• Title/Summary/Keyword: Treatment Persistence

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Patterns and Persistence of Pharmacotherapy for Children and Adolescents with Attention Deficit Hyperactivity Disorder in South Korea (국내 주의력결핍 과잉행동 장애 아동 및 청소년의 약물요법 패턴 및 지속성)

  • Lee, Kyeong Eun;Je, Nam Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.3
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    • pp.216-223
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    • 2018
  • Objective: This study aimed to assess treatment persistence in Korean children and adolescents with attention deficit hyperactivity disorder (ADHD) and the factors influencing their adherence to ADHD pharmacotherapy. Methods: The study included patients between 6 and 18 years of age with ADHD who were taking various formulations of methylphenidate and atomoxetine on June 1, 2014. Patients were dichotomized as "persistent" or "non-persistent", depending on whether they continued ADHD therapy for 6 months (therapy persistence). We also investigated if the patients were taking the same medication(s) as before and also classified the patients as "medication persistent" or "non-persistent". Patient' characteristics were correlated with therapy persistence and medication persistence. Multiple logistic regression analyses were performed to assess potential risk factors for treatment persistence. Results: Overall, 3,317 patients were included in the analysis. A majority of patients were taking stimulants (82.0%), 16.2% were taking non-stimulants and 1.8% were taking a combination therapy of stimulants and non-stimulants. After 6 months, 2,290 patients (69.0%) continued to take medication for ADHD with 1,953 patients taking the same medication(s) as 6 months previously. Common positive factors for therapy persistence and medication persistence were identified as younger age, retardation, and developmental delay, and long-acting formulations of methylphenidate as either monotherapy or in a combination therapy may be used. Conclusion: ADHD medications were proven to improve academic performance and social skills of children. Collaboration between patients, parents, school staffs, and prescribers is required to improve the persistent use of ADHD medications.

Risk factors for prostate-specific antigen persistence in pT3aN0 prostate cancer after robot-assisted laparoscopic radical prostatectomy: a retrospective study

  • Jun Seop Kim;Jae Hoon Chung;Wan Song;Minyong Kang;Hyun Hwan Sung;Hwang Gyun Jeon;Byong Change Jeong;Seong Il Seo;Hyun Moo Lee;Seong Soo Jeon
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.412-418
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    • 2023
  • Background: The aim of this study was to evaluate the risk factors for prostate-specific antigen (PSA) persistence in pathological stage T3aN0 prostate cancer (PCa) after robot-assisted laparoscopic radical prostatectomy (RALP). Methods: A retrospective study was performed on 326 patients with pT3aN0 PCa who underwent RALP between March 2020 and February 2022. PSA persistence was defined as nadir PSA of >0.1 ng/mL after RALP, and the risk factors for PSA persistence were evaluated using logistic regression analysis. Results: Among 326 patients, 61 (18.71%) had PSA persistence and 265 (81.29%) had PSA of <0.1 ng/mL after RALP (successful radical prostatectomy [RP] group). In the PSA persistence group, 51 patients (83.61%) received adjuvant treatment. Biochemical recurrence occurred in 27 patients (10.19%) in the successful RP group during the mean follow-up period of 15.22 months. Multivariate analysis showed that the risk factors for PSA persistence were large prostate volume (hazard ratio [HR], 1.017; 95% confidence interval [CI], 1.002-1.036; p=0.046), lymphovascular invasion (LVI) (HR, 2.605; 95% CI, 1.022-6.643; p=0.045), and surgical margin involvement (HR, 2.220; 95% CI, 1.110-4.438; p=0.024). Conclusion: Adjuvant treatment may be needed for improved prognosis in patients with pT3aN0 PCa after RALP with a large prostate size, LVI, or surgical margin involvement.

Effects of Pesticides on the Pathogenicity of Entomopathogenic Fungi, Beauveria bassiana and Metarhizium anisopliae (곤충병원성곰팡이 Beauveria bassiana와 Metarhizium anisopliae의 병원성에 미치는 농약의 영향)

  • 이상명;이동운;추호렬;박영도
    • Korean journal of applied entomology
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    • v.36 no.2
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    • pp.179-184
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    • 1997
  • This study was conducted to observe the effects of pesticides on the pathogenicity of entomopathogenic fungi, Beauveria bassiana and Metarhizium anisopliae isolated from Korea. Spomlation of entomopathogenic fungi in SMAY medium that mixed different concentrations of pesticides was similar to control in metalaxyl and tolclofos- methyl treatment but in half recommanded treatment of fenitrothion and mepronil very poor spomlation was showed. Pathogenicity of entomopathogenic fungi dipped in all tested pesticide solution for 1 to 5hr was 100% pathogenicity of M. aniropliae in the pesticide treated chinese cabage fields were similar to control, Bt, teflubenzuron, metalaxyl, and carbofuran treatment but alachlol was below 80%. Pathogenicity and persistence of entomopathogenic fungi in turfgrass when pesticides were posttreatmented were continued to 4 months in iprodione+thiram and tolclofos-methyl treated plots but those of B. bassiana and M. anisopliae was losted in fenitrothion pathogenicity and persistence of in mepronil were nil M. anisopliae from 3 months after treatment.

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Effects of Surface-Applied Dairy Slurry on Herbage Yield and Stand Persistence: II. Alfalfa, Orchardgrass, Tall Fescue and Alfalfa-Orchardgrass

  • Min, D.H.;Vough, L.R.;Chekol, T.;Kim, D.A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.5
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    • pp.766-771
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    • 1999
  • The first paper of this series compared the effects of rates and frequencies of application of dairy slurry on herbage yields and stand persistence of orchardgrass (Dactylis glomerata L.), reed canarygrass (Phalaris arundinacea L.), and alfalfa (Medicago sativa L.)-grass mixtures managed as a 4-cutting system. This paper compares the effects of rates and frequencies of application of dairy slurry on herbage yield and stand persistence of alfalfa, orchardgrass, tall fescue (Festuca arundinacea Schreb.), and alfalfa-orchardgrass mixture managed as a 5-cutting system. The results presented here are part of a larger study having a primary objective of comparing alfalfa, various grasses, and alfalfa-grass mixtures for utilizing nutrients from dairy slurry applied to established stands. A randomized complete block design with treatments in a split plot arrangement with four replicates was used. The main plots consisted of 9 fertility treatments: 7 slurry rate and frequency of application treatments, one inorganic fertilizer treatment, and an unfertilized control. The sub-plots were the forage species. Manure used for the study was composed from stored solids scraped from the alleyways of a free-stall dairy barn. Water was added to from a slurry having about 8 % solids. Slurry was pumped from the liquid spreader tank into 10.4 L garden watering cans for manual application to the plots. Herbage yields of alfalfa, tall fescue, and alfalfa-orchardgrass were generally not affected by slurry application rates and were not significantly different from the inorganic fertilizer treatment. Tall fescue significantly outyielded all other forage species at all manure and the inorganic fertilizer treatments in the second year when rainfall during the growing season was unusually high. Grasses generally had a greater response to manure applications than alfalfa and alfalfa-orchardgrass. Increasing rates of manure did not increase herbage yields of alfalfa and alfalfa-orchardgrass. Herbage yields within each species were not affected by frequency of application of the same total rate. Stand ratings of alfalfa, orcahrdgrass and alfalfa-orchardgrass were significantly lower for the very high manure application rate compared to the control treatment. Based upon the results of this study, multiple annual applications of slurry manure can be made onto these species at rates up to $1,700kg\;total\;N\;ha^{-1}\;yr^{-1}$ without detrimental effects on herbage yield and stand persistence.

Effects of Surface-Applied Dairy Slurry on Herbage Yield and Stand Persistence : I. Orchardgrass, Reed Canarygrass and Alfalfa-Grass Mixtures

  • Min, D.H.;Vough, L.R.;Chekol, T.;Kim, D.A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.5
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    • pp.758-765
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    • 1999
  • Comparative studies of the effects of rates and frequency of application of dairy slurry on herbage yield and stand persistence of alfalfa and various forage grasses have not previously been conducted. The results being reported here are part of a larger study having a primary objective of comparing the effectiveness of alfalfa (Medicago sativa L.), various grasses and alfalfa-grass mixtures for utilizing nutrients from applied dairy slurry. The objectives of this part of the study were to evaluate the effects of various rates and frequencies of application of slurry on herbage yield and stand persistence of orchardgrass (Dactylis glomerata L.), reed canarygrass (Phalaris arundinacea L.), and alfalfa-orchanrdgreass and alfalfa-reed canarygrass mixtures managed as a 4-cutting management system. A randomized complete block design with treatments in a split plot arrangement with four replicates was used. The main plots consisted of 9 fertility treatments: 7 slurry rate and time of application treatments, one inorganic fertilizer treatment, and an unfertilized control. The sub-plots consisted of the two grasses and two alfalfa-grass mixture mentioned above. Slurry was composed from stored solids scraped from the alleyways of a free-stall housing barn and water added to form a slurry having about 8% solids. Manure was pumped from a liquid spreader tank into 10.4 L garden water cans for manual application to the plots. Herbage yields within species were generally unaffected by various rates of application in the first production year. Herbage yields of grasses and alfalfa-grass mixtures the second year were generally not affected by frequency of application for the same rate of slurry applied. Slurry application resulted in greater herbage yield increases in grasses than alfalfa-grass mixtures in the 4-cutting management system. In general, herbage dry matter yields of grasses from the dairy slurry treatments equaled or exceeded yields from the inorganic fertilizer treatment. Stand ratings of grasses and alfalfa-grass mixtures were not changed by manure application rates. In this study, the highest rate of slurry ($967kg\;total\;N\;ha^{-1}$ in 1995 plus $2,014kg\;N\;ha^{-1}$ in 1996) was not detrimental to herbage yields or stand persistence of any of the species. It was concluded that applying dairy slurry to these cool-season grasses and alfalfa-grass mixtures managed in a 4-cutting system is an acceptable practice from the standpoint of herbage yield and satnd persistence and by doing so the utilization of inorganic fertilizers can be reduced.

Association Between Persistent Treatment of Alzheimer's Dementia and Osteoporosis Using a Common Data Model

  • Seonhwa Hwang;Yong Gwon Soung;Seong Uk Kang;Donghan Yu;Haeran Baek;Jae-Won Jang
    • Dementia and Neurocognitive Disorders
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    • v.22 no.4
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    • pp.121-129
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    • 2023
  • Background and Purpose: As it becomes an aging society, interest in senile diseases is increasing. Alzheimer's dementia (AD) and osteoporosis are representative senile diseases. Various studies have reported that AD and osteoporosis share many risk factors that affect each other's incidence. This aimed to determine if active medication treatment of AD could affect the development of osteoporosis. Methods: The Health Insurance Review and Assessment Service provided data consisting of diagnosis, demographics, prescription drug, procedures, medical materials, and healthcare resources. In this study, data of all AD patients in South Korea who were registered under the national health insurance system were obtained. The cohort underwent conversion to an Observational Medical Outcomes Partnership-Common Data Model version 5 format. Results: This study included 11,355 individuals in the good persistent group and an equal number of 11,355 individuals in the poor persistent group from the National Health Claims database for AD drug treatment. In primary analysis, the risk of osteoporosis was significantly higher in the poor persistence group than in the good persistence group (hazard ratio, 1.20 [95% confidence interval, 1.09-1.32]; p<0.001). Conclusions: We found that the good persistence group treated with anti-dementia drugs for AD was associated with a significant lower risk of osteoporosis in this nationwide study. Further studies are needed to clarify the pathophysiological link in patients with two chronic diseases.

Predictors of Persistence and Adherence with Secondary Preventive Medication in Stroke Patients (지역사회 뇌졸중 환자들의 이차 예방을 위한 치료 지속률과 약물 순응도 관련 요인)

  • Kim, Young Taek;Park, Ki Soo;Bae, Sang-Geun
    • Journal of agricultural medicine and community health
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    • v.40 no.1
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    • pp.9-20
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    • 2015
  • Objectives: This study aimed to explore the persistence and adherence to secondary preventive medication of stroke patients after discharge and to assess the reasons for persistence and nonadherence. Methods: Four hundred twenty-nine patients with stroke were surveyed to determine their behaviors from discharge. Reasons for stopping medications were ascertained. Persistence was defined as continuation of all secondary preventive medications prescribed at hospital discharge, and adherence as continuation of prescribed medications according to health care provider instructions. Results: Of the 429 patients, 86.5% were treatment persistent and 41.2%(non-intentional nonadherence=39.4%, intentional nonadherence=19.4%) were adherent. Independent predictors of persistence included having experience about health education. Independent predictors of non-intentional nonadherence were modified Rankin Scale(mRS) (Exp(B)=2.858, p=0.001) and health education experience (Exp(B)=0.472, p=0.032), and independent predictors of intentional nonadherence were mRS (Exp(B)=2.533, p=0.006), depressive symptoms (Exp(B)=1.113, p=0.016), beliefs about medications questionnaire(necessity, Exp(B)=0.879, p=0.011, concern, Exp(B)=1.098, p=0.019). Conclusions: Although up to one-ninth of stroke patients continued secondary prevention medications, nonadherence is common. Several potentially modifiable patient, provider, and system-level factors associated with persistence and adherence may be targets for future interventions. Specially, interventions to improve adherence should target patients' beliefs about their medication.

Effect of Post-Treatment using Succinic Acid and Tartaric Acid During Dyeing Process on Hair Conditions (염색 과정에서의 Succinic Acid와 Tartaric Acid 후처리가 모발에 미치는 영향)

  • Jung, Yui Jung;Lee, Sang Hyun
    • Journal of Convergence for Information Technology
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    • v.11 no.12
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    • pp.221-228
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    • 2021
  • In this work, the post-treatment using organic acids during hair dyeing process was used to maintain hair color and to decrease hair damage. The effect of post-treatment using succinic acid and tartaric acid during hair dyeing process with cherry red and blue silver color on the persistence of hair color, tensile strength of hair, hair porosity, and surface characteristics of hair was investigated. After the repeated shampooing process, the experimental group with succinic acid and tartaric acid could more efficiently maintain the hair color than control group. The experimental group with succinic acid and tartaric acid could also increase the tensile strength of hair, decrease the hair porosity, and smoothen the hair surface, compared with control group. Particularly, tartaric acid was able to maintain the color of the dyed hair and protect the hair with higher efficiency than succinic acid.

The Biological Effectiveness and Persistence of Malathion Residues on the Polished Rice under the Natural Grain Storage Conditions (백미에 처리한 Malathion 잔류효력과 지속성에 관하여(자연적 곡물저장 조건하에서))

  • 최승윤
    • Korean journal of applied entomology
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    • v.2
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    • pp.22-26
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    • 1963
  • 1) This experiment was planned to determine the biological effectiveness and persistence of malathion residues on the polished rice under the natural storage conditions in Korea from June to September in 1963). 2) Whole kernel rice was treated with malathion as a spray. The test insects(21 days old were exposed) for a period of 8 days at given day intervals, 3) The biological effcetiveness and persistence of malathirm residues on the polished rice was determined as the mortality of the rice weevils, Sithophilus oryzas L. 4) It was observed from Table 1 and Fig. 1 that 100 per cent mortality was resulted in at 3 days from treatment in all dosages used in this experiment. At :1':days after treatment, the dosages of 16ppm and 8ppm gave still 100 per cent mortality, but the dosages of 4 ppm and 2 ppm resulted in $85.8\pm3.70\;and\; 43.3\pm10.77 per cent mortalities, respectively. After 32 days from the treatment,the mortalities in all dosages used did not show any 100 per cent mortality, At. 107 days after treatment, there was no any difference in the mortality of weevils inall dosages used. 5). It was observed from Fig. 1 and Table 2 that the half-life values of malathion residues on the polished rice was 33 days at 2 ppn!, 54 days at 4 ppm, 73 days at 8 ppm, and 93days at 16ppm, respectively. 6). To get a satisfactory control of the rice weevile with the malathion-residues for more than 5 months under the natural storage conditions, it may be necessary to use higher dosages than those used in this experiment.

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Effect of Post-treatment Using Acidic Amino Acids during Hair Coloring on Hair Condition (산성 아미노산 후처리가 헤어컬러링 시 모발에 미치는 영향)

  • Lee, Jin Young;Lee, Sang Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.427-434
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    • 2021
  • Modern people express their beauty through hair coloring, but hair can be damaged by repeated chemical treatments. In order to increase the durability of dyeing and minimize the hair damage, in this study, the acidic amino acids including aspartic acid (Asp) and glutamic acid (Glu) were used to post-treat hair during hair coloring. The post-treatment with 0.75% Asp and Glu solution was carried out at room temperature for 20 minutes after dyeing bleached hair with cherry red and blue silver colors. After repeated shampooing of 1, 5, 10, 15, 20, and 25 times, L*a*b* value of dyed hair was measured to confirm the dyeing durability, and the changes in tensile strength, porosity, and surface properties of the hair were also analyzed to determine the condition of the hair. In the case of cherry red and blue silver staining, the Asp and Glu experimental group showed higher color persistence than the control group, and the Asp and Glu experimental group showed higher tensile strength, lower porosity and smooth surface properties than the control group. In particular, the Asp test group showed superior color persistence and lower hair damage than the Glu test group. This study, therefore, if damaged in dyeing and bleaching in the field of hair after treatment with asp glu a combination of hair cosmetics in the development of basic data look forward to be.