• Clinical and Experimental Pediatrics
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• v.64 no.9
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• pp.473-479
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• 2021

Background: Malnutrition has a high incidence among pediatric surgical patients and contributes to increased risks of postoperative complications and extended hospital stays. Purpose: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes of pediatric patients who underwent elective gastrointestinal (GI) surgery. Methods: This prospective observational study was conducted at Cairo University Specialized Pediatric Hospital. According to the designated inclusion criteria, 75 surgical cases of both sexes were included. A structured questionnaire was developed and administered. This questionnaire included 3 main sections: demographic data and nutritional status parameters at admission and discharge. Pre- and postoperative nutritional statuses were compared. Results: According to both the subjective global nutritional assessment and STRONGKIDS score Questioner, more than 60% of patients in the upper GI patient group were at risk of malnutrition. Wasting status was most common in the upper GI patient group (67%; vs. 39.1% in the lower GI group). Underweight status was more common in the hepatobiliary and upper GI patient groups (nearly 50% for each group) than in the lower GI group (30.4%). On the other hand, stunted patients had a higher incidence of complications and a prolonged hospital stay (P=0.003 and P=0.037, respectively), while underweight lower GI patients experienced a prolonged hospital stay (P=0.02). A higher proportion of patients with preoperative anemia than those without preoperative anemia required a blood transfusion (P=0.003). Conclusion: Nutritional assessment is a crucial component of pediatric surgical patient management. Both underweight and wasting statuses were more common among hepatobiliary and upper GI patients. Postoperative complications and a long hospital stay were more common among stunted patients.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.4
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• pp.387-397
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• 2015

Purpose: This study aimed to evaluate nutritional status and fatigue, and to identify the relationship between nutritional status and fatigue in gynecological cancer patients receiving chemotherapy. Methods: Participants were 106 outpatients who had uterine, ovary, or breast cancer and a descriptive cross-sectional design was used. Nutritional indicators including biochemical and anthropometric measures, the Subjective Global Assessment (SGA) scale, and the Piper's Revised Fatigue Scale were completed. Results: About thirty-nine percent of the patients were malnourished based on the SGA. Serum hemoglobin and total lymphocyte levels were less than the normal ranges, although anthropometrics were normal. The women experienced moderate fatigue with a mean score of $5.84{\pm}2.00$. Nutritional status was significantly different by age, education, employment status, and monthly income. The women also had different nutritional status and fatigue depending on the type of cancer and chemotherapy. Fatigue was significantly related to SGA scores, serum hemoglobin, triceps skinfold thickness and mid-arm muscle circumference. Conclusion: The results of this study highlight an urgent need to provide adequate nutritional support and fatigue management with individualized strategies for gynecological cancer patients on chemotherapy.

• Journal of Korean Biological Nursing Science
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• v.18 no.1
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• pp.9-16
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• 2016

Purpose: The purpose of this exploratory study was to find a specific time of day with a stable cortisol level and to investigate the relationship between salivary cortisol and sleep. Methods: A total of 36 Korean female college students participated in the study. Salivary specimens were collected 6 times a day for 2 days in different stressful situations. Sleep characteristics were measured using an actigraph while salivary specimens were collected. Perceived stress was evaluated using the Global Assessment of Recent Stress. Results: Depending on whether there were morning peak and/or afternoon elevations in the cortisol levels, the type of diurnal cortisol pattern was classified into 4 types. None of the cortisol levels in different times of the day showed significant relationships to perceived stress levels. Cortisol levels in the morning, levels of peak cortisol and diurnal differences of cortisol were significantly correlated with sleep duration. The time with most stable cortisol level was 9-10 pm. Conclusion: It is recommended that measurements of salivary cortisol are taken from 9-10 pm since it showed a stable value regardless of diurnal cortisol rhythm and sleep. Sleep duration should be considered as an important confounding factor in measuring cortisol levels in the morning and the diurnal differences of cortisol.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.10 no.2
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• pp.837-856
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• 2016

Underwater image enhancement has received considerable attention in last decades, due to the nature of poor visibility and low contrast of underwater images. In this paper, we propose a new automatic underwater image enhancement algorithm, which combines nonsubsampled contourlet transform (NSCT) domain enhancement techniques with the mechanism of the human visual system (HVS). We apply the multiscale retinex algorithm based on the HVS into NSCT domain in order to eliminate the non-uniform illumination, and adopt the threshold denoising technique to suppress underwater noise. Our proposed algorithm incorporates the luminance masking and contrast masking characteristics of the HVS into NSCT domain to yield the new HVS-based NSCT. Moreover, we define two nonlinear mapping functions. The first one is used to manipulate the HVS-based NSCT contrast coefficients to enhance the edges. The second one is a gain function which modifies the lowpass subband coefficients to adjust the global dynamic range. As a result, our algorithm can achieve contrast enhancement, image denoising and edge sharpening automatically and simultaneously. Experimental results illustrate that our proposed algorithm has better enhancement performance than state-of-the-art algorithms both in subjective evaluation and quantitative assessment. In addition, our algorithm can automatically achieve underwater image enhancement without any parameter tuning.

• Journal of Sasang Constitutional Medicine
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• v.27 no.3
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• pp.346-355
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• 2015

Objectives The aim of this study was to report significant improvement of paresthesia and weakness in the limbs of unknown cause after treatment with Mangeummoonmu-tang and Cheongeummoonmu-tang in a Taeeumin patient. Methods The patient was diagnosed as Taeeumin Dry-Heat (Joyeol) pattern and treated with Mangeummoonmu-tang, Cheongeummoonmu-tang and acupuncture. The patient's subjective symptoms of paresthesia and weakness were observed using Global Assessment Scale (GAS) during the treatment period. Results and Conclusion The symptoms of paresthesia and weakness decreased from GAS 100 to GAS 0 for two weeks. Furthermore, the patient's symptoms of fatigue and xeroderma were reported to be improved after treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeeumin patient with paresthesia and weakness in the limbs of unknown cause.

• Journal of Sasang Constitutional Medicine
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• v.26 no.3
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• pp.328-337
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• 2014

Objectives The aim of this study was to report significant improvement of vertigo, tinnitus and aural fullness after treatment with Cheongsimyeonja-tang in a Taeeumin patient with Meniere's disease. Methods The patient was diagnosed with Taeeumin Dry-heat symptomatic pattern and treated with Cheongsimyeonja-tang and acupuncture. The patient's subjective symptoms of vertigo, tinnitus and aural fullness were observed using Global Assessment Scale (GAS) during the treatment period. Results & Conclusions The symptoms of vertigo, tinnitus and aural fullness decreased from GAS 100 to GAS 0 for seven weeks. Furthermore, the patient's symptoms of insomnia, urinary frequency, chest discomfort and fatigue were reported to be improved after treatment. In conclusion, this study shows that Sasang Constitutional Medicine can be effective treatment for Taeeumin patient with Meniere's disease diagnosed as Dry-heat symptomatic pattern.

• International Journal of Computer Science & Network Security
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• v.24 no.1
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• pp.163-177
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• 2024

The fingerprint image quality relies on the clearness of separated ridges by valleys and the uniformity of the separation. The condition of skin still dominate the overall quality of the fingerprint. However, the identification performance of such system is very sensitive to the quality of the captured fingerprint image. Fingerprint image quality analysis and enhancement are useful in improving the performance of fingerprint identification systems. A fuzzy technique is introduced in this paper for both fingerprint image quality analysis and enhancement. First, the quality analysis is performed by extracting four features from a fingerprint image which are the local clarity score (LCS), global clarity score (GCS), ridge_valley thickness ratio (RVTR), and the Global Contrast Factor (GCF). A fuzzy logic technique that uses Mamdani fuzzy rule model is designed. The fuzzy inference system is able to analyse and determinate the fingerprint image type (oily, dry or neutral) based on the extracted feature values and the fuzzy inference rules. The percentages of the test fuzzy inference system for each type is as follow: For dry fingerprint the percentage is 81.33, for oily the percentage is 54.75, and for neutral the percentage is 68.48. Secondly, a fuzzy morphology is applied to enhance the dry and oily fingerprint images. The fuzzy morphology method improves the quality of a fingerprint image, thus improving the performance of the fingerprint identification system significantly. All experimental work which was done for both quality analysis and image enhancement was done using the DB_ITS_2009 database which is a private database collected by the department of electrical engineering, institute of technology Sepuluh Nopember Surabaya, Indonesia. The performance evaluation was done using the Feature Similarity index (FSIM). Where the FSIM is an image quality assessment (IQA) metric, which uses computational models to measure the image quality consistently with subjective evaluations. The new proposed system outperformed the classical system by 900% for the dry fingerprint images and 14% for the oily fingerprint images.

• Transactions of the Korean Society of Automotive Engineers
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• v.18 no.3
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• pp.1-7
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• 2010

Recently, the vehicle driving device has been designed for driver's convenience. Especially, the automobile industry develops the vehicle using the joystick instead of steering wheel from the concept car. The biggest strength of using the joystick is that the driver feels less workload and fatigue than when the driver uses steering wheel. However, this kind of study still needs more research and experiments for more accurate result. Therefore, this research evaluated workload according to the driving device by the survey and the measurement of physiological signal. The reason not only using the survey also using the measurement of physiological signal is to support the result of the survey which is not enough to bring the accurate result. There were tow different kinds of methods to carry out this research; SWAT (Subjective Workload Assessment Technique) for the survey and the biopac equipment for the measurement of physiological signal. Furthermore, previously established driving simulator, GPS (Global Positioning System), and Seoul-Cheonan virtual expressway DB were used for the experiment. As the result of the experiment with 13 subjects, it was certain that using joystick device brings less workload and fatigue to the drivers than using steering wheel following both methods-the survey and the measurement of physiological signal. Also, it confirmed the significant result from the SPSS (Statistical Package for the Social Sciences) statistics analysis program.

• Nutrition Research and Practice
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• v.10 no.4
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• pp.404-410
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• 2016

BACKGROUND/OBJECTIVE: Malnutrition and inflammation are reported as the most powerful predictors of mortality and morbidity in hemodialysis (HD) patients. Diet has a key role in modulating inflammation and dietary inflammatory index (DII) is a new tool for assessment of inflammatory potential of diet. The aim of this study was to evaluate the application of DII on dietary intake of HD patients and examine the associations between DII and malnutrition-inflammation markers. SUBJECTS/METHODS: A total of 105 subjects were recruited for this cross-sectional study. Anthropometric measurements, 3-day dietary recall, and pre-dialysis biochemical parameters were recorded for each subject. Subjective global assessment (SGA), which was previously validated for HD patients, and malnutrition inflammation score (MIS) were used for the diagnosis of protein energy wasting. DII was calculated according to average of 3-day dietary recall data. RESULTS: DII showed significant correlation with reliable malnutrition and inflammation indicators including SGA (r = 0.28, P < 0.01), MIS (r = 0.28, P < 0.01), and serum C-reactive protein (CRP) (r = 0.35, P < 0.001) in HD patients. When the study population was divided into three subgroups according to their DII score, significant increasing trends across the tertiles of DII were observed for SGA score (P = 0.035), serum CRP (P = 0.001), dietary energy (P < 0.001), total fat (P < 0.001), saturated fatty acids (P < 0.001), polyunsaturated fatty acids (P = 0.006), and omega-6 fatty acids (P = 0.01) intakes. CONCLUSION: This study shows that DII is a good tool for assessing the overall inflammatory potential of diet in HD patients.

• Journal of the Korean Dietetic Association
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• v.20 no.4
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• pp.285-295
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• 2014

The purpose of this study was to examine changes in nutrient intake in patients at nutritional risk. We included 106 malnourished patients who were admitted to Severance Hospital from March to September 2014. The average age was $59.0{\pm}11.6$ years old and 59 patients were male (59.7%). The majority of diagnosis was cancer (94.3%). We evaluated patients' nutritional status by scored patient-generated subjective global assessment (PG-SGA), anthropometric measurement (height, weight, body composition by Bioelectrical impedance analysis), hand grip strength, biochemical and dietary assessment. The patients' daily intakes of energy and protein ($1,019.5{\pm}706.4kcal$, $40.4{\pm}27.7g$) during hospitalization were significantly lower than their usual intakes ($1,382.0{\pm}499.8kcal$, $54.4{\pm}25.1g$, P<0.001). Serum levels of albumin, cholesterol, and total lymphocytes were significantly reduced during hospital stay. The negatively influencing factors for reduced dietary intake were anorexia (42.5%), abdominal distention (14.2%), pain (13.2%), and others. The results of this study could be used to establish baseline data for developing new strategies for nutritional intervention in malnourished patients.