• International Journal of Precision Engineering and Manufacturing
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• v.5 no.4
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• pp.61-68
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• 2004

Necessity to address engineering system uncertainties in design processes has long been acknowledged. To obtain quality of product, a safety factor is traditionally used by many design engineers due to its easy of use and comprehension. However, the safety factor approach often yields either conservative or unreliable designs, since it ignores the type of probability distribution and the mechanism of uncertainty propagation from the input to the output. For a consistent reliability-based design, two fundamental issues must be investigated thoroughly. First, the design-decision process that clearly identifies a mechanism of uncertainty propagation under system uncertainties needs to be developed, which must be an efficient and accurate process. To identify the mechanism more effectively, an adaptive probability analysis is proposed by adaptively setting probability levels through a posteriori error estimation. The second is to develop the design process that not only yields a high quality design but also a cost-effective optimum design from manufacturing point of view. As a result, a response surface methodology is specially developed for RBDO, thus enhancing numerical challenges of efficiency and complicatedness. Side crashworthiness application is used to demonstrate the integrated design process for product and manufacturing process design.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.20 no.1
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• pp.55-60
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• 2017

Intestinal hypoganglionosis is a rare innervation disorder that provides numerous nutritional, medical and surgical challenges. In this case report, we present a case of a newborn with intestinal hypoganglionosis leading to intestinal failure and intestinal failure-associated liver disease who responded to $Omegaven^{TM}$, a fat emulsion comprised of omega-3 fatty acids. $Omegaven^{TM}$ has been shown to be beneficial in the management of cholestatic liver injury. Clinical success with $Omegaven^{TM}$ was seen in this patient with a clear decrease in aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and complete resolution of cholestasis with a direct bilirubin of zero within two weeks of initiation of $Omegaven^{TM}$. No current guidelines for the diagnosis and management of hypoganglionosis are available. We recommend a multidisciplinary approach and the use of novel therapies such as fat emulsions composed of omega-3 fatty acids for improved patient outcomes. Appropriate compassionate use protocols should be obtained from the Food and Drug Administration prior to initiation of $Omegaven^{TM}$.

• Archives of Reconstructive Microsurgery
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• v.24 no.1
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• pp.32-36
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• 2015

The reconstruction of recurrent pressure sores is challenging due to a limited set of treatment options and a high risk of flap loss. Successful treatment requires scrupulous surgical planning and a multidisciplinary approach. Although the tensor fascia lata flap is regarded as the standard treatment of choice-it provides sufficient tissue bulk for a deep trochanteric sore defect-plastic surgeons must always consider the potential of recurrence and accordingly save the second-best tissues. With the various applications of anterolateral thigh (ALT) flaps in the reconstructive field, we report two cases wherein an alternative technique was applied, whereby pedicled ALT fasciocutaneous island flaps were used to cover recurrent trochanteric pressure sores. The postoperative course was uneventful without any complications. The flap provided a sound aesthetic result without causing a dog-ear formation or damaging the lower-leg contour. This flap was used as an alternative to myocutaneous flaps, as it can cover a large trochanteric defect, recurrence is minimized, and the local musculature and lower-leg contour are preserved.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.1
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• pp.57-64
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• 2016

Clinical therapy that combines full-mouth rehabilitation with immediate implantation and orthognathic surgery poses a challenge to prosthodontists. This clinical report describes a multidisciplinary approach to the diagnosis and treatment of a patient presenting with skeletal discrepancy and rampant caries. The results thus achieved indicate that full-mouth rehabilitation by fixed immediate and early loading implantation accompanied by orthognathic surgery can be a predictable and effective treatment procedure.

• Journal of Environmental Health Sciences
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• v.35 no.3
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• pp.143-152
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• 2009

Indoor air quality at classrooms is of special concern since students are susceptible and indoor air problems can be so subtle that it does not always produce easily recognizable health effects. The main objectives of the study were to investigate the time-activity pattern of school students, to determine the sources of poor indoor air quality in schools, and to demonstrate how indoor air quality in schools causes adverse health effects such as headache, upper airway irritation, fatigue, and lethargy. Recent articles ranging from 1987-2009 related to school indoor air quality were systematically reviewed. Building-associated health effects can increase student absences from school and degrade the performance of children while in school. The reduced ventilation rate was associated with a decreased ability to concentrate along with increased adverse health symptoms. There was an association between residential proximity to busy roads and a variety of adverse respiratory health outcomes in children. Consequently, the current findings suggest the need for control strategy for school indoor air pollutants with multidisciplinary approach methods because Korea has no other natural resources except manpower especially.

• Journal of Family Resource Management and Policy Review
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• v.11 no.3
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• pp.107-121
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• 2007

Many housing studies and education programs in Korea have focused on design, planning, and construction. Houses and nearby environments are a large portion of the total assets each household possesses. However, effective and efficient housing management of housing assets has been relatively neglected. Facility management can be defined as the practice of coordinating the physical environment with the people and process (work of the organization). The purpose of this study is to figure out the construct of courses of Housing majors in the College of Human Ecology in Korea and investigate facilities management programs and courses provided in the U.S. to explore the possibility of merging facility management perspectives and educational programs into housing studies. Many courses provided in facility management programs have human ecology perspectives in terms of a multidisciplinary approach, life cycle commitment, and various stakeholders building physical, social, and ecological milieu. By merging and supplementing the existing curricula of housing and consumer studies, facility nanagement programs and courses could be a possible alternative to specialized housing education programs.

• Journal of Radiation Industry
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• v.9 no.4
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• pp.181-185
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• 2015

Today the biosafety evaluation, a common problem of vital importance, is based on internationally proved test-systems, standards and techniques. The paradigm of biosafety includes multidisciplinary approach, a combination of physical, chemical and biological tests to monitor the environmental level of pollutants and needs to be improved by modern approaches. The genetic risk of environmental pollutions has long been studied by many researchers. In this study, used was the known sensitive plant test-system, clones of plant Tradescantia (spiderwort) able to detect gene mutations (frequency of mutational events and formation of micronuclei) in combination with chemical and, in some instances, with radiological measurements. In addition, male gametophyte generation of fruit trees was applied as bioindicators of genotoxicity. The obtained results did not show any significant increase along with wind direction. As for the male gametophyte assay, the fertility of the investigated fruit-trees near to NPP did not significantly differ from that of the control point. The influence of the NPP on the male generative system of the investigated taxa of fruit trees for the investigated year was not revealed. The system described needs to be expanded by species of interest (human) as there is a difficulty to transfer the revealed dose correlations to humans. The development of this idea includes various levels: population (epidemiological studies), individual, cellular, molecular (DNA), etc.

• Journal of the Korean Medical Association
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• v.61 no.12
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• pp.710-714
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• 2018

A law revised in May 2012 provided support to regional and emergency centers for reducing the risk of preventable deaths. In particular, regional trauma centers have been established throughout the nation, with the goal of ensuring that any trauma patient can reach a trauma center within an hour. As a multidisciplinary approach is particularly important in treating severe trauma patients, activation teams are currently organized at each center to perform multiple simultaneous treatments. Under the present system, only 7 departments can participate in these trauma teams; emergency medicine, cardiothoracic surgery, general surgery, orthopedic surgery, neurosurgery, radiology, and anesthesiology. Plastic surgeons also play an essential role in treating trauma patients, and in fact currently treat many such cases. Especially in reconstruction procedures in patients with head and neck trauma and wide tissue defects, plastic surgeons possess unique expertise. However, since plastic surgeons are excluded from the trauma response teams due to institutional limitations, we describe the role and necessity of plastic surgery for trauma and emergency patients, and urge that the system be improved.

• The Journal of Korean Society for Neurotherapy
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• v.22 no.3
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• pp.43-48
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• 2018

Purpose The purpose of this study is to identify the prevalence, risk factors, characteristics, and interventions of hip joint problems in children with cerebral palsy, and to be able to serve as leverage for early detection, prevention, and function recovery. Method The electronic journal site was searched by the search terms "cerebral palsy", "hip joint", "hip joint dislocation", we analyzed and descript the cited articles from domestic and foreign papers in Pubmed 9, Science Direct 7, and K RISS analysis and analysis. Results Children with cerebral palsy showed the different prevalence according to their disability type, severity, and functional level, and we knew that abnormal neuromuscular control, stiffness, and biomechanical changes could be risk factors. Migration Index, Acetabolum Index, Neck shaft angle using by radiography and passive ROM test, special tests were available for the diagnosis and evaluation of the hip joint. Combination of physical therapy and orthopedic surgery was very important intervention, and complementary alternative therapy, orthosis, and postural assistant are effective. Conclusion We suggested that early detection and prevention is the most important periodic examination and that a multidisciplinary approach is a major factor in intervention.

• Korean Journal of Occupational Health Nursing
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• v.28 no.2
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• pp.83-93
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• 2019

Purpose: Cancer patients are at a higher risk of being unemployed or facing difficulty in returning to work (RTW) than individuals without health concerns. The aim of this study is to identify and describe interventions developed specifically to assist cancer patients to RTW after treatment. Methods: A comprehensive search was conducted from September to October 2018 in different international databases: PubMed, Medline, and Embase. Studies using qualitative, quantitative, or mixed designs were included if they satisfied the following criteria: (a) described an intervention to assist cancer patients to RTW during or after treatment; (b) conducted on patients aged 18 and over and diagnosed with cancer; (c) written in English; (d) published in peer-reviewed journals. Results: Fourteen studies met the inclusion criteria. Counseling with physical activity intervention, behavioral training to reduce fatigue, and multi-disciplinary rehabilitation programs were found to be effective. Conclusion: Interventions adopting a multidisciplinary approach were effective for RTW in cancer patients. This literature review emphasizes the need for more tailored interventions based on survivors' needs and characteristics in the RTW field.