• Title/Summary/Keyword: Multidisciplinary Study

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Needs for Hospice Care among Families of Children with Cancer for Outpatients (외래통원 암 환아 가족의 아동호스피스요구)

  • Chung, Young-Soon;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.4
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    • pp.1706-1713
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    • 2012
  • The purpose of this study was to analyze the need for child hospice care in families of children with cancer for outpatient. The participants were 83 parents of children with cancer. This survey was conducted from January 2011 to March 2011 at four hospitals in Daegu. Data were collected through self-report questionnaires and analyzed by descriptive statistics, t-test and ANOVA using the SPSS/WIN Program. Needs for hospice care for the participants were high. The need for "emotional care of children" showed the highest, "control of secondary physical problems", "acceptance of the family's difficulty", "management for terminal physical symptoms", "spiritual care for preparing for death". With respect on the demographic characteristics of the participants, there were statistically significant differences in hospice care needs, among to the religion, sibling, relatives, whether of the cancer. The above findings indicate that needs for hospice care for the participants were high about emotional care, especially as it is related to children's anxiety. Therefore hospice care, based on emotional part, should be provided systematic hospice care with specialized multidisciplinary child hospice care team, child hospice center.

A Quantitative Analysis on PLoS ONE Articles Published by Authors Affiliated with Korean Institutions (PLoS ONE 학술지 게재 국내 기관 소속 연구자 논문의 계량적 분석)

  • Shim, Wonsik;An, Byoung-Goon;Park, Seong-Eun;Kim, Hyun Soo
    • Journal of the Korean Society for information Management
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    • v.37 no.2
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    • pp.47-69
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    • 2020
  • This research provides a quantitative analysis on research articles published in PLoS ONE, a multidisciplinary open access journal, by authors affiliated with Korean institutions. Korean authors published more than 6,500 research ariticles in the mega journal between 2006 and 2019. Korea is ranked the top 11th place in terms of article publishing in the journal. Most articles by Korean authors are concentrated in the biomedical fields. In recent years, the overall production of PLoS ONE has decreased as authors migrated to competing mega journals such as Scientific Reports and BMJ Open. The change might have been affected in part by the delay in the review period and the dropping impact factor score. The open access share of the Korean PLoS ONE authors of more than 10 articles hovers around 30%. However, there is a significant variation among researchers reaching up to 50% discrepancies. Among altmetrics provided by PLoS ONE, the saves are highly correlated with the views and the citations. On the contrary, the shares show low correlation with other use metrics. A follow up, survey questionnarie based research involving researchers who have published in PLoS ONE is planned in order to investigate author motivation and experience in the review process.

Preliminary results of entire pleural intensity-modulated radiotherapy in a neoadjuvant setting for resectable malignant mesothelioma

  • Hong, Ji Hyun;Lee, Hyo Chun;Choi, Kyu Hye;Moon, Seok Whan;Kim, Kyung Soo;Hong, Suk Hee;Hong, Ju-Young;Kim, Yeon-Sil;Multidisciplinary Team of Lung Cancer in Seoul St. Mary's Hospital
    • Radiation Oncology Journal
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    • v.37 no.2
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    • pp.101-109
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    • 2019
  • Purpose: The purpose of this study is to evaluate the safety and efficacy of the multimodality treatment with neoadjuvant intensity-modulated radiotherapy (IMRT) for resectable clinical T1-3N0-1M0 malignant pleural mesothelioma (MPM). Materials and Methods: A total of eleven patients who received neoadjuvant chemotherapy and radiotherapy between March 2016 and June 2018 were reviewed. Patients received 25 Gy in 5 fractions to entire ipsilateral hemithorax with helical tomotherapy. Results: All of patients were men with a median age of 56 years. Epithelioid subtype was found in 10 patients. All patients received neoadjuvant chemotherapy with pemetrexed-cisplatin regimen. Ten patients (90.9%) completed 25 Gy/5 fractions and one (9.0%) completed 20 Gy/4 fractions of radiotherapy. IMRT was well tolerated with only one acute grade 3 radiation pneumonitis. Surgery was performed 1 week (median, 8 days; range, 1 to 15 days) after completing IMRT. Extrapleural pneumonectomy was performed in 4 patients (36.3%), extended pleurectomy/decortication in 2 (18.2%) and pleurectomy/decortications in 5 (63.6%). There was no grade 3+ surgical complication except two deaths after EPP in 1 month. Based on operative findings and pathologic staging, adjuvant chemotherapy was delivered in 7 patients (63.6%), and 2 (18.2%) were decided to add adjuvant radiotherapy. After a median follow-up of 14.6 months (range, 2.8 to 30 months), there were 3 local recurrence (33.3%) and 1 distant metastasis (11.1%). Conclusion: Neoadjuvant entire pleural IMRT can be delivered with a favorable radiation complication. An optimal strategy has to be made in resectable MPM patients who would benefit from neoadjuvant radiation and surgery. Further studies are needed to look at long-term outcomes.

Phenomenological Qualitative Research of Social Admission in Rehab hospitals: Occupational Therapists' Perspectives (요양·재활병원 환자의 사회적 입원과 지역사회 복귀 어려움에 대한 작업치료사의 관점: 현상학적 연구)

  • Kim, Jung-Hun Aj;Hwang, Na-Kyoung;Kim, Jong-Sung;Song, Young-Jin;Choi, Min-Kyung;Kim, Hyung-Sun;Han, Ga-Ram
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.103-120
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    • 2020
  • Objective : This study aims to understand the phenomenon of social admission in Korea's rehabilitation system by analyzing the perspectives of occupational therapists. Methods : We developed a written questionnaire based on RSAT and, in August 2019, distributed it to occupational therapists with more than three years of experience at the time. Data were analyzed using the van Kaam's method. Further, high frequency words were analyzed by word cloud in order to extract significant statements. Results : Forty-six written interviews were collected from various areas of Korea. We analyzed the data into 2 categories, 4 themes, 13 sub-themes. The two categories were 'hospital system' and 'external factors of occupational therapy practice'. The themes according to 'hospital system' were 'difficulties in implementing multidisciplinary approach' and 'inadequate discharge planning system'. The themes according to 'internal and external factors of occupational therapy' were analyzed as 'difficulties of occupational therapists' and 'difficulties in occupational therapy practice'. Conclusion : Occupational therapists in rehabilitation hospitals recognize that the reason for social admission is insufficient insurance systems related to occupational therapy services in rehab hospitals. This leads to difficulties in occupational therapy practice. We need to develop the insurance systems that can meet patient needs for social recovery.

EFFECTS OF GROUP THERAPY ON SPEECH FLUENCY IN ELEMENTARY SCHOOL STUTTERING CHILDREN (학령기 말더듬 아동 치료에 있어 그룹지도의 효과)

  • Shin, Moon-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.102-115
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    • 1991
  • This study reviewed the stuttering literature and reported the clinical experiment in stuttering intervention. There is still no single answer as to the cause of stuttering or to the most effective therapy for stutterers despite the vast amount of research. One certain thing is that we have come closer to a better understanding of the stuttering and to more effective therapy. There have been three main statements about the origins of stuttering ; biologic origins ; psychodynamic origins ; environmental-learning origins. There also have been various methods of the treatment of stuttering. Broadly, two major treatment approaches are attentive ; stuttering modification therapy and fluency shaping therapy. In this experiment, the researcher attempted to investigate complex elements that each child might have and to use an integrative approach rather than to keep the specific one. Individual subjects were evaluated by a multidisciplinary team. Initially, the subjects received individual therapy. They then were placed in group therapy. The purpose of the group therapy was to raise their fluencies to the higher communicative situation and to maintain improved fluency over time. All three subjects improved their fluencies in reading and in conversation and showed the better(SSI)scores in total stuttering behaviors. It was also discussed that it is necessary to have sensitive assessment tools to investigate each element of stuttering ; and to develop a therapy program reflecting current advanced stuttering theories.

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Optimal arrangement of multiple wind turbines on an offshore wind-wave floating platform for reducing wake effects and maximizing annual energy production (다수 풍력터빈의 후류영향 최소화 및 연간발전량 극대화를 위한 부유식 파력-해상풍력 플랫폼 최적배치)

  • Kim, Jong-Hwa;Jung, Ji-Hyun;Kim, Bum-Suk
    • Journal of Advanced Marine Engineering and Technology
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    • v.41 no.3
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    • pp.209-215
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    • 2017
  • A large floating offshore wind-wave hybrid power generation system with an area of 150 m2 and four 3 MW class wind turbine generators was installed at each column top. In accordance with the wind turbine arrangement, the wake generated from upstream turbines can adversely affect the power performance and load characteristics of downstream turbines. Therefore, an optimal arrangement design, obtained through a detailed flow analysis focusing on wake interference, is necessary. In this study, to determine the power characteristics and annual energy production (AEP) of individual wind turbines, transient computational fluid dynamics, considering wind velocity variation (8 m/s, 11.7 m/s, 19 m/s, and 25 m/s), was conducted under different platform conditions ($0^{\circ}$, $22.5^{\circ}$, and $45^{\circ}$). The AEP was calculated using a Rayleigh distribution, depending on the wind turbine arrangement. In addition, we suggested an optimal arrangement design to minimize wake losses, based on the AEP.

A Historical and Mathematical Analysis on the Radian (라디안 개념의 역사적 분석과 수학적 분석)

  • Yoo, Jaegeun;Lee, Kyeong-Hwa
    • Journal of Educational Research in Mathematics
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    • v.27 no.4
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    • pp.833-855
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    • 2017
  • This study aims to reinvestigate the reason for introducing radian as a new unit to express the size of angles, what is the meaning of radian measures to use arc lengths as angle measures, and why is the domain of trigonometric functions expanded to real numbers for expressing general angles. For this purpose, it was conducted historical, mathematical and applied mathematical analyzes in order to research at multidisciplinary analysis of the radian concept. As a result, the following were revealed. First, radian measure is intrinsic essence in angle measure. The radian is itself, and theoretical absolute unit. The radian makes trigonometric functions as real functions. Second, radians should be aware of invariance through covariance of ratios and proportions in concentric circles. The orthogonality between cosine and sine gives a crucial inevitability to the radian. It should be aware that radian is the simplest standards for measuring the length of arcs by the length of radius. It can find the connection with sexadecimal method using the division strategy. Third, I revealed the necessity by distinction between angle and angle measure. It needs justification for omission of radians and multiplication relationship strategy between arc and radius. The didactical suggestions derived by these can reveal the usefulness and value of the radian concept and can contribute to the substantive teaching of radian measure.

Standard Clinical Procedure(Critical Pathway) on Dental Conscious Sedation for the Disabled Children (장애아동 진정치료에 대한 표준진료지침의 개발)

  • Kim, Minsu;Bae, Youngeun;Kim, Jiyeon;Jo, Anna;Yoon, Hyunseo;Song, Eunju;Jeong, Taesung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.226-232
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    • 2015
  • Critical pathway (CP) defines the optimal care process, sequencing and timing of intervention by multidisciplinary health care teams for a particular diagnosis and procedure. The aim of the study was to evaluate the clinical usefulness and the satisfaction of patients and dental staff after implementation of a critical pathway for the dental treatment of disabled children and adolescents under conscious sedation. Thirty patients are divided in two groups (Pre-CP and CP) at the department of Pediatric Dentistry of Pusan National University Dental Hospital. The satisfaction levels of patients/guardians and the staff members were collected by survey questionnaire. The parents' satisfaction was significantly improved after the implementation of CP. Also, medical/dental staff members were highly satisfied with its usefulness. The application of a critical pathway for disabled children and adolescents might be useful and improve the satisfaction of the parents and medical/dental staff members.

Eco-friendly Design of Horticultural Complex through Application of Saemanguem Areas (시설원예 단지의 친환경적 조성 계획의 새만금지역 적용 연구)

  • Son, Jinkwan;Kang, Taegyoung;Kang, Donghyeon;Lim, Ryugab;Kim, Changhyun;PARK, Minjung;KONG, Minjae
    • Journal of Wetlands Research
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    • v.22 no.4
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    • pp.225-238
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    • 2020
  • The agricultural landscape is considered an important space to provide service functions, but the reality is that environmental and ecological problems are being reported in the creation of a facility horticulture complex. Therefore, this study was conducted to contribute to sustainable agriculture by creating a more eco-friendly facility horticultural complex. The elements of planning for eco-friendly development of the facility horticultural complex were derived from literature and expert surveys. The master plan and the bird's-eye view were then applied to the Saemangeum area by applying the planning elements. After analyzing the method of selecting and deploying input elements for improving functions, it was suggested that low-flow areas, wetlands, artificial storage facilities, green spaces, and waterways should be placed in harmony with the landscape and that the building-to-land ratio should be applied at 55%. The final design was prepared by applying the ecological service function improvement plan proposed by experts. The final bird's-eye view also reflected water purification facilities, connection of wetlands to waterways, packing of pitchers, and connection of green areas. The results of the research are expected to be used as basic data for policy and budget allocation for the eco-friendly creation of horticulture facilities and contribute to sustainable agriculture by contributing to national biodiversity and environmental preservation.

Perception and Satisfaction among Zoological Park Visitors (동물원 방문객의 인식 및 만족도 영향요인 연구)

  • Lee, Hyung-Sook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.51-59
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    • 2012
  • Zoological parks are considered to be a recreational place for family outings and most importantly the starting place of contact with animals in the modem society. Due to environmental threats and the loss of wildlife habitats, the zoos have significant roles to play in education, research and conservation in addition to the traditional role-entertainment, but research on zoos and their visitors is very limited in Korea. The present study surveyed that the zoo visitors' perceptions of the role of zoos, satisfaction, and behaviors in 6 public zoos, during which 730 zoo visitors were interviewed. The results indicated that the zoos represent an opportunity for family-based trips, enjoyment with family or friends and education that are the primary motives for visiting the zoos. The findings demonstrate that respondents considered the four main roles of zoos namely conservation, education, entertainment, and research to be important and recognize its value for conservation and environmental education. The determinants of satisfaction of zoo visitors were ease of visibility, welfare of captive animals, and the availability of information. Most respondents believed that naturalistic exhibits and animal welfare were very important. In order to reinforce the roles of the zoo in modem society, multidisciplinary efforts are needed to improve the animal welfare, replicate native habitats, and develop various education programs.