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Massive Localized Abdominal Lymphedema: A Case Report with Literature Review

  • Badri Gogia;Irina Chekmareva;Anastasiia Leonova;Rifat Alyautdinov;Grigory Karmazanovsky;Andrey Glotov;Dmitry Kalinin
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.615-620
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    • 2023
  • Massive localized lymphedema (MLL) is a rare disease caused by the obstruction of lymphatic vessels with specific clinical morphological and radiological characteristics. People with morbid obesity are mainly affected by MLL. Lymphedema is easily confused with soft tissue sarcoma and requires differential diagnosis, both the possibility of an MLL and also carcinoma manifestations in the soft tissues. The possible causes of massive lymphedema include trauma, surgery, and hypothyroidism. This report is the first case of MLL treated surgically in the Russian Federation. Detailed computed tomography (CT) characteristics and an electron microscope picture of MLL are discussed. A 50-year-old woman (body mass index of 43 kg/m2) with MLL arising from the anterior abdominal wall was admitted to the hospital for surgical treatment. Its mass was 22.16 kg. A morphological study of the resected mass confirmed the diagnosis of MLL. We review etiology, clinical presentation, diagnosis, and treatment of MLL. We also performed an electron-microscopic study that revealed interstitial Cajal-like cells telocytes not previously described in MLL cases. We did not find similar findings in the literature. It is possible that the conduction of an ultrastructural examination of MLL tissue samples will further contribute to the understanding of MLL pathogenesis.

Predicting restraining effects in CFS channels: A machine learning approach

  • Seyed Mohammad Mojtabaei;Rasoul Khandan;Iman Hajirasouliha
    • Steel and Composite Structures
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    • v.51 no.4
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    • pp.441-456
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    • 2024
  • This paper aims to develop Machine Learning (ML) algorithms to predict the buckling resistance of cold-formed steel (CFS) channels with restrained flanges, widely used in typical CFS sheathed wall panels, and provide practical design tools for engineers. The effects of cross-sectional restraints were first evaluated on the elastic buckling behaviour of CFS channels subjected to pure axial compressive load or bending moment. Feedforward multi-layer Artificial Neural Networks (ANNs) were then trained on different datasets comprising CFS channels with various dimensions and properties, plate thicknesses, and restraining conditions on one or two flanges, while the elastic distortional buckling resistance of the elements were determined according to the Finite Strip Method (FSM). To develop less biased networks and ensure that every observation from the original dataset has the chance of appearing in the training and test set, a K-fold cross-validation technique was implemented. In addition, the hyperparameters of the ANNs were tuned using a grid search technique to provide ANNs with optimum performances. The results demonstrated that the trained ANNs were able to predict the elastic distortional buckling resistance of CFS flange-restrained elements with an average accuracy of 99% in terms of coefficient of determination. The developed models were then used to propose a simple ANN-based design formula for the prediction of the elastic distortional buckling stress of CFS flange-restrained elements. Finally, the proposed formula was further evaluated on a separate set of unseen data to ensure its accuracy for practical applications.

Lung Imaging Reporting and Data System (Lung-RADS) in Radiology: Strengths, Weaknesses and Improvement (영상의학에서 폐영상 판독과 자료체계: 강점, 단점, 그리고 개선)

  • Gong Yong Jin
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.34-50
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    • 2023
  • In 2019, the American College of Radiology announced Lung CT Screening Reporting & Data System (Lung-RADS) 1.1 to reduce lung cancer false positivity compared to that of Lung-RADS 1.0 for effective national lung cancer screening, and in December 2022, announced the new Lung-RADS 1.1, Lung-RADS 2022 improvement. The Lung-RADS 2022 measures the nodule size to the first decimal place compared to that of the Lung-RADS 1.0, to category 2 until the juxtapleural nodule size is < 10 mm, increases the size criterion of the ground glass nodule to 30 mm in category 2, and changes categories 4B and 4X to extremely suspicious. The category was divided according to the airway nodules location and shape or wall thickness of atypical pulmonary cysts. Herein, to help radiologists understand the Lung-RADS 2022, this review will describe its advantages, disadvantages, and future improvements.

Numerical analysis on two-phase flow-induced vibrations at different flow regimes in a spiral tube

  • Guangchao Yang;Xiaofei Yu;Yixiong Zhang;Guo Chen;Shanshan Bu;Ke Zhang;Deqi Chen
    • Nuclear Engineering and Technology
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    • v.56 no.5
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    • pp.1712-1724
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    • 2024
  • Spiral tubes are used in a wide range of applications and it is significant to understand the vibration introduced by two-phase flow in spiral tubes. In this paper, the numerical method is used to study the vibration induced by the gas-liquid two-phase flow in a spiral tube with different flow regimes. The pressure fluctuation characteristics at the pipe wall and the solid vibration response characteristics are obtained. The results show that the motion of small bubbles in bubbly flow leads to small pressure fluctuations with low-frequency broadband (0-50 Hz). The motion of the gas plug in the plug flow causes small amplitude periodic pressure fluctuation with a shortened low-frequency broadband (0-15 Hz) compared to the bubbly flow. The motion of the gas slug in the slug flow causes large periodic fluctuations in pressure with a significant dominant frequency (6-7 Hz). The wavy flow is very stable and has a distinct main frequency (1-2 Hz). The vibration regime in the bubbly flow and wave flow are close to the first-order mode, and the vertical vibrating component is dominant. The plug flow and slug flow excite higher-order vibration modes, and the lateral vibration component plays more important part in the vibration response.

Optimization of construction support scheme for foundation pits at zero distance to both sides of existing stations based on the pit corner effect

  • Tonghua Ling;Xing Wu;Fu Huang;Jian Xiao;Yiwei Sun;Wei Feng
    • Geomechanics and Engineering
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    • v.38 no.4
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    • pp.381-395
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    • 2024
  • With the wide application of urban subway tunnels, the foundation pits of new stations and existing subway tunnels are becoming increasingly close, and even zero-distance close-fitting construction has taken place. To optimize the construction support scheme, the existing tunnel's vertical displacement is theoretically analyzed using the two-stage analysis method to understand the action mechanism of the construction of zero-distance deep large foundation pits on both sides of the existing stations; a three-dimensional numerical calculation is also performed for further analysis. First, the additional stress field on the existing tunnel caused by the unloading of zero-distance foundation pits on both sides of the tunnel is derived based on the Mindlin stress solution of a semi-infinite elastic body under internal load. Then, considering the existing subway tunnel's joints, shear stiffness, and shear soil deformation effect, the tunnel is regarded as a Timoshenko beam placed on the Kerr foundation; a sixth-order differential control equation of the tunnel under the action of additional stress is subsequently established for solving the vertical displacement of the tunnel. These theoretical calculation results are then compared with the numerical simulation results and monitoring data. Finally, an optimized foundation pit support scheme is obtained considering the pit corner effect and external corner failure mode. The research shows a high consistency between the monitoring data,analytical and numerical solution, and the closer the tunnel is to the foundation pit, the more uplift deformation will occur. The internal corner of the foundation pit can restrain the deformation of the tunnel and the retaining structure, while the external corner can cause local stress concentration on the diaphragm wall. The proposed optimization scheme can effectively reduce construction costs while meeting the safety requirements of foundation pit support structures.

Development of Innovative Product Designs with Stretchable Displays Based on User's Expected Experience

  • Seung Eun Chung;Youjin Seo;Han Young Ryoo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.18 no.8
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    • pp.2346-2365
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    • 2024
  • This research identifies specific user experience factors that have positive impact on user's behavior intention to use so that a new technology called stretchable display(SD) can be accepted and spread in the market. To show how these factors can be applied to SD home appliances, a few concrete designs have been suggested. In the first stage of the research, the initial concept of innovative product design with stretchable display was derived by developing a scenario that solves the expected experience by home product users through the attributes of the SD technology. In the second stage, a scenario of the product to which a stretchable display was applied was suggested to investigate the expected experience factors that influence the behavior intention to use. As a result of the analysis, users showed a positive intention to use for the factors of Functionality of Space and Life Support, Presentation of Preferences, and Customization of Emotions, provided by the product with SD technology applied. In the next stage, based on the verified user experience factors, multifunctional kitchen appliances design, smart furniture design with flexible surfaces, and smart interior wall tile design have been derived. After all, the differentiated transformable interface designs shown through this process have been suggested as three-dimensional soft-physical button design and attachable design for multi-curved soft furniture. This study is significant as it emphasizes a user-centered design process over a technology-centered approach, enhancing market acceptability and focusing on design features aligned with the user's expected experience.

Development of a High Heat Load Test Facility KoHLT-1 for a Testing of Nuclear Fusion Reactor Components (핵융합로부품 시험을 위한 고열부하 시험시설 KoHLT-1 구축)

  • Bae, Young-Dug;Kim, Suk-Kwon;Lee, Dong-Won;Shin, Hee-Yun;Hong, Bong-Guen
    • Journal of the Korean Vacuum Society
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    • v.18 no.4
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    • pp.318-330
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    • 2009
  • A high heat flux test facility using a graphite heating panel was constructed and is presently in operation at Korea Atomic Energy Research Institute, which is called KoHLT-1. Its major purpose is to carry out a thermal cycle test to verify the integrity of a HIP (hot isostatic pressing) bonded Be mockups which were fabricated for developing HIP joining technology to bond different metals, i.e., Be-to-CuCrZr and CuCrZr-to-SS316L, for the ITER (International Thermonuclear Experimental Reactor) first wall. The KoHLT-1 consists of a graphite heating panel, a box-type test chamber with water-cooling jackets, an electrical DC power supply, a water-cooling system, an evacuation system, an He gas system, and some diagnostics, which are equipped in an authorized laboratory with a special ventilation system for the Be treatment. The graphite heater is placed between two mockups, and the gap distance between the heater and the mockup is adjusted to $2{\sim}3\;mm$. We designed and fabricated several graphite heating panels to have various heating areas depending on the tested mockups, and to have the electrical resistances of $0.2{\sim}0.5$ ohms during high temperature operation. The heater is connected to an electrical DC power supply of 100 V/400 A. The heat flux is easily controlled by the pre-programmed control system which consists of a personal computer and a multi function module. The heat fluxes on the two mockups are deduced from the flow rate and the coolant inlet/out temperatures by a calorimetric method. We have carried out the thermal cycle tests of various Be mockups, and the reliability of the KoHLT-1 for long time operation at a high heat flux was verified, and its broad applicability is promising.

The Crystallographic and Magnetic Properties of $Fe_{1-x}Co_x$System ($Fe_{1-x}Co_x$계의 결정구조와 자기적인 성질)

  • 김정기;한경훈;서정철
    • Journal of the Korean Magnetics Society
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    • v.9 no.4
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    • pp.190-195
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    • 1999
  • The crystallographic and magnetic properties of the system of $Fe_{1-x}Co_x$(x=0.2 and 0.4) prepared by microwave arc-melting with the maximum power of 3.5 kW and a iron-foil with thickness of 25 ${\mu}{\textrm}{m}$ have been studied by the methods of X-ray diffraction and the measurement of the magnetic hysteresis using the vibrating sample magnetometer at room temperature. The samples were prepared in three different ways: First, pellet form pressed under the pressure of 9,000 N/$\textrm{cm}^2$. Second, the sheet cold rolled. Third, thin sheet treated with the temperature of 90$0^{\circ}C$. The X-ray diffraction pattern of the sample prepared by the first method shows that the crystal structure of the sample is bcc as same as that of Fe with a good uniformity. The iron-foil has the coercivity of 43 Oe and the initial slope of magnetization of 0.328 emu/gOe. The coervicity and magnetization of the sample prepared by the second method increased as the Co content increased. But the initial slop of the magnetization decreased as the Co content increased. This means that the displacement of domain wall is suppressed by the increases of coercivity as the Co content increased. The saturation magnetization of the samples made by the third method increased. On the other hand, the coercivity of these samples decreased. The increase of saturation magnetization of the samples seems to be related to the changes in X-ray intensity after heat treatment. Also some magnetic parameters of the samples were calculated by using a simple model and compared with other values.

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Stability Analysis of a Haptic System with a Human Impedance model using the Routh-Hurwitz Criterion (루드-후르비쯔 (Routh-Hurwitz) 안정성 판별법을 이용한 인간의 임피던스가 포함된 햅틱 시스템의 안정성 분석)

  • Lee, Kyungno
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.1813-1818
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    • 2014
  • This paper presents the stability analysis of the haptic system including a human impedance using the Routh-Hurwitz criterion. The reflective force is computed from a virtual spring model and is transferred to a human operator using the first-order-hold method. The stability boundary conditions are induced and the relation among a virtual spring ($K_w$), the mass ($M_h$), the damping ($B_h$) and the stiffness ($K_h$) of a human impedance is analyzed. Hence the stability boundary of the virtual spring ($K_w$) is proposed as $K_w{\leq}54413{\sqrt{(M_h+M_d)(B_h+B_d)}}-0.486K_h$ when the sampling time is 1 ms. The average relative error is about 0.5% when the mathematical analysis results are compared with the results of the stability boundary model.

First Report of Powdery Mildew Caused by Erysiphe cruciferarum on Arabidopsis thaliana in Korea

  • Choi, Hyong-Woo;Choi, Young-Jun;Kim, Dae-Sung;Hwang, In-Sun;Choi, Du-Seok;Kim, Nak-Hyun;Lee, Dong-Hyuk;Shin, Hyeon-Dong;Nam, Jae-Sung;Hwang, Byung-Kook
    • The Plant Pathology Journal
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    • v.25 no.1
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    • pp.86-90
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    • 2009
  • In November 2008, typical powdery mildew symptoms were observed on leaves of Arabidopsis thaliana ecotype Col-0 plants in a growth room under controlled laboratory conditions at Korea University, Seoul. The disease was characterized by the appearance of white powder-like fungal growth on the surface of infected leaves. As the disease progressed, infected leaves exhibited chlorotic or necrotic brown lesions, and leaf distortion and senescence. Conidiophores of the causal fungus were hyaline, unbranched, 3-4 celled, cylindrical, and $80-115{\times}6-9{\mu}m$ in size. Singly produced conidia (pseudoidium type) were hyaline, oblong to cylindrical or oval in shape, and $26-55{\times}15-20{\mu}m$ in size with a length/width ratio of average 3, angular/rectangular wrinkling of outer wall and no distinct fibrosin bodies. Appressoria on the hyphae were multi-lobed. These structures are typical of the powdery mildew Oidium subgenus Pseudoidium, anamorph of the genus Erysiphe. The measurements of the fungal structures coincided with those of Erysiphe cruciferarum. The phylogenetic analysis using ITS rDNA sequences revealed that the causal fungus Erysiphe sp. KUS-F23994 is identical to E. cruciferarum. The isolated fungus incited powdery mildew symptoms on the inoculated Arabidopsis leaves, which proved Koch's postulates. Taken all data together, we first report the occurrence of powdery mildew disease of A. thaliana caused by Erysiphe cruciferarum in Korea.