• Coupled systems mechanics
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• 제6권4호
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• pp.417-437
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• 2017

This paper shows a comparative study for design of reinforced concrete boundary combined footings of trapezoidal and rectangular forms supporting two columns and each column transmits an axial load and a moment around of the axis X (transverse axis of the footing) and other moment around of the axis Y (longitudinal axis of the footing) to foundation to obtain the most economical combined footing. The real soil pressure acting on the contact surface of the footings is assumed as a linear variation. Methodology used to obtain the dimensions of the footings for the two models consider that the axis X of the footing is located in the same position of the resultant, i.e., the dimensions is obtained from the position of the resultant. The main part of this research is to present the differences between the two models. Results show that the trapezoidal combined footing is more economical compared to the rectangular combined footing. Therefore, the new model for the design of trapezoidal combined footings should be used, and complies with real conditions.

• 한국전기전자재료학회논문지
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• 제31권1호
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• pp.24-28
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• 2018

Insulators used in overhead transmission lines are continuously exposed to a number of mechanical and electrical stresses owing to external environmental factors, resulting in corrosion, reduction in durability, and deterioration. Widely used porcelain insulators are fabricated with cement and porcelain and are especially common in Korea. Changes in the hardness and chemical reactivity of the cement increase the leakage and fault currents and increase the possibility of flashover due to insulation breakdown. Therefore, it is important to evaluate the durability and defects of porcelain insulators. Studies on the reliability of various evaluation methods are needed to prevent accidents by accurately determining the replacement timing and potential defects in porcelain insulators. In this study, the hardness of the cement part of the porcelain insulator was measured using the Vickers hardness test and its composition was analyzed by energy dispersive spectroscopy and X-ray diffraction analysis. The performance of the insulators was compared in two different regions with varying climatic conditions. This study presents an evaluation method of the defects in porcelain insulators by measuring humidity, which can also be used to assess the reliability of the insulators.

• Journal of Trauma and Injury
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• 제35권4호
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• pp.261-267
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• 2022

Purpose: With the increasing number of polytrauma patients treated at high-level trauma centers, plastic surgery has entered the specialty of traumatology. Plastic surgeons specialize in the simultaneous surgical care of patients with facial or hand trauma and soft tissue injuries requiring microsurgery. The purpose of this study was to introduce the role of plastic surgery in a high-level trauma center. Methods: Between January 2020 and December 2020, 5,712 patients with traumatic injuries were admitted to the emergency department of a tertiary hospital. Of these 5,712 patients, 1,578 patients were hospitalized for surgical treatment and/or critical care. Among the 1,578 hospitalized trauma patients, 551 patients (35%) required at least one plastic surgery procedure. The patient variables included age, sex, etiology, the injured area, and injury characteristics. We also retrospectively investigated surgical data such as the duration of the operation, hospital stay, length of time from injury to surgery, and collaboration with other departments. Results: The most common injury referred to plastic surgery was facial trauma (41%), followed by hand trauma (36%), and soft tissue injuries requiring microsurgery in various parts of the body other than the hand (7%). The majority of facial and hand traumas were concomitant injuries. Sixteen percent of patients underwent collaborative surgical management for polytrauma involving both plastic surgery and another department. Conclusions: The role of plastic surgery in multidisciplinary teams at high-level trauma centers has become increasingly important. The results of this study may help in the development of multidisciplinary trauma team strategies and future workforce planning.

• 종양간호연구
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• 제8권1호
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• pp.17-23
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• 2008

This study was conducted to examine the effect of an individualized educational program by multidisciplinary staffs on the need for caring among patients with radiotherapy. Methods: A quasi experimental study with one group was designed to examine the effect. A total of 48 adult patients were recruited from a university hospital in G-city, Korea from July, 2006 to June, 2007. The level of patients' need for caring during radiotherapy was assessed at the pre- and post-education by a trained research assistant. The level of patients' need for caring on radiotherapy was measured with a 20-item questionnaire. Results: Paired t-test showed that the level of patients' need was reduced at the post-test compared to pre-test (t=3.40, p=0.002). The level of need was higher among the older than 65 yr (F=4.82, p=0.034), and patients who had education years less than 10 yr (F=4.40, p=0.042) and not a spouse (F=5.97, p=0.019) at the pre-test, while there were no difference according to participants' characteristics at the post-test. Conclusions: This multidisciplinary and individualized education program was effective on reducing the level of need for caring during radiotherapy. Therefore, for long-term self-management, further educational strategies based on patients' needs through multidisciplinary teamwork need to be developed and applied.

• 대한간호학회지
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• 제30권1호
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• pp.110-121
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• 2000

This study was designed to develop the life moking cessation program with multidisciplinary approach using the Bandura's theory of self-efficacy and confirm the effect of it on the self-efficacy and smoking amount in college students. For this purpose non-equivalent control group, pretest-posttest design was used. The participating subjects in this study were 46 male college freshmen, 23 in experimental and 23 in control group. The experimental group received the 8 sessions of lecture and small group discussions for 4 weeks and a telephone coaching program for a period of 8 weeks. The control group received 5 sessions of lecture without further treatments. The data was collected from March 15 to June 11, 1999, and analysed by SAS/PC program with $\chi$$^2$test, simple t, paired t test. The results were as follows. 1. The score of self-efficacy was significantly increased over time in the experimental group than those of the control group. 2. The amount of urine cotinine was decreased over time in the experimental group, number of cigarettes smoked a day were significantly decreased, and they were significantly less than those of the control group. In conclusion it was found that the Life Smoking Cessation Program with Multidisciplinary Approach was an effective nursing intervention for increasing self efficacy and reducing the amount of smoking in male college students. Therefore, future smoking cessation programs should always consider the concept of self-efficacy and ways to positively reinforce it.

• Archives of Plastic Surgery
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• 제37권6호
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• pp.758-762
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• 2010

Purpose: It is difficult to provide accurate diagnosis and proper treatment for vascular anomalies, because vascular anomalies have a wide spectrum of lesion with various symptoms. Furthermore, vascular anomalies often require the services of a wide range of specialists. So, many patients have been discouraged by the lack of expertise and treatment options available to them. In this study, we aimed to describe the scope of the Vascular Malformation clinic (VAM clinic), a multidisciplinary clinic for hemangioma and vascular malformation patients and investigate of diagnostic accuracy of VAM clinic. Methods: 68 patients have included in a retrospective, medical record review study in the VAM clinic from may 2002 to august 2009. Data included the types of diagnoses of patients seen in the clinic, locations of lesions, comparison of accuracy of diagnoses at other clinic and initial diagnoses at VAM clinic and types of recommended treatments. Results: Initial diagnosis at VAM clinic showed 94.2% accuracy, while diagnosis at other clinic only showed 12.5% accuracy. Head and neck is most frequently occurred lesions in patients of VAM clinic. And VAM clinic is able to provide various and proper treatments to patients. Conclusion: Hemangiomas and vascular malformations can present with various medical problems. VAM clinic, the multidisciplinary clinic provided accurate diagnoses and proper treatments to patients.

• 기술혁신학회지
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• 제20권4호
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• pp.1089-1121
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• 2017

'기술융합'은 기존기술 간 결합 또는 전혀 새로운 기술개발을 통한 신산업 창출과 사회적 난제 해결을 가능하게 하는 혁신의 최근 트렌드이다. 과학기술을 통한 한국 경제성장 전략의 첨병이었던 국가출연연구소(이하 출연(연))에 대해서도 융합연구 조직으로의 역할 변화를 둘러싼 정책적 관심이 높아지고 있다. 본 연구는 출연(연) 융합연구의 성공 핵심요소를 '협업'으로 보고 다음의 연구목적을 설정하였다. 첫째, 기술개발 목적과 문제해결 과정 관점에서 융합연구 개념과 범위를 정의하고, 그 특성을 반영하는 분석 프레임워크를 제안한다. 둘째, 융합연구에서의 협업활동과 그 성과를 유형화하고 새로운 분석지표를 제안한다. 셋째, 융합연구에서의 협업활동 특성과 그 정도가 성과에 미치는 영향을 분석한다. 이를 위하여, 국가연구개발사업 및 NST 융합연구사업을 통한 융합연구 과제 수행 경험이 있는 각 출연(연) 104명의 연구책임자들에게 협업의 방식 및 정성적 성과에 대한 설문조사를 수행하였다. 이후, 조사결과를 바탕으로 협업활동 특성과 성과 간 상관관계를 규명하는 회귀분석을 수행하였다. 분석 결과, 첫째, 지식 창출활동에서는 협업 파트너 다변화가 중요한 변수였다. 둘째, 유사분야 연구자들 간 집체형 협업활동은 특허 기술이전과 같이 목적이 명확한 성과에 영향을 미치는 것으로 나타났다. 셋째, 연구자들에게 독립성과 자율성을 부여하고, 지식 노하우 등 기술역량의 상호공유가 이루어질수록 창출지식의 다양성 및 관계의 지속성이 높아지는 것으로 나타났다. 연구결과는 융합연구를 위한 협업과 성과 분석방법의 정책방향을 제시한다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권9호
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• pp.3915-3920
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• 2014

Background: Hepatocellular carcinoma (HCC) is a dismal tumor with a high incidence, prevalence and poor prognosis and survival. Management of HCC necessitates multidisciplinary clinics due to the wide heterogeneity in its presentation, different therapeutic options, variable biologic behavior and background presence of chronic liver disease. We studied the different prognostic factors that affected survival of our patients to improve future HCC management and patient survival. Materials and Methods: This study is performed in a specialized multidisciplinary clinic for HCC in Kasr El Eini Hospital, Cairo University, Egypt. We retrospectively analyzed the different patient and tumor characteristics and the primary mode of management applied to our patients. Further analysis was performed using univariate and multivariate statistics. Results: During the period February 2009 till February 2013, 290 HCC patients presented to our multidisciplinary clinic. They were predominantly males and the mean age was $56.5{\pm}7.7years$. All cases developed HCC on top of cirrhosis that was mainly due to HCV (71%). Most of our patients were Child-Pugh A (50%) or B (36.9%) and commonly presented with small single lesions. Transarterial chemoembolization was the most common line of treatment used (32.4%). The overall survival was 79.9% at 6 months, 54.5% at 1 year and 22.4% at 2 years. Serum bilirubin, site of the tumor and type of treatment were the significant independent prognostic factors for survival. Conclusions: Our main prognostic variables are the bilirubin level, the bilobar hepatic affection and the application of specific treatment (either curative or palliative). Multidisciplinary clinics enhance better HCC management.

• 한국융합학회논문지
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• 제12권9호
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• pp.49-56
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• 2021

본 연구는 60세 이상 1인 가구 여성의 만성질환과 삶의 질이 주관적 건강인지에 미치는 영향을 실증적으로 분석하여, 보건의료와 사회복지서비스의 융합적인 제언을 위한 목적으로 수행되었다. 이를 위해 국민건강영양조사 2016-2019 자료를 활용하였으며, 연구대상은 이혼 혹은 사별한 60세 이상 1인 가구의 여성 1,111명을 선정하였다. 연구결과, 만성질환 유병에 따른 주관적 건강인지의 평균 차이가 가장 크게 나타난 것은 관절염이었다. 그리고 인구사회학적 특성들을 통제한 다중회귀분석에서, 주관적 건강인지에 가장 큰 부적(-) 영향을 미치는 요인은 만성질환 가운데 당뇨병(-0.084)이었으며, 정적(+) 요인은 삶의 질 가운데 운동능력(+0.173)이었다. 따라서 60세 이상 1인 가구 여성의 주관적 건강인지를 향상시키기 위해 만성질환에 대한 보건의료서비스를 강화하고 삶의 질을 개선하기 위한 사회복지정책이 융합적으로 함께 고려되어야 함을 시사한다.

• 융합정보논문지
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• 제11권7호
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• pp.278-287
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• 2021

본 연구는 직업군별 좌식시간과 고위험음주가 고요산혈증의 유병률과 위험도에 차이가 있는지 성별 분석을 중심으로 수행되었다. 이를 위해 국민건강영양조사 자료를 활용하였으며, 연구대상으로 16,366명을 선정하였다. 분석방법으로 카이제곱 독립성 검정과 로지스틱 회귀분석을 사용하였다. 남성은 여성보다 좌식시간과 고위험음주에 따른 고요산혈증 유병률이 각각 22.2%와 25.2%로 상대적으로 높았으며 위험도는 1.274와 1.310으로 유의하였다. 고요산혈증에 대한 좌식시간의 유병률과 위험도는 남성에서만 '농림어업종사자' 직업군에서 유의하였다. 반면, 고위험음주의 유병률과 위험도는 남녀 모두 '관리자, 전문가 및 관련종사자', '사무종사자'에서 유의한 차이를 보였으며, 여성에서만 '서비스 및 판매종사자', '기능원, 장치 및 기계조립 종사자', '무직'에서 유의한 차이를 보였다. 이러한 결과는 남성에서 고요산혈증의 유병률과 위험도가 높다는 것을 알릴뿐만 아니라 직업군별로 이를 예방할 수 있는 보건의료정책과 의료서비스가 필요함을 시사한다.