• 제목/요약/키워드: proximal

검색결과 2,583건 처리시간 0.032초

심한 내반 변형의 진행성 관절염 환자의 인공 슬관절 전치환술 시 경골 근위부의 내반을 동반한 외회전 변형 (External Tibial Torsion with Proximal Tibia Vara in Total Knee Arthroplasty of Advanced Osteoarthritis with Severe Varus Deformed Knees)

  • 선두훈;송인수;김준범;김철우;정덕희;정의탁
    • 대한정형외과학회지
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    • 제55권1호
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    • pp.62-70
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    • 2020
  • 목적: 경골-대퇴 각이 20° 이상인 심한 내반 변형의 진행성 관절염 환자에서 경골 근위부의 내반과 외회전 변형이 보고된 바 있다. 저자들은 인공 슬관절 전치환술 시 경골 근위부의 외회전 변형 및 골간단 상부의 내반 변형에 대하여 방사선적 계측으로 대조군과 비교하였고 수술 전후의 방사선 및 임상 결과를 알아보았다. 대상 및 방법: 2007년 1월부터 2016년 3월까지 인공 슬관절 전치환술 중 수술 전 기립 방사선상 경골-대퇴 각이 20° 이상의 내반 변형을 보이고 2년 이상 추시가 가능했던 37명, 43 슬관절을 대상으로 하였다. 평균 추시 기간은 45.7개월이었다. 비수술적 치료를 받은 Kellgren-Lawrence 제3단계이며 경골-대퇴 각이 3° 이하인 43 슬관절을 대조군으로 설정하여 경골 근위부의 외회전 변형과 내반 변형을 비교하였다. 경골 근위부의 외회전 변형은 단순 방사선상의 근위 경비골 중첩 길이와 컴퓨터 단층촬영 상의 경골 염전각을, 근위 경골의 내반 변형은 근위 경골 경사각을 대상군과 대조군에서 각각 측정하여 비교하였다. 대상군의 수술 전후에 근위 경비골 중첩 길이, 경골 염전각, 근위 경골 경사각, hospital for special surgery (HSS) 점수를 측정하여 비교하였다. 결과: 대상군의 수술 전 및 추시상 근위 경비골 중첩길이는 각각 평균 18.6 mm, 평균 11.2 mm (p=0.031)로, 대조군의 평균 8.7 mm와 통계적으로 유의한 차이가 있었다(p=0.024). 경골 염전각은 수술 전 평균 13.8°에서 최종 추시 상 평균 14.0°로 통계적 유의성이 없었으며(p=0.489), 대조군의 평균 21.9°와 통계적으로 유의한 차이가 있었다(p=0.012). 근위 경골 경사각은 수술 전 평균 12.2°, 최종 추시상 평균 0°였으며(p<0.01), 대조군의 평균 1.2°와 통계적으로 유의한 차이가 있었다(p<0.01). 대상군의 임상적 결과는 HSS 점수가 수술 전 평균 34점에서 최종 추시 시 평균 87점으로 증가하였으며 통계적으로 유의성이 있었다(p=0.028). 결론: 20° 이상의 심한 내반 변형의 진행성 관절염 환자는 대조군에 비해 근위 경골의 외회전 변형과 골간단 상부의 내반 변형이 통계적으로 의미 있게 증가되었다. 대상군의 수술 전후의 경골 염전각은 통계적으로 의미 있는 변화가 없었으나 합병증 없이 좋은 임상 결과를 보였다.

Correlation between signal pathway of chitosan and nitric oxide

  • Yoon, Hyun-Joong;Kim, Young-Ho;Park, Haeng-Soon
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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    • pp.222.2-223
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    • 2003
  • Renal dipeptidase (RDPase, EC 3.4.13.19), an ectoenzyme of renal proximal tubules, is covalently bound to outer leaflet of lipid bilayer via glycosylphosphatidylinositol (GPI)-anchor. Chitin is a major component of the shells of crustacea such as crab, shrimp and crawfish. This study was conducted to examine the effect of chitosan on RDPase release from renal proximal tubules. Nitric oxide (NO), highly reactive free radical, inhibits the release of RDPase from porcine proximal tubules. (omitted)

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CONVERGENCE THEOREMS OF PROXIMAL TYPE ALGORITHM FOR A CONVEX FUNCTION AND MULTIVALUED MAPPINGS IN HILBERT SPACES

  • Aggarwal, Sajan;Uddin, Izhar;Pakkaranang, Nuttapol;Wairojjana, Nopparat;Cholamjiak, Prasit
    • Nonlinear Functional Analysis and Applications
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    • 제26권1호
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    • pp.1-11
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    • 2021
  • In this paper we study the weak and strong convergence to minimizers of convex function of proximal point algorithm SP-iteration of three multivalued nonexpansive mappings in a Hilbert space.

GENERALIZED PROXIMAL ITERATIVELY REWEIGHTED ℓ1 ALGORITHM WITH CO-COERCIVENESS FOR NONSMOOTH AND NONCONVEX MINIMIZATION PROBLEM

  • Myeongmin Kang
    • 충청수학회지
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    • 제37권1호
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    • pp.41-55
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    • 2024
  • The nonconvex and nonsmooth optimization problem has been widely applicable in image processing and machine learning. In this paper, we propose an extension of the proximal iteratively reweighted ℓ1 algorithm for nonconvex and nonsmooth minmization problem. We assume the co-coerciveness of a term of objective function instead of Lipschitz gradient condition, which is generalized property of Lipschitz continuity. We prove the global convergence of the proposed algorithm. Numerical results show that the proposed algorithm converges faster than original proximal iteratively reweighed algorithm and existing algorithms.

수지 운동을 제한하는 단독 골연골종 - 1예 보고 - (Unusual Presentation of Solitary Osteochondroma of Hand)

  • 최남홍;안형국
    • 대한골관절종양학회지
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    • 제2권1호
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    • pp.116-119
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    • 1996
  • The solitary osteochondroma is a hamartoma of the skeleton which derives from an aberrant subperiosteal germ of the fertile cartilage. Osteochondromas, which are uncommon in the hand can occur at the distal end of the proximal and middle phalanx away from the epiphyseal plate region. We experienced a rare case of solitary osteochondroma arising from distal end of fifth proximal phalanx of hand, and limiting the active motion of proximal interphalangeal joint. The patient was treated by marginal excision and tumor showed characteristic microscopic findings of osteochondroma.

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Mesodermal repression of single-minded in Drosophila embryo is mediated by a cluster of Snail-binding sites proximal to the early promoter

  • Park, Kye-Won;Hong, Joung-Woo
    • BMB Reports
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    • 제45권10호
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    • pp.577-582
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    • 2012
  • single-minded (sim) is a master regulatory gene that directs differentiation in the central nervous system during Drosophila embryogenesis. Recent identification of the mesectoderm enhancer (MSE) of sim has led to the hypothesis that two Snail (Sna)-binding sites in the MSE may repress sim expression in the presumptive mesoderm. We provide evidence here that three Sna-binding sites proximal to the sim promoter, but not those of the MSE, are responsible for the mesodermal repression of sim in vivo. Using transgenic embryos injected with lacZ transgenes, we showed that sim repression in the mesoderm requires the three promoter-proximal Sna-binding sites. These results suggest that Sna represses the mesectodermal expression of sim by directly repressing the nearby promoter, and not by quenching adjacent transcriptional activators in the MSE. These data also showed how the MSE, lacking the three proximal Sna-binding sites, reproduced the endogenous pattern of sim expression in transgenic embryos.

Studies on the Fine Structure of Caeca in Domestic Geese

  • Chen, Yieng How;Hsu, Hoang Kao;Hsu, Jenn Chung
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권7호
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    • pp.1018-1021
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    • 2002
  • The objective of this study was to investigate the villus distribution in the caeca of domestic geese based on the fine structure. The caeca of White Roman geese, 14-week old, were sampled and specimens were detected under photomicroscope and scanning electron microscope (SEM). The results indicated that the villi existed at the proximal caecum. The morphologies of these villi showed finger-like, peak-like or tongue-like shapes. The heights of the villi decreased far from the proximal caecum. No villi were found in the middle and distal caecum. It was obvious that the proximal segment was the main portion for absorbing food nutrients in the caeca. The caecal content particles were small and possessed a viscid character. The large particles filtered out at the proximal caecum just like a mesh. The surface of the middle caecum exhibited parallel ridges with no villi. There were band plicae circular shapes found in the middle caecum under scanning electron microsopy.

Proximal Tibia Fracture after Proximal Tibia Autograft Harvest

  • Kim, Jin-Kak;Song, Jong-Hyeop;Lee, Kyungbum;Cho, Jae-Woo;Moon, Ki-Ho;Yeo, Do-Hyun;Kim, Beom-Soo;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.247-252
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    • 2017
  • Bone-grafting procedures are common in orthopedic trauma surgeries. There are only few reports on the morbidity after proximal tibia harvesting. Here, we report an experience of complication after proximal tibia harvesting while treating subtrochanteric femoral osteomyelitis.

PHILOS plate fixation with polymethyl methacrylate cement augmentation of an osteoporotic proximal humerus fracture

  • Kim, Do-Young;Kim, Tae-Yeong;Hwang, Jung-Taek
    • Clinics in Shoulder and Elbow
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    • 제23권3호
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    • pp.156-158
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    • 2020
  • PHILOS plate fixation in osteoporotic proximal humerus fracture of old age is well-known for high complication rate, especially metal failure, providing various augmentation techniques, such as calcium phosphate cement, allogenous or autologous bone graft. We report a case of polymethyl methacrylate augmentation to provide appropriate reduction with a significant mechanical support. This can be a treatment option for displaced unstable osteoporotic proximal humerus fracture with marked bony defect.

인접면치아우식증(隣接面齒牙齲蝕症)의 임상적(臨床的) 및 방사선학적(放射線學的) 비교(比較) 연구(硏究) (A COMPARATIVE STUDY OF PROXIMAL CAVITIES FOUND BY CLINICAL AND BITE-WING ROENTGENOGRAPHIC EXAMINATIONS)

  • 나성식
    • 대한소아치과학회지
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    • 제4권1호
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    • pp.39-44
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    • 1977
  • 150 "K" primary school children, from 6 to 10 years old, have been examined both clinically and radiographically for proximal caries in deciduous canine and deciduous posterior teeth and permanent first molar teeth. 1. 598 proximal cavities were diagnosed 154 (25.75%) were revealed by both examinations. 39 (6.52%) appeared on clinical examination only, but 405 (67.73%) were revealed by radiographic examination only. 2. The dental caries occurance on distal surface of first deciduous molar and mesial surface of second deciduous molar were revealed much higher values in all ages. 3. There is no significant differences observed between right and left arch. 4. Proximal cavities were revealed 1.7 times more in mandible than in maxilla.

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