212 research outputs found

    MS 109 Guide to Kanellos D. Charalampous, MD Papers, 1968-1981

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    Kanellos D. Charalampous, MD papers contains reel-to-reel audiotapes of lectures for a course in social and community psychiatry with presentations by Titus Harris, Jack Ewalt, John Spiegal, Harry Brickman, Samuel Braun, Betty Caldwell, Eli Bower, David Sanders, Phyllis Rolfe Silverman, and other pioneers in psychiatry. See more at https://archives.library.tmc.edu/ms-109

    Abdominoperineal Resection for Rectal Cancer: Is the Pelvic Drain Externalization Site an Independent Risk Factor for Perineal Wound Healing?

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    Aim. The aim of this paper is to investigate if the insertion of the pelvic drainage tube via the perineal wound could be considered as an independent risk factor for perineal healing disorders, after abdominoperineal resection for rectal malignancy. Patients and Methods. The last two decades, 75 patients underwent elective abdominoperineal resection for malignancy. In 42 patients (56%), the pelvic drain catheter was inserted through the perineal wound (PW group), while in the remaining 33 (44%) through a puncture skin wound of the perineum (SW group). Patients' data with respect to age (P = 0.136), stage (P > 0.05), sex (P = 0.188) and comorbidity (P = 0.128) were similar in both groups. 25 patients (PW versus SW: 8 versus 17, P = 0.0026) underwent neoadjuvant radio/chemotherapy. Results. The overall morbidity rate was 36%, but a significant increase was revealed in PW group (52.4% versus 9%, P = 0.0007). In 33.3% of the patients in the PW group, perineal healing was delayed, while in the SW group, no delay was noted. Perineal healing disorders were revealed as the main source of increased morbidity in this group. Conclusion. The insertion of the pelvic drain tube through the perineal wound should be considered as an independent risk factor predisposing to perineal healing disorders

    Field-Trial of Machine Learning-Assisted Quantum Key Distribution (QKD) Networking with SDN

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    We demonstrated, for the first time, a machine-learning method to assist the coexistence between quantum and classical communication channels. Software-defined networking was used to successfully enable the key generation and transmission over a city and campus network

    Semiconductor Optical Amplifier (SOA)–Based Amplification of Intensity-Modulated Optical Pulses — Deterministic Timing Jitter and Pulse Peak Power Equalization Analysis

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    During the last few years, large-scale efforts towards realizing high-photonic integration densities have put SOAs in the spotlight once again. Hence, the need to develop a complete framework for SOA-induced signal distortion to accurately evaluate a system’s performance has now become evident. To cope with this demand, we present a detailed theoretical and experimental investigation of the deterministic timing jitter and the pulse peak power equalization of SOA-amplified intensity-modulated optical pulses. The deterministic timing jitter model relies on the pulse mean arrival time estimation and its analytic formula reveals an approximate linear relationship between the deterministic timing jitter and the logarithmic values of intensity modulation when the SOA gain recovery time is faster than the pulse period. The theoretical analysis also arrives at an analytic expression for the intensity modulation reduction (IMR), which clearly elucidates the pulse peak power equalization mechanism of SOA. The IMR analysis shows that the output intensity modulation depth is linearly related to the respective input modulation depth of the optical pulses when the gain recovery time is faster than the pulse period. This novel theoretical platform provides a qualitative and quantitative insight into the SOA performance in case of intensity-modulated optical pulses

    Relayed-QKD and switched-QKD networks performance comparison considering physical layer QKD limitations

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    We experimentally evaluate the SKR generation for unoptimized QKD pairs in switched QKD and compare the performance of the switched-QKD with relayed-QKD networks to reveal they perform better for short distances and at large networks.Comment: 3 page

    An Exploratory Study on the Northern Sea Route as an Alternative Shipping Passage

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    This qualitative inductive research explores the potential benefits for the Scandinavian economy and ports through the implementation of the Northern Sea Route (NSR) as an alternative for container shipping to the established Southern route through the Suez Canal. To extract expert’s opinions and address these objectives, we utilised in-depth face-to-face semi-structured interviews through purposive sampling in a single case study setting. The analysis of the data demonstrates that the commercialisation of NSR can yield benefits for the Scandinavian economy (e.g. GDP increase, jobs creation) and reveals the benefits of Scandinavian ports (e.g. ECA’s, flexibility, hinterland, etc.) compared to other ports in North West Europe, which potentially grasp the NSR as an opportunity. However, it is highlighted that this can only be achieved if Scandinavian countries are proactive and secure their involvement

    Modelling of micro-sources for security studies

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    International audienceThe interconnection of small, modular generation and storage technologies at the MV and LV distribution level have the potential to significantly impact power system performance. In this paper models of the main micro-generation sources are described. In particular, the models of Microturbines, Fuel Cells, Photovoltaic Systems and Wind Turbines, are described. In addition basic models of their power electronic interfaces are given. The integration of the above models in a steady state and dynamic simulation tool, which is developed in the framework of the EU funded MICROGRIDS project, will provide a simulation test platform, which will be necessary to define and evaluate the developed operational and control strategies

    O-band QKD link over a multiple ONT loaded carrier-grade GPON for FTTH applications

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    We have successfully integrated an O-band commercial Quantum-Key-Distribution (QKD) system over a lit GPON testbed that replicates a carrier-grade Fiber-to-the-Home (FTTH) optical access network with multiple ONTs to emulate real-life FTTH operational deployments.Comment: 3 page

    New insights into the role of age and carcinoembryonic antigen in the prognosis of colorectal cancer

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    The aim of this study was to verify through relative survival (an estimate of cancer-specific survival) the true prognostic factors of colorectal cancer. The study involved 506 patients who underwent locally radical resection. All the clinical, histological and laboratory parameters were prognostically analysed for both overall and relative survival. This latter was calculated from the expected survival of the general population with identical age, sex and calendar years of observation. Univariate and multivariate analyses were applied to the proportional hazards model. Liver metastases, age, lymph node involvement and depth of bowel wall involvement were independent prognosticators of both overall and relative survival, whereas carcinoembryonic antigen (CEA) was predictive only of relative survival. Increasing age was unfavourably related to overall survival, but mildly protective with regard to relative survival. Three out of the five prognostic factors identified are the cornerstones of the current staging systems, and were confirmed as adequate by the analysis of relative survival. The results regarding age explain the conflicting findings so far obtained from studies considering overall survival only and advise against the adoption of absolute age limits in therapeutic protocols. Moreover, the prechemotherapy CEA level showed a high clinical value
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