• Archives of Plastic Surgery
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• v.46 no.3
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• pp.204-213
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• 2019

Background In implant-based breast reconstruction, acellular dermal matrix (ADM) is essential for supporting the inferolateral pole. Recent studies have compared non-sterilized freeze-dried ADM and sterilized pre-hydrated ADM, but have not assessed whether differences were attributable to factors related to sterile processing or packaging. This study was conducted to compare the clinical outcomes of breast reconstruction using two types of sterile-processed ADMs. Methods Through a retrospective chart review, we analyzed 77 consecutive patients (85 breasts) who underwent tissue expander/implant breast reconstruction with either freeze-dried ADM (35 breasts) or pre-hydrated ADM (50 breasts) from March 2016 to February 2018. Demographic variables, postoperative outcomes, and operative parameters were compared between freeze-dried and pre-hydrated ADM. Biopsy specimens were obtained for histologic analysis. Results We obtained results after adjusting for variables found to be significant in univariate analyses. The total complication rate for freeze-dried and pre-hydrated ADMs was 25.7% and 22.0%, respectively. Skin necrosis was significantly more frequent in the freeze-dried group than in the pre-hydrated group (8.6% vs. 4.0%, P=0.038). All other complications and operative parameters showed no significant differences. In the histologic analysis, collagen density, inflammation, and vascularity were higher in the pre-hydrated ADM group (P=0.042, P=0.006, P=0.005, respectively). Conclusions There are limited data comparing the outcomes of tissue expander/implant breast reconstruction using two types of sterile-processed ADMs. In this study, we found that using pre-hydrated ADM resulted in less skin necrosis and better integration into host tissue. Pre-hydrated ADM may therefore be preferable to freeze-dried ADM in terms of convenience and safety.

• Archives of Plastic Surgery
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• v.49 no.2
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• pp.158-165
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• 2022

Background Implant-based breast reconstruction has evolved tremendously in the last decades, mainly due to the development of new products and techniques that make the procedure safer and more reliable. The purpose of this study was to compare the outcomes in immediate one-stage breast reconstruction between acellular dermal matrix (ADM) and inferior dermal flap (IDF). Methods We conducted a retrospective comparative study of patients submitted to immediate breast reconstructions with an anatomical implant and ADM or IDF in a single center between 2016 and 2018. Outcomes evaluated included major complications, early complications, reinterventions, readmissions, and reconstruction failure. Simple descriptive statistics and univariate analysis were performed. Results A total of 118 breast reconstructions (85 patients) were included in the analysis. Patients in the IDF group had a higher body mass index (median = 27.0) than patients in the ADM group (median = 24). There were no statistically significant differences among both groups regarding immediate major complication, early complications, readmissions, and reinterventions. Conclusion There are no significant differences in complications between the ADM and IDF approach to immediate implant breast reconstruction. In patients with higher body mass index and large, ptotic breasts, we recommend an immediate implant reconstruction with IDF.

• Journal of Korean Neurosurgical Society
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• v.65 no.6
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• pp.825-833
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• 2022

Objective : ABM/P-15 (anorganic bone matrix/15-amino acid peptide fragment) is a commercially available synthetically manufactured P-15 collagen peptide fragment, that is adsorbed on ABM. This study was done to investigate the efficacy of ABM/P-15 in achieving fusion in the lumbar spine and comparing it with that of recombinant bone morphogenic protein-2 (rhBMP-2) and demineralized bone matrix (DBM). Methods : A retrospective observational study of prospectively collected data of 140 patients who underwent lumbar spinal fusion surgeries in a single specialty spine hospital between 2016 and 2020, with a minimum 6-month follow-up was conducted. Based on the material used for the augmentation of the bone graft at the fusion site, the patients were divided into three categories namely ABM/P-15, rhBMP-2, and DBM group. Results : ABM/P-15, rhBMP-2, and DBM were used in 46, 44, and 50 patients, respectively. Patient characteristics like age, gender, bone mineral density, smoking history, and presence of diabetes mellitus were comparable amongst the three groups. Average follow-up was 16.0±5.2, 17.9±9.8, and 26.2±14.9 months, respectively in ABM/P-15, rhBMP-2, and DBM groups. The fusion was achieved in 97.9%, 93.2%, and 98% patients while the average time-to-union was 4.05±2.01, 10±4.28, and 9.44±3.49 months (p<0.001), respectively for ABM/P-15, rhBMP-2, and DBM groups. The average pre-operative Visual analogue scale score was 6.93±2.42, 7.14±1.97, 7.01±2.14 (p=0.900) for ABM/P-15, rhBMP-2 and DBM groups, respectively, which reduced to 1.02±0.80, 1.21±0.96, and 0.54±0.70 (p=0.112), respectively at the last follow up. Pre-operative Oswestry disability index scores were 52.7±18.02, 55.4±16.8, and 53.56±19.6 (p=0.751) in ABM/P-15, rhBMP-2, and DBM groups, which post-operatively reduced to 33.77±15.52, 39.42±16.47, and 38.3±15.89 (p=0.412) and further to 15.74±8.3, 17.41±10.45, and 16.76±9.81 (p=0.603), respectively at the last follow-up. Conclusion : ABM/P-15 appears to achieve union significantly earlier than rhBMP-2 and DBM in lumbar spinal fusion cases while maintaining a comparable clinical and complication profile.

• Structural Engineering and Mechanics
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• v.14 no.6
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• pp.679-698
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• 2002

In this paper some techniques for the dynamic analysis of non-classically damped linear systems are reviewed and compared. All these methods are based on a transformation of the governing equations using a basis of complex or real vectors. Complex and real vector bases are presented and compared. The complex vector basis is represented by the eigenvectors of the complex eigenproblem obtained considering the non-classical damping matrix of the system. The real vector basis is a set of Ritz vectors derived either as the undamped normal modes of vibration of the system, or by the load dependent vector algorithm (Lanczos vectors). In this latter case the vector basis includes the static correction concept. The rate of convergence of these bases, with reference to a parametric structural system subjected to a fixed spatial distribution of forces, is evaluated. To this aim two error norms are considered, the first based on the spatial distribution of the load and the second on the shear force at the base due to impulsive loading. It is shown that both error norms point out that the rate of convergence is strongly influenced by the spatial distribution of the applied forces.

• Journal of Navigation and Port Research
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• v.40 no.5
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• pp.311-316
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• 2016

Vietnam is one of Asia's fastest developing economies. A long coastline of nearly 3,500 km provides a comparative advantage for Vietnam in developing a seaport system. Despite accounting for only about 30% of Vietnam's traffic volume, the Northern seaports have rapidly developed over the years. However, the location of the container terminals close to the common hinterland are a cause of fierce competition among container terminals. To outperform rivals and improve competitiveness, it is essential to identify the competitive positions of container terminals. This study analyzes the competitive positioning of container terminals in the northern region of Vietnam between 2005 and 2014 by applying the Boston Consulting Group (BCG) matrix in order to assist terminal operators and policy makers to generate strategic planning as well as to improve priorities for development. Otherwise, the period from 2005-2014 aims to clarify the static and dynamic positioning of container terminals. The results demonstrate that the Hai Phong terminal dominates the market, but the Nam Hai Dinh Vu and Dinh Vu terminals are considered as "star" performers. Quang Ninh, Doan Xa, and Transvina are losing their competitive positions in Northern Vietnam.

• The Journal of Internal Korean Medicine
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• v.38 no.6
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• pp.1007-1020
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• 2017

Objectives: This study was carried out to investigate whether a prescription's composition varies according to the disease being caused by wind, which is one of the migratory pathogenic factors. Methods: An initial database and binary matrix of Pungmun in Dongui-Bogam, including its herbs and prescription, was constructed. With this data, a network map about wind stroke, arthralgia, acute arthritis, and tetanus in Dongui-Bogam was constructed. Results: Analysis of the network map about Pungmun in Dongui-Bogam revealed that the complete prescription network has more isolated nodes than does each disease's network map. Conclusions: The composition of prescriptions in Dongui-Bogam Pungmun differ according to the disease being caused by wind.

• Steel and Composite Structures
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• v.24 no.1
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• pp.65-77
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• 2017

The purpose of this research is to study the nonlinear free vibration and post-buckling analysis of functionally graded carbon nanotube reinforced composite (FG-CNTRC) beams resting on a nonlinear elastic foundation. Uniformly and functionally graded distributions of single walled carbon nanotubes as reinforcing phase are considered in the polymeric matrix. The modified form of rule of mixture is used to estimate the material properties of CNTRC beams. The governing equations are derived employing Euler-Bernoulli beam theory along with energy method and Hamilton's principle. Applying von $K\acute{a}rm\acute{a}n's$ strain-displacement assumptions, the geometric nonlinearity is taken into consideration. The developed governing equations with quadratic and cubic nonlinearities are solved using variational iteration method (VIM) and the analytical expressions and numerical results are obtained for vibration and stability analysis of nanocomposite beams. The presented comparative results are indicative for the reliability, accuracy and fast convergence rate of the solution. Eventually, the effects of different parameters, such as foundation stiffness, volume fraction and distributions of carbon nanotubes, slenderness ratio, vibration amplitude, coefficients of elastic foundation and boundary conditions on the nonlinear frequencies, vibration response and post-buckling loads of FG-CNTRC beams are examined. The developed analytical solution provides direct insight into parametric studies of particular parameters of the problem.

• The Journal of the Korea institute of electronic communication sciences
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• v.12 no.4
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• pp.575-584
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• 2017

It is suggested the circuit network to analyze the time response of control system. And it is analyzed the interrelation for classical control and modern control by the transfer function and the state equation. Without complicated integration of state transition equation, it is suggested to possible time response by combining the state transition matrix and the transfer function. A source program is coded to display the time response according to the unit-step and the sinusoidal input. Transient response is analyzed in the unit-step input and phase difference between current and voltage is analyzed in sinusoidal input. As writing the suggested contents in transient response or state-space analysis, it is improved the understanding for control engineering and ability for system design.

• ALGAE
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• v.27 no.1
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• pp.55-62
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• 2012

A novel lectin specific to N-acetyl-D-galactosamine as well as N-acetyl-D-glucosamine was isolated from Bryopsis plumosa and named as BPL-4. Sodium dodecyl sulfate polyacrylamide gel electrophorese (SDS-PAGE) and matrix-assisted laser desorption / ionization-time of flight (MALDI-TOF) mass spectrometry data showed that this lectin was a monomeric protein with molecular weight 12.9 kDa. The N-terminal amino acid sequences of the lectin were determined by Edman degradation and the full cDNA sequence encoding this lectin was obtained using the degenerate primers designed from the amino acid sequence. The size of the cDNA was 414 bp containing single open reading frame (ORF) encoding the lectin precursor. The homology analysis showed that this lectin might belong to H lectin group. BPL-4 showed high sequence similarity (60.6%) to BPL-3, which is a previously reported lectin from the same species. The comparative analysis on the lectin's primary structure showed two conserved domains including one possible active domain of H lectin group.

• Journal of Families and Better Life
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• v.30 no.3
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• pp.119-133
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• 2012

This study aimed to explore the anger of child, the factors influencing the anger of child, the therapeutic techniques of therapist to resolve the marital conflict as well as the anger of child and the changes of family members after getting family therapy. The data was consisted of recording transcripts and note-taking of 8 sessions family therapy. The study used a constant comparative analysis and Miles & Huberman's matrix and network display as analysis method. The anger of child included aggressive and violent behavior, temperament, fear, anxiety, and negligence of rule. The study revealed parental dysfunctional communication patterns and parental experiences from family of origin as factors influencing the anger of child. The study found therapist's self-disclosure, sharing and comparing with similar cases, explanation of dysfunctional communication patterns, explanation about similarity in generational transmission process, and suggestion of new solutions as therapeutic techniques. The result of study showed the alleviation of marital conflict, the amelioration in the anger of child, and the change in the relationships of family members after getting family therapy.