• Title/Summary/Keyword: Treatment program

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Effects of an Infection Prevention Education Program in Infant and Child for Married Immigrant Vietnamese Women (영·유아 자녀를 둔 베트남 결혼이주여성을 위한 감염예방교육 프로그램의 효과)

  • Seo, Ji-Young;Kim, Eun Young
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.422-431
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    • 2013
  • Purpose: This study was conducted to examine the impact of infection prevention program on the knowledge and performance among married Vietnamese immigrant women an infant or child. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 53 Vietnamese women with an infant or a child in G city. The treatment (n=25) received an infection prevention program series that included eight sessions over a four week period with four time through telephone interviews a weekly intervals. Data were collected between October 26 and December 14, 2012, and were analyzed Chi-square, t-test, and repeated measure analysis of variance with SPSS/WIN 18.0. Results: The treatment group reported significantly higher scores in infection prevention knowledge (F=43.98, p<.001) and infection prevention performance (F=92.61, p<.001) at four and eight weeks following the treatment as compared to the control group. Conclusion: Results suggest that an infection prevention program is beneficial in increasing knowledge and performance to prevent infection.

Detection of Recurrence in a Surveillance Program for Epithelial Ovarian Cancer

  • Suprasert, Prapaporn;Chalapati, Wadwilai
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7193-7196
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    • 2013
  • Ovarian cancer patients need a surveillance program for the detection of tumor progression after completion of treatment. The methods generally consist of history taking, physical examination, tumor marker monitoring and imaging. However, the details of recurrence detection with each method are not well defined. To clarify this issue, ovarian cancer patients who achieved complete or partial responses and developed tumor progression at the follow up time between January 2004 and December 2010 in University Hospital Chiang Mai, Thailand, were reviewed. Clinical data, CA 125 level and imaging results at the tumor progression time were recorded and analyzed. There were 144 ovarian cancer patients meeting the inclusion criteria with the mean age of 51 years and 62.5% of them were in an advanced stage. Complete response was achieved in 89 patients (61.8%) after primary treatment. The median progression free survival and overall survival were 15.5 months and 37.5 months, respectively. Abnormal symptoms presented in 49.3% of the studied patients and 59.7% developed physical examination abnormalities. In addition, CA 125 was elevated in 89.6% while in 74.3% of tumor progression was identified by CT-scan. Short treatment time period and a high level of CA 125 were significant independent prognostic factors in these patients. In conclusion, careful history taking, physical examination and monitoring of CA 125 levels are important methods for tumor progression detection in a surveillance program for epithelial ovarian cancer patients.

Customized spacers in provisional treatment of temporomandibular joint ankylosis: a case report

  • Caio Augusto Munuera Ueti;Felipe Burigo Daniel Dos Santos;Murillo Chiarelli;Luiza Brum Porto;Matheus Brum Marques Bianchi Savi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.50 no.3
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    • pp.166-169
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    • 2024
  • Ankylosis of the temporomandibular joint (TMJ) is a condition in which the mandibular condyle fuses with the mandibular fossa through fibrous or bone tissue. It is a debilitating pathology that interferes with chewing, speaking, and oral hygiene. Currently, alloplastic reconstruction is considered the gold standard for treating severely compromised TMJs, such as in ankylosis. The article describes a patient with a history of facial trauma, with bilateral ankylosis of the TMJs, inability to open his mouth, and poor dental condition. Due to a long period of immobilization of approximately 40 years, the initial treatment plan was to remove the ankylosis bilaterally and install customized PMMA (polymethylmethacrylate) spacers. The patient gained mouth opening and improved chewing quality with one year of customized spacer use prior to definitive alloplastic replacement with stock-type TMJ prostheses. Customized joint spacers are a provisional treatment option when definitive alloplastic reconstruction is not indicated. Spacers provide the patient with progressive jaw function and mobility gains.

Health-Care Providers' Perspectives towards Childhood Cancer Treatment in Kenya

  • Njuguna, F;Burgt, RHM van der;Seijffert, A;Musimbi, J;Langat, S;Skiles, J;Sitaresmi, MN;Ven, PM van de;Kaspers, GJL;Mostert, S
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4445-4450
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    • 2016
  • Background: This study explored perspectives of health-care providers on childhood cancer treatment in Kenya. Materials and Methods: A self-administered questionnaire was completed by 104 health-care providers in January and February 2013. Results: Seventy six percent of the health-care providers believed cancer to be curable. More doctors than other health-care providers had this positive opinion (p=0.037). The majority of health-care providers (92%) believed that most children with cancer will not be able to finish their treatment due to financial difficulties. They considered that prosperous highly-educated parents adhere better with treatment (88%) and that doctors adhere better with treatment for prosperous highly-educated parents (79%). According to 74% of health-care providers, quality of care is better for prosperous highly-educated parents (74%). Most health-care providers reported giving more explanation (71%), work with greater accuracy (70%) and use less difficult vocabulary (55%) to prosperous more educated families. Only 34% of health-care providers reported they feel more empathy towards patients from prosperous families. Reasons for non-adherence with the protocol according to health-care providers are: family refuses drugs (85%), inadequate supply of drugs at pharmacy (79%), child looks ill (75%), and financial difficulties of parents (69%). Conclusions: Health-care providers' health beliefs and attitudes differ for patients with families having high versus low socio-economic backgrounds.

The Effects of Cognitive-Behavioral Group Counseling Program for Depression and Aggressiveness in Adolescents with Delinquent Propensity (비행성향 청소년의 우울 및 공격성 감소를 위한 인지행동집단상담 프로그램 개발과 효과)

  • Kim, Jung-Min;Park, Jun-Hee;Han, Kyung-Eun
    • Journal of Families and Better Life
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    • v.25 no.4
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    • pp.31-41
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    • 2007
  • This study aimed to develop a cognitive-behavioral group counseling program for depression and aggressiveness in adolescents with delinquent propensity and to examine its efficacy through pre- and post-tests. The program included cognitive restructuring, exposure training, social skills training and relaxation training. Juvenile Delinquency Scale, BDI, K-YSR, and BDHI were administered to 520 3rd grade middle-school female students to assess their levels of delinquency, depression and aggressiveness. Initially 41 students who met all the following criteria were selected: 1) top 15% scores on Juvenile Delinquency Scale, 2) top 30% scores on BDI, K-YSR and BDHI respectively. Individuals currently receiving clinical treatment were excluded. Finally 39 students were selected and randomly assigned to either a treatment group(n=20) or a control group(n=19). Then the students in the treatment group were divided into 4 subgroups. The program consisted of 12 weekly sessions, approximately $1.5{\sim}2$ hours in duration. Pre- and post-tests administered to both groups included Juvenile Delinquency Scale, BDI, K-YSR, BDHI, and CLAB. Additionally, MESSY for teachers was added at pre- and post-tests. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) The students in the treatment group showed a significant reduction in the level of depression and aggressiveness in comparison with those in the control group. 2) Teachers reported a significant reduction in internalizing/externalizing behaviors of the students in the treatment group.

The Effect of Short-Term Intensive Sensory Integration Therapy Program on a Child with Sensory Modulation Disorder(Mixed Pattern) : Case Study (혼합형 감각조절장애 아동에 대한 단기집중 감각통합치료 프로그램의 효과-사례보고)

  • Kim, Eun-Young;Ji, Seok-Yeon
    • The Journal of Korean Academy of Sensory Integration
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    • v.4 no.1
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    • pp.37-46
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    • 2006
  • Objective : This single-subject study explored the effect of short-term intensive sensory integration therapy program which was provided in a 2006 sensory integration treatment course on adaptive response of a four-year-girl with sensory modulation disorder(mixed pattern). Method : Based on results of the assessment to the child, her therapist offers an organized sensory integration program during four days. Results : Improvement of child's movement quality and variety in physical environment in therapy rooms and interaction with her therapist were observed. Conclusions : This report of the case will be helpful for occupational therapists who plan to intervent with a short-term intensive sensory integration therapy program. In addition, the need for consideration of consultation with the child's parents is discussed.

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Changes in the Gross Motor Function, Self-esteem and Social Ability of Children with Spastic diplegia from Group Exercise : Case Study (그룹운동프로그램에 의한 뇌성마비 아동의 대동작 기능, 자아존중감 및 사회성의 변화 : 사례연구)

  • Lee, Eun-Jung;Song, Ju-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.4
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    • pp.645-654
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    • 2010
  • Purpose : The purpose of this study was to investigate changes in the gross motor function, self-esteem and social ability of children with cerebral palsy from group exercise program for physical and emotional interaction. Methods : Five cerebral palsy children who live in U city were recruited this study. Exercise sessions were held for 1 hour per session, once per week, for 12 consecutive weeks. At pre-treatment and post-treatment, subject were tested gross motor function measure, self-esteem and social ability. Results : After 12 weeks of paticipation in the group exercise program for physical and emotional interaction, there were improvements for gross motor function measure, self-esteem and social ability. Conclusion : Group exercise program for physical and emotional interaction can improve gross motor function, self-esteem and social ability.

Differences in The Effects of Core Nursing Skills Education According to the Use of Peer-Assisted Learning (PAL) Among Nursing Students

  • Lee, Mi-Young;Kim, Bo-Yeoul
    • International Journal of Contents
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    • v.15 no.3
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    • pp.39-46
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    • 2019
  • This study aimed to develop a peer-assisted learning (PAL) program for use in a core nursing skills education course and to investigate the effects of the education program on three key outcomes. A comparative study was conducted through the division of students of a core nursing skills education program into a treatment group and control group. After the programs, self-efficacy, confidence and satisfaction were compared between the groups. The comparison of these three factors indicated that the related scores were significantly higher in the treatment group receiving the education program with the PAL method than those of the control group receiving traditional education. We concluded that self-efficacy gave the nursing students the confidence that they could successfully perform their tasks and motivation to learn. Education programs using the PAL method are suggested as an effective method for the acquisition of skills among nursing students.

Cost-Benefit Analysis of Back School Program for Occupational Low Back Pain Patients (직업성 요통환자에서 재활 프로그램(Back School Program) 도입의 비용-편익분석)

  • Ju, Yeong-Su;Ha, Mi-Na;Han, Sang-Hwan;Kwon, Ho-Jang;Cho, Soo-Hun;Kim, Chang-Yup;Kim, Sun-Min
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.347-357
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    • 1996
  • Although occupational low back pain accounts for $20\sim40%$ of all occupational illness and injury, there are limited numbers of studies regarding the effectiveness of back school program. The objective of this study was to evaluate the economic benefit of back school program for early return to work of occupational low back pain patients in the current occupational injury compensation and management system. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. The total cost was estimated by calculating the value of components in back school program according to governmental budget protocol. The back school program was consisted of three major approaches, pain center, work-hardening program and funcional restoration program and each of components had various facilities and experts. The total amount of cost was estimated as 250,866,220 won per year. The most promising type of back school program were quite intensive (a 3 to 5-week stay in a specialized center), therefore, if we adopted the 5-week stay course, 10 courses could be held in a year. Following to the medical act, 20 patients per doctor could participate in a each course, ie, total 200 patients in a year. As a result, we could estimate the cost of 1,254,331 won a patient. We estimated the benefit by using data of a few local labor offices about average medical treatment beneficiary and off-duty beneficiary of 46 occupational low back pain patients in 1994. Ullman and Larsson (1977) mentioned that the group of chronic low back pain patients who participated in back school program needed less time to recover by 48.4% of beneficiary duration. And in the trying to estimate the benefit, we asked 10 rehabilitation board certificate doctors about reduction proportion of treatment cost by introducing back school program. The answered reduction proportions were in the range of $30\sim45%$, average 39%. As a final result, we could see that the introduction of back school program in treatment of chronic occupational low back pain patients could produce the benefit to cost ratio as 3.90 and 6.28. And we could conclude that the introduction of back school program was beneficial to current occupational injury compensation and management system.

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