• Title/Summary/Keyword: Improvement Function

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The Effects of an Integrated Management Program on Physical Function, Cognitive Function, and Depression in Patients with Subacute stroke (통합관리 프로그램이 아급성 뇌졸중 환자의 운동기능, 인지기능, 우울에 미치는 효과)

  • Yang, Gun Young;Min, Hye Sook
    • Journal of Korean Critical Care Nursing
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    • v.14 no.1
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    • pp.50-62
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    • 2021
  • Purpose : This study examined the effects of an integrated management program on physical function, cognitive function, and depression in patients with subacute stroke. Methods : A nonequivalent control group design was adopted. The participants were assigned to either the experimental group (n=20) or control group (n=23). The experimental group received an 8-week integrated management program and standard rehabilitation service (i.e., physical therapy and occupational therapy), while the control group received the standard rehabilitation service only. Physical function was measured as gait speed and balance ability using the Berg Balance Scale (BBS). Cognitive function was measured with neuro-behavioral cognitive status examination (NCSE), and depression was measured using the Beck Depression Inventory-II (BDI-II). Repeated measure ANOVA was used to determine changes in physical function, cognitive function, and depression over 8-weeks. Results : The interaction between group and time was significant, indicating that the experimental group showed improvement in gait speed, balance ability, cognitive function (linguistic ability, linguistic memory, reasoning), and a decrease in depression compared to the control group. Conclusion : These results indicate that the integrated management program developed herein was beneficial in restoring physical function, cognitive function, and depression in subacute stroke patients.

A Study on Process Capability Index using Reflected Normal Loss Function (역정규 손실함수를 이용한 공정능력지수에 관한 연구)

  • 정영배;문혜진
    • Journal of Korean Society for Quality Management
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    • v.30 no.3
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    • pp.66-78
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    • 2002
  • Process capability indices are being used as indicators for measurements of process capability for SPC of quality assurance system in industries. In view of the enhancement of customer satisfaction, process capability indices in which loss functions are used to deal with the economic loss In the processes deviated from the target, are in an adequate representation of the customer's perception of quality In this connection, the loss function has become increasingly important in quality assurance. Taguchi uses a modified form of the quadratic loss function to demonstrate the need to consider the proximity to the target while assessing its quality. But this traditional quadratic loss function is inadequate to assessing the quality and quality improvement since different processes have different sets of economic consequences on the manufacturing, Thereby, a flexible approach to the development of the loss function needs to be desired. In this paper, we introduce an easily understood loss function, based on reflection of probability density function of the normal distribution. That is, the Reflected Normal Loss function can be adapted to an asymmetric loss as well as to a symmetric loss around the target. We propose that, instead of the process variation, a new capability index, CpI using the Reflected Normal Loss Function that can accurately reflect the losses associated with the process and a new capability index CpI Is compared with the classical indices as $C_{p}$ , $C_{pk}$, $C_{pm}$ and $C_{pm}$ $^{+}$.>.+/./.

A Study on the Predictive Factors of Sexual Function in Women with Gynecologic Cancer (부인암 여성의 성기능 예측요인)

  • Park, Jeong-Sook;Jang, Soon-Yang
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.156-165
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    • 2012
  • Purpose: This study was to identify predictors of sexual function in gynecologic cancer patients. Methods: The participants were 154 patients treated at a university medical center in A city, Korea. The data collection was performed through a structured questionnaire from July to December, 2010. The instruments used in this study were Female Sexual Function Index (FSFI) perceived health status scale, Eastern Cooperative Oncology Group (ECOG) performance status, body image, and depression. Data were analyzed using descriptive statistics, Mann-Whitney test, Kruskal-Wallis test and stepwise multiple regression with the SPSS 18.0. Results: The mean score of perceived health status was 8.42 and sexual function was 8.42. The lowest score among sexual function was lubrication. The scores of sexual function was significantly different by age, job, marital status, period after diagnosis of cancer and diagnosis. There were significant correlations between sexual function, perceived health status, ECOG performance, body image and depression. In multiple regression analysis, predictors were identified as ECOG performance, age, diagnosis and period after diagnosis of cancer (Adj.$R^2$=.28). The most powerful predictor of female sexual function was ECOG performance (19.0%). Conclusion: The above findings indicate that it is necessary to develop a more effective and personalized sexual function improvement program for gynecologic cancer patient.

An improved plasma model by optimizing neuron activation gradient (뉴런 활성화 경사 최적화를 이용한 개선된 플라즈마 모델)

  • 김병환;박성진
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.20-20
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    • 2000
  • Back-propagation neural network (BPNN) is the most prevalently used paradigm in modeling semiconductor manufacturing processes, which as a neuron activation function typically employs a bipolar or unipolar sigmoid function in either hidden and output layers. In this study, applicability of another linear function as a neuron activation function is investigated. The linear function was operated in combination with other sigmoid functions. Comparison revealed that a particular combination, the bipolar sigmoid function in hidden layer and the linear function in output layer, is found to be the best combination that yields the highest prediction accuracy. For BPNN with this combination, predictive performance once again optimized by incrementally adjusting the gradients respective to each function. A total of 121 combinations of gradients were examined and out of them one optimal set was determined. Predictive performance of the corresponding model were compared to non-optimized, revealing that optimized models are more accurate over non-optimized counterparts by an improvement of more than 30%. This demonstrates that the proposed gradient-optimized teaming for BPNN with a linear function in output layer is an effective means to construct plasma models. The plasma modeled is a hemispherical inductively coupled plasma, which was characterized by a 24 full factorial design. To validate models, another eight experiments were conducted. process variables that were varied in the design include source polver, pressure, position of chuck holder and chroline flow rate. Plasma attributes measured using Langmuir probe are electron density, electron temperature, and plasma potential.

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Effects of sensory stimulation on upper limb strength, active joint range of motion and function in chronic stroke virtual reality training

  • Kim, Dong-Hoon;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.171-177
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    • 2020
  • Objective: This study aimed to investigate the upper limb strength, active joint range of motion (AROM), and upper limb function in persons with chronic stroke using virtual reality training in combination with upper limb sensory stimulation. Design: Two-group pretest-posttest design. Methods: 20 subjects were divided into two groups of 10, the sensory motor stimulation and virtual reality training (SMVR) and virtual reality training (VR) groups. The training was conducted for 30 minutes per session, three times a week for 8 weeks.The participants' upper limb strength was measured via the hand-held dynamometer, joint angle AROM was measured via dual inclinometer, function was measured using the Jebson-Taylor hand function test and the manual function test. Results: Significant differences were observed in all groups before and after the training for upper extremity strength, AROM, and function (p<0.05). Between the two groups, the SMVR group showed significant improvement in muscle strength, AROM, and Jebsen-Taylor hand function test scores compared with the VR groups (p<0.05). Conclusions: In this study, we confirmed that sensory stimulation and VR had positive effects on upper extremity strength, AROM, and function of persons with chronic stroke. The results suggest that in the future, VR in combination with sensory stimulation of the upper limb is likely to become an effective method (a rehabilitation training program) to improve the upper limb function of persons with chronic stroke.

An In-Depth Analysis and Improvement on Cache Mechanisms of SSD FTL (SSD FTL의 캐시 메커니즘에 대한 심층 분석 및 개선)

  • Lee, Hyung-Bong;Chung, Tae-Yun
    • IEMEK Journal of Embedded Systems and Applications
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    • v.15 no.1
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    • pp.9-16
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    • 2020
  • Recently, the capacity of SSD has been increasing rapidly due to the improvement of flash memory density. To take full advantage of these SSDs, first of all, FTL's prompt adaptation is necessary. The FTL is a translation layer existing in SSDs to overcome the drawback of the SSD that cannot be modified in place, and has garbage collection and caching functions in addition to the map table management function. In this study, we focus on caching function, compare and analyze the cache implementation methodologies, and propose improved methods. Typical cache implementations divide the cache into groups, manage and retrieve the caches in the group as a linked list. Thus, searches are made in the order of the linked list. In contrast, we propose a method of sequential searching using the search area group of a cache registered in the map table regardless of the linked list and cache group. Experimental results show that the proposed method has a 2.5 times improvement over the conventional method.

A Comparative Study on the Facilities' Type of Gyungrodang in Urban Single Rousing District and Present Condition of Welfare Service of the Elderly - Focused on Daejeon City - (도시단독주택단지 경로당 시설유형 및 노인복지서비스 이용현황에 관한 비교 연구 - 대전광역시를 중심으로 -)

  • Lee Haewook;Song Yong-Ho;Lee Jeong-Soo;Choi Sang-Yong
    • Journal of the Korean housing association
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    • v.16 no.1
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    • pp.17-25
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    • 2005
  • Recently there has been increasing the population of the elderly, the welfare of the elderly is no longer family's and personal problems. It is a social issue that the communities have a role to supply the systematic welfare service of the elderly and the facilities. Therefore It is needed to study the extended function and role of Gyungrodang because Gyungrodang is the most wide spreaded welfare service facilities for the normal elderly in urban single housing district. The subject of this study is to propose the facilities' program improvement method for the Gyungrodang that hold a extended role as a community welfare service facility for the elderly. This paper Is assessed as an sustainable research of normalization of the old people's living. By the comparison analysis of the existing Gyungrodang in Daejeon City and the investigation results of the welfare service present condition of the elderly in Daejeon City, finally the facilities' program improvement direction for the Gyungrodang is proposed.

A Study on Korean Medical Clinical Management of Female Overactive Bladder (여성 과민성 방광의 한방 임상에 관한 고찰)

  • Choi, Min-Sun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.2
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    • pp.83-102
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    • 2014
  • Objectives: This study aimed to review Korean medical clinical management of female overactive bladder (OAB). Methods: We reviewed domestic and foreign papers related to Korean Medicine Treatment for OAB and literatures on Korean Medicine added clinical views of authors. Results: OAB is usually diagnosed to Deficiency pattern (Kidney qi deficiency-cold, Spleen-Lung qi deficiency et al.). The primary treatment goals of OAB is improvement of urinary symptom. But a comprehensive treatment approach including improvement of accompanied symptoms such as depression, insomnia, sexual dysfunction and improvement of quality of life is needed. Warming and tonifying herbal medicine, electro-acupuncture and moxibustion using acupoints specially acting bladder function in lower abdomen and lumbar-sacral area and behavioral therapies such as lifestyle modification, bladder training are usually primary treatments. Treatment period is recommended about 3~6 months to recover and stabilize bladder function. Conclusions: OAB is a clinical area that Korean Medicine tend to be more effective. but additional research about Korean Medical Clinical Management of OAB is needed.

A Study on the Dynamic Characteristics of Door Module for Vehicle (자동차용 모듈화 도어의 동특성 분석에 관한 연구)

  • Bae, Chul-Yong;Kim, Chan-Jung;Kwon, Seong-Jin;Lee, Bong-Hyun;Jang, Woon-Sung;Lee, Joon-Woo
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.17 no.11
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    • pp.1093-1101
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    • 2007
  • This study presents the design improvement process for door module. Its objective evades the resonance generated at module plate due to the operation of window regulator motor. For this study, the design improvement process is composed of experimental methods having three steps. First step is modal analysis at door assembly status for acquisition of dynamic characteristics which are modal frequency and damping. Second step is a vibration experiment to get the test mode considered an efficiency of window regulator motor. Last step is a vibration measurement by the form of $6{\times}6$ array on module plate. A vibration measurement of $6{\times}6$ array form can be got to three analysis results which are a transfer path of vibration using cross correlation function, a vibration map using OA level and a contribution by frequency band using coherent output power spectrum on module plate. These results are applied to SDM(structural dynamic modification) for design improvement to get around the resonance on module plate by the excitation of window regulator motor.

Cryopreserved fascia lata allograft use in surgical facial reanimation: a retrospective study of seven cases

  • Silan, Francesco;Consiglio, Fabio;Dell'Antonia, Francesco;Montagner, Giulia;Trojan, Diletta;Berna, Giorgio
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.2.1-2.6
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    • 2020
  • Background: Facial palsy treatment comprises static and dynamic techniques. Among dynamic techniques, local temporalis transposition represents a reliable solution to achieve facial reanimation. The present study describes a modification of the temporalis tendon transfer using a cryopreserved fascia allograft. Case presentation: Between March 2015 and September 2018, seven patients with facial palsy underwent facial reanimation with temporalis tendon transfer and fascia lata allograft. Patients with long-term palsy were considered, and both physical and social functions were evaluated. The mean follow-up time was 21.5 months. No immediate complications were observed. Patients reported improvement in facial symmetry both in static and dynamic. Improvement was noticed also in articulation, eating, drinking, and saliva control. The Facial Disability Index revealed an improvement both in physical function subscale and in the social/well-being function subscale. Conclusions: This modified orthodromic technique allows to reduce the operative time and the risk of complications connected to the use of autologous tissues. The use of the cryopreserved fascia allografts from cadaveric donors seems to provide promising and long-standing results in the treatment of facial palsy.