Purpose As adjuvant therapy for enhancing the effects of stimulants and thereby minimizing medication doses, we hypothesized that aerobic exercise might be an effective adjunctive therapy for enhancing the effects of methylphenidate on the clinical symptoms, cognitive function, and brain activity of adolescents with attention deficit hyperactivity disorder (ADHD). Methods Thirty-five adolescents with ADHD were randomly assigned to one of two groups in a 1/1 ratio; methylphenidate treatment + 6-wk exercise (sports-ADHD) or methylphenidate treatment + 6-wk education (edu-ADHD). At baseline and after 6 wk of treatment, symptoms of ADHD, cognitive function, and brain activity were evaluated using the Dupaul attention deficit hyperactivity disorder rating scale–Korean version (K-ARS), the Wisconsin Card Sorting Test, and 3-T functional magnetic resonance imaging, respectively. Results The K-ARS total score and perseverative errors in the sports-ADHD group decreased compared with those in the edu-ADHD group. After the 6-wk treatment period, the mean β value of the right frontal lobe in the sports-ADHD group increased compared with that in the edu-ADHD group. The mean β value of the right temporal lobe in the sports-ADHD group decreased. However, the mean β value of the right temporal lobe in the edu-ADHD group did not change. The change in activity within the right prefrontal cortex in all adolescents with ADHD was negatively correlated with the change in K-ARS scores and perseverative errors. Conclusions The current results indicate that aerobic exercise increased the effectiveness of methylphenidate on clinical symptoms, perseverative errors, and brain activity within the right frontal and temporal cortices in response to the Wisconsin card sorting test stimulation.
The aim of the present study was to understand if sport improves attention symptoms, social competency, and cognitive functions in children with attention deficit and hyperactivity disorder (ADHD). The present study was designed as a 6-week, prospective trial, including 12 sessions of education/sports therapy. 13 ADHD children participated in a 90-min athletic activity (sports-cADHD) twice a week, while 15 ADHD children received education on behavior control (edu-cADHD). During the 6-week treatment period, the sports-cADHD group showed greater improvements in DuPaul's ADHD Rating Scale scores, parent and teacher version (K-ARS-PT), compared to those of the edu-sADHD group. The cognitive functions assessed with the digit symbol and Trail-Making Test part B (TMT B) were improved in the sports-cADHD group, while the cognitive functions observed in the edu-sADHD group were not significantly changed. The cooperativeness scores in the sports-cADHD group were greatly increased compared to those of the edu-sADHD group. The results demonstrated a positive correlation with sports and improvement in attention symptoms, cognitive symptoms and social skills. The results of the present study suggest that therapy in the form of athletic activity may increase social competency in children with ADHD, as demonstrated by improved cognitive functions.
Purpose -The paper's aim is to explore a method using light absorption for improving manufacturing of complex, three-dimensional (3D) micro-parts with a previously developed dynamic mask projection microstereolithography (MSL) system. A common issue with stereolithography systems and especially important in MSL is uncontrolled penetration of the ultraviolet light source into the photocrosslinkable resin when fabricating down-facing surfaces. To accurately fabricate complex 3D parts with down-facing surfaces, a chemical light absorber, Tinuvin 327e was mixed in different concentrations into an acrylate-based photocurable resin, and the solutions were tested for cure depths and successful micro-part fabrication. Design/methodology/approach -Tinuvin 327 was selected as the light absorber based on its high absorption characteristics (, 0.4) at 365 nm (the filtered light wavelength used in the MSL system). Four concentrations of Tinuvin 327 in resin were used (0.00, 0.05, 0.10, and 0.15 percent (w/w)), and cure depth experiments were performed. To investigate the effects of different concentrations of Tinuvin 327 on complex 3D microstructure fabrication, several microstructures with overhanging features such as a fan and spring were fabricated. Findings -Results showed that higher concentrations of Tinuvin 327 reduced penetration depths and thus cure depths. For the resin with 0.15 percent (w/w) of the Tinuvin 327, a cure depth of ,30 mm was achieved as compared to ,200 mm without the light absorber. The four resin solutions were used to fabricate complex 3D microstructures, and different concentrations of Tinuvin 327 at a given irradiance and exposure energy were required for successful fabrication depending on the geometry of the micro-part (concentrations of 0.05 and 0.1 percent (w/w) provided the most accurate builds for the fan and spring, respectively). Research limitations/implications -Although two different concentrations of light absorber in solution were required to demonstrate successful fabrication for two different micro-part geometries (a fan and spring), the experiments were performed using a single irradiance and exposure energy. A single solution with the light absorber could have possibly been used to fabricate these micro-parts by varying irradiance and/or exposure energy, although the effects of varying these parameters on geometric accuracy, mechanical strength, overall manufacturing time, and other variables were not explored. Originality/value -This work systematically investigated 3D microstructure fabrication using different concentrations of a light absorber in solution, and demonstrated that different light absorption characteristics were required for different down-facing micro-features.
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