Carpal tunnel syndrome, trigger fingers, and deQuervaines’ tenosynovitis are often regarded as surgical lesions. Using an interprofessional team approach, all these conditions can be treated with nonsurgical techniques. A 44-year-old accountant presented with hand pain requiring workplace accommodation. He had electrodiagnositc evidence of carpal tunnel syndrome bilaterally with the right side ...

Rockburst disasters frequently occur in deep tunnels excavated by TBM (tunnel boring machine) under complex geological conditions western China. Using FLAC3D, the characterization of a three-dimensional numerical model compound stratum tunnel is conducted, based on water transport project Shanxi Province. Then, characteristics rockburst hard and soft are revealed, energy criteria considering ro...

Nowadays deep excavations are needed for construction of foundation of high rise buildings, providing space for parking and etc. In some cases deep excavations may be constructed in the vicinity of the subway tunnels and causes unpredicted extra displacements and internal forces in tunnel lining of tunnels which were not designed for them and consequently affect serviceability of tunnel. Theref...

introduction the lulak abad iron occurrence is located in the northwestern part of the central iran, 55 km west of zanjan. mineralization at the lulak abad area was originally identified by zamin gostar company (2007), during a geophysical exploration. the present paper provides an overview of the geological framework, the mineralization characteristics, and the results of a geochemical study o...

Pembelajaran tingkat SMP dilaksanakan secara kontekstual untuk melatih keterampilan 4C yang sangat dibutuhkan pada abad 21. Inovasi model PjBL berbasis teknologi dipercaya mampu memberikan hasil lebih optimal mencapai tujuan pembelajaran. Bentuk integrasi diterapkan dalam pembelajaran dapat berupa proses Selain integrase juga bentuk media, bahan ajar hingga perangkat Penelitian menggunakan anal...

Abstract As the modernisation of cities, railway road construction and existing lines are demanded during past decades more than before. Demand short travel time is one reasons that we redesign existed roads process. Tunnel ways can shorten in roads. In this study, introduced commonly used tunnel methods, New Austrian Tunnelling Method (NATM), some important points method regarding excavation b...

Penelitian ini bertujuan untuk mengetahui kompetensi yang dikuasasi siswa selama pembelajaran daring pada saat New Normal dengan menggunakan project based learning. Peneliti metode kualitatif deskriptif. dilakukan di SD IT Uswatun Hasanah jumlah sampel 15 terdiri dari 11 laki-laki dan 4 perempuan. Hasil penelitian menunjukan bahwa model learning dapat dilaksanakan efektif media whatsapp zoom me...

the effect of underground cavities in site seismic response was studied over the subway tunnels that are under construction in the city of karaj, using ambient noise measurements as well as numerical modeling. the idea for this research comes from the observation of differences in experimental site transfer function, calculated on more than 100 locations of the city, for the areas near the unde...

The lining structure of Tunnel Boring Machine (TBM) excavated tunnels is composed of series of precast Reinforced Concrete (RC) pieces which are called segment. At the present paper, a novel method is introduced for seismic retrofitting of segmental tunnels located at active fault zones in rock environment with case study of Amirkabir dam to Tehran water transfer tunnel (Karadj tunnel). The mai...