• Title/Summary/Keyword: Post evaluation index

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Cosmetic Outcomes and Quality of Life in Thai Women Post Breast Conserving Therapy for Breast Cancer

  • Thanarpan, Peerawong;Somrit, Mahattanobon;Rungarun, Jiratrachu;Paytai, Rordlamool;Duangjai, Sangtawan;Chanon, Kongkamol;Puttisak, Puttawibul
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4685-4690
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    • 2015
  • Purpose: To evaluate the correlation between cosmetic outcome (CO), body image, and quality of life in post breast-conserving therapy (BCT) women. Materials and Methods: This cross-sectional study concerned one-year post-completed BCT Thai women. The data included subjective and objective CO with a questionnaire covering demographic and clinical data, anti-hormonal treatment status, Eastern Cooperative Oncology Group (ECOG) performance status, Self-Reported Cosmetic Outcomes (SRCO), Self-Reported Breast Symmetry (SRBS), Body Image Scale (BIS), and the Functional Assessment of Cancer Therapy with Breast Cancer subscale (FACT-B). Participants had breast photographs taken for the evaluation of objective cosmetic outcome (OCO) after breast cancer conservation treatment. The relationship between CO and FACT-B was tested using Spearman's rank correlation Results: A total 127 participants volunteered for the study. The participant characteristics were age 52(${\pm}9$), Buddhist 87%, married 65%, body mass index 25.0(${\pm}4.6$), breast cup size A-C 91%, college educated 60%, employed 66%, ECOG 0-1 95%, tumor size less than or equal to 2 cm 55%, no lymph node metastasis 98%, and taking tamoxifen 57%. Two percent of the participants regretted their decision to undergo BCT. The SRCO was excellent in 2%, good in 68%, fair in 30%, and poor in 0%. For SRBS, rates were 17%, 58%, 24% and 1% for excellent, good, fair and poor cosmetic outcomes, respectively. The BCCT scores were excellent 24%, good 39%, fair 32%, and poor 6%. The median total QOL score of the participants was 130 (93-144). There was no significant correlation between CO and FACT-B scores. Conclusions: The significance of CO for FACT-B in Thai women with breast cancer could not be assessed in detail because of a very low level of correlation. The results may be due to the effects of cultural background.

Evaluation of Industry-specific Sectoral Approach in the Climate Change Framework (기후변화협상 체제에서 산업부문에 대한 부문별 접근방식(Sectoral Approach)의 평가 및 대응방향)

  • Han, Jin-Hyun;Yoo, Dong-Heon
    • Journal of Energy Engineering
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    • v.18 no.4
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    • pp.246-257
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    • 2009
  • Regarding climate change, the most significant challenge the world faces is achieving the goal of stabilizing the global concentration of greenhouse gases. However, this cannot be accomplished by greenhouse gas reduction efforts of developed countries alone. In this context, a "sectoral approach" has been brought up as a way to overcome the limit of the Kyoto Protocol and induce the participation of developing countries. This paper focuses on the different types of sectoral approaches that have been suggested so far, and their criteria, scope and effectiveness. It therefore explores the potential each approach has as a policy alternative under the post-2012 scheme. On top of that, with the possibility of these sectoral approaches becoming strong future policy alternatives in mind, this paper also analyzes their applicability to the Korean industry. For the steel, petrochemical and oil industries - in which energy efficiency exceeds the world average- a technology-based approach is proposed as an alternative. For the cement, paper and power generation industries - in which energy efficiency is about the same as the global average - a sectoral crediting mechanism or an index-based approach or a sector-wide transnational approach are proposed as alternatives. Lastly, this paper suggests a future research direction for their adoption and implementation.

Comparison of Vowel and Text-Based Cepstral Analysis in Dysphonia Evaluation (발성장애 평가 시 /a/ 모음연장발성 및 문장검사의 켑스트럼 분석 비교)

  • Kim, Tae Hwan;Choi, Jeong Im;Lee, Sang Hyuk;Jin, Sung Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.2
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    • pp.117-121
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    • 2015
  • Background : Cepstral analysis which is obtained from Fourier transformation of spectrum has been known to be effective indicator to analyze the voice disorder. To evaluate the voice disorder, phonation of sustained vowel /a/ sound or continuous speech have been used but the former was limited to capture hoarseness properly. This study is aimed to compare the effectiveness in analysis of cepstrum between the sustained vowel /a/ sound and continuous speech. Methods : From March 2012 to December 2014, total 72 patients was enrolled in this study, including 24 unilateral vocal cord palsy, vocal nodule and vocal polyp patients, respectively. The entire patient evaluated their voice quality by VHI (Voice Handicap Index) before and after treatment. Phonation of sustained vowel /a/ sample and continuous speech using the first sentence of autumn paragraph was subjected by cepstral analysis and compare the pre-treatment group and post-treatment group. Results : The measured values of pre and post treatment in CPP-a (cepstral peak prominence in /a/ vowel sound) was 13.80, 13.91 in vocal cord palsy, 16.62, 17.99 in vocal cord nodule, 14.19, 18.50 in vocal cord polyp respectively. Values of CPP-s (cepstral peak prominence in text-based speech) in pre and post treatment was 11.11, 12.09 in vocal cord palsy, 12.11, 14.09 in vocal cord nodule, 12.63, 14.17 in vocal cord polyp. All 72 patients showed subjective improvement in VHI after treatment. CPP-a showed statistical improvement only in vocal polyp group, but CPP-s showed statistical improvement in all three groups (p<0.05). Conclusion : In analysis of cepstrum, text-based analysis is more representative in voice disorder than vowel sound speech. So when the acoustic analysis of voice by cepstrum, both phonation of sustained vowel /a/ sound and text based speech should be performed to obtain more accurate result.

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A Study on the Assessment of Growing Conditions and Production Capacity in the Upland-Field Area of Highland - Focused on Kimchi-Cabbage, Radish, Potato - (농업 생산기반 능력 및 재배여건을 이용한 고랭지 작물 주산지의 생산역량 분석 - 배추, 무, 감자를 중심으로 -)

  • Jung, Hyun-Woo;Kim, Dae-Sik;Bae, Seung-Jong;Park, Jung-Soo;Kim, Han-Joong
    • Journal of Korean Society of Rural Planning
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    • v.22 no.4
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    • pp.131-138
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    • 2016
  • Recently, the cultivated area is reduced, the ratio of upland-field in the total cultivated area is increasing relative appeared in 36.2% in 1990 from 43.7% in 2013. If upland-field can be applied well designed-infrastructure, good income crop production is possible, however, maintenance of infrastructure and a significant portion of the upland-field is maintained under insufficient infrastructure. While imports of agricultural products expanded since the 2000s in progress, looking at the self-sufficiency of upland-field crops, it is reduced to from 90% to 42% for the pepper, it is from 90% to 74% for the garlic, cereals is reduced from 42% by 26%. As a result of these conditions, the competitiveness of farmers has weakened, the risk to meet the challenges of this area of production and supply reduction increased. This study was the first to conduct a basic evaluation index, data analysis and evaluation of indicators to diagnose the agricultural production capacity of the upland field. 12 kinds classified index of producing conditions from the natural environment and eight factors for the cultivation and production capabilities have developed for the assessment of productivity of upland-field (especially Kimchi cabbage). Through this regional imbalance was found, based on the production capabilities conditions are good in Haenam, Gangneung, Pyeongchang. 3 Regions have been low and the lowest Youngwol to 0.8992. Climate(Cultivation conditions) indicators of Mungyeong region is the highest, relatively low areas were in Taebaek. In particular, it is determined to be preferred that the area required for the enhancing the production environment based on providing the convenience for the producing and maintenance of the first production area. It is necessary Increasing part of mechanization, agro-industrial competitiveness through aggressive management plans for facilities as required in the process of post-harvest storage, processing, distribution line can be improved.

Analysis on Topographic Normalization Methods for 2019 Gangneung-East Sea Wildfire Area Using PlanetScope Imagery (2019 강릉-동해 산불 피해 지역에 대한 PlanetScope 영상을 이용한 지형 정규화 기법 분석)

  • Chung, Minkyung;Kim, Yongil
    • Korean Journal of Remote Sensing
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    • v.36 no.2_1
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    • pp.179-197
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    • 2020
  • Topographic normalization reduces the terrain effects on reflectance by adjusting the brightness values of the image pixels to be equal if the pixels cover the same land-cover. Topographic effects are induced by the imaging conditions and tend to be large in high mountainousregions. Therefore, image analysis on mountainous terrain such as estimation of wildfire damage assessment requires appropriate topographic normalization techniques to yield accurate image processing results. However, most of the previous studies focused on the evaluation of topographic normalization on satellite images with moderate-low spatial resolution. Thus, the alleviation of topographic effects on multi-temporal high-resolution images was not dealt enough. In this study, the evaluation of terrain normalization was performed for each band to select the optimal technical combinations for rapid and accurate wildfire damage assessment using PlanetScope images. PlanetScope has considerable potential in the disaster management field as it satisfies the rapid image acquisition by providing the 3 m resolution daily image with global coverage. For comparison of topographic normalization techniques, seven widely used methods were employed on both pre-fire and post-fire images. The analysis on bi-temporal images suggests the optimal combination of techniques which can be applied on images with different land-cover composition. Then, the vegetation index was calculated from the images after the topographic normalization with the proposed method. The wildfire damage detection results were obtained by thresholding the index and showed improvementsin detection accuracy for both object-based and pixel-based image analysis. In addition, the burn severity map was constructed to verify the effects oftopographic correction on a continuous distribution of brightness values.

Utility of $^{99m}Tc$-MAG3 Perfusion Indices in the Evaluation of Renal Transplant Function During Early Post-transplantation Period (이식 초기 이식신 기능 평가에서 $^{99m}Tc$-MAG3 신관류 지표의 유용성)

  • Kim, Sung-Hoon;Chung, Soo-Kyo
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.6
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    • pp.497-507
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    • 2000
  • Purpose: We have examined the utility of $^{99m}Tc$-MAG3 perfusion indices for assessing renal graft function in early post-transplantation period. Materials and Methods: Our study included 80 renal transplant recipients (48 men and 32 women, mean age: 40.3 years). Diagnosis was based on biopsy, laboratory data and clinical course. Renal scintigraphy (RS) was obtained using 100 MBq of $^{99m}Tc$-MAG3 from 11 days to 23 days of kidney transplantation. We measured 5 indices in whole-kidney (WK) and cortical (C) renograms; Hilson's perfusion index (PI), transplant perfusion index (TP) and transplant function index (TF) as perfusion parameter, and the time to peak activity (Tmax) and the ratio of renal counts at 20 min to that at 3 min (K20/3) as functional parameter. Results: The diagnoses at the day of RS were normal graft (NG) in 44, acute rejection (AR) in 14, acute tubular necrosis (ATN) in 10, and Cyclosporine A nephrotoxicity (CsA) in 12. TP and TF were significantly decreased in AR, ATN and CsA, compared to those in NG. K20/3 of AR and ATN wore significantly greater than that of NG. WK-Tmax of AR was significantly longer than that of NG. K20/3 of AR and C-K20/3 of ATN were significantly prolonged relative to those of CsA. There were no statistically significant perfusion indices among complication groups. Conclusion: TP and TF reflecting microperfusion and initial tubular extraction are reliable in assessing graft function. However, it is required to correlate perfusion indices with functional indices and clinical course in differentiating from one another among complication groups.

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A clinical evaluation of botulinum toxin-A injections in the temporomandibular disorder treatment

  • Kim, Hyun-Suk;Yun, Pil-Young;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.5.1-5.5
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    • 2016
  • Background: This study clinically evaluated the effect of botulinum toxin type A (BTX-A) in the temporomandibular disorder (TMD) treatment using Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Methods: A total of 21 TMD patients were recruited to be treated with BTX-A injections on the bilateral masseter and temporalis muscles and were followed up by an oral and maxillofacial surgeon highly experienced in the TMD treatment. For each patient, diagnostic data gathering were conducted according to the RDC/TMD. Characteristic pain intensity, disability points, chronic pain grade, depression index, and grade of nonspecific physical symptoms were evaluated. Wilcoxon signed-rank test was applied for statistical analysis. Results: The results showed that more than half of the participants (85.7 %) had parafunctional oral habits such as bruxism or clenching. In comparison between pre- and post-treatment results, graded pain score, characteristic pain intensity, disability points, chronic pain grade, and grade of nonspecific physical symptoms showed statistically significant differences after the BTX-A injection therapy (p < 0.05). Most patients experienced collective decrease in clinical manifestations of TMD including pain relief and improved masticatory functions after the treatment. Conclusions: Within the limitation of our study, BTX-A injections in masticatory musculatures of TMD patients could be considered as a useful option for controlling complex TMD and helping its associated symptoms.

Effects of forestry host plants, rearing seasons and their interaction on cocoon productivity of tropical tasar silkworm, Antheraea mylitta in uttarakhand

  • Bhatia, N.K.;Yousuf, Mohd.
    • International Journal of Industrial Entomology and Biomaterials
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    • v.30 no.2
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    • pp.31-39
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    • 2015
  • Antheraea mylitta Drury (Lepidoptera: Saturniidae) is a commercial silk producing forest insect of India, but it has never been experimented in Uttarakhand state in spite of the huge availability of its forestry host plants. This is the first study on A. mylitta in Uttarakhand. The goal of this study is to introduce forest based commercial rearing of A. mylitta, in tropical forest areas of Uttarakhand to reduce poverty among forest dependent people. In current study, we assessed the effect of seven forest tree species, rearing seasons, and their interactions on cocoon productivity of Daba (bivoltine) ecorace of A. mylitta in the New Forest of FRI, Dehra Dun during 2012 and 2013 and collected the data that was analysed by two-way completely randomized block factorial design. Post HOC Tukey's HSD test was carried out to compare the homogeneous pairs of means. We also carried out Evaluation Index analysis to rank the tested forestry host plants for better growth and development of A. mylitta under the climatic condition of Uttarakhand. Analysis of variance indicated that cocoon yield of A. mylitta differed significantly between rearing seasons (DF=1, F=88.24, p<0.05) and host plants (DF 6, F= 368.63, p<0.05); however, their interactions were found insignificant (DF=6, F=0.99, p>0.05). In first rearing season of July-August, there was higher cocoon yield than the second season of September-November. Results indicated that Terminalia alata fed larvae showed significantly higher cocoon yield (164.11 cocoons/300 larvae); followed by, T. tomentosa (148.89 cocoons), T. arjuna (140.00 cocoons) and Lagerstroemia speciosa (129.47 cocoons) fed larvae. Whereas, Lagerstroemia tomentosa fed larvae that was used by the first time in India, showed lowest cocoon yield (48.81 cocoons), followed by T. chebula (72.53 cocoons) fed larvae. Cocoon yield of T. tomentosa and T. arjuna fed larvae of A. mylitta did not differ significantly with each other.

Comparative Study of Posterior Lumbar Interbody Fusion via Unilateral and Bilateral Approaches in Patients with Unilateral Leg Symptoms

  • Seong, Ji-Hoon;Lee, Jong-Won;Kwon, Ki-Young;Rhee, Jong-Joo;Hur, Jin-Woo;Lee, Hyun-Koo
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.363-369
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    • 2011
  • Objective : We investigated the clinical and radiological advantages of unilateral laminectomy in posterior lumbar interbody fusion (PLIF) procedure comparing with bilateral laminectomy, under the same procedural condition including bilateral instrumentation and insertion of two cages, in patients with degenerative lumbar disease with unilateral leg symptoms. Methods : We retrospectively reviewed 124 consecutive cases of PLIF via unilateral or bilateral approach between January 2006 and April 2010. In 80 cases (bilateral group), two cages were inserted via bilateral laminectomy, and in 44 cases (unilateral group), via unilateral laminectomy. The average follow-up duration was 29.5 months. The clinical outcomes were evaluated with the Visual Analogue Scale (VAS) and the Oswestry disability index (ODI). The fusion rates and disc space heights were determined by dynamic standing radiographs and/or computed tomography. Operative times, intra-operative and post-operative blood losses and hospitalization periods were also evaluated. Results : In clinical evaluation, the VAS and ODI scores showed excellent outcomes in both groups. There were no significant differences in term of fusion rate, but the perioperative blood loss and the operative time of the unilateral group were lower than that of the bilateral group. Conclusion : Unilateral laminectomy can minimize the operative time and perioperative blood loss in PLIF procedure. However, the different preoperative disc height between two groups is a limitation of this study. Despite this limitation, solid fusion and satisfactory symptomatic improvement could be achieved uniquely by our surgical method. This surgical method can be an alternative surgical technique in patients with unilateral leg pain.

Effects of Three Different Hip Positions in Frontal Plane on Activity of Abdominal Muscles During Active Straight-Leg Raise

  • Yoon, Tae-Lim;Kim, Ki-Song
    • Physical Therapy Korea
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    • v.20 no.3
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    • pp.81-88
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    • 2013
  • Active straight-leg raise (ASLR) is a physical evaluation procedure to test lumbar spine stability. Several previous studies have reported various methods to control the activation of abdominal muscles during ASLR. We investigated the effects of three different hip positions in frontal plane on abdominal muscles to increase or decrease the difficulty level of lumbar spine stability exercise during ASLR in pain free subjects. Eleven young and healthy subjects voluntarily participated in this study (6 men, 5 women; mean age=$24.0{\pm}1.2$ years, height=$160.0{\pm}7.3cm$, weight=$55.0{\pm}10.6kg$, body mass index=$21.5{\pm}2.3kg/m^2$). The subjects had three trials on each ASLR with hip $10^{\circ}$ adduction, neutral hip, and hip $30^{\circ}$ abduction. Separate repeated-measures analysis of variance (ANOVA) and the post hoc Bonferroni tests (with ${\alpha}$=.05/3=.017) were performed for each muscle among the three different hip positions in frontal plane (ASLR with hip $10^{\circ}$ adduction, neutral hip, and hip $30^{\circ}$ abduction). The ipsilateral external oblique (EO), contralateral EO, ipsilateral internal oblique/transverse abdominis (IO/TrA), and contralateral IO/TrA were significantly greater in ASLR with hip $30^{\circ}$ abduction compared with ASLR with hip $10^{\circ}$ adduction. Also, the ipsilateral EO, contralateral EO, and ipsilateral IO/TrA were significantly greater in ASLR with hip $30^{\circ}$ abduction compared with ASLR with neutral hip. These results suggest that ASLR with hip $30^{\circ}$ abduction and neutral would be useful method to strengthen the EO and IO/TrA. And, ASLR with hip $10^{\circ}$ adduction would be effective in early stages of lumbar stabilization program due to low activation of EO and IO/TrA during maintaining of ASLR position with low load.