• 제목/요약/키워드: severity levels

검색결과 610건 처리시간 0.028초

Comparison of Trunk Control on Gross Motor Function and Topography in Children with Spastic Cerebral Palsy

  • Choi, Young-Eun;Jung, Hye-Rim;Kim, Ji-Hye
    • 대한물리의학회지
    • /
    • 제14권4호
    • /
    • pp.45-53
    • /
    • 2019
  • PURPOSE: This study examined the differences in the trunk impairment scores according to the levels of the gross motor classification system by evaluating trunk control in children with spastic cerebral palsy using the index of trunk impairment. In addition, the characteristics of trunk control disabilities were investigated according to the cerebral palsy type. METHODS: The subjects were 49 children (mean age 8.57±1.83 years, 11 with hemiplegia, 26 with diplegia, and 12 with quadriplegia) with spastic cerebral palsy levels I to IV under the gross motor function classification system (GMFCS). The coordination and balance of the children with cerebral palsy were evaluated using the index for trunk impairment. Statistical analyses were performed using a Kruskal-Wallis test, and Bonferroni analyses were used as a post-hoc comparison for any significant results. RESULTS: The median of the total scores of trunk impairment was 13 (range, 9-17), which was 56% of the maximum score. The total score of trunk impairment and subscales differed significantly according to the disease severity and type of motor disability. The scores for children with quadriplegia were the lowest compared to children with hemiplegia and diplegia. CONCLUSION: Trunk control function in children with spastic cerebral palsy was reduced, and varied according to the disease severity and types of motor disabilities. The degree of trunk impairment differed from the trunk control ability according to the degree of motor disability of children with cerebral palsy.

Blunt Traumatic Cardiac Rupture: Single-Institution Experiences over 14 Years

  • Yun, Jeong Hee;Byun, Joung Hun;Kim, Sung Hwan;Moon, Sung Ho;Park, Hyun Oh;Hwang, Sang Won;Kim, Yong Hwan
    • Journal of Chest Surgery
    • /
    • 제49권6호
    • /
    • pp.435-442
    • /
    • 2016
  • Background: Blunt traumatic cardiac rupture is rare. However, such cardiac ruptures carry a high mortality rate. This study reviews our experience treating blunt traumatic cardiac rupture. Methods: This retrospective study included 21 patients who experienced blunt traumatic cardiac rupture from 1999 to 2015. Every patient underwent surgery. Several variables were compared between survivors and fatalities. Results: Sixteen of the 21 patients survived, and 5 (24%) died. No instances of intraoperative mortality occurred. The most common cause of injury was a traffic accident (81%). The right atrium was the most common location of injury (43%). Ten of the 21 patients were suspected to have cardiac tamponade. Significant differences were found in preoperative creatine kinase-myocardial band (CK-MB) levels (p=0.042) and platelet counts (p=0.004) between the survivors and fatalities. The patients who died had higher preoperative Glasgow Coma Scale scores (p=0.007), worse Trauma and Injury Severity Scores (p=0.007), and higher Injury Severity Scores (p=0.004) than those who survived. Conclusion: We found that elevated CK-MB levels, a low platelet count, and multi-organ traumatic injury were prognostic factors predicting poor outcomes of blunt cardiac rupture. If a patient with blunt traumatic cardiac rupture has these factors, clinicians should be especially attentive and respond promptly in order to save the patient's life.

Detection of flexural damage stages for RC beams using Piezoelectric sensors (PZT)

  • Karayannis, Chris G.;Voutetaki, Maristella E.;Chalioris, Constantin E.;Providakis, Costas P.;Angeli, Georgia M.
    • Smart Structures and Systems
    • /
    • 제15권4호
    • /
    • pp.997-1018
    • /
    • 2015
  • Structural health monitoring along with damage detection and assessment of its severity level in non-accessible reinforced concrete members using piezoelectric materials becomes essential since engineers often face the problem of detecting hidden damage. In this study, the potential of the detection of flexural damage state in the lower part of the mid-span area of a simply supported reinforced concrete beam using piezoelectric sensors is analytically investigated. Two common severity levels of flexural damage are examined: (i) cracking of concrete that extends from the external lower fiber of concrete up to the steel reinforcement and (ii) yielding of reinforcing bars that occurs for higher levels of bending moment and after the flexural cracking. The purpose of this investigation is to apply finite element modeling using admittance based signature data to analyze its accuracy and to check the potential use of this technique to monitor structural damage in real-time. It has been indicated that damage detection capability greatly depends on the frequency selection rather than on the level of the harmonic excitation loading. This way, the excitation loading sequence can have a level low enough that the technique may be considered as applicable and effective for real structures. Further, it is concluded that the closest applied piezoelectric sensor to the flexural damage demonstrates higher overall sensitivity to structural damage in the entire frequency band for both damage states with respect to the other used sensors. However, the observed sensitivity of the other sensors becomes comparatively high in the peak values of the root mean square deviation index.

여성의 연령과월경 전후기 증상 정도 및 유형에 관한 연구 (The Serverith Leverls and Patterns of Perimenstrual symptoms among Korean Women in relation to their Ages)

  • 박영주
    • 여성건강간호학회지
    • /
    • 제5권2호
    • /
    • pp.162-175
    • /
    • 1999
  • The study was intended to investigate and explore the preimenstrual symptoms, their severity levels, their patterns and the relationships of the age to those symptoms and patterns among Korean women. The data were collected from 844 women in one highschool, one Nursing college and one Korea National Open University in Seoul, from Nov, 1997 to Jun. 1998. The instruments were the Menstrual Symptoms Questionnaire developed by Chesney and the Center for Epidemiologic studies Depression scale developed by Radloff. the data were analyzed by descriptive statistics, ANOVA, Duncan's multiple comparison test, $X^2$-test, simple regression analysis and logistic regression analysis using pc-SAS program. The results were as follows ; 1. Korean women had more symptoms of abdominal bloating, fatigue, abdominal discomfort and backache in perimenstrual period. There Teenages had more symptoms of depression and uterine cramps in the day before or the first day of menstruation. Women in their twenties had more symptoms of abdominal pain or abdominal discomfort, backache, abdominal bloating and the sensitiveness /discomforts in the lower back, abdomen and inner part of thighs. women in their thirties had more symptoms of abdominal bloating, fatigue, tension and nervousness before the menstruation, abdominal discomfort and backpain in the first day of menstruation. Women in their forties had more symptoms of backache, breast discomforts, abdominal pain and discomforts. 2. The severity levels of the perimenstrual symptoms showed the highest score(mean=2.73) in twenties and the lowest score)mean=1.96) in forties The perimenstrual symptom patterns were prevailed the spasmodic menstrual symptoms in teenage and twenties and the congestive menstrual symptoms in thirties and forties. The age was a determinant of perimenstrual symptom patterns and the precipitative equation was log[p(age)/(1-p(age)]=2.7356-0.0982 age. 3. The relationship of the age to perimenstrual symptoms was vanished or lessened, controlling for parity as a test factor. this finding supports the notion that parity is an extraneous variable.

  • PDF

다양한 시계열을 이용한 가뭄지표 산정 (Estimation on Drought Indicator Using Various Time Series)

  • 임경진;심명필;성기원;이현재
    • 한국수자원학회논문집
    • /
    • 제34권6호
    • /
    • pp.673-685
    • /
    • 2001
  • 본 연구에서는 수자원 계획 및 가뭄관리를 위해 비교적 넓은 지역에 활용할 수 있는 가뭄지표 산정을 위해 강우량, 일최고기온, 유출량, Palmer 지수 등의 다양한 계열의 자료를 이용하였다. 가뭄감시를 위해 가뭄단계를 가뭄주의보, 가뭄경보, 비상가뭄으로 구분하였으며, 각각 가뭄단계는 산정된 지수의 25%, 10%, 5%에 대한 비초과확률치로 정의하였다. 또한 가뭄지수들이 과거의 가뭄을 얼마나 잘 표현하고 있으며, 가뭄감시를 위한 가뭄지표로 활용할 수 있는가를 판단하기 위해 과거 가뭄을 재현하여 가뭄단계의 일치성과 상관관계를 분석하였다. 그 결과 9개월과 12개월 강우량지표와 PDSI 지표가 최대의 일치성과 상관관계를 나타내었다. 이렇게 산정된 결과는 다양한 계열의 실측치에 근거하고 있으며, 간단한 계산에 의해 산정 될 수 있기 때문에 유역의 가뭄감시시스템의 구축을 위한 기초자료로 활용될 수 있을 것으로 판단된다.

  • PDF

배독환발효방(排毒丸醱酵方)의 면역조절작용을 통한 항아토피 효능 (Effects of Baedokhwanbalhyobang (BDHBH) on Immune Modulation in Dermatitis Model of NC/Nga Mice)

  • 김선빈;김수명;김동희
    • 혜화의학회지
    • /
    • 제19권2호
    • /
    • pp.101-118
    • /
    • 2011
  • Herbal medicine has a high body absorption rate when it ferments. Biological and clinical research on the fermented herb gradually increases because it has effective materials for the treatment of a disease and it is a little bitter. In this study, we investigated the effect of fermented Baedokhwanbalhyobang (BDHBH) on attenuation of the development of atopic dermatitis in NC/Nga mice by evaluating the cytokine level in serum, the mRNA expression of cytokine and histological alteration of the skin, and the skin severity. We have come to the following conclusion. BDHBH led to a significant decrease in the skin severity score (63.1%) as compared to the control group. CD4+/CD45+, CD4+, B220+/CD23+, and CD11b+/Gr-1+cells of peripheral mononuclear cells (PBMCs) in the BDHBH-treated group were decreased to 6.7%, 31.1%, 22.4%, 36.6%, respectively. CD3+and CD11b+/Gr-1+immune cells in dorsal skin of the BDHBH-treated group were decreased to 52.9% and 28.0%. The levels of IL-5 and IL-13 in serum of the BDHBH-treated group were inhibited to 18.8% and 5.1%. The mRNA expressions of IL-5 and IL-13 in dorsal skin were also decreased to 30.6% and 27.8% after the treatment of BDHBH. BDHBH inhibited the proliferation and differentiation of eosinophils. In histological examination, BDHBH decreased the thickness of epidermis and dermis, and infilatration of mast cells as compared to the control group. These results indicate that BDHBH inhibits the pathogenic development of atopic dermatitis in NC/Nga mice. These results may indicate that BDHBH attenuates the development of atopic dermatitis-like lesions by lowering immune cells and inflammatory cytokine levels, and that it is valuable in drug development for the treatment of atopic dermatitis. Further experiments on the components of BDHBH will be needed to better understand the effect of a fermented herb as compared to a herb.

Relations of Platelet Indices with Endometrial Hyperplasia and Endometrial Cancer

  • Karateke, Atilla;Kaplanoglu, Mustafa;Baloglu, Ali
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권12호
    • /
    • pp.4905-4908
    • /
    • 2015
  • Background: Platelets are blood elements thought to play a role in the immune system and therefore tumor development and metastasis. Platelet activation parameters such as mean platelet volume (MPV), platelet distribution width (PDW), and plateletcrit (PCT) can be easily evaluated with the whole blood count and have been studied as markers of systemic inflammatory responses in various cancer types. Our aim in this study was to evaluate the correlation between endometrial pathologies and MPV, PDW and PCT. Materials and Methods: A total of 194 patients who presented to our clinic with abnormal vaginal bleeding were included in our study. The patients were divided into 3 groups (endometrial hyperplasia, endometrial cancer, control) according to their pathology results. The groups were compared for MPV, PDW, and PCT values obtained from the blood samples taken on endometrial biopsy day. Results: The endometrial cancer patients were the oldest group (p=0.04). There was no significant difference between the three groups in terms of white blood cell count (WBC), platelet count (PC), and hemoglobin (Hb) level. The highest MPV (p<0.001), PDW (p=0.002), and PCT (p<0.001) levels were in the endometrial cancer group, and the lowest levels were in the control group. Conclusions: The easy evaluation of platelet parameters in patients who are suspected of having endometrial pathology is a significant advantage. We found MPV, PDW, and PCT to be correlated with the severity of endometrial pathology with the highest values in endometrial cancer. Studies to be conducted together with different laboratory parameters will further help evaluate the diagnosis and severity of endometrial cancer and precursor lesions.

전남지방에 있어서 시비수준이 벼 품종별 백엽고병 감수성과 수량 및 미질에 미치는 영향 (Effects of Application Levels of Fertilizer on the Susceptibility to Bacterial Leaf Blight, Yield and Quality of Grains in Nineteen Rice Cultivars in Jeonnam Region)

  • 차광홍;김영신;김홍신;이돈길;김만수
    • 한국응용곤충학회지
    • /
    • 제21권4호
    • /
    • pp.216-221
    • /
    • 1982
  • 시험은 흰빛잎마름병의 품종별 감수성과 수량 및 품질에 미치는 영향을 구명코자 시비량을 보비재배와 다비재배로 구분하여 전남지역에서 수행 되었다. 흰빛잎마름병은 발생은 다비조건에서 심했으며 심한 발병은 수도 품종들의 등숙에 영향을 주어 수량 감수를 초래하였고 청미율은 품질을 저하 시켰다. 또한 조생계품종에서는 지엽과 차엽이 발병되었지만 중, 만생계품종에서는 지, 차, 삼엽이 발병되었다. 이러한 차이는 보비조건에서 보다 다비조건에서 더욱 뚜렷하였다. 이 병에 대한 저항성품종은 태백벼, 백운찰벼, 팔공벼, 밀양 42호이었고 밀양 30호, 금강벼, 낙동벼, 진주벼는 감수성이었으며 이러한 경향은 시비 수준간에 같은 경향이었다.

  • PDF

Calonectria ilicicola의 병원성과 배양적 특성간의 상호관계 (Relationship between Virulence and Cultural Characteristics in Calonectria ilicicola)

  • 김기덕
    • 한국균학회지
    • /
    • 제26권3호통권86호
    • /
    • pp.387-395
    • /
    • 1998
  • 여러가지 기주에서 유쾌한 Calonectria ilicicola 균주의 병원성에 대한 형태적, 유전적 표지를 검출하기 위하여 균사생장, 균핵, 자낭각 그리고 dsRNA를 조사하였다. 시험된 모든 균주에서 병원성, 균핵수, 자낭각수 와 균사생장 등의 다양한 변이가 관찰되었으나 dsRNA는 검출되지 않았다. 균의 병원성은 균핵과 자낭각 생산과 각각 정의 상관관계가 있었으나, 균사 생장은 자낭각의 생산과 부의 상관관계를 보여 주었다. 땅콩에서 유래한 균주보다 콩에서 유래한 균주가 기주인 콩에 더 강한 병원성을 보였으며 균핵과 자낭각의 생산도 더 많았다. 이와 같은 결과로 볼 때 C. ilicicla의 균핵과 자낭각 생산력은 inoculum potential의 구성요소로써 작용하며, 이중 균의 자낭각 생산력은 병원성과 기주 분화를 나타내는데 유용한 표지로써 이용될 수 있을 것이다.

  • PDF

Proline, Sugars, and Antioxidant Enzymes Respond to Drought Stress in the Leaves of Strawberry Plants

  • Sun, Cunhua;Li, Xuehua;Hu, Yulong;Zhao, Pingyi;Xu, Tian;Sun, Jian;Gao, Xiali
    • 원예과학기술지
    • /
    • 제33권5호
    • /
    • pp.625-632
    • /
    • 2015
  • Drought is a severe abiotic stress that affects global crop production. A drought model was created for 'Toyonoka' Fragaria ${\times}$ ananassa, and the effects of drought stress on contents of proline, sugars, and antioxidant enzyme activities were investigated. Strawberry transplants with identical growth were chosen for the experiments and the randomized design included four replications (10 plants per block). The experimental sets differed in the moisture level of the culture medium relative to the range of moisture content as follows: control, 70-85%; mild drought stress, 50-60%; moderate drought stress, 40-50%; and severe drought stress, 30-40%. Drought stress was imposed by limiting irrigation. Plants were sampled and physiological parameters w ere measured on 0, 2, 4, 6, 8, and 10 days after the commencement of droughts tress. The water potential of strawberry leaves decreased in the plants under mild, moderate, and severe stress during the course of the water stress treatment and exhibited a significant difference from the control. Strawberry leaves subjected to drought stress had higher accumulation of proline, sugars, and malondialdehyde, and higher activities of superoxide dismutase, peroxidase, and catalase than leaves of control plants. Malondialdehyde levels increased in parallel with the severity and duration of drought stress. By contrast, antioxidant enzyme activity displayed dynamic responses to drought stress, first increasing and subsequently decreasing as the severity and duration of drought stress increased. These results suggest that strawberry plants respond to drought stress by altering the activities of antioxidant enzymes and the levels of osmotically active metabolites. These biochemical response changes may confer adaptation to drought stress and improve the capacity of plants to withstand water-deficit conditions.