• Title/Summary/Keyword: Low response

Search Result 5,101, Processing Time 0.038 seconds

Can Granisetron Injection Used as Primary Prophylaxis Improve the Control of Nausea and Vomiting with Low-Emetogenic Chemotherapy?

  • Keat, Chan Huan;Phua, Gillian;Kassim, Mohd Shainol Abdul;Poh, Wong Kar;Sriraman, Malathi
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.1
    • /
    • pp.469-473
    • /
    • 2013
  • Background: The purpose of this study is to examine the risk of uncontrolled chemotherapy-induced nausea and vomiting (CINV) among patients receiving low emetogenic chemotherapy (LEC) with and without granisetron injection as the primary prophylaxis in addition to dexamethasone and metochlopramide. Materials and Methods: This was a single-centre, prospective cohort study. A total of 96 patients receiving LEC (52 with and 42 without granisetron) were randomly selected from the full patient list generated using the e-Hospital Information System (e-His). The rates of complete control (no CINV from days 1 to 5) and complete response (no nausea or vomiting in both acute and delayed phases) were identified through patient diaries which were adapted from the MASCC Antiemesis Tool (MAT). Selected covariates including gender, age, active alcohol consumption, morning sickness and previous chemotherapy history were controlled using the multiple logistic regression analyses. Results: Both groups showed significant difference with LEC regimens (p<0.001). No differences were found in age, gender, ethnic group and other baseline characteristics. The granisetron group indicated a higher complete response rate in acute emesis (adjusted OR: 0.1; 95%CI 0.02-0.85; p=0.034) than did the non-granisetron group. Both groups showed similar complete control and complete response rates for acute nausea, delayed nausea and delayed emesis. Conclusions: Granisetron injection used as the primary prophylaxis in LEC demonstrated limited roles in CINV control. Optimization of the guideline-recommended antiemetic regimens may serve as a less costly alternative to protect patients from uncontrolled acute emesis.

Dietary Protein Restriction on Growth and Immuno-biochemical Response of Crossbred Calves during Post-ruminant Phase of Life

  • Sahoo, A.;Mishra, S.C.;Pathak, N.N.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.15 no.8
    • /
    • pp.1121-1127
    • /
    • 2002
  • Sixteen crossbred (Bos indicus${\times}$Bos taurus) calves were randomly distributed in two groups (NP and LP) of eight calves each to study the effect of restricted (75%) protein supply on growth and immuno-biochemical response as an indicator of production and health of under-nourished animals during 3 to 9 months of age. The normal requirement of protein was provided to group NP and a less of 25% to group LP through calculated amount of concentrate and roughage in their daily ration. Assessment was made for weekly change in live weight, periodic alteration in blood metabolites and immunological status at six months of age in calves. An initial (during 3 to 6 months of age) depression (p<0.05) in growth was seen in low protein fed group (LP) compared to NP, which became non-significant in the later period of life (6 to 9 months of age). There was no significant effect on haemoglobin, total protein, albumin and globulin concentration except that of urea, which was decreased significantly (p<0.05) in animals fed on low protein diet ($19.83{\pm}1.25$ vs $25.93{\pm}1.29mg/dl$). The treatment effect that was seen in different periods of life was not uniform for other parameters except for urea, which showed a regular depression in LP compared to NP. The assessment of immunological status by indirect haemagglutination (IHA) test against Pasteurella multocida (P52 strain) was considerably (p<0.05) reduced in animals on LP ration compared to those on NP. It is thus argued that with poor nutrition (low protein) and state of compromised immunological response the production and health of the animals will be adversely affected.

Design of Linear Model Following Controller to Reject Low Frequency Load Disturbance in DC Motor (직류전동기에서 저주파 부하외란에 강인한 선형 모델추종제어기 설계)

  • 윤경섭;이치환;권우현
    • Journal of the Korean Institute of Telematics and Electronics T
    • /
    • v.35T no.1
    • /
    • pp.82-89
    • /
    • 1998
  • PI controller has been used in the servo system. However the time response of the system designed using the PI control scheme does not provide with desirable time response in case of variation in system parameters or perturbation like a torque disturbance. LMFC(Linear model following controller) is being used to make the response of the system follow that of the model even though the parameter variation or the perturbation occurs. In this paper, a design method, RMFC(Robust Model Following Controller) is proposed, which use an auxiliary model in addition to the LMFC, which affords robustness against the low frequency load torque disturbance. The proposed method is more useful to rejecting the low frequency torque disturbance than LMFC. Proposed method is verified by simulation and experiment.

  • PDF

Correlation Analysis between Lumbar Instability Test Positive Response Number and Breathing Pattern Change Rate and Pain in Young Peoples with Chronic Low Back Pain (젊은 만성허리통증자의 허리부위 불안정성 검사 양성반응 수와 호흡패턴변화율, 통증 간의 상관관계분석)

  • Ki, Chul;Nam, Ki-Won
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.14 no.3
    • /
    • pp.73-80
    • /
    • 2019
  • PURPOSE: This study examined the correlation between the visual analog scale (VAS) and the rate of change in the respiration patterns according to the result of Lumbar Instability Tests (LITs) in young people with chronic low back pain (CLBP) METHODS: Thirty-six adults, aged 20-40 years with CLBP, participated in this study. The general characteristics and VAS of the participants were recorded by the subjects themselves and seven structure and functional LITs were conducted. According to the positive response number, the positive group was divided into four groups (group 1: n=8, group 2: n=9, group 3: n=10, group 4: n=9). The breathing pattern change tests were performed in three states: during forced breathing exercise and motor control tests. A total of 13 positive lists were set, each of which was scored by 1 or 2 points according to the severity. After the positive lists were scored, the breathing pattern changing rate (BPCR) and VAS were compared according to the positive response number of LITs, and the correlation between them was analyzed. RESULTS: A strong correlation was observed between the number of positive of LITs and BPCR (r= .863, p= .000) and a moderate correlation between the positive number of LITs and VAS (r= .508, p= .002). In addition, there was a poor correlation between the BPCR and VAS (r= .434, p= .008). CONCLUSION: In young CLBP people, when the structural and functional instability are both present, the changes in the respiratory pattern of the whole body can be varied and broader, and the pain scale also increases.

A novel approach in voltage transient technique for the measurement of electron mobility and mobility-lifetime product in CdZnTe detectors

  • Yucel, H.;Birgul, O.;Uyar, E.;Cubukcu, S.
    • Nuclear Engineering and Technology
    • /
    • v.51 no.3
    • /
    • pp.731-737
    • /
    • 2019
  • In this study, a new measurement method based on voltage transients in CdZnTe detectors response to low energy photon irradiations is applied to measure the electron mobility (${\mu}_e$) and electron mobility-lifetime product $({\mu}{\tau})_e$ in a CdZnTe detector. In the proposed method, the pulse rise times are derived from low energy photon response to 59.5 keV($^{241}Am$), 88 keV($^{109}Cd$) and 122 keV($^{57}Co$) ${\gamma}-rays$ for the irradiation of the cathode surface at each detector for different bias voltages. The electron $({\mu}{\tau})_e$ product was then determined by measuring the variation in the photopeak amplitude as a function of bias voltage at a given photon energy using a pulse-height analyzer. The $({\mu}{\tau})_e$ values were found to be $(9.6{\pm}1.4){\times}10^{-3}cm^2V^{-1}$ for $1000mm^3$, $(8.4{\pm}1.6){\times}10^{-3}cm^2V^{-1}$ for $1687.5mm^3$ and $(7.6{\pm}1.1){\times}10^{-3}cm^2V^{-1}$ for $2250mm^3$ CdZnTe detectors. Those results were then compared with the literature $({\mu}{\tau})_e$ values for CdZnTe detectors. The present results indicate that, the electron mobility ${\mu}_e$ and electron $({\mu}{\tau})_e$ values in CdZnTe detectors can be measured easily by applying voltage transients response to low energy photons, utilizing a fast signal acquisition and data reduction and evaluation.

Sustainable controlled low-strength material: Plastic properties and strength optimization

  • Mohd Azrizal, Fauzi;Mohd Fadzil, Arshad;Noorsuhada Md, Nor;Ezliana, Ghazali
    • Computers and Concrete
    • /
    • v.30 no.6
    • /
    • pp.393-407
    • /
    • 2022
  • Due to the enormous cement content, pozzolanic materials, and the use of different aggregates, sustainable controlled low-strength material (CLSM) has a higher material cost than conventional concrete and sustainable construction issues. However, by selecting appropriate materials and formulations, as well as cement and aggregate content, whitethorn costs can be reduced while having a positive environmental impact. This research explores the desire to optimize plastic properties and 28-day unconfined compressive strength (UCS) of CLSM containing powder content from unprocessed-fly ash (u-FA) and recycled fine aggregate (RFA). The mixtures' input parameters consist of water-to-cementitious material ratio (W/CM), fly ash-to-cementitious materials (FA/CM), and paste volume percentage (PV%), while flowability, bleeding, segregation index, and 28-day UCS were the desired responses. The central composite design (CCD) notion was used to produce twenty CLSM mixes and was experimentally validated using MATLAB by an Artificial Neural Network (ANN). Variance analysis (ANOVA) was used for the determination of statistical models. Results revealed that the plastic properties of CLSM improve with the FA/CM rise when the strength declines for 28 days-with an increase in FA/CM, the diameter of the flowability and bleeding decreased. Meanwhile, the u-FA's rise strengthens the CLSM's segregation resistance and raises its strength over 28 days. Using calcareous powder as a substitute for cement has a detrimental effect on bleeding, and 28-day UCS increases segregation resistance. The response surface method (RSM) can establish high correlations between responses and the constituent materials of sustainable CLSM, and the optimal values of variables can be measured to achieve the desired response properties.

A Study of Customer Responses to Service Failure and Recovery: The Role of Service Provider's Recovery Effort and Customer-Employee Rapport (서비스 실패와 복구 후의 소비자 반응에 관한 연구: 서비스제공자의 복구노력과 고객-종업원의 친밀감의 역할을 중심으로)

  • Park, Sojin
    • Asia Marketing Journal
    • /
    • v.9 no.3
    • /
    • pp.75-115
    • /
    • 2007
  • This study investigated the effect of service provider's recovery effort and pre-failure customer-employee rapport on post-recovery consumer response such as satisfaction, purchase intention, and positive Word-of-Mouth communication. First, this study explored the interaction effect of recovery effort and customer-employee rapport on post-recovery consumer response. The result shows when the level of pre-failure customer-employee rapport is high, customer's positive responses decreased slightly even though they perceived low recovery effort. However, when the level of pre-failure customer-employee rapport is low, customer's responses were decreased considerably in case of low recovery effort. Second, this study examined 'service recovery paradox' which is post-recovery consumer's satisfaction is greater than the case of no service failure. The result shows recovery paradox was not supported in all samples regardless of the level of recovery effort and customer-employee rapport. Synthetically, customer-employee rapport took a buffering role in customer response after service failure although it's not the same as error-free state.

  • PDF

Baseline Serum Interleukin-6 Levels Predict the Response of Patients with Advanced Non-small Cell Lung Cancer to PD-1/PD-L1 Inhibitors

  • Da Hyun Kang;Cheol-Kyu Park;Chaeuk Chung;In-Jae Oh;Young-Chul Kim;Dongil Park;Jinhyun Kim;Gye Cheol Kwon;Insun Kwon;Pureum Sun;Eui-Cheol Shin;Jeong Eun Lee
    • IMMUNE NETWORK
    • /
    • v.20 no.3
    • /
    • pp.27.1-27.11
    • /
    • 2020
  • Although various studies on predictive markers in the use of PD-1/PD-L1 inhibitors are in progress, only PD-L1 expression levels in tumor tissues are currently used. In the present study, we investigated whether baseline serum levels of IL-6 can predict the treatment response of patients with advanced non-small cell lung cancer (NSCLC) treated with PD-1/PD-L1 inhibitors. In our cohort of 125 NSCLC patients, the objective response rate (ORR) and disease control rate (DCR) were significantly higher in those with low IL-6 (<13.1 pg/ml) than those with high IL-6 (ORR 33.9% vs. 11.1%, p=0.003; DCR 80.6% vs. 34.9%, p<0.001). The median progression-free survival was 6.3 months (95% confidence interval [CI], 3.9-8.7) in the low IL-6 group, significantly longer than in the high IL-6 group (1.9 months, 95% CI, 1.6-2.2, p<0.001). The median overall survival in the low IL-6 group was significantly longer than in the high IL-6 group (not reached vs. 7.4 months, 95% CI, 4.8-10.0). Thus, baseline serum IL-6 levels could be a potential biomarker for predicting the efficacy and survival benefit of PD-1/PD-L1 inhibitors in NSCLC.

Two-component Signal Transduction in Synechocystis sp. PCC 6803 under Phosphate Limitation: Role of Acetyl Phosphate

  • Juntarajumnong, Waraporn;Eaton-Rye, Julian J.;Incharoensakdi, Aran
    • BMB Reports
    • /
    • v.40 no.5
    • /
    • pp.708-714
    • /
    • 2007
  • The two-component signal transduction, which typically consists of a histidine kinase and a response regulator, is used by bacterial cells to sense changes in their environment. Previously, the SphS-SphR histidine kinase and response regulator pair of phosphate sensing signal transduction has been identified in Synechocystis sp. PCC 6803. In addition, some response regulators in bacteria have been shown to be cross regulated by low molecular weight phosphorylated compounds in the absence of the cognate histidine kinase. The ability of an endogenous acetyl phosphate to phosphorylate the response regulator, SphR in the absence of the cognate histidine kinase, SphS was therefore tested in Synechocystis sp. PCC 6803. The mutant lacking functional SphS and acetate kinase showed no detectable alkaline phosphatase activity under phosphate-limiting growth conditions. The results suggested that the endogenous acetyl phosphate accumulated inside the mutants could not activate the SphR via phosphorylation. On the other hand, exogenous acetyl phosphate could allow the mutant lacking functional acetate kinase and phosphotransacetylase to grow under phosphate-limiting conditions suggesting the role of acetyl phosphate as an energy source. Reverse transcription PCR demonstrated that the transcripts of acetate kinase and phospho-transacetylase genes in Synechocystis sp. PCC 6803 is up-regulated in response to phosphate limitation suggesting the importance of these two enzymes for energy metabolism in Synechocystis cells

Seismic response analysis of reinforced concrete frames including soil flexibility

  • Jayalekshmi, B.R.;Poojary, V.G. Deepthi;Venkataramana, Katta;Shivashankar, R.
    • Structural Engineering and Mechanics
    • /
    • v.48 no.1
    • /
    • pp.1-16
    • /
    • 2013
  • The seismic response of RC space frame structures with isolated footing resting on a shallow soil stratum on rock is presented in this paper. Homogeneous soil stratum of different stiffness in the very soft to stiff range is considered. Soil, footing and super structure are considered to be the parts of an integral system. A finite element model of the integrated system is developed and subjected to scaled acceleration time histories recorded during two different real earthquakes. Dynamic analysis is performed using mode superposition method of transient analysis. A parametric study is conducted to investigate the effect of flexibility of soil in the dynamic behaviour of low-rise building frames. The time histories and Fourier spectra of roof displacement, base shear and structural response quantities of the space frame on compliant base are presented and compared with the fixed base condition. Results indicate that the incorporation of soil flexibility is required for the realistic estimate of structural seismic response especially for single storey structures resting on very soft soil.