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Debranch-First Technique with Zone 0 Elephant Trunk for Redo Operation of Residual Type B Aortic Dissection: The Completion of Aortic Proximalization

  • Yoshito Inoue
    • Journal of Chest Surgery
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    • v.57 no.1
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    • pp.99-102
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    • 2024
  • This article presents a straightforward hybrid arch technique for treating residual type B aortic dissecting aneurysms following type A repair (replacement of the ascending aorta) that employs a frozen elephant trunk (FET) straight vascular prosthesis. The debranch-first method involves only cutting and sewing the previous ascending graft, inserting the FET from zone 0, and debranching the arch vessels using a trifurcated graft. This technique is less invasive as it eliminates the need to manipulate the dissected distal arch aneurysm. We successfully applied this technique to 3 patients, with no instances of in-hospital death, stroke, or paraplegia. The debranch-first technique, combined with zone-0 FET insertion, simplifies the redo repair of residual type B aortic dissection.

Acoustic Estimate of the Krill (Euphausia superba) Density between South Shetland Islands and South Orkney Islands, Antarctica, During 2002/2003 Austral Summer (음향 조사에 의한 2002/2003 하계 시기의 남극 남쉐틀랜드 군도와 남오크니섬 사이의 크릴 밀도)

  • Kang, Don-Hyung;Shin, Hyoung-Chul;Lee, Yoon-Ho;Kim, Yong-Sin;Kim, Su-Am
    • Ocean and Polar Research
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    • v.27 no.1
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    • pp.75-86
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    • 2005
  • Acoustic survey for density and biomass estimate of Antarctic krill, Euphausia superba, was conducted in the large area between South Shetland Islands and South Orkney Islands, during November 30-December 30, 2002. Considering oceanographic and geographic properties, the study area was divided into six sub-regions. Acoustic system and frequency used in the survey were quantitative echo sounder (Simrad Ek 500) and 38, 120-kHz split beam transducers. In order to discriminate krill aggregations in all acoustic signal, difference of mean volume backscattering strength $({\Delta}MVBS)$ method of the two frequencies was introduced. Averaged krill density for the overall surveyed area was $23.5g/m^2$, and spatially averaged estimates of krill density were $44.9g/m^2$ (north of the South Shetland Islands), $30.3g/m^2$ (Bransfield Strait), $11.3g/m^2$ (near the Elephant Island), $13.6g/m^2$ (north of the Elephant Island), $18.1g/m^2$(between Elephant Island and South Orkney Islands) and $21.7g/m^2$(northwest of the South Orkney Islands) at each sub-area. In the two sub-regions with surveyed area, estimated krill biomass in the north of the Elephant Island was 0.315 million tones with a CV of 18.35% $(6,766mile^2)$, and between Elephant Island and South Orkey Islands was 1.26 million tones with a CV of 9.45% $(20,299mile^2)$. As a whole, the krill density in the early summer season was low level, comparing with that of January-February. This suggested that major krill swarms in the around South Shetland Islands were reached in the mid-summer seasons from western part of the Antarctic Peninsula, and the low krill density also affects the density variation of the krill between Elephant Island and South Orkney Islands.

Nutritional and productive parameters of Holstein/Zebu cows fed diets containing cactus pear

  • Borges, Lucas Daniel Alcantara;Rocha, Vicente Ribeiro Junior;Moncao, Flavio Pinto;Soares, Camila;Ruas, Jose Reinaldo Mendes;Silva, Fredson Vieira e;Rigueira, Joao Paulo Sampaio;Costa, Natanael Mendes;Oliveira, Laura Lucia Santos;Rabelo, Walber de Oliveira
    • Asian-Australasian Journal of Animal Sciences
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    • v.32 no.9
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    • pp.1373-1380
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    • 2019
  • Objective: This study ascertained effects of cactus pear in association with different roughage in the diet of F1 Holstein/Zebu cows on intake, nutrient digestibility, nitrogen balance, ingestive behavior and performance. Methods: Eight cows with $72{\pm}11$ days of lactation were used. The experimental design was simultaneous in two $4{\times}4$ Latin squares. Four experimental diets were used: Diet 1, sorghum silage as exclusive roughage; Diet 2, sorghum silage associated with cactus pear in a proportion of 50% of the roughage (dry matter basis); Diet 3, elephant grass (Pennisetum purpureum cv. Roxo) as exclusive roughage; Diet 4, elephant grass associated with cactus pear in a proportion of 50% of the roughage. The roughage:concentrate ratio was 75:25. Results: Dry matter intake (p = 0.01) was higher with sorghum silage. There were differences in dry matter intake (p = 0.01), crude protein (p<0.01), ether extract (p = 0.01), non-fibrous carbohydrates (p<0.01) and total digestible nutrients (p = 0.01) among the diets. Cactus pear in the diet reduced water intake by 44.52% (p<0.01). The nitrogen balance was 59.71% and 27.49% lower in animals treated with exclusive sorghum silage and sorghum silage associated with cactus pear in relation to diets with elephant grass and elephant grass associated with cactus pear, respectively (p<0.01). The diets did not influence the milk production (p = 0.70), 3.5% fat corrected milk production (p = 0.72) or feed efficiency (p = 0.61). Conclusion: The association of cactus pear with sorghum or elephant grass silage does not alter milk production, reduces the intake of dry matter and water and improves the digestibility of nutrients.

Dynamics of fungal community during silage fermentation of elephant grass (Pennisetum purpureum) produced in northern Vietnam

  • Vu, Viet Ha;Li, Xiyang;Wang, Mengyuan;Liu, Rongmei;Zhang, Guojian;Liu, Wei;Xia, Baixue;Sun, Qun
    • Asian-Australasian Journal of Animal Sciences
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    • v.32 no.7
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    • pp.996-1006
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    • 2019
  • Objective: This study aimed to gain deeper insights into the dynamic changes in spoilage fungi populations during fermentation and the influence of traditional additives on silage quality. Methods: Elephant grass (Pennisetum purpureum) was prepared without any additive (control), and with the addition of 0.5% salt, and 0.5% salt-0.2% sugar mixture. The fungal community was then determined using a classic culturing method and high-throughput sequencing at 0, 5, 15, and 60 days after ensiling. Results: The results showed that the fungal community of elephant grass silage varied significantly between the natural fermentation without any additive and the two additive groups. The diversity and relative abundance of spoilage molds in the control group were much higher than those in the two treatment groups (p<0.05). Three species of yeasts (Candida sp., Pichia sp., Trichosporon sp.) and four spoilage molds (Fusarium sp., Aspergillus sp., Muco sp. and Penicillin sp.) were the predominant fungi in elephant grass during natural fermentation from 0 to 60 days, which were found to be significantly decreased in salt and sugar additive groups (p<0.05). Meanwhile, the diversity and relative abundance of undesirable molds in the 0.5%-salt additive group were the lowest among all groups. Conclusion: Adding salt and sugar, particularly 0.5% salt, is a promising effective approach to reduce the amount of undesirable fungi thus, improving the silage quality of elephant grass in northern Vietnam.

The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience

  • Marco, Luca Di;Pantaleo, Antonio;Leone, Alessandro;Murana, Giacomo;Bartolomeo, Roberto Di;Pacini, Davide
    • Journal of Chest Surgery
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    • v.50 no.1
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    • pp.1-7
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    • 2017
  • Complex lesions of the thoracic aorta are traditionally treated in 2 surgical steps with the elephant trunk technique. A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows combined lesions of the thoracic aorta to be treated in a 1-stage procedure combining endovascular treatment with conventional surgery using a hybrid prosthesis. These are very complex and time-consuming operations, and good results can be obtained only if appropriate strategies for myocardial, cerebral, and visceral protection are adopted. However, the FET technique is associated with a non-negligible incidence of spinal cord injury, due to the extensive coverage of the descending aorta with the excessive sacrifice of intercostal arteries. The indications for the FET technique include chronic thoracic aortic dissection, acute or chronic type B dissection when endovascular treatment is contraindicated, chronic aneurysm of the thoracic aorta, and chronic aneurysm of the distal arch. The F ET technique is also indicated in acute type A aortic dissection, especially when the tear is localized in the aortic arch; in cases of distal malperfusion; and in young patients. In light of the great interest in the FET technique, the Vascular Domain of the European Association for cardio-thoracic Surgery published a position paper reporting the current knowledge and the state of the art of the FET technique. Herein, we describe the surgical techniques involved in the FET technique and we report our experience with the F ET technique for the treatment of complex aortic disease of the thoracic aorta.

Analytic study on Rhizome by Gilles Deleuze : Focusing on the Film (들뢰즈의 리좀 모델 분석 : 영화 <엘리펀트>를 중심으로)

  • Lim, Taewoo
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.66-75
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    • 2014
  • The purpose of this study is to analyze and illustrate 'Rhizome', a postmodern speculation system based on de-subjectivity and decentralization, presented by Gilles Deleuze. He borrowed the word rhizome, an originally botanical term meaning a horizontal stem under the surface of the earth, to counteract the dominating system grounded on binary, root-tree structure. The study then criticizes the early movements of de-subjectivity with molecular-biological and evolutionary evidences, and proves that these evidences can only be characterized by chance and nomadism, which are the key elements that constitute Rhizome. As a practical example of Rhizome, the study analyzes the film by Gus Van Sant, and demonstrates that both his various cinematic experiments and the result bear the same characteristics as Rhizome.

Evaluation of Fermentation Quality of a Tropical and Temperate Forage Crops Ensiled with Additives of Fermented Juice of Epiphytic Lactic Acid Bacteria (FJLB)

  • Yahaya, M.S.;Goto, M.;Yimiti, W.;Smerjai, B.;Kawamoto, Y.
    • Asian-Australasian Journal of Animal Sciences
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    • v.17 no.7
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    • pp.942-946
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    • 2004
  • This study aimed to examine the fermentation quality of a tropical Elephant grass (Pennisetum purpuereum) and temperate Italian ryegrass (Lolium multiflorum) forages ensiled additive of fermented juice of epiphytic lactic acid bacteria (LAB) and to determine what factor affects the fermentation characteristics of the crops. In both species cell walls neutral detergent fiber (NDF) and acid detergent fiber (ADF) contents in silages were consistently decreased (p<0.05) with the addition of FJLB at ensiling more then Control treatment. The FJLB additive increased number of LAB (cfu) and lactate concentration in the silages in both species. The Control treatment without additive underwent a clostridial type of fermentation with traces of propionic, iso-butyric, n-butyric acids contents with higher (p<0.01) levels of volatile basic nitrogen (VBN %TN) and had appreciable decreased of nutrient in silages. FJLB treatment improved silage nutritive value with little contents of VBN %TN, ethanol and very small amount of dry matter (DM) and hemicellulose losses (p<0.05) between 2 to 5% and 7 to 3% respectively, in Elephant grass and Italian ryegrass species. The results in this study indicates that while among the factors affecting silage fermentation butyric type of fermentation was more pronounced in tropical elephant grass compared to the temperate Italian ryegrass, FJLB additive revealed a better silage fermentation products in both species.

Study on Physiological and Ecological Characteristics of Collective Varieties on Elephant food ( Amorphophallus Konjac K.) (구약감자 수집종의 생리생태적 특성)

  • 이희덕
    • Korean Journal of Plant Resources
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    • v.10 no.4
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    • pp.418-421
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    • 1997
  • This research was performed to understand physiological and ecological characterisities and to de stable production by the way of the establishment of cultivation in elephant food. The results of the investigation of developmental characterisitics, leaf area, photosynthetic ability, chloroplast content for collective varieties are as follows. In the ecological characterisrics for five varieties of elephant food collected from domestic and foreign countries, appearance days for Japanese collective varieties was 60 days, which was two days earlier than domestic collective variety, Jechon collective variety. In appearance rate, Japanese collective variety was 90%, which was higher than Kumsan collective variety, 85%. In the development and yield of the ground portion, Japanese variety was the highest during all developmental period follwed by Chinese and Jechon collective varieties. The larger leaf area, the higher photosynthesis was found. In the amount of chlorophyll content, the higher intercepting light rate, the higher chlorophyll amount was found, which was 30, 50, 70% higher amount than non intercepting light rate.

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Seismic response analysis of an unanchored vertical vaulted-type tank

  • Zhang, Rulin;Cheng, Xudong;Guan, Youhai;Tarasenko, Alexander A.
    • Earthquakes and Structures
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    • v.13 no.1
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    • pp.67-77
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    • 2017
  • Oil storage tanks are vital life-line structures, suffered significant damages during past earthquakes. In this study, a numerical model for an unanchored vertical vaulted-type tank was established by ANSYS software, including the tank-liquid coupling, nonlinear uplift and slip effect between the tank bottom and foundation. Four actual earthquakes recorded at different soil sites were selected as input to study the dynamic characteristics of the tank by nonlinear time-history dynamic analysis, including the elephant-foot buckling, the liquid sloshing, the uplift and slip at the bottom. The results demonstrate that, obvious elephant-foot deformation and buckling failure occurred near the bottom of the tank wall under the seismic input of Class-I and Class-IV sites. The local buckling failure appeared at the location close to the elephant-foot because the axial compressive stress exceeded the allowable critical stress. Under the seismic input of Class-IV site, significant nonlinear uplift and slip occurred at the tank bottom. Large amplitude vertical sloshing with a long period occurred on the free surface of the liquid under the seismic wave record at Class-III site. The seismic properties of the storage tank were affected by site class and should be considered in the seismic design of large tanks. Effective measures should be taken to reduce the seismic response of storage tanks, and ensure the safety of tanks.

A Machine Learning-based Real-time Monitoring System for Classification of Elephant Flows on KOREN

  • Akbar, Waleed;Rivera, Javier J.D.;Ahmed, Khan T.;Muhammad, Afaq;Song, Wang-Cheol
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.8
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    • pp.2801-2815
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    • 2022
  • With the advent and realization of Software Defined Network (SDN) architecture, many organizations are now shifting towards this paradigm. SDN brings more control, higher scalability, and serene elasticity. The SDN spontaneously changes the network configuration according to the dynamic network requirements inside the constrained environments. Therefore, a monitoring system that can monitor the physical and virtual entities is needed to operate this type of network technology with high efficiency and proficiency. In this manuscript, we propose a real-time monitoring system for data collection and visualization that includes the Prometheus, node exporter, and Grafana. A node exporter is configured on the physical devices to collect the physical and virtual entities resources utilization logs. A real-time Prometheus database is configured to collect and store the data from all the exporters. Furthermore, the Grafana is affixed with Prometheus to visualize the current network status and device provisioning. A monitoring system is deployed on the physical infrastructure of the KOREN topology. Data collected by the monitoring system is further pre-processed and restructured into a dataset. A monitoring system is further enhanced by including machine learning techniques applied on the formatted datasets to identify the elephant flows. Additionally, a Random Forest is trained on our generated labeled datasets, and the classification models' performance are verified using accuracy metrics.