• 제목/요약/키워드: proximal

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펜-타입 QLF 장비의 임상적 유구치 인접면 우식 탐지 성능 (Detecting of Proximal Caries in Primary Molars using Pen-type QLF Device)

  • 조혜진;김현태;송지수;신터전;김정욱;장기택;김영재
    • 대한소아치과학회지
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    • 제48권4호
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    • pp.405-413
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    • 2021
  • 이 연구의 목적은 펜-타입 quantitative light-induced fluorescence(QLF) 장비의 임상적 유구치 인접면 우식 탐지 성능을 평가하는 것이다. 이를 위해 형광 소실, 적색 자기형광 그리고 인접면 우식을 위해 간편화된 QLF 평가 기준(QS-proximal)이 사용되었으며 교익 방사선 영상과 비교, 평가되었다. 총 344개의 유구치 인접면이 분석되었으며 인접면 우식 병소는 시진과 방사선학적 검사 그리고 QLF 검진을 통하여 평가되었다. QLF 영상들을 이용하여 분석된 QLF 매개변수들과 QS-proximal을 방사선학적 평가와 비교하여 장비의 법랑질과 상아질 우식 탐지 능력에 대한 민감도, 특이도 그리고 area under receiver operating curve(AUROC)가 계산되었다. 두 QLF 매개변수 모두 준수한 상아질 우식 탐지 능력을 보였으며 AUROC은 △F = 0.794, △R = 0.750였다. QS-proximal(0.757 - 0.769)은 시진(0.653)보다 더 높은 AUROC을 나타내었다. 결론적으로 펜-타입 QLF 장비는 방사선학적 평가와 비교하여 임상적으로 적용 가능한 성능을 보였다.

건강한 자연치열에서 인접면 접촉의 평가 및 측정방법에 따른 비교분석 (Evaluation of the proximal contact and comparison of methods for measuring in normal dentition)

  • 김지은;이청희
    • 대한치과보철학회지
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    • 제61권3호
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    • pp.198-203
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    • 2023
  • 목적. 이 연구의 목적은 건강한 치열에서 치실 방법을 사용하여 인접면 접촉을 비교하고, 이를 셀룰로이드 스트립 방법, 금속 스트립 방법과 비교하여, 공간측정에 가장 효과적인 방법을 알아보는 것이다. 재료 및 방법. 건강한 자연치열을 가진 성인 20명(남자 10명, 여자 10명)을 피실험자로 선정하였다. 임상경험 5년 이상의 치과의사 1인이 치실 방법, 셀룰로이드 스트립 방법, 금속 스트립 방법을 이용하여 인접면 접촉을 평가하였다. 치실 방법으로 수집된 자료는 Mann-Whitney U test를 사용하여 95% 신뢰수준 하에서 R 프로그램을 이용하여 분석하였다. 그리고 치실을 이용한 인접면 접촉 평가에 셀룰로이드 스트립과 금속 스트립을 사용한 인접면 접촉의 평가를 비교하였다. 결과. 건강한 치열에서 약 80%에서만 적절한 접촉강도를 유지하고 있었으며, 전치부보다 구치부가 더 적절하게 유지하고 있었다(P < .05). 성별에 따른 접촉강도는 전치부에서는 남성이, 구치부에서는 여성이 적절한 접촉을 하는 것으로 나타났다(P < .05). 일치성 척도인 카파 지수(Kappa index)를 이용하여 치실에서 얻은 결과에 대한 셀룰로이드 스트립과 금속 스트립 실험 결과 간의 일치성을 분석한 결과, 셀룰로이드 스트립을 사용하는 것이 금속 스트립을 사용하는 것보다 더 유리한 것으로 나타났다. 결론. 건강한 치열에서 약 80%에서만 적절한 접촉강도를 유지하고 있었으며, 인접면 접촉의 평가에서 다양한 두께의 셀룰로이드 스트립을 사용한다면 보다 정확한 공간 측정의 가능성이 있을 것으로 생각된다.

장골과 경골의 자가입자망상골 이식에 관한 임상적 비교연구 (A CLINICAL COMPARATIVE STUDY BETWEEN ANTERIOR ILIAC AND PROXIMAL TIBIAL METAPHYSIS PARTICULATED CANCELLOUS BONE GRAFTS)

  • 오승환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제20권3호
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    • pp.228-231
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    • 1998
  • This is a clinical and retrospective study of 36 patients received the autogenous particulated cancellous bone grafts from anterior iliac and proximal tibial metaphysis and we compared the clinical postoperative complications in operation sites and donor site morbidity. The results of this study indicate that, in all our patients, the proximal tibia provided an adquate volume of cancellous bone and there were no special contraindications, in choosing and using the proximal tibia as a donor site in most oral and maxillofacial cancellous bone graft surgeries. Furthermore, the proximal tibial metaphysis would appear a more easily obtainable cancellous bone source and offer a superior clinical results than anterior iliac crest in donor site morbidity.

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랫트의 신장 근위곡세뇨관 현탁액을 이용한 Cephaloridine의 신장독성 평가 (Nephrotoxicity Assessment of Cephaloridine using Rat Renal Proximal Tubule Suspension)

  • 홍충만;장동덕;신동환;최진영;조재천;이문한
    • Toxicological Research
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    • 제11권1호
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    • pp.103-108
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    • 1995
  • Rat renal proximal tubule suspension was prepared from adult male Sprague Dawley rat (250-300g) by mechanical (non-enzymatical) method and evaluated as a pontential model for mechanistic studies and early screening of nephrotoxicity, using anionic antibiotics (cephaloridine). Cephaloridine (CPL) produced an increase in LDH release into media. This release results from decrease a proximal tubule cell viability and subsequently increase the permeability of cell viability and subsequently increase the permeability of cell membrane. Since loss of intracellular potassium and ATP into media is the sign of disruption of cell membrane, especially basolateral membrane (BLM), CPL induced proximal tubule cell compromise also appear be associated with BLM, maybe $Na^+-K^+$ ATPase. Also seen was significant depression in brush border membrane (BBM) ALP activity and no significantly increase in BBM GGT activities. The inhibition of typical anion, PAH accumulation (especially, CPL 5 mM) and cation, TEA (especially, 4hours incubation) were seen dose dependently. This is because of CPL accumulation in renal proximal tubule and increase of cytotoxicity.

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A PROXIMAL POINT-TYPE ALGORITHM FOR PSEUDOMONOTONE EQUILIBRIUM PROBLEMS

  • Kim, Jong-Kyu;Anh, Pham Ngoc;Hyun, Ho-Geun
    • 대한수학회보
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    • 제49권4호
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    • pp.749-759
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    • 2012
  • A globally convergent algorithm for solving equilibrium problems is proposed. The algorithm is based on a proximal point algorithm (shortly (PPA)) with a positive definite matrix M which is not necessarily symmetric. The proximal function in existing (PPA) usually is the gradient of a quadratic function, namely, ${\nabla}({\parallel}x{\parallel}^2_M)$. This leads to a proximal point-type algorithm. We first solve pseudomonotone equilibrium problems without Lipschitzian assumption and prove the convergence of algorithms. Next, we couple this technique with the Banach contraction method for multivalued variational inequalities. Finally some computational results are given.

PROXIMAL POINTS METHODS FOR GENERALIZED IMPLICIT VARIATIONAL-LIKE INCLUSIONS IN BANACH SPACES

  • He, Xin-Feng;Lou, Jian;He, Zhen
    • East Asian mathematical journal
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    • 제28권1호
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    • pp.37-47
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    • 2012
  • In this paper, we study generalized implicit variational-like inclusions and $J^{\eta}$-proximal operator equations in Banach spaces. It is established that generalized implicit variational-like inclusions in real Banach spaces are equivalent to fixed point problems. We also establish relationship between generalized implicit variational-like inclusions and $J^{\eta}$-proximal operator equations. This equivalence is used to suggest a iterative algorithm for solving $J^{\eta}$-proximal operator equations.

무지 외반증에서 Mitchell 절골술과 중족골 근위 dome 절골술의 결과 비교 (A comparison of Mitchell osteotomy and proximal metatarsal dome osteotomy in the treatment of hallux valgus)

  • 김용훈;김근우;민학진;윤의성;이장호
    • 대한족부족관절학회지
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    • 제5권2호
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    • pp.149-155
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    • 2001
  • Purpose: To evaluate the clinical results of Mitchell osteotomy and proximal metatarsal dome osteotomy in hallux valgus deformity. Materials and Methods: From January 1993 to June 2000, 28 cases (17 patients) with hallux valgus deformity who underwent Mitchell osteotomy were categorized as group I, 26 cases (16 patients) who underwent proximal metatarsal dome osteotomy were categorized as group II. We analyzed clinical results according to preoperative and postoperative clinical functional analysis and objective comparison of correction angle between two groups. Results: The average hallux valgus correction in the Mitchell osteotomy group went from $36^{\circ}$ to $11^{\circ}$, and in the proximal metatarsal dome osteotomy group, the hallux valgus angle was reduced from $32^{\circ}$ to $6^{\circ}$. The intermetatarsal angle in the Mitchell osteotomy group was corrected from $13^{\circ}$ to $9^{\circ}$, and in the proximal metatarsal dome osteotomy group the intermetatarsal angle was reduced from $14^{\circ}$ to $7^{\circ}$. Although, proximal metatarsal dome osteotomy group have shown better correction angle and radiographic results in the correction of hallux valgus angle and intermetatarsal angle but, all patients in the Mitchell osteotomy and proximal metatarsal dome osteotomy groups had no statistically significant differences of clinical functional results between two groups. Conclusion: In our studies, the proximal metatarsal dome osteotomy applied to. hallux valgus deformity was found as a good radiographic results than Mitchell osteotomy, but there were no differences between the two operations in terms of functional satisfaction.

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뇌실-복강간 단락술에서 Proximal Catheter의 정확한 측뇌실내로의 위치를 위한 Shunt Guiding Kit의 개발 (The Development of the Shunt Guiding Kit for the Proper Positioning of the Proximal Shunt Catheter to the Lateral Ventricle in the Ventriculo-Peritoneal Shunt Operation)

  • 신용삼;김세혁;장호열;배주용
    • Journal of Korean Neurosurgical Society
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    • 제30권8호
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    • pp.981-984
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    • 2001
  • Object : To treat hydrocephalus by ventriculo-peritoneal shunt operation, the correct positioning of the proximal catheter in the ventricle is very important. The purpose of this study was to develop the "shunt guiding kit" for the proper positioning of the proximal shunt catheter to the ventricle in the ventriculo-peritoneal shunt operation. Materials and Methods: The "shunt guiding kit" is made of tungsten alloy and it consists of one frame, two screws and one guider. Through the guider, the proximal shunt catheter operates by mechanically coupling the posterior burr hole to the anterior target point. Results: We have treated three hydrocephalus patients with use of the "shunt guiding kit", and achieved good location of proximal shunt catheters. Conclusion: We developed the "shunt guiding kit" for the proper positioning of the proximal shunt catheter to the ventricle, and this would be very useful for preventing ventriculo-peritoneal shunt malfunction and preventing possible brain injury during the procedures.

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상부 위암에서 유문보존 근위부 위아전절제술과 공장간치술을 시행한 위전절제술의 비교 (Pylorus-preserving Proximal Gastrectomy vs. Total Gastrectomy with Jejunal Interposition for Proximal Gastric Adenocarcinomas)

  • 노승무;정현용;이병석;조준식;신경숙;송규상;이태용
    • Journal of Gastric Cancer
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    • 제2권3호
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    • pp.145-150
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    • 2002
  • Purpose: The aim of this study was to evaluate the shortterm outcome of a pylorus-preserving proximal gastrectomy by comparing it with a jejunal interposition after a total gastrectomy in proximal gastric adenocarcinoma. Materials and Methods: For 22 patients (12 men and 10 women) who underwent a pylorus-preserving proximal gastrectomy, several clinical parameters were obtained from the medical records retrospectively. In this study, the data were collected between September 1993 and December 1999 at Chungnam National University Hospital, and the results were compared with those of 25 patients (17 men and 8 women) who underwent an isoperistaltic simple jejunal interposition. Results: The average operative time in the pylorus-preserving proximal gastrectomy group (220 minutes) was shorter than that in the jejunal interposition group (243 minutes) (P<0.05). The hemoglobin and hematocrit levels were significantly higher in the pylorus-preserving proximal gastrectomy group at 2 years after the operation. The body weight ratio (postoperative body weight/preoparative body weight) in patients who had a pylorus-preserving proximal gastrectomy was significantly higher than that in patients with a jejunal interposition at 2 years after the operation. The jejunal interposition procedure had better outcomes in anastomotic site stricture, duration of hospital stay, and number of removed lymph nodes (P<0.05). Conclusions: We think that from the viewpoint of quality of life, a pylorus-preserving proximal gastrectomy, as well as a jejunal interposition, is a useful reconstruction method for early adenocarcinomas of the proximal stomach. However, stricture of the esophagogastrostomy site in the pyloruspreserving proximal gastrectomy is a common problem to be solved in the future.

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