• 제목/요약/키워드: proximal

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THE PROXIMAL POINT ALGORITHM IN UNIFORMLY CONVEX METRIC SPACES

  • Choi, Byoung Jin;Ji, Un Cig
    • 대한수학회논문집
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    • 제31권4호
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    • pp.845-855
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    • 2016
  • We introduce the proximal point algorithm in a p-uniformly convex metric space. We first introduce the notion of p-resolvent map in a p-uniformly convex metric space as a generalization of the Moreau-Yosida resolvent in a CAT(0)-space, and then we secondly prove the convergence of the proximal point algorithm by the p-resolvent map in a p-uniformly convex metric space.

폴라루스 골수정을 이용한 상완골 근위부 골절의 치료 (Treatment of Proximal Humerus Fracture by Polarus Nailing)

  • 최창혁;권굉우;정대의;장호진
    • Clinics in Shoulder and Elbow
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    • 제9권2호
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    • pp.169-175
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    • 2006
  • Purpose: The purpose of this study was to evaluate the usefullness of polarus nailing in the treatment of proximal humerus fractures including 2 part, 3 part and proximal comminuted fractures. Materials and methods: Fifteen cases of proximal humerus fracture treated with Polarus nailing from March, 2002 to March, 2004 were selected. Man was 3 cases, and woman was 11 cases. There were one case of follow up loss due to decease. Average age was 60 years old (range, 23 to 84), and there were 6 cases of 2 part fracture, 3 cases of proximal segmental fracture, 5 cases of 3 part fracture. We analyzed the outcom results between 2 part fracture and 3 part fracture. The average follow up period after the operation was 1.5(range, 1 to 2) years. Range of motion (ROM), pain and functional outcome were evaluated by visual analogue scale(VAS) and american shoulder and elbow surgery (ASES) activity of daily living (ADL) functional scoring system. Results: All cases showed union on radiologic evaluation, with 2.3 months follow up. In 5 cases of 3 part fracture, average union time was 1.9 months regardless of proximal screw loosening in 4 cases. In 2 part fracture union time was 2.2 months (P>0.05). VAS pain score was 1.3, ROM was $160^{\circ}$ in forward flexion, $40^{\circ}$ in external rotation, L3 level in internal rotation, and ASES, ADL functional score was 21 in 2 part fracture. VAS pain score was 1.25, ROM was $160^{\circ}$, $43^{\circ}$ and L1 level, and ASES, ADL functional score was 21 in 3 part fracture. There were no statistically significant difference between two groups (P>0.05) VAS pain score was 1.6, ROM was $170^{\circ}$, $47^{\circ}$ and L3 level, and ASES, ADL functional score was 23 in proximal comminuted fracture. Conclusion: Polarus nailing could be used as an effective modality in certain cases of proximal humeral fracture including 2 part, proximal segmental and in cases of 3 part fractures with large greater tuberosity fragment.

가토의 근위와 원위대장 평활근의 운동성 비교 (Comparision of Proximal and Distal Large Intestinal Motility in Rabbit)

  • 김주헌;장기철;윤효인
    • 대한수의학회지
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    • 제27권1호
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    • pp.19-25
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    • 1987
  • To validate the comparision of proximal and distal large intestinal motility, the amplitude and frequency of spontaneous motility, the effect of acetylcholine, the effect of atropine on the response of acetylcholine, the effect of histamine and the effect of pyrilamine and cimetidine on the response of histamine were investigated in rabbit. The results were summarized as follows: 1. The amplitude of spontaneous motility was more powerful on the proximal large intestine than that of the distal large intestine, but the frequency of spontaneous motility was similar on the both proximal and distal large intestine in rabbit. 2. Acetylcholine caused the contraction of proximal and distal large intestine, and the contractile response were increased between the concentration of acetylcholne $10^{-9}$ and $5{\times}10^{-6}M$ and $10^{-7}$ and $10^{-4}M$ on the proximal and distal large intestine, respectively, with dose-dependent manner in rabbit. 3. The contractile response induced by acetylcholine was completely blocked by the post-treatment with cholinergic receptor blocker, atropine $10^{-6}M$. 4. Histamine caused the contraction of proximal and distal large intestine and the contractile response were increased between the concentration of histamine $10^{-9}$ and $5{\times}10^{-5}M$ and $10^{-5}$ and $10^{-3}M$ on the proximal and distal large intestine, respectively, with dose-depend ent manner in rabbit. 5. The contractile response induced by histamine was completely blocked by the pretreatment with $H_1$-receptor blocker, pyrilamine $10^{-6}M$, but not blocked by the pretreatment with $H_2$-receptor blocker, cimetidine $10^{-6}M$.

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디지털 구내방사선사진에서 라인 프로파일을 이용한 인접면우증식의 인지 방법 (Detection method of proximal caries using line profile in digital intra-oral radiography)

  • 박정훈;최용석;김규태;황의환;이기자;최삼진;박헌국
    • Imaging Science in Dentistry
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    • 제39권4호
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    • pp.185-189
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    • 2009
  • Purpose : The purpose of this study was to investigate how to detect proximal caries using line profile and validate linear measurements of proximal caries lesions by basic digital manipulation of radiographic images. Materials and Methods : The X-ray images of control group (15) and caries teeth (15) from patients were used. For each image, the line profile at the proximal caries-susceptible zone was calculated. To evaluate the contrast as a function of line profile to detect proximal caries, a difference coefficient (D) that indicates the relative difference between caries and sound dentin or intact enamel was measured. Results : Mean values of D were $0.0354{\pm}0.0155$ in non-caries and $0.2632{\pm}0.0982$ in caries (p<0.001). Conclusion : The mean values of caries group were higher than non-caries group and there was correlation between proximal dental caries and D. It is demonstrated that the mean value of D from caries group was higher than that of control group. From the result, values of D possess great potentiality as a new detection parameter for proximal dental caries.

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Ligamentoplasty with interposition of the proximal interphalangeal joint in the treatment of unicondylar osteochondral defects: a cadaveric feasibility study

  • Hery, Jean-Charles;Picart, Baptiste;Malherbe, Melanie;Hulet, Christophe;Lombard, Aude
    • Archives of Plastic Surgery
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    • 제48권6호
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    • pp.635-640
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    • 2021
  • Background Injuries to the proximal interphalangeal (PIP) joint are common and complex. However, the treatment of osteochondral defects of the head of the proximal phalanx has rarely been described. Herein, we propose a new technique for the management of unicondylar defects of the proximal phalanx that can restore joint amplitudes and provide PIP stability. Methods In this cadaveric feasibility study, unicondylar defects were generated using striking wedges and chisels. First, a transverse tunnel measuring 2 mm in diameter passing through the head of the proximal phalanx was made. A second tunnel at the base of the middle phalanx with the same diameter was then created. The hemitendon of the flexor carpi radialis graft was passed through each of these tunnels. The proximal end of the graft was interposed in the area with a loss of bone substance. The ligamentoplasty was then tensed and fixed by two anchors on the proximal phalanx. Joint amplitudes and frontal stability were measured preoperatively and postoperatively. Results There was no significant change in the joint's range of motion: preoperatively, the mean mobility arcs were -2° to 113.80°, and they were -2° to 110° after the procedure (P=0.999). There was no significant difference in joint stability (P>0.05). Conclusions Ligamentoplasty with PIP interposition appears to be a possible solution for the management of unicondylar defects of the proximal phalanx. An evaluation of clinical results is planned in order to definitively confirm the validity of this procedure.

제 5중족골 근위부 골절과 동반된 족관절, 족부 손상과 유형 (Ankle and Foot Injuries Accompanying 5th Metatarsal Fractures)

  • 이효범;박진호;이채호;김갑래
    • 대한족부족관절학회지
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    • 제26권4호
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    • pp.163-170
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    • 2022
  • Purpose: The proximal fifth metatarsal fracture is one of the most common foot fractures. However, few studies have evaluated the associated injuries in patients with a proximal fifth metatarsal fracture. The purpose of this study was to investigate the incidence of foot and ankle joint injuries associated with proximal fifth metatarsal fractures and compare the incidence of these injuries based on the injury mechanisms and location of the fracture. Materials and Methods: This retrospective study included 157 patients with a proximal fifth metatarsal fracture who underwent surgery from January 2014 to August 2021. Their medical records and radiology images were reviewed to classify and analyze the associated injuries. The proximal fifth metatarsal fractures were classified using Lawrence and Botte's classification. Injury mechanisms were divided into direct and indirect injuries. The incidence of injuries was statistically analyzed according to the injury mechanism and classification. Results: Of the 157 patients with proximal fifth metatarsal fractures, 81 (51.6%) were diagnosed with foot and ankle joint injuries. The incidence of foot injuries was 65.4%, that of ankle joint injuries was 19.8%, and of both foot and ankle joint injuries was 14.8%. In patients with direct injuries, the incidence of foot and ankle joint injuries was 82.5% and that of indirect injuries was 41.0%. Statistical differences were observed between the incidence of direct and indirect injuries (p<0.001). The incidence of injuries, according to Lawrence and Botte's classification, was 54.9% (Zone I), 41.2% (Zone II), and 50.0% (Zone III) respectively. However, there were no statistically significant variations in the locations of the proximal fifth metatarsal fractures (p=0.051). Conclusion: In this study, the incidence of foot and ankle joint injuries associated with proximal fifth metatarsal fractures was found to be high. Therefore, a careful physical examination and appropriate radiological evaluation are recommended for patients with such fractures.

ON THE LIFTING PROPERTIES OF HOMOMORPHISMS OF FLOWS

  • Song, Hyungsoo
    • Korean Journal of Mathematics
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    • 제12권2호
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    • pp.171-175
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    • 2004
  • The purpose of this paper is to investigate some lifting properties of homomorphisms of flows. It is shown that an almost one to one extension of a minimal proximal flow is proximal. It is also shown that a distal extension of a pointwise almost periodic flow is pointwise almost periodic.

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비고츠키의 근접발달영역을 고려한 수학과 교수·학습 프로그램연구 (A Study on Mathematics Teaching and Learning Program based on Zone of Proximal Development of Vygotsky)

  • 강정미;최창우
    • East Asian mathematical journal
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    • 제34권4호
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    • pp.339-358
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    • 2018
  • There has been researches for effective education. Among them, many researchers are striving to apply Zone of Proximal Development of Vygotsky which is emphasizing the social interaction in the field of teaching and learning. Researchers usually research based on individual or small group of students. However the math class in school relies on system that one teacher teach many students in reality. So this research will look for the effect that the teaching and learning program based on Zone of Proximal Development of Vygotsky by designing the teaching and learning program which is based on scaffolding structuring to overcome the zone of proximal development in many-students class. The results of this research are as follows: First, the studying program considered the theory of Vygotsky has a positive effect on improving the mathematical achievement of elementary student. Second, the studying program considered the theory of Vygotsky has a positive effect on improving the student's studying attitude upon mathematics.

개의 신장결석에 의한 근위요관파열의 1예 (A Rupture of Proximal Ureter Caused by Renal Calculi in a Dog)

  • 최민철;허진영;장동우;김완희;홍연정;윤정희;윤화영;권오경;이기창
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.243-246
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    • 2000
  • A 3-year old female Poodle dog was presented with a history of anorexia, vomiting, abdominal pain and depression for 2 days. After physical and blood examination, excretory urogram(EU) and ultrasonography of the abjomen were conducted. On radiographs and ultrasonographs, dilation of diverticulum, sinus, proximal ureter of right kidney and mild dilation of left renal medullar were found. And there was some leakage of contrast agent in the proximal ureter area of right kidney. So this was diagnosed as a rupture of right proximal ureter. This dog was undertaken a surgery of nephrectomy of right kidney. On surgery, dilation of right kidney and hemorrhage, adhesion were found at the proximal ureter and some calculi were also found in the pelvis of right kidney. There were no complications after surgery.

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