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The Impact of Abdominal Liposuction on Abdominally Based Autologous Breast Reconstruction: A Systematic Review

  • Bond, Evalina S.;Soteropulos, Carol E.;Poore, Samuel O.
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.324-331
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    • 2022
  • Prior abdominal liposuction can be viewed as a relative or absolute contraindication to abdominally based autologous breast reconstruction given concerns for damaged perforators and scarring complicating intraoperative dissection. This systematic review aims to explore the outcomes of abdominally based breast reconstruction in patients with a history of abdominal liposuction. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided literature search was conducted using PubMed, Scopus, and Web of Science from the earliest available date through June 2020. Deep inferior epigastric perforator, muscle-sparing transverse rectus abdominis musculocutaneous (TRAM), superficial inferior epigastric artery, and pedicled TRAM flaps were included for evaluation. Complications included total or partial flap loss, fat necrosis, seroma, delayed wound healing, and donor site complications. After inclusion criteria were applied, 336 non-duplicate articles were screened, yielding 11 for final review, representing 55 flaps in 43 patients. There was no instance of total flap loss, eight (14.5%) flaps developed partial loss or fat necrosis, three (5.4%) flaps had delayed wound healing, and two (4.6%) patients had donor site complications. Most authors (8/11) utilized some type of preoperative imaging. Doppler ultrasonography was the most used modality, and these patients had the lowest rate of partial flap loss or flap fat necrosis (8%), followed by those without any preoperative imaging (10%). In conclusion, this review supports that patients undergoing abdominally based autologous breast reconstruction with a history of abdominal liposuction are not at an increased risk of flap or donor site complications. Although preoperative imaging was common, it did not reliably decrease complications. Further prospective studies are needed to address the role of imaging in improving outcomes.

Non Duplicated Extract Method of Heterogeneous Data Sources for Efficient Spatial Data Load in Spatial Data Warehouse (공간 데이터웨어하우스에서 효율적인 공간 데이터 적재를 위한 이기종 데이터 소스의 비중복 추출기법)

  • Lee, Dong-Wook;Baek, Sung-Ha;Kim, Gyoung-Bae;Bae, Hae-Young
    • Journal of Korea Spatial Information System Society
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    • v.11 no.2
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    • pp.143-150
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    • 2009
  • Spatial data warehouses are a system managing manufactured data through ETL step with extracted spatial data from spatial DBMS or various data sources. In load period, duplicated spatial data in the same subject are not useful in extracted spatial data dislike aspatial data and waste the storage space by the feature of spatial data. Also, in case of extracting source data on heterogeneous system, as those have different spatial type and schema, the spatial extract method is required for them. Processing a step matching address about extracted spatial data using a standard Geocoding DB, the exiting methods load formal data set. However, the methods cause the comparison operation of extracted data with Geocoding DB, and according to integrate spatial data by subject it has problems which do not consider duplicated data among heterogeneous spatial DBMS. This paper proposes efficient extracting method to integrate update query extracted from heterogeneous source systems in data warehouse constructer. The method eliminates unnecessary extracting operation cost to choose related update queries like insertion or deletion on queries generated from loading to current point. Also, we eliminate and integrate extracted spatial data using update query in source spatial DBMS. The proposed method can reduce wasting storage space caused by duplicate storage and support rapidly analyzing spatial data by loading integrated data per loading point.

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Implementation of UDP-Tunneling Based Multicast Connectivity Solution for Multi-Party Collaborative Environments (다자간 협업 환경을 위한 UDP 터널링 기반의 멀티캐스트 연결성 솔루션의 구현)

  • Kim, Nam-Gon;Kim, Jong-Won
    • Journal of KIISE:Computing Practices and Letters
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    • v.13 no.3
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    • pp.153-164
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    • 2007
  • The Access Grid (AG) provides collaboration environments over the IP multicast networks by enabling efficient exchange of multimedia contents among remote users; however, since lots of current networks are still multicast-disabled, it is not easy to deploy this multicast-based multi-party AG. For this problem, the AG provides multicast bridges as a solution by putting a relay server into the multicast networks. Multicast-disabled clients make UDP connections with this relay server and receive forwarded multicast traffics in unicast UDP packets. This solution is facing several limitations since it requires duplicate forwarding of the same packet for each unicast peer. Thus, in this paper, we propose an alternate solution for the multicast connectivity problem of the AG based on the UMTP (UDP multicast tunneling protocol). By taking advantage of flexibilities of UMTP, the proposed solution is designed to improve the efficiency of network and system utilization, to allow reuse of multicast-based AG applications without modification, and to partially address the NAT/firewall traversal issues. To verify the feasibility of proposed solution, we have implemented a prototype AG connectivity tool based on the UMTP, named as the AG Connector.

Identification of Potential Substrates of N-acteylglucosamine Kinase by a Proteomic Approach (프로테오믹스를 이용한 N-아세틸글루코사민 인산화효소 기질단백질의 동정)

  • Lee, HyunSook;Moon, Il Soo
    • Journal of Life Science
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    • v.23 no.4
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    • pp.586-594
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    • 2013
  • Post-translational O-GlcNAc modification (O-GlcNAcylation) of serine or threonine is a new protein modulation mechanism. In contrast to the classical glycosylation, O-GlcNAcylation occurs in a one-step transfer of O-GlcNAc on both nuclear and cytoplasmic proteins. In contrast to the general consensus that O-GlcNAc is a final modification, a recent paper (J Proteome Res. 2011 10:2725-2733) showed the presence of O-GlcNAc-P on a synaptic assembly protein AP180. This finding raises a fundamental question about its prevalence. To address this question, we used proteomics to identify those proteins that were phospho-signal enriched by GlcNAc kinase (NAGK). Comparison of pDsRed2-$NAGK_{WT}$-transfected HEK293T cell extract with pDsRed2-$NAGK_{D107A}$-transfected control culture revealed 15 phospho-signal increased spots. Excluding those spots that had no detectable amount of protein expression yielded 7 spots, which were selected for ID determination. Among these, two duplicate spots (two $HSP90{\beta}$ and two ENO1 spots) were shown to be O-GlcNAcylated, two (dUTP nucleotidohydrolase mitochondrial isoform 2, glutathione S-transferase P) were not known to be involved in O-GlcNAcylation, and one (heat shock protein gp96 precursor or grp94) was a glycoprotein. The increase in the phospho-levels of O-GlcNAc by NAGK strongly indicates that these proteins are phosphorylated on O-GlcNAc. Our present data support the idea that O-GlcNAc is not a terminal modification.

Development of Beauty Experience Pattern Map Based on Consumer Emotions: Focusing on Cosmetics (소비자 감성 기반 뷰티 경험 패턴 맵 개발: 화장품을 중심으로)

  • Seo, Bong-Goon;Kim, Keon-Woo;Park, Do-Hyung
    • Journal of Intelligence and Information Systems
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    • v.25 no.1
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    • pp.179-196
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    • 2019
  • Recently, the "Smart Consumer" has been emerging. He or she is increasingly inclined to search for and purchase products by taking into account personal judgment or expert reviews rather than by relying on information delivered through manufacturers' advertising. This is especially true when purchasing cosmetics. Because cosmetics act directly on the skin, consumers respond seriously to dangerous chemical elements they contain or to skin problems they may cause. Above all, cosmetics should fit well with the purchaser's skin type. In addition, changes in global cosmetics consumer trends make it necessary to study this field. The desire to find one's own individualized cosmetics is being revealed to consumers around the world and is known as "Finding the Holy Grail." Many consumers show a deep interest in customized cosmetics with the cultural boom known as "K-Beauty" (an aspect of "Han-Ryu"), the growth of personal grooming, and the emergence of "self-culture" that includes "self-beauty" and "self-interior." These trends have led to the explosive popularity of cosmetics made in Korea in the Chinese and Southeast Asian markets. In order to meet the customized cosmetics needs of consumers, cosmetics manufacturers and related companies are responding by concentrating on delivering premium services through the convergence of ICT(Information, Communication and Technology). Despite the evolution of companies' responses regarding market trends toward customized cosmetics, there is no "Intelligent Data Platform" that deals holistically with consumers' skin condition experience and thus attaches emotions to products and services. To find the Holy Grail of customized cosmetics, it is important to acquire and analyze consumer data on what they want in order to address their experiences and emotions. The emotions consumers are addressing when purchasing cosmetics varies by their age, sex, skin type, and specific skin issues and influences what price is considered reasonable. Therefore, it is necessary to classify emotions regarding cosmetics by individual consumer. Because of its importance, consumer emotion analysis has been used for both services and products. Given the trends identified above, we judge that consumer emotion analysis can be used in our study. Therefore, we collected and indexed data on consumers' emotions regarding their cosmetics experiences focusing on consumers' language. We crawled the cosmetics emotion data from SNS (blog and Twitter) according to sales ranking ($1^{st}$ to $99^{th}$), focusing on the ample/serum category. A total of 357 emotional adjectives were collected, and we combined and abstracted similar or duplicate emotional adjectives. We conducted a "Consumer Sentiment Journey" workshop to build a "Consumer Sentiment Dictionary," and this resulted in a total of 76 emotional adjectives regarding cosmetics consumer experience. Using these 76 emotional adjectives, we performed clustering with the Self-Organizing Map (SOM) method. As a result of the analysis, we derived eight final clusters of cosmetics consumer sentiments. Using the vector values of each node for each cluster, the characteristics of each cluster were derived based on the top ten most frequently appearing consumer sentiments. Different characteristics were found in consumer sentiments in each cluster. We also developed a cosmetics experience pattern map. The study results confirmed that recommendation and classification systems that consider consumer emotions and sentiments are needed because each consumer differs in what he or she pursues and prefers. Furthermore, this study reaffirms that the application of emotion and sentiment analysis can be extended to various fields other than cosmetics, and it implies that consumer insights can be derived using these methods. They can be used not only to build a specialized sentiment dictionary using scientific processes and "Design Thinking Methodology," but we also expect that these methods can help us to understand consumers' psychological reactions and cognitive behaviors. If this study is further developed, we believe that it will be able to provide solutions based on consumer experience, and therefore that it can be developed as an aspect of marketing intelligence.