Aim: To review the oncological safety and aesthetic advantage of skin-sparing mastectomy (SSM) for invasive breast cancer (IBC) and ductal carcinoma in-situ (DCIS). Controversies including the impact of radiotherapy (RT) on immediate breast reconstruction (IBR), preservation of the nipple-areola complex (NAC) and the role of endoscopic mastectomy are also considered. Methods: Literature review ...

Figure 6: Strongly related (SSM based) functional sets and similarities between them, Case Study I. Nodes represent set of closely related methods; weight of the edge between two nodes represents the average value of SSM among the methods of the corresponding sets. Non trivial sets are represented by smaller circles and are merged with trivial sets (bigger circles) of the same color.. Figure 11...

Problem statement: In this research, it had been presented a novel Skew Scenario Model that has been developed and implemented for mobile ad hoc networks. There exist several mobility patterns that try to capture the behavior of the mobile devices under different circumstances, whereas in our work, the direction movement of the nodes is significantly specified horizontally, vertically and diago...

purpose : to report a patient with sphenoid sinus mucocele (ssm) case report : the patient is a 19-year-old man who was referred to khatam-al-anbia eye center as retrobulbar optic neuritis. brain and orbital ct scan and mri revealed ssm. the patient underwent endoscopic sinus surgery and visual acuity (va) improved from no light perception (nlp) to 2 meter counting fingers. conclusion : ssm may...

The effects of body size and feed intake on N digestibility, pancreas and Liver weight, and digestive enzyme activities in male broiler chicks were compared with those induced by dietary tannins. Four groups (SSM, ad lib., pair-fed and young) of sixteen birds each (2 weeks old) were used as experimental animals. They were fed on experimental diets for 4 weeks, except the young group which were ...

AIMS Fibroblast growth factor 2 (FGF-2) protects the heart from ischaemia- and reperfusion-induced cell death by a mechanism linked to protein kinase C (PKC)ε-mediated connexin 43 (Cx43) phosphorylation. Cx43 localizes predominantly to gap junctions, but has also been detected at subsarcolemmal (SSM), but not interfibrillar (IFM), mitochondria, where it is considered important for cardioprotect...

1 Two trials were conducted to evaluate sesame seed meal (SSM) replacement of broiler diets ingredients. The 1 st trial included 5 major dietary treatments using 360 day old Ross commercial broilers: 1) Corn + soybean meal (SBM) "control diet"; 2) Corn + SSM; 3) Corn + [50% SBM + 50% SSM]; 4) Corn + [25% SBM + 75% SSM]; and 5) Corn + [75% SBM + 25% SSM]. Each treatment was then divided into 4 s...

In this paper, we propose the improved Statistical Synchronization Method (SSM-T) for parallel discrete event simulation. Criteria are given for the time-driven approach (SSM-T). It is proven, that the level of the output error can be guaranteed. SSM-T is implemented in the OMNeT++ discrete event simulation tool, which is a useful and widespread framework for creating various simulation models ...

This paper reports on an innovative combination of hard and soft methods – soft systems methodology and data envelopment analysis – in a project evaluating the performance of the basic research institutes of the Chinese Academy of Science. Problems in defining and agreeing appropriate inputs and outputs for DEA led to the use of SSM as a way or producing a comprehensive and systemic database of...

Checkland has said that the process of doing Soft Systems Methodology (SSM) provides the means by which an organisation can define itself through learning what it is which characterises the organisation. (Checkland and Scholes, 1990, 311-312) If the process of doing SSM is a learning system then in SSM an organisation has a means of instituting organisational learning. Respected authors (specif...