• Title/Summary/Keyword: severity assessment

검색결과 699건 처리시간 0.031초

Effectiveness of Aromatherapy with Light Thai Massage for Cellular Immunity Improvement in Colorectal Cancer Patients Receiving Chemotherapy

  • Khiewkhern, Santisith;Promthet, Supannee;Sukprasert, Aemkhea;Eunhpinitpong, Wichai;Bradshaw, Peter
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권6호
    • /
    • pp.3903-3907
    • /
    • 2013
  • Background: Patients with colorectal cancer are usually treated with chemotherapy, which reduces the number of blood cells, especially white blood cells, and consequently increases the risk of infections. Some research studies have reported that aromatherapy massage affects the immune system and improves immune function by, for example, increasing the numbers of natural killer cells and peripheral blood lymphocytes. However, there has been no report of any study which provided good evidence as to whether aromatherapy with Thai massage could improve the immune system in patients with colorectal cancer. The objectives of this study were to determine whether the use of aromatherapy with light Thai massage in patients with colorectal cancer, who have received chemotherapy, can result in improvement of the cellular immunity and reduce the severity of the common symptoms of side effects. Materials and Methods: Sixty-six patients with colorectal cancer in Phichit Hospital, Thailand, were enrolled in a single-blind, randomised-controlled trial. The intervention consisted of three massage sessions with ginger and coconut oil over a 1-week period. The control group received standard supportive care only. Assessments were conducted at pre-assessment and at the end of one week of massage or standard care. Changes from pre-assessment to the end of treatment were measured in terms of white blood cells, neutrophils, lymphocytes, CD4 and CD8 cells and the CD4/CD8 ratio and also the severity of self-rated symptom scores. Results: The main finding was that after adjusting for pre-assessment values the mean lymphocyte count at the post-assessment was significantly higher (P=0.04) in the treatment group than in the controls. The size of this difference suggested that aromatherapy with Thai massage could boost lymphocyte numbers by 11%. The secondary outcomes were that at the post assessment the symptom severity scores for fatigue, presenting symptom, pain and stress were significantly lower in the massage group than in the standard care controls. Conclusions: Aromatherapy with light Thai massage can be beneficial for the immune systems of cancer patients who are undergoing chemotherapy by increasing the number of lymphocytes and can help to reduce the severity of common symptoms.

콘크리트 교량의 상태 평가를 위한 성능지수 (PERFORMANCE INDEX-An Assessment Indicator of Concrete Bridges)

  • 김경수
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제1권2호
    • /
    • pp.131-140
    • /
    • 1997
  • 콘크리트 교량을 저렴하고 신속하게 상태 평가를 하기 위하여 성능 지수(Performance Index)를 제안한다. 이 기법은 육안 검사에 의하여 발견된 결함의 범위와 심각도를 사용하여 콘크리트 교량의 전반적인 상태를 신속하게 등급화 하고 콘크리트 교량의 노출 조건을 고려하여 콘크리트 성능을 정량적으로 평가한다. 또한 본 연구에서는 상기한 성능 지수 기법의 타당성을 증명할 수 있는 정밀 안전 진단 시험결과를 활용하여 6개의 주요 노후화 원인을 고려하는 또 다른 성능 지수를 제안한다. 이러한 두 상태 평가 방법이 영국의 실제 교량 상태 평가 자료를 바탕으로 한 상태 평가 결과를 퍼지 집합 이론(fuzzy set theory)으로 분석한 결과와 비교하여 방법의 정당성 및 신뢰성을 논의한다.

  • PDF

철도사상 사고위험도 평가 모델 개발에 관한 연구 (Development of Risk Evaluation Models for Railway Casualty Accidents)

  • 박찬우;김민수;왕종배;최돈범
    • 한국철도학회:학술대회논문집
    • /
    • 한국철도학회 2008년도 춘계학술대회 논문집
    • /
    • pp.1499-1504
    • /
    • 2008
  • This study shows risk-based evaluation results of casualty accidents for passengers, railway staffs and MOP(Member of public) on the national railway in South Korea. To evaluate risk of these accidents, the hazardous events and the hazardous factors were identified by the review of the accident history and engineering interpretation of the accident behavior. A probability evaluation model for each hazardous event which was based on the accident appearance scenario was developed by using the Fault Tree Analysis (FTA) technique. The probability for each hazardous event was evaluated from the historical data and structured expert judgment. In addition, the severity assessment model utilized by the Event Tree Analysis (ETA) technique was composed of the accident progress scenarios. And the severity for the hazardous events was estimated using fatalities and weighted injuries. The risk assessment model developed can be effectively utilized in defining the risk reduction measures in connection with the option analysis.

  • PDF

Assessment of Water Quality Vulnerability to Extreme Drought in the Nakdong River Basin

  • Kim, Jong-Suk;Park, Seo-Yeon;Sur, Chanyang;Lee, Joo-Heon
    • 한국수자원학회:학술대회논문집
    • /
    • 한국수자원학회 2018년도 학술발표회
    • /
    • pp.50-50
    • /
    • 2018
  • As the frequency of drought due to climate change is increasing and the severity of drought becomes severe, it is urgent to prepare measures against extreme drought. Despite the significant impacts of drought on the coupled human-environment system, we have not fully understood the consequences of extreme droughts affecting all parts of the environment and our communities, and there is no system to assess environmental droughts quantitatively. Even if a drought disaster occurs on the same scale, the severity of the drought depends on the vulnerability of the region. Therefore, this study proposes environmental drought assessment based on water quality vulnerability to extreme drought for the resilient proactive response.

  • PDF

안전띠 착용 유무에 근거한 두 단계의 충돌 가혹도 수준을 갖는 충돌 판별 알고리즘 (Crash Discrimination Algorithm with Two Crash Severity Levels Based on Seat-belt Status)

  • 박서욱;이재협
    • 한국자동차공학회논문집
    • /
    • 제11권2호
    • /
    • pp.148-156
    • /
    • 2003
  • Many car manufacturers have frequently adopted an aggressive inflator and a lower threshold speed for airbag deployment in order to meet an injury requirement for unbolted occupant at high speed crash test. Consequently, today's occupant safety restraint system has a weakness due to an airbag induced injury at low speed crash event. This paper proposes a new crash algorithm to improve the weakness by suppressing airbag deployment at low speed crash event in case of belted condition. The proposed algorithm consists of two major blocks-crash severity algorithm and deployment logic block. The first block decides crash severity with two levels by means of velocity and crash energy calculation from acceleration signal. The second block implemented by simple AND/OR logic combines the crash severity level and seat belt status information to generate firing commands for airbag and belt pretensioner. Furthermore, it can be extended to adopt additional sensor information from passenger presence detection sensor and safing sensor. A simulation using real crash data for a 1,800cc passenger vehicle has been conducted to verify the performance of proposed algorithm.

Probabilistic Analysis of Drought Characteristics in Pakistan Using a Bivariate Copula Model

  • Jehanzaib, Muhammad;Kim, Ji Eun;Park, Ji Yeon;Kim, Tae-Woong
    • 한국수자원학회:학술대회논문집
    • /
    • 한국수자원학회 2019년도 학술발표회
    • /
    • pp.151-151
    • /
    • 2019
  • Because drought is a complex and stochastic phenomenon in nature, statistical approaches for drought assessment receive great attention for water resource planning and management. Generally drought characteristics such as severity, duration and intensity are modelled separately. This study aims to develop a relationship between drought characteristics using a bivariate copula model. To achieve the objective, we calculated the Standardized Precipitation Index (SPI) using rainfall data at 6 rain gauge stations for the period of 1961-1999 in Jehlum River Basin, Pakistan, and investigated the drought characteristics. Since there is a significant correlation between drought severity and duration, they are usually modeled using different marginal distributions and joint distribution function. Using exponential distribution for drought severity and log-logistic distribution for drought duration, the Galambos copula was recognized as best copula to model joint distribution of drought severity and duration based on the KS-statistic. Various return periods of drought were calculated to identify time interval of repeated drought events. The result of this study can provide useful information for effective water resource management and shows superiority against univariate drought analysis.

  • PDF

Effect of changing the kilovoltage peak on radiographic caries assessment in digital and conventional radiography

  • Zayet, Mohamed Khalifa;Helaly, Yara Rabee;Eiid, Salma Belal
    • Imaging Science in Dentistry
    • /
    • 제44권3호
    • /
    • pp.199-205
    • /
    • 2014
  • Purpose: This study aimed to investigate the effect of changing the kilovoltage peak (kVp) on the radiographic assessment of dental caries. Materials and Methods: Seventy-five extracted posterior teeth with proximal caries or apparently sound proximal surfaces were radiographed with conventional E-speed films and a photostimulable phosphor system using 60 kVp and 70 kVp for the caries assessment. The images were evaluated by three oral radiologists and compared with the results of the stereomicroscope analysis. Results: No statistically significant difference was found between 60 kVp and 70 kVp for the caries detection, determination of caries extension into dentin, and caries severity in either the conventional or the digital images. Good to very good inter-observer and intra-observer agreements were found for both kilovoltage values on the conventional and digital images. Conclusion: Changing the kilovoltage between 60 kVp and 70 kVp had no obvious effect on the detection of proximal caries or determination of its extension or severity.

패키지형 수소충전소의 고장형태별 영향 분석 (A Study on the Hazard Factor of Packaged Hydrogen Station by Failure Mode & Effects Analysis)

  • 서두현;이광원;김태훈
    • 한국수소및신에너지학회논문집
    • /
    • 제31권1호
    • /
    • pp.65-72
    • /
    • 2020
  • In this study, the purpose is to identify the risks of the facilities of packaged hydrogen stations. As a risk identification method, failure mode & effect analysis (FMEA), a qualitative risk assessment, was used to analyze failure mode and effects of component of each facility. The analysis criteria were used to derive the risk priority number (RPN) using the 5-point method according to severity, incidence, and detectability. The study analyzed a total of 141 components of 23 types that can be identified on the design of the packaged hydrogen filling station. As a result, 683 types of failures and their causes and effects were identified. and the RPN was number of a total of 1,485. Of these, 10 failure types with a RPN value of 40 or more were deemed necessary. In addition, a list of failure types with a severity score of 5 was identified and analyzed.

Autonomous vision-based damage chronology for spatiotemporal condition assessment of civil infrastructure using unmanned aerial vehicle

  • Mondal, Tarutal Ghosh;Jahanshahi, Mohammad R.
    • Smart Structures and Systems
    • /
    • 제25권6호
    • /
    • pp.733-749
    • /
    • 2020
  • This study presents a computer vision-based approach for representing time evolution of structural damages leveraging a database of inspection images. Spatially incoherent but temporally sorted archival images captured by robotic cameras are exploited to represent the damage evolution over a long period of time. An access to a sequence of time-stamped inspection data recording the damage growth dynamics is premised to this end. Identification of a structural defect in the most recent inspection data set triggers an exhaustive search into the images collected during the previous inspections looking for correspondences based on spatial proximity. This is followed by a view synthesis from multiple candidate images resulting in a single reconstruction for each inspection round. Cracks on concrete surface are used as a case study to demonstrate the feasibility of this approach. Once the chronology is established, the damage severity is quantified at various levels of time scale documenting its progression through time. The proposed scheme enables the prediction of damage severity at a future point in time providing a scope for preemptive measures against imminent structural failure. On the whole, it is believed that the present study will immensely benefit the structural inspectors by introducing the time dimension into the autonomous condition assessment pipeline.

두드러기에 대한 임상 연구 및 평가 지침 (A Clinical Study of Urticaria and an Assessment Guideline)

  • 이길영;김혜정
    • 대한한의학회지
    • /
    • 제26권2호
    • /
    • pp.25-31
    • /
    • 2005
  • Objectives: This study was designed to assess traditional Korean medical therapy for urticaria and establish a clinical assessment guideline. Methods: Duration of symptoms, personal and family history of allergic diseases, serum IgE level, suspected causes and Provocation factors were investigated in 56 patients. Frequency of wheals, duration of wheals, number of wheals, itch severity and antihistamine counts on a 6-point (0-5) scale were assessed in 34 patients. The change of total scores and each criterion between baseline and follow up were analyzed using paired t-test (p<0.05). Results: 1. Acute urticaria within 6 weeks was $26.8\%$ and chronic urticaria over 6 weeks was $73.2\%$. The mean duration of symptoms was $19.2\pm38.8$ months. 2. $57.1\%$ of patients had a personal history of allergic diseases and $50\%$had a family history. $29.1\%$ had over 200 IU/mL serum IgE level. 3. The suspected causes were none $(39.3\%)$, foods $(32.1\%)$, drugs $(12.5\%)$, contact $(5.4\%)$ and maternity$(5.4\%)$. 4. The suspected provocation factors were foods $(41.1\%)$, none $(26.8\%)$, fatigue $(12.5\%)$, heat and sweating $(12.5\%)$, pressure $(10,7\%)$ and stress $(7.1\%)$. 5. The total scores between baseline and follow up of 34 patients were lowered from $15.38^{\circ}\;{\ae}3.75\;to\;8.82^{\circ}\;{\ae}5.21$, which was significant statistically (p=0.000). 6. Itch severity, frequency of wheals and number of wheals were the most significantly lowered of all criteria. Conclusions: Traditional Korean medical therapy was proven to be effective for urticaria, while itch severity, frequency of wheals and number of wheals should be assessed clinically with greater priority.

  • PDF