The addition of RMT to chest physiotherapy after pulmonary resection can have positive effects on respiratory muscle strength, exercise capacity, and length of hospital stay.
[Purpose] Breast cancer-related upper extremity lymph edema is known to cause physical,
functional and psychological impairments in women after modified radical mastectomy. The
aim of this study was to investigate the effects of phase I Complex Decongestive
Physiotherapy (CDP) on physical functions and depression levels in women with breast
cancer-related upper extremity lymph edema. [Subjects and Methods] Fifty-eight subjects
with breast cancer-related upper extremity lymph edema were the subjects of this study.
The arm circumference, shoulder range of motion (ROM), muscle strength and depression
levels of the subjects were assessed before and after phase I CDP treatment. [Results]
After phase I CDP, there was a statistically significant reduction in circumference
measurements at all levels of the affected arm. There was not any statistically
significant difference in muscle strength after CDP. The shoulder ROM improved after
treatment. There was a significant reduction in the Beck Depression Inventory score. A
significant positive correlation was found between depression levels and circumference
measurement. [Conclusion] Based on the results we suggest that by reducing limb volume,
beside improving physical functions, phase I CDP can affect psychological status,
especially depression which is very common in women with breast cancer-related upper
extremity lymph edema.
In this work, an expert system has been designed for selecting suppliers in the supply chain management area. A supply chain management system has been designed and an expert system tool has been developed for supplier selection process. Although supply chain management might be established for almost any sector, the automotive sector has been selected for this research. One of the most crucial steps of supply chain management is to determine supplier selection criteria and weigh factors to use during this process. A questionnaire has been implemented in the region of Sakarya among 19 top managers of medium and large sized factories. According to the results obtained from this work an expert system is a suitable tool for selecting suppliers.
In this paper, two different control methods, namely sliding mode control and passive control, are investigated for the synchronization of two identical chaotic finance systems with different initial conditions. Based on the sliding mode control theory, a sliding surface is determined. A Lyapunov function is used to prove that the passive controller provides global asymptotic stability of the system. Numerical simulations validate the synchronization of chaotic finance systems with the proposed sliding mode and passive control methods. The synchronization performance of these two methods is compared and discussed.
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