Objectives : The purpose of this study was to test stage model in Traumatic Brain Injury(TBI) patients. According to the stage model, attention deficits which is basic stage in information processing lead to memory disturbance and subsequently affect higher-order cognitive function such as memory, decision-making, abstract thinking, and judgement related to executive function. Therefore, it was hypothesized that attention affect recall(retrieval efficacy) related to executive function mostly relative to other cognitive function, in TBI patients with low executive function. Methods : Participants were referred to a TBI clinic and then was rated on K-WAIS and Executive Intelligence Test(EXIT). Participants were divided into two groups according to Executive IQ(EIQ) score, which of high function group(N=67) was more than 80(above low average) and of low function group(N=52) was under 80 (under borderline). To test the stage model, using hierarchical regression analysis, recall(retrieval efficacy) was regressed on 3 subscales(attention, verbal, visuospatial scale) after controlling for IQ according to each group. Furthermore, the mediation effect of attention between retrieval efficacy and verbal, visuospatial score was analyzed. Results : In the low function group, only attention area predicted significantly recall(retrieval efficacy), indicating that lower attention were related to lower EIQ after controlling for IQ. In the high function group, no area predicted significantly retrieval efficacy. In the low function group, verbal and visuospatial scale did not predicted significantly retrieval efficacy, indicating that there was no evidences supporting the mediation model. Conclusion : Only attention affect retrieval efficacy in TBI patients with low executive function. But, the mediation effect of attention between retrieval efficacy and verbal and visuospatial scale was not tested in the low function group. These results implied that stage model was tested partially. In treating cognitive deficit in TBI patients, it is necessary to develop cognitive rehabilitation program based on stage model. Furthermore, it is necessary to necessary to test mediation model in the future study.
Giorgia Burrelli Scotti;Roberto Lorenzetti;Annalisa Aratari;Antonietta Lamazza;Enrico Fiori;Claudio Papi;Stefano Festa
Clinical Endoscopy
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v.56
no.6
/
pp.726-734
/
2023
Background/Aims: Endoscopic stenting for stricturing Crohn's disease (CD) is an emerging treatment that achieves more persistent dilatation of the stricture over time than endoscopic balloon dilatation (EBD). We aimed to explore the efficacy and safety of stenting for the treatment of CD strictures. Methods: A systematic electronic literature search was performed (PROSPERO; no. CRD42022308033). The primary outcomes were technical success, efficacy, complication rate, and the need for further interventions due to reobstruction. The outcomes of partially covered self-expanding metal stents (PCSEMS) with scheduled retrieval after seven days were also analyzed. Results: Eleven eligible studies were included in the review. Overall, 173 patients with CD were included in this study. Mean percentage of technical success was 95% (range, 80%-100%), short-term efficacy was 100% in all studies, and long-term efficacy was 56% (range, 25%-90%). In patients with a scheduled PCSEMS retrieval, the long-term efficacy was 76% (range, 59%-90%), the mean complication rate was 35% (range, 15%-57%), and the major complication rate was 11% (range, 0%-29%). Conclusions: Endoscopic stenting with scheduled PCSEMS retrieval may be considered a feasible second-line treatment for short CD strictures to postpone surgery. However, larger head-to-head prospective studies are needed to understand the role of stenting as an alternative or additional treatment to EBD in CD.
Journal of the Korean Society for information Management
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v.28
no.2
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pp.135-158
/
2011
The ability of the searcher to express their information problem to an information retrieval system is fundamental to the retrieval process. Query by visual example is the principal query paradigm for expressing queries in a content-based image retrieval environment yet there is little empirical evidence to support its efficacy in facilitating query formulation. The aim of this research was to investigate the usability of the query by colour method in supporting a range of information problems in order to contribute to the gap in knowledge regarding the relationship between searchers' information problems and the query methods required to support efficient and effective visual query formulation. The results strongly suggest that the query method does not support visual query formulation and that there is a significant mismatch between the searchers information problems and the expressive power of the retrieval paradigm.
Kim, Jongwoo;Conesa, Jordi;Ramesh, Balasubramaniam
Asia pacific journal of information systems
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v.25
no.1
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pp.25-60
/
2015
Use cases are commonly used to represent customer requirements during systems development. In a large software development environment, finding relevant use cases from a library of past or related projects is a complex, error-prone and expensive task. This study proposes an ontological methodology to support use case retrieval in an interactive manner. The architecture of a prototype system that implements this methodology is presented. To evaluate whether the proposed approach can provide satisfactory results to users, this study develops a research model and hypotheses based on interaction theory. These hypotheses are empirically tested using a laboratory experiment which controls information filtering and perceived interaction. Our study suggests that a system which interacts with a user intelligently reduces cognitive load and increases self-efficacy and satisfaction.
Query by visual example is the principal query paradigm for expressing queries in a content-based image retrieval environment. Query by image and query by sketch have long been purported as being viable methods of query formulation yet there is little empirical evidence to support their efficacy in facilitating query formulation. The ability of the searcher to express their information problem to an information retrieval system is fundamental to the retrieval process. The aim of this research was to investigate the query by image and query by sketch methods in supporting a range of information problems through a usability experiment in order to contribute to the gap in knowledge regarding the relationship between searchers' information problems and the query methods required to support efficient and effective visual query formulation. The results of the experiment suggest that query by image is a viable approach to visual query formulation. In contrast, the results strongly suggest that there is a significant mismatch between the searchers information problems and the expressive power of the query by sketch paradigm in supporting visual query formulation. The results of a usability experiment focusing on efficiency (time), effectiveness (errors) and user satisfaction show that there was a significant difference, p<0.001, between the two query methods on all three measures: time (Z=-3.597, p<0.001), errors (Z=-3.317, p<0.001), and satisfaction (Z=-10.223, p<0.001). The results also show that there was a significant difference in participants perceived usefulness of the query tools Z=-4.672, p<0.001.
Lee, Dayong;Jo, Jae Dong;Kim, Seul Ki;Jee, Byung Chul;Kim, Seok Hyun
Clinical and Experimental Reproductive Medicine
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v.43
no.4
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pp.240-246
/
2016
Objective: The study aimed to investigate the efficacy of intrauterine instillation of granulocyte colony-stimulating factor (G-CSF) on the day of ovulation triggering or oocyte retrieval in infertile women with a thin endometrium. Methods: Fifty women whose endometrial thickness (EMT) was ${\leq}8mm$ at the time of triggering during at least one previous in vitro fertilization (IVF) cycle and an index IVF cycle were selected. On the day of triggering (n = 12) or oocyte retrieval (n = 38), $300{\mu}g$ of G-CSF was instilled into the uterine cavity. Results: In the 50 index IVF cycles, the mean EMT was $7.2{\pm}0.6mm$ on the triggering day and increased to $8.5{\pm}1.5mm$ on the embryo transfer day (p< 0.001). The overall clinical pregnancy rate was 22.0%, the implantation rate was 15.9%, and the ongoing pregnancy rate was 20%. The clinical pregnancy rate (41.7% vs. 15.8%), the implantation rate (26.7% vs. 11.7%), and the ongoing pregnancy rate (41.7% vs. 13.2%) were higher when G-CSF was instilled on the triggering day than when it was instilled on the retrieval day, although this tendency was likewise not statistically significant. Aspects of the stimulation process and mean changes in EMT were similar in women who became pregnant and women who did not. Conclusion: Intrauterine instillation of G-CSF enhanced endometrial development and resulted in an acceptable pregnancy rate. Instillation of G-CSF on the triggering day showed better outcomes. G-CSF instillation should be considered as a strategy for inducing endometrial growth and good pregnancy results in infertile women with a thin endometrium.
Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were +.76 and the confidence interval was from +.66 to +.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from +.70 to +1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.
In this paper, we propose a new relevance feedback algorithm using Probabilistic Neural Networks(PNN) while supporting multi-class learning. Then, to validate the effectiveness of our feedback approach, we incorporate the proposed algorithm into our region-based image retrieval tool, FRIP(Finding Regions In the Pictures). In our feedback approach, there is no need to assume that feature vectors are independent, and as well as it allows the system to insert additional classes for detail classification. In addition, it does not have a long computation time for training because it only has four layers. In the PNN classification process, we store the user's entire past feedback actions as a history in order to improve performance for future iterations. By using a history, our approach can capture the user's subjective intension more precisely and prevent retrieval performance errors which originate from fluctuating or degrading in the next iteration. The efficacy of our method is validated using a set of 3000 images derived from a Corel-photo CD.
Proceedings of the Korea Society of Poultry Science Conference
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2002.11a
/
pp.98-99
/
2002
Collection of large number of gonadal Primordial germ cells(gPGCs) is a prerequisite factor for improving germline transmission efficacy in the aves, In this study a magnetic-activated cell sorter(MACS) was applied for improving retrieval efficacy of quail gPGCs and the migration capacity of MACS-separated gPGCs was further examined after being transplanted to recipient embryos. We also induced germline chimeras by transfer of MACS-separated quail gPGCs at the efficiency of 17.4% on average.
KSII Transactions on Internet and Information Systems (TIIS)
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v.9
no.7
/
pp.2468-2487
/
2015
In web searching, trustable and precise results are greatly affected by the inherent uncertainty in the input queries. Queries submitted to search engines are by nature ambiguous and constitute a significant proportion of the instances given to web search engines. Ambiguous queries pose real challenges for the web search engines due to versatility of information. Temporal based approaches whereas somehow reduce the uncertainty in queries but still lack to provide results according to users aspirations. Web search science has created an interest for the researchers to incorporate contextual information for resolving the uncertainty in search results. In this paper, we propose an Adaptive Disambiguation Approach (ADA) of hybrid nature that makes use of both the temporal and contextual information to improve user experience. The proposed hybrid approach presents the search results to the users based on their location and temporal information. A Java based prototype of the systems is developed and evaluated using standard dataset to determine its efficacy in terms of precision, accuracy, recall, and F1-measure. Supported by experimental results, ADA demonstrates better results along all the axes as compared to temporal based approaches.
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