• Title/Summary/Keyword: Practice-based

Search Result 6,970, Processing Time 0.033 seconds

Prognostic Value of 18F-FDG PET/CT Radiomics in Extranodal Nasal-Type NK/T Cell Lymphoma

  • Yu Luo;Zhun Huang;Zihan Gao;Bingbing Wang;Yanwei Zhang;Yan Bai;Qingxia Wu;Meiyun Wang
    • Korean Journal of Radiology
    • /
    • v.25 no.2
    • /
    • pp.189-198
    • /
    • 2024
  • Objective: To investigate the prognostic utility of radiomics features extracted from 18F-fluorodeoxyglucose (FDG) PET/CT combined with clinical factors and metabolic parameters in predicting progression-free survival (PFS) and overall survival (OS) in individuals diagnosed with extranodal nasal-type NK/T cell lymphoma (ENKTCL). Materials and Methods: A total of 126 adults with ENKTCL who underwent 18F-FDG PET/CT examination before treatment were retrospectively included and randomly divided into training (n = 88) and validation cohorts (n = 38) at a ratio of 7:3. Least absolute shrinkage and selection operation Cox regression analysis was used to select the best radiomics features and calculate each patient's radiomics scores (RadPFS and RadOS). Kaplan-Meier curve and Log-rank test were used to compare survival between patient groups risk-stratified by the radiomics scores. Various models to predict PFS and OS were constructed, including clinical, metabolic, clinical + metabolic, and clinical + metabolic + radiomics models. The discriminative ability of each model was evaluated using Harrell's C index. The performance of each model in predicting PFS and OS for 1-, 3-, and 5-years was evaluated using the time-dependent receiver operating characteristic (ROC) curve. Results: Kaplan-Meier curve analysis demonstrated that the radiomics scores effectively identified high- and low-risk patients (all P < 0.05). Multivariable Cox analysis showed that the Ann Arbor stage, maximum standardized uptake value (SUVmax), and RadPFS were independent risk factors associated with PFS. Further, β2-microglobulin, Eastern Cooperative Oncology Group performance status score, SUVmax, and RadOS were independent risk factors for OS. The clinical + metabolic + radiomics model exhibited the greatest discriminative ability for both PFS (Harrell's C-index: 0.805 in the validation cohort) and OS (Harrell's C-index: 0.833 in the validation cohort). The time-dependent ROC analysis indicated that the clinical + metabolic + radiomics model had the best predictive performance. Conclusion: The PET/CT-based clinical + metabolic + radiomics model can enhance prognostication among patients with ENKTCL and may be a non-invasive and efficient risk stratification tool for clinical practice.

Use of Imaging and Biopsy in Prostate Cancer Diagnosis: A Survey From the Asian Prostate Imaging Working Group

  • Li-Jen Wang;Masahiro Jinzaki;Cher Heng Tan;Young Taik Oh;Hiroshi Shinmoto;Chau Hung Lee;Nayana U. Patel;Silvia D. Chang;Antonio C. Westphalen;Chan Kyo Kim
    • Korean Journal of Radiology
    • /
    • v.24 no.11
    • /
    • pp.1102-1113
    • /
    • 2023
  • Objective: To elucidate the use of radiological studies, including nuclear medicine, and biopsy for the diagnosis and staging of prostate cancer (PCA) in clinical practice and understand the current status of PCA in Asian countries via an international survey. Materials and Methods: The Asian Prostate Imaging Working Group designed a survey questionnaire with four domains focused on prostate magnetic resonance imaging (MRI), other prostate imaging, prostate biopsy, and PCA backgrounds. The questionnaire was sent to 111 members of professional affiliations in Korea, Japan, Singapore, and Taiwan who were representatives of their working hospitals, and their responses were analyzed. Results: This survey had a response rate of 97.3% (108/111). The rates of using 3T scanners, antispasmodic agents, laxative drugs, and prostate imaging-reporting and data system reporting for prostate MRI were 21.6%-78.9%, 22.2%-84.2%, 2.3%-26.3%, and 59.5%-100%, respectively. Respondents reported using the highest b-values of 800-2000 sec/mm2 and fields of view of 9-30 cm. The prostate MRI examinations per month ranged from 1 to 600, and they were most commonly indicated for biopsy-naïve patients suspected of PCA in Japan and Singapore and staging of proven PCA in Korea and Taiwan. The most commonly used radiotracers for prostate positron emission tomography are prostate-specific membrane antigen in Singapore and fluorodeoxyglucose in three other countries. The most common timing for prostate MRI was before biopsy (29.9%). Prostate-targeted biopsies were performed in 63.8% of hospitals, usually by MRI-ultrasound fusion approach. The most common presentation was localized PCA in all four countries, and it was usually treated with radical prostatectomy. Conclusion: This survey showed the diverse technical details and the availability of imaging and biopsy in the evaluation of PCA. This suggests the need for an educational program for Asian radiologists to promote standardized evidence-based imaging approaches for the diagnosis and staging of PCA.

The Impact of M&L Psychotherapy on the Growth and Development of a Socially Disadvantaged Adolescent with Anxiety Disorders - Quantitative and Qualitative Analysis of a Single Case (M&L 심리치료가 불안장애를 가진 취약계층 청소년의 건강한 성장에 미치는 영향 - 단일증례의 양적, 질적 분석)

  • Jae-Wook Shin;Haegue Shin;Min-Joo Lee;Dong-Uk Kim;Hyo-Weon Suh;Hyung Won Kang
    • Journal of Oriental Neuropsychiatry
    • /
    • v.35 no.1
    • /
    • pp.115-140
    • /
    • 2024
  • Objectives: This study investigates the impact of M&L psychotherapy on an adolescent with anxiety disorders transitioning into adulthood, using a retrospective mixed-method approach. Methods: An adolescent with Diagnostic Statistical Manual of Mental Disorders (DSM)-5-diagnosed anxiety disorders underwent combined treatment with M&L psychotherapy and complex Korean medicine therapy over a period of approximately two years. Patient records tracked the diagnosis, treatments, and progress. In-depth interviews were also conducted. The study used a convergent parallel mixed-method approach, integrating quantitative analysis from psychological assessments, including the State-Trait Anxiety Inventory (STAI-X), the Core Seven Emotions Inventory-short form (CSEI-s), and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), with qualitative analyses of traditional Korean medicine counseling session notes, interviews, and other qualitative psychological assessments. Results: State anxiety decreased from 40 to 36, and trait anxiety decreased from 42 to 34. MMPI-2 L scale scores decreased slightly to 64T, whereas S scale scores increased to 62T, and FRS scores decreased to 70T from an initial score of 78T. Qualitative analysis revealed an increase in the MMPI-2 Es scale, identified as "subjectivity." Joy (喜) emerged as the highest emotional profile score in the CSEI-S. Scores for anger (怒), thought (思), fear (恐), and fright (驚) decreased, indicating improved negative emotions. Qualitatively, expressions of determination to "move forward" and "strengthen the mind" were noted, suggesting enhanced "lower danjeon (下丹田)." Conclusions: Integrating traditional Korean medicine treatment with M&L psychotherapy for a vulnerable adolescent with anxiety disorders demonstrated efficacy. Further research is warranted to substantiate the effectiveness of M&L psychotherapy and advocate for its wider adoption in mainstream practice.

Value of Geumsan Traditional Ginseng Agricultural System as Global Agricultural Heritage (금산전통인삼농업의 세계농업유산적 가치)

  • Hagyeol You;Seula Kim
    • Journal of Ginseng Culture
    • /
    • v.6
    • /
    • pp.105-115
    • /
    • 2024
  • Wild ginseng, grown in undisturbed forest environments, has been maintained for centuriesthrough human intervention and knowledge, leading to the development of current ginseng agriculture. The practice of ginseng farming has long been established in various regions of Korea. However, the ginseng farming specifically in Geumsan was recognized as a Globally Important Agricultural Heritage System (GIAHS) by the Food and Agriculture Organization of the United Nations (FAO) in 2018. This designation was granted after a thorough evaluation, which confirmed that Geumsan's ginseng farming met the necessary criteria, including historical importance, traditional knowledge system, agrobiodiversity, and agricultural landscape. Traditional ginseng farming in Geumsan practices the 'rotating agriculture system', a sustainable land use approach that has been developed over several cycles of long duration (10-15 years). It contains the knowledge to choose locations for cultivation that prioritize the direction of sunlight and wind circulation. Furthermore, it received significant recognition for its agricultural heritage value based on its maintenance of several traditional knowledge systems, including ancestral wisdom and knowledge regarding pre-planting field management techniques. As of December 2023, there are currently 86 locations in 26 nations that have been designated as GIAHS. Among these sites, Geumsan stands out as the first and only site in the world specifically recognized for the cultivation of ginseng crops. This historical record serves as a significant reminder of Korea's prominent position as a major producer of ginseng on a global level. This article first provides an overview of the concept of agricultural heritage, the designation criteria, and the status of the designation. It then identifies, among the GIAHS designation criteria, the agricultural heritage value of traditional ginseng farming in the Geumsan region from the perspective of local traditional knowledge systems.

Defining Competency for Developing Digital Technology Curriculum (디지털 신기술 교육과정 개발을 위한 역량 정의)

  • Ho Lee;Juhyeon Lee;Junho Bae;Woosik Shin;Hee-Woong Kim
    • Knowledge Management Research
    • /
    • v.25 no.1
    • /
    • pp.135-154
    • /
    • 2024
  • As the digital transformation accelerates, the demand for professionals with competencies in various digital technologies such as artificial intelligence, big data is increasing in the industry. In response, the government is developing various educational programs to nurture talent in these emerging technology fields. However, the lack of a clear definition of competencies, which is the foundation of curriculum development and operation, has posed challenges in effectively designing digital technology education programs. This study systematically reviews the definitions and characteristics of competencies presented in prior research based on a literature review. Subsequently, in-depth interviews were conducted with 30 experts in emerging technology fields to derive a definition of competencies suitable for technology education programs. This research defines competencies for the development of technology education programs as 'a set of one or more knowledge and skills required to perform effectively at the expected level of a given task.' Additionally, the study identifies the elements of competencies, including knowledge and skills, as well as the principles of competency construction. The definition and characteristics of competencies provided in this study can be utilized to create more systematic and effective educational programs in emerging technology fields and bridge the gap between education and industry practice.

A Study on Metadata Design for Managing Person and Organization Names in the National Debt Redemption Movement Digital Archive (국채보상운동 디지털 아카이브의 개인/단체명 관리를 위한 메타데이터 설계에 관한 연구)

  • Sangeun Han;Seulki Do
    • Journal of the Korean Society for information Management
    • /
    • v.41 no.1
    • /
    • pp.509-536
    • /
    • 2024
  • The purpose of this study is to develop a metadata AP for managing the person and organization name authority data in the National Debt Redemption Movement Digital Archive, a small-scale digital archive. The design principles and core metadata elements were derived by analyzing person/organization(group or corporateBody) metadata standards, implementation practices, and guidelines of libraries and archives, and mapped to the National Debt Redemption Movement person/organization name thesaurus data and the Wikidata Linked Metadata Model, resulting in 10 elements in the identification area, 14 elements in the content area, 8 elements in the relationship area, and 4 elements in the control area. A simple structure schema was applied so that it can be applied even in small organizations, and for interoperability, the schema was proposed with reference to DublinCore and SKOS schemes, and the applicability was confirmed based on actual data. The results of this study can be utilized as a basis for institutions that recognize the importance of data management but have difficulty in applying it in practice, when they want to prepare a system for managing their own authority data.

A Phenomenological Study of Occupational Therapists' Experiences of Transitioning from Adult to Child Occupational Therapy (성인작업치료에서 아동작업치료로 전환한 작업치료사의 임상경험에 관한 현상학적 연구: 감각통합치료 중심으로)

  • Roh, Geummi;Jung, Minye
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.22 no.1
    • /
    • pp.54-68
    • /
    • 2024
  • Purpose : This study aimed to explore the clinical experiences of occupational therapists who have transitioned from adult to child occupational therapy to provide a basis for developing programs to facilitate rapid clinical adjustment for transitioning occupational therapists. Method : Telephone interviews and Colaizzi's phenomenological research method were employed. The interviewees were six occupational therapists with at least three years of clinical experience who had transitioned from hospital-based adult occupational therapy to sensory integration-focused children's occupational therapy. The interviews were recorded, transcribed, and analyzed with the participants' consent. Results : The analysis of the interview transcripts yielded 3 categories, 7 themes, and 17 meanings. The three categories were the challenges facing transitioning occupational therapists in clinical practice, the strengths gained from their post-transition clinical experiences, and the facilitators needed before the transition to ensure quick clinical adjustment. Conclusion : Training and institutional arrangements must be in place to ensure that adult occupational therapists transitioning to sensory integration-focused child occupational therapy can quickly adapt clinically and professionally to their new environments.

Innovative Teaching Technologies as a Way to Increase Students' Competitiveness

  • Olena M. Galynska;Nataliia V. Shkoliar;Zoriana I. Dziubata;Svitlana V. Kravets;Nataliia S. Levchyk
    • International Journal of Computer Science & Network Security
    • /
    • v.24 no.7
    • /
    • pp.157-169
    • /
    • 2024
  • The article presents an analysis of innovative teaching technologies as a way to increase students' competitiveness. The author found that innovative technologies in education are information and communication technologies relying on computer-based learning. The structure, content of educational software, organization of Web-space are important when using innovative teaching technologies in English classes. We conducted the study in several stages: comparative analysis, synthesis, classification and systematization of the results of psychological and pedagogical, educational and methodological research; study of legislative acts, periodicals in order to identify the state of the research issue, and determining the directions of its solution, as well as subject, goal and objectives of the study. We used modelling to create situations of foreign language professional communication of future IT specialists. Empirical methods involved questionnaires used for identifying the motives of professional development and determining the features of the educational activities of future IT specialists in the process of training. The methods of mathematical statistics allowed to scientifically describe and systematize the obtained data, to identify the quantitative relationship between the studied phenomena, to analyse and summarize the results. We conducted a socio-psychological study during 2016 - 2019. It involved 255 first- and fourth-year students of National Technical University of Ukraine "Igor Sikorsky Kyiv Poly-technic Institute." Innovative information and communication technologies that improve the educational and cognitive activity of students, as well as increase the level of their knowledge have become important in teaching a foreign language in higher educational institutions. These technologies include MOODLE - Modular Object-Oriented Dynamic Learning Environment, business game, integrated pedagogical technology, case study technology. Thus, the information-rich learning process in combination with the use of innovative technologies, well-organized e-learning, interactive training courses, multimedia tools improves the program of teaching and learning foreign languages in general, and English in particular, improves the level of knowledge of future IT specialists and motivation to study and learn foreign languages, allows students to use a variety of authentic materials. We state that all these factors influence the process of individualization of learning and contribute to the successful mastery of a foreign language.

Exploring the Direction of Christian Unification Education through the Tasks of Peace Unification Education (평화통일교육의 과제를 통해 본 기독교통일교육의 방향 탐구)

  • Duk-Lyoul Oh
    • Journal of Christian Education in Korea
    • /
    • v.75
    • /
    • pp.103-125
    • /
    • 2023
  • This study aims to explore the direction and tasks of Christian unification education as peace education. To this end, after examining the historical trend of peace education and unification education in Korea, the tasks of peaceful unification education are reviewed. Peace education has expanded with the activation of peace movements and educational discourse starting from civil society, while unification education has been planned in accordance with the government's unification and North Korea policy and is moving toward the field of education practice. However, due to the nature of unification education that aspires for peace, the combination of the two fields has continued steadily, and research on peace unification education has been continuously conducted. The direction and tasks of Christian unification education as peace education were proposed based on the tasks of peace unification education derived through prior research analysis and the trend of the times in the two areas to carry out the research purpose. For the sustainability of peace on the Korean Peninsula, Christian unification education as a peace education should aim to foster peaceful citizens who take the lead in transitioning from a culture of violence to a culture of peace. To this end, first, it is necessary to seek the direction of Christian education for the dissolution of the antagonist image. Second, activities that guarantee learners' subjectivity and autonomy should be carried out away from the top-down method in teaching and learning. Third, a curriculum connected to daily life should be formed.

An Empirical Study on the Efficacy of Mindfulness Activation Tools for Psychological Stability Support: A Focus on Voluntary Groups (심리 안정을 지원하는 현존의식 활성화 도구의 효용성 연구 - 자발적 포커스그룹 중심)

  • Joong Ho Lee
    • The Journal of the Convergence on Culture Technology
    • /
    • v.10 no.4
    • /
    • pp.383-388
    • /
    • 2024
  • This study conducted voluntary focus group user observations to empirically validate the efficacy of the self-developed psychological support mobile application, "Mindful Now". The app is structured as an interactive game format, enabling individuals to activate self-awareness of mindfulness states anytime, anywhere. It consists of a 3-step process of sensory/emotional/consciousness awareness, facilitating the expression of non-judgmental awareness. To demonstrate the effectiveness of this mindful activation in enhancing psychological well-being such as happiness and stress reduction, voluntary mindfulness mobile app usage was tracked among 49 university students. The results revealed significant improvements, with a 14.4% increase in SWLS happiness index and a 17.1% decrease in PSS-10 stress levels among 12 users who used the app continuously for over 60 days to practice mindfulness awareness. Particularly, higher app engagement was observed among students who initially reported relatively lower indices before using the app. The utilization of mobile apps that promote mindful activation aligns with various therapeutic paradigms based on mindfulness and meditation, contributing to advancements in digital therapeutic interventions for psychological support.