Tophaceous gout is a recognized cause of carpal tunnel syndrome. Of 2649 carpal tunnel releases, 15 hands in 13 patients were identified with tophaceous gout in the carpal tunnel. The incidence of tophaceous gout in the carpal tunnel was 0.6%. Twelve of 13 patients were male, and 8 of 10 patients with a history of gout developed carpal tunnel syndrome despite adequate medical treatment. Thus, c...

Carpal tunnel syndrome is diagnosed by clinical symptoms, Tinel's sign, Phalen's test and electromyography. Carpal tunnel pressure measurement can also aid in the precise identification of excessive pressure sites that indicate locations for release. In this study, pressure measurements made during endoscopic carpal tunnel release at 5 points were significantly higher anywhere in the carpal tun...

A FOUNDATION FOR TUNNEL-COMPLEX PROTOCOLS Alwyn E. Goodloe Carl A. Gunter Tunnel-complex protocols construct different tunnel topologies by directing tunnelestablishment protocols to set up pair-wise tunnels between different nodes, where the resulting tunnel complex satisfies some security requirement such as negotiating a defense in depth. Such protocols ease the burden on network managers de...

Endoscopic carpal tunnel release is a controversial procedure used in the treatment of carpal tunnel syndrome. Although endoscopic carpal tunnel release is associated with less incisional pain and faster recovery time than the open carpal tunnel release, opponents of endoscopic carpal tunnel release suggest that its benefits are outweighed by its higher complication rates from median nerve tran...

qomroud water conveyance tunnel (lot 1&2) with the length of 16 kilometers is considered as one of the greatest development and national projects in iran. since about 2 kilometers of tunnel pass through alluvium and the rest of the tunnel pass through various types of geological units, and due to the complexity of geological condition and variety of effective criteria, suitable selection of...

Excavation of shallow tunnels such as subways in urban areas plays a significant role as a life line and investigation of the soil behavior against tunnel construction is one of the vital subjects studied in the geotechnical scope. Nowadays, urban tunnels are mostly drilled by T.B.Ms and changing the applied forces to tunnel lining is one of the most risky matters while drilling tunnels by thes...

In this research, we analyzed the multi-functional role of a tunnel barrier that can be integrated in devices. This tunnel barrier, acting as an internal resistor, changes its resistance with applied bias. Therefore, the current flow in the devices can be controlled by a tunneling mechanism that modifies the tunnel barrier thickness for non-linearity and switching uniformity of devices. When a ...

NSIS Quality of Service (QoS) signaling enables applications to perform QoS reservation along a data flow path. When the data flow path contains IP tunnel segments, NSIS QoS signaling has no effect within those tunnel segments. Therefore, the resulting tunnel segments could become the weakest QoS link and invalidate the QoS efforts in the rest of the end-to-end path. The problem with NSIS signa...