• 대한치과보철학회지
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• 제58권3호
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• pp.244-250
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• 2020

상악 전치부에서 임플란트의 순구개측 식립 위치는 보철물의 심미성을 결정하는 중요한 요소이다. 그러나 상악 전치부의 얇은 순측골은 발치 후에 상당한 양이 흡수되어, 임플란트가 이상적 식립 위치보다 구개측에 식립될 수 있다. 본 상악 중절치 상실 증례들에서 다소 구개측에 식립된 임플란트의 보철 수복을 위하여 UCLA 지대주를 이용하였다. 또한 타과와 협진으로 발치 후 흡수된 치조골 외형과 치은의 형태 회복을 위하여 골유도재생술을 시행하였고, 인접전치를 재배열 하였다. 충분한 임시 보철물 수복 기간으로 치은 형태의 심미적 회복을 확인한 뒤에 최종 보철 시행하였으며, 임플란트 보철을 통한 치아 상실 부위의 기능, 심미 회복이 만족할 만한 결과를 보였다.

• 대한족부족관절학회지
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• 제26권1호
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• pp.30-39
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• 2022

Purpose: This study aimed to report the current trends in the management of diabetic foot over the last few decades through a survey of the Korean Foot and Ankle Society (KFAS) members. Materials and Methods: A web-based questionnaire containing 40 questions was sent to all KFAS members in September 2021. The questions were mainly related to the demographics of patients with diabetic foot, diagnostic tools, and multidisciplinary treatment. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Seventy-eight of the 550 members (14.2%) responded to the survey. The most common demographic factors of diabetic foot patients were male dominance with a high percentage in the 60- to 70-year-old. Although the need for multidisciplinary treatment is highly recognized in the treatment of diabetic foot patients, the actual implementation rate is about 39%. The contrast-enhanced magnetic resonance imaging (88.5%) was reported to be the most used tool for the diagnosis of osteomyelitis of the diabetic foot. It was reported that the use of antibiotics was started empirically and then changed based on bacterial culture tests in 82.1% of patients. Simple wound dressing and antibiotic treatment were most frequently reported for mild ulcers. Conclusion: This study provides updated information on the current trends in the management of a diabetic foot in Korea. Both consensus and variations in the approach to patients with diabetic foot were identified by this survey study. Further efforts are required for better access to a multidisciplinary approach, such as appropriate insurance payment policies and patient education.

• Journal of Forest and Environmental Science
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• 제24권1호
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• pp.15-25
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• 2008

Social and scientific changes, i.e., global warming, desertification, pollution, biodiversity, bioenergy, plant variety protection, biotechnology, timber demand, reforestation in North Korea, and etc., were reviewed for new strategy of forest tree breeding in Korea. Diversified breeding goals, globalization of breeding target species, multidisciplinary research approaches, manpower networking, establishment of new administrative and research units in KFS and KFRI were proposed. Principles suggested for new tree breeding strategy are: 1) multi-disciplinary approach in settlement of objectives, breeding methods, and etc., 2) expansion of target trees including foreign species, 3) fulfillment of both domestic and international demands for forest tree breeding, 4) establishment of breeding program well-grounded on genetic resources conservation, 5) acknowledgement of breeding products (i.e., variety, technique, gene, and etc.) as goods, and 6) provision of more research opportunities for young scientists. Lastly, ongoing tree breeding project in Indonesia and NTFP R&D Center at the College of Forest and Environmental Sciences, Kangwon National University were introduced as examples of desirable breeding projects based on target species diversification, multidisciplinary approach, and manpower networking.

• Archives of Plastic Surgery
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• 제43권6호
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• pp.586-589
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• 2016

A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible. The large soft tissue defect with significant depth was reconstructed with a free latissimus dorsi musculocutaneous flap, which was expected to act as a local barrier from vertical infection and provide tensionless skin coverage upon hip flexion. The extensive sacral sore was treated effectively without complication, and the deep tissue infection completely resolved. There was no evidence of donor site morbidity, and wheelchair ambulation was possible by a month after surgery.

• 구강회복응용과학지
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• 제36권4호
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• pp.282-288
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• 2020

구강방사선스텐트는 구강암의 방사선치료 시 종양조직에 적정 선량을 유도하거나 주변 정상 조직에 대한 불필요한 방사선을 최소화하는 보조 장치이며 환자상황에 따라 개별적으로 적용되므로 효율적인 적용을 위한 관련 외과의, 방사선 치료전문의 그리고 치과전문의들간의 전략적인 협진이 필수적이다. 본 보고에서는 2종의 방사선스텐트(볼러스합입형, 설압형)를 다학제 협진하에 제작하였고 방사선치료 시 선택적으로 적용하여 그 효율성을 경험하였기에 증례와 함께 보고하는 바이다.

• 대한구순구개열학회지
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• 제20권1호
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• pp.49-58
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• 2017

We report the rehabilitation of Class II malocclusion with multiple teeth fracture due to trauma. A multidisciplinary team approach was necessary to treat patient's problems such as bone fracture, malocclusion, and multiple teeth fracture. Emergency conservative treatment, orthodontic treatment and prosthetic restoration successfully restored the occlusion. However, special considerations were needed along the orthodontic treatment process due to the unexpected complications such as ankylosis, root resorption and detection of additional teeth fractures.

• Steel and Composite Structures
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• 제30권2호
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• pp.109-121
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• 2019

This paper presents the second part of the modeling for the strap combined footings, this part shows a mathematical model for design of strap combined footings subject to axial load and moments in two directions to each column considering the soil real pressure acting on the contact surface of the footing for one and/or two property lines of sides opposite restricted, the pressure is presented in terms of an axial load, moment around the axis "X" and moment around the axis "Y" to each column, and the methodology is developed using the principle that the derived of the moment is the shear force. The first part shows the optimal contact surface for the strap combined footings to obtain the most economical dimensioning on the soil (optimal area). The classic model considers an axial load and a moment around the axis "X" (transverse axis) applied to each column, i.e., the resultant force from the applied loads is located on the axis "Y" (longitudinal axis), and its position must match with the geometric center of the footing, and when the axial load and moments in two directions are presented, the maximum pressure and uniform applied throughout the contact surface of the footing is considered the same. A numerical example is presented to obtain the design of strap combined footings subject to an axial load and moments in two directions applied to each column. The mathematical approach suggested in this paper produces results that have a tangible accuracy for all problems and it can also be used for rectangular and T-shaped combined footings.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 1999년도 가을 학술발표회 논문집
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• pp.359-369
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• 1999

The paper describes the study of concurrent subspace optimization(CSSO) for coupled multidisciplinary design optimization (MDO) techniques in mechanical systems. This method is a solution to large scale coupled multidisciplinary system, wherein the original problem is decomposed into a set of smaller, more tractable subproblems. Key elements in CSSO are consisted of global sensitivity equation(GSE), subspace optimization (SSO), optimum sensitivity analysis(OSA), and coordination optimization problem(COP) so as to inquiry valanced design solutions finally, Automatic differentiation has an ability to provide a robust sensitivity solution, and have shown the numerical numerical effectiveness over finite difference schemes wherein the perturbed step size in design variable is required. The present paper will develop the automatic differentiation based concurrent subspace optimization(AD-CSSO) in MDO. An automatic differentiation tool in FORTRAN(ADIFOR) will be employed to evaluate sensitivities. The use of exact function derivatives in GSE, OSA and COP makes Possible to enhance the numerical accuracy during the iterative design process. The paper discusses how much influence on final optimal design compared with traditional all-in-one approach, finite difference based CSSO and AD-CSSO applying coupled design variables.

• Journal of Korean Neurosurgical Society
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• 제60권1호
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• pp.94-97
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• 2017

Gastrointestinal stromal tumors (GISTs) are rare, but are the most common mesenchymal neoplasm of the gastrointestinal tract. The most common sites of metastasis are liver and peritoneum, while bone metastasis is rare. We report on a patient with skull metastasis after seven years of treatment with imatinib for metastatic GIST. She underwent metastasectomy consisting of craniectomy with excision of the mass, and cranioplasty and continued treatment with imatinib and sunitinib, without evidence of cranial recurrence. She died of pneumonia sepsis one year after metastasectomy. Skull metastasis of GIST is a very rare presentation, and an aggressive multidisciplinary approach should be considered whenever possible.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 2001년도 가을 학술발표회 논문집
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• pp.201-210
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• 2001

In this study, large-scale distributed design approach for a life cycle cost (LCC) optimization of steel box girder bridges was implemented. A collaborative optimization approach is one of the multidisciplinary design optimization approaches and it has been proven to be best suited for distributed design environment. The problem of optimum LCC design of steel box girder bridges is formulated as that of minimization of the expected total LCC that consists of initial cost maintenance cost expected retrofit costs for strength, deflection and crack. To discuss the possibility of the application for the collaborative optimization of steel box girder bridges, the results of this algorithm are compared with those of single level algorithm. From the numerical investigations, the collaborative optimization approach proposed in this study may be expected to be new concepts and design methodologies associated with the LCC approach.