• Archives of Plastic Surgery
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• 제48권4호
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• pp.373-377
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• 2021

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently described form of T-cell non-Hodgkin lymphoma now formally recognized by the World Health Organization classification of lymphoid neoplasms. The aim of this paper is to report the first case of BIA-ALCL diagnosed in a pregnant patient. It is well known that BIA-ALCL appears as an indolent lymphoma with a good prognosis when diag-nosed at early stages and clinical guidelines for its management have been clearly published. Nevertheless, they lack a standardized approach for BIA-ALCL during pregnancy. With limited experience in our case, treatment has been safely postponed after term without affecting patient's overall prognosis and without fetal complication. The fact that the disease was diagnosed at an early stage (stage I) undoubtedly influenced the course of treatment. A multidisciplinary approach weighing the risks and benefits of treatment is of paramount importance in order to ensure the best possible outcome for both the mother and her child and clinical update guidelines should be issued.

• 한국융합학회논문지
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• 제13권4호
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• pp.195-201
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• 2022

21세기 화두인 4차 산업혁명의 핵심은 최첨단으로 발전하고 있는 다양한 기술들의 융합에 있다. 따라서 다양한 관점에서의 문제해결을 위해 융합 교육은 필수적이라 할 수 있다. 무엇보다 미래사회의 인간과 기술의 접점에서 발생하는 복합문제를 해결하기 위해서는 인문학적, 예술적 접근을 통한 통찰력이 필요하다고 보았다. 이제 대학은 새로운 디지털 환경에 적응하기 위해 다 학적으로 종합설계를 운영하려 하고 있다. 본 연구에서는 연구자가 운영한 예술을 접목한 공학 종합설계 교과목의 운영사례를 기술하였다. 연구자는 1. 문제 인식 및 정의, 2. 아이디어 도출 및 평가, 3. 프로젝트 개발, 4. 발표 및 시연의 프로세스 운영방식을 적용하여 종합설계 교과목에서의 예술 융합형 교육과정을 제시하였다. 본 연구를 통해 학생들에게 프로젝트 개발에 있어 예술적 심미안과 감성적 접근을 시도하게 함으로써 공학 계열 종합설계 교과목에서의 예술 융합 운영방식을 제시하였다는 데 의의가 있다.

• Journal of Ecology and Environment
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• 제47권4호
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• pp.264-271
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• 2023

Environmental crises caused by climate change and human-induced disturbances have become urgent challenges to the sustainability of human beings. These issues can be addressed based on a data-driven understanding and forecasting of ecosystem responses to environmental changes. In this study, we introduce a long-term ecological monitoring system in Korean Long-Term Ecological Research (KLTER), and a plan for the Korean Ecological Observatory Network (KEON). KLTER has been conducted since 2004 and has yielded valuable scientific results. However, the KLTER approach has limitations in data integration and coordinated observations. To overcome these limitations, we developed a KEON plan focused on multidisciplinary monitoring of the physiochemical, meteorological, and biological components of ecosystems to deepen process-based understanding of ecosystem functions and detect changes. KEON aims to answer nationwide and long-term ecological questions by using a standardized monitoring approach. We are preparing three types of observatories: two supersites depending on the climate-vegetation zones, three local sites depending on the ecosystem types, and two mobile deployment platforms to act on urgent ecological issues. The main observation topics were species diversity, population dynamics, biogeochemistry (carbon, methane, and water cycles), phenology, and remote sensing. We believe that KEON can address environmental challenges and play an important role in ecological observations through partnerships with international observatories.

• Journal of Gastric Cancer
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• 제14권2호
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• pp.87-104
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• 2014

Although gastric cancer is quite common in Korea, the treatment outcome is relatively favorable compared to those in western countries. However, there are currently no Korean multidisciplinary guidelines for gastric cancer. Experts from related societies developed guidelines de novo to meet Korean circumstances and requirements, including 23 recommendation statements for diagnosis (n=9) and treatment (n=14) based on relevant key questions. The quality of the evidence was rated according to the GRADE evidence evaluation framework: the evidence levels were based on a systematic review of the literature, and the recommendation grades were classified as either strong or weak. The applicability of the guidelines was considered to meet patients' view and preferences in the context of Korea. The topics of the guidelines cover diagnostic modalities (endoscopy, endoscopic ultrasound, and radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, and radiotherapy), and pathologic evaluation. An external review of the guidelines was conducted during the finalization phase.

• 기본간호학회지
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• 제2권2호
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• pp.115-130
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• 1995

The incidence of oral complications among adult cancer patients undergoing chemotherapy varies from 12 to 80%. Adequate oral hygiene has been shown to be important in prevention of oral complication and an essential role is reserved for the nursing staff. These considerations prompted the decision to survey by means of a questionaire, the nurses who give care to cancer patients. The Questions were included multidisciplinary treatment, inspection skill, nursing intervention, nursing education, problem in mouth care, solution for problem solving. - Results are fellow : 1. A total of 116 of the nurses returned the questionaire 2. According to 88.2% of the respondents, the policy with regard to oral-hygine is determined by the physician and the nurse. 62.1% of nurses do not consult the dentist When oral complication is occured. 3. In only 34.5% of case was a penight used to provide the necessary extra illumination nursing Inspection of oral cavity. 4. Frequency of oral complications observed by the respondents is that they observed complications in < 25% of patients. The nature of the complication varied from ulcer, stomatitis, infection, dry mouth, candidiasis, herpes simplix, bleeding. 5. Percentages of respondents who use the intervention indicated 1) to prevent oral complication : 0.9% normal saline gargling(44%), 0.02% chlorhexidine gargling, oral dressing(38.8%), observation, nutrition, restriction of alcohol and tabaco(23.2%) 2) to deal with the early symptoms 0.9% normal saline gargling (47.4%), cryotherapy(37.9%), 0.02% chlorhexidine gargling(20.7%) 3) to help alleviate severe complications : dental consult, holding the chemotherapy(34.5%), 0.9% normal saline gargling(31.1%), cryotherapy(18.0%) 6. According to 70% of the respondents, insufficient attention is given to oral complication during nursing education classes only 8.6% said that both the theory and the practical aspects had been deal with in sufficient detail during their training. The results of the survey indicate thatoral care in cancer patients undergoing chemothrapy has a number of problem. There are not enough dentist to provide the necessary care for patients undergoing chemotherapy. The expertise of the nurses with respect to the pathogenesis of the complication is limited. In the training of nurses, additional attention to oral examinations and oral hygine is warranted. The care of patients should be the responsibility of a multidisciplinary team approach. The nurse occupies a key position with in this team, which includes the medical oncologist, a dentist.

• 과학기술학연구
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• 제20권1호
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• pp.39-85
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• 2020

정보기술의 발달과 함께 가짜뉴스가 더욱 심각한 사회문제가 되고 있다. 이 문제는 언론 기관의 사실 검증 노력, 법 규제, 혹은 기술적 해법 등 개별적인 차원의 노력만으로는 제대로 관리되지 못하고 있다. 가짜뉴스의 범람은 사회의 신뢰 구조에 근본적 영향을 미치며, 결국 민주주의의 존립 기반을 위협한다. 그러므로 가짜뉴스 문제해결의 어려움에도 불구하고 어느 사회든 이 문제를 내버려 둘 수 없다. 가짜뉴스 이슈는 단순히 진위판정 문제로 한정할 수 없다. 완전한 가짜뉴스나 완전한 진짜뉴스는 드물기 때문이다. 이 문제를 통해서 우리는 불확실성을 잘 경험하고 있다. 그러므로 가짜뉴스 관리란 가짜뉴스의 완전한 제거를 의미하는 것은 아니다. 또한 가짜뉴스 문제를 개인의 합리성에만 맡길 수 없다. 반복적인 가짜뉴스는 개인의 의사결정을 쉽게 무너뜨릴 수 있기 때문이다. 이를 위해서 사회-기술적 차원의 모색이 요구되며, 다학제적이며 다영역적인 협업이 필요하다. 이 연구에서는 가짜뉴스에 대한 기존의 분석과 대응 노력을 알아보고, 기존 방식의 실패 경험을 토대로, 시민과학의 접근법을 통하여 가짜뉴스 관리를 위한 새로운 공공적 온라인 플랫폼을 제시하고자 한다. 이 모델은 가짜뉴스를 수집하고 분석하고 수용자가 반응하는 과정을 근본적으로 재설계할 것이다. 여러 분야의 사람들이 각자의 역량에 따라서 각자의 여유 만큼의 노력을 동원하여 이 플랫폼에 참여하고 기여할 수 있다.

• 임상간호연구
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• 제25권2호
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

• Safety and Health at Work
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• 제15권1호
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• pp.66-72
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• 2024

Background: This study examines the relationship between functional disability and work ability in workers affected by low back pain (LBP) through an analysis of correlations between the Oswestry Disability Index (ODI) and Work Ability Index (WAI). The role of personal and work factors on functional disability/work ability levels has also been studied. LBP is the most common musculoskeletal problem and a major disabling health problem worldwide. Its etiology is multifactorial. Multidisciplinary approaches may help reduce the burden of pain and disability and improve job continuity and reintegration at work. Methods: A cohort of 264 patients affected by LBP from an Italian outpatient clinic were included in a clinical diagnostic/therapeutic trial aiming at rehabilitation and return to work through an integrated investigation protocol. Data were collected during the first medical examination using anamnestic and clinical tools. The final sample is composed of 252 patients, 57.1% man, 44.0 % blue collars, 46.4% with the high school degree, 45.6% married. Results: WAI and ODI reported a negative and fair correlation (r = -0.454; p = .000). Workers with acute LBP symptoms have a higher probability of severe disability than those with chronic LBP symptoms. White collars without depressive symptoms reported higher work ability - even in chronic disability conditions-than those with depressive symptoms. Conclusion: The study found that ODI and WAI have a convergent validity and this suggests that the two tools measure capture distinctive aspects of disability related to personal, environmental, and occupational characteristics. The most important and modifiable prognostic factors found for ODI and WAI were depressive symptoms, workday absence, and intensity of back pain. The study also found a mild association between age and ODI. The study's findings highlight the importance of using a multidisciplinary approach to manage and prevent disability due to LBP.

• 대한소아치과학회지
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• 제41권1호
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• pp.72-79
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• 2014

구순구개열은 선천성 악안면 기형 중 발생률이 가장 높은 질환으로 관련된 여러 분야의 협진(team approach)을 통한 조직적인 관리를 필요로 한다. 치료에 있어 수술분야의 많은 발전이 있어 왔으나 수술만으로는 다양한 문제점을 해결하기 어려웠다. 이에 따라 술 전 처치의 필요성을 인식하여 술전 비치조 정형의 개념이 개발되었으며 편측성 및 양측성 구순구개열 환자에게 적용되고 있다. 편측성 구순구개열에서 술전 비치조정형의 목적을 코의 대칭성을 회복시키는데에 중점을 두었다면 양측성 구순구개열에서는 짧은 비소주를 신장시키고, 낮아진 코끝을 세우고, 전방으로 변위된 전상악부를 재위치 시키는 것이 목적이라 할 수 있다. 본 증례에서는 양측성 구순/구개열로 진단받은 이란성 쌍둥이에게 술전 탄성밴드와 비치조정형 장치를 이용하여 첫 번째 입술수술 전까지인 약 70일간 전상악부의 후방 견인 및 술전 비치조정형을 시행하였다. 두 환아 모두 초기에 비해 비소주가 길어지고 전방 변위된 전상악부가 제 위치로 많이 회복된 것을 관찰할 수 있었다. 그리고 입술 수술 후 술자와 보호자가 모두 만족할만한 심미적인 결과를 얻을 수 있었다. 장치의 효과를 극대화하기 위해서 환자의 적응력, 보호자의 협조도 및 술자의 적절한 장치물의 선택과 세심한 조정, 이 3가지 요소가 조화를 이루어야 할 것이다.

• 대한정형외과학회지
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• 제54권4호
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• pp.293-301
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• 2019

사지와 몸통의 연부조직 종양은 정형외과 의사가 직면할 수 있는 흔한 문제이다. 비록 연부조직 종양은 대부분 양성이지만 정형외과 의사는 양성과 악성 종양을 구별할 수 있는 특징을 알고 있어야 한다. 연부조직 종양의 임상적 특징 및 역학을 이해하게 되면 올바른 진단 및 수술적인 치료를 할 수 있게 된다. 종양의 크기와 깊이는 종양의 진단을 위해 가장 중요한 요소이다. 종양의 감별 진단을 하기 위해서 우선적으로 상세한 병력청취와 자세한 신체 검사가 필요하며, 이후 단순 방사선 촬영, 초음파, 자기공명영상(magnetic resonance imaging), 양전자 방출 단층촬영술(positron emission tomography), 컴퓨터 단층촬영(computed tomography), 뼈 스캔, 혈관 조영술 등의 다양한 영상 촬영법을 사용하여 종양을 진단하고 진단된 종양의 특성을 확인하여야 한다. 특히 초음파 검사는 외래에서도 쉽게 수행할 수 있어 유용하다. 그러나 검사자의 숙련도에 따라 검사 정확도의 차이가 발생할 수 있다는 단점이 있다. 종양의 생검을 통한 조직검사는 종양에 대한 모든 영상 검사를 시행한 후 최종적으로 시행하는 것이 원칙이다. 조직 검사를 시행할 때는 세심한 주의를 기울여야 하며, 최종적인 진단 후에는 치료를 위해 다각적인 접근을 시행하여야 하며 필요한 경우에는 경험 있는 근골격계 종양전문의사에게 의뢰하는 것이 필요하다.