• Asian Pacific Journal of Cancer Prevention
• /
• 제15권8호
• /
• pp.3825-3828
• /
• 2014

Surgical outcomes of colorectal cancer treatment depend not only on good surgery and tumor biology but also on an optimal perioperative care. The enhanced recovery program (ERP) - a multidisciplinary and multimodal approach, or so called 'fast-track surgery' - has been designed to minimize perioperative and intraoperative stress responses, and to support the recovery of organ function aiming to help patients getting better sooner after surgery. Compared with conventional postoperative care, the enhanced recovery program results in quicker patient recovery, shorter length of hospital stay, faster recovery of gastrointestinal function, and a lower incidence of postoperative complications. Although not firmly established as yet, the enhanced recovery program after surgery could be of oncological benefit in colorectal cancer patients because it can enhance recovery, maintain integrity of the postoperative immune system, increase feasibility of postoperative chemotherapy, and shorten the time interval from surgery to chemotherapy. This commentary summarizes short-term outcomes and potential long-term benefits of enhanced recovery programs in the treatment of colorectal cancer.

• Journal of Mechanical Science and Technology
• /
• 제18권1호
• /
• pp.173-182
• /
• 2004

The present study has focused on numerical investigation on the flame structure, flame lift-off and stabilization in the partially premixed turbulent lifted jet flames. Since the lifted jet flames have the partially premixed nature in the flow region between nozzle exit and flame base, level set approach is applied to simulate the partially premixed turbulent lifted jet flames for various fuel jet velocities and co-flow velocities. The flame stabilization mechanism and the flame structure near flame base are presented in detail. The predicted lift-off heights are compared with the measured ones.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제20권1호
• /
• pp.14-21
• /
• 2017

Pediatric onset Crohn's disease (CD) tends to have complicated behavior (stricture or penetration) than elderly onset CD at diagnosis. Considering the longer duration of the disease in pediatric patients, the accumulative chance of surgical treatment is higher than in adult onset CD patients. Possible operative indications include perianal CD, intestinal stricture or obstruction, abdominal abscess or fistula, intestinal hemorrhage, neoplastic changes and medically untreatable inflammation. Growth retardation is an operative indication only for pediatric patients. Surgery can affect a patient's clinical course, especially for pediatric CD patient who are growing physically and mentally, so the decision should be made by careful consideration of several factors. The complex and diverse clinical conditions hinder development of a systemized treatment algorithm. Therefore, timing of surgery in pediatric CD patients should be determined with individualized approach by an experienced and well organized multidisciplinary inflammatory bowel disease team. Best long-term outcomes will require proactive post-operative monitoring and therapeutic modifications according to the conditions.

• 대한후두음성언어의학회지
• /
• 제8권2호
• /
• pp.225-231
• /
• 1997

The persistent and recurrent dysphonia after microlaryngeal surgery was noted in tweleve patients. We reviewed the results of laryngostroboscopy, psychoacoustic evaluation, aerodynamic study and acoustic analysis according to the treatment modality. The causes of persistent dysphonia were attributed to vocal cord scarring, recurrent mass lesion, residual mass lesion, persistent inflammation, and hyperfunctional voice disorder. We noticed the better vocal function in the group treated with voice therapy or surgical therapy than the group treated with voice rest and medication. Therefore, we concluded that vocal function can be improved with the use of active, multidisciplinary approach which includes voice therapy, medical treatment and selected surgical resection according to the laryngeal lesions.

• 디자인학연구
• /
• 제20권2호
• /
• pp.53-64
• /
• 2007

Web development has multidisciplinary features involving diverse team members. Owing to the diverse backgrounds, however, there may be communication problems among web team members, especially between designers and programmers. Programmers often use a graphical modeling notation to communicate their designs. The graphical modeling concepts can also be helpful to designers, but most designers generally find graphical modeling notations hard to understand. We, therefore, propose an interactive computer-aided collaborative web design system including revised web graphical model notations to improve communication between web designers and programmers. We have designed and implemented a computational prototype to validate the approach and illustrate how the prototype works using concrete examples.

• 한국BIM학회 논문집
• /
• 제5권1호
• /
• pp.16-24
• /
• 2015

The kinetic façade system is an interactive building envelope which is adaptive to environmental condition by transforming the behaviour of its components. The design process of kinetic façade system calls for a novel approach. It needs to support designers to adopt technologies from multidisciplinary fields such as physical computing and robotics. In this paper, prototyping method is introduced as a useful technique for implementing kinetic façade systems. In order to incorporate prototyping method into architectural design process, two aspects are investigated in digital design studio: (1) The interactions between digital and analogue environments (2) The role of traditional design tools. Furthermore, the role of BIM is investigated by analyzing two aspects.

• Journal of Periodontal and Implant Science
• /
• 제38권sup2호
• /
• pp.405-412
• /
• 2008

Purpose: Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required. Materials and Methods: The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis. Results: The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval. Conclusion: The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health.

• 한국소음진동공학회:학술대회논문집
• /
• 한국소음진동공학회 2003년도 춘계학술대회논문집
• /
• pp.1020-1025
• /
• 2003

A successful design approach for noise barriers should be multidisciplinary because noise reduction goals influence both acoustical and non-acoustical considerations, such as maintenance, safety, physical construction, cost and visual impact These various barrier design options are closely related with barrier dimensions. In this study, we have proposed an optimal design method of noise barriers using simulated annealing algorithm, providing a barrier having the smallest dimension and achieving the specified noise reduction at a receiver region exposed to the industry and infrastructures, to help a successful barrier design.

• 대한치과의사협회지
• /
• 제57권11호
• /
• pp.679-688
• /
• 2019

A 8-year-old patient presented with a crown-root fracture of the maxillary right central incisor with an oblique subgingival fracture line. A multidisciplinary treatment approach including endodontic treatment, surgical extraction and intraalveolar repositioning was used to gain sufficient crown length of the fractured maxillary incisor. The coronally repositioned maxillary right central incisor was stabilized by a resin wire splint. Apexification using MTA was performed. Resin core and direct resin restoration(Cl IV) on fractured teeth was built up. Clinical and radiographic follow-up of the maxillary right central incisor after 36 months showed no signs of root resorption or pathology and acceptable aesthetics and functions were maintained. Surgical extrusion can be considered as a good treatment modality for young patients.

• BMB Reports
• /
• 제48권10호
• /
• pp.541-548
• /
• 2015

Cardiomyopathy is an inherited or acquired disease of the myocardium, which can result in severe ventricular dysfunction. Mitochondrial dysfunction is involved in the pathological process of cardiomyopathy. Many dysfunctions in cardiac mitochondria are consequences of mutations in nuclear or mitochondrial DNA followed by alterations in transcriptional regulation, mitochondrial protein function, and mitochondrial dynamics and energetics, presenting with associated multisystem mitochondrial disorders. To ensure correct diagnosis and optimal management of mitochondrial dysfunction in cardiomyopathy caused by multiple pathogenesis, multidisciplinary approaches are required, and to integrate between clinical and basic sciences, ideal translational models are needed. In this review, we will focus on experimental models to provide insights into basic mitochondrial physiology and detailed underlying mechanisms of cardiomyopathy and current mitochondria-targeted therapies for cardiomyopathy.