• Title/Summary/Keyword: Treatment schedule

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The Effectiveness of School Based Short-Term Social Skills Training in Children with Attention-Deficit/Hyperactivity Disorder(ADHD) (ADHD 초등학생을 위한 학교 중심 사회성기술 훈련 프로그램의 효과에 대한 연구)

  • Paek, Myung-Jae;Ahn, Jung-Kwang;Lim, So-Yun;Kim, Yang-Ryul;Park, Min-Hyeon;Kim, Boong-Nyun;Cho, Soo-Churl;Shin, Min-Sup;Kim, Jae-Won;Kim, Hyo-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.2
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    • pp.82-89
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    • 2009
  • Objectives: Children with attention-deficit hyperactivity disorder(ADHD) often have difficulties in social behavior. The aim of this study was to evaluate the effectiveness of a short-term training program for improving social skills, self-perception and attention deficits. Methods: The subjects were nine children diagnosed with ADHD with(or without) other mental disorders using the Diagnostic Interview Schedule for Children(DISC-ADHD) module. Children were given eight sessions of a social skills training program. Parents of children simultaneously participated in their own training which was designed to support their children's generalization of skills. Assessments included child, parent and teacher ratings of social skills, self-perception and attention deficit at baseline and post-treatment. Results: Social skills training led to significant improvements in child-reported measures of self-esteem, in teacher reported measures of social skills, and in parent-reported measures of attention deficit. Conclusion: This study suggests that short-term social skills training programs for children with ADHD may improve their social skills, self-perception and attention deficits.

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Application of HPV DNA Testing in Follow-up after Loop Electrosurgical Excision Procedures in Northern Thailand

  • Khunamornpong, Surapan;Settakorn, Jongkolnee;Sukpan, Kornkanok;Kietpeerakool, Chumnan;Tantipalakorn, Charuwan;Suprasert, Prapaporn;Siriaunkgul, Sumalee
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.6093-6097
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    • 2015
  • Background: HPV DNA testing has been recently introduced as an adjunct test to cytology in the follow-up of patients after treatment for cervical lesions using the loop electrosurgical excision procedure (LEEP). The aim of this study was to evaluate the role of HPV testing in the detection of persistent or recurrent disease after LEEP in patients with cervical epithelial lesions in northern Thailand. Materials and Methods: Patients who underwent LEEP as a treatment for histological low-grade (LSIL) or high-grade squamous intraepithelial lesion (HSIL) or worse at Chiang Mai University Hospital between June 2010 and May 2012 were included. Follow-ups were scheduled at 6-month intervals and continued for 2 years using co-testing (liquid-based cytology and Hybrid Capture 2 [HC2]) at 6 months and 24 months and liquid-based cytology alone at 12 and 18 months. Results: Of 98 patients included, the histological diagnoses for LEEP included LSIL in 16 patients, and HSIL or worse in 82 patients. The LEEP margin status was negative in 84 patients (85.7%). At follow-up, 10 patients (10.2%) had persistent/recurrent lesions; 4 among LSIL patients (25.0%) and 6 in the group with HSIL or worse (7.3%). Only 2 of 82 patients (2.4%) with HSIL or worse diagnoses had histological HSIL in the persistent/recurrent lesions. Using histologically confirmed LSIL as the threshold for the detection of persistent/recurrent disease, cytology had a higher sensitivity than HC2 (90.0% versus 70.0%). At the 6-month follow-up appointment, combined cytology and HC2 (co-testing) had a higher sensitivity in predicting persistent/recurrent disease (80.0%) compared with that of cytology alone (70.0%) and HC2 (50.0%). Conclusions: After LEEP with a negative surgical margin, the rate of persistent/recurrent lesions is low. The addition of HPV testing at the 6-month visit to the usual cytology schedule may be an effective approach in the follow-up after LEEP.

Neoadjuvant intra-arterial chemotherapy combined with radiotherapy and surgery in patients with advanced maxillary sinus cancer

  • Kim, Won Taek;Nam, Jiho;Ki, Yong Kan;Lee, Ju Hye;Kim, Dong Hyun;Park, Dahl;Cho, Kyu Sup;Roh, Hwan Jung;Kim, Dong Won
    • Radiation Oncology Journal
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    • v.31 no.3
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    • pp.118-124
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    • 2013
  • Purpose: The optimal treatment of advanced maxillary sinus cancer has been challenging for several decades. Intra-arterial chemotherapy (IAC) for head and neck cancer has been controversial. We have analyzed the long-term outcome of neoadjuvant IAC followed by radiation therapy (RT) and surgery. Materials and Methods: Twenty-seven patients with advanced maxillary sinus cancer were treated between 1989 and 2002. Five-fluorouracil (5-FU, $500mg/m^2$) was infused intra-arterially, and followed by RT (total 50.4 Gy/28 fractions). A planned surgery was performed 3 to 4 weeks after completion of IAC and RT. Results: At a median follow-up of 77 months (range, 12 to 169 months), the 5-year rates of overall survival in all patients were 63%. The 5-year rates of overall survival of stage T3/T4 patients were 70.0% and 58.8%, respectively. Seven of fourteen patients with disease recurrence had a local recurrence alone. The 5-year actuarial local control rates in patients with stage T3/T4, and in all patients were 20.0%, 32.3%, and 27.4%, respectively. Overall response rate after the completion of IAC and RT was 70.3%. During the follow-up, seven patients (25.9%) showed mild to moderate late complications. The tumor extent (i.e., the involvement of either orbit and/or base of skull) appeared to be related with local recurrence. Conclusion: Neoadjuvant IAC with 5-FU followed by RT and surgery may be effective to improve local tumor control in the patients with advanced maxillary sinus cancer. However, local failure was still the major cause of death. Further investigations are required to determine the optimal treatment schedule, radiotherapy techniques and chemotherapy regimens.

The Present Situation, its Controversial Points and its counterplans of Korean Students who are Studing Chinese Medicine in China (중국(中國)의 중의약대학(中醫藥大學) 한국유학생(韓國留學生) 현황(現況), 문제점(問題點) 및 대책(對策))

  • Lee, Seon-Dong;Mun, Yong
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.126-142
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    • 1997
  • For last four or five years, the number of Korean students have gone on increasing awfully. After the year 1997 when they will flow in, our field and government will be undergone a big shock and social problems. Therefore, thorough grasping and the method of provision is expeced to need. 1. The situation, According to the data published from the year 1993 to 1997, their results are great different. But recent Korean embassy in China examined the situation of the Korean students, whose result was investigated as follows: about 1500 persons, their average age is 24 to 44, the ratio of male and female students is 3 to 1, that of their academic background which is a graduate of university : that of college : that of highschool is 1.6 : 1 : 4.7, and that of their class attitude which is direct : common : indirect appears the percents 30.4 : 52.8 : 16.8. 2. The controversial points (1) A lowering of standards on Chinese medical treatment is expected by the imprudent studying abroad without qualification. And because of excessive production of herb doctors, the amount of treatment may be above people's demand. Besides owing to the impossibility of prediction on the number the counterplans of our government may fall into utler confusion. (2) The curriculum, the teaching schedule and contents are so different that the graduates seem not to be given real education of chinese medicine from the point of Korean view. (3) In the wrong national examination, the important thought of china, and the system of WTO in Korea, when China will become mighty rival above problems contain the negative sides. 3. The counterplans - what should be performed soon. (1) Illegal contents about studying abroadl in China ought to inform sidely that students might not go on increasing. Before they form nam-power, the government and the field of chinese medicine should cope with such a situation together. (2) The law of regulation about agents should be legislated and they should be surpervised. (3) The exact numbers of students, their situation, and the present condition of each university should be examined. (4) After investigating the problems of the present system of national test, its enforcement and many counterplans is requisite. (5) The cooperating confrontation with the conference of dentistry is in need. (6) Since the problems are possibility to be developed to diplomatic questions, the effort of both nations is needful. - what need middle of long time. (1) The effort that suppress the more establishment of the college of oriental medicine is necessary. (2) After comparing with the system of foreign test, the government should make the system of test in accord with the mutualism and the principle of indiscrimination among nations and cope with such a many issues thoroughly.

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Study of Information Education for Visually Handicapped People at the Social Welfare Facilities (사회복지 시설에서의 시각장애인의 정보화 교육에 관한 연구)

  • An, Yong-Hwan;Kim, Chang-Suk
    • Journal of the Korean Institute of Intelligent Systems
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    • v.16 no.2
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    • pp.150-155
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    • 2006
  • This study observes information education of facilities for the disabled. A certain facility for the disabled was selected in Daejeon to compare the educational environment for visually disabled of regular school for visually disabled and facilities for the disabled, and then personnel current situation by age and form of the disabled, teacher current situation by age, computer possessing current situation, weekly education schedule for the disabled, and equipment possessing current situation for visually disabled were observed. As a result, expansion of Braille education was necessary for the Braille skilled, which is the basis of information education information to visually disabled is insufficient, and forming of learning environment was desperate since equipment necessary for computer education was absurdly lacking unlike regular schools. Also, only 10 out of 21 teachers(47%) majored in social welfare or special education, and none majored in computer. It is because support for employment of those who majored social welfare, special education, and computer is insufficient compared to treatment for teachers at general schools at the facility for the disabled since teacher employment regulation at the facility for the disabled is not set. It is studied that providing high-quality of education environment to the disabled was desperate through physical and social treatment that suits nurturing of the professionally knowledge personnel through expansion of equipments and constant education and training based on government support to promote information education of the facility for the disabled.

Development and clinical application of Korean-version nonword intervention to improve speech motor programming (말운동프로그램 향상을 위한 한국어 비단어 중재접근법의 확립 및 임상 적용)

  • Oh, Da-Hee;Ha, Ji-Wan
    • Phonetics and Speech Sciences
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    • v.13 no.2
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    • pp.77-90
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    • 2021
  • This study is to develop a Korean version of nonword intervention by modifying and supplementing a Rapid syllable transition treatment (ReST) and to determine its effect by applying it to children with CAS. Ultimately, the purpose of this study is to investigate whether nonword interventions are effective for nonword production ability and generalization of real words. Single-subject research using the ABA design was performed for a child aged five years and six months with diagnostic features of CAS. The nonwords used in the interventions were made suitable for the individual child. The intervention was provided in one-hour sessions, twice a week for six weeks. In all cases, performance of the treated three-syllable nonwords improved, and untreated three-syllable words, four-syllable words, and nonwords showed a generalization effect. However, the generalization of treatment effects to words was smaller than for nonwords. The nonword intervention was effective in improving the subject's speech motor programming skills. As a result, transition errors due to impaired speech motor programming were greatly reduced, and the ability to produce untreated nonwords was greatly increased. However, there was a limit to the full improvement of strongly habitable word errors, which would be expected if a more intensive and repetitive intervention schedule was provided.

Parents' Perceptions of Cognitive Rehabilitation for Children With Developmental Disabilities: A Mixed-Method Approach of Phenomenological Methodology and Word Cloud Analysis (발달장애 아동 부모의 인지재활 경험에 대한 질적 연구: 워드 클라우드 분석과 현상학적 연구 방법 혼합설계)

  • Ju, Yu-Mi;Kim, Young-Geun;Lee, Hee-Ryoung;Hong, Seung-Pyo;Han, Dae-Sung
    • Therapeutic Science for Rehabilitation
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    • v.13 no.1
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    • pp.49-63
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    • 2024
  • Objective : The purpose of this study was to investigate parental perspectives on cognitive rehabilitation using a combination of phenomenological research methodology and word cloud analysis. Methods : Interviews were conducted with five parents of children with developmental disabilities. Word cloud analysis was conducted using Python, and five researchers analyzed the meaning units and themes using phenomenological methods. Words with high frequency were considered as a heuristic tool. Results : A total of 43 meaning units and nine components related to the phenomenon of cognitive rehabilitation were derived, and three themes were finalized. The main themes encompassed the definition of cognitive rehabilitation, challenges associated with cognitive rehabilitation, and factors influencing the selection of a cognitive rehabilitation institute. Cognitive rehabilitation emerged as a treatment focused on improving learning, daily functioning, and cognitive abilities in children with developmental disabilities. The perceived issues with cognitive rehabilitation pertained to treatment methods, therapist expertise, and associated costs. In addition, parents highlighted the importance of therapist expertise, humane personality, and affordability of cost and schedule when choosing a cognitive rehabilitation institute. Conclusion : Parents expressed expectations for substantial improvements in their children's daily functioning through cognitive rehabilitation. However, challenges were identified in clinical practices. Going forward, we expect that cognitive rehabilitation will evolve into a better therapeutic support service addressing the concerns raised by parents.

Effect of Microbial Agent on Control of Tomato Gray mold and Powdery mildew (미생물제 처리에 의한 토마토의 잿빛곰팡이병과 흰가루병의 방제효과)

  • Kim, Tack-Soo;Ko, Min-Jung;Lee, Se-Weon;Han, Ji Hee;Park, Kyungseok;Park, Jin-Woo
    • The Korean Journal of Pesticide Science
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    • v.16 no.4
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    • pp.364-368
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    • 2012
  • In vivo experiments were carried out to investigate the effect of microbial agents on tomato disease occurrences in a sustainable tomato farm in Gong-ju, Chung-nam during 2 years (2010-2011). Two kind of commercial microbial agents (EXTN-1 and Cillus suspension concentrate) and 2 kind of microbial agents (Bacillus subtilis strain 'B4' and 'B17') developing by National academy of agricultural science were used in this study. In the 1st experimental year, the microbial agents were sprayed on leaves for 2-4 times at 1-2 weeks interval from 3 weeks after transplanting, and then disease occurrence were observed. As a result, the control efficacies of commercial EXTN-1 and Cillus suspension concentrate (SC) against gray mold were 59.6% and 50.5% in the treatment of 4 times foliar application at 1 week interval from 3 weeks after transplanting, and the control efficacy of commercial EXTN-1 SC against gray mold was 55.4% in the treatment of 3 times foliar application at 1 week interval from 4 weeks after transplanting. However, the control efficacies of EXTN-1 and Cillus SC were not enough for tomato crop protection against powdery mildew. In the 2nd experimental year, the microbial agents were treated following by the planned combination schedule of transplanting stage drip-watering, early stage root irrigation and early blooming stage foliar application. The control efficacies of EXTN-1 SC and B17 treatment following by transplanting stage drip-watering, 2 times root irrigation at 2 weeks interval root irrigation and 4 times foliar application at 1 weeks interval for gray mold management were 57.0 and 55.1%, respectively. In the case of same treatment for gray mold management mentioned at above, the control efficacies of EXTN-1 SC, B4 and B17 treatment for powdery mildew management were 50.5, 51.3 and 52.5%, respectively.

Postoperative Radiotherapy for Low Grade Glioma of the Brain (뇌 신경교종의 수술 후 방사선치료)

  • Chun, Ha-Chung;Lee, Myung-Za
    • Radiation Oncology Journal
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    • v.18 no.2
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    • pp.79-84
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    • 2000
  • Purpose : To evaluate the effectiveness and tolerance of postoperative e지ernai beam radiotherapy for patients with low grade glioma of the brain and define the optimal radiotherapeutic regimen. Materials and Methods : Between June, 1985 and May, 1998, 72 patients with low grade gliomas were treated with postoperative radiotherapy immediately following surgery. Median age was 37 years with range of 11 to 76 years. Forty one patients were male and 31 patients were female with male to female ratio of 1.3:1. Of those patients, 15 underwent biopsy alone and remaining 57 did subtotal resection. The distribution of the patients according to histologic type was as follows: astrocytomas-42 patients (58$\%$), mixed oligodendrogliomas-19 patients (27$\%$), oiigodendrogliomas-11 patients (15$\%$). Two patients were treated with whole brain irradiation followed by cone down boost and remaining 70 patients were treated with localized field with appropriate margin. Ail of the patients were treated with conventional once a day fractionation. Most of patients received total tumor dose of 5000 $\~$ 5500 cGy. Results : The overall 5 and 7 year survival rates for entire group of 72 patients were 61$\~$ and 50$\~$. Corresponding disease free survival rates for entire patients were 53$\~$ and 45$\~$, respectively. The 5 and 7 year overall survival rates for astrocytomas, mixed oligodendrogiiomas, and oligodendrogiiorras were 48$\%$ and 45$\%$, 76$\%$ and 56$\%$, and 80$\%$ and 52$\%$, respectively. Patients who underwent subtotal resection showed better survival rates than those who did biopsy alone. The overall 5 year survival rates for sub total resection patients and biopsy alone patients were 57$\%$ and 43$\%$, respectively. Forty six patients who were 40 years or younger survived batter than 26 patients who were 41 years or older (overall survival rate at 5 years, 69$\%$ vs 45$\%$). Although one patient was not able to complete the treatment because of neurological deterioration, there was no significant treatment related acute toxicities. Conclusion : Postoperative radiotherapy was safe and effective treatment for patients with low grade gliomas. However, we probably need prospective randomized trial to define optimal treatment timing and schedule for low grade gliomas and select patient group for different treatment philosophies.

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Treatment of Malodorous Waste Air Containing Ammonia Using Hybrid System Composed of Photocatalytic Reactor and Biofilter (암모니아 함유 악취폐가스의 광촉매반응공정과 바이오필터로 구성된 하이브리드시스템 처리)

  • Lee, Eun Ju;Lim, Kwang-Hee
    • Korean Chemical Engineering Research
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    • v.51 no.2
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    • pp.272-278
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    • 2013
  • The hybrid system composed of a photocatalytic reactor and a biofilter was operated under various operating conditions in order to treat malodorous waste air containing ammonia which is a major air pollutant emitted from composting factories and many publicly owned treatment works. Total ammonia removal efficiency of the hybrid system was maintained to be ca. 80% even though its inlet loads were increased at a higher operating stage according to an operating schedule of the hybrid system. The ammonia removal efficiency of photocatalytic reactor was decreased from 65% to 22% as ammonia inlet loads to photocatalytic reactor were increased. In spite of same inlet loads of ammonia to the photocatalytic reactor, the ammonia removal efficiency of photocatalytic reactor with lower ammonia concentration of fed-waste air was higher than that with higher ammonia concentration of fed-waste air. To the contrary, during the first half of the hybrid system operation the ammonia removal efficiency of a biofilter was quite suppressed while, despite of increased ammonia inlet loads, the ammonia removal efficiency of the biofilter was continuously increased to 78% and reached the ammonia removal efficiency similar to what Lee et al. attained. The maximum ammonia elimination capacity of the photocatalytic reactor was observed to be ca. 16 g-N/$m^3$/h. In an incipient stage of hybrid system run, the ammonia elimination capacity of the biofilter showed little sensitivity against ammonia inlet loads to the hybrid system. However, in the 2nd half of its run, the ammonia elimination capacity of the biofilter was increased abruptly in case of high ammonia inlet loads to the hybrid system. In 6th stage of hybrid system run, total ammonia inlet load attained at ca. 80 g-N/$m^3$/h corresponding to 16 g-N/$m^3$/h of ammonia elimination capacity of the photocatalytic reactor. Then, the remaining ammonia inlet load to the 2nd and main process of the biofilter and its elimination capacity was expected and shown to be ca 64 g-N/$m^3$/h and ca 48 g-N/$m^3$/h, respectively. The ammonia elimination capacity of the biofilter was close to 1,200 g-N/$m^3$/day of the maximum elimination capacity of the investigation performed by Kim et al.