• Title/Summary/Keyword: scoring function

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Comparison of Personal Characteristic Factors Relating to Quality of Life in Patients with End-Stage Renal Disease

  • Sittisongkram, Soontaree;Sarakwan, Jamras;Poysungnoen, Phakatip;Meepaen, Malee
    • Asian Journal for Public Opinion Research
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    • v.7 no.2
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    • pp.94-112
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    • 2019
  • Objective: The objective of this study was to compare the quality of life (QOL) of patients with end-stage renal disease (ESRD) between patients receiving hemodialysis (HD) and patients receiving continuous ambulatory peritoneal dialysis (CAPD) and to compare personal characteristic factors relating to the quality of life in patients with ESRD. Method: This study used a descriptive research design. The sample was recruited using purposive sampling that included 76 ESRD patients receiving either HD or CAPD at a dialysis clinic in Phraphutthabat Hospital, Saraburi Province, Thailand. Data was collected using the Quality of Life Questionnaire for Chronic Kidney Disease ($KDQOL-SF^{TM}$) version 1.3. Independent t-test and ANOVA procedures were used to analyze study data. Results: The results revealed that the HD patients had a moderate level of QOL. The highest scoring dimension of QOL was the encouragement of staff at the dialysis unit and patient satisfaction with the treatment (${\bar{X}}=100$, SD=.00), followed by social support (${\bar{X}}=89.29$, SD =16.88) and cognitive function (${\bar{X}}=88.57$, SD=11.82). On the other hand, the lowest scoring QOL dimension was physical problems (${\bar{X}}=50$, SD=51.89), and pain (${\bar{X}}=50$, SD=39.03), followed by work status (${\bar{X}}=53.57$, SD=45.84) and burden from kidney disease (${\bar{X}}=58.48$, SD=31.07). The CAPD patients also had a moderate QOL. The highest scoring QOL dimension was the encouragement of staff in the renal unit and patient satisfaction with the treatment (${\bar{X}}=100$, SD=.00), followed by social support (${\bar{X}}=95.61$, SD=14.20) and cognitive function (${\bar{X}}=88.83$, SD=13.52). The worst scoring QOL dimensions were work status (${\bar{X}}=44.44$, SD=42.72), general health (${\bar{X}}=53.61$, SD=39.05), and pain (${\bar{X}}=62.70$, SD=41.14). The difference overall and in each dimension of QOL in ESRD patients who were treated with HD and CAPD was not statistically significantly different. The QOL was not significantly different among patients with different personal characteristics except for income and duration of treatment; in those cases, the difference in QOL was statistically significant (p=.05). Conclusion: The overall QOL and life expectancy of patients with ESRD treated with HD and CAPD are not affected by gender, age, marital status, education, occupation, or type of health coverage. QOL was not significantly different, except for patients with different incomes and duration of renal replacement therapy, whose QOL was significantly different. The QOL of patients receiving dialysis should be studied to develop a QOL program for patients with chronic kidney disease who receive dialysis.

A Clinical Case Study of Operation-delayed Cauda Equina Syndrome Patient Improved by Korean Traditional Treatment (한방요법으로 호전된 수술이 지연된 마미 증후군 환자의 증례보고)

  • Jung, Hae-Chang;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.181-187
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    • 2015
  • Objectives The objective of this study is to report clinical effect of korean traditional treatments for Operation-delayed Cauda Equina Syndrome patient. Methods The patient was treated by korean traditional treatments including acupuncture, physical treatment, herbal medication. The improvement of the clinical symptoms was observed by Modified Visual analog scale (Modified VAS), SSCES (Scoring System for Cauda Equina Syndrome), function of urination and function of defecation. Results After treatments, Modified VAS, SSCES, function of urination and function of defecation were improved in this case. Conclusions On the basis of these results, we suggest that korean traditional treatment might be an effective method to improve the clinical symptoms of Operation-delayed Cauda Equina Syndrome patient.

The Effect of Double Application of Functional Electrical Stimulation in Patients with Dysphgia after Stroke (뇌졸중 후 연하곤란 환자에서 기능적 전기자극 치료의 중복 적용 효과)

  • Yang, Chung-Yong;Shin, Byung-Cheul;Chong, Bok-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.1
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    • pp.111-123
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    • 2008
  • Objectives : The objective of this study was to investigate the outcomes of functional electrical stimulation (FES) which was applied twice a day in patients with dysphagia after stroke. Methods : Eleven patients with dysphagia after stroke were participated. The electrical stimulator with two channels was employed for forty minutes daily or forty minutes twice a day for fifteen days. Participants were divided into two groups by random method; The FES was performed twice a day for Twice-FES group (n=6), and once a day for Standard-FES group (n=5). For evaluation of dysphagia, the functional dysphagia scale by videofluoroscopic swallowing study, and swallow function scoring system by six clinical swallowing stage were assessed at pre- and post-treatment. Results : In both groups, there was a significant decrease of total functional dysphagia scales after FES treatment (p<0.05) and the results mainly affected the pharyngeal phase of deglutition. There was no significant difference between the two groups in total functional dysphagia scales, but the Twice-FES group had a decreased residue in oral cavity compared to the standard FES group. In both groups, there were significant improvements in swallow function scoring system (p<0.05). The twice-FES group had more high clinical swallowing stages. Conclusions : The results demonstrated that FES is a clinically effective intervention in treatment of stroke patients with dysphagia. Moreover, the treatment applied twice a day had relatively positive effects on the reduction of oral cavity residue and the improvement of clinical swallowing stage.

The Effect of Isometric Exercise and Active Stretching on Joint Function in Patient with Osteoarthritis (슬관절염 환자의 능동신장과 등척성 운동이 관절 기능에 미치는 영향)

  • Hwang, Yoon-Tae;Hwang, Kyung-Ok
    • The Journal of Korean Physical Therapy
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    • v.18 no.2
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    • pp.35-45
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    • 2006
  • Purpose: This study was to investigate the effect of isometric exercise and active stretching on joint function in patient with osteoarthritis. Methods: 30(M=1, F=29) subjects with osteoarthritis were divided in three groups: control group, quadriceps isometric exercise group, and hamstring active stretching group. After 6 weeks treatment, ROM(range of motion) and LSS(lysholm scoring scale) were measured. Results: There was a significant increase in knee flexion, extension in post-treat of quadriceps isometric exercise group and hamstring active stretching group(p<0.05). There was a significant increase in LSS in post-treat of quadriceps isometric exercise group and hamstring active stretching group(p<0.05). Conclusion: This study shows that both the active stretching exercise and the quadriceps isometric exercise effectively promote the range of knee extensions for osteoarthritis patients. Also, as measuring the ROM of knee flexion and extension by exercise methods, there is significant increase from knee flexion and extension in both hamstring stretching exercise group and quadriceps isometric exercise group. The increase of the range of knee is more effective in the exercise of knee extension with hamstring stretching exercise groups. And it is found that there are some difference between the experimental group and controlled group in statistics. As it is concerned with the function of knee extension, supporting and squatting are more effective to promote the both knee extension and flexion in its range. Therefore, this shows that the hamstring stretching exercise is required in general with enforcing the quadriceps at a sickbed in the present.

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A High Breakdown and Efficient GM-Estimator in Linear Models

  • Song, Moon-Sup;Park, Changsoon;Nam, Ho-Soo
    • Journal of the Korean Statistical Society
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    • v.25 no.4
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    • pp.471-487
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    • 1996
  • In this paper we propose an efficient scoring type one-step GM-estimator, which has a bounded influence function and a high break-down point. The main point of the estimator is in the weighting scheme of the GM-estimator. The weight function we used depends on both leverage points and residuals So we construct an estimator which does not downweight good leverage points Unider some regularity conditions, we compute the finite-sample breakdown point and prove asymptotic normality Some simulation results are also presented.

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MEASURING MORBIDITY : AN APPROACH USING POWER FUNCTIONS

  • Janssens, Gerrit K.
    • Journal of the Korean Operations Research and Management Science Society
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    • v.13 no.2
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    • pp.72-77
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    • 1988
  • Subjective scoring by different groups on different status of morbidity are compared to objective data obtained from legal awards. A power law is tested between subjective and objective scores. Regression analysis by means of a power function provides a measure of consistency in its regression coefficient. Power functions fitting also leads to a justified use of geometric averaging of individual scores into group scores.

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-Reliability Assessment of Nuclear Power Plants Considering the Qualitative Factors under Uncertainty- (원자력발전소에서 정성적 요인을 고려한 신뢰성 평가)

  • 강영식
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.23 no.54
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    • pp.167-177
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    • 2000
  • The problem of system reliability is very important issue in the nuclear power plant, because the failure of its system brings about extravagant economic loss, environment destruction, and quality loss. This paper therefore proposes a normalized scoring model by the qualitative factors order to evaluate the robust reliability of nuclear power plants under uncertainty. Especially, the qualitative factors including risk, functional, human error, and quality function factors for the robust justification has been also introduced. Finally, the analytical reliability and safety assessment model developed in this paper can be used in the real nuclear power plant.

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Development of a Landslide Hazard Prediction Model using GIS (GIS를 이용한 산사태 위험지 판정 모델의 개발)

  • Lee, Seung-Kii;Lee, Byung-Doo;Chung, Joo-Sang
    • Journal of the Korean Association of Geographic Information Studies
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    • v.8 no.4
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    • pp.81-90
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    • 2005
  • Based on the landslide hazard scoring system of Korea Forest Research Institute, a GIS model for predicting landslide hazards was developed. The risk of landslide hazards was analyzed as the function of 7 environmental site factors for the terrain, vegetation, and geological characteristics of the corresponding forest stand sites. Among the environmental factors, slope distance, relative height and shapes of slopes were interpreted using the forestland slope interpretation module developed by Chung et al. (2002). The program consists of three modules for managing spatial data, analyzing landslide hazard and report-writing, A performance test of the model showed that 72% of the total landslides in Youngin-Ansung landslides area took place in the highly vulnerable zones of grade 1 or 2 of the landslide hazard scoring map.

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Docking Studies on Formylchromone Derivatives as Protein Tyrosine Phosphatase 1B (PTP1B) Inhibitors

  • Kim, Chan-Kyung;Lee, Kyung-A;Zhang, Hui;Cho, Hyeong-Jin;Lee, Bon-Su
    • Bulletin of the Korean Chemical Society
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    • v.28 no.7
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    • pp.1141-1150
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    • 2007
  • Molecular modeling study has been performed to assist in the design of PTP1B inhibitors using FlexX. FlexX dockings with 19 test ligands, whose structures have been determined by X-ray crystallography, were successful in reproducing the experimental conformations within the protein. An increase in biological activity is observed as hydrophobic character of formylchromone derivatives increases. Most ligands bind to the activesite regions of the protein successfully in two different score runs. The Drug score run gave better results than the FlexX score run based on the score, rank, binding modes and bond distance of docked structures. Consensus values from the CScore scoring function are between 3 and 5, suggesting that the scoring scheme is reliable. All formylchromone inhibitors considered in this work show unidirectional binding modes in the active site pocket, which is contrary to the bidirectional X-ray results by Malamas et al. and amino acid residues responsible for such orientation are identified to help further development of the inhibitors.

Usefulness of ultrasound contrast media for cardiac output measurement with echocardiography

  • Yun, Je Woong;Yeon, Seong Chan;Lee, Hee Chun
    • Korean Journal of Veterinary Research
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    • v.55 no.1
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    • pp.47-52
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    • 2015
  • The purpose of this study was to determine if contrast media would enhance visualization of the endocardium for assessment of left ventricle (LV) function. In addition, differences between pre- and post-contrast evaluation for the cardiac output measurements including the modified Simpson's method and automated contour tracking (ACT) method were examined. Ten clinically healthy adult beagle dogs (three males and seven females) between 2~3 years old and weighing 6.6~10.8 kg were used. Echocardiographic examinations were performed to compare pre- and post-contrast LV endocardium visualization using a segmental scoring method. Two different methods for measuring cardiac output were also compared. LV visualization was significantly enhanced in post-contrast echocardiography (p < 0.01). Significant differences between pre- and post-contrast measurements for the modified Simpson's method (p < 0.05) were also observed. No significant difference was found for the ACT method. Contrast echocardiography provides better LV chamber opacification and significantly improves wall segment visualization. Furthermore, contrast echocardiography for measuring cardiac output is helpful for the modified Simpson's method.