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Im Rahmen dieser retrospektiven Studie zur Madelung-Deformität wurden 23 Hände von 16 Patienten, welche in einem Zeitraum von 17,5 Jahren mit einer Radiuskorrekturosteotomie (RKO) oder eine Physiolyse mit Vickers-Band-Entfernung (PHY) behandelt wurden, nachuntersucht und bezüglich des OP-Outcomes verglichen. Die Gruppe RKO umfasste 14 Hände mit einem Durchschnittsalter von 22 Jahren und einer durchschnittlichen Follow-Up-Zeitraum von 7 Jahren. Die Gruppe PHY bestand aus 9 Händen mit einem Durchschnittsalter von 13 Jahren und einem mittleren Follow-Up-Zeitraum von 5 Jahren. In unserem Kollektiv konnte die Radiuskorrektur eine Verbesserung bezüglich der Schmerzen, des subjektiven Gesundheitsstatus, der Beweglichkeit und der radiologischen Ausprägung der Deformität herbeiführen. Die vorliegenden Ergebnisse stützen damit die aus der bisherigen Literatur ableitbare Vermutung, dass dieses Verfahren zur Therapie der Madelung-Deformität geeignet ist. Die Physiolyse mit Vickers-Band-Entfernung konnte die Progredienz der Erkrankung in unserer Stichprobe nicht suffizient aufhalten, wie es anhand der bisherigen Literatur allerdings zu erwarten gewesen wäre. Infolgedessen kam es in der Gruppe PHY zu einer Zunahme der Schmerzen und der Ausprägung der Deformität sowie einer Verschlechterung des Gesundheitsstatus. Der Grund hierfür lag wahrscheinlich im, verglichen mit der bisherigen Literatur, relativ hohen Durchschnittsalter der Gruppe. Es lässt sich schlussfolgern, dass die Physiolyse mit Vickers-Band-Entfernung ihre Wirkung vor allem im Kindesalter voll entfaltet. Im Einklang mit der bisherigen Literatur konnte keine Korrelation zwischen den aktuellen radiologischen und klinischen Befunden beobachtet werden. Jedoch zeigte sich ein augenscheinlicher Zusammenhang zwischen der Veränderung der radiologischen Parameter und der Veränderung des klinischen Befindens, was einen Nutzen der McCarroll-Parameter im Rahmen der OP-Planung nahelegt. / In this retrospective study, 23 hands of 16 patients suffering from Madelung's deformity that were treated with radius corrective osteotomy (RKO) or physiolysis with removal of the Vickers-ligament(PHY) over a period of 17.5 years were followed up for comparison of the surgical outcome of these two groups. The RKO group included 14 hands with an average age of 22 years and an average follow-up period of 7 years. The PHY group consisted of 9 hands with a mean age of 13 years and a mean follow-up period of 5 years. In our collective, radius corrective osteotomy was able to bring about an improvement in terms of pain, subjective health status, mobility, and radiological severity of the deformity. The present results thus support the assumption derivable from the previous literature that this procedure is suitable for the therapy of the Madelung deformity. Physiolysis with Vickers ligament removal was not able to sufficiently halt the progression of the disease in our sample, although this would have been expected from the previous literature. As a result, there was an increase in pain and severity of deformity and a worsening of health status in the PHY group. The reason for this was probably the relatively high average age of our sample compared to the previous literature. This leads to the conclusion that physiolysis with Vickers ligament excision is most effective in children. Consistent with previous literature, no correlation was observed between the current radiological and clinical findings. However, there appeared to be a correlation between the alteration of radiological characteristics and the alteration of clinical outcomes, pointing to the usefulness of McCarroll's parameters for surgical planning.

With the recent change of the equivalent dose limit for the lens of eyes from 150 to 20 mSv/yr., averaged over 5 years, it is of great importance to investigate the beta-ray spectrum in the maintenance areas of the nuclear power plants, where workers are exposed to mixed beta-gamma fields. A beta-ray spectrometer consisting of a thin silicon detector and a plastic scintillator has been developed, which can accept only beta detection events while rejecting gamma events via coincidence. Based on the spectroscopy system that has been built, a comprehensive upgrade of software and hardware has been conducted. The data acquisition software MC2 was replaced with CoMPASS, developed by CAEN to achieve higher stability and functionality. Optimal shaping parameters and coincidence time window were determined by instruction and sample tests. The fast event signal from the plastic scintillator does not provide enough energy information. Therefore, three approaches were executed, including adding a capacitor, adding a preamplifier, and changing the digital pulse processor to solve the problem. The method of changing digitizer was accepted as the final solution to obtain the best spectrum through benchmark tests. The experimental measurements characterized the response of the beta-ray coincidence spectrometer under the mixed beta/gamma radiation field with a various count rate ratio from 0.00625 to 0.8. Experimental result shows excellent and stable performance of the detector system under a higher beta to gamma ratio. Gamma contribution of the coincidence spectrum, especially in low energy region, significantly increased when beta count rate was controlled to a minor level. Monte Carlo simulations are also carried out using the MCNP6 code to validate the measurements. / Thesis / Master of Science (MSc) / With the recent change of the equivalent dose limit for the lens of eyes from 150 to 20 mSv/yr., averaged over 5 years, it is of great importance to investigate the beta-ray spectrum in the maintenance areas of the nuclear power plants, where workers are exposed to mixed beta-gamma fields. A beta-ray spectrometer consisting of a thin silicon detector and a plastic scintillator has been developed, which can accept only beta detection events while rejecting gamma events via coincidence. Based on the spectroscopy system that has been built, a comprehensive upgrade of software and hardware has been conducted to slow down the signal and achieve higher stability. The experimental measurements characterized the response of the beta-ray coincidence spectrometer under the mixed beta/gamma radiation field with a various count rate ratio from 0.00625 to 0.8. Experimental result shows excellent and stable performance of the detector system under a higher beta to gamma ratio. Gamma contribution of the coincidence spectrum, especially in low energy region, significantly increased when beta count rate was controlled to a minor level. Monte Carlo simulations are also carried out using the MCNP6 code to validate the measurements.

In the 1950s, the Republic of China (ROC) on the island of Taiwan was a Cold War ally of the United States. Led by President Chiang Kai-shek and his ruling Kuomintang Party, the ROC received military, financial, and humanitarian assistance from the U.S., and enjoyed support in the White House, from the Departments of State and Defense, the Central Intelligence Agency (CIA), and the Democratic and Republican Parties. President Chiang even employed public relations firms and political pressure groups to help generate public support and to sway American policymakers to favor his cause. By the end of the 1970s, however, the ROC had lost its seat in the United Nations and no longer maintained formal diplomatic relations with the United States. Why would the United States abandon a long-standing World War II ally, recipient of American aid, and fellow anti-communist? The 1960s proved to be a pivotal decade in the diplomatic and military relationship between the United States and the ROC. Presidents John F. Kennedy and Lyndon B. Johnson, both Democrats, publicly promised support for Chiang and the Chinese Nationalists on Taiwan. Chiang hoped to secure continued military aid and diplomatic support by relying upon allies in the State Department, the Central Intelligence Agency, and in the U.S. Congress, and even occasionally making threats to take actions detrimental to American policy. Throughout the 1960s, the U.S.-ROC relationship was tested by events in the United Nations, the Taiwan Strait, and Southeast Asia. By the end of the decade, the ROC had lost millions in American aid and the United States had publicly started to consider normalizing relations with the People?s Republic of China. This dissertation will show that U.S.-ROC relations in the 1960s deteriorated due to a combination of factors. The Vietnam War was one of several factors that helped bring an end to formal American relations with the Republic of China. The Vietnam War caused a conflict of interest, whereby American containment of communism in Southeast Asia clashed with ROC plans to maintain its international legitimacy and to restore its rule over all China. Additionally, bureaucratic changes within the State Department, the demise and ineffectiveness of the China Lobby, and the changing make-up of the United Nations resulting from decolonization also contributed to the decline of U.S.-ROC relations.

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