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Record W2620949777 · doi:10.1097/gox.0000000000001333

Measurement of Pressure in Compressive Magnet Therapy for Auricular Keloids

2017· article· en· W2620949777 on OpenAlexfundno aff
Joshua A. David, Salim A. Ghodbane, Michael Chee, Henry C. Hsia

Bibliographic record

VenuePlastic & Reconstructive Surgery Global Open · 2017
Typearticle
Languageen
FieldMedicine
TopicDermatologic Treatments and Research
Canadian institutionsnot available
FundersNational Center for Advancing Translational SciencesNational Institute of General Medical SciencesRobert Wood Johnson Medical School, Rutgers, The State University of New JerseyYale UniversitySchool of Medicine, New York UniversityYork University
KeywordsMedicineMagnetKeloidAdjuvant therapyMaterials scienceSurgeryBiomedical engineeringChemotherapyMechanical engineering

Abstract

fetched live from OpenAlex

Keloid scars are benign overgrowths of collagen deposits that can arise from various types of injury. Although they can develop anywhere on the body, keloids are a particularly common complication of ear piercings, with incidence estimated to be as high as 2.5%.1 Excision of keloids without adjuvant therapy results in recurrence rates between 45% and 100%.2 One method of adjuvant therapy is compressive magnet therapy which, when performed after surgical excision, has been shown to drop recurrence rates significantly.1,3 Although these studies provide some information on the magnets studied, such as diameter, thickness, gauss rating, or pressure measured with a digital manometer, reporting of such data is inconsistent, and replication of use is complicated by other factors such as size, location, and thickness of the scars. Based on critical responses to these studies, there is a clear need for a more systematic approach to magnet therapy. In addition, for magnets of such small diameter and distance, theoretical calculations of force are inaccurate. This is particularly important when considering that sufficient external pressure exerted against skin can impair the underlying circulation and lead to ischemia, cell death, and necrosis.4 The compressive pressures of 6 magnets of different surface areas and thicknesses with estimated pressures of about 40 mm Hg were quantified using an Instron 5542 (Instron, Norwood, Mass.). The testing was performed using displacement control at a rate of 1 mm/min. Silicone sheets of various thicknesses were placed in between the magnets to simulate the presence of auricular tissue. We compared our data with the Gilbert Model approximation of force between 2 cylindrical magnets. We measured the magnetic force (N) as a function of the separation between magnets for a sample size of 6 magnets (Table 1). Figure 1 shows magnetic compression pressure for a grade N42 magnet pair (diameter, 0.5 in; thickness, 0.03125 in). Color curves represent empirically measured pressure between 2 magnets over increasing simulated tissue thickness. In order of increasing thickness: 0 mm (red), 0.725 mm (yellow), 1.3165 mm (lime green), 1.866 mm (green), 2.408 mm (sky blue), 2.975 mm (blue), 3.56 mm (purple), and 4.244 mm (magenta). The black curve represents calculated pressure using the Gilbert Model approximation of force between 2 cylindrical magnets. This calculation approaches infinity at small distances. Major discrepancies were found between the calculated and measured values of magnet pressures. We also found that the presence of silicone sheets representing auricular tissue did not affect the magnet pressures at any given distance. In conclusion, although compressive magnet therapy is a promising adjuvant treatment for auricular keloids, major discrepancies between the calculated and actual values of magnet pressures elucidate the need for a quantified approach to keloid magnet therapy. The measurement of compression forces is the first step in standardizing this approach for future studies and the development of treatment algorithms for keloids incorporating compressive magnet therapy.Table 1.: Magnet grade, surface field, diameter, and thickness specifications for all 6 magnet pairs, as well as comparisons of theoretical and observed pressures (mm Hg) over increasing simulated tissue thicknessFig. 1.: Magnetic compressive pressures for a grade N42 magnet pair (diameter, 0.5 in; thickness, 0.03125 in). Color curves represent empirically measured pressure between 2 magnets over increasing simulated tissue thickness. In order of increasing thickness: 0 mm (red), 0.725 mm (yellow), 1.3165 mm (lime green), 1.866 mm (green), 2.408 mm (sky blue), 2.975 mm (blue), 3.56 mm (purple), and 4.244 mm (magenta). The black curve represents calculated pressure using the Gilbert Model approximation of force between 2 cylindrical magnets. This calculation approaches infinity at small distances.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.044
Threshold uncertainty score0.561

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.072
GPT teacher head0.349
Teacher spread0.277 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2017
Admission routes1
Has abstractyes

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