Leg Amputation due to Buerger’s Disease: Management with Combined Korean Medicine

In this Case Report, a patient with Buerger’s disease who had a leg amputation below his lower right knee and a vascular bypass of right leg, developed a wound caused by his prosthetic leg and subjective discomfort. The patient received skin flap surgery but the wound did not heal properly. He was admitted to the Korean Medicine Hospital where his wound, right leg coldness, and phantom pain were treated with combined Korean medicine. The patient was hospitalized again where he underwent micro-drilling surgery. The patient was re-admitted to the Korean Medicine Hospital where he received combined Korean medicine treatment (CKMT) and carbon arc light treatment (CALT) for his wound, leg coldness, stiffness, and hypoplasia. The temperature of his right leg increased, the numeric rating scale score for assessing pain fell from 5 to 1.5, and subjective discomfort was reduced (< 20%) suggesting this may be an effective treatment.

Modeling of hole geometrical features in laser drilling of AISI316L sheet

Micro-drilling of AISI316L is very challenging task. Unconventional machining process may be used for such type of operation. Laser beam drilling is a best for micro drilling. High thermal energy and converging-diverging property of laser beam affects the quality of laser drilled holes. In present work Nd:YAG laser beam has been used and investigate effects of laser input parameters on responses. To minimize number of experiments, get extreme information for experimental trials. Central composite rotatable design approach has been adopted. Analysis of variance is used to find reliable input parameters, are affecting responses. From this paper, it is found that current and gas pressure are significant for hole circularity at top. Current and pulse frequency are significant for bottom side circularity. Current and cutting speed are significant parameter for hole taper.

Anodic Dissolution Behaviour of Passive Layer During Hybrid Electrochemical Micromachining of Ti6Al4V in NaNO3 Solution

Titanium and its alloys are considered as difficult to cut material classes, and their processing through the traditional machining methods is a painful task. These materials have an outstanding combination of properties like high specific strength, excellent corrosive resistance, and exceptional bio-compatibility; therefore, they have broad fields of application like aerospace, MEMS, bio-medical, etc. Electrochemical micromachining (ECMM) is a very vital process for the production of micro-domain features in difficult-to-machine materials. The machining issue with ECMM for titanium and their alloys is the passive layer formation, which hinders the dissolution and causes stray removal. To overcome these issues, a hybrid ECMM approach has been proposed by using a diamond abrasive tool combined with ECMM. The present study focuses on the detailed characterization of the passive layer formed using the hybrid approach. Through the use abrasive tool, the abrasive grits scoop the passive layer by the mechanical grinding action, formed in micro-drilling on the Ti6Al4V alloy to expose a new surface for further dissolution. The micro-holes were produced incorporating the abrasive tool and then compared by the holes created using a cylindrical tool (tool without abrasive). The taper and the stray dissolution of the micro-holes were also compared, produced at different applied potentials. The minimum average entry overcut and exit overcut of the hole were obtained as 29 µm and 3 µm, respectively, also a micro-hole with the lowest taper of 2.7°, achieved by the use of the abrasive micro tool.