• 제목/요약/키워드: Follow-up program

검색결과 871건 처리시간 0.043초

Management of Precancerous Cervical Lesions in Iran: A Cost Minimizing Study

  • Nahvijou, Azin;Sari, Ali Akbari;Zendehdel, Kazem;Marnani, Ahmad Barati
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8209-8213
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    • 2014
  • Background: Cervical cancer is a common, preventable and manageable disease in women worldwide. Objectives: This study was conducted to determine the cost of follow-up for suspicious precancerous cervical lesions within a screening program using Pap smear or HPV DNA test through the decision tree. Materials and Methods: Patient follow-up processes were determined using standard guidelines and consultation with specialists to design a decision tree model. Costs of treatment in both public and private sectors were identified according to the national tariffs in 2010 and determined based on decision tree and provided services (visits to specialists, colposcopy, and conization) with two modalities: Pap smear and HPV DNA test. The number of patients and the mean cost of treatment in each sector were calculated. The prevalence of lesions and HPV were obtained from literature to estimate the cost of treatment for each woman in the population. Results: Follow-up costs were determined using seven processes for Pap smear and 11 processes for HPV DNA test. The total cost of using Pap smear and HPV DNA process for each woman in the population was 36.1$ and 174$ respectively. Conclusions: The follow-up process for patients with suspicious cervical lesions needs to be included in the existing screening program. HPV DNA test is currently more expensive than Pap smear, it is suggested that we manage precancerous cervical lesions with this latter test.

가정폭력 치료 프로그램 이수자 아내의 능동적 대처가 재폭력에 미치는 영향 : 아내의 문제해결과 도움요청의 조절효과를 중심으로 (Active Coping of Spouses of Domestic Violence Perpetrator who Completed Batterer Intervention Program and Recidivism: Study of Follow-up Evaluation for Domestic Violence Batterer Intervention Program)

  • 김재엽;정윤경;송아영
    • 사회복지연구
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    • 제42권4호
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    • pp.217-238
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    • 2011
  • 본 연구는 가정폭력가해자 프로그램 이수 후 가해자들의 재폭력에 피해 여성의 능동적 대처방식의 효과를 검증하기 위해 실시되었다. 본 연구의 자료는 2008년에서 2009년에 걸쳐 가정폭력 행위자 치료 프로그램 장기 효과 연구에서 수집되었다. 프로그램 이수 후 피해 여성을 3차에 걸쳐 추적 조사하였으며 본 연구에서는 1, 2차 시점의 데이터를 사용하였다. 표본의 수적 한계와 연구의 특성을 고려하여 PLS(Partial Least Square) 분석 방법을 사용하였다. 분석 결과 정서적 폭력의 경우 1차와 2차 각각 발생률이 77.6%, 41.3%로 나타났으며 신체 폭력의 경우 시점 각각 43.1%, 18.4%의 발생률을 보였다. 모형 분석 결과 남편의 정서적 재폭력에 대해서는 여성의 문제해결의 능동적 대처방식이 조절효과를 나타내었으며(p<.001), 신체 재폭력에 있어서는 문제해결이 아닌 도움요청이 조절효과를 보이는 것으로 나타났다(p<.01). 분석 결과를 바탕으로 가정폭력 재폭력에 대응하기 위한 실천적 함의를 도출하였다.

Gravitational-wave EM Counterpart Korean Observatory (GECKO): Network of Telescopes and Follow-up Result for S190425z

  • Paek, Gregory SungHak;Im, Myungshin
    • 천문학회보
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    • 제44권2호
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    • pp.76.2-76.2
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    • 2019
  • Recent observation of the neutron star merger event, GW170817, through both gravitational wave (GW) and electromagnetic wave (EM) observations opened a new way of exploring the universe, namely, multi-messenger astronomy (MMA). One of the keys to the success of MMA is a rapid identification of EM counterpart. We will introduce the strategy for prioritization of GW source host galaxy candidates. Our method relies on recent simulation results regarding plausible properties of GW source host galaxies and the low latency localization map from LIGO/Virgo. We will show the test results for both NS merger and BH merger events using previous events and describe observing strategy with our facilities for GW events during the ongoing LIGO/Virgo O3 run. Finally, we report the result of follow-up observation on, the first neutron star merger event, S190425z, during LIGO/VIrgo O3 run.

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초기청소년의 건강한 성을 위한 프로그램 개발 (The Development of a Healthy Sexuality Education Program for Early Adolescent)

  • 윤명선;김순옥
    • 대한가정학회지
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    • 제39권5호
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    • pp.107-121
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    • 2001
  • The purpose of this study was to develop a sexuality education program for early adolescents. The overall goals of the program were to not only increase knowledge and skirts, but also to improve the awareness of healthy sex in order to promote premarital abstinence, parent-teen communication and parental awareness of the importance of parental roles and responsibilities in prevention of sexual problems of the early adolescent. The program consisted of six sessions: puberty changes during adolescence, the meaning of sexuality, sexual drives in dating relationships, understanding of the risks associated with early sexual involvement and support for postponing sexual activities, managing and avoiding sexually risky situations, the importance of communications with parents about issues related to sexuality. The program evaluation had three steps: pre-test, immediate post-test and two month follow-up post test. The results showed that the program had a significantly positive effect on the improvement of adolescent's knowledge about sex, and attitudes and behaviors toward sex, particularly in the immediate post-test. At the two month follow-up assessment, the effect of the program still remained strong, though there was a sight and partial reduction which was not statistically significant. Most of the program participants expressed a high level of satisfaction with the program. Parental involvement appeared to be effective as well. Recommendations for further study include: to re-evaluate the curriculum for various other participants. In addition, further study which would compare post-test results of these participants with a comparison group of peers who did not receive the program would be valuable. The author believes that the program can be used in implementing specific subjects (sessions) in new settings, as well as implementing the entire package of the program.

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여자 청소년의 사회불안 감소를 위한 인지행동집단치료 프로그램의 개발과 효과 - 2년 추후연구 - (The Effects of a Cognitive-Behavioral Group Therapy Program for Social Anxiety in Female Adolescents)

  • 김정민
    • 가정과삶의질연구
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    • 제26권2호
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    • pp.13-24
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    • 2008
  • The aim of the present study was to develop a cognitive-behavioral group therapy program for social anxiety in Korean adolescents and to examine its efficacy through pre-, post- and 2-year follow-up tests. The program included cognitive restructuring, exposure training and social skills training. KSAS-A and SASC-R were administered to 588 1st grade middle-school female students to assess their social anxiety levels. On the basis of double criteria procedure(top 10% scores on both scales), 59 students were selected initially. Individuals currently receiving clinical treatment were excluded. Finally, 40 students were selected and randomly assigned to either a treatment group or a wait-list control group. The program consisted of 12 weekly sessions, approximately 1.5-2 hours in duration. Whereas pre- and post-tests were administered to both groups, follow-up tests were administered to the treatment group only. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) At post-test students in the treatment group showed a very significant reduction in social anxiety and fear of negative evaluation by others in comparison with those in the wait-list group. 2) At post-test students in the treatment group showed a significant reduction in negative automatic thoughts in comparison with those in the wait-list group. 3) At post-test students in the treatment group showed a significant improvement in overall social skills in comparison with those in the wait-list group. 4) At post-test students in the wait-list group showed a significant increase in both social anxiety and negative automatic thoughts in comparison with those in the treatment group. 5) At 3-month, 1-year and 2-year follow-ups, the program's effectiveness was maintained.

폐경관리를 위한 효능기대증진 프로그램 개발과 그 효과에 관한 연구 (Development of an Efficacy Expectation Promoting Program for the Management of Menopause and its Effect)

  • 송애리
    • 여성건강간호학회지
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    • 제4권3호
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    • pp.348-364
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    • 1998
  • The two objectives of this study were 1) to develop an efficacy expectation promoting program for the management of menopause based on the self-efficacy theory of Bandura(1977), and 2) to investigate the effects of the efficacy expectation promoting program for the management of menopause. The first phase was to development an efficacy expectation promoting program through video tape. A telephone coaching program served as a follow-up to the efficacy expectation promoting program which provided encouragement and support to the subjects. The second phase was the experimental stage. This experimentation was conducted to determine whether an efficacy expectation promoting program based on theory of Bandura would increase the self-efficacy and the management of menopause. Results : The video which we developed consisted of 2 parts. Part one discussed the symptoms and the management of menopause. Part two reflected the vicarious step-by-step success of middle-aged women's menopause management. The telephone coaching program served as a follow up to the efficacy expectation promoting program and provided encouragement and support to the subjects. The total length of the video is 50 minutes. The hypotheses stated in phase two were supported by following results : In the two experimental groups consisting of the natural and artificial menopause groups both demonstrated significant increase in their general and concrete self-efficacy scores. In the experimental groups, both the objective and subjective menopause management scores increased n the natural and artificial menopause experimental groups. In conclusion, it was found that an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and management of menopause.

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결혼초기 부부관계향상 프로그램의 효과검증 -PREP(Prevention and Relationship Enhancement Program)을 중심으로- (The Marital Relationship Enhancement Program and Its Effects for Couples in the Early Marriage Stage)

  • 유은희;김득성
    • 가정과삶의질연구
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    • 제23권1호
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    • pp.1-18
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    • 2005
  • The purpose of this study was to construct the Marital Relationship Enhancement Program based on PREP(Prevention and Relationship Enhancement Program), and to examine the effect of it for couples in the early marriage stage. To perform this program, six session of time-limited(two hour) were carried out experimental group. and subjects were assigned to experimental group(N=6 couples) and control group(N=6 couples). Scales of PREPARE II (PREmarital Personal And Relationship Evaluation), Couple Communication Scales and Commitment Scales were used as pre-post-follow instruments of this study. Major finding were as follows : 1. Marital Relationship Enhancement Program for couples in the early marriage stage has meaningful consequences for the improvement of participants' couple relationship. 2. Marital Relationship Enhancement Program had meaningful consequence for the improvement of participants' realistic expectation of marriage, communication and conflict resolution skills and leisure activities. These positive effects maintained at follow-up. However, it hadn't meaningful consequence for the improvement of participants' marital commitment. 3. Marital Relationship Enhancement Program had also meaningful consequence for the improvement of the wives' realistic expectation of marriage, communication and conflict resolution skills and leisure activities, of the husbands' communication and conflict resolution skills.

초등학생 Na 교육 효과에 관한 연구 - 사전, 사후, 추후 검증을 통한 교육효과 비교 - (The Effectiveness of Na Education Program in Elementary School - Six Month Follow-up Study -)

  • 이영미;박현내
    • 대한지역사회영양학회지
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    • 제15권5호
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    • pp.603-613
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    • 2010
  • Nutrition education in elementary school is confronted with the present problem, as a legal basis about obligation of nutrition education in school was clarified. Moreover, it's also important for providing evidence based scientific resources to make a study of evaluating the education effectiveness. Most studies of the nutrition education effectiveness have evaluated the changing dietary attitude and nutritional knowledge score before and after the nutrition education, and suggested the effectiveness of intervention as changing between pre- and post-treatment. Nutrition education, however, purposing long-term changes, follow-up evaluation process about the learned attitude and knowledge of nutrition education were requested. For these reasons, this study attempted to fulfilled standardized nutrition education program which use "Na Story and Food World" and "Na Story for Me", a textbook for the 1st-3rd grade and 4th-6th grade designed by KFDA, and analyzed the changes about the effectiveness of nutrition education happened over a period of time. In this study, each student was assessed their dietary attitude and nutritional knowledge by four periods, before the education, right after the education, after 3 months, and after 6 months. As a result, an average score of nutritional knowledge before the education, $70.08{\pm}17.91$, were changed significantly higher right after the education to $85.69{\pm}15.05$ (p < 0.001), but it lowered to $84{\pm}15.56$ after 3 month. After the nutrition education, students in all grades had positive dietary attitude to Na reduction (p < 0.001). However, the healthy eating attitude about Na reduction had been unable to maintain after 3 and 6 months. Therefore, the systematic reeducated program in elementary school was positively necessary to reinforce children's learning and cognitive skills to maintain healthy eating knowledge and attitude toward Na reduction.