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21.
BACKGROUND: Analyses were performed to determine local control and cosmetic outcome of breast carcinoma patients with prosthetically augmented or reconstructed breasts who had received radiation therapy (RT). METHODS: Twenty-one newly diagnosed breast carcinoma patients with prosthetically augmented or reconstructed breasts were treated with external beam RT. All patients received whole breast RT (median dose, 50.4 gray [Gy]) and 19 were boosted to a median dose of 60.4 Gy. A median dose of 50.4 Gy was delivered to the regional lymph nodes in 12 patients. Tissue equivalent bolus material was used in six patients. Seventeen patients received adjuvant systemic therapy. Cosmetic results were evaluated at 3-6-month intervals. RESULTS: With a median follow-up of 32 months, good/excellent cosmetic results were observed in 71% of patients (100% in those with augmented breasts and 54% in those with reconstructed breasts). Four patients (19%) with fair/poor cosmetic outcomes required implant removal and/or revision. Multiple clinical and treatment-related factors were analyzed for their impact on cosmetic outcome. A worsened cosmetic result was observed with increasing stage (P = 0.076), breast reconstruction (vs. augmentation) (P = 0.030), and bolus application (P = 0.016). All patients with fair/poor cosmetic outcomes had time intervals from implant insertion to RT ranging from 53-213 days. Two patients developed an isolated local recurrence within the augmented breast. CONCLUSIONS: Patients with prosthetically augmented breasts can undergo RT and expect good/excellent cosmetic results. Patients with reconstructed breasts are at a significantly greater risk for cosmetic failure. This risk may be related to the higher percentage of patients with advanced disease, those who received bolus application, and those who received earlier delivery of RT (after the cosmetic procedure) in reconstructed breasts.  相似文献   
22.
Overhead factors for data networks using message-switching or packet-switching techniques are defined and analysed. The transmission lines are assumed to have only random errors and the acknowledgments are handled on a `stop-and-wait? strategy. For packet switching, the packet size used is such that, in each case, the overhead factor is minimised. Results show that the overheads for packet switching tend to be much higher than for message switching when the line error rates are low, i.e. better than 10?5. It is concluded that, although packet switching has several significant merits, these are achieved at the expense of a substantial increase in overheads.  相似文献   
23.
Range estimating is a simple form of simulating a project estimate by breaking the project into work packages and approximating the variables in each package using statistical distributions. This paper explores an alternate approach to range estimating that is grounded in fuzzy set theory. The approach addresses two shortcomings of Monte Carlo simulation. The first is related to the analytical difficulty associated with fitting statistical distributions to subjective data, and the second relates to the required number of simulation runs to establish a meaningful estimate of a given parameter at the end of the simulation. For applications in cost estimating, the paper demonstrates that comparable results to Monte Carlo simulation can be achieved using the fuzzy set theory approach. It presents a methodology for extracting fuzzy numbers from experts and processing the information in fuzzy range estimating analysis. It is of relevance to industry and practitioners as it provides an approach to range estimating that more closely resembles the way in which experts express themselves, making it practically easy to apply an approach.  相似文献   
24.
The power conversion efficiency of organic and hybrid solar cells is commonly reduced by a low open‐circuit voltage (VOC). In these cases, the VOC is significantly less than the energy of the lowest energy absorbed photon, divided by the elementary charge q. The low photovoltage originates from characteristically large band offsets between the electron donor and acceptor species. Here a simple method is reported to systematically tune the band offset in a π‐conjugated polymer–metal oxide hybrid donor–acceptor system in order to maximize the VOC. It is demonstrated that substitution of magnesium into a zinc oxide acceptor (ZnMgO) reduces the band offset and results in a substantial increase in the VOC of poly(3‐hexylthiophene) (P3HT)–ZnMgO planar devices. The VOC is seen to increase from 500 mV at x = 0 up to values in excess of 900 mV for x = 0.35. A concomitant increase in overall device efficiency is seen as x is increased from 0 to 0.25, with a maximum power‐conversion efficiency of 0.5 % obtained at x = 0.25, beyond which the efficiency decreases because of increased series resistance in the device. This work provides a new tool for understanding the role of the donor–acceptor band offset in hybrid photovoltaics and for maximizing the photovoltage and power‐conversion efficiency in such devices.  相似文献   
25.
The trust is always present implicitly in the protocols based on cooperation, in particular, between the entities involved in routing operations in Ad hoc networks. Indeed, as the wireless range of such nodes is limited, the nodes mutually cooperate with their neighbors in order to extend the remote nodes and the entire network. In our work, we are interested by trust as security solution for OLSR protocol. This approach fits particularly with characteristics of ad hoc networks. Moreover, the explicit trust management allows entities to reason with and about trust, and to take decisions regarding other entities.In this paper, we detail the techniques and the contributions in trust-based security in OLSR. We present trust-based analysis of the OLSR protocol using trust specification language, and we show how trust-based reasoning can allow each node to evaluate the behavior of the other nodes. After the detection of misbehaving nodes, we propose solutions of prevention and countermeasures to resolve the situations of inconsistency, and counter the malicious nodes. We demonstrate the effectiveness of our solution taking different simulated attacks scenarios. Our approach brings few modifications and is still compatible with the bare OLSR.  相似文献   
26.
O‐aminophenol was reacted with glutraldehyde to obtain Schiff base, which was then reacted with formaldehyde in slight acidic medium to generate phenolic groups. Now the substituted Schiff base was reacted with the transition metal acetates of Mn(II), Co(II), Ni(II), Cu(II), and Zn(II) to get polymeric metal complexes. Their structures have been elucidated on the basis of elemental analyses, 1H NMR spectra, 13C NMR spectra, magnetic measurements, thermogravimetric analyses, electronic spectra, and infrared spectra. The results are in accordance with an octahedral environment around the central metal ion. The polychelates of Mn(II), Co(II), Ni(II), and Cu(II) are paramagnetic while Zn(II) polychelate was found to be diamagnetic. The synthesized Schiff base acted as a uninegative bidentate ligand and bonding occurs through the hydroxyl oxygen and nitrogen atoms. The thermal behavior of these coordinating polymers was studied by TGA in nitrogen atmosphere up to the temperature range of 800°C. All the synthesized polychelates were also screened for their biocidal activity against Escherichia coli, Staphylococcus aureus, Bacillus subtilis (bacteria), Candida albicans, and Muller species (yeast) by using agar well diffusion method. All the metal polychelates show promising antimicrobial activities. © 2011 Wiley Periodicals, Inc. J Appl Polym Sci 124:3971–3979, 2012  相似文献   
27.
The interaction of three commercial zinc polycarboxylate cements with tooth structure was investigated by using infrared spectroscopic techniques. The obtained data revealed that the cements interact with enamel and ionic bonds are formed between calcium ions in enamel and carboxyl groups in polycarboxylic acid. The interaction depends on the percentages of ZnO content in the powders and of carboxylic acid in the liquids of these cements. The results provided some evidence that the cements also may interact with dentin but to a lesser extent than with enamel. The interaction of the cements with the metals copper and nickel or with Cr2O3, was also studied.  相似文献   
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Present research work was carried out to clarify the variations among species of genus Paspalum morphologically and palynologically as this genus is taxonomically difficult due to having multiple similar morphologically overlapping characters which make it difficult to identify. Henceforth present research work was carried out to delimit taxa within the same genus by morphological and palynological tools through light microscopy (LM) and scanning electron microscopy (SEM). Both these tools are considered as the most useful taxonomic characters for taxonomically problematic genera. The results showed a lot of variations among morphological characters. In Paspalum dilatatum, the upper glume was ovate whereas in the other two species, the upper glume was elliptic. The upper glume apex found in P. dilatatum and Paspalum scrobiculatum was obtuse whereas in Paspalum distichum, upper glume apex was acute. Glume nerves showed variation in all three species. Paspalum distichum was 3 nerved, P. scrobiculatum was 5–7 nerved, and P. dilatatum was 5–9 nerved. All three species showed variation in lemma nerves. Paspalum scrobiculatum had 3 nerved lemma whereas in P. distichum 3–5 nerved and P. dilatatum 5–9 nerved lemma were present. In polar and equatorial view, pollen grains ranged from 25 (20–30) to 37.5 (30–45) μm. Paspalum distichum appeared to be the smallest in size whereas P. dilatatum was the largest. Exine thickness ranged from 0.75 (0.5–1) to 1.35 (1.2–1.5) μm. The higher value of pollen fertility was found in P. scrobiculatum as 87.69% and the lowest value was in P. distichum as 78.08%. Morphological keys were also given for correct identification.  相似文献   
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