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Lymphological Liposculpture for Secondary Lymphedema after Breast Cancer and Gynecological Tumors: Long-Term Results after 15 Years

  • Manuel E. Cornely
    • Archives of Plastic Surgery
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    • v.50 no.3
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    • pp.288-304
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    • 2023
  • Background Untreated lymphedema of an extremity leads to an increase in volume. The therapy of this condition can be conservative or surgical. Methods "Lymphological liposculpture" is a two-part procedure consisting of resection and conservative follow-up treatment to achieve curative volume adjustment of the extremities in secondary lymphedema. This treatment significantly reduces the need for complex decongestive therapy (CDT). From 2005 to 2020, 3,184 patients with secondary lymphedema after breast cancer and gynecological tumors were treated in our practice and clinic. "Lymphological liposculpture" was applied to 65 patients, and the data were recorded and evaluated by means of perometry and questionnaires. Results The alignment of the sick to the healthy side was achieved in all patients. In 58.42% (n = 38), the CDT treatment could be completely stopped postoperatively; in another 33.82% (n = 22) of the patients, a permanent reduction of the CDT was achieved. In 7.69% (n = 5) patients, the postoperative CDT could not be reduced. A total of 92.30% (n = 60) of the patients described a lasting significant improvement in their quality of life. Conclusion "Lymphological liposculpture" is a standardized curative sustainable procedure for secondary lymphedema for volume adjustment of the extremities and reduction of postoperative CDT with eminent improvement of the quality of life.

Dynamic Copy Security Protocol In Real-Time Database Systems (실시간 데이터베이스 시스템에서의 동적 복사 보안 프로토콜)

  • Park, Su-Yeon;Lee, Seung-Ryong;Jeong, Byeong-Su;Seung, Hyeon-U
    • Journal of KIISE:Software and Applications
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    • v.26 no.8
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    • pp.955-963
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    • 1999
  • 다단계 보안 실시간 데이타베이스 시스템은 데이타베이스의 일관성 유지와 실시간 요구인 마감시간의 만족, 그리고 기밀성을 띤 데이타가 노출될 수 있는 비밀채널(covert-channel)의 방지라는 요구사항을 모두 만족해야 한다. 기존의 SRT-2PL(Secure Real-Time 2 Phase Locking)은 원본과 복사본으로 데이타 객체를 분리시켜 다른 등급간에 불간섭(non-interference)을 유지하여 비밀채널의 방지를 가능하게 하였으나, 복사본이 모든 데이타 객체에 대해 항상 존재하므로 메모리의 낭비가 있을 수 있고, 복사본의 갱신을 위한 갱신 큐의 관리에 따르는 오버헤드와 그에 따른 예측성 결여라는 문제점을 갖고 있다. 이를 개선하기 위하여 본 논문에서는 다단계 보안 실시간 데이타베이스 시스템의 요구사항을 모두 만족하는 동적 복사 프로토콜을 제안한다. 동적 복사 프로토콜은 로킹 기법을 기초로 동작하고, 트랜잭션의 작업에 따라 동적으로 복사본을 생성하고 삭제한다. 모의 실험 결과 제안한 동적 복사 프로토콜은 비밀채널을 방지하고 동적인 복사본의 생성으로 SRT-2PL의 단점인 메모리 낭비를 줄일 수 있으며, 예측성을 높여 마감시간 오류율을 감소시켰다.Abstract Concurrency control of real-time secure database system must satisfy not only logical data consistency but also timing constraints and security requirements associated with transactions. These conflicting natures between timing constraints and security requirements are often resolved by maintaining several versions(or secondary copies) on the same data items. In this paper, we propose a new lock-based concurrency control protocol, Dynamic Copy Security Protocol, ensuring both two conflicting requirements. Our protocol aims for reducing the storage overhead of maintaining secondary copies and minimizing the processing overhead of update history. Main idea of our protocol is to keep a secondary copy only when it is needed to resolve the conflicting read/write operations in real time secure database systems. For doing this, a secondary copy is dynamically created and removed during a transaction's read/write operations according to our protocol. We have also examined the performance characteristics of our protocol through simulation under different workloads while comparing the existing real time security protocol. The results show that our protocol consumed less storage and decreased the missing deadline transactions.

Fabrication of the Micromachined Transformer using High Permeability NiFe Core (투자율이 높은 NiFe 코어를 이용한 마이크로 트랜스포머 제작)

  • Cho, Se-Jun;Cha, Doo-Yeol;Lee, Jai-Hyuk;Lee, Soo-Jin;Chang, Sung-Pil
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.23 no.3
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    • pp.194-198
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    • 2010
  • Recently as the electronic devices are getting to be more and more smaller, transformers are needed to be micro fabricated using MEMS technology. In this paper transformers have been fabricated and measured by depositing insulation layer to reduce the loss of eddy current and in the middle core a high permeability permalloy was designed based on the turns ratio between primary coil and secondary coil which are 1:1 transformers. (the number of turns of primary coil and secondary coil: 3/3, 5/5, 7/7). The size of the transformers including ground shield are $1mm{\times}1.5mm$, $1mm{\times}1.95mm$, $1mm{\times}2.35mm$ respectively. The line width, pitch and the height of post are 50um. Based on the measured data from the micro fabricated transformers, the 3/3 turns in the primary coil and secondary coil showed the lowest insertion loss with 1.5 dB at 480 MHz and the 7/7 turns in the primary coil and secondary coil showed the highest insertion loss with 2.5 dB at 280 MHz. Also confirmed that the bandwidth goes up as the number of turns goes down. There was some difference between the actual measured data and the HFSS simulation result. It looks as if it is an error of the difference between oxidation of copper or the permeability of SU-8.

Numerical Study of Two-Dimensional Supersonic Ejector Flows (이차원 초음속 이젝터 유동에 대한 수치해석적 연구)

  • 김희동;이영기;서태원
    • Journal of the Korean Society of Propulsion Engineers
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    • v.2 no.1
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    • pp.1-12
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    • 1998
  • Industrial ejector system is a facility to transport, to compress or to pump out a low pressure secondary flow by using a high pressure primary flow. An advantage of the ejector system is in its geometrical simplicity, not having any moving part, compared with other fluid machinery. Most of the previous works have been performed experimentally and analytically. The obtained data. are too insufficient to improve our current understanding on the detailed flow field inside the ejector. In order to provide more comprehensive data on this ejector flow field, two-dimensional computations using Reynolds-averaged Navier-Stokes equations were performed for a very wide range of operating pressure ratio of the supersonic ejector with a secondary throat. The current results showed that the supersonic ejector system has an optimum pressure ratio for the secondary flow total pressure to be minimized. The numerical results clearly revealed the shock system, shock/boundary layer interaction, and secondary flow entrainment inside the supersonic ejector.

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Mastectomy in female-to-male transgender patients: A single-center 24-year retrospective analysis

  • Kuhn, Shafreena;Keval, Seirah;Sader, Robert;Kuenzlen, Lara;Kiehlmann, Marcus;Djedovic, Gabriel;Bozkurt, Ahmet;Rieger, Ulrich Michael
    • Archives of Plastic Surgery
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    • v.46 no.5
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    • pp.433-440
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    • 2019
  • Background Mastectomy in male transgender patients is an important (and often the first) step toward physical manhood. At our department, mastectomies in transgender patients have been performed for several decades. Methods Recorded data were collected and analyzed for all male transgender patients undergoing mastectomy over a period of 24 years at our department. Results In total, 268 gender-reassigning mastectomies were performed. Several different mastectomy techniques (areolar incision, n=172; sub-mammary incision, n=96) were used according to patients' habitus and breast features. Corresponding to algorithms presented in the current literature, certain breast qualities were matched with a particular mastectomy technique. Overall, small breasts with marginal ptosis and good skin elasticity allowed small areolar incisions as a method of access for glandular removal. In contrast, large breasts and those with heavy ptosis or poor skin elasticity often required larger incisions for breast amputation. The secondary correction rate (38%) was high for gender reassignment mastectomy, as is also reflected by data in the current literature. Secondary correction frequently involved revision of chest wall recontouring, suggesting inadequate removal of the mammary tissue, as well as scar revision, which may reflect intense traction during wound healing (36%). Secondary corrections were performed more often after using small areolar incision techniques (48%) than after using large sub-mammary incisions (21%). Conclusions Choosing the suitable mastectomy technique for each patient requires careful individual evaluation of breast features such as size, degree of ptosis, and skin elasticity in order to maximize patient satisfaction and minimize secondary revisions.

Destination Choice Behavior for Recreation Areas : Application of Generalized Logit Models (서울시내와 근교에 위치한 당일여가용 Recreation시설의 선택행동 확정에 관한 연구 : Generalized Logit Model의 적용)

  • 홍성권
    • Journal of the Korean Institute of Landscape Architecture
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    • v.22 no.3
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    • pp.1-12
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    • 1994
  • This study was carried out to identify destination choice behavior for one-day use recreation areas. Previous positioning study was utilized to select 4 study areas, and the secondary data were used for logit analyses. The Hausamn-McFadden test for IIA was conducted to examine whether conditional logit models are valid methodology for this study. The results revealed that IIA assumption among the study areas was violated; therefore, generalized binomial and generalized multinomial logit models were used in this study. In the binomial logit analysis, 2 to 5 independent variables were included in the models: their $\rho$2 values were from 0.1to 0.323, and accuracy of predictions were from 65.38 to 79.86 percent. In the multinomial logit analysis, 4 independent variables were included in the model: its $\rho$2 value was 0.207, and accuracy of prediction was 45.82 percent. The results showed that the conditional logit should be used with caution because of the IIA assumption. Several suggestions were described, mainly due to utilization of the secondary data for this study.

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리튬 2차 전지의 1차원 열적 특성을 고려한 지능형 용량예측

  • Lee, Jeong-Su;Ho, Bin;Kim, Gwang-Seon;Im, Geun-Uk;Jo, Jang-Gun;Jo, Hyeon-Chan
    • Proceedings of the Korean Society Of Semiconductor Equipment Technology
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    • 2007.06a
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    • pp.244-249
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    • 2007
  • In this paper, in order to get the characteristics of the lithium secondary cell, such as cycle life, charge and discharge characteristic, temperature characteristic, self-discharge characteristic and the capacity recovery rate etc, we build a mathematical model of battery. In this one-dimensional model, Seven governing equations are made to solve seven variables $c,\;c_s,\;{\Phi}_1,\;{\Phi}_2,\;i_2,\;j\;and\;T$. The mathematical model parameters used in this model have been adjusted according to the experimental data measured in our lab. The connecting research of this study is to get an accurate estimate of the capacity of battery through comparison of results from simulation and fuzzy logic system. So the result data from this study is reorganized to fit the fuzzy logic algorithm.

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Relevance of Multivariate Analysis in Management Research

  • Ojha, Sateesh Kumar
    • Journal of Information Technology Applications and Management
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    • v.23 no.3
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    • pp.25-34
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    • 2016
  • Often we receive misled conclusion in the research if properly variables are not analyzed. In different functional issues of management it is very essential that all the latent and observed variable are properly understood so management decisions will be relevant and effective. The objective of this paper is to investigate the use of different multivariate tools for analyzing in the management research : applied or basic. The sources of data is primary as well as secondary. The primary includes the observation of different research articles of the proceedings of different conferences. And the secondary includes different publications related to multivariate analysis. The study has revealed the reasons of not using such tools of research. The preliminary finding reveals that most of the researches do not use such analytical tools in a comprehensive manner. Carelessness in design while fixing the design aspect is the main reasons of not using appropriate design.

Spectrum Sensing and Data Transmission in a Cognitive Relay Network Considering Spatial False Alarms

  • Tishita, Tasnina A.;Akhter, Sumiya;Islam, Md. Imdadul;Amin, M. Ruhul
    • Journal of Information Processing Systems
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    • v.10 no.3
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    • pp.459-470
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    • 2014
  • In this paper, the average probability of the symbol error rate (SER) and throughput are studied in the presence of joint spectrum sensing and data transmission in a cognitive relay network, which is in the environment of an optimal power allocation strategy. In this investigation, the main component in calculating the secondary throughput is the inclusion of the spatial false alarms, in addition to the conventional false alarms. It has been shown that there exists an optimal secondary power amplification factor at which the probability of SER has a minimum value, whereas the throughput has a maximum value. We performed a Monte-Carlo simulation to validate the analytical results.

Development of Efficient Encryption Scheme on Brain-Waves Using Five Phase Chaos Maps

  • Kim, Jung-Sook;Chung, Jang-Young
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.16 no.1
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    • pp.59-63
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    • 2016
  • Secondary damage to the user is a problem in biometrics. A brain-wave has no shape and a malicious user may not cause secondary damage to a user. However, if user sends brain-wave signals to an authentication system using a network, a malicious user could easily capture the brain-wave signals. Then, the malicious user could access the authentication system using the captured brain-wave signals. In addition, the dataset containing the brain-wave signals is large and the transfer time is long. However, user authentication requires a real-time processing, and an encryption scheme on brain-wave signals is necessary. In this paper, we propose an efficient encryption scheme using a chaos map and adaptive junk data on the brain-wave signals for user authentication. As a result, the encrypted brain-wave signals are produced and the processing time for authentication is reasonable in real-time.