• Title/Summary/Keyword: Confidence-Flow

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Salvage of late flap compromise in deep inferior epigastric perforator flaps: To revise or not to revise

  • Hong, Seung Heon;Lee, Kyeong-Tae;Pyon, Jai-Kyong
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.97-101
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    • 2020
  • Although the success rate of deep inferior epigastric perforator (DIEP) flaps has increased, late flap failures still occur and have a low salvage rate. The present article describes a case of salvage of a case of late flap failure using the pedicle vein as a vein graft source. A 50-yearold woman underwent a bilateral DIEP free flap procedure. On postoperative day 6, she experienced flap compromise and underwent emergency flap revision. In the flap revision, flap venous drainage and the superficial inferior epigastric vein were completely obstructed. A Fogarty catheter was used to remove a thrombus from the completely obstructed pedicle vein, and this pedicle vein was used as a graft source and was ligated in retrograde fashion to the flap vein stump. After injection of urokinase into the arterial branch, venous flow to the flap was restored. At a 6-month follow-up visit in the outpatient clinic, only partial fat necrosis at the flap was noted. By dissecting various perforators in the initial operation, decisions regarding immediate revision can be made with more confidence. Additionally, the combined procedures performed in this case may be helpful even for practitioners treating cases of late flap compromise.

Evolutionary Rates and Phylogeographical Analysis of Odontoglossum Ringspot Virus Based on the 166 Coat Protein Gene Sequences

  • He, Zhen;Dong, Tingting;Wu, Weiwen;Chen, Wen;Liu, Xian;Li, Liangjun
    • The Plant Pathology Journal
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    • v.35 no.5
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    • pp.498-507
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    • 2019
  • Odontoglossum ringspot virus (ORSV) is a member of the genus Tobamovirus. It is one of the most prevalent viruses infecting orchids worldwide. Earlier studies reported the genetic variability of ORSV isolates from Korea and China. However, the evolutionary rate, timescale, and phylogeographical analyses of ORSV were unclear. Twenty-one coat protein (CP) gene sequences of ORSV were determined in this study, and used them together with 145 CP sequences obtained from GenBank to infer the genetic diversities, evolutionary rate, timescale and migration of ORSV populations. Evolutionary rate of ORSV populations was $1.25{\times}10^{-3}nucleotides/site/y$. The most recent common ancestors came from 30 year ago (95% confidence intervals, 26-40). Based on CP gene, ORSV migrated from mainland China and South Korea to Taiwan island, Germany, Australia, Singapore, and Indonesia, and it also circulated within east Asia. Our study is the first attempt to evaluate the evolutionary rates, timescales and migration dynamics of ORSV.

Causal Relationship Between Working Capital Policies and Working Capital Indicators on Firm Performance: Evidence from Thailand

  • WICHITSATHIAN, Sareeya
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.5
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    • pp.465-474
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    • 2022
  • Using structural equation modeling, the study aims to investigate the causal relationship between working capital policies and working capital indicators on firm performance, including profitability and market value (SEM). The samples of 381 firms were selected from various industries listed on the Stock Exchange of Thailand (SET) from 2016 to 2020. The results showed that 1) there is an effect of working capital policies on profitability and market value; 2) there is an effect of working capital indicators on profitability and market value and 3) there is the effect of profitability on market value. From the results, it is suggested that conservative working capital investment policy (CIP) and conservative working capital financing policy (CFP) affect a company's performance in the Thailand context. In addition, shortening the cash conversion cycle (CCC) should be applied in management to increase profitability by reducing the receivables collection period (RCP) and inventory conversion period (ICP) while increasing the payables deferral period (PDP). The practical implications of the study provide the evidence that meeting the dues according to short CCC management can represent healthy liquidity in cash flow that helps gain investor confidence and the investment interest that further increases the market value.

Mesh and turbulence model sensitivity analyses of computational fluid dynamic simulations of a 37M CANDU fuel bundle

  • Z. Lu;M.H.A. Piro;M.A. Christon
    • Nuclear Engineering and Technology
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    • v.54 no.11
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    • pp.4296-4309
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    • 2022
  • Mesh and turbulence model sensitivity analyses have been performed on computational fluid dynamics simulations executed with Hydra and ANSYS Fluent for a single CANadian Deuterium Uranium (CANDU) 37M nuclear fuel bundle placed within a standard pressure tube. The goal of this work was to perform a methodical analysis to objectively determine an appropriate mesh and to gauge the sensitivity of different turbulence models for CANDU subchannel flow under isothermal conditions. The boundary conditions and material properties are representative of normal operating conditions in a high-powered channel of the Darlington Nuclear Generating Station. Four meshes were generated with ANSYS Workbench Meshing, ranging from 22 to 84 million cells, and analyzed here to determine an appropriate level of mesh resolution and quality. Five turbulence models were compared in the turbulence model sensitivity analysis: standard k - ε, RNG k - ε, realizable k - ε, SST k - ω, and the Reynolds Stress Model. The intent of this work was to gain confidence in mesh generation and turbulence model selection of a single bundle to inform the decision making of subsequent investigations of an entire fuel channel containing a string of twelve bundles.

A System Dynamics View of Safety Management in Small Construction Companies

  • Guo, Brian H.W.;Yiu, Tak Wing;Gonzalez, Vicente A.
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.92-96
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    • 2015
  • Due to unique characteristics of small construction companies, safety management is comprised of complex problems (e.g., resources constraints, a lack of formalized management structures, low level of management safety commitment etc.). In order to understand causal interdependencies between safety factors at different system levels (regulation, organization, technical and individual), this paper aims to develop a system dynamics (SD) model of safety management in small construction companies. The purpose of the SD model is to better understand why small construction companies have low level of safety performance. A causal loop diagram (CLD) was developed based on literature, with an attempt to map causal relationships between variables. The CLD was then converted into stock and flow diagram for simulation. Various tests were conducted to build confidence in the model's ability to represent the reality. A number of policies were analyzed by changing the value of parameters. The value of a system dynamics approach to safety management in small construction companies is its ability to address joint effects of multiple safety risk factors on safety performance with a systems thinking perspective. By taking into account feedback loops and non-linear relationships, such a system dynamics model provides insights into the complex causes of relatively poor safety performance of small construction companies and improvement strategies.

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SLUMPING TENDENCY AND RHEOLOGICAL PROPERTY OF FLOWABLE COMPOSITES (Flowable 복합레진의 slumping 경향과 유변학적 성질)

  • Lee, In-Bog;Min, Sun-Hong;Kim, Sun-Young;Cho, Byung-Hoon;Back, Seung-Ho
    • Restorative Dentistry and Endodontics
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    • v.34 no.2
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    • pp.130-136
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    • 2009
  • The aim of this study was to develop a method for measuring the slumping resistance of flowable resin composites and to evaluate the efficacy using rheological methodology. Five commercial flowable composites (Aelitefil flow:AF, Filtek flow:FF, DenFil flow:DF, Tetric flow:TF and Revolution:RV) were used. Same volume of composites in a syringe was extruded on a glass slide using a custom-made loading device. The resin composites were allowed to slump for 10 seconds at $25^{\circ}C$ and light cured. The aspect ratio (height/diameter) of cone or dome shaped specimen was measured for estimating the slumping tendency of composites. The complex viscosity of each composite was measured by a dynamic oscillatory shear test as a function of angular frequency using a rheometer. To compare the slumping tendency of composites, one way-ANOVA and Turkey's post hoc test was performed for the aspect ratio at 95% confidence level. Regression analysis was performed to investigate the relationship between the complex viscosity and the aspect ratio. The results were as follows. 1. Slumping tendency based on the aspect ratio varied among the five materials (AF

Runoff Characteristics of Non-Point Source Pollution in Lower Reaches of Livestock Area (축사 주변지역 비점오염물질의 유출특성)

  • Hwang, Jeong-Suk;Park, Young-Ki;Won, Chan-Hee
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.8
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    • pp.557-565
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    • 2012
  • In this research, it was analyzed that the effect of the non-point source pollution that occurs in the lower reaches of the livestock area. The analysis on the hydro- and polluto-graphs showed that the concentration of pollution gradually increased as the flow rate increased and, after reaching the peak flow rate, the flow rate dropped drastically. For Event Mean Concentration (EMC), in the lower reaches of livestock area, TSS EMC was 146.80~424.95 mg/L, COD EMC 11.64~55.66 mg/L, BOD EMC 6.66~49.88 mg/L, T-N EMC 7.650~43.825 mg/L and T-P EMC 0.711~3.855 mg/L. According to the results of the analysis on the correlations between pollutants, TSS and BOD, COD, T-N and T-P had correlations at a 0.53~0.95 confidence level. In addition, according to the result of the analysis on the correlations between EMC (mg/L) and storm runoff ($m^3$), the correlation was well explained by a Cubic regression. In addition, among the determination coefficients, TSS and T-N were relatively high, at 0.767~0.835 and 0.773~0.901 respectively, which indicates that EMC goes up as the storm runoff increases. Therefore, it is expected that EMC can be forecasted according to the amount of runoff ($m^3$). The results of this research will be a practical information for the assessment of the non-point source pollution that occurs in the lower reaches of the livestock area.

Exploring the Characteristics of Science Gifted Students' Task Commitment (과학 영재들의 과제집착력 특성 탐색)

  • Jang, Jyungeun;Chung, Yoonsook;Choi, Yanghee;Kim, Sung-Won
    • Journal of The Korean Association For Science Education
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    • v.33 no.1
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    • pp.1-16
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    • 2013
  • In this research, we tried to discover the characteristics of gifted students by analyzing their experience in showing task commitment. In order to do this, we asked science gifted students to specifically describe their experiences while deeply experimenting on a scientific cause or theory. From their responses, we inductively explored the characteristics of science gifted students by extracting and analyzing the characteristics that show task commitment. Consequentially, the characteristics of the gifted students are divided into nine categories, which are confidence, setting a challenging goal, challenging approach for solving problems, sense of potential control, loss of self-consciousness, time distortion, submission to difficult task, initiative, and endurance, all of which appear repeatedly among the gifted students. With consensus among three experts who have experience in research on gifted education, these nine characteristics can be categorized into 3 characteristics; challenge, flow, and willingness. The three characteristics such as challenge, flow, and willingness well represent a definition of task commitment. These characteristics can explain the level of task commitment exhibited by science gifted students. It is possible to develop the tool and framework for judging the task commitment of gifted students on the basis of their characteristics.

A Experimental Study on Behavioral Characteristics and Loss Ratio of Sediment for Reclaimed Revetment (매립호안의 유사 거동특성과 유실률에 관한 실험연구)

  • Kim, Dong Hyun;Cho, Jae Nam;Kim, Kyu-Sun;Lee, Seung Oh
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.4
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    • pp.627-635
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    • 2016
  • Recently, several construction projects have been built to create residential area, industrial complex and agricultural land on reclaimed on- and offshore regions. Estimating the quantity of filling materials during reclamation is the most curcial factor of the total construction cost of reclamation project. However, the estimation of loss ratio, defined as the ratio of loss amount to overall dumped amount, mostly depends on the empirical methods and formulae based on the material characteristics due to the lack of sufficient literature about the loss ratio according to hydraulic conditions. In this studies the loss ratio of materials considering flow conditions and material characteristics were examined through hydraulic experiments. A series of hydraulic experiments was conducted using five different hydraulic conditions and two types of materials such as sand and anthracite in a horizontal rectangular flume ($13.0m{\times}5.0m{\times}0.10m$), in which a round type revetment was installed. It is found that the loss ratio generally tends to increase with increasing the particle Froude number regardless of the types of materials. Also, when the flow velocity(u) becomes higher than the critical flow velocity ($u_c$), the loss ratios of sand and anthracite are dramtically increased up to 7.4% and 24.4%, respectively. As a future work, more specific mean velocities will be considered to figure out the loss ratio and more accurate estimation of amount of filling materials will be possible to present with confidence.

Effects of Fine Particles on Pulmonary Function of Elementary School Children in Ulsan (미세먼지가 울산지역 초등학생의 폐기능에 미치는 영향)

  • Yu, Seung-Do;Cha, Jung-Hoon;Kim, Dae-Seon;Lee, Jong-Tae
    • Journal of Environmental Health Sciences
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    • v.33 no.5
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    • pp.365-371
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    • 2007
  • To evaluate the effect of air pollution on respiratory health in children, We conducted a longitudinal study in which children were asked to record their daily levels of Peak Expiratory Flow Rate(PEFR) using potable peak flow meter(mini-Wright) for 4 weeks. The relationship between daily PEFR and ambient air particle levels was analyzed using a mixed linear regression models including gender, age in year, weight, the presence of respiratory symptoms, and relative humidity as an extraneous variable. The daily mean concentrations of $PM_{10}$ and $PM_{2.5}$ over the study period were $64.9{\mu}g/m^3$ and $46.1{\mu}g/m^3$, respectively. The range of daily measured PEFR in this study was $182{\sim}481\;l/min$. Daily mean PEFR was regressed with the 24-hour average $PM_{10}(or\;PM_{2.5})$ levels, weather information such as air temperature and relative humidity, and individual characteristics including sex, weight, and respiratory symptoms. The analysis showed that the increase of air particle concentrations was negatively associated with the variability in PEFR. We estimated that the IQR increment of $PM_{10}$ or $PM_{2.5}$ were associated with 1.5 l/min (95% Confidence intervals -3.1, 0.1) and 0.8 l/min(95% CI -1.8, 0.1) decline in PEFR. Even though this study showed negative findings on the relationship between respiratory function and air particles, it was worth noting that the findings must be interpreted cautiously because exposure measurement based on monitoring of ambient air likely resulted in misclassification of true exposure levels and this was the first Korean study that $PM_{2.5}$ measurement was applied as an index of air quality.