• Title/Summary/Keyword: loss of support

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The Effect of Oral High Protein Liquid on Nutritional Support in Patients Undergoing Radiotherapy for Head and Neck Cancer (두경부암 환자에서 방사선치료 중 고농축 고단백 균형 영양식의 영양보충효과)

  • Oh, Young-Taek;Kim, Soo-Hee;Kim, Chul-Ho;Lee, Sun-Young;Jang, Hyun-Soo;Cho, Sun-Mi;Choi, You-Young;Choi, Won-Sun;Yun, Sung-Seob
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.184-188
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    • 2008
  • Objectives:Weight loss and malnutrition in patients undergoing radiotherapy for head and neck cancer are usual and preventable. The effect of nutritional support with oral high protein liquid was evaluated. Material and Methods:From Feb. to Dec. 2007, twenty patients received nutritional supplement with oral high protein liquid during radiotherapy for head and neck cancer and the nutritional status was evaluated. Weight loss was compared with control group of similar clinical characteristics. Results:Nutritional parameters such as weight, arm circumference, hemoglobin, hematocrit, total protein, albumin, transferring and the number of lymphocyte were relatively well maintained in patients with nutritional support with oral high protein liquid. In addition weight loss was minimal and significantly lower compared with control group. Conclusion:Nutritional support with oral high protein liquid was effective on maintaining nutritional status for the patients with head and neck cancer during radiotherapy.

Empirical Choice of the Shape Parameter for Robust Support Vector Machines

  • Pak, Ro-Jin
    • Communications for Statistical Applications and Methods
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    • v.15 no.4
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    • pp.543-549
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    • 2008
  • Inspired by using a robust loss function in the support vector machine regression to control training error and the idea of robust template matching with M-estimator, Chen (2004) applies M-estimator techniques to gaussian radial basis functions and form a new class of robust kernels for the support vector machines. We are specially interested in the shape of the Huber's M-estimator in this context and propose a way to find the shape parameter of the Huber's M-estimating function. For simplicity, only the two-class classification problem is considered.

The Experience of Parents Whose Child is Dying with Cancer (암 환아 부모의 경험에 대한 질적 연구)

  • ;;Ida Martinson
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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The Clustering and Variables in Discriminating the Groups by the Level of the Loss Experience and Ego-integrity in the Elderly (노인의 상실경험과 자아통합감 수준에 따른 적응군집화 및 집단판별에 기여하는 변인)

  • Jung, Mi-kyung;Lee, Kyu-mee
    • 한국노년학
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    • v.31 no.1
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    • pp.79-96
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    • 2011
  • The purpose of this study was to search the clustering and variables in discriminating the groups by the level of the loss experience and ego-integrity among the elderly. In addition, the study aimed to confirm the moderating effects of variables related to resilience in the relationship between a loss experience and ego-integrity. The subjects were 245 elderly aged 60 or above, most of whom were socially active with comparatively high education levels. Six individual variables(physical self-efficacy, general self-efficacy, social self-efficacy, existential spirituality, religious spirituality, optimism) and five environmental variables(emotional support, instrumental support, informational support, appraisal support, social activity) were used in the study. The results of the study are as follows. To data analysis, ANOVA, Stepwise Discriminant analysis, Cluster analysis, Regression analysis and Two-way analysis of variance was employed. First, the subjects were 4 cluster into overcome group, crisis group, stable group and vulnerable group according to the level of loss experience and ego-integrity. Second, optimism, physical self-efficacy, existential spirituality and emotional support were seen to be significant variables in discriminating the groups. Third, the ego-integrity became higher as the variables related to resilience were increased.

Evaluating direct vessel injection accident-event progression of AP1000 and key figures of merit to support the design and development of water-cooled small modular reactors

  • Hossam H. Abdellatif;Palash K. Bhowmik;David Arcilesi;Piyush Sabharwall
    • Nuclear Engineering and Technology
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    • v.56 no.6
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    • pp.2375-2387
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    • 2024
  • The passive safety systems (PSSs) within water-cooled reactors are meticulously engineered to function autonomously, requiring no external power source or manual intervention. They depend exclusively on inherent natural forces and the fundamental principles of reactor physics, such as gravity, natural convection, and phase changes, to manage, alleviate, and avert the release of radioactive materials into the environment during accident scenarios like a loss-of-coolant accident (LOCA). PSSs are already integrated into such operating commercial reactors as the Advanced Pressurized Reactor-1000 MWe (AP1000) and the Water-Water Energetic Reactor-1200 MWe (WWER-1200) are adopted in most of the upcoming small modular reactor (SMR) designs. Examples of water-cooled SMR PSSs are the passive emergency core-cooling system (ECCS), passive containment cooling system (PCCS), and passive decay-heat removal system, the designs of which vary based on reactor system-design requirements. However, understanding the accident-event progression and phases of a LOCA is pivotal for adopting a specific PSS for a new SMR design. This study covers the accident-event progression for direct vessel injection (DVI) small-break loss-of-coolant accident (SB-LOCA), associated physics phenomena, knowledge gaps, and important figures of merit (FOMs) that may need to be evaluated and assessed to validate thermal-hydraulics models with an available experimental dataset to support new SMR design and development.

A Simplified Procedure for Performance-Based Design

  • Zareian, Farzin;Krawinkler, Helmut
    • Journal of the Earthquake Engineering Society of Korea
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    • v.11 no.4
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    • pp.13-23
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    • 2007
  • This paper focuses on providing a practical approach for decision making in Performance-Based Design (PBD). Satisfactory performance is defined by several performance objectives that place limits on direct (monetary) loss and on a tolerable probability of collapse. No specific limits are placed on conventional engineering parameters such as forces or deformations, although it is assumed that sound capacity design principles are followed in the design process. The proposed design procedure incorporates different performance objectives up front, before the structural system is created, and assists engineers in making informed decisions on the choice of an effective structural system and its stiffness (period), base shear strength, and other important global structural parameters. The tools needed to implement this design process are (1) hazard curves for a specific ground motion intensity measure, (2) mean loss curves for structural and nonstructural subsystems, (3) structural response curves that relate, for different structural systems, a ground motion intensity measure to the engineering demand parameter (e.g., interstory drift or floor acceleration) on which the subsystem loss depends, and (4) collapse fragility curves. Since the proposed procedure facilitates decision making in the conceptual design process, it is referred to as a Design Decision Support System, DDSS. Implementation of the DDSS is illustrated in an example to demonstrate its practicality.

The Relationships between Loss Experiences and Depression of the Men and Women Elderly: Focused on the Moderating Effects of Stress Coping Styles (남녀노인의 상실경험과 우울간의 관계: 스트레스 대처양식의 조절효과)

  • Park, Gyu-Ri;An, Jeong-Shin
    • Journal of Family Relations
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    • v.20 no.4
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    • pp.105-130
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    • 2016
  • Objectives: The purpose of this study was to explore the moderating effect of stress coping styles on the relationships between loss experiences and depression of the men and women elderly. Method: The subjects of the study were 116 men and 156 women aged over 60 years. For the data analysis, frequency, Cronbach's ${\alpha}$. Pearson's correlation coefficients, and multiple regression were used. Results: The main results were as follows: First, elderly men reported higher role loss experience, relation loss experience, and problem-focused coping styles than elderly women. Also elderly women reported higher bereavement experience than elderly men. Second, there were main effects of health loss experience, economy loss experience, role loss experience, relation loss experience, problem-focused coping style, and emotion-focused coping style on depression of elderly men and women. Third, problem-focused coping styles moderated the relationships between physical health loss experience, economy loss experience, role loss experience and depression in the elderly men group. Last, social support-seeks coping styles moderated the relationships between economy loss experience and depression in the elderly women group. Conclusions: These results were discussed in terms of educational programs related stress coping strategies for the elderly.

Stress and Psychological Adjustment of Poor Single Mothers: Buffer Effects of Social Support (빈곤층 편모의 스트레스와 심리적 적응: 사회적 지원의 완충효과를 중심으로)

  • Kim, Young-Hee
    • Korean Journal of Human Ecology
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    • v.7 no.2
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    • pp.11-22
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    • 1998
  • Social support may be a crucial aspect in single mothers' adjustment from the loss of spouse. Using a survey data collected from 285 widowed or divorced mothers, this study investigated whether social support buffers the deleterious effects of stress on psychological adjustment among poor single mothers. Results revealed that social support is not provided for at a desirable level. After controlling the single mothers' characteristics, stress in daily life, emotional support, job status and child relationship were associated with depression of them. It was also founded that emotional support buffer the negative effect of stress on depression of single mothers. Therefore, the support programs focused on emotional support are necessary for single mothers to enhance their mental health.

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An Enhanced Mobile IP Handoff Mechanism using Routing Optimization and Binding Extension (경로설정 최적화와 바인딩 확장을 이용한 개선된 Mobile IP 핸드오프 기법)

  • 오현우
    • Proceedings of the Korea Society for Simulation Conference
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    • 1999.10a
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    • pp.127-132
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    • 1999
  • A mobile IP is proposed to support host mobility over the current Internet. One of the most important issues on the host mobility is location and routing schemes that allow mobile hosts to move effectively from one site to another. In a Mobile IP environment, frequent handoffs are likely to degrade the performance by minimizing the loss of datagrams during handoffs. The handoff scheme is using routing optimization and binding extension to improve the performance by minimizing the average transfer delay of messages and packet loss. Simulation details show the improvement of transport delays and packet loss rate.

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Design of Robust Support Vector Machine Using Genetic Algorithm (유전자 알고리즘을 이용한 강인한 Support vector machine 설계)

  • Lee, Hee-Sung;Hong, Sung-Jun;Lee, Byung-Yun;Kim, Eun-Tai
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.3
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    • pp.375-379
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    • 2010
  • The support vector machine (SVM) has been widely used in variety pattern recognition problems applicable to recommendation systems due to its strong theoretical foundation and excellent empirical successes. However, SVM is sensitive to the presence of outliers since outlier points can have the largest margin loss and play a critical role in determining the decision hyperplane. For robust SVM, we limit the maximum value of margin loss which includes the non-convex optimization problem. Therefore, we proposed the design method of robust SVM using genetic algorithm (GA) which can solve the non-convex optimization problem. To demonstrate the performance of the proposed method, we perform experiments on various databases selected in UCI repository.