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Fukumi Hiragami,Shogo Hiragami,Yu Inoue 대한재활의학회 2019 Annals of Rehabilitation Medicine Vol.43 No.5
Objective To evaluate the effectiveness of family-engaged multidimensional team planning and management for patients with severe stroke and low functional status and to identify factors predictive of improved outcome at 1 month after admission. Methods We retrospectively evaluated 50 patients who underwent family-engaged multidimensional rehabilitation for recovery from severe stroke due to primary unilateral cerebral lesions. The rehabilitation consisted of three phases: comprehensive multidimensional assessment, intensive rehabilitation, and evaluation. Functional Independence Measure (FIM) scores were calculated and used to predict the patients’ status at discharge. Results Although all FIM scores significantly improved after 1 month of rehabilitation, the motor FIM (mFIM) score improved the most (from 20.5±1.0 to 32.6±2.0). The total FIM (tFIM) and mFIM scores continued to improve from the first month to discharge (mean mFIM efficiency, 0.33). The high-efficiency patient group (mFIM efficiency ≥0.19) had a significantly higher discharge-to-home rate (44% vs. 13%), lower frequency of hemispatial neglect, and more severe finger numbness than the low-efficiency patient group (mFIM efficiency <0.19). The regression analyses revealed that besides lower mFIM and cognitive FIM scores at admission, unilateral spatial neglect, systemic comorbidities, and age were predictive of worse 1-month outcomes and tFIM scores (conformity, R2=0.78; predictive power, Akaike information criterion value=202). Conclusion Family-engaged multidimensional team planning and management are useful for patients with severe stroke and low functional status. Furthermore, FIM scores at admission, age, unilateral spatial neglect, and systemic comorbidities should be considered by rehabilitation teams when advising caregivers on the probability of favorable outcomes after rehabilitation.
Improving the Robustness of Lips Sensing with Evolutionary Video Processing
Takuya Akashi,Yuji Wakasa,Kanya Tanaka,Minoru Fukumi 대한전자공학회 2008 ITC-CSCC :International Technical Conference on Ci Vol.2008 No.7
In this paper, an effective method is proposed for robust lips sensing. Our objectives are high-speed lips tr acking and data acquisition of a talking person in natural scenes. Our approach is based on the Evolutionary Video Processing. This method has a trade-off between accuracy and a processing time. To solve this problem, we proposed automatic Search Domain Control method and implement this method in the Evolutionary Video Processing. The tracking accuracy is improved from 66.3% to 84.9%. The proposed method can recover from occlusion and tracking loss. Comparative experiments are presented to demonstrate the effectiveness and robustness of the proposed method.
Characterization of an Intense Laser-Produced Preformed Plasma for Proton Generation
A Sagisaka,A. Noda,A. Fukumi,A. Yogo,A. S. Pirozhkov,H. Daido,K. Nemoto,K. Ogura,M. Nishiuchi,M. Mori,M. Kado,S. Orimo,S. Nakamura,T. Nayuki,T. Shirai,T. Fujii,Y. Oishi,Y. Hayashi,Y. Iwashita,Z. Li 한국물리학회 2007 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.51 No.I
High-energy protons are generated with a 3-μm-thick tantalum target irradiated with a highintensity laser under the preformed plasma condition. We observe the electron density distributions of preformed plasmas with two-color probe beams as interferometers. The preformed plasma at the front side of the target is generated by pre-pulses of a high-intensity Ti:sapphire laser. In this preformed plasma condition, the maximum proton enegy is 900 keV. The half angle of the generated proton beam (>500 keV) is about 10.