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A Prediction Model for Functional Recovery After Stroke (뇌졸중 환자의 기능회복에 대한 예측모델)

  • Won, Jong-Im;Lee, Mi-Young
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.59-67
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    • 2010
  • Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = $76.12+.62{\times}$(admission FIM total score)-$.38{\times}(age)-.15{\times}$(onset-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.

The Interaction of Ginseng Saponin with Secre Tagogues, Inhibitors and Its Relative Agents on Pepsiogen Secretion in Isolates Rabbit Gastric Glands (Pepsinogen 분비에 대한 분비촉진제 억제제 및 인삼 Saponin의 상호작용)

  • Kim, Se-Chang;Jin, Seung-Ha;Jeong, No-Pal
    • Journal of Ginseng Research
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    • v.10 no.2
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    • pp.123-132
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    • 1986
  • The pepsinogen secretion was stimulated by the cholecystokinin, caerulein, isoproterenol, and carbachol, respectively. But it was increased slightly and returned to control level by the combiantions of total saponin with each above the agents. Even though the atropine had the inhibition effect, the pepsinogen secretion was recovered to normal level from depressed condition by the combination of the atropine with total saponin. Propranolol showed the same pattern as atropine, too. On the other hand, the pepsinogen secretion was stimulated by the DBcAMP alone, but decreased to control level by the combination with the total saponin. In the case of DBcGMP, the pepsinogen secretion was decreased by itself, but stimulated the above control level by the combination with total saponin. Histamine alone had little effect on the pepsinogen secretion, but when combinated with total saponin, the pepsinogen secretion was increased. Serotonin alone and with total saponin, had no effect respectively, From the above results, the total saponin may have the normalization action stimulating or decreasing the pepsinogen secretion to the control level.

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Analysis of Contents and Deviations of Chemical Constituents of flue-cured leaf Tobacco from 1997 to 2001 Crop Years (연산별 황색종 가공엽의 화학성분 함량 및 편차 분석)

  • 김상범;정기택;조수헌;김용규
    • Journal of the Korean Society of Tobacco Science
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    • v.25 no.1
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    • pp.20-26
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    • 2003
  • To investigate the effects of reduction of leaf processing factories on the uniformity of processed leaf quality, the contents and their C.V.(Coefficient of Variation) of chemical constituents of flue-cured leaf tobacco produced from 1997 to 2001 and processed at various factories were analysed. The average leaf chemical contents of 12 grades for 5 years ranged as follows ; nicotine 2.00∼0.85%. total sugar 10.7∼16.9%, total nitrogen 2.36∼2.78%, crude ash 14.6∼15.6% and chlorine 0.50∼0.75%. The variations of chemical contents among crop years was higher in total sugar content while lower in crude ash content. The C.V. of chemical content in same grade leaves was higher in chlorine content while lower in total nitrogen and crude ash contents, and the ratio of C.V. among processing factories/C.V. in total population was higher in total sugar content while lower in crude ash content. When the leaves were processed at one factory, the deviations of chemical contents reduced considerably. Particularly, the decreasing effect of deviation was higher in total sugar content.

Bank Dividend Policy and Degree of Total Leverage

  • TRAN, Dung Viet
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.2
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    • pp.53-64
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    • 2020
  • We provide one of the first investigation on the impact of the degree of total leverage to the dividend policy of bank. We use a large sample of US bank holding companies from 2000:Q1 to 2017:Q4 to shed light our research question. Our empirical analysis provides consistent evidence that banks with high degree of total leverage (i.e. banks with a relatively high fixed-to-variables costs) are less likely to pay dividends, and they spend a lower fraction of incomes to pay back shareholders, suggesting a higher conservatism in dividend policy of banks subject to high degree of total leverage. The evidence remains unchanged with alternative econometric approaches, alternative measures of dividend policy and degree of total leverage. We further document that this higher conservatism is strengthened for a sample of banks with low franchise value during the financial crises. Our result suggests that the conservatism in dividend policy of banks with high degree of total leverage seems to be related to the precautionary motives aimed at preserving corporate resources under financial distress. Our study contributes to the literature of cost structure and dividend policy by pointing out that the impacts of the degree of fixed-to-variable expenses to dividend policy are extended to the case of banks.

Adaptive Cooperative Spectrum Sharing Based on Fairness and Total Profit in Cognitive Radio Networks

  • Chen, Jian;Zhang, Xiao;Kuo, Yonghong
    • ETRI Journal
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    • v.32 no.4
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    • pp.512-519
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    • 2010
  • A cooperative model is presented to enable sharing of the spectrum with secondary users. Compared with the optimal model and competitive model, the cooperative model could reach the maximum total profit for secondary users with better fairness. The cooperative model is built based on the Nash equilibrium. Then a conceding factor is introduced so that the total spectrum required from secondary users will decrease. It also results in a decrease in cost which the primary user charges to the secondary users. The optimum solution, which is the maximum total profit for the secondary users, is called the collusion state. It is possible that secondary users may leave the collusion state to pursue the maximum of individual profit. The stability of the algorithm is discussed by introducing a vindictive factor to inhabit the motive of deviation. In practice, the number of secondary users may change. Adaptive methods have been used to deal with the changing number of secondary users. Both the total profit and fairness are considered in the spectrum allocating. The shared spectrum is 11.3893 with a total profit of 65.2378 in the competitive model. In the cooperative model, the shared spectrum is 8.5856 with the total profit of 73.4963. The numerical results reveal the effectiveness of the cooperative model.

A method for producing normalized total score of BSC measures (BSC 지표의 정규화된 Total Score 산출 방법)

  • Kim, Su-Yeon;Hwang, Hyun-Seok;Hong, Jong-Yi
    • Journal of Korea Society of Industrial Information Systems
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    • v.12 no.5
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    • pp.163-172
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    • 2007
  • ESC has been used as a tool for evaluating overall performance of firms. ESC focuses mainly on building a balanced viewpoint comprising perspectives and their metrics. It is, therefore, difficult to value overall strategic achievements of a company derived by consolidating various perspectives and metrics. Because of the absence of a method for consolidating ESC metrics and computing total score based on these metrics, it is difficult to evaluate whole strategic performance and find core obstacle parts of performance. In this paper, we suggest a method of normalizing a numerical value of metrics with different units, and calculating the total score of ESC metrics. We conduct a case study of evaluating the effectiveness of CRM to illustrate the applicability and feasibility of the suggested method.

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The status nursing care delivery system and the influencing factors on quality of nursing care (간호전달체계 현황 및 간호서비스의 질에 영향을 미치는 요인)

  • Kim, Ji-Yeun;Park, Bo-Hyun;Ko, Yu-Kyung
    • Korea Journal of Hospital Management
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    • v.21 no.2
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    • pp.24-36
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    • 2016
  • The aims of this study is to investigate the status of nursing care delivery systems and nurse staffing levels and to analyze differences in the quality of nursing care by the type of nursing care delivery system. This research was based on data from 723 nurses working in 55 medical and surgical units in 26 general hospitals. Descriptive statistics on nurse staffing levels and the nursing care delivery system, and multi-level logistic regression were used to estimate the determinants of quality of nursing care. The number of patients per nurse is 17.74 patients in functional nursing care and 15.56 patients in total nursing care. In comparison to hospitals adopting total nursing care, hospitals with functional nursing care had greater patients. The nurses rated units using total nursing care as significantly better quality of nursing care than the units with functional nursing care. Total nursing care or modified total nursing care, rather than functional nursing care, could lead to improvement in the quality of care(total nursing care OR=3.895, modified total nursing care OR=2.475). Patient-centered approaches under proper circumstances can be successfully implemented and the positive effects demonstrated.

A Study on Phosphorus Loading model for Eutrophication Response in the Yongsan Lake (영산호의 부영양화 평가를 위한 인부하모델의 검토)

  • 류일광;이치영
    • Journal of Environmental Health Sciences
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    • v.26 no.4
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    • pp.97-104
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    • 2000
  • The purpose of this is made an examination of phosphorus loading model for eutrophication response in the Yongsan lake. For the model, we measured the total amount of nutrients derived from the Yongsan river watershed, inflow rate to the Yongsan lake, water quality, and water budget from January to December in 1999. The total amount of precipitation in the Yongsan river watershed was 4,951.7$\times$10$^{6}$ ㎥/y and inflow amount was 2,569.7$\times$10$^{6}$ ㎥/y, therefore the outflow rate of the Yongsan river watershed was 51.9%. The develop loading of total nitrogen was 86,928.1kg/d and that of total phosphorus was 22,007.6kg/d at the Yongsan river watershed, But, as the inflow loading of total nitrogen was 33,962kg/d and the inflow loading of total phosphorus was 2,218kg/d to the Yongsan lake. so each infolw rate was 39.0% and 10.1%. The hydraulic residence time was 34days, total phosphorus loading [L(P)] on the surface area was 23.398g/㎥/y, the hydraulic load( $Q_{s}$) of inflow water was 74.269m/y, the reserve rate of phosphorus in the lake was 0.359, and the settinh velocity of phosphorus was 0.114m/d at the Yongsan lake. Mathematical model of phosphorus loading to estimate the responses of eutrophication at the Yongsan lake is [ $P_{j}$] = 0.838 [L(P)/Q.(1+√ $T_{w}$)$^{-1}$ ] . ] . .

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Total Elbow Arthroplasty for the Fracture of Elbow Arthrodesis Site - A Case Report - (주관절 전치환술로 치료한 주관절 관절 고정술 부위의 골절 - 증례 보고 -)

  • Kim, Myung-Ho;Seo, Joong-Bae;Hwang, Sung-Su
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.246-250
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    • 2007
  • Total elbow arthroplasty is a relatively rare procedure compared with total knee or total hip arthroplasty. Total elbow arthroplasty for bony ankylosis is even rarer, and the results are often unsatisfactory. We report a patient who gained good mobility of the elbow after total elbow arthroplasty for the treatment of fractured arthrodesis site with which the patient had lived with for 12 years.

A Longitudinal Study of the Total Lipid, Total Cholesterol, and Vitamin E Contents and Fatty Acids Composition of Human Milk (수유 기간에 따른 모유의 총지질, 총콜레스테롤 및 비타민 E 함량과 총지방산 조성의 변화에 관한 연구)

  • 문수재
    • Journal of Nutrition and Health
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    • v.26 no.6
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    • pp.758-771
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    • 1993
  • This study was conducted longitudinally following the total lipid and cholesterol content, fatty acids composition and Vitamin E content in human milk from 2-5 days to 12 weeks postpartum of 45 lactating Korean mothers. All samples were from well-defined subjects and uniform collection procedures were used. Total lipid concentration increased from 1.98g/dl at 2-5 days to 3.09g/dl at 12 weeks postpartum. However, there was a large variation in the concentration of total lipids. Total cholesterol concentration tended to decrease from 20.68mg/dl at 2-5days to 17.19mg/dl at 12 weeks. In comparison with transitional and mature milk, human colostrum was characterized by a lower percentage of saturated fatty acids including medium chain length fatty acids and a higher percentage of monounsatureated fatty acids and polyunsaturated fatty acids. Therefore, the P/S and M/S ratios of human milk lipids decreased significanlty during lactation. P/M/S ratio of colostrum changed from 0.38 : 0.84 : 1.00 at 2-5 days to 0.29 : 0.61 : 1.00 at 12 weeks of mature milk. Total tocopherol concentration decreased significantly from 833 ug/dl at 2-5 days to 300 ug/dl at 12 weeks.

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