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triphalangeal thumb is characterized by the interposition of an extra-phalanx between two normal ones. in this article the authors present the case of a 24-year-old man with bilateral triphalangeal thumb of opposable type, without any other associated anomaly or genetic syndrome. the patient had triangular delta extra-phalanxes that caused ulnar deviation of both thumbs. surgical procedure for ...

background: physical wedges are still widely used as beam modifiers in external beam radiotherapy. however the presence of them in the beam trace may cause beam hardening which may not be considered in many treatment planning systems. the aim of this study is to investigate the beam hardening effect generated by physical wedges via different beam quality indexes as photon spectrum, half value l...

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Abstract Researchers at Texas A&M University (TAMU) have designed the radiation integrated circuit (RIC) for deployment as a new detection system. Most circuits are susceptible to radiation-induced failures, and decades of research gone into solving this problem. Research TAMU has led novel design that utilizes both radiation-hardened areas (RHAs) radiation-sensitive (RSAs) take advantage t...

BACKGROUND 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. METHODS All studies comparing pre- and postoperative leg length in patient...

background: one of the main causes of induction of secondary cancer in radiation therapy is neutron contamination received by patients during treatment. objective: in the present study the impact of wedge and block on neutron contamination production is investigated. the evaluations are conducted for a 15 mv siemens primus linear accelerator.  methods: simulations were performed using mcnpx mon...

Background: The presence of a wedge filter in the beam trajectory can modify the beam quality and cause some changes in the dosimetry parameters which are usually difficult to be measured directly and accurately. Material and Methods: In this study the MCNP-4C Monte Carlo code was used to simulate the 9 MV photon beam generated by a linear accelerator. Upon getting a good agreement bet...

background: considering suggested formula in the references and pcwp measured by catheterism, in the present study the relation between pulmonary capillary wedge pressure (pcwp) measured the flow velocity of mitral valve and mitral annulus motion through tissue doppler imaging is evaluated methods: 52 cases of severe ms were admitted for balloon mitral valvolotomy (bmv) are included in this stu...

in this research, numerical simulation of a symmetric impact of a 2-d wedge, considering dynamic equations in two-phase flow is taken into account. the two-phase flow around the wedge is solved based on finite volume method and volume of fluid (vof) scheme. the dynamic mesh model is used to simulate dynamic motion of the wedge, thereby the effects of different dynamic meshes in both structured ...