liebmann, Jeffrey; Ritch, Robert; Lam, Dennis Shun Chiu; Leung, Christopher Kai-shun

    2010-08-01

    To evaluate dynamic changes in iris configuration and their association with anterior chamber angle width by using anterior segment optical coherence tomography (ASOCT). Forty-six normal subjects with open angles and 40 with narrow angles (Shaffer grade dark room gonioscopy) were analyzed. The dynamic ASOCT dark-light changes of iris bowing were captured with real-time video recording and nasal iris bowing, nasal anterior chamber angle, and pupil diameter were measured in serial image frames selected from the video capture. The associations between iris bowing, iris thickness, anterior chamber depth (ACD), age, anterior chamber angle, and pupillary diameter measurements were evaluated with univariate and multivariate regression analyses. The relationship between iris bowing and pupil diameter was largely linear, with three dynamic patterns observed: (1) convex-to-convex (iris remains convex in dark and light); (2) concave-to-convex (iris changes from concave to convex from light to dark); and (3) concave-to-concave (iris remains concave in dark and light). All the subjects with narrow angles had convex-to-convex anatomy, although 43% of the subjects with open angles also demonstrated this pattern. These individuals were older and had shorter axial length (both with P dark (r = 0.472, P dark. ACD and iris bowing were independently associated with anterior chamber angle width. Independent of ACD, iris bowing is an important biometric parameter that determines angle width. Investigation of iris dynamics may offer a new perspective in understanding the risk and mechanism of primary angle closure.

  20. Imaging findings of anterior hip dislocations

    Energy Technology Data Exchange (ETDEWEB)

    Pfeifer, Kyle [Mallinckrodt Institute of Radiology, Department of Radiology, St. Louis, MO (United States); Leslie, Michael [Yale School of Medicine, Department of Orthopedics and Rehabilitation, New Haven, CT (United States); Menn, Kirsten; Haims, Andrew [Yale University School of Medicine, Department of Radiology and Biomedical Imaging, New Haven, CT (United States)

    2017-06-15

    Anterior hip dislocations are rare orthopedic emergencies resulting from high-energy trauma and have unique imaging characteristics on radiography, computed tomography (CT), and magnetic resonance imaging (MRI). Imaging findings on CT and MRI allow for the prompt recognition and classification of anterior hip dislocations, which guides patient management and reduces complications. The purpose of this article is to review imaging findings of anterior hip dislocations, specifically focusing on CT and MRI. (orig.)