• Title/Summary/Keyword: five delay

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Surgical Treatment of Cutaneous Angiosarcoma of Scalp:Usefulness of Preoperative Mapping Biopsies (두피에 발생한 혈관육종의 수술시 Mapping Biopsy의 유용성)

  • Kang, Min-Gu;Park, Jong-Lim;Kim, Myung-Good;Minn, Kyung-Won;Koh, Kyung-Suck;Chang, Hak
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.1
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    • pp.37-40
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    • 2007
  • Objectives:Cutaneous angiosarcoma is an infrequent but aggressive neoplasm involving the skin of the face and scalp. Unfamiliarity with the clinical manifestations of cutaneous angiosarcoma frequently leads to misdiagnosis and delay in treatment. Complete surgical resection requires the performance of preoperative staging biopsies to determine the true extent of the neoplasm. Intraoperative frozen section analysis to determine the adequacy of the surgical resection is unreliable due to the high false negative rate. Material and Methods:In five scalp angiosarcoma cases, mapping biopsies were performed at far from the suspected edge of the neoplasm. On permanent pathology, we obtained tumor free margin with occasional focal involvement of the tumor. Results:Frozen-section analysis of the resected margins is inconclusive, for the subtle diagnostic features of angiosarcoma are distorted by the tissue processing required for frozen-section analysis. The characteristic dermal vessels lined by their malignant cells are collapsed by the freezing process. This results in a high rate of false-negative reports and possibly leads to incomplete resection of the neoplasm. Conclusion:Our recommendation is to establish the margins of the tumor by performing preoperative evaluations by mapping biopsies.

Effectiveness Analysis of Transforming Many-Legs Type Intersection into Roundabout in Jeju (제주지역 다지교차로의 회전교차로 교통시스템 변환에 따른 효과분석)

  • Lee, Dong Weon;Ko, Sang Ick;Lee, Dong Wook
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.6D
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    • pp.623-636
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    • 2012
  • Roundabout is an intersection that allows vehicles to pass through the intersection by circulating the circular traffic island at the center of the intersection. In this study, a comparative analysis was conducted on roundabout at five locations in order to deduce the operational result and financial effect of roundabout and signal intersection. As for the operational result, it was found that roundabout showed improvement effect in the average delay per vehicle compared to that of signal intersection by minimum of 65.6% and maximum of 91.77%. it was found that roundabout showed financial cost-saving effect in the traffic congestion cost compared to that of signal operation by minimum of 58.59% and maximum of 81.69% per year. It can be known from these analysis results that roundabout has significant operational effects under certain amount of traffic volume by allowing vehicles to pass through the intersection in a continuous way without much waiting time and stoppage from signal control.

The Preventive Effects of Nanopowdered Peanut Sprout-added Caciocavallo Cheese on Collagen-induced Arthritic Mice

  • Kim, Dong-Hwi;Chang, Yoon Hyuk;Kwak, Hae-Soo
    • Food Science of Animal Resources
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    • v.34 no.1
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    • pp.49-56
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    • 2014
  • The present study was carried out to investigate the effects of nanopowdered peanut sprout-added Caciocavallo cheese (NPCC) on the prevention and treatment of rheumatoid arthritis in DBA/IJ mice immunized with type II collagen. After the induction of arthritis, the mice were being divided into five groups: (1) normal, no immunization; (2) CIA, collagen-induced arthritis; (3) MTX, collagen-induced arthritis treated with methotrexate (0.3 mg/kg body weight); (4) CC, collagen-induced arthritis treated with Caciocavallo cheese (0.6 g/d); (5) NPCC, collagen-induced arthritis treated with nanopowdered peanut sprout-added Caciocavallo cheese (0.6 g/d). Nanopowdered peanut sprout was ranged from 300 to 350 nm, while regular powdered peanut sprouts were ranged from 50 to $150{\mu}m$. The NPCC group had considerable reductions of clinical scores and paw thicknesses at the end of experiment as compared to the CIA group. In the serum analysis, the TNF-${\alpha}$, IL-$1{\beta}$, IL-6 and $IgG_1$ levels in the NPCC group have decreased by 69.4, 75.9, 66.6, and 61.9%, respectively, when compared to the CIA group. The histological score and spleen index of the NPCC group were significantly lower than the CIA group. In conclusion, the feeding NPCC method could delay and/or prevent the rheumatoid arthritis in the collagen-induced arthritis mouse model. Based on this study, nanopowdered peanut sprouts could be applied to various functional cheeses.

A Study on the Validity and Utility of Korean-Age and Stage Questionnaire for Children in Community (지역사회 아동의 Korean-Age and Stage Questionnaire 타당도와 효용성 연구)

  • Lee, Seong-A;Hwang, Sang-Hui
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3390-3397
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    • 2010
  • The purpose of this study was to evaluate the validity and utility of the Korean-Ages and Stages Questionnaires(K-ASQ) as a screening tool for detecting developmental delay of preschool child in community. Informed consents from parents of 229 children were received for the process of the study. The subjects were 229 parents and the children of three to five years old who did not have reported genetic diseases or developmental delays. The result of this study, validity were calculated for the K-ASQ sensitivity 0.41%, specificity 0.76%, hyper-referral 0.14%, hypo-referral 0.21%. Predictive value of delayed development were K-ASQ 0.70% and that of normal development were K-ASQ 0.77%. K-ASQ can be feasibly used in the setting of health clinic and be the highly predictive criteria for delayed development and normal development.

Performance Modelling of Adaptive VANET with Enhanced Priority Scheme

  • Lim, Joanne Mun-Yee;Chang, YoongChoon;Alias, MohamadYusoff;Loo, Jonathan
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.4
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    • pp.1337-1358
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    • 2015
  • In this paper, we present an analytical and simulated study on the performance of adaptive vehicular ad hoc networks (VANET) priority based on Transmission Distance Reliability Range (TDRR) and data type. VANET topology changes rapidly due to its inherent nature of high mobility nodes and unpredictable environments. Therefore, nodes in VANET must be able to adapt to the ever changing environment and optimize parameters to enhance performance. However, there is a lack of adaptability in the current VANET scheme. Existing VANET IEEE802.11p's Enhanced Distributed Channel Access; EDCA assigns priority solely based on data type. In this paper, we propose a new priority scheme which utilizes Markov model to perform TDRR prediction and assign priorities based on the proposed Markov TDRR Prediction with Enhanced Priority VANET Scheme (MarPVS). Subsequently, we performed an analytical study on MarPVS performance modeling. In particular, considering five different priority levels defined in MarPVS, we derived the probability of successful transmission, the number of low priority messages in back off process and concurrent low priority transmission. Finally, the results are used to derive the average transmission delay for data types defined in MarPVS. Numerical results are provided along with simulation results which confirm the accuracy of the proposed analysis. Simulation results demonstrate that the proposed MarPVS results in lower transmission latency and higher packet success rate in comparison with the default IEEE802.11p scheme and greedy scheduler scheme.

Treatment-failure tularemia in children

  • Karli, Arzu;Sensoy, Gulnar;Paksu, Sule;Korkmaz, Muhammet Furkan;Ertugrul, Omer;Karli, Rifat
    • Clinical and Experimental Pediatrics
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    • v.61 no.2
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    • pp.49-52
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    • 2018
  • Purpose: Tularemia is an infection caused by Francisella tularensis. Its diagnosis and treatment may be difficult in many cases. The aim of this study was to evaluate treatment modalities for pediatric tularemia patients who do not respond to medical treatment. Methods: A single-center, retrospective study was performed. A total of 19 children with oropharyngeal tularemia were included. Results: Before diagnosis, the duration of symptoms in patients was $32.15{\pm}17.8days$. The most common lymph node localization was the cervical chain. All patients received medical treatment (e.g., streptomycin, gentamicin, ciprofloxacin, and doxycycline). Patients who had been given streptomycin, gentamicin, or doxycycline as initial therapy for 10-14 days showed no response to treatment, and recovery was only achieved after administration of oral ciprofloxacin. Response to treatment was delayed in 5 patients who had been given ciprofloxacin as initial therapy. Surgical incision and drainage were performed in 9 patients (47.5%) who were unresponsive to medical treatment and were experiencing abcess formation and suppuration. Five patients (26.3%) underwent total mass excision, and 2 patients (10.5%) underwent fine-needle aspiration to reach a conclusive differential diagnosis and inform treatment. Conclusion: The causes of treatment failure in tularemia include delay in effective treatment and the development of suppurating lymph nodes.

Competitive Advantage Strategy of Construction Duration by SWOT Analysis (SWOT 분석을 통한 건설기업의 공기경쟁력 강화 전략)

  • Kim, Sun-Kuk;Lee, Hyun-Soo;Ryu, Han-Guk
    • Korean Journal of Construction Engineering and Management
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    • v.7 no.2 s.30
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    • pp.109-117
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    • 2006
  • Recent rapid changes such as construction market reduction, lowest bidding system of construction cost, five days per week system, and post-construction sale system are inevitably accelerating the competitiveness between construction companies. Those rapid changes of construction environment require construction companies, which are main participants of construction industry, to adapt to the changes and more to lead new construction environment. However, there are many construction uncertainties which could delay construction completion. Without the proper identification of construction uncertainties, structured strategy establishment and management of construction schedule, the competitive advantages of construction duration could not be made. Thus this paper limited the research boundary to construction duration competitiveness instead of general strategy establishment. Recognizing the importance of proper calculation of construction duration, requirements of construction duration reduction and limited researches related to construction schedule strategy, we established the 25 strategies for construction duration competitivenss by internal and external construction environment analysis and SWOT analysis, and then elicited the first considerations to accomplish the strategies through concensus of all the staffs by questionnaire, brainstroming and face-to-face interviews.

Problem Analysis and Improvement Strategy for Feasibility Analysis of Overseas Plant Construction Projects (해외 플랜트 건설사업의 타당성 분석 문제점 및 개선방안)

  • Lee, Won-Gyu;Park, Moon-Sun;Kim, Yong-Su
    • Korean Journal of Construction Engineering and Management
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    • v.11 no.5
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    • pp.3-14
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    • 2010
  • This study investigated and analyzed feasibility analysis case studies, carried out by contractor of EPC LSTK projects in the planning stage to suggest the strategies to solve problems for project improvement. For this, five feasibility analysis case studies of gulf cooperation council (GCC) countries were reviewed and investigated. The results can be summarized as follows: 1) Those factors needed to be analyzed, including cost increase, project delay, quality decrease were insufficiently considered when assessing feasibility. 2) And improvement strategies for three problems mentioned above were suggested based on findings in feasibility analysis. 3) Lastly the process of the project feasibility analysis that can be applied to overseas plant construction project was suggested step by step.

Schedule Risk Management of Reinforced Concrete Construction at the Preconstruction Phase (착공전 단계에서의 철근콘크리트 공사 공정리스크 관리 방안)

  • Ryu, Han-Guk;Kim, Sun-Kuk;Lee, Hyun-Soo
    • Korean Journal of Construction Engineering and Management
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    • v.6 no.5 s.27
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    • pp.119-127
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    • 2005
  • According to the recent systemic changes such as construction market reduction, five days per week system, introduction of construction duration reduction bidding system and post-construction sale system, the bidding competition have been enhanced. However, there are many construction schedule risks which could delay construction completion. Without the proper identification of construction schedule risks and the structured construction schedule risk management, the competitive advantages of construction project could not be made. Previous researches to solve the problem have been focused on the construction schedule categorization, construction schedule management, and the system development to manage the construction schedule risk. Therefore, this study selected the reinforeced concrete construction as the studied work due to the major impact characteristics on the total construction duration and the quite accident rate, and then proposed the real construction schedule risks of reinforced concrete construction and the construction risk management method based on the previous studies, many times of expert interviews and brainstorming.

VLSI Design of a 2048 Point FFT/IFFT by Sequential Data Processing for Digital Audio Broadcasting System (순차적 데이터 처리방식을 이용한 디지틀 오디오 방송용 2048 Point FFT/IFFT의 VLSI 설계)

  • Choe, Jun-Rim
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.39 no.5
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    • pp.65-73
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    • 2002
  • In this paper, we propose and verify an implementation method for a single-chip 2048 complex point FFT/IFFT in terms of sequential data processing. For the sequential processing of 2048 complex data, buffers to store the input data are necessary. Therefore, DRAM-like pipelined commutator architecture is used as a buffer. The proposed structure brings about the 60% chip size reduction compared with conventional approach by using this design method. The 16-point FFT is a basic building block of the entire FFT chip, and the 2048-point FFT consists of the cascaded blocks with five stages of radix-4 and one stage of radix-2. Since each stage requires rounding of the resulting bits while maintaining the proper S/N ratio, the convergent block floating point (CBFP) algorithm is used for the effective internal bit rounding and their method contributed to a single chip design of digital audio broadcasting system.