• Title/Summary/Keyword: Risk Treatment Method

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The Trajectory of Fatigue and Quality of Life in Stomach Cancer Patients Receiving Chemotherapy (위암환자의 항암 화학요법에 따른 피로와 삶의 질 변화 양상)

  • 양영희
    • Journal of Korean Academy of Nursing
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    • v.32 no.4
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    • pp.482-491
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    • 2002
  • This study aimed to identify the change patterns of fatigue and quality of life during consecutive chemotherapies and to determine the relationship of these two variables. Method: Stomach cancer patients receiving chemotherapy were recruited from a university hospital in Seoul. Each chemotherapy, subjects were asked to respond to the questionnaires regarding their fatigue and quality of life. The number of subjects who completed 4 cycles and over was 11. Fatigue was measured with Lee's tool(1999). Quality of life was measured with a tool revised by the author based on Padilla et al(1983). Result: Most patients were in 1st stage(5 patients) or 3rd stage(5 patients). Fatigue was revealed at its highest level in the 3rd or 4th chemotherapy and at its lowest level in the 1st or 6th chemotherapy. A quality of life appeared at its highest level in the 5th or 6th chemotherapy and the lowest level in 3rd or 4th chemotherapy. Conclusion: Among 6 cycles of chemotherapy, in 3-4th chemotherapy the fatigue was the highest and the quality of life were the lowest. Many patients decided to stop treatment at the same period. Therefore we can recognize cancer patients receiving chemo- therapy are in the highest risk at the time of the 3-4 th chemotherapy.

Arthrokinetic Analysis of Knee Joint (슬관절의 운동학적 분석)

  • Kim, Jae-hun
    • PNF and Movement
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    • v.6 no.1
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    • pp.53-60
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    • 2008
  • Purpose : To describes the important aspects of knee joint movement and function used when applying PNF technique to the lower limb. Method : The knee was a very important roles in the lower limb movement and ambulation. This study summarizes the physiologic movement of knee to the PNF lower extremity patterns. Result : The tibiofemoral joint is usually described as a modified hinge joint with flexion-extension and axial rotation by two degrees of freedom movement. These arthrokinematics are a result of the geometry of the joints and the tension produced in the ligamentous structures. The patellofemoral joint is a sellar joint between the patella and the femur. Stability of the patellofemoral joint is dependent on the passive and dynamic restraints around the knee. In a normal knee the ligaments are inelastic and maintain a constant length as the knee flexes and extends, helping to control rolling, gliding and translation of the joint motions. Conclusions : It is important to remember that small alterations in joint alignment can result in significant alterations in patellofemoral joint stresses and that changes in the mechanics of the patellofemoral joint can also result in changes in the tibiofemoral compartments. Successful treatment requires the physical therapist to understand and apply these arthrokinematic concepts. When applied to PNF low extremity patterns, understanding of these mechanical concepts can maximize patient function while minimizing the risk for further symptoms or injury.

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Relationship Between Fatigue and Nutritional Status in Patients with Cancer Undergoing Radiotherapy

  • Yang, Young Hee
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.478-487
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    • 2003
  • Purpose. The purpose of this study was to identify the relationship between fatigue and nutritional status in patients undergoing radiotherapy. Design. A correlational and crossectional study design was used. Method. One-hundred-fifty-one subjects with cancer receiving radiotherapy were recruited from a university hospital in Chonan, Korea. Fatigue was measured using Piper's Fatigue Scale (PFS). The parameters for nutritional status included body weight, body mass index, hemoglobin, and lymphocyte counts. Cancer stage was controlled in analyzing the differences in fatigue, body weight and body mass index. Results. The patients who experienced most fatigue were in their fifties, employed, had head and neck cancer, received radiotherapy on the head and neck, and had concomitant chemotherapy. Disease-related characteristics such as cancer type, and treatment type were frequently related to poorer nutritional status. Patients who showed poorer nutritional status, such as those with lower body weight, lower body mass index and lower hemoglobin levels were more fatigued than those who did not exhibit such characteristics. Lymphocyte counts did not correlate with fatigue. Conclusion: The findings can be used by nurses who are taking care of patients undergoing radiotherapy. Considering the relationship between fatigue and nutritional status, nurses can identify the risk group most vulnerable to fatigue and malnourishment in order to provide appropriate interventions for them.

Prenatal Genetic Test (산전 유전자 검사)

  • Han, You-Jung;Ryu, Hyun-Mee
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.100-104
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    • 2011
  • Genetic testing has been generalized for the diagnosis of diseases and is an important method of research with advances in the life sciences. In particular, we should give better attention to the genetic test for a fetus. Because the fetus has no autonomy, ethical and social issues can arise. Therefore, appropriate genetic counseling is needed for parents to be informed with the characteristics, natural progress, and possible treatment of a genetic disease, prior to the prenatal genetic test. Physicians should also inform parents how a particular genetic risk factor relates with the likelihood of a disease, in order to assist the parents in making the best decision. Furthermore, the current law for prenatal genetic testing should be approached rationally.

ACL Reconstruction - Remnant Preserving Technique - (전방십자인대 재건술 - 잔류조직 보존술식 -)

  • Lee, Byung-Ill;Chun, Dong-Il
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.97-104
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    • 2009
  • Optimal treatment of the torn anterior cruciate ligament (ACL) remains controversial. The complexity of surgically reproducing the natural biomechanical and anatomical function of the ACL has led to a diversity of reconstructive procedures. Controversy continues to exist regarding the best reconstructive procedure for the ACL deficient knee, but currently, there is no ideal method. Because of the increased frequency of ACL injury and the functional impairment resulting from that, the role of mechanoreceptors in the ACL recently has attracted considerable attention. Proper reconstruction of the ruptured ACL does not always have good results. Success after operation may depend not only on the mechanical stability but also on the quality of recovery of proprioception. It is well known that most ACL are ruptured in proximal half and most mechanoreceptors have been reported to be located in the subsynovial layer and near the tibial insertion of the ACL. Expected roles of tibial remnant is to enhance the revascularization and cellular proliferation of the graft, to preserve proprioceptive function, and to be able to acquire anatomical placement of the graft without roof impingement. The remnant of the ruptured ACL has been removed to clearly visualize the ACL footprint or decrease the risk of impingement and Cyclops lesion in most current techniques for ACL reconstruction. Therefore it seems reasonable to assume that preserving the tibial remnant as much as possible as a source of reinnervation, if technically possible without causing impingement, would be of potential benefit to the patient. In addition, it will facilitate the vascular ingrowth and ligamentization of the grafted ACL.

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Evaluation of Meymeh Aquifer vulnerability to nitrate pollution by GIS and statistical methods

  • Tabatabaei, Javad;Gorji, Leila
    • Membrane and Water Treatment
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    • v.10 no.4
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    • pp.313-320
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    • 2019
  • Increasing the concentration of nitrate ions in the soil solution and then leaching it to underground aquifers increases the concentration of nitrate in the water, and can cause many health and ecological problems. This study was conducted to evaluate the vulnerability of Meymeh aquifer to nitrate pollution. In this research, sampling of 10 wells was performed according to standard sampling principles and analyzed in the laboratory by spectrophotometric method, then; the nitrate concentration zonation map was drawn by using intermediate models. In the drastic model, the effective parameters for assessing the vulnerability of groundwater aquifers, including the depth of ground water, pure feeding, aquifer environment, soil type, topography slope, non-saturated area and hydraulic conductivity. Which were prepared in the form of seven layers in the ARC GIS software, and by weighting and ranking and integrating these seven layers, the final map of groundwater vulnerability to contamination was prepared. Drastic index estimated for the region between 75-128. For verification of the model, nitrate concentration data in groundwater of the region were used, which showed a relative correlation between the concentration of nitrate and the prepared version of the model. A combination of two vulnerability map and nitrate concentration zonation was provided a qualitative aquifer classification map. According to this map, most of the study areas are within safe and low risk, and only a small portion of the Meymeh Aquifer, which has a nitrate concentration of more than 50 mg / L in groundwater, is classified in a hazardous area.

Implementation of Cough Detection System Using IoT Sensor in Respirator

  • Shin, Woochang
    • International journal of advanced smart convergence
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    • v.9 no.4
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    • pp.132-138
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    • 2020
  • Worldwide, the number of corona virus disease 2019 (COVID-19) confirmed cases is rapidly increasing. Although vaccines and treatments for COVID-19 are being developed, the disease is unlikely to disappear completely. By attaching a smart sensor to the respirator worn by medical staff, Internet of Things (IoT) technology and artificial intelligence (AI) technology can be used to automatically detect the medical staff's infection symptoms. In the case of medical staff showing symptoms of the disease, appropriate medical treatment can be provided to protect the staff from the greater risk. In this study, we design and develop a system that detects cough, a typical symptom of respiratory infectious diseases, by applying IoT technology and artificial technology to respiratory protection. Because the cough sound is distorted within the respirator, it is difficult to guarantee accuracy in the AI model learned from the general cough sound. Therefore, coughing and non-coughing sounds were recorded using a sensor attached to a respirator, and AI models were trained and performance evaluated with this data. Mel-spectrogram conversion method was used to efficiently classify sound data, and the developed cough recognition system had a sensitivity of 95.12% and a specificity of 100%, and an overall accuracy of 97.94%.

Encryption-based Image Steganography Technique for Secure Medical Image Transmission During the COVID-19 Pandemic

  • Alkhliwi, Sultan
    • International Journal of Computer Science & Network Security
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    • v.21 no.3
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    • pp.83-93
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    • 2021
  • COVID-19 poses a major risk to global health, highlighting the importance of faster and proper diagnosis. To handle the rise in the number of patients and eliminate redundant tests, healthcare information exchange and medical data are transmitted between healthcare centres. Medical data sharing helps speed up patient treatment; consequently, exchanging healthcare data is the requirement of the present era. Since healthcare professionals share data through the internet, security remains a critical challenge, which needs to be addressed. During the COVID-19 pandemic, computed tomography (CT) and X-ray images play a vital part in the diagnosis process, constituting information that needs to be shared among hospitals. Encryption and image steganography techniques can be employed to achieve secure data transmission of COVID-19 images. This study presents a new encryption with the image steganography model for secure data transmission (EIS-SDT) for COVID-19 diagnosis. The EIS-SDT model uses a multilevel discrete wavelet transform for image decomposition and Manta Ray Foraging Optimization algorithm for optimal pixel selection. The EIS-SDT method uses a double logistic chaotic map (DLCM) is employed for secret image encryption. The application of the DLCM-based encryption procedure provides an additional level of security to the image steganography technique. An extensive simulation results analysis ensures the effective performance of the EIS-SDT model and the results are investigated under several evaluation parameters. The outcome indicates that the EIS-SDT model has outperformed the existing methods considerably.

Daily Amperometric Monitoring of Immunoglobulin E in a Mouse Whole Blood: Model of Ovalbumin Induced Asthma

  • Lee, Ju Kyung;Yoon, Sung-hoon;Kim, Sang Hee
    • Journal of the Korean Electrochemical Society
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    • v.25 no.1
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    • pp.13-21
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    • 2022
  • There is an increasing interest in monitoring of specific biomarker for determining progression of a disease or efficacy of a treatment. Conventional method for quantification of specific biomarkers as enzyme linked immunosorbent assay (ELISA) has high material costs, long incubation periods, requires large volume of samples and involves special instruments, which necessitates clinical samples to be sent to a lab. This paper reports on the development of an electrochemical biosensor to measure total immunoglobulin E (IgE), a marker of asthma disease that varies with age, gender, and disease in concentrations from 0.3-1000 ng/mL with consuming 20 µL volume of whole blood sample. The sensor provides rapid, accurate, easy, point-of-care measurement of IgE, also, sequential monitoring of total IgE with ovalbumin (OVA) induced mice is another application of sensor. Taken together, these results provide an alternative way for detection of biomarkers in whole blood with low volumes and long-term ex-vivo assessments for understanding the progression of a disease.

A Study on Disaster Influencing Factors and Importance for Safety Management in NATM Tunnel Drilling (NATM 터널 굴진 시 안전관리를 위한 재해영향요인 및 중요도에 관한 연구)

  • Lee, YoungSoo;Yoon, Younggeun;Oh, Taekeun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.757-763
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    • 2022
  • In the NATM tunnel construction method for urban subway and underpass construction, various causes of disaster exist. In this study, in order to analyze the importance of disaster influencing factors during NATM tunnel excavation, the possible risk factors were analyzed through prior research such as drilling, charging and blasting, It was divided into the work items of wrinkle treatment, pumice cleanup, and support materials. Next, the final 21 detailed measurement indicators were selected through the FGI survey of related experts, and AHP (Analytic Hierarchy Process) analysis were conducted. As a result, it was found that the workers involved in the tunnel construction were the most influential disaster influencing factor.