• Title/Summary/Keyword: Compromise

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Timing and Causes of Vascular Compromise in Breast Reconstruction with Free TRAM flap (복직근 유리 피판을 이용한 유방 재건에서 혈관성 이상 소견에 의한 재수술의 시점 및 원인)

  • Kim, Ji yeon;Chang, Hak;Minn, Kyung Won
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.555-558
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    • 2009
  • Purpose: The high success rate of free flap transfers is well documented in previous literature, and is possible due to the early detection of vascular compromise and timely reoperation. We specifically analyzed the operative results of immediate and delayed reconstruction with free transverse rectus abdominis musculocutaneous(TRAM) flap respectively in order to reveal its distinctive features on timing and causes of vascular compromise. Methods: The senior author operated on 158 patients, 161 cases of free TRAM flap for breast reconstruction. 51 patients underwent delayed reconstruction, whilst immediate reconstruction was performed in the other 107 patients. All patients were monitored every 3 hours for the first 3 days. We reviewed medical records of all patients, and tested statistical significance with the Fisher's test. Results: Reoperation was performed in 20 cases, but the cases include hematoma with bleeding focus and arterial anastomosis site rupture due to abrupt arm abduction. We performed reoperation in 15 cases of suspicious vascular compromise. Flap compromise was noticed mostly within 24 hours, but not longer than 72 hours. Venous compromise was dominant by 11 cases (73.3%). There was difference in the timing of flap compromise between immediate and delayed reconstruction. All the cases of delayed reconstruction did not show signs of vascular compromise after 12 hours postoperatively. On the other hand, cases of vascular compromise were observed until 72 hours postoperatively in cases of immediate reconstruction. Conclusion: Delayed reconstruction showed vascular compromise within 12 hours postoperatively, while immediate reconstruction showed compromised until the 3rd postoperative day. If more aggressive monitoring is maintained during this period, we believe salvage of flaps may be increased with more efficiency.

Optimal Design of Accelerated Life Tests under Model Uncertainty (불확정 모형하에서 가속수명시험의 최적 설계)

  • 서순근;하천수;김갑석
    • Journal of Korean Society for Quality Management
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    • v.29 no.3
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    • pp.49-65
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    • 2001
  • This paper presents new compromise ALT plan which is applied to situations that true relationship between stress and parameters is not known exactly. The assumed failure distribution of this study is one of location-scale family, i. e., exponential, Weibull, and lognormal distributions which have been ones of the popular choices of failure distributions. The method of applying the stress is constant, and the censoring mechanism is Type I censoring. Compared with existing compromise plans under true simple linear model in terms of statistical efficiency, the efficiency of new compromise plan is better than the corresponding other compromise ones in most cases. For case when true model is quadratic, this plan can be used without any severe loss in statistical efficiency. The proposed new compromise ALT plan is illustrated with a numerical example and sensitivity analyses are conducted to study effects of pre-estimates of design parameters.

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A Search of Relationship of Career Compromise and Career Related Variables of University Students (대학생의 진로타협과 진로관련 변인들의 관계 탐색)

  • Nam, Kwang Suk;Mun, Eun Mi
    • Journal of vocational education research
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    • v.37 no.5
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    • pp.79-100
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    • 2018
  • This study is to find out the type of relation existed for the career compromise of university students with respect to the career related variables. For this purpose, a questionnaire survey has been implemented for 278 University students in order to measure the level of career compromise, career decision-making self-efficacy, career outcome expectations, workhope, career motivation, and occupational engagement behavior. The data analysis facilitated SPSS 22.0 to administer reliability analysis, basic statistical analysis, correlation analysis, and regression analysis. The result of this study is shown as follows. First, career decision-making self-efficacy, career outcome expectations and workhope are all shown to influence on career compromise, and the greater the relative influence of workhope. As a result of detailed look, career compromise has shown the influence, and career compromise has shown the influence, on the occupational engagement behavior. Therefore, university students in Korea confirmed that career compromise is negatively affecting career-related factors. Based on the research findings, it is meaningful to note that it is necessary to help university students effectively cope with the situation of the career compromise in a career guidance and consultation scene.

Compromise Optimal Design using Control-based Analysis of Hypersonic Vehicles

  • Liu, Yanbin;bing, Hua
    • International Journal of Aeronautical and Space Sciences
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    • v.16 no.2
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    • pp.137-147
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    • 2015
  • Hypersonic vehicles exhibit distinct dynamic and static characteristics, such as unstable dynamics, strict altitude angle limitation, large control bandwidth, and unconventional system sensitivity. In this study, compromise relations between the dynamic features and static performances for hypersonic vehicles are investigated. A compromise optimal design for hypersonic vehicles is discussed. A parametric model for analyzing the dynamic and static characteristics is established, and then the optimal performance indices are provided according to the different design goals. A compromise optimization method to balance the dynamic and static characteristics is also discussed. The feasibility of this method for hypersonic vehicles is demonstrated.

A Study for Design of Distribution Center using Compromise Programming (Compromise Programming을 이용한 물류센터 설계에 관한 연구)

  • Heo Byoung-Wan;Lee Hong-Chul
    • Journal of the Korea Society for Simulation
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    • v.14 no.3
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    • pp.43-54
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    • 2005
  • For the effective design of automated distribution center composed of Automated Storage/Retrieval System, Automated Guided Vehicle System, and Conveyor System, we proposed an analysis method to determining. design and control parameters with multiple performance objectives using Compromise Programming, which can resolve the dilemma of conflicting objectives. The Evolution Strategy generates the optimal solutions for each objectives. The Analytic Hierarchy Process selects the best solution among the alternatives generated from Evolution Strategy. The Regression Analysis formulates the objective functions for each objectives. By reducing deviations between goal values and target values generated from Analytic Hierarchy Process, Compromise Programming determines design and control parameters by compromising the multiple objectives formulated using Regression Analysis. When the parameters of system are changed, this proposed analysis method has a benefit of reducing costs and time without repeating whole simulation run.

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Secure ID-based Strong Designated Verifier Signature Scheme Against Key-compromise Attack (키 노출 공격에 안전한 ID-기반의 강한 지정된 검증자 서명 기법)

  • Lee, Ji-Seon;Chang, Jik-Hyun;Lee, Dong-Hoon
    • The Journal of the Korea Contents Association
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    • v.9 no.10
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    • pp.59-66
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    • 2009
  • A strong designated verifier signature scheme is a special type of signature scheme which provides signer anonymity by enabling the specified recipient, called a designated verifier, to simulate a signature which is indistinguishable from the signer's signature. It has many applications such as software distribution or electronic voting. In this paper, we consider two important security properties of strong designated verifier signature scheme - source hiding and security against key-compromise attack. We show that the two properties cannot be achieved at the same time. Finally, we present a new ID-based strong designated verifier signature scheme which is secure against key-compromise attack.

4:2:1 compromise plans using Min-Max method (Min-Max 방법을 적용한 4:2:1 절충적 계획)

  • 최재혁;강창욱
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.21 no.47
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    • pp.1-10
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    • 1998
  • Testing high reliability devices under nomal operating condition is difficult, because the devices are not likely to fail in the relatively short time available for tests. For most applications it is necessary to accelerate the causes of failure by increasing a stress above its nomal value. Previous accelerated life test(ALT) plans have shown how to find optimum allocation, lowest stress and sample size subject to minimizing the variance of mean life estimator. In these ALT plans, the highest acceptable test-stress was assumed to be specified in advance by the experimenter but there is no guidance for selecting it. This assumption is, however, inappropriate for many applications. Testing devices at too-high stress levels can invalidate the extrapolation model, or introduce failure mechanisms that are not anticipated under nomal operating conditions. In this paper, we propose new 4:2:1 compromise plans using Min-Max method to minimize this risk and present minimized test-stress levels(max, middle, min), and find sample allocation based on Min-Max 4:2:1 compromise plans. In result, we compare previous 4:2:1 compromise plans specified maximum test-stress with Min-Max 4:2:1 compromise plans minimized maximum test-stress.

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A Study on the Effective Countermeasure of Business Email Compromise (BEC) Attack by AI (AI를 통한 BEC (Business Email Compromise) 공격의 효과적인 대응방안 연구)

  • Lee, Dokyung;Jang, Gunsoo;Lee, Kyung-ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.5
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    • pp.835-846
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    • 2020
  • BEC (Business Email Compromise) attacks are frequently occurring by impersonating accounts or management through e-mail and stealing money or sensitive information. This type of attack accounts for the largest portion of the recent trade fraud, and the FBI estimates that the estimated amount of damage in 2019 is about $17 billion. However, if you look at the response status of the companies compared to this, it relies on the traditional SPAM blocking system, so it is virtually defenseless against the BEC attacks that social engineering predominates. To this end, we will analyze the types and methods of BEC accidents and propose ways to effectively counter BEC attacks by companies through AI(Artificial Intelligence).

Screw Fixation without Fusion for Low Lumbar Burst Fracture : A Severe Canal Compromise But Neurologically Intact Case

  • Jang, Kun-Soo;Ju, Chang-Il;Kim, Seok-Won;Lee, Sung-Myung
    • Journal of Korean Neurosurgical Society
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    • v.49 no.2
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    • pp.128-130
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    • 2011
  • The low lumbar spine is deeply located in flexible segments, and has a physiologic lordosis. Therefore, burst fractures of the low lumbar spine are uncommon injuries. The treatment for such injuries may either be conservative or surgical management according to canal compromise and the neurological status. However, there are no general guidelines or consensus for the treatment of low lumbar burst fractures especially in neurologically intact cases with severe canal compromise. We report a patient with a burst fracture of the fourth lumbar vertebra, who was treated surgically but without fusion because of the neurologically intact status in spite of severe canal compromise of more than 85%. It was possible to preserve motion segments by removal of screws at one year later. We also discuss why bone fusion was not necessary with review of the relevant literature.

Response Surface Approximation for Fatigue Life Prediction and Its Application to Compromise Decision Support Problem (피로수명예측을 위한 반응표면근사화와 절충의사결정문제의 응용)

  • Baek, Seok-Heum;Cho, Seok-Swoo;Jang, Deuk-Yul;Joo, Won-Sik
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1187-1192
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    • 2008
  • In this paper, a versatile multi-objective optimization concept for fatigue life prediction is introduced. Multi-objective decision making in engineering design refers to obtaining a preferred optimal solution in the context of conflicting design objectives. Compromise decision support problems are used to model engineering decisions involving multiple trade-offs. These methods typically rely on a summation of weighted attributes to accomplish trade-offs among competing objectives. This paper gives an interpretation of the decision parameters as governing both the relative importance of the attributes and the degree of compensation between them. The approach utilizes a response surface model, the compromise decision support problem, which is a multi-objective formulation based on goal programming. Examples illustrate the concepts and demonstrate their applicability.

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