• 제목/요약/키워드: Multidisciplinary Study

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Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists

  • Shin Ae Lee;Yeon Jin Joo;Ye Rim Chang
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.322-328
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    • 2023
  • Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

A comparative study between trapezoidal combined footings and T-shaped combined footings

  • Garcia-Galvan, Marylu;Luevanos-Rojas, Arnulfo;Lopez-Chavarria, Sandra;Medina-Elizondo, Manuel;Rivera-Mendoza, Jose Benito
    • Coupled systems mechanics
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    • 제11권3호
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    • pp.233-257
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    • 2022
  • This work presents a comparative study between two different models: trapezoidal and T-shaped combined footings. The comparative study between trapezoidal and T-shaped combined footings presented in this paper generatesresultsthat have an unparalleled accuracy for all foundation engineering problems. The main part of this research is to obtain the optimal area, reinforcing steel, and thickness of the trapezoidal and T-shaped combined footings using the new models. The comparison is made for two trapezoidal combined footings and two T-shaped combined footings ofreinforced concrete subjected to the same load.Themain findings are: themodelfortrapezoidal combined footings can be used for rectangular and triangular, and the T-shaped combined footings can be used for rectangular. The structure of the paper is asfollowsfirst a very complete state of the art with extensive referencesthat describesthe methodology used for the different models clearly, presents different numerical examples, results and at the end conclusions.

A New Decomposition Method for Parallel Processing Multi-Level Optimization

  • Park, Dong-Hoon;Park, Hyung-Wook;Kim, Min-Soo
    • Journal of Mechanical Science and Technology
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    • 제16권5호
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    • pp.609-618
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    • 2002
  • In practical designs, most of the multidisciplinary problems have a large-size and complicate design system. Since multidisciplinary problems have hundreds of analyses and thousands of variables, the grouping of analyses and the order of the analyses in the group affect the speed of the total design cycle. Therefore, it is very important to reorder and regroup the original design processes in order to minimize the total computational cost by decomposing large multidisciplinary problems into several multidisciplinary analysis subsystems (MDASS) and by processing them in parallel. In this study, a new decomposition method is proposed for parallel processing of multidisciplinary design optimization, such as collaborative optimization (CO) and individual discipline feasible (IDF) method. Numerical results for two example problems are presented to show the feasibility of the proposed method.

보육현장 아동학대에 대한 근거기반 맞춤형 개입 모델 개발 및 적용: 다학제간 협력적 연계 시스템을 중심으로 (The Application of Customized Evidence-based Counseling for Abused Preschool Children in Day Care Centers: Focusing on the Multidisciplinary Cooperative Linking System)

  • 이경숙;박진아
    • 한국보육지원학회지
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    • 제16권1호
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    • pp.1-20
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    • 2020
  • Objective: The purpose of this study was to explore the application of the multidisciplinary model, which is customized evidence-based counseling for abused preschool children done by a day care center teacher. Methods: The participants were 16 preschool children which were abused by a day care center teacher and their parents. The data were analyzed by using the Wilcoxon Signed-rank test. Results: The multidisciplinary cooperative service model based on customized evidence-based counseling for abused preschool children, their parents, and day care center teachers was developed. Based on this model, customized evidence-based Post-Traumatic Stress Disorder (PTSD) emergency intervention was provided to preschool children abused by a day care teacher in Incheon. The multidisciplinary cooperative emergency intervention service proved to be effective in reducing emotional and behavioral problems of abused preschool children and enhancing the mental health of parents. Conclusion/Implications: The results of this study indicated that the customized evidence-based counseling for abused preschool children done by a day care center teacher using the multidisciplinary cooperative linkage system would be effective, and that child abuse prevention by day care center teachers and intervention services should be provided systematically at the national level.

네덜란드 디자인 아카데미 아인트호벤의 통합적 디자인 교육에 관한 연구 (A Study on the Multidisciplinary Design Education in Design Academy Eindhoven)

  • 강현대;곽철안
    • 한국가구학회지
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    • 제23권1호
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    • pp.47-56
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    • 2012
  • This study particularly looked at educational philosophy and content of Design Academy Eindhoven in Holland which provides multidisciplinary design education. For it might be important data for examining the educational substance and directivity in design that help construct education system in design for a new era among the varying design paradigm. The biggest feature of DAE education system designed for students to optimize their ability with systematic education of 8 contexts with 4 approaches through innovative specialty system. Besides, their interaction helps students major in what is individual specialty. Most of all, the study on the contents of DAE's multidisciplinary education is expected to be significant data for our design education that lacks integrative perspective in the respect that students might be able to develop their identity as an individual designer in changing society beyond the mere technical and formative level of design.

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다직종 암환자 교육·상담에 대한 설문 개발과 환자 만족도 조사 (The Development of Multidisciplinary Cancer Patient Education·Counseling Questionnaire and Satisfaction Survey)

  • 이민정;금민정;김재송;김수현;손은선;이상글;송수경;최혜진
    • 한국임상약학회지
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    • 제28권2호
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    • pp.138-145
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    • 2018
  • Background: Presently, a multidisciplinary team of doctors, pharmacists, nurses, and dietitians provides patient education to impart information on chemotherapy. However, studies on multidisciplinary education satisfaction are inadequate. In this study, we aimed to contribute to the improvement of quality of multidisciplinary education counseling for patients with cancer by developing a satisfaction questionnaire and analyzing the satisfaction survey. Methods: A questionnaire was developed by an expert group, and the responses were recorded using the 5-point Likert scale. After conducting a pre-test, factor analysis was performed to evaluate validity. The reliability of the questionnaire was measured by Cronbach's alpha coefficient. A satisfaction survey was conducted by self-administration method. Results: Based on the results of factor analysis, factors can be divided into two parts: "overall education" and "each team member's education" (total 14 questions). The construct validity and reliability of the questionnaire are sufficiently high. Fifty-one patients took the survey between January 2, 2018 and January 20, 2018. Twenty-six (51%) patients responded that they were "very satisfied" and 22 (43.1%) patients responded that they were "satisfied". Conclusion: By developing a questionnaire on multidisciplinary education counseling for patients with cancer, it is possible to perform evaluation and research of cancer patient education. This study will contribute to the management and improvement of quality of multidisciplinary education.

Biomass partitioning and physiological responses of four Moroccan barley varieties subjected to salt stress in a hydroponic system

  • Said Bouhraoua;Mohamed Ferioun;Srhiouar Nassira;Abdelali Boussakouran;Mohamed Akhazzane ;Douae Belahcen;Khalil Hammani;Said Louahlia
    • Journal of Plant Biotechnology
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    • 제50권
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    • pp.115-126
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    • 2023
  • A hydroponics experiment was performed to study the physiological and biochemical changes in Moroccan barley (Hordeum vulgare L.) varieties cultivated under salt stress conditions. Four barley varieties were grown under exposure to three salt concentrations, including 0, 200, and 300 mM NaCl. The ANOVA for both salt stress-sensitive and resistant varieties indicated that salt treatment represented the main source of variability in all studied traits. Salt treatment significantly reduced root and shoot dry weight (RDW and SDW), relative water content (RWC), and chlorophyll content (Chl a, Chl b, and Chl T). However, increases in electrolyte leakage (EL) along with proline and total soluble sugar (TSS) contents were recorded. In addition, large variations in all measured traits were found between varieties. The 'Massine' and 'Laanaceur' varieties displayed relatively higher RDW and SDW values. The 'Amira' and 'Adrar' varieties showed lower RWC values and Chl contents than those of the controls indicating their relative sensitivity to salt stress. Principal component analysis revealed that most of the variation was captured by PC1 (72% of the total variance) which grouped samples into three categories according to salt treatment. Correlation analyses highlighted significant associations between most parameters. Positive relationships were found between RDW, SDW, RWC, Chl content, and soluble proteins contents, while all of these parameters were negatively associated with EL intensity, proline content, and TSS content. The results from this study showed that the 'Massine' and 'Laanaceur' varieties were relatively salt-tolerant. These two salt-tolerant varieties present a good genetic background for breeding of barley varieties showing high salt tolerance.

VSV-G Viral Envelope Glycoprotein Prepared from Pichia pastoris Enhances Transfection of DNA into Animal Cells

  • Liu, Xin;Dong, Ying;Wang, Jingquan;Li, Long;Zhong, Zhenmin;Li, Yun-Pan;Chen, Shao-Jun;Fu, Yu-Cai;Xu, Wen-Can;Wei, Chi-Ju
    • Journal of Microbiology and Biotechnology
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    • 제27권6호
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    • pp.1098-1105
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    • 2017
  • Vesicular stomatitis virus G glycoprotein (VSV-G) has been widely used for pseudotyping retroviral, lentiviral, and artificial viral vectors. The objective of this study was to establish a potential approach for large-scale production of VSV-G. To this end, VSV-G was cloned with an N-terminal His-tag into Pichia pastoris expression vector pPIC3.5K. Three clones ($Mut^s$) containing the VSV-G expression cassette were identified by PCR. All clones proliferated normally in expansion medium, whereas the proliferation was reduced significantly under induction conditions. VSV-G protein was detected in cell lysates by western blot analysis, and the highest expression level was observed at 96 h post induction. VSV-G could also be obtained from the condition medium of yeast protoplasts. Furthermore, VSV-G could be incorporated into Ad293 cells and was able to induce cell fusion, leading to the transfer of cytoplasmic protein. Finally, VSV-G-mediated DNA transfection was assayed by flow cytometry and luciferase measurement. Incubation of VSV-G lysate with the pGL3-control DNA complex increased the luciferase activity in Ad293 and HeLa cells by about 3-fold. Likewise, incubation of VSV-G lysate with the pCMV-DsRed DNA complex improved the transfection efficiency into Ad293 by 10% and into HeLa cells by about 1-fold. In conclusion, these results demonstrate that VSV-G could be produced from P. pastoris with biofunctionalities, demonstrating that large-scale production of the viral glycoprotein is feasible.

한국다학제간 캡스톤디자인에 마이크로콘트롤러 보드의 적용 (The Application of Micro Controller Board to Engineering Education for Multidisciplinary Capstone Design)

  • 윤석범;장은영
    • 디지털융복합연구
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    • 제12권2호
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    • pp.531-537
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    • 2014
  • 본 논문은 공주대학교 공과대학 학생들에게 다학제간 캡스톤 디자인을 운영하기 위한 모델을 제시한다. 여름방학 계절학기 기간 중에 공주대학교 공과대학에서 다학제간 캡스톤 디자인을 운영하였다. 다학제간 캡스톤 디자인에 참여한 학생들은 이전에 캡스톤 디자인 교과목을 수강하지 않은 서로 연관이 없는 5개 전공 학생들이다. 다양한 전공의 학생들에게 캡스톤 디자인작품을 완성하기 위해 센서 및 액츄에이터 등을 이용하는 아두이노 우노 마이크로 컨트롤러 제어보드를 사용하는 캡스톤 디자인 모델을 도입하였다. 만족도 평가를 통해 더 창의적이면서 현장감 있는 의미 있는 교육이 진행되었음을 알게 되었다. 이를 통해 다학제간 캡스톤 디자인 부분에서 앞으로의 가능성 있는 방향을 제시하였다.

ALUMINUM SPACE FRAME B.I.W. OPTIMIZATION CONSIDERING MULTIDISCIPLINARY DESIGN CONSTRAINTS

  • KIM B. J.;KIM M. S.;HEO S. J.
    • International Journal of Automotive Technology
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    • 제6권6호
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    • pp.635-641
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    • 2005
  • This paper presents an ASF (Aluminum Space Frame) BIW (Body in White) optimal design, which minimizes weight and satisfies multidisciplinary constraints such as static stiffness, vibration characteristics, low-/high-speed crash, and occupant safety. As only one cycle CPU time for all the analyses is 12 hours, the ASF design having 11-design variable is a large scaled problem. In this study, ISCD-II and conservative least square fitting method were used for efficient RSM modeling. Likewise, the ALM method was used to solve the approximate optimization problem. The approximate optimum was sequentially added to remodel the RSM. The proposed optimization method uses only 20 analyses to solve the 11-design variable problem. Moreover, the optimal design can achieve $15.6\%$ weight reduction while satisfying all the multidisciplinary design constraints.