• 제목/요약/키워드: Comprehensive treatment model

검색결과 66건 처리시간 0.028초

임상가를 위한 특집 3 - 우식위험도 평가에 근거한 치아우식증 관리의 임상적용 사례 및 활성화 방안 (The clinical application of dental caries management based on caries risk assessment and activation strategies)

  • 윤홍철;최연희
    • 대한치과의사협회지
    • /
    • 제52권8호
    • /
    • pp.472-477
    • /
    • 2014
  • The new paradigm of dentistry require the detection of caries in their earlier stages. To achieve this, a high technology detection device and systematic and organized caries management system are needed. Caries management by risk assessment (CAMBRA) model is representative caries management system that satisfied new paradigm. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Therefore, individual caries management such as CAMBRA should be performed through accurate assessment of caries disease indicators and comprehensive assessment of caries risk factors and protective factors. Based on the CAMBRA better effectiveness of comprehensive dental caries management including non-surgical treatment will be accomplished.

일개대학 National Competency Standard (NCS) 교과목 운영에 관한 연구: 예방치학 및 실습 교과목 중심으로 (Development and implementation of national competency standard: based on preventive dentistry and practice)

  • 조민정;홍남희;하명옥
    • 한국치위생학회지
    • /
    • 제15권5호
    • /
    • pp.907-915
    • /
    • 2015
  • Objective: The purpose of the study is to investigate the curriculum development and operation based on national competency standard (NCS). Methods: The duty of the dental hygienist was analyzed based on DACUM by ten experts in January, 2011. The duty model of the dental hygienist was inspected after duty analysis. The subjects of choice were preventive dentistry and practice. The satisfaction with the subjects were carried out from March to June, 2015. Results: The duty analysis of dental hygienist by DACUM produced preventive dental treatment(11 tasks), oral health education(3 tasks), comprehensive dental hygiene treatment(6 tasks) and 12 categories(156 tasks). Preventive dental treatment was divided into preventive dentistry and practice, oral health education was changed into oral health education and practice, and comprehensive dental hygiene treatment was replace by comprehensive dental hygiene and practice. The contents of preventive dentistry and practice included outline, learning objective, related knowledge and self evaluation. Professional evaluation required mutual experience and evaluation of the students. The mutual evaluation of the students was $4.61{\pm}0.506$(dental plaque control) and $1.80{\pm}0.316$(tooth brushing). The professional evaluation was $1.73{\pm}0.274$(dental plaque control) and $1.60{\pm}0.322$(tooth brushing)(p<0.01). The satisfaction with preventive dentistry and practice was $4.61{\pm}0.506$(improvement in practical work ability), $4.58{\pm}0.511$(knowledge improvement) and $4.55{\pm}0.572$(NCS educational environment) in order. Conclusions: The operation of NCS curriculum is considered to improve practical work ability and to solve skill mismatch between dental industries and educational training institutions.

Multidisciplinary Collaborative Therapy for 30 Children with Orbital Rhabdomyosarcoma

  • Ge, Xin;Huang, Dong-Sheng;Shi, Ji-Tong;Ma, Jian-Min
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권8호
    • /
    • pp.4641-4646
    • /
    • 2013
  • Objective: To explore clinical experience and propose new ideas for treating children diagnosed with orbital rhabdomyosarcoma (RMS). Methods: We retrospectively analyzed the clinical data for30 patients (16 males and 14 females, with a median age of 6.2 years) with primary orbital RMS who were enrolled in the Department of Eye Oncology and Pediatrics of our hospital from November 2004 to December 2012. International Rhabdomyosarcoma Organization Staging Standards indicated that among the 30 patients, 4 cases were in phase II, 20 were in phase III, and 6 were in phase IV. All patients underwent a multidisciplinary collaborative model of comprehensive treatment (surgery, chemotherapy, external radiotherapy, $^{125}I$ radioactive particle implantation, and autologous peripheral blood stem-cell transplantation). Results: Follow-up was conducted until March 2013, with a median follow-up time of 47.2 months (5 to 95 months), and 7 deaths occurred. The 2-year estimated survival rate reached 86.1%, the ${\geq}3$-year estimated survival rate was 77%, and the 5-year estimated survival rate was 70.6%. Conclusions: The multidisciplinary collaborative model can be a safe and effective approach to the comprehensive treatment of children with orbital RMS. It has clinical significance in improving the tumor remission rate.

Behavioral Interventions for Autism Spectrum Disorder: A Brief Review and Guidelines With a Specific Focus on Applied Behavior Analysis

  • Kyong-Mee Chung;Eunsun Chung;Hoomyung Lee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제35권1호
    • /
    • pp.29-38
    • /
    • 2024
  • We conducted a comprehensive review of behavioral and educational interventions for individuals with autism spectrum disorder (ASD). The most prominent type of intervention, Comprehensive Early Intervention, often referred to as Early Intensive Behavioral Intervention (EIBI), has been found to be particularly effective in improving intelligence and adaptive behaviors. The naturalistic developmental behavioral intervention, designed to enhance social and communication abilities, showed effectiveness in improving language, cognitive function, and social initiation. However, more studies are needed to examine its effectiveness. Intensive individualized intervention, which provides a tailored intervention for a specific target behavior, was effective in improving social skills and communication, as well as reducing sleep, eating, and toileting problems. Cognitive behavioral therapy (CBT) is the most effective method for dealing with emotional difficulties, but it has not been widely used because of the shortage of trained experts. Parent-mediated intervention (PMI) involves parents acquiring knowledge and specific skills to improve their child's functioning or reduce challenging behaviors. Speech and language therapy, sensory integration, Treatment and Education of Autistic and related Communications Handicapped Children, developmental approaches, and social stories are frequently used interventions. However, evidence of their effectiveness has yet to be well established. Based on these findings, intervention recommendations for autism include EIBI, Early Start Denver Model, intensive individualized intervention, CBT, and PMI. The choice of intervention should be tailored to the individual's needs and delivered by qualified professionals with expertise in the specific intervention.

지역사회 기반 만성질환 관리모형 구축을 위한 연구방안 (Strategy of Research for Developing Model of Community Based Non-Communicable Diseases Control and Prevention)

  • 박윤형
    • 보건행정학회지
    • /
    • 제26권1호
    • /
    • pp.1-3
    • /
    • 2016
  • The prevalence of non-communicable disease (NCD) has been continuously increasing due to population ageing, and the change in consumption and lifestyle patterns. Cancers, cerebrovascular diseases, and hypertensive diseases have been the major causes of deaths in the Republic of Korea since 1983. Numerous studies have suggested the need for a sustained comprehensive treatment tailored for individual patients and recommend the development of a systematic program to manage NCD patients to provide such care. It's necessary to develop the Korean model of the community based NCD prevention and control, consisting strategy of community movement, education for the NCD patients, and partnership the primary care clinic with public health organization to meet the needs in community people.

비정상 열 하중을 받는 이질재료의 열량 집중 계수 해석 (Thermal flow intensity factor for non-homogeneous material subjected to unsteady thermal load)

  • 김귀섭
    • 한국항공운항학회지
    • /
    • 제16권4호
    • /
    • pp.26-34
    • /
    • 2008
  • This article provides a comprehensive treatment of cracks in non-homogeneous structural materials such as functionally graded materials (FGMs). It is assumed that the material properties depend only on the coordinate perpendicular to the crack surfaces and vary continuously along the crack faces. By using laminated composite plate model to simulate the material non-homogeneity, we present an algorithm for solving the system based on Laplace transform and Fourier transform techniques. Unlike earlier studies that considered certain assumed property distributions and a single crack problem, the current investigation studies multiple crack problem in the FGMs with arbitrarily varying material properties. As a numerical illustration, transient thermal flow intensity factors for a metal-ceramic joint specimen with a functionally graded interlayer subjected to sudden heating on its boundary are presented. The results obtained demonstrate that the present model is an efficient tool in the fracture analysis of non-homogeneous material with properties varying in the thickness direction.

  • PDF

Generalized half-logistic Poisson distributions

  • Muhammad, Mustapha
    • Communications for Statistical Applications and Methods
    • /
    • 제24권4호
    • /
    • pp.353-365
    • /
    • 2017
  • In this article, we proposed a new three-parameter distribution called generalized half-logistic Poisson distribution with a failure rate function that can be increasing, decreasing or upside-down bathtub-shaped depending on its parameters. The new model extends the half-logistic Poisson distribution and has exponentiated half-logistic as its limiting distribution. A comprehensive mathematical and statistical treatment of the new distribution is provided. We provide an explicit expression for the $r^{th}$ moment, moment generating function, Shannon entropy and $R{\acute{e}}nyi$ entropy. The model parameter estimation was conducted via a maximum likelihood method; in addition, the existence and uniqueness of maximum likelihood estimations are analyzed under potential conditions. Finally, an application of the new distribution to a real dataset shows the flexibility and potentiality of the proposed distribution.

고등학생의 가출에 영향을 미치는 위험요인 (Risk Factors Influencing High School Students to Runaway)

  • 김경희;김지수
    • Child Health Nursing Research
    • /
    • 제13권3호
    • /
    • pp.338-348
    • /
    • 2007
  • Purpose: This study was done to identify risk factors influencing high school students to runaway from home. A comprehensive analysis of individual, family and social environment-related factors was done. Method: The participants in this descriptive survey on causal relations were 974 students enrolled in high school who were selected by convenience sampling. The data collected in June and July, 2003 were put in to logistic regression analysis to build a prediction model. Results: 1) Individual-related factors for running away in high school students were experience with smoking and sexual intercourse. 2) Family-related factors for running away in high school students were economic status and physically ill-treatment of the types of ill-treatment. 3) social environment-related factors for running away in high school students were number of delinquent friends. Conclusions and Recommendations: Running away from home among Korean high school students was associated not only with individual factors, but also with family and social environmental factors. The findings of study suggest that board intervention programs should be provided to prevent running away form home by adolescent. It is also recommended that a program be developed that can help control the variables identified in this study along with follow up study to verify the model.

  • PDF

남자 중학생의 흡연 경험 예측요인에 관한 연구 (A Study of Predictors of Smoking in Middle School Boys')

  • 김경희
    • 기본간호학회지
    • /
    • 제13권1호
    • /
    • pp.107-118
    • /
    • 2006
  • Purpose: This study was done to identify the predictors of smoking in middle school boys'. A comprehensive analysis of individual, family and social environment-related factors was done. Method: The participants in this descriptive survey on causal relations were 318 students enrolled in middle schools who were selected by convenience sampling. The data collected from June to July 2003 were put in to logistic regression analysis to build a prediction model. Results: 1) Individual-related factors for smoking in middle school boys' were participation in drinking and deliilquent behavior 2) Family-related factors were ill-treatment physically of the types of ill-treatment and mother being unemployed. 3) Social environment/peer-related factors were friends' attitudes towards delinquency. Conclusion and Recommendations: The experience of smoking among Korean middle school boys was associated not only with individual factors, but also with family and social environmental factors. The findings of this study suggest that broad intervention program should be provided to prevent adolescent smoking. It is also recommended that a program be developed that can help control the variables identified in this study along with a follow up study to verify the model.

  • PDF