A new method of generating wedge-shaped dose distributions through dynamic multileaf collimator dose delivery rather than computer-controlled jaw motion is presented. The method starts with the calculation of a wedge-shaped beam profile for the desired wedge angle. The resultant wedge beam profile is then passed to the intensity-modulated radiation therapy (IMRT) leaf sequence generation algori...

High tibial osteotomy (HTO) has been widely used for clinical treatment of osteoarthritis of the medial compartment of the knee, and both opening-wedge and closing-wedge HTO are the most commonly used methods. However, it remains unclear which technique has better clinical and radiological outcomes in practice. To systematically evaluate this issue, we conducted a comprehensive meta-analysis by...

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 Monte...

conventional implant dentistry has been limited to healed edentulous ridges with adequate bone. predictable success rates resulted in using dental implants in compromised situations such as insertion into old infected sites or near to pathological areas. there is significant data about marginal bone loss and lack of osseointegration around the neck of implants. however, the data about peri apic...

Introduction: Background: Radiotherapy of parotid tumors is achieved by different radiotherapy techniques. So they deliver the dose to organs at risk such as contralateral parotid, temporal lobe & spinal cord. The consequences of high dose to OARs are xerostomia, Temporal lobe necrosis and loss of hearing. Purpose: The aim of this study was to compare different treatment tech...

Interference screws are commonly used for graft fixation in bonetendon-bone patellar tendon anterior cmciate ligament (ACL) reconstruction. The clinical significance of graft screw divergence has not been well studied. This report retrospectively reviews our initial experience in 73 consecutive endoscopic (single-incision) ACL reconstructions using interference screw fixation. Femoral divergenc...

This paper proposes a new regulatory approach that implements capital requirements contingent on managerial compensation. We argue that excessive risk taking in the financial sector originates from the shareholder moral hazard created by government guarantees rather than from corporate governance failures within banks. The idea of the proposed regulation is to utilize the compensation scheme to...

PURPOSE The objective of this systematic review was to summarise the outcome after cast wedging due to loss of angulation in conservative fracture treatment of children's fractures. METHODS Electronic searches were performed using MEDLINE, PubMed, OVID, CENTRAL and EMBASE without language restrictions. RESULTS Three studies comprising 316 patients (210 radius, 52 forearm/both bone forearm f...

[1] The development of topography within and erosional removal of material from an orogen exerts a primary control on its structure. We develop a model that describes the temporal development of a frontally accreting, critically growing Coulomb wedge whose topography is largely limited by bedrock fluvial incision. We present general results for arbitrary initial critical wedge geometries and in...

BACKGROUND Controversy exists over whether or not single-needle liver biopsies are sufficient to compare histological parameters in patients with non-alcoholic fatty liver disease. AIMS To identify sampling variability, we biopsied four liver specimens per patient, based on biopsy size (needle vs wedge) and location (left vs right lobe), immediately prior to bariatric Roux-en-Y gastric bypass...