Ngaage, Ledibabari Mildred;Hamed, Raed R.;Oni, Georgette;Ghorra, Dina T.;Ang, Jolenda Z.;Koo, Brendan C.;Benyon, Sarah L.;Irwin, Michael S.;Malata, Charles M.
Archives of Plastic Surgery
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v.47
no.2
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pp.146-152
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2020
Background Preoperative computed tomography angiography (CTA) of the abdominal wall vessels is used when planning free flap breast reconstruction (FFBR) because it provides a surgical road map which facilitates flap harvest. However, there are few reports on the effect of abnormal findings on the operative plan. Methods We conducted a retrospective study of all FFBRs performed at a tertiary referral center over a 6-year period (November 2011 to June 2017). One consultant radiologist reported on the findings. Details on patient demographics, CTA reports, and intraoperative details were collected. Results Two hundred patients received preoperative CTAs. Fourteen percent of patients (n=28) had abnormal findings. Of these findings, 18% were vascular anomalies; 36% tumorrelated and 46% were "miscellaneous." In four patients, findings subsequently prevented surgery; they comprised a mesenteric artery aneurysm, absent deep inferior epigastric (DIE) vessels, bilateral occluded DIE arteries, and significant bone metastases. Another patient had no suitable vessels for a free flap and the surgical plan converted to a pedicled transverse rectus abdominis musculocutaneous flap. The remaining incidental findings had no impact on the surgical plan or appropriateness of FFBR. More than one in 10 of those with abnormal findings went on to have further imaging before their operation. Conclusions CTA in FFBR can have a wider impact than facilitating surgical planning and reducing operative times. Incidental findings can influence the surgical plan, and in some instances, avoid doomed-to-fail and unsafe surgery. It is therefore important that these scans are reported by an experienced radiologist.
Purpose: The purpose of this study is to analyze the realities related with the in-home falls of the elderly and also the factors that affect on the fails. Method: The data collection was carried out from January 10 to 13, 2005. The subjects of this study were 201 in-home elderly people over age 60 who resided at G city of Jeollabuk-do. Result: The following are the results from the analysis of collected data with using the SPSS program. 1. The number of people who experienced fall injuries was 51.7% within three years. Most cases of falls occurred in winter (52.4%), on roads (52.9%), wearing sports shoes (56.7%), when walking (56.7%), loosing their balance (54.8%), and slipping (54.8%). 2. The factors yielding the difference between the groups of elderly with the experience of fail injury and the group of elderly with no experience of falls showed a statistical significance for gender (p=.000), last academic career (p=.049), and number of people in the family (p=.041). 3. Among the factors related with health, the factors yielding the difference between the group of elderly with the experience of falls and the group of elderly with no experience of fails showed statistical significance for drinking (p=.015), dizziness (p=.000) and level of drug intakes (p=.015). 4. The elderly with the experience of fall injury as compared with the group of aged people with no experience of falls showed a higher degree of depression (p=.009). 5. From the result of logistic regression analysis to explore the factors affecting the experience of fall injury, it was found that there was a significant result for gender (p=.002) and depression (p=.018). Women as compared with men and the elderly with depression showed a higher rate of danger in falls. Conclusion: Based on the above results, it is expected that fall prevention programs are needed with regard to the general characteristics and health related characteristics, that is, the individual danger factors should be focused on such depression and gender as being the most important variables affecting the experience of falls.
Chronic mental-handicapped people are lacking in non-verbal expression such as eye contact, intonation, voice volume, facial expression, and gesture as well as the contents of speech, speak with a monotonous voice, fail to be vivid and clear in voice, and have absence of expression, thereby bringing about difficulty even for social adjustment and about low self-esteem. Accordingly, the purpose of this study was to examine effectiveness for enhancing self-expression and self-esteem by applying music therapy to the chronic mental-handicapped. The subjects were the chronic mental-handicapped who receive rehabilitation service at the community rehabilitation center, and who have over 10 years in the duration of disease. 1he music therapy activity was progressed with totally 14 sessions during 7 weeks with twice a week. This study confirmed t-test that is verification of difference in the mean, in order to examine difference between before and after music therapy in self-expression and self-esteem of the chronic mental-handicapped, and researched into qualitative case. The findings are as follows. First, as a result of score in self-expression scale, the significant improvement was shown after music therapy compared to before music therapy. The significant difference was indicated in verbal self-expression, phonetic self-expression, and non-verbal self-expression, which are its sub-spheres. Thus, the conclusion was obtained as saying that music therapy is effective for enhancing self-expression. Second, as a result of score in self-esteem scale, the significant difference was shown after music therapy compared to before music therapy. Thus, the conclusion was obtained as saying that music therapy is effective for enhancing self-esteem. Through the above results, the music therapy showed effectiveness of self-expression ability and self-esteem in the chronic mental-handicapped at the community rehabilitation center, thereby having been confirmed to be possibly utilized as rehabilitation program for the social skill ability and the social adjustment of the chronic mental-handicapped.
Lee Dong Uk;Lee Byoung Oon;Kim Young Gyun;Lee Ki Bog;Jang Jin Wook
Nuclear Engineering and Technology
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v.35
no.4
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pp.356-368
/
2003
Material properties such as coolant specific heat, film heat transfer coefficient, cladding thermal conductivity, surface diffusion coefficient of the multi-bubble are improved in MACSIS-Mod1. The axial power and flux profile module was also incorporated with irradiation history. The performance and feasibility of the updated driver fuel pin have been analyzed for nominal parameters based on the conceptual design for the KALIMER breakeven core by MACSIS-MOD1 code. The fuel slug centerline temperature takes the maximum at 700mm from the bottom of the slug in spite of the nearly symmetric axial power distribution. The cladding mid-wall and coolant temperatures take the maximum at the top of the pin. Temperature of the fuel slug surface over the entire irradiation life is much lower than the fuel-clad eutectic reaction temperature. The fission gas release of the driver fuel pin at the end of life is predicted to be $68.61\%$ and plenum pressure is too low to cause cladding yielding. The probability that the fuel pin would fail is estimated to be much less than that allowed in the design criteria. The maximum radial deformation of the fuel pin is $1.93\%$, satisfying the preliminary design criterion ($3\%$) for fuel pin deformation. Therefore the conceptual design parameters of the driver fuel pin for the KALIMER breakeven core are expected to satisfy the preliminary criteria on temperature, fluence limit, deformation limit etc.
Commonly-used methods for camera modelling of pushbroom images were implemented and their performances were assessed. The models include Vector Propagation) model, Gugan and Downman(GD)'s model, Orun and Natarajan(ON)'s model, and Direct Linear Transformation(DLT) model The models were tested on a SPOT full-scene over Seoul. The number of ground control points(GCP) used range from 1 to 23. For less than 6 GCPs all other models fail except VP, with VP's accuracy being 2.7 pixels. With mode than 6 GCPs ON shows the best accuracy with 1pixel accuracy while the accuracy of VP is 1.5 pixels. GD fails in most cases due to the correlation among model parameters. The accuracy of DLT does not converge but fluctuates between 1 and 4 pixels subject to GCPs used. VP has an advantage in that its results can be used for the estimation of satellite orbit. Unresolved topics are: to remove errors in GCPs from the aforementioned accuracy value; to improve the performance of VP.
Framed masonry wall structures represent a typical high-rise structural system that are also seismically vulnerable. During ground motions, they are excited in both in-plane and out-of-plane terms. The interaction between the frame and the infill during ground motion is a highly investigated phenomenon in the field of seismic engineering. This paper presents a numerical investigation of two distinct static out-of-plane loading methods for framed masonry wall models. The first and most common method is uniformly loaded infill. The load is generally induced by the airbag. The other method is similar to in-plane push-over method, involves loading of the frame directly, not the infill. Consequently, different openings with the same areas and various placements were examined. The numerical model is based on calibrated in-plane bare frame models and on calibrated wall models subjected to OoP bending. Both methods produced widely divergent results in terms of load bearing capabilities, failure modes, damage states etc. Summarily, uniform load on the panel causes more damage to the infill than to the frame; openings do influence structures behavior; three hinged arching action is developed; and greater resistance and deformations are obtained in comparison to the frame loading method. Loading the frame causes the infill to bear significantly greater damage than the infill; infill and openings only influence the behavior after reaching the peak load; infill does not influence initial stiffness; models with opening fail at same inter-storey drift ratio as the bare frame model.
Doris Lessing describes a band of revolutionaries who become involved in terrorist activities far beyond their level of competence in The Good Terrorist. Alice Mellings who is from a middle-class family has organized a squat house in London and seems capable of controlling everyone around her and anything about the house. She is seemingly like a housekeeper or a breadwinner. She also likes to be on the battlefront, for instance, demonstrating, picketing and spray-painting slogans. Such is able to easily exploit the others and she increasingly becomes the leader in the house. Recently some critics have focused on the political and social roles of the protagonist who represents a voice of terrorists in the 1980s England. Based on this, The Good Terrorist is read with the concept of the subject of feminism that Gillian Rose adopts in order to show that this subject tries to avoid the exclusion of the master subject. This subject imagines spaces which are not structured through masculinist claims to exhaustiveness. Alice as the subject of feminism shows different roles; she extorts or steals money for the maintenance of the house from her affluent parents; she spends all her time cleaning, fixing, decorating the deserted house; and she looks after the official affairs related to the house with her skills and experiences. She is systematically in charge of the house and sits at the head of the table in the kitchen. But when their activities turn into disaster and their plans fail, Alice willingly decides to close down the house after ousting the members. Here in her extorted gaze it is revealed that she takes control over the working class members of the house who are unable to lead a revolution because of their own problems and thereby the working class are dominated by the middle class. That is, the place is paradoxically recreated based on class differences, which the revolutionaries try to break. By representing the deconstruction and recreation of the place through squat houses, Lessing reveals her implicit feminism in which a new place should be produced crossing the principle of the dichotomy of gender and class.
Chen, Zongping;Song, Chunmei;Li, Shengxin;Zhou, Ji
Structural Monitoring and Maintenance
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v.9
no.1
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pp.29-42
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2022
In mountainous areas of China, concrete poles with connectors are widely employed in power transmission due to its convenience of manufacture and transportation. The bearing capacity of the poles must have degenerated over time, and most of the steel connectors have been corroded. Carbon fiber reinforced polymer (CFRP) offers a durable, light-weight alternative in strengthening those poles that have served for many years. In this paper, the bearing capacity and failure mechanism of CFRP sheet strengthened existing reinforced concrete poles with corrosion steel connectors were investigated. Four poles were selected to conduct flexural capacity test. Two poles were strengthened by single-layer longitudinal CFRP sheet, one pole was strengthened by double-layer longitudinal CFRP sheets and the last specimen was not strengthened. Results indicate that the failure is mainly bond failure between concrete and the external CFRP sheet, and the specimens fail in a brittle pattern. The cross-sectional strains of specimens approximately follow the plane section assumption in the early stage of loading, but the strain in the tensile zone no longer conforms to this assumption when the load approaches the failure load. Also, bearing capacity and stiffness of the strengthened specimens are much larger than those without CFRP sheet. The bearing capacity, initial stiffness and elastic-plastic stiffness of specimen strengthened by double-layer CFRP are larger than those strengthened by single-layer CFRP. Weighting the cost-effective effect, it is more economical and reasonable to strengthen with single-layer CFRP sheet. The results can provide a reference to the same type of poles for strengthening design.
So-Yeon Kim;Hyeong-Gi Kim;Pil-Young Yun;Young-Kyun Kim
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.49
no.1
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pp.13-20
/
2023
Objectives: Ultra-wide implants may be used as a replacement if existing implants fail. This study was conducted to evaluate the factors influencing the prognosis and failure of ultra-wide implants. Patients and Methods: This study evaluated whether sex, age, site, diameter, length, additional surgery, implant stability (primary and secondary), and reason for ultra-wide implant placement affect the 5-year survival and success rates and marginal bone loss (MBL) of ultra-wide implants. Seventy-eight ultra-wide implants that were placed in 71 patients (39 males and 32 females) from 2008 to 2010 were studied. One-way ANOVA analysis was conducted to evaluate the statistical significance of MBL according to the patient's sex, implant site, and diameter. Independent sample t-tests were used to determine the statistical significance of MBL analysis which was used to determine the significance of the 5-year success and survival rates related to the variables. One-way ANOVA was conducted to evaluate the statistical significance of sex, implantation site, diameter, and MBL. Independent sample t-tests were used to evaluate the correlation between implantability and MBL for implantation reasons, while additional surgery, length, and Kaplan-Meier analysis were used to evaluate 5-year survival and success rates. Results: The mean age of patients was 54.2 years with a survival rate of 92.3% and a success rate of 83.3% over a mean 97.8-month period of observation. MBL averaged 0.2 mm after one year of prosthetic function loading and 0.54 mm at the time of final observation. Success rates correlated with primary stability (P=0.045), survival rates correlated with secondary stability (P=0.036), and MBL did not correlate with any variables. Conclusion: Ultra-wide implants can be used to achieve secure initial fixation in the maxillary and mandibular molar regions with poor bone quality or for alternative purposes in cases of previous implant failure.
Kim, Seongyong;Yajima, Yosuke;Park, Jisoo;Chen, Jingdao;Cho, Yong K.
International conference on construction engineering and project management
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2022.06a
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pp.792-799
/
2022
Building Information Modeling (BIM) technology is a key component of modern construction engineering and project management workflows. As-is BIM models that represent the spatial reality of a project site can offer crucial information to stakeholders for construction progress monitoring, error checking, and building maintenance purposes. Geometric methods for automatically converting raw scan data into BIM models (Scan-to-BIM) often fail to make use of higher-level semantic information in the data. Whereas, semantic segmentation methods only output labels at the point level without creating object level models that is necessary for BIM. To address these issues, this research proposes a hybrid semantic-geometric approach for clutter-resistant floorplan generation from laser-scanned building point clouds. The input point clouds are first pre-processed by normalizing the coordinate system and removing outliers. Then, a semantic segmentation network based on PointNet++ is used to label each point as ceiling, floor, wall, door, stair, and clutter. The clutter points are removed whereas the wall, door, and stair points are used for 2D floorplan generation. A region-growing segmentation algorithm paired with geometric reasoning rules is applied to group the points together into individual building elements. Finally, a 2-fold Random Sample Consensus (RANSAC) algorithm is applied to parameterize the building elements into 2D lines which are used to create the output floorplan. The proposed method is evaluated using the metrics of precision, recall, Intersection-over-Union (IOU), Betti error, and warping error.
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