• Korean Circulation Journal
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• v.53 no.5
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• pp.294-312
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• 2023

Heart failure (HF) is a global health problem closely related to morbidity and mortality. As the burden of HF increases, it is necessary to manage and treat this condition well. However, there are differences between real-world practice and guidelines for the optimal treatment for HF. Patient-related, healthcare provider-related, and health system-related factors contribute to poor adherence to optimal care. This review article aims to examine HF treatment patterns and treatment adherence in real-world practice, identify clinical gaps to suggest ways to improve the quality of care for HF and clinical outcomes for patients with HF. Although it is important to optimize treatment based on evidence-based guidelines to the greatest extent, it is known that there is still poor treatment adherence, and many patients do not receive guideline-directed medical therapy, especially at the early stages. To improve medication adherence, qualitative evaluation through performance measurement, as well as education of patients, caregivers and medical staff through a multidisciplinary approach are important.

• Archives of Plastic Surgery
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• v.43 no.2
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• pp.153-159
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• 2016

Background The prenatal ultrasound detection of cleft lip with or without cleft palate (CL/P) and its continuous management in the prenatal, perinatal, and postnatal periods using a multidisciplinary team approach can be beneficial for parents and their infants. In this report, we share our experiences with the prenatal detection of CL/P and the multidisciplinary management of this malformation in our institution's Congenital Disease Center. Methods The multidisciplinary team of the Congenital Disease Center for mothers of children with CL/P is composed of obstetricians, plastic and reconstructive surgeons, pediatricians, and psychiatrists. A total of 11 fetuses were diagnosed with CL/P from March 2009 to December 2013, and their mothers were referred to the Congenital Disease Center of our hospital. When CL/P is suspected in the prenatal ultrasound screening examination, the pregnant woman is referred to our center for further evaluation. Results The abortion rate was 28% (3/11). The concordance rate of the sonographic and final diagnoses was 100%. Ten women (91%) reported that they were satisfied with the multidisciplinary management in our center. Conclusions Although a child with a birth defect is unlikely to be received well, the women whose fetuses were diagnosed with CL/P on prenatal ultrasound screening and who underwent multidisciplinary team management were more likely to decide to continue their pregnancy.

• Proceedings of the KACD Conference
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• 2007.05a
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• pp.281-281
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• 2007

• Proceedings of the KACD Conference
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• 2007.11a
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• pp.637-637
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• 2007

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.1
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• pp.20-27
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• 2014

Objectives : The aim of this study was to determine whether intervention using a multidisciplinary approach affects maternal mental health, parenting stress, and sense of parenting competence in children with feeding disorder and failure to thrive (FTT). Methods : Children with feeding disorder and FTT were randomized to the intervention group (N=11) or control group (N=8). We administered the Korean standardization of Parent Temperament Questionnaire for Children (K-PTQ) in both groups before intervention, and the Korean version of the Parenting Stress Index-Short Form (K-PSI-SF), Korean version of the Parenting Sense of Competence (K-PSOC), Korean version of the Beck's Depression Inventory (K-BDI), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Mood Disorder Questionnaire (K-MDQ) in both groups before and after the intervention. Results : In the intervention group, the K-BDI (p=.068), K-BAI (p=.068), and K-MDQ (p=.066) scores tended to show a decline, the K-PSI-SF scores for stress related to child learning showed a significant decline, and the K-PSOC scores for sense of parenting competence showed significant improvement. However, no significant changes were observed in the control group. Conclusion : Use of a multidisciplinary approach improved maternal mental health, parenting stress, and sense of competence. Comparison of these results with those of normal control will be necessary in a future study.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.10 no.1
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• pp.38-42
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• 2014

A tracheostomy tube serves as airway management for patients whose respiration is impeded due to inflammation, tumor, or traumatic events. If the patients who have tracheostomy tube, visit dental clinic for dental treatments, we should consider the underlying general condition of patients and then make treatment plans according to their state. A 22-Year old male patient, who had tracheostomy tube on his neck, came to our department for comprehensive dental treatment. Mild mental retardation was observed and he was taking anti-convulsant drugs for the prevention of epileptic seizure. Multiple advanced dental caries, hopeless teeth, and impacted third molars were also observed by clinical and radiographic examination. Due to the risk of epileptic seizure and low cooperativity to tolerate the treatment, general anesthesia was recommended by physician, and the anti-convulsant drug was administrated during procedure. In this case, we aimed to report the multidisciplinary approach for the dental treatment of patient having a tracheostomy tube.

• Proceedings of the Computational Structural Engineering Institute Conference
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• 2000.10a
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• pp.141-148
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• 2000

In system design, it is not always possible that all decision makers can cooperate fully and thus avoid conflict. They each control a specified subset of design variables and seek to minimize their own cost functions subject to their individual constraints. However, a system management team makes every effort to coordinate multiple disciplines and overcome such noncooperative environment. Although full cooperation is difficult to achieve, noncooperation also should be avoided as possible. Our approach is to predict the results of their cooperation and generate approximate Pareto set for their multiple objectives. The Pareto set can be obtained according to the degree of one's conceding coupling variables in the other's favor. We employ approximation concept for modelling this coordination and the mutiobjective genetic algorithm for exploring the coupling variable space for obtaining an approximate Pareto set. The approximation management concept is also used for improving the accuracy of the Pareto set. The exploration for the coupling variable space is more efficient because of its smaller dimension than the design variable space. Also, our approach doesn't force the disciplines to change their own way of running analysis and synthesis tools. Since the decision making process is not sequential, the required time can be reduced comparing to the existing multidisciplinary optimization techniques. This approach is applied to some mathematical examples and structural optimization problems.

• Journal of Pharmacopuncture
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• v.21 no.2
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• pp.126-131
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• 2018

This study investigates the effect of a combination of homeopathic medicine and electro- acupuncture in two patients with breast cancer and severe liver disease who could not receive standard anaesthesia therapy due to liver problems. Specifically, measurable and quantifiable parameters were used to evaluate whether an integrated approach-consisting of electro- acupuncture and a homeopathic medicine diluted above Avogadro's limit (that is, above a potency of 12CH) during the pre-surgical, surgical and post-surgical phases -can improve general well-being of a patient undergoing breast cancer surgery. In breast cancer surgery, we employed an integrated approach consisting of induction with hypnotics and muscle relaxants, followed by maintenance with anaesthetic gas, combined with a homeopathic treatment (Arnica montana 15CH and Apis mellifica 15CH) before and after surgery and an electro- acupuncture treatment performed in the pre- and post-surgical phases without any analgesic/pain relieving medications. Both of the patients treated with the integrated approach improved their overall condition without need for other common pain relieving medicines. Additionally, thanks to their rapid awakening, the patients were not relocated to a protected area and the hospitalization was shorter. A multidisciplinary approach incorporating homeopathic medicine and electro-acupuncture can be a solution for patients who need or ask about a different and/or safer alternative to the standard treatment. This approach can offer a safe, much less expensive, non-invasive and viable alternative for such cases. Moreover it can be useful for an opioids free anesthesia.

• Journal of Mechanical Science and Technology
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• v.20 no.1
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• pp.133-146
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• 2006

Collaborative optimization (CO) is a multi-level decomposed methodology for a large-scale multidisciplinary design optimization (MDO). CO is known to have computational and organizational advantages. Its decomposed architecture removes a necessity of direct communication among disciplines, guaranteeing their autonomy. However, CO has several problems at convergence characteristics and computation time. In this study, such features are discussed and some suggestions are made to improve the performance of CO. Only for the system level optimization, genetic algorithm is used and gradient-based method is used for subspace optimizers. Moreover, response surface models are replaced as analyses in subspaces. In this manner, CO is applied to aero-structural design problems of the aircraft wing and its results are compared with the multidisciplinary feasible (MDF) method and the original CO. Through these results, it is verified that the suggested approach improves convergence characteristics and offers a proper solution.

• Journal of Applied Reliability
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• v.15 no.1
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• pp.33-43
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• 2015

The importance of reliability engineering has increased in recent years. Many studies have been carried out into reliability in a variety of research domains, largely focused on industrial engineering, mechanical engineering, electronics engineering, materials engineering and statistical science. However, most of these studies were carried out without collaboration between different areas of study. Here, we analyze research papers and patents regarding reliability that were published during the past five years, and describe core trends in the development of reliability technology from a multidisciplinary perspective.