• Title/Summary/Keyword: MEDIAN

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Rare Tumors Causing Median Nerve Compression in Adults-A Narrative Review

  • Natroshvili, Tinatin;Peperkamp, Kirsten;Malyar, Masoud A.;Wijnberg, David;Heine, Erwin P.;Walbeehm, Erik T.
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.656-662
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    • 2022
  • The median nerve can be compressed due to a tumor along the course of the median nerve, causing typical compression symptoms or even persistence or recurrence after an operation. The aim of this review is to provide a comprehensive overview of rare tumors described in recent publications that cause median nerve compression and to evaluate treatment options. The PubMed, Embase, and Web of Science databases were searched for studies describing median nerve compression due to a tumor in adults, published from the year 2000 and written in English. From 94 studies, information of approximately 100 patients have been obtained. Results The rare tumors causing compression were in 32 patients located at the carpal tunnel, in 21 cases in the palm of the hand, and 28 proximal from the carpal tunnel. In the other cases the compression site extended over a longer trajectory. There were 37 different histological types of lesions. Complete resection of the tumor was possible in 58 cases. A total of 8 patients presented for the second time after receiving initial therapy. During follow-up, three cases of recurrence were reported with a mean follow-up period of 11 months. The most common published cause of median nerve compression is the lipofibromatous hamartoma. Besides the typical sensory and motor symptoms of median nerve compression, a thorough physical examination of the complete upper extremity is necessary to find any swelling or triggering that might raise suspicion of the presence of a tumor.

Carpal Tunnel Syndrome Caused by Persistent Median Artery and Bifid Median Nerve in an Adolescent (청소년에서 정중동맥과 이분정중신경에 의해 발생한 수근관 증후군)

  • Lee, Sang-Uk;Lee, Hyun Woo;Joo, Sun Young
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.452-456
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    • 2019
  • Carpal tunnel syndrome is rare in children. When it does occur in children, the most common causes reported are mucopolysaccharidosis and mucolipidosis. The median artery is a transitory vessel that develops from the axillary artery in early embryonic life and does not normally survive until postfetal life. In a small percentage of individuals, however, it persists into adulthood and is frequently accompanied by a bifid median nerve. A persistent median artery can be a cause of carpal tunnel syndrome in adults, but it is extremely rare in children and adolescents. This paper reports a case of a carpal tunnel syndrome caused by a persistent median artery and bifid median nerve in a 13-year-old girl.

Image and Visual Preference of the Median Bus Stops;Focusing on Seoul City (중앙부 버스 정류장의 이미지와 시각적 선호에 관한 연구;서울시를 중심으로)

  • Kwon, Ni-A;Im, Seung-Bin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.36 no.3
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    • pp.85-95
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    • 2008
  • The City of Seoul enforces the 'Median reserved bus lane', a revised public transportation system, in order to achieve both a faster and more convenient transit system. This study examines the visual image and preference of the median bus stops in accordance with the operation of the median reserved bus lanes. In order to evaluate and clarify the distinct landscape of each bus stop in a different environment, our team selected 3 representative bus stops with different environments on main roads and conducted landscape simulations so as to evaluate visual preference. The sites were on a narrow range road, wide width road in the downtown area and wide width road on the outskirts of the city. The preference degree for each selected bus-stop environment was compared. The comparison conditions were a median bus stop with preexisting landscape, a median bus stop with planted trees, and a landscape without a median bus stop. The results of the study can be Summarized as follows: First, the visual influence on median bus stops depends on the visual complexity of the environment where they are located. People had an affinity for the median bus stop in which the visual complexity was low, while the preference degree of median bus stop was low in a highly complex area. Secondly, regardless of regional environment where median bus stops are located, research showed that it is more "impressive" to have a median bus-stop with planted trees than landscape without a median bus stop. Thirdly, the median bus stop with plants highly preferred over one without moreover, the landscape with planted trees would provide a comfortable mind for people. This study reveals that planting-oriented design concepts in median bus stops exhibit significant differences in the preference assessment factors. Thus, for further median bus stop construction, planting is desirable to create an impressive streetscape and better scenic quality.

A Bhattacharyya Analogue for Median-unbiased Estimation

  • Sung, Nae-Kyung
    • Communications for Statistical Applications and Methods
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    • v.11 no.1
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    • pp.13-20
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    • 2004
  • A more general version of diffusivity based on total variation of density is defined and an information inequality for median-unbiased estimation is presented. The resulting information inequality can be interpreted as an analogue of the Bhattacharyya system of lower bounds for mean-unbiased estimation. A condition on which the information bound is achieved is also given.

A New Upper Bound of Convolution-type for median-Unbiased Estimators

  • So, Beong-Soo
    • Journal of the Korean Statistical Society
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    • v.28 no.1
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    • pp.35-44
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    • 1999
  • We derive a new upper bound of convolution type for the median-unbiased estimators with respect to an arbitrary unimodal utility functions. We also obtain the necessary and sufficient condition for the attainability of the information bound. Applications to general MLR(Monotone Likelihood Ratio) model and censored survival data re discussed as examples.

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Performance Comparisons of some nonparametric detectors (몇가지 비모수 검파기의 성능 비교)

  • 김홍길;송익호;장태주;배진수
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 1996.06a
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    • pp.9-15
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    • 1996
  • In this paper, we propose a new detector based on the median-shift sign. We call it the median-shift sign (MSS) detector, which is an extension of the classical sign detector. We first analyze the problem of detecting a dc signal in noise of known probability density function (pdf). The MSS detector with the optimum median-shift value, the optimum MSS detector, performs better than the sign detector in Gaussian noise: it has the best performance among the detectors compared in Laplacian and Cauchy noise. It is shown that the MSS detectors with constant median-shift values are nearly equal to the optimum MSS detector. We also analyze the problem of detecting a dc signal when only partial information is available on the noise. The MSS detectors with constant median-shift values are almost equal to the sign detector in Gaussian noise: they perform better than the sign and Wilcoxon detectors for most signal ranges in Laplacian and Cauchy noise.

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Optimal Performance Design for Concrete Median Barrier with Crashworthiness Analysis (차량 충돌 해석을 통한 중앙분리대의 최적 성능 설계)

  • 한석영;고성호;최형연
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.1
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    • pp.168-178
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    • 2002
  • The purpose of this study is to develop an optimal performance design ova concrete median barrier using the design of experiment and crash simulation which is done by Pam-Crash, one of the commercial crash simulation software. A formula of characteristic value was suggested to obtain an optimal performance design considering all of von Mises stress, volume and acceleration at center of gravity of a heavy truck. An optimal design of a concrete median barrier was obtained by the analysis of variance based on design of experiment and crash simulation. A crash simulation with the optimal design was accomplished in order to verify the suitability of the suggested formula and the proper application of the design of experiment. The obtained optimal design was satisfied for a domestic design regulation of a concrete median barrier.

An Effective Denoising Method for Images Contaminated with Mixed Noise Based on Adaptive Median Filtering and Wavelet Threshold Denoising

  • Lin, Lin
    • Journal of Information Processing Systems
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    • v.14 no.2
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    • pp.539-551
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    • 2018
  • Images are unavoidably contaminated with different types of noise during the processes of image acquisition and transmission. The main forms of noise are impulse noise (is also called salt and pepper noise) and Gaussian noise. In this paper, an effective method of removing mixed noise from images is proposed. In general, different types of denoising methods are designed for different types of noise; for example, the median filter displays good performance in removing impulse noise, and the wavelet denoising algorithm displays good performance in removing Gaussian noise. However, images are affected by more than one type of noise in many cases. To reduce both impulse noise and Gaussian noise, this paper proposes a denoising method that combines adaptive median filtering (AMF) based on impulse noise detection with the wavelet threshold denoising method based on a Gaussian mixture model (GMM). The simulation results show that the proposed method achieves much better denoising performance than the median filter or the wavelet denoising method for images contaminated with mixed noise.

Two phase p-median approach to nondegenerate GT cell formation (GT 생산시스템에서 비퇴화 셀 형성을 위한 2 단계 p-median 접근법)

  • 원유경
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2001.10a
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    • pp.21-24
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    • 2001
  • This study is concerned with the development of efficient p-median approach to nondegenerate cell formation(CF) in group technology(GT) manufacturing. Unlike most of existing CF methodologies allowing degenerate cells or families that contains no parts or machines, this study attempts to find cell configuration where each machine cell contains at least two or more machines processing at least two or more parts so as to fully utilize the similarity in designing and processing parts. Nondegenerate CF seeks to minimize both the exceptional elements outside the diagonal block and the voids within the diagonal block. To find nondegenerate cells, a two-phase p-median methodology is proposed. In phase 1, the classical p-median model is implemented to find initial cells. In phase 2, bottleneck machines and parts are reassigned until no further degenerate cells and families are found. Test results on moderately medium-sized CF problems show the substantial efficiency of the proposed approach.

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