• Archives of Plastic Surgery
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• v.45 no.4
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• pp.375-378
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• 2018

In this report, we present a case of successful treatment of a bowel fistula in the open abdomen by perforator flaps and an aponeurosis plug. A 70-year-old man underwent total gastrectomy and developed anastomotic leakage and dehiscence of the abdominal wound a week later. He was dependent upon extracorporeal membrane oxygenation, continuous hemodiafiltration, and a respirator. Bowel fluids contaminated the open abdomen. Two months after the gastric operation, a plastic surgery team, in consultation with general surgeons, performed perforator flaps on both sides and constructed, as it were, a bridge of skin sealing the orifice of the fistula. The aponeurosis of the external oblique muscle was elevated with the flap to be used as a plug. The perforators of the flaps were identified on preoperative and intraoperative ultrasonography. This modality allowed us to locate the perforators precisely and to evaluate the perforators by assessing their diameters and performing a waveform analysis. The contamination decreased dramatically afterwards. The bare areas were gradually covered by skin grafts. The fistula was closed completely 18 days after the perforator flap. An ultrasound-guided perforator flap with an aponeurosis plug can be an option for patients suffering from an open abdomen with a bowel fistula.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.10
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• pp.4237-4245
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• 2015

Breast cancer is a menacing cancer, primarily affecting women. Continuous research is going on for detecting breast cancer in the early stage as the possibility of cure in early stages is bright. There are two main objectives of this current study, first establish statistics for breast cancer and second to find methodologies which can be helpful in the early stage detection of the breast cancer based on previous studies. The breast cancer statistics for incidence and mortality of the UK, US, India and Egypt were considered for this study. The finding of this study proved that the overall mortality rates of the UK and US have been improved because of awareness, improved medical technology and screening, but in case of India and Egypt the condition is less positive because of lack of awareness. The methodological findings of this study suggest a combined framework based on data mining and evolutionary algorithms. It provides a strong bridge in improving the classification and detection accuracy of breast cancer data.

• Journal of Korea Water Resources Association
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• v.30 no.1
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• pp.75-82
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• 1997

The stream morphologic characteristics of Wonju stream with small watershed are developed with a regular correlation referred to the Horton-Strahler's lows of stream order. Using Manning's formula and the discharges simulated by NWS-PC rainfallrunoff model that has been applied to the adjacent basin for model calibration and verification, the hydraulic characteristics at Wonju bridge are investigated. The peak discharge and the time to peak of unit hydrograph are analyzed by the calculated geomorphologic parameters. Rather primitive as this study is, these results are provided to be used for geomorphologic instantaneous unit hydropraph of ungaged basins including this study area. Through the reestablishment of rating curve and hydrograph with continuous field observations, the hydrologic and hydraulic characteristics of Wonju stream must be presented.

• Journal of Chest Surgery
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• v.45 no.2
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• pp.116-119
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• 2012

A 61-year-old female patient was diagnosed with dilated cardiomyopathy with severe left ventricle dysfunction. Two days after admission, continuous renal replacement therapy was performed due to oliguria and lactic acidosis. On the fifth day, an intra-aortic balloon pump was inserted due to low cardiac output syndrome. Beginning 4 days after admission, she was supported for 15 days thereafter with an extracorporeal left ventricular assist device (LVAD) because of heart failure with multi-organ failure. A heart transplant was performed while the patient was stabilized with the LVAD. She developed several complications after the surgery, such as cytomegalovirus pneumonia, pulmonary tuberculosis, wound dehiscence, and H1N1 infection. On postoperative day 19, she was discharged from the hospital with close follow-up and treatment for infection. She received follow-up care for 10 months without any immune rejection reaction.

• Journal of Korean Society of Steel Construction
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• v.10 no.2 s.35
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• pp.233-251
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• 1998

This paper deals with the prediction of behavior of composite girder bridges according to the placing sequences of concrete deck. Based on a degenerate kernel of compliance function in the form of Dirichlet series, the time-dependent behaviors of bridges are simulated, and the layer approach is adopted to determine the equilibrium condition in a section. The variation of bending moments along the bridge length caused by the slab casting sequence is reviewed and correlation studies between section types and placing sequences are conducted with the objective to establish the validity of the continuous placing of concrete deck on the closed steel box-girder which is broadly used in practice.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.11 no.2
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• pp.846-864
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• 2017

Software Defined Network (SDN) realizes management and control over the underlying forwarding device, along with acquisition and analysis of network topology and flow characters through south bridge protocol. Data path Identification (DPID) is the unique identity for managing the underlying device, so forged DPID can be used to attack the link of underlying forwarding devices, as well as carry out DoS over the upper-level controller. This paper proposes a dynamic defense method based on Client-Puzzle model, in which the controller achieves dynamic management over requests from forwarding devices through generating questions with multi-level difficulty. This method can rapidly reduce network load, and at the same time separate attack flow from legal flow, enabling the controller to provide continuous service for legal visit. We conduct experiments on open-source SDN controllers like Fluid and Ryu, the result of which verifies feasibility of this defense method. The experimental result also shows that when cost of controller and forwarding device increases by about 2%-5%, the cost of attacker's CPU increases by near 90%, which greatly raises the attack difficulty for attackers.

• Journal of the Korea institute for structural maintenance and inspection
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• v.1 no.2
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• pp.87-94
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• 1997

This research aims to develop an algorithm of optimal transducer placement using Kinetic Energy of the structural system. The structural vibration response-based health monitoring is considered one of the best for the system which requires a long-term, continuous monitoring. In its experimental modal testing, however, it is difficult to decide on the measurement locations and their number, especially for complex structures, which have a major influence on the quality of the results. In order to minimize the number of sensing operations and optimize the transducer location while maximizing the accuracy of results, this paper discusses about an optimum transducer placement criterion suitable for the identification of structural damage. As a criterion algorithm, it proposes the Kinetic Energy Optimization Technique (EOT), and then addresses the numerical issues which are subsequently applicable to actual experiment where a bridge model is used. By using the experimental data, it compares the EOT with the EIM (Effective Independence Method) which is generally used to optimize the transducer placement for the damage identification and control purposes. The comparison conclusively shows that the EOT algorithm proposed in this paper is preferable when a structure is to be instrumented with fewer sensors.

• Structural Engineering and Mechanics
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• v.21 no.3
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• pp.255-273
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• 2005

Based on the random vibration theory, a response spectrum method is developed for seismic response analysis of linear, multi-degree-of-freedom structures under multi-support excitations is developed. Various response quantities, including the mean and variance of the peak response, the response mean frequency, are obtained from proposed combination rules in terms of the mean response spectrum. This method makes it possible to apply the response spectrum to the seismic reliability analysis of structures subjected to multi-support excitations. Considering that the tedious numerical integration is required to compute the spectral parameters and correlation coefficients in above combination rules, this paper further offers simplified procedures for their computation, which enhance dramatically the computational efficiency of the suggested method. The proposed procedure is demonstrated for tow numerical examples: (1) two-span continuous beam; (2) two-tower cabled-stayed bridge by using Monte Carlo simulation (MC). For this purpose, this paper also presents an approach to simulation of ground motions, which can take into account both mean and variation properties of response spectrum. Computed results based on the response spectrum method are in good agreement with Monte Carlo simulation results. And compared with the MSRS method, a well-developed multi-support response spectrum method, the proposed method has an incomparable computational efficiency.

• Journal of Science of Art and Design
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• v.13 no.1
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• pp.11-21
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• 2008

It seems to be difficult to bridge between human and nature. All depictions of nature are not necessarily reflections of reality. Thoughts are projected into nature, then nature will reflect us. The world is composed of natural and cultural environment. There are differences between depiction of nature based on correspondence and construction of world. Environmental aesthetics is an emerging field of study that focuses on nature's aesthetic value as well as on its ethical and environmental implications. Allen Carlson, a pioneer in environmental aesthetics, provides challenges as well as a wealth of resources for those who would appropriate his ideas in the service of environmental protection. Carlson's positive aesthetics, his focus on the functionality of human environments, and his integration of aesthetics and ethics have great import for those seeking to use aesthetics to assist in addressing environmental controversies. Environmental ethics would benefit from taking environmental aesthetics more seriously. Environmental aesthetics is an emerging discipline that explores the meaning and influence of environmental perception and experience on human life. Arguing for the idea that environment is not merely a setting for people but fully integrated and continuous with us, Arnold Berleant explores the aesthetic dimensions of the human-environment continuum in both theoretical terms and concrete situations. Aesthetic experience is always contextual. The aesthetic aspect of any human habitat is an essential part of its desirability. The aesthetic perception of environment shows us the reciprocity that constitutes both person and place. The genuine beauty lies in the coexistence and harmony with natural environment.

• Smart Structures and Systems
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• v.15 no.3
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• pp.593-608
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• 2015

In many of the industrialized countries an increasing amount of infrastructure is ageing. This has become specifically critical to bridges which are a major asset with respect to keeping an economy alive. Life of this infrastructure is scattering but often little quantifiable information is known with respect to its damage condition. This article describes how a damage tolerance approach used in aviation today may even be applied to civil infrastructure in the sense that operational life can be applied in the context of modern life cycle management. This can be applied for steel structures as a complete process where much of the damage accumulation behavior is known and may even be adopted to concrete structures in principle, where much of the missing knowledge in damage accumulation has to be substituted by enhanced inspection. This enhanced and continuous inspection can be achieved through robotic systems in a first approach as well as built in sensors in the sense of structural health monitoring (SHM).