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        Fibrin Sealant and Lipoabdominoplasty in Obese Grade 1 and 2 Patients

        Mabrouk, Amr Abdel Wahab,Helal, Hesham Aly,Al Mekkawy, Soha Fathy,Mahmoud, Nada Abdel Sattar,Abdel-Salam, Ahmed Mohamed Korean Society of Plastic and Reconstructive Surge 2013 Archives of Plastic Surgery Vol.40 No.5

        Background Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients. Methods Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients' demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18 and 21. Results The age range was 31 to 55 years ($38.5{\pm}9.5$ years) in group A and 25 to 58 years ($37.8{\pm}9.1$ years) in group B, while the mean BMI was 31.4 to 39.9 $kg/m^2$ (32.6 $kg/m^2$) in group A and 32.7 to 37.4 $kg/m^2$ (31.5 $kg/m^2$) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05). Conclusions Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.

      • KCI등재

        Fibrin Sealant and Lipoabdominoplasty in Obese Grade 1 and 2 Patients

        Amr Abdel Wahab Mabrouk,Hesham Aly Helal,Soha Fathy Al Mekkawy,Nada Abdel Sattar Mahmoud,Ahmed Mohamed Abdel-Salam 대한성형외과학회 2013 Archives of Plastic Surgery Vol.40 No.5

        Background Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients. Methods Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients’ demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18and 21. Results The age range was 31 to 55 years (38.5±9.5 years) in group A and 25 to 58 years (37.8±9.1 years) in group B, while the mean BMI was 31.4 to 39.9 kg/m2 (32.6 kg/m2) in group A and 32.7 to 37.4 kg/m2 (31.5 kg/m2) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05). Conclusions Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.

      • KCI등재

        Load balancing in 5G heterogeneous networks based on automatic weight function

        Gures Emre,Shayea Ibraheem,Saad Sawsan Ali,Ergen Mustafa,El-Saleh Ayman A,Ahmed Nada M.O. Sid,Alnakhli Mohammad 한국통신학회 2023 ICT Express Vol.9 No.6

        Load balancing is a major challenge in heterogeneous networks (HetNets) consisting of 5G and 6G ultra-dense small cells with long-term evaluation advanced (LTE-A) networks. A key factor in achieving efficient load balancing during user mobility is creating appropriate optimisation for handover control parameters (HCP). This paper proposes a coordinated load balancing algorithm for LTE-A/fifth generation (5G) HetNets. The algorithm automatically optimises HCP settings for a given user based on three bounded functions (the signal-to-interference-plus-noise ratio (SINR) of the user equipment (UE), the number of physical resource blocks (PRBs) per UE and the UE’s speed) as well as their automatic weight levels. A two-step target cell determination strategy is implemented according to the cell load level and RSRP criteria, ensuring that users are handed over to low-loaded target cells. A new HO procedure that considers the pilot signal power is also proposed, which includes the number of PRBs per UE and the RSRP. Cells with freer PRBs are prioritised in user association to provide load balance and enhanced throughput. The proposed load balancing algorithm is compared with five other load balancing algorithms selected from the literature. The simulation results reveal that under various mobile speed scenarios, the proposed load balancing scheme enhances network performance in terms of load level, throughput, spectral efficiency and call dropping ratio (CDR).

      • KCI등재

        Processing and fundamental characterization of carbon fibers and cellulose nanocrystals derived from bagasse

        Amina Abdel Meguid Attia,Maged Shafik Antonious,Mona Abdel Hamid Shouman,Ahmed Ali Ahmed Nada,Khadiga Mohamed Abas 한국탄소학회 2019 Carbon Letters Vol.29 No.2

        Lignocellulosic materials such as agricultural residues have been identified as potential sustainable sources that can replace petroleum-based polymers. This study focused on the conversion of lignin extracted from bagasse to carbon fiber (CF) and cellulose nanocrystal (CNC). The highest extraction of lignin yield was achieved at 100 °C using 10% NaOH for 12 h. Carbon fibers were obtained by electro-spinning of bagasse lignin blended with polyvinyl alcohol (PVA) (11 wt/v %) followed by thermo-stabilization (250 °C) in an oxidizing atmosphere and further carbonization in an inert atmosphere (850 °C). Conventional hydrolysis process was used to extract cellulose nanocrystal from bagasse pulp. Morphological (scanning electron microscopy, SEM), spectral (Fourier transform infrared, FTIR) spectroscopy, elemental analysis, thermal characterization and surface area measurements have been carried out. Figures originated by SEM showed that CF ranges from 145 to 204 nm, while stabilized bagasse cellulose nanocrystal (SCNC) appeared as rod-shape like structure in the range of length 600–800 nm and diameter 5.33–19 μm. Characterization results revealed that CF exhibits microporous structure, while bagasse lignin and SCNC display mesoporous structure. In addition, the results proved that SCNC exhibits a percentage removal 71.56% for methylene blue dye in an aqueous solution.

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